Anatomy Amapereka Koma Zina Zimayambitsa Kubwezeretsedwa
Funso lachidziwikire limene anthu ambiri ali ndi matendawa: Kodi kugona kwa apnea kumapita? Phunzirani pang'ono za zomwe zimayambitsa matenda obisala, ngakhale kuti zingatheke, komanso zifukwa ziti zomwe zingasinthidwe zomwe zingasinthe malungo.
Kuwona Zomwe Zimayambitsa Nthenda ya Kugona
Kupewa kugona kwa mphuno kumachitika pamene mbali iliyonse ya mpweya kuchokera kumphuno kwa mphuno kupita kumapapo imagwa pamene wagona ndipo imasokoneza kupuma.
Choncho, nthawi zambiri zimachokera kumayendedwe a munthu. Sepasi yamphongo yopanda mpweya kapena turbinates yotukulidwa m'mphuno ikhoza kusokoneza mpweya wabwino. Phalasitiki yofewa, toni akulu kapena adenoids, kapena chinenero chachikulu chingalepheretse ndimeyo pammero.
Kukwera kwa pandege kungakhale kolepheretsa. Kujambula kwanthawi yaitali kumabweretsa kuthamanga kwa pandege ndi kuwonongeka. Izi zingapangitse kutupa pambali pa ndimeyi kuti ikhale yopitirira. M'kupita kwa nthawi, mapulogalamu a mitsempha amatha kukhala osamvera, ndipo minofu ikhoza kusunga mawu okwanira kuti athandizire pandege. Kulemera kwa phindu, makamaka pamene kumapangitsa khosi lalikulu , kungapangitse kuti vutoli liziipiraipira.
Kugona kumbuyo kwanu kungalole kuti lilime libwererenso panjira, ndipo izi zimapangitsa kuti munthu asokonezeke ndi kugona. Kugwiritsa ntchito mowa , makamaka m'maola angapo asanayambe kugona, kungachititse kuti minofu yowonongeka iwonongeke.
Zopereka zonsezi ziyenera kuganiziridwa ngati mukuganiza ngati kugona kwa mpweya kungatheke.
Kodi Kugona kwa Apnea Kungatheke?
Kawirikawiri, kugona kwa mpweya ndi matenda aakulu omwe satha. Anatomy imakhala yosasuntha, makamaka atatha msinkhu. Choncho, ana omwe ali ndi matenda obwera chifukwa cha kugona angakhalebe ndi chiyembekezo chakuti vutoli lidzabweretse bwino komanso mosamalitsa.
Kutulutsidwa kwa matoni ndi adenoids ndi tonsillectomy ndi adenoidectomy kungakhale kopindulitsa kwambiri kwa ana. Chithandizo cha chifuwa ndi kufalikira kwa malaya ovuta ndi mankhwala a orthodontic omwe amatchedwa kukula maxillary kukula angakhale othandiza. Pambuyo kukula kwatha, padzakhalanso zina zowonjezera mankhwala.
Achinyamata amene atha msinkhu ndi ena akuluakulu ali ndi mwayi wopanga opaleshoni omwe angakhale othandiza. Njira yabwino kwambiri ndi opaleshoni yopita patsogolo . Njirayi, yomwe imatchedwanso ma maxillo-mandibular, ingakhale yothandiza kwambiri, yothetsera kugona kwa mpweya mu anthu oposa 80%. Zimaphatikizapo opaleshoni yayikulu yomwe mafupa a nsagwada amawaswa opaleshoni, amapita patsogolo, kenako amaikamo malo, makamaka ndi zikopa za titaniyamu ndi mbale. Izi zimasintha nkhope ya nkhope. Kubwezeretsa kumatenga miyezi ingapo.
Opaleshoni ina ingathenso kugwiritsidwa ntchito kusintha matupi, koma, kawirikawiri, njirazi sizothandiza. Zosankhazi zikuphatikizapo opaleshoni yamtundu wofewa monga uvulopalatopharyngoplasty (UPPP) komanso septoplasty kukonza septum yosauka. Kuonjezerapo, kupuma kwa mpweya wa mphuno kumatulutsa mpumulo wokhudzana ndi kusokonezeka kwa msana komanso kusokonezeka.
Nthawi zina amalimbikitsidwa ndi zilembo zamalankhula (kutchedwa hyoid patsogolo).
Kuphatikizanso apo, pali zifukwa zina zomwe zingasinthike ndi kusintha kwina kosafuna opaleshoni.
Kusintha Zinthu Zowopsa za Aperea Yogona
Kuwonjezera pa opaleshoni, pali zinthu zina zomwe zingasinthe zomwe zingachepetse kuopsa kwake kapena kukhalapo kwa kugona kwa kugona. Ngati ndinu olemera kwambiri kapena olemera kwambiri, kutaya thupi kungakhale mbali yaikulu yothetsera kugona kwa kugona. Mafuta kapena minofu amatha kuyenda pamtunda, zomwe zimapangitsa kuti pang'onopang'ono komanso pangozi yowonongeka. Kuchepetsa kutaya thupi kungakhale ndi zotsatira zabwino pa ngoziyi.
Mmene minofu ikuyendetsa pamsewu imatha kusintha kudzera mu zochitika zolimbitsa thupi. Kafukufuku wasonyeza zotsatira zabwino za njira zowuma kupyolera m'mayendedwe a dogeridoo komanso machitidwe olimbitsa lilime lotchedwa myofunctional therapy .
Mwatsoka, minofu yambiri ndi mawu amataika ndi ukalamba, ndipo popanda kuthana ndi zotsatirazi, izi zimabweretsa kufooka kwa kugona kwa kugona. Kuphatikiza apo, amayi omwe amadutsa msinkhu wa kutha kwa thupi pamene chitetezo cha progesterone ndi estrogen chawonongeka, chikhoza kuwonjezereka pang'onopang'ono kwa kugonana kwapakati ndi ukalamba.
Kusunga ndime yamphongo yotseguka pochiza chifuwa ndi nasal steroids kungathandizenso. Mankhwala monga Nasonex , Flonase , ndi Rhinocort angakhale othandiza pankhaniyi. Pofuna kuthana ndi zotsatira za mphamvu yokoka, kugwedeza lilime kumbuyo, zingakhale zothandiza kugona pambali panu. Kuonjezera apo, kukweza mutu wa bedi kufika madigiri 30 mpaka 45 poyikweza pamabuku kapena ngakhale zolembapo zingakhale zothandiza.
Pomalizira, ngakhale kuti matenda obwera chifukwa cha kugona sungapeĊµe m'zinthu zambiri, uthenga wabwino ndi wakuti pali mankhwala othandiza: kupitirizabe kutulutsa mpweya wabwino (CPAP) . Kutuluka kwa mphepo kameneko kumapangitsa mphepo kutseguka ndipo imalepheretsa kugwa kwake. Mofanana ndi magalasi, amagwiritsidwa ntchito pokhapokha ngati imagwiritsidwa ntchito, koma ikhoza kukhala yothandiza kwambiri kwa iwo omwe angathe kupirira.
Ngati muli ndi mafunso ena okhudza chithandizo cha matenda obisala obstructive, mungathe kuyankhula ndi ogona anu ogwira ntchito za mankhwala omwe mungapeze. Mwamwayi, pali njira zambiri zamankhwala zomwe zingapezeke, ngakhale ndizovuta zomwe sizikutanthauza zokha.
Chitsime:
Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." Elsevier , edition lachisanu. 2011.