Unombomirawo kufema panguva yekurara here? Ngatidzidzei nezve (Central Sleep Apnea) iyi!

Dzimwe nguva unomuka kamwe kamwe husiku here? Unonzwa kushaya mweya here? Kana kuti unonzwa kuneta uye hope zuva rese? Izvi hazvisi zvinhu zvisina kurongeka. Pamwe chikonzero cheizvi ndechekuti une chirwere chinonzi "Central Sleep Apnea". Usazvidya moyo, ngatitaurei nezvazvo zviri nyore.

Chii chinonzi Central Sleep Apnea (CSA)?

Zvichitaurwa zviri nyore, `(Central Sleep Apnea)` zvinoreva apo kufema kwako kunomira kwenguva pfupi panguva yekurara. Asi izvi hazvina kufanana ne`(Obstructive Sleep Apnea)` inouya nekungonorera. Chinoitika pano ndechekuti uropi hwako hahutumire zviratidzo kutsandanyama dzekufema zvakanaka. Kazhinji, chirwere ichi che`(Central Sleep Apnea)` chinogona kuitika sedambudziko rechimwe chirwere kana nekuda kwekushandisa mimwe mishonga. Semuenzaniso, vanhu vane chirwere chemwoyo vanowanzova nechirwere ichi. Nokudaro, vanachiremba vanowanzo rapa chikonzero chacho.

Ndeapi marudzi makuru e `(Central Sleep Apnea)`?

Kune mhando dzakasiyana dze "Central Sleep Apnea". Ngationei kuti ndedzipi:

• CSA Yekutanga: Muchiitiko ichi, zvakaoma kuwana chikonzero chakajeka cheCentral Sleep Apnea. Zvinongoitika chete.
• CSA neCheyne-Stokes Breathing (CSB): Kana uine chirwere ichi, kufema kwako kunoitika mumatanho akasiyana-siyana. Fungidzira, unofema nekukurumidza kwenguva yakareba, wobva wamira kufema kwenguva yakati. Unofema nekukurumidza zvakare, wobva wamira zvakare. Kutenderera kwakadai kunogona kutora pakati pemasekondi makumi mana kusvika makumi mapfumbamwe.
• CSA inokonzerwa nezvimwe zvirwere: Mune vamwe vanhu, chirwere ichi chinogona kukonzerwa nezvinhu zvakaita sechirwere chemwoyo kana zvirwere zvetsinga.
• CSA yekurapa: Dzimwe nguva, vanhu vane Obstructive Sleep Apnea yandambotaura kare vanogona kuva nechirwere ichi chitsva chinonzi Central Sleep Apnea mushure mekunge vatanga kushandisa muchina weCPAP (mudziyo unovabatsira kufema).
• Kunetseka kwekufema kunokonzerwa nekugara munzvimbo dzine makomo: Vamwe vanhu vanogona kusangana nematambudziko ekufema aya kunyangwe vachigara munzvimbo dzine makomo marefu kwenguva yakareba.
• CSA inokonzerwa nemishonga inoderedza marwadzo: Izvi zvinogona kukonzerwa nemimwe mishonga inoderedza marwadzo yakanyorwa navanachiremba, kunyanya iyo ine "Opioids", kana chirwere chinonzi "Opioid Use Disorder".

Ndezvipi zviratidzo zve `(Central Sleep Apnea)`?

Kazhinji, unosangana nezviratidzo zve "Central Sleep Apnea" paunenge wakamuka. Tarisa kana uine zviratidzo izvi:

• Kunzwa hope nguva dzese masikati, sekunge hauna kurara zvakakwana husiku.
• Musoro wakanyanya mangwanani.
• Muromo wakaoma.
• Kunzwa kunetseka zvishoma, kushatirwa nyore nyore.
• Kuomerwa nekutarisa pane chimwe chinhu.

Kana uine `(CSA)`, unogona kumuka kamwe kamwe pakati pehusiku pasina chikonzero. Kana mumwe munhu ari newe, anogona kuona kuti uri kutenderera nekutenderera zvakanyanya muhope dzako.

Ndezvipi zvinokonzera `(Central Sleep Apnea)`?

Izvi zvinoitika kana chimwe chinhu chikakanganisa chikamu cheuropi hwedu chinonzi ``Brainstem''. ``Brainstem'' iyi ndiyo inodzora kufema kwedu. Ndiyo inotumira zviratidzo kumhasuru dziri muhurongwa hwedu hwekufema kuti dzifeme.

Mumunhu ane Central Sleep Apnea, brainstem haipindure zvakanaka kana paine shanduko muhuwandu hwecarbon dioxide (CO2) muropa rake. Carbon dioxide tsvina inoburitswa mumiviri yedu patinofema. Kana huwandu hwecarbon dioxide muropa rako hukawedzera, brainstem yako inoudza tsandanyama dzako dzekufema kuti dzifeme uye dzibudise mweya zvakadzama. Unofema zvakadzama.

Zvisinei, kana huwandu hwekabhoni dhayiokisijeni yako hwadzikira, uropi hunoudza tsandanyama idzodzo kuti dzifemere zvishoma. Unofema zvishoma kupfuura zvakajairika, unofema zvishoma zvakadzama, kana kurega kufema zvachose kwemasekonzi mashoma. Chimwe chinetso neizvi ndicho chinokonzera kufema kwekurara.

Ndezvipi zvinhu zvinokonzera njodzi ye `(Central Sleep Apnea)`?

Unogona kuva panjodzi yakakura yekuva nechirwere ichi kana:

• Kana uine makore makumi matanhatu zvichikwira: Sezvatinokura, nzira iyo uropi hwedu hunodzora kufema panguva yekurara inogona kuchinja.
• Kana uri murume: Zvakaonekwa kuti varume ndivo vanowanzoita chirwere ichi.
• Kana uine chirwere chemwoyo (chakadai se "Congestive Heart Failure" kana kuti "Atrial Fibrillation").
• Kana uine chirwere chetsinga (chakadai se `(Stroke)`, `(Amyotrophic Lateral Sclerosis - ALS)` kana `(Myasthenia Gravis - MG)`).
• Kana uri kutora mishonga inoderedza marwadzo ine `(Opioid)` kana kuti kana uine `(Opioid Use Disorder)`.
• Kana uine zvimwe zvirwere zvenhaka (zvakadai se `(Rett Syndrome)`, `(Prader-Willi Syndrome)` kana `(Congenital Central Hypoventilation Syndrome)`).
• Kana uine sleep apnea inorapwa (`(Kurapwa-kubuda kweSleep Apnea)`) kana kuti oxygen shoma muropa (`(Hypoxemia)`).

Ndezvipi zvinetso zvinogona kuitika nekuda kwe `(Central Sleep Apnea)`?

Kupera Kwenguva Rekurara (Central Sleep Apnea) kunopfuura kungova nedambudziko rekurara. Muviri wako unofanira kushanda nesimba kuti umire wotanga kufema zvakare. Kupera Kwenguva Rekurara zvinoreva kuti muviri wako unomira wotanga kufema kakawanda kupfuura zvakajairika. Kuwedzerwa kwechiitiko ichi kunogona kukuvadza nhengo dzemukati netsinga dzeropa.Kurwara nepfungwa (Central Sleep Apnea) kunogona kuwedzera njodzi yekuva nezvirwere zvakaita se:

• Kusashanda zvakanaka kwemoyo `(Arrhythmia)`
• Kukanganiswa kwehope
• Kuneta mukati mezuva rose
• Kushaya hope

Funga nezvazvo, zvakaita semota. Zvinoitika kuinjini paunoitanga woidzima, uye zvinoitika kwairi paunoitanga woidzima, ndizvo zvinoitikawo kumiviri yedu.

Nzira yekuongorora `(Central Sleep Apnea)`?

Chiremba achatanga akubvunza nezvezviratidzo zvako, kana paine munhu mumhuri mako ane zvirwere zvakafanana, uye nezvezvimwe zvirwere zvinogona kukonzera Central Sleep Apnea.

Zvadaro, chiremba wako anogona kukurudzira kuti udzidze nezvekurara kuti uone kana uine chirwere chepakati chekurara kana kuti chirwere chekudzivirira kurara. Panguva yekudzidza nezvekurara, ucharara husiku murabhoritari yekurara. Chikwata chekurapa chichaongorora nekuongorora mashandiro ehurongwa hwakasiyana-siyana mumuviri wako. Semuenzaniso, vachaongorora mafungu europi hwako, kurova kwemoyo, uye maitiro ekufema. Izvi zvichabatsira kuona kuti dambudziko racho nderei chaizvo.

Chirwere cheCentral Sleep Apnea chinorapwa sei?

Vanachiremba vanoshandisa masisitimu ePositive Air Pressure (PAP) (midziyo inopa kumanikidzwa kwemhepo panguva yekufema) kudzivirira zviratidzo zveCentral Sleep Apnea. Izvi zvinosanganisira:

• Muchina we`(Continuous Positive Air Pressure - CPAP)`: Uyu unopa mhepo ine kumanikidzwa kwakasimba.
• Muchina we`(Bilevel Positive Air Pressure - BiPAP)`: Uyu unopa kumanikidzwa kumwe chete paunofema uye kumwe kumanikidzwa kumwe chete paunofema.
• Muchina we`(Adaptive Servo-Ventilation - ASV)`: Uyu wakanyanya kunaka. Unogona kugadzirisa kumanikidzwa kwemhepo sezvinodiwa zvichienderana nemafambiro ako ekufema.

Chiremba wako achakutsanangurira kuti ndechipi chishandiso chakanakira chirwere chako.

Zvinokwanisika here kurarama kwenguva refu ne `(Central Sleep Apnea)`?

Uyu mubvunzo unobvunzwa nevanhu vazhinji. ``Central Sleep Apnea`` haikanganisi zvakananga kuti unorarama kwenguva yakareba sei. Zvisinei, kana ikasarapwa zvakanaka, inogona kukonzera matambudziko andambotaura nezvawo uye kukanganisa hupenyu hwako.

Ndinozvitarisira sei?

Chirwere cheCentral Sleep Apnea chinowanzova dambudziko rechimwe chirwere. Saka, kana uri kurapwa chirwere chiripo, ramba uchichirapa. Kana zvisina kudaro, tsvaga kurapwa kwacho.

Kana uine chirwere cheCentral Sleep Apnea, zvakakosha kuti ugare uchiongorora chiremba wako.Vanogona kuzotarisa kuti vaone kana kurapwa kwenyu kuri kushanda nemazvo uye kana paine zvimwe zvinetso. Chiremba wenyu anogonawo kukurudzirai mimwe miedzo, yakaita se "Sleep Study".

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Unoziva sei kuti ndine `(Central Sleep Apnea)`?
• Ndedzipi nzira dzekurapa dzamunokurudzira kuti ndirapwe?
• Ndichatora mushonga uyu kwenguva yakareba sei?
• Mishonga iyi inogona here kurapa zvachose `Central Sleep Apnea'?

Kana uine chirwere cheCentral Sleep Apnea (CSA), ungaomerwa nekushanda nesimba, zvakaita sekutadza kurara husiku, kumuka kamwe kamwe, uye kunzwa kuneta zvisinei nekuti warara zvakadii.

Ungave uine CSA nekuda kwechirwere chemwoyo kana chimwe chirwere. Kana dzimwe nguva, hapana chikonzero chaicho chingawanikwa. Chero chikonzero chipi zvacho, CSA inogona kukanganisa hupenyu hwako iye zvino uye kuwedzera njodzi yako yemamwe matambudziko ehutano mune ramangwana. Mashoko akanaka ndeekuti vanachiremba vane marapirwo anogona kukubatsira kubata CSA. Saka iwewo unogona kuwana zororo rakanaka usiku uye kumuka wakasununguka.

Kana uine matambudziko ekurara, enda kuna chiremba. Vachanyatsoongorora mamiriro ako uye vachakurudzira kurapwa kwakakodzera iwe.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

• Kupera simba kwekufema panguva yekurara (Central Sleep Apnea) idambudziko rinokonzerwa nezviratidzo zveuropi rinoita kuti kufema kumire kwenguva pfupi panguva yekurara.
• Kune zvikonzero zvakasiyana-siyana zveizvi; zvimwe zvirwere, mimwe mishonga, kana kutoti hapana chikonzero zvachose.
• Unogona kufungidzira kuti ndizvo zvazviri kana uine zviratidzo zvakaita sekurara zvakanyanya masikati, musoro wemangwanani, uye kuoma kwekuisa pfungwa dzako pane chimwe chinhu.
• "Kuongorora Kurara" kwakakosha kuti munhu awane chirwere ichi nemazvo.
• Kune mishonga yakaita se `(CPAP)`, `(BiPAP)`, uye `(ASV)`.
• Kana chirwere ichi chikasateererwa, matambudziko akadai sechirwere chemwoyo anogona kuitika.
• Kana uine zviratidzo izvi, tsvaga rubatsiro rwechiremba. Hapana chekunetseka nacho, dambudziko iri rinogona kudzorwa zvakanaka nekurapwa kwakakodzera.

Kurara , kufema, kufema kwepakati pakurara, CSA, uropi, matambudziko ekurara, CPAP