Kutadza kufema nekuda kwekufuta? Ngatitaurei nezve (Obesity Hypoventilation Syndrome)!

Dzimwe nguva unonzwa kushaya mweya here? Uneta uye une hope masikati here? Zvakakosha kuziva zvinhu izvi, kunyanya kana wakafuta. Nhasi tichataura nezvedambudziko rekufema risingazivikanwe zvakanyanya, asi rinogona kunge rakakomba, rinogona kusanganiswa nekufuta. Izvi zvinonzi `(Obesity Hypoventilation Syndrome)` kana OHS. Usazvidya moyo, ngatitsanangure zviri nyore.

Chii chinonzi OHS (Obesity Hypoventilation Syndrome)?

Zvichitaurwa zviri nyore, `(Obesity Hypoventilation Syndrome)` chirwere chekufema chinoitika kune vamwe vanhu vakafuta. Apa ndipo apo huwandu hwecarbon dioxide muropa redu hunowedzera uye huwandu hweoxygen huchiderera. Kazhinji, patinofema, tinotora oksijeni toburitsa carbon dioxide. Asi kana mwero wekufema waderera uye mweya usingapinde mumapapu nemazvo, chiyero ichi chinorasika. Izvi zvinonzi `(Hypoventilation)` (kufema kwakaderera).

Pamusoro pekufemereka zvishoma nezvishoma, kufema kusina kugadzikana muhope kunogonawo kuitika muOHS. Kutaura zvazviri, 90% yematambudziko ekufema asina kugadzikana muhope anokonzerwa neOHS anokonzerwa ne obstructive sleep apnea.

Saka, OHS yakafanana nemusanganiswa wezvinhu zvikuru zvitatu:

• Kufuta zvakanyanya.
• Kudzikira kwekufema (Hypoventilation).
• Kufema kusina kugadzikana pakurara.

Kune rimwe zita reOHS iyi, iro rinonzi `(Pickwickian Syndrome)`. Zita iri rakatangwa nekuda kwemunhu ari mubhuku raCharles Dickens aive nezviratidzo zveOHS.

OHS idambudziko guru rekufema rinokonzerwa nekufutisa. Kunyangwe ichigona kukonzera matambudziko ehutano anotyisidzira hupenyu, ine mishonga yakanaka.

Ndiani ane mukana mukuru wekuwana OHS?

OHS inowanikwa zvakanyanya muvarume kupfuura muvakadzi. Kunewo misiyano yakataurwa pakati pemapoka emarudzi akasiyana. Zvisinei, chinhu chikuru chinokonzera njodzi iyi kufuta.

Zvakaoma kutaura kuti izvi zvakajairika sei, asi dzimwe ongororo dzinoratidza kuti zvinogona kukanganisa chikamu chidiki chevanhu vakuru. Izvi zvinoreva kuti hazviwanzoitika, asi chinhu chinokanganisa vanhu vakawanda.

Ndezvipi zviratidzo zveOHS?

Zviratidzo zveOHS zvinowanzo kukonzerwa nekushaikwa kwehope uye mwero weokisijeni muropa (Hypoxemia). Zvimwe zvezviratidzo izvi zvinosanganisira:

• Kushaya mweya.
• Kunzwa kuneta nguva dzese (Kuneta).
• Kushaya simba.
• Kurara zvakanyanya masikati (Kunonoka kwemasikati).
• Kurwadziwa nemusoro nguva nenguva.
• Dzungu.
• Kuora mwoyo.

Paunenge wakarara, mumwe wako anogona kuona zvinhu zvakaita se:

• Kuridza ngonono zvine ruzha.
• Kunzwa sekunge uri kudzipwa kana kufemera pamusoro paunenge wakarara.
• Kumbomira kufema. Fungidzira kana mumwe munhu akakuudza kuti, "Paunorara husiku, dzimwe nguva unonzwa sekunge unomira kufema kwemasekonzi mashoma." Izvozvo ndizvo zvakaita saizvozvo.

Ndezvipi zvikonzero zveOHS?

Vaongorori havasati vaziva kuti chii chinokonzera OHS, asi vanotenda kuti inogona kunge yakakonzerwa nezvinhu zvakasiyana-siyana:

• Panogona kunge paine chimwe chinhu chisina kunaka nenzira iyo uropi hwako hunodzora kufema . Zvinoita sekunge pane kakukanganisa mu "switch" yedu yekufema.
• Kurema kwakanyanya munzvimbo yechipfuva kunogona kuita kuti zviomere mapapu kuzvimba zvakanaka uye kufema zvakadzika. Zvakafanana nekuedza kufema uine uremu pachipfuva chako.
• Mafuta akawandisa munzvimbo dzakadai semutsipa, chipfuva, nedumbu anogona kuwedzera kugadzirwa kwemahormone , izvo zvinogona kukanganisa maitiro ekufema.

Ungaziva sei kana uine OHS?

Paunoenda kunoona chiremba, vachakubvunza nezvezviratidzo zvako uye vachakuongorora. Vachayera hurefu hwako nehuremu hwako uye vachaverenga Body Mass Index (BMI) yako. Vanhu vakafuta vane BMI ye30 kana kupfuura.

Mushure meizvozvo, chiremba anogona kuraira mimwe miedzo yakawanda kuti aone kana une OHS. Mimwe yeiyi inosanganisira:

• Kuongororwa kwegasi reropa mutsinga: Izvi zvinosanganisira kutora ropa shoma kubva mutsinga yako woyera huwandu hwekabhoni dhayokisaidhi neokisijeni iri mairi. Iyi ndiyo nzira yaunogona kuziva kana ropa rako rine CO2 yakawandisa kana O2 yakaderera.
• Pulse oximeter: Ungave wakaona ichi, chinhu chidiki chakaita seclip chaunoisa pamunwe wako. Chinogona kuyera huwandu hweokisijeni muropa rako. Zvisinei, hachikwanise kuyera kabhoni dhayokisaidhi, uye hachina kururama semuyero weropa.
• Kuongororwa kwebasa remapapu: Kuongororwa uku kunoongorora kuti mapapu ako ari kushanda zvakanaka sei uye kunotsvaga zvimwe zvinokonzera kushaya mweya.
• X-ray yechipfuva: Izvi zvinogonawo kubatsira kubvisa zvimwe zvinokonzera kushaya mweya.
• Chidzidzo chekurara `(Polysomnography):` Iyi bvunzo yakakosha. Mushure mekupedza husiku humwe muchipatara, kufema kwako, kurova kwemoyo, uye mafungu europi zvinotariswa paunenge wakarara. Izvi zvinogona kubatsira kuona kana uine `(Sleep Apnea)` uye, kana zvakadaro, kuti yakanyanya sei.

Ndeapi marapirwo eOHS?

Kurapa kweOHS kunonyanya kusanganisira kuderedza huremu uye kutsigira kufema.

Kuderedza uremu

Kusvika pakuva nehuremu hwakanaka hunoenderana nemuviri wako uye kuramba uchihuchengeta ndiyo nhanho yekutanga uye inonyanya kukosha mukurapa OHS.Dzimwe nguva, kudzikira huremu kunogona kubatsira kudzora zviratidzo uye kugadzirisa dambudziko racho. Kurarama hupenyu hune hutano kunogona kubatsira zvikuru. Semuenzaniso:

• Kudya chikafu chine hutano. Semuenzaniso, kudya kwakaringana senge kudya kwekuMediterranean.
• Kurovedza muviri kwemaminitsi makumi matatu pazuva.
• Gadzirira tsika dzakanaka dzekurara.

Zvichienderana nemamiriro ako ezvinhu, chiremba wako anogona kukurudzira kuvhiyiwa kwekudzikisa huremu, sekuvhiyiwa kwemudumbu.

Kubatsira kufema

Chiremba wako anogona kukukurudzira kuti muchina wekufema une michina kuti ukubatsire kufema. Izvi zvinhu zvisingakuvadzi, zvichireva kuti zvinogona kushandiswa pasina kuvhiyiwa kukuru. Michina iyi inochengetedza nzira dzekufema dzakavhurika husiku paunenge wakarara, zvichiwedzera huwandu hweoxygen muropa rako. Unopfeka mask yakakosha paunenge wakarara, uye muchina unoburitsa mweya nepachubhu. Kune mhando dzakasiyana dzemichina:

• Muchina weCPAP (Continuous Positive Airway Pressure): Muchina weCPAP unoburitsa mweya nemhepo yakafanana paunofema nekubudisa mweya.
• Muchina weBiPAP (Bilevel Positive Airway Pressure): Muchina weBiPAP unoburitsa mweya nekumanikidzwa kwakanyanya paunofema uye kumanikidzwa kwakaderera paunofema. Dzimwe nguva izvi zvinonzi zita rekuti ``(BiPAP®)``.

Kashoma, kana michina iyi ye "Positive Airway Pressure" isingakwanise kudzora mamiriro acho ezvinhu, "Tracheostomy" inogona kudiwa. Izvi zvinoreva kuti chiremba anovhiya anoboora buri mumutsipa wako oribatanidza nepaipi yemhepo kuti akubatsire kufema. Iyi inowanzova nzira yekupedzisira.

Ungaderedza sei njodzi yekuva neOHS?

Nzira yakanakisisa yekuderedza njodzi yako yekuva neOHS ndeyekuchengetedza huremu hwakanaka. Kana chiremba wako akakunyorera CPAP kana BiPAP, zvakakosha kuishandisa sezvakarairwa.

Uyezve, kana uchizobhururuka nendege kana kuvhiyiwa chero kupi zvako, udza chiremba wako pachine nguva, sezvo njodzi yematambudziko akakomba yakanyanya muzviitiko zvakadaro.

Utano hwemunhu ane OHS hwakaita sei?

Nekurapwa, zviratidzo zveOHS zvinogona kuderedzwa kana kubviswa zvachose. Kune vamwe vanhu, kunyangwe kuderedza huremu chete kunogona kubatsira. Kurapa kwakakosha nekuti kunogona kuvandudza hupenyu hwako uye kuderedza njodzi yekuwedzera matambudziko. Kurapa nekukurumidza nemuchina wekufema kwakaratidzwa kuderedza huwandu hwerufu kubva kuOHS ne10%.

Zvisinei, kana ikasarapwa, OHS inogona kukonzera matambudziko anotyisidzira hupenyu, kunyanya matambudziko emwoyo netsinga dzeropa. Kushaikwa kweokisijeni kunoisa mwoyo mumatambudziko akawanda. Unovawo panjodzi huru yekusangana nematambudziko anokonzerwa nekushaiwa hope. Kana usina kurapwa, hupenyu hwako huchadzikira uye ungangoda kuendeswa kuchipatara.

Kufanotaura kwevaya vasina kurapwa hakuna kunaka. Kusarapwa kweOHS kunogona kupfupisa makore ekurarama. Pakati pevanhu vane zvimwe zvirwere, huwandu hwekufa kwemwedzi gumi nemisere kubva kuOHS hwakakwira kusvika pa23%.

Ndezvipi zvinetso zvinogona kuitika nekuda kweOHS?

Kana ikasarapwa, obesity hypoventilation syndrome inogona kukonzera matambudziko ane chekuita nekurara. Izvi zvinosanganisira:

• Kuora mwoyo.
• Kutsamwa uye kushatirwa.
• Njodzi huru yetsaona.
• Matambudziko muhupenyu hwepabonde uye hukama hwepedyo.

OHS inogonawo kukonzera chirwere chemwoyo, semuenzaniso:

• Kukwira kweropa (BP).
• Kukundikana kwemoyo kurudyi.
• Kukwira kweropa mumapapu.

Unofanira kuona chiremba rini?

Zvechokwadi unofanira kuona chiremba mumamiriro ezvinhu anotevera:

• Kana wakafuta uye uine zvimwe zviratidzo zvine chekuita neOHS.
• Mudiwa wako anoti unogomera zvine ruzha husiku wobva waona zvinhu zvakaita sekufema kwako kuchimira nguva nenguva here?
• Kana uchinzwa kuneta zvakanyanya uye hope masikati.

Kufutisa Kushaya Simba Rekufema (OHS) idambudziko guru rekufema rinokonzerwa nekufutisa. Kana wakafuta, uchinetseka kufema, kana uine matambudziko ane chekuita nekurara, enda kuna chiremba nekukasika. Varipo kuti vakubatsire. Kana chiremba akakuongorora kuti une OHS, vachakupa hurongwa hwakakodzera hwekurapa.

Pakupedzisira, zvinhu zvekurangarira

Zvakanaka, saka, regai ndikukumbirei kuti murangarire zvimwe zvezvinhu zvakakosha kubva pane zvatataura nezvazvo.

• Dambudziko rekufema rinokonzeresa kufutisa kweropa (Obesity Hypoventilation Syndrome) rinogona kuva dambudziko guru rekufema uye rinokonzerwa nekufutisa.
• Chinoitika apa ndechekuti kabhoni dhayiokisijeni inowedzera uye okisijeni inoderera muropa.
• Chinhu chakanakisa ndechekuti, pane mushonga weizvi! Kuderedza huremu uye kushandisa michina yekufema yakaita seCPAP/BiPAP ndizvo zvakakosha.
• Kuongororwa nekukurumidza uye kurapwa kunogona kudzivirira kukuvara kukuru kuhupenyu uye kuvandudza hupenyu zvakanyanya.
• Kana wakafuta uye uine zviratidzo zvakaita sekushaya mweya, kurara masikati, uye kugomera husiku, ndapota tsvaga rubatsiro rwechiremba. Hapana chekutya kana chekunyara nacho. Hutano hwako ndihwo chinhu chakakosha.

Ndinovimba ruzivo urwu ruchakubatsira. Ramba uine hutano hwakanaka!

` Obesity Hypoventilation Syndrome, OHS, Pickwickian Syndrome, kufuta, matambudziko ekufema, sleep apnea, CPAP, BiPAP