Masiku ano kuyesa kugona akugwiritsidwa ntchito kwambiri kuti apeze matenda okhudza kugona monga obstructive sleep apnea . Nchifukwa chiyani mungauuzidwe kuti mukhale ndi phunziro la kugona kunyumba? Kodi phindu ndi zovuta za kukhala ndi chiyeso cha kugona kunyumba ndi chiyani poyerekeza ndi polysomnogram yapakati? Phunzirani za kugwiritsira ntchito maphunziro a kugona kunyumba, zomwe muyenera kuyembekezera ndi phunziro lanu, ndi zomwe zotsatirazi muzochidziwitsa ndi chithandizo chanu.
Mmene Mungapezere Kunyumba Phunziro Pogona
Choyamba, mungadabwe kuti ndi chifukwa chiyani mukufunikira kuti muphunzire kugona. Mayeserowa amagwiritsidwa ntchito pozindikira matenda osiyanasiyana ogona. Ngakhale zizindikilo komanso kuyang'ana moyenera kumayambitsa vuto la kugona, mayesero amayenera kukhazikitsa matendawa (ndipo, pomalizira pake, kuti inshuwalansi ipereke mankhwala).
Madokotala omwe ali ndi ubwino wokhala ndi ubongo nthawi zambiri amakhala ndi udindo wotsogolera mayesero ogona. Ophunzirawa nthawi zambiri amawona odwala akudandaula za vuto la kugona ndipo maphunziro awo akhoza kupenda maphunzirowo ndikupatsanso chithandizo chabwino kwambiri. Otsogolera oyang'anira chisamaliro ndi ena othandizira zaumoyo angaloledwenso kuitanitsa mayesero ogona a kunyumba, koma American Academy of Sleep Medicine sikulangiza izi.
Osati aliyense ayenera kukhala ndi phunziro la kugona kunyumba. Ndikofunika kwambiri kuti muzindikire obstructive sleep apnea (OSA).
Kuyesedwa kumeneku kuyenera kulamulidwa ngati mukukayikira kuti ndi ochepa kwambiri oSA. Kuyezetsa kumagwiritsidwanso ntchito nthawi zina kuti apeze njira zothandizira matenda opatsirana ogona monga ogwiritsira ntchito pakamwa kapena opaleshoni .
Ngati mankhwala ena alipo omwe angasokoneze chidziwitso cha kugonana, kuyezetsa kugona kunyumba sikungakhale koyenera.
Sichigwiritsidwenso ntchito kuti muzindikire matenda ena ogona osadwale mpata. Zina mwazotsutsana ndi zachipatala kuyezetsa kugona kunyumba ndi izi:
- Matenda ochepa kwambiri a mapiritsi
- Matenda a Neuromuscular
- Kusokonezeka mtima kwa mtima
- Kugonana kwapakati pakati
- Kusinthasintha kwa magulu nthawi zonse
- Kusagona
- Parasomnias (makhalidwe ogona)
- Zovuta za kugona za Circadian
- Kusagwedezeka
Pomaliza, kuyezetsa kugona kunyumba kungagwiritsidwe ntchito nthawi zina mwa anthu omwe satha kukhala ndi matenda opatsirana polysomnogram pakati pathu chifukwa chosasunthika, chitetezo, matenda ovuta, kapena mikangano ina. Chofunika kwambiri, kuyesa kugona kunyumba sikuyenera ana.
Ubwino ndi Zovuta za Kunyumba Kuyesedwa Kogona
Maphunziro ogona a kunyumba ndi njira yabwino kwambiri yolamulira-m'thupi la kugona pakati pa anthu osankhidwa bwino. Ngati pali kudandaula kwakukulu kwa matendawa, zingakhale zosavuta zowonjezera zomwe zimapangitsa wodwalayo kuti apite kuchipatala cha chisamaliro. Komabe, mayesero oipa sangathe kuthetsa vutoli. Ngati vuto lopanda kugona kunyumba likupezeka (ndi chiwerengero cha apnea-hypopnea index kapena AHI pansipa 5), matenda opatsirana polysomnogram mu malo ogona ndi ofunika kwambiri.
Pali zifukwa zingapo zomwe odwala amasankha kukhala ndi mayeso ogona kunyumba, kuphatikizapo:
- Zimakhala zotsika mtengo , zimagula madola mazana poyerekezera ndi zikwi za madola zomwe mayesero apakati angadye.
- Ndizosavuta, kukulolani kugona kunyumba osati mmalo osadziwika.
- Zili bwino kwambiri , ndi zingwe zocheperapo ndipo zimakhala zotetezedwa kunyumba.
- Pali mwayi wowonjezera kuyesedwa. Malo ogona sangathe kupezeka chifukwa cha malo kapena kukonzekera. Zipangizo zowonetsera kunyumba zingatumizedwe kunyumba kuchokera ku ofesi ya madokotala ndipo nthawizina zimatumizidwa kunja.
Miyezo ya golidi yodziŵika ndi matenda onse ogona amakhalabe opaleshoni ya polysomnogram yomwe ikupezeka pa malo ogona.
Izi zikuphatikizapo miyeso yambiri yogona tulo ndi kugona tulo kudzera mu EEG , nyimbo ya mtima kudzera kudzera ku EKG, ndi miyendo ya mwendo kapena mkono wa kayendedwe; Zonsezi sizikhoza kuphatikizidwa ndi kuyesedwa kwapakhomo. Komanso, ngati muli ndi vuto la kugona tulo tating'onoting'ono, kuyesa kwanu kumangowonongeka.
Zimene Muyenera Kuyembekezera ndi Kunyumba Kuphunzira Phunziro
Dokotala wanu atatsimikiza kuti muyenera kukhala ndi phunziro la kumagona kunyumba, mudzauzidwa momwe mungagwiritsire ntchito chipangizo kunyumba. Kawirikawiri wothandizira wachipatala, wodwala kupuma, kapena wophunzira opaleshoni amapereka malangizo awa. Mudzawonetsedwa momwe mungagwiritsire ntchito masensa oyenera. Kawirikawiri, izi ziphatikizapo lamba limene limapindikiza pachifuwa kapena m'mimba kuti liye kuyesa kupuma, mpweya wa mpweya wa mpweya umene umaphatikizapo mphuno yomwe imayendera mpweya wa mpweya, ndi oximeter yomwe imagwiritsidwa ntchito kumbali yomwe imatulutsa kuchuluka kwa magazi ndi mpweya wa okosijeni. Malinga ndi chipangizo chomwe chikugwiritsidwa ntchito, pakhoza kukhala kusintha kosiyanasiyana mu zigawo zofunikazi. Mukangokonzekera bwino, muyenera kulandira chitsogozo cha momwe mungatsekeretse chipangizocho.
Mukakonzekera kukagona kunyumba, mumapempheranso masensa ndi kutsegula chipangizo monga mudaphunzitsidwa. Mukadzuka kupita ku bafa usiku, mukhoza kukhala ndi masensa ambiri omwe alipo. M'mawa, zipangizo zina zidzakuuzani ndi kuwala kapena kuwerenga kuti zikudziwe kuti deta yokwanira inasonkhanitsidwa. Monga lamulo, ma ola angapo ojambula amafunikira kuti ayesedwe mokwanira. Madokotala ena amalimbikitsa kuti odwala achite 2 (ngakhale mpaka 3) usiku woti ayesedwe kuti ayesedwe bwino.
Zotsatira Zowonjezereka mu Kuzindikira ndi Chithandizo Pambuyo Poyesa Kugonana Kwathu
Pambuyo kubwezeretsa chipangizochi, dokotala wagona adzatumiza chipangizocho, kubwereza yekha ndi kutanthauzira deta, ndi kupanga chidule cha zotsatira. Monga tafotokozera pamwambapa, ngati chiyeso cha kugona kunyumba chikuwonetsa deta yosakwanira kapena kuti sagwiritsidwe ntchito chifukwa cha kugonana kwapakati, mayesero apakati angakhale ofunikira kuzindikira vutoli. Pamsonkhano wotsatila mu kachipatala chogona, zotsatirazi zidzakambirananso ndi inu ndipo masitepe adzakambilana.
Ngati mayesowa akuwonetsa kugona kwa kugona, njira zothandizira mankhwala zidzasinthidwa, kuphatikizapo kugwiritsa ntchito njira yowonjezereka yogwira mpweya (CPAP) , zipangizo zam'kamwa, kuperewera kwa thupi, kupatsirana thupi, opaleshoni, mwinamwake mankhwala ena.
Kuyezetsa kugona kwapakhomo kungakhale njira yabwino yosonyezera kuti munthu akudwala matenda obisala m'maganizo mwa anthu omwe akudandaula kuti ali ndi vutoli komanso alibe zovuta kapena zovuta zina. Ngati mukufuna kupeza maphunziro ogona kunyumba ndikutsata chithandizo, yambani kuwona katswiri wodziwa kugona, amene angakupatseni mndandanda wowunika, chitsogozo poyesera, ndi chithandizo kudzera mu njira zothandizira.
> Chitsime:
> Collop, NA et al . " Zipatala Zogwiritsira Ntchito Zowonongeka Zosakonzedweratu mu Kuzindikira Kopanda Kugonana Kugonana kwa Odwala Achikulire ." Journal of Clinical Sleep Medicine . 2007; 3 (7): 737-747.