Matenda ausiku amachititsa kuti asavutike
Pali zifukwa zambiri zomwe zimayambitsa kupuma pamene tigona, ndipo imodzi mwa iwo ndipakatikati ya kugona tulo, koma ndi chiani chomwe chimakhala pakati pa kugona tulo? Zingayambitse kupuma usiku, koma chifukwa chomwe chimayambitsa chosiyana ndi obstructive apnea , chimakhala chithandizo chapadera. Pezani zizindikiro zomwe zimayambitsa matenda, matenda, matenda, komanso kupatsa mankhwala (monga bilevel therapy).
Kodi Ndi Zizindikiro Ziti za Kugona Kwakuya Kwambiri?
Matenda apakati ogona ndi ogwira mtima ndi matenda opuma omwe amapezeka pa tulo ndipo zotsatira zimakhala ngati ubongo umalephera kuyambitsa minofu ya kupuma. Izi zimapangitsa mpumulo pang'ono kupuma umene umatha masekondi khumi kapena kupitirira. Mosiyana ndi zomwe zimachititsa kuti munthu asagone tulo tomwe amalephera kugona - zomwe zimachitika pamene mphepo yam'mwamba imatsekedwa kwa kanthawi - mkatikatikati mwa kugona kwa mpweya, kuyesa kupuma kuima ndipo palibe njira yowonongeka ya mlengalenga.
Ngakhale kuti vutoli ndilosiyana, zotsatira za kugonana kwapakati pakati pogona ndi chimodzimodzi. Apnea imachokera ku Chigriki ndipo imatanthauza "mpweya". Momwemo, zimakhudzana ndi madontho m'magazi a mpweya wa okosijeni. Ubongo umadziwa izi ndipo pali kuyesayesa kumudzutsa munthu wosautsika pofuna kubwezeretsa kupuma. A Mboni amatha kupuma mokweza usiku kapena osasinthasintha usiku ndipo amawona kupuma kupuma. Chochitika cha apneic chimabweretsa chifupi chokwera ku tulo.
Pamene izi zimachitika mobwerezabwereza usiku, zimabweretsa tulo tating'onoting'ono komanso tulo tofa nato . Zimenezi zingachititse kuti munthu asagone komanso asagone .
Kodi Chimachititsa Bwanji Apnea Kugona Kwambiri?
Sitikudziwika chifukwa chenicheni chomwe chimayambitsa matenda obisala ogona. Malo opuma kupuma mu ubongo nthawi zambiri amayendetsa kupuma.
Ngati mpweya wa carbon dioxide umachepetsedwa pansi pafupipafupi kapena ngati kuwonongeka kwa njira za neural njira zogwiritsira ntchito kupuma, pangakhale kusokonezeka pakupuma. Monga tafotokozera pamwambapa, mosiyana ndi matenda obisala ogona, mphambano siinatseke.
Kugonana kwapakati pafupipafupi kumachitika pakasintha pakati pa kugona ndi kugalamuka, koma kungapitirizebe kugona tulo ta NREM . Mwina nthawi zina zimachitika mutadzuka, ndipo imatchedwa chapakati chotsitsimula.
Kusakhazikika kwa kuteteza kupuma kumapezeka nthawi zambiri m'maganizo osiyanasiyana a ubongo, kuphatikizapo matenda a Parkinson ndi multiple atrophy . Zitha kuwonedwa pambuyo pa kupwetekedwa, makamaka ngati ubongo wawonongeka. Zingakhalenso zochitika mogwirizana ndi chitsanzo cha Cheyne-Stokes kupuma kwa odwala omwe ali ndi mtima wosweka .
Zingakhale zofala pakati pa omwe amagwiritsa ntchito mankhwala ozunguza bongo kapena opioid. Mwamwayi, pakadali pano, izi zidzathetsa pakutha kwa mankhwala.
Ndikofunika kusiyanitsa kugonana kwapakati komwe kumayambira poyendetsa kupanikizika kwapakati pa mpweya. Zingakhale zoipitsa ngati zovuta zili pamwamba kwambiri. Izi zimatchedwa apnea yovuta kugona . M'madera 98 peresenti, mtundu uwu wa apnea ogona tulo udzathetsa pakapita nthawi, nthawi zambiri miyezi yambiri, ndi chithandizo chopitirira.
Sichifuna kusintha kwina kwa mankhwala.
Kuzindikira ndi Chithandizo cha Apnea Central Sleep
Kugonana kwapakati pakati papakati kumatha kupezeka ndi phunziro lagona mokwanira monga polysomnogram. Izi ziwonetseratu kupuma kobwerezabwereza pakupuma pamene mukugona ndi kusowa mphamvu kuti mupume. Mabotolo a nsalu atakulungidwa m'mimba mwako ndipo chifuwa chimagwiritsidwa ntchito poyeza kuyesera kupuma. Zili ndi khungu lomwe lingathe kuzindikira kayendetsedwe ka kayendetsedwe kake, komanso mkatikatikati mwa kugona tulo tomwe timayesayesa kuyesa kapena kuchepa kwathunthu. Zidzakhalanso zotheka kulembetsa madontho m'magazi a okosijeni ndikusintha mu EEG yomwe ikusonyeza kugona kwagona.
Chithandizochi chimapangidwa ndi bilevel therapy (nthawi zina amatchedwa BiPAP kapena VPAP) popereka mpweya wopezeka pamasom'pamaso akugona pamene akugona. Kupanikizika kumeneku kumaphatikizapo pakati pa magawo awiri: munthu kupuma mu (IPAP) ndi wina kupuma (EPAP). Mpweya umakakamizidwa ndi makina ang'onoang'ono ndipo amaperekedwa kupyolera pulasitiki kupita ku maski. Oxygen ingagwiritsidwe ntchito. Zida zina zimapereka mpweya wambiri ngati phokoso likuyimira kupuma kwathu. Nthawi zina, kusinthika kapena auto-servoventilation (ASV) kungasonyezedwe.
Ngati mukudandaula kuti mutha kukhala ndi vuto la kugona pakati, lankhulani ndi dokotala wanu ogona za momwe mungasankhire mankhwala.
> Chitsime:
> Mowzoon, N et al . "Nthenda Yothetsera Kugona Kwambiri." Ndemanga ya Bungwe la Neurology: Buku Lophiphiritsira. 2007; 726.