Si zachilendo kuti munthu azigona ndi apolisi komanso COPD. Koma, mosiyana ndi zomwe anthu ambiri amakhulupirira, kukhalapo kwa kugona tulo sikumeneko kwa odwala COPD kuposa anthu ambiri. Izi zikutanthawuza kuti ubale wawo umangochitika mwadzidzidzi osati chifukwa cha kugwirizana, kugwirizana kwa matenda. Komabe, kuthetsa mavuto onsewa nthawi imodzi ndi kovuta.
Ngati muli ndi COPD ndikuganiza kuti mungakhale ndi apnea yogona, werengani.
Mwachidule
Kugonana ndi matenda obisala ndi matenda akuluakulu omwe nthawi zina amawopsa chifukwa amatha kupuma panthawi yopuma. Nthawi zambiri zimaphatikizapo kulira kwakukulu, kosokoneza.
Panthawi ya apneic, mukhoza kusiya kupuma kwa masekondi khumi kapena kuposerapo ndipo, monga momwe magazi anu amathandizira, mungadzutse mwadzidzidzi ndikumveka mokweza. Chiwerengero cha zochitika za apneic zomwe mumakumana nazo zikhoza kukhala zazikulu mpaka 20 mpaka 30 usiku kapena kuposerapo, ndipo zotsatira zake zingayambitse matenda aakulu.
Mitundu
Pali mitundu itatu ya kugonana kwa kugona: Zovuta, zofunikira komanso zosakaniza. Kupewa kugona tulo (OSA) kumawonekera kwambiri kwa anthu ambiri komanso kwa anthu omwe ali ndi COPD. OSA imachitika pamene minofu yako, kuphatikizapo lilime lako, imakhala ndi nthawi yopuma pamene wagona ndikutsekereza. Chifukwa chakuti anthu ambiri omwe amavutika ndi OSA ali olemera kwambiri, nthawi zambiri amakhala ndi lilime lokulitsa komanso lala labwino komanso / kapena mafuta owonjezera pamtima mwawo.
Zowopsa
Ngakhale wina atha kukhala ndi matenda obisala, zotsatirazi zotsatirazi zingapangitse chiopsezo chanu:
- Kukhala wamwamuna
- Kukhala wamkulu
- Kukhala Chilumba cha African-American, Puerto Rico kapena Pacific
- Kukhala wochuluka
- Kukhala ndi khosi lalikulu lozungulira (17 "kapena kuposa kwa amuna ndi 16" kapena zambiri kwa akazi)
- Kumwa mowa
- Kusuta
- Zinthu zochiritsira zosagwirizana, monga matenda a gluroesophageal reflux disorder (GERD), shuga, kapena sycyromtic syndrome
Zizindikiro
Kuphatikizana ndi nthawi zina za apnea pamene mukugona ndi nthawi yochepa, zizindikiro za kugona tulo ndizo:
- Kugonana kwanthaŵi yamadzulo
- Mutu wam'mawa
- Chikhure
- Kusintha kwa umunthu wanu
- Kusokonezeka maganizo
- Matenda a makhalidwe
- Bedi kutsitsa
- Kupanda mphamvu
- Kunenepa kwambiri
- Zing'onoting'ono kuchokera kwa mnzanuyo zomwe mumalankhula mokweza
COPD ndi Kugona Apnea
Zonse pamodzi, COPD ndi OSA nthawi zambiri zimagwiritsidwa ntchito ngati syndrome (OS.) Zonse ziwiri za COPD ndi OSA zimakhala zovuta payekha zomwe zingaphatikizepo kugunda kwa mtima, kuthamanga kwa magazi, kupweteka kwa mtima ndi kupwetekedwa mtima, ndipo kukhala kwawo ku OS kungapitirize kuwonjezera izi zoopsa za mtima. Izi zimapangitsa kudziwika koyamba kwa OSA kwa anthu omwe ali ndi COPD ofunika kwambiri.
Anthu omwe ali ndi OS angakhale nawo:
- Kuchuluka kwa hypoxemia ndi hypercapnia
- Kuwonjezeka kwa chiwopsezo cha pulmonary ndi cor pulmonale
- Kukula kwapamwamba kwambiri
Chithandizo
Njira zopanda opaleshoni za OSA ndizo:
- Kutaya thupi
- Kupitiriza kupuma kwa mpweya wabwino (CPAP)
- Kugwiritsa ntchito lilime kapena alonda oluma
Ngati muli munthu yemwe sangathe kulekerera CPAP ndi OSA yanu ndi yovuta, mungakonde kukambirana njira zotsatirazi zomwe mungachite ndi wothandizira zaumoyo wanu:
- Uvulopalatopharyngoplasty (UPPP)
- Luso lothandizira laserlopalatoplasty (LAUP)
- Kuchita opaleshoni yachipatala (chifukwa cha anthu omwe OSA amafunika kwambiri kunenepa kwambiri)
- Tracheostomy
- Kuchita opaleshoni
Ngati Mukuganiza Kuti Muli ndi OSA
Ngati muli ndi OSA, simungazindikire, makamaka mukakhala nokha. Kumvetsera mosamala za kugona kwanu ndi zizindikiro zanu zamasana kudzakuthandizani kuzindikira vuto lomwe lingakhalepo. Ngati mukuganiza kuti mungakhale ndi OSA kapena, ngati mnzanu akudandaula kuti kukupanizani kwanu kuli kovuta, kungakhale nthawi yochezera wothandizira zaumoyo wanu kuti mudziwe zambiri komanso kuti mudziwe zambiri.
Zotsatira:
Pronzato C. Matenda osokoneza bongo komanso obettive obnetive apnea: Association, zotsatira, ndi mankhwala. Monaldi Arch Chest Dis. 2010 Dec; 73 (4): 155-61.
Victor, Lyle DMD Kupewa Kugonana kwa Apnea. American Family Physician. November 15, 1999.