Unodzipwawo here panguva yekurara husiku? Ngatitaurei nezve sleep apnea!

Unonzwawo sekunge uri kudzipwa kamwe kamwe paunorara husiku here? Kana kuti munhu waunorara naye anokuudza kuti unomira kufema kwenguva yakati usiku wotangazve here? Kana kuti unonzwa kuneta paunomuka mangwanani here? Izvi hazvisi zvinhu zvisina kurongeka chete, panogona kunge paine chirwere chinonzi Sleep Apnea chiri shure kweizvi. Ngatitaurei nezvazvo zvakadzama, zviri nyore.

Chii chinonzi sleep apnea?

Zvichitaurwa zviri nyore, sleep apnea inguva yaunomira kufema kwenguva pfupi paunenge wakarara. Pane zvikonzero zviviri zvikuru zveizvi. Chimwe ndechekuti pane chimwe chinhu chinovhara nzira yako yekufema (obstructive sleep apnea) . Chimwe ndechekuti pane chimwe chinhu chisina kunaka nekugona kweuropi hwako kudzora kufema (central sleep apnea) .

Zvino funga nezvazvo, kana muviri wako usina okisijeni, muviri wedu une nzira inoshamisa yekuchengetedza. Kunyangwe izvi zvisingatimutse zvachose, zvinongotimutsa zvakakwana kuti titange kufema. Kunyangwe izvi zvichibatsira kuponesa hupenyu, zvinokanganisa kurara kwako. Saka, hauwani hope dzakanaka uye dzakazorora . Kana izvi zvikaramba zviripo, zvinogonawo kuisa kumanikidzwa pamoyo wako , izvo zvinogona kuisa hupenyu panjodzi kana zvikasarapwa. Saka, zvakakosha kuziva izvi uye kutsvaga mazano echiremba kana zvichidikanwa.

Ndeapi marudzi makuru eSleep Apnea?

Ngationei kuti ndeapi marudzi matatu makuru ekushaya hope.

1. Kumbomira Kurara (Obstructive Sleep Apnea - OSA)

Iyi ndiyo mhando inonyanya kuitika. Chinoitika ndechekuti paunenge wakarara, tsandanyama dziri pahuro pako dzinozorora . Nyama dzakakomberedza dzinoisa kumanikidzwa papombi yako yemhepo, dzichivhara nzira yako yekufema. Zvinoita sekunge wabatwa mupombi. Ndipo pazvinova zvakaoma kufema, uye dzimwe nguva unogona kumira kufema kwemasekondi mashoma.

2. Kupera Kwemhepo Muhope (CSA)

Murudzi urwu, kana wakarara, uropi hwako hahutumire zviratidzo zvakakodzera kumhasuru dzinobatanidzwa mukufema . Kureva kuti, pane kusasimba pakati pekufema kunodzora kufema. Pano, hapana chinotadzisa nzira yekufema, asi murairo wekuti "fema" kubva muuropi haupfuuri nemazvo.

3. Kumbomira Kurara Zvakasiyana-siyana/Zvakaoma

Muchiitiko ichi, zviratidzo zvemarudzi ese eOSA neCSA ataurwa kare zvinogona kuonekwa pamwe chete . Kureva kuti, nzira yekufema yakavharwa, uye panogonawo kunge paine dambudziko nemasaini anobva kuuropi.

Dambudziko iri rinonzi Sleep Apnea rakajairika zvakadii?

Kutaura zvazviri, chirwere ichi chinowanzoitika kupfuura zvaungafunga. Imwe ongororo yakawana kuti vanhu vanosvika bhiriyoni pasi rose vane makore ari pakati pe30 ne69 vane Obstructive Sleep Apnea (OSA) . Kunyangwe rudzi rwechirwere chinonzi Central Sleep Apnea (CSA) rusingawanzoitiki seOSA, haruwanzoitikiwo.

Ndezvipi zviratidzo zveSleep Apnea?

Kana uchifungidzira kuti une Sleep Apnea, teerera zviratidzo izvi.

Zviratidzo zvinowanzoonekwa nevakawanda:

• Kumuka nguva nenguva pakati pehusiku.
• Kumira kufema kwenguva yakati uchirara (izvi zvinowanzoonekwa pamunhu waunorara naye).
• Kusarongeka kwemafambiro ekufema (kufema nekukurumidza, wobva wadzika, wobva wadzika zvakare, wobva wamira wotangazve).
• Kurira kukuru .
• Kutadza kufema zvakanaka kana uchimuka mangwanani, kunzwa sekunge uri kudzipwa .
• Kuneta zvakanyanya masikati, hope, kana kuneta zvakanyanya paunomuka .

Vamwe vanhu vanogonawo kuona zviratidzo izvi:

• Musoro , kunyanya mangwanani.
• Kudikitira husiku.
• Kuchinja kwemafungiro (sekuora mwoyo uye kuzvidya mwoyo).
• Kunzwa kusagadzikana husiku.
• Matambudziko akadai sekusashanda zvakanaka pabonde .

Zvakakosha: Kana vana vaine chirwere cheSleep Apnea, zviratidzo izvi zvinogona kusiyana zvishoma . Saka zvakanaka kuona chiremba kana ukaona chimwe chinhu chisingawanzoitika muhope dzemwana wako.

Ndezvipi zvikonzero zvikuru zveSleep Apnea?

Zvichitaurwa zviri nyore, pane zvikonzero zviviri zvikuru zveSleep Apnea:

• Kuvharika kwenzira yekufema yepamusoro paunenge wakarara.
• Pane dambudziko nemabatiro anoita uropi hwako kufema paunenge wakarara.

Ndiani ari panjodzi huru yekubatwa neSleep Apnea?

Chirwere ichi chinogona kuitika kune chero ani zvake. Chinogona kubata vana, vakuru, chero ani zvake. Zvisinei, vamwe vanhu vari panjodzi huru yekuchibata.

Heano zvimwe zvinhu zvinowanzoisa njodzi:

• Kana mumwe munhu mumhuri aine Sleep Apnea (inogona kunge iri nhaka).
• Kune avo vane chirwere chemwoyo, sitiroko, kana BP yakakwira .
• Kune avo vane matonsi makuru .
• Kufuta zvinoreva kuva nemafuta akakora.

Njodzi iyi inowedzerawo sezvaunokura . Varume vanowanzoonekwa vaine chirwere ichi vasati vasvitsa makore makumi mashanu.

Uyewo, yeuka kuti kunyange zvazvo njodzi yekumbotadza kufema zvakanaka muhope ichiwedzera kana munhu akafuta, chirwere ichi chinogona kuitika kuvanhu vane muviri wese .

Ndezvipi zvinetso zvinogona kuitika nekuda kweSleep Apnea?

Kumbomira kufema panguva yekurara hakusi kungorwara nehope chete. Kana kukasarapwa, kunogona kukonzera matambudziko akakomba, anotouraya .

• Kurara zvakanyanya masikati, kana kuti "microsleeps," chirwere chinoita kuti urara kwenguva pfupi masikati.Zvine njodzi huru pakutyaira kana kushandisa michina.
• Matambudziko emwoyo, kureva arrhythmias (yakadai se atrial fibrillation kana left atrial appendage).
• Kukwira kweropa .
• Kukuvara kwemoyo uye kutadza kwemoyo .
• Rufu rwemwoyo kamwe kamwe .

Saka, kana uine zviratidzo zveSleep Apnea, usazviregeredza.

Nzira yekuziva sei chirwere cheSleep Apnea?

Kana uchifungidzira kuti une Sleep Apnea, unofanira kutanga waona chiremba . Iye achakubvunza nezvezviratidzo zvako uye nhoroondo yako yehutano. Zvadaro, kana uchifungidzira kuti une Sleep Apnea, vachakukurudzira kuti uongorore zvimwe zviratidzo kuti uzive kuti chirwere chacho chakaitika.

Ndedzipi bvunzo dziri kuitwa pakuita izvi?

Kune bvunzo mbiri huru dzinowanzoitwa:

• Polysomnogram: Iyi bvunzo inoitika husiku hwese muchipatara . Masensa akati wandei anobatanidzwa mumuviri wako uye anotarisa kurova kwemoyo wako, kufema, mwero weokisijeni muropa, uye mafungu europi paunenge wakarara.
• Kuongororwa kweApnea yekurara kumba: Iyi bvunzo inogona kuitwa kumba . Zvisinei, haitarise mafungu europi. Zvakare, bvunzo iyi ingasaone mamwe marudzi eapnea yekurara, akadai se 'Central Sleep Apnea'.

Zano diki: Kana uchifungidzira kuti iwe kana mumwe munhu mumhuri mako ane chirwere chesleep apnea, tora vhidhiyo pfupi kana rekodhi yeaudio yemunhu akarara, kunyanya ruzha rwekufema kwake. Unogona zvakare kurekodha nekubata tishu pamberi pechiso chake kuti uone mafambiro emhepo. Kuratidza izvi kuna chiremba wako kunogona kubatsira kukurumidzisa kuongororwa kwechirwere.

Kuoma kweSleep Apnea kunoyerwa sei?

Vanachiremba vanoona kushata kwekufema kwemunhu ari muhope vachishandisa index inonzi AHI (Apnea/Hypopnea Index) . AHI inoyera huwandu hwenguva dzinomira kufema kwako (apnea) uye dzinononoka (hypopnea) mukati meawa imwe chete yekurara.

Kuoma kweSleep Apnea kunorongwa seizvi:

• Kumbomira Kurara Zvishoma: Zviitiko zveAHI 5-14 paawa.
• Kumbomira Kurara Nenguva Dzose: AHI 15-29 zviitiko paawa.
• Kushaya Pnea Yakakomba Pakurara: AHI zviitiko makumi matatu kana kupfuura paawa.

Ndezvipi nhengo dzinokanganiswa neSleep Apnea?

Kupera simba kweropa muhope hakusi chinhu chinongokanganisa nhengo imwe chete. Kutaura zvazviri, chinokanganisa masisitimu akawanda mumuviri . Zvisinei, anonyanya kukanganiswa masisitimu eropa (moyo) uye sisitimu yetsinga (uropi) .

Ndezvipi zvinorapwa zveSleep Apnea?

Zvichienderana nerudzi rwechirwere chekufema chaunacho pakurara uye kuoma kwacho, chiremba wako anogona kukurudzira nzira dzakasiyana dzekurapa.

Heano mamwe enzira huru dzekurapa:

• Kushandisa mudziyo wekufema, wakaita semuchina weCPAP (Continuous Positive Airway Pressure) , kunobatsira kuti mweya wako ugare wakavhurika paunenge wakarara.
• Kudzora zvimwe zvirwere zvinokonzera kana kuwedzera njodzi yekumbotadza kufema zvakanaka (semuenzaniso, chirwere cheshuga, BP).
• Kuchinja nzvimbo yako yekurara (sekurara nerutivi pane kurara nemanhede) kudzivirira kumanikidza mweya wako kuti usapinda muropa.
• Kupfeka mudziyo wemuromo/muromo wemumuromo kuti nzira yekufema igare yakavhurika.
• Kushandisa mudziyo weNeuromuscular Electrical Stimulation (NMES) kudzivirira tsandanyama dziri mururimi rwako nepahuro kuti dzisavhare nzira yekufema paunenge wakarara.
• Kutora mushonga (izvi hazvisi zvemunhu wese, asi mune zvimwe zviitiko zvakakosha).
• Ndiri kuvhiyiwa .

Unovhiya here kana kuti une dambudziko rekushaya hope?

Ehe, mune dzimwe nguva, kuvhiyiwa kunoitwa pamhuno, muromo, nepahuro kunogona kubatsira kudzivirira kuvharika kwemhepo panguva yekurara.

• Kuvhiyiwa kweshaya: Kune nzira dzakasiyana-siyana dzekuvhiya dzinogona kushandiswa kushandura nzvimbo yeshaya uye kuderedza kumanikidzwa kwemhepo kubva munyama dzakapfava.
• Kuvhiya mhino: Kuvhiya kwakajairika kunonzi septoplasty . Izvi zvinosanganisira kutwasanudza nyama yakapfava iri mukati memhino (madziro anoparadzanisa mhino mbiri), zvichiita kuti zvive nyore kuti mhepo ifambe nemumhino.

Ko chirwere cheSleep Apnea chinogona kurapwa zvachose here?

Haasi marudzi ese ekushaya hope anogona kurapwa zvachose . Semuenzaniso, Obstructive Sleep Apnea (OSA) inogona kurapwa nekudzikira huremu kana nekuvhiyiwa kwakasiyana-siyana. Chiremba wako anogona kukuudza zvakawanda nezvekuti izvi zvingashanda sei kwauri, zvichienderana nemamiriro ako ezvinhu.

Chii chaunotarisira kana uine Sleep Apnea?

Kushaya hope kwenguva refu chirwere chinogona kukanganisa hope dzako zvakanyanya. Kana usingawani hope dzakakwana husiku, ungasakwanisa kushanda zvakanaka masikati. Izvi zvinogona kukuisa panjodzi yetsaona , uye zvinogona kukanganisa basa rako, zvaunofarira, uye hukama hwako nevamwe.

Uyewo, chirwere ichi chinogona kukonzera matambudziko anogona kuisa hupenyu panjodzi . Chiremba anogona kukubatsira kuwana mushonga wakanakira iwe. Ungangoda kuedza mushonga mumwe chete kana miviri yakasiyana, kana musanganiswa wayo, kuti uwane kuti ndeipi yakakunakira.

Zvakadini nehupenyu hwemunhu ane Sleep Apnea?

Matambudziko anokonzerwa neSleep ApneaKana ukasarapwa, hupenyu hwako hunogona kupfupikiswa. Chiremba achashanda newe kuti agadzirise dambudziko iri uye abatsire kudzivirira njodzi iyoyo.

Pane zvinhu zvakawanda zvinosarudza hupenyu hwako. Saka, munhu akanakisa wekutaura naye nezvemamiriro ako ezvinhu ndichiremba wako. Nekuti nhamba dzacho dzingashanda kwauri kana kusashanda kwauri.

Nzira dzipi dzekudzivirira Sleep Apnea?

Hatigoni kudzivirira zvinhu zvese zvinokonzera kushaya mweya panguva yekurara. Zvisinei, pane zvatinogona kuita kuderedza njodzi yedu :

• Kuchengetedza huremu hwakanaka kwauri.
• Kudya chikafu chinovaka muviri uye kuita maekisesaizi emuviri nguva dzose .
• Kugadzira tsika dzakanaka dzekurara (dzakadai sekuenda kunorara panguva yakatarwa, kurega kushandisa midziyo yemagetsi usati warara).
• Kutarisira mamwe matambudziko ehutano agara aripo (semuenzaniso cholesterol yakakwira, BP yakakwira, chirwere cheshuga cherudzi rwechipiri).
• Kuongororwa nachiremba kamwe chete pagore .
• Kudzivisa kusvuta nekunwa doro .

Ndingazvitarisira sei? Ndingagadzirisa sei mamiriro ezvinhu aya?

Kune matanho akakosha aunogona kutora kuti ugadzirise dambudziko rako rekushaya hope:

• Shandura mararamiro ako zvakanyanya sezvinobvira. Kuchinja kudya kwako uye maitiro ako ekurovedza muviri kunogona kuoma. Kana ukaona zvinhu izvi zvakaoma, usatya kutaura nachiremba wako nezvazvo. Aya matambudziko akajairika, uye chiremba wako anogona kukupa mazano ekuita kuti zvive nyore.
• Tevedzera hurongwa hwako hwekurapa nemazvo. Kana ukatevera hurongwa hwekurapa hwaunopihwa nachiremba wako nemazvo, uchawana mhedzisiro yakanaka. Izvi zvinoderedzawo njodzi yematambudziko.
• Taura nachiremba wako nezvekunzwa kwako. Kana uri kunetseka kutevedzera hurongwa hwako hwekurapwa chero chikonzero chipi zvacho, udza chiremba wako. Pamwe mask yako yePAP haisi kukodzera zvakanaka, kana kuti uri kuva nemigumisiro yemushonga. Chiremba wako anogona kukubatsira. Saka, kana uine mibvunzo kana zvinokunetsa, vaudze.
• Kushanya kwekutevera kunokurudzirwa nachiremba wako. Kushanya uku kwakakosha kuti uve nechokwadi chekuti kurapwa kwako kuri kushanda, kunyanya pakutanga kwekurapwa.

Ndinofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana ukaona chimwe chezviratidzo izvi, enda kuchipatara nekukurumidza :

• Zviratidzo zvechirwere chemwoyo: Kurwadziwa pachipfuva (sekuoma kana kudzvanywa), kudikitira nechando, kuoma kwechipfuva, uye kuoma kufema.
• Zviratidzo zvestroke:Kushaya simba kamwe kamwe kana kuti kusanzwa simba kune rumwe rutivi rwemuviri, kuvhiringidzika, kuchinja kwekuona, kuoma kufamba, kana dzungu.
• Kuoma kukuru kwekufema: Kana uchinzwa sekuti haugone kuwana mweya wakakwana mumapapu ako, chipfuva chako chinonzwa chakaoma, kana kuti unoita ruzha paunofema.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Kana uchangobva kuonekwa kuti une chirwere chesleep apnea, ungada kubvunza chiremba wako mibvunzo yakaita seiyi:

• Munondikurudzira kuti ndirapwe sei?
• Pane migumisiro yakaipa here yekurapwa uku?
• Ndingadzivisa sei kurara nerutivi?
• Chii chandinofanira kuita kuti chifukidzo chemuchina wePAP chive nyore kupfeka?

Ungasatomboziva kuti une sleep apnea kunze kwekunge mumwe munhu waunorara naye akuudza nezvemafambiro ako ekufema asina kujairika mangwanani. Pane kudaro, ungangove uchishamisika kuti, "Sei ndisingakwanise kurara zvakanaka husiku hwese?" Sleep apnea chirwere chinowanzoitika, asi chinogoneka .

Chiremba wako anogona kukupa mazano akasiyana-siyana ekurapa kuti akubatsire kuwana mushonga wakakunakira. Kurapa kunogona kusiyana kubva kumunhu nemunhu. Kuchinja maitiro ako ekurara kunogona kuoma, asi tanga nepadiki, chinja chimwe nechimwe panguva, wobva waenderera kune chinotevera. Chiremba wako anogona kukupawo mamwe mazano akanangana nemamiriro ako ezvinhu kuti akubatsire kurara zvakanaka husiku hwese.

Chekupedzisira, zvinhu zvinonyanya kukosha zvekurangarira

Saka, kubva pane zvatakurukura, unofanira kunzwisisa kuti chirwere cheSleep Apnea chii, kuti chinokubata sei, uye chii chingaitwa nacho.

Usazvidya moyo , ichi chirwere chinorapika. Chinhu chakakosha kutsvaga mazano echiremba kana uine zviratidzo, pane kuzvifuratira. Ipapo unogona kurara zvakanaka uye kurarama hupenyu hune hutano. Hausi wega, uye kune vanachiremba vanokubatsira parwendo urwu.

Kushaya hope, kushaya hope, kukosora, kurega kufema, CPAP, kushaya hope, kurara masikati