Mlingo Wogwiritsidwa Ntchito Poyesa Kugona kwa Apnea Kuwopsya
Ngati muli ndi phunziro la kugona ngati matenda opatsirana polysomnogram kapena kuyesa kugona kwa apnea kunyumba, mungalandire lipoti kuchokera kwa dokotala wanu lomwe limafotokoza kupsinjika kwa mpweya wanu wa kugona malinga ndi apnea-hypopnea index (AHI), koma ndi chiyani ndi AHI? Ngati mukugwiritsa ntchito mankhwala opatsirana opatsirana (CPAP), mukhoza kuwona AHI akufotokoza ntchito usiku uliwonse.
Phunzirani zomwe AHI ali ndi momwe muyeso umagwiritsidwira ntchito poyesa kufooka kwa kugonana kwa kugona ndi yankho lanu ku mankhwala.
Kodi Apnea-Hypopnea Index (AHI) ndi chiyani?
AHI, kapena ndondomeko ya apnea-hypopnea , ndi chiwerengero cha nambala zomwe zimapereka chiwerengero cha kupuma mukupuma pa ola la kugona. Zochitikazo zingakhale zogwirizana ndi kupuma kwa mpweya kapena kusungunuka pang'ono kapena kwathunthu kwa mmero mwa lirime kapena matani kumbuyo kwa mmero. Kusokonezeka uku kumagwirizanitsidwa ndi kanthawi kochepa kapena kudzuka kuchokera ku tulo kapena 3 mpaka 4 peresenti imataya m'magazi a mpweya wa magazi, wotchedwa deaturation.
AHI imagwiritsidwa ntchito kuyesa kuopsa kwa kupuma kwa munthu. Ikulumikiza ndi ndondomeko ya kupweteka kwa mpweya (RDI), chiyeso china chomwe chikhoza kufotokozedwa, ngakhale chotsatiracho chimasintha monga momwe nthawi zambiri chimakhudzira mavuto ena ochepa opuma. AHI ndi mbali ya lipoti lochokera kuphunziro lagona mokwanira za kugonana kwapakati.
Zitha kuwonanso mu deta zogwirizana ndi kugwiritsa ntchito CPAP, ngakhale kuti muyesoyi ikusiyana.
Kuyeza kwa AHI Pa Kuphunzira Kugona
Pulogalamu ya kugona yomwe imapezeka ku malo ogona a tulo otchedwa polysomnogram nthawi zambiri amagwiritsidwa ntchito kuti apeze matenda obwera chifukwa cha kugona. N'zotheka kuti chikhalidwechi chidziwike kuchokera kumayesero apakhomo.
Zambirimbiri zimasonkhanitsidwa, ndipo gawo la cholinga cha maphunzirowa ndikutengera njira zanu zopuma kudzera usiku. Izi zimachitika ndi khungu lokhala mumphuno komanso lamba la kupuma lomwe limatuluka pachifuwa ndipo nthawi zambiri limakhala m'mimba. Kuwonjezera pamenepo, khungu lotchedwa oximeter limapangitsa kuti mupitirize kutulutsa oksijeni ndi mapulaneti poyera kuwala kwa laser kudzera m'kamwa mwako kudzera papepala.
Zonsezi zimaganiziridwa kuti mudziwe kangati kupuma mwakuya kapena kusiya kupuma nthawi zonse usiku. Kuletsa kwina kulikonse kwa kayendetsedwe ka ndege kumatchedwa hypopnea. Hypopnea imatanthawuza kuchepetsa kuchepa kwa mpweya (nthawi zambiri pamene wagona) umene umatha masekondi khumi. Kupuma pang'ono kapena kutsika mopanda malire kumatchedwa hypoventilation.
Kutha kwathunthu kupuma kumatchedwa apnea. Hypopnea ndi yochepa kwambiri kusiyana ndi apnea (yomwe imakhala yotayika kwambiri ya mpweya). Zingathenso kuchepetsa kuthamanga kwa mpweya m'mapapo ndipo zingayambitse mpweya m'magazi kuti ugwe. Kugonana kwapuloa kumakhala kofala kwambiri chifukwa cholepheretsa mbali ya pamtunda.
Kuti muwerenge AHI izi zimapuma kupuma ziyenera kukhala kwa masekondi khumi ndikugwirizana ndi kuchepa kwa magulu a mpweya wa magazi kapena chifukwa cha kuwuka komwe kumatchedwa kuti kudzuka.
AHI ndi chiwerengero cha mapepala omwe amapezeka ngati ola limodzi la ola limodzi.
Momwe AHI Amagwiritsidwira Ntchito Kuti Apeze Kugonana kwa Apnea
AHI imagwiritsidwa ntchito kufotokozera kufooka kwanu kwa kugonana, malinga ndi zotsatirazi:
- Zachizolowezi : zochitika zosachepera zisanu pa ola la kugona
- Wofatsa : Zochitika 5-14.9 pa ora la kugona
- Okhazikika : zochitika 15-29.9 pa ola la kugona
- Zovuta : zochitika zoposa 30 pa ora la kugona
Kwa ana, amaonedwa kuti ndi achilendo ngati pali mpweya wambiri wopumula pa ora lagona monga momwe anawerengera ndi AHI, ndipo ana sayenera kukwatira nthawi zonse.
Chigawo ichi ndi chothandiza popanga njira zabwino zothandizira chithandizo komanso kuwonetsa zizindikiro zofanana, kuphatikizapo kugona msana , kuthamanga kwa magazi , matenda a shuga, kupweteka , ndi mavuto ena.
Ngati mkhalidwewo uli wofewa kapena wochepa, chogwiritsira ntchito pamlomo chingakhale choyenera.
Kutanthauzira AHI ndi CPAP Therapy
Kwa magulu onse a kuuma, kupitilira kwabwino kwapansi pa ndege (CPAP) kungaganizidwe . Makina ambiri a CPAP amatha kupereka chithandizo cha tsiku ndi tsiku cha AHI monga njira yowonetsetsera kuti ayankhidwe bwino. Imachita zimenezi poyesa kukana mpweya. Pamene kukana kukuwonjezeka, zikhoza kutanthauzira izi chifukwa cha kuyendetsa galimoto. Kawirikawiri cholinga cha chithandizo ndi kupeza AHI mkati mwachibadwa ndi CPAP mankhwala, koma kuchepa kungakhale bwinoko.
Ndikofunika kuti dokotala wanu aganizire zomwe zingakuchititseni kuti mukhale ndi matenda obwera chifukwa chogona. Mwachitsanzo, kafukufuku wina amasonyeza kuti 30 peresenti ya anthu omwe ali ndi mpweya wolepheretsa kugona tulo amatha kulandira chithandizo cha CPAP. Izi zasintha ndi makina atsopano ndi masikiti, komabe. Kuphatikiza apo, mungazindikire kuti AHI yanu ndi yapamwamba pamene mukugona pamsana wanu kapena pogona pa REM, zomwe zingakhale ndi zotsatira zochiritsira.
Mawu Ochokera
Ngati muli ndi mafunso ena okhudzana ndi zomwe AHI yanu ikutanthauza m'moyo wanu, lankhulani ndi dokotala wanu ogona . Ziyenera kukhala zotheka kupeza mankhwala othandiza omwe angakulepheretseni kugona ndikukhala bwino.
Zotsatira:
American Academy of Sleep Medicine. "Mayiko Omwe Akugwiritsidwa Ntchito M'mayiko Osiyanasiyana: Buku Lophunzira ndi Kufufuza." 2d. 2005.
Giles, TL et al . "Kupitirizabe Kuthandizira Kupewa Kuthandizira Kugonana Kukula kwa Anthu Achikulire." Cochrane Database Rev Rev. 2006; 3: CD001106.