Matenda Opweteka Ali ndi Zotsatira Zabwino Zaumoyo, Zochiritsira Zothandiza
Kugona kwa mpweya ndizofala zomwe zimakhudza mamiliyoni ambiri a ku America. Matenda osapuma omwe amasiya mobwerezabwereza kupuma usiku angakhale chifukwa cha kutchinga kwapadera kapena kwathunthu ( pamtunda ) wa pamtunda , makamaka kumakhudza lilime ndi phula lofewa.
Zitha kuchitanso chifukwa cha chizindikiro chovutika maganizo kuchokera ku ubongo kuti ayambe kupuma.
Zochitikazi zimatha masekondi 10 kapena kupitirira, ndipo zingabwere nthawi zambiri usiku uliwonse. Wina yemwe ali ndi mpweya wogona akugona mokweza, kupuma pang'ono pakupuma, ndi kupuma pang'ono. Pa zochitika za apnea, mlingo wa okosijeni umatsika, mtima umakula, ndipo kugona kumasokonezeka pamene munthu wokhudzidwayo akuwuka kuti apitirize kupuma. Izi zingakhale ndi zotsatira zofunikira pa khalidwe la kugona, ntchito ya masana, komanso thanzi labwino.
Mipukutu
Kugona kwa mpweya ndi mawu omwe amaphatikizapo vuto lililonse limene limayambitsa kupuma pamene mukugona. Zingakhudze munthu pa msinkhu uliwonse, koma kuchuluka kwa kugona kwa mphuno kumawonjezereka kupitirira zaka zakubadwa. Pali zigawo zingapo zazikuluzikulu, kuphatikizapo:
Kugona tulo si vuto lokha limene lingayambitse kupuma pamene tigona. Palinso mavuto ena omwe sapangitsa kupuma kwathunthu kupuma koma angakhale ovuta, monga:
Ndikofunika kuzindikira kuti mpweya wa okosijeni ukhoza kugwa pa tulo ngati mapapo akugwiritsidwa ntchito chifukwa cha matenda a pulmonary, ndipo izi zingafunikire kuchidetsa.
Zizindikiro
Kuwonjezera pa kupuma kwa kupuma komwe kumakhala kwa matendawa, palinso zizindikiro zina zambiri zomwe zimagwiritsidwa ntchito mu matenda obisala.
Zizindikiro izi zingaphatikizepo izi:
- Kuwala kwakukulu, kosasangalatsa
- Kusankha kapena kupuma pogona
- Anawona kupuma kupuma pogona
- Kuthamanga kawirikawiri kukodza ( nocturia )
- Misozi ikupera kapena kuuma ( bruxism )
- Wosowa mmero kapena pakamwa pa kuwuka
- Zilonda zam'mawa kapena mpikisano wa mtima
- Kutuluka kwa usiku
- Kutentha kwa mphepo
- Kuwuka usiku ndi usiku komanso kusowa tulo
- Kugonana kwanthaŵi yamadzulo
- Mutu wam'mawa
- Kukumbukira kanthawi kochepa kapena mavuto ophunzirira
- Kukumva kukwiya
- Kusamalidwa bwino kapena kusamala
- Kusintha kwa maganizo, kuphatikizapo kuvutika maganizo
Sikuti zizindikiro zonsezi ziyenera kukhalapo kuti zichitike, ndipo ana omwe ali ndi vuto la kugona angabwere ndi zodandaula zosiyana ndi mavuto, kukula kwa kuchepa kwa matenda, komanso kugona tulo.
Zimayambitsa
Pali zifukwa zochepa zomwe zimayambitsa matenda obisala obettive ndi zinthu zomwe zingawononge kwambiri, kuphatikizapo:
- Kukhala olemera kwambiri kapena olemera (kuphatikizapo kukula kwa khosi )
- Zovuta zachilendo zapamwamba zowonongeka (kuphatikizapo sevalo losokonezeka )
- Kugwiritsa ntchito mankhwala, mankhwala osokoneza bongo, kapena mowa
- Kukalamba
- Kugona kumbuyo
- REM kapena akulota tulo
- Kusuta
Kuphatikizanso apo, kupuma kwapakati pakati pamtima kungabwere chifukwa cha kupweteka kwa mtima, kulephera kwa mtima, kapena kugwiritsa ntchito mankhwala osokoneza bongo kapena opioid. Matenda ovuta ogona tulo amapezeka ndi mankhwala enaake.
Zimakhala Zofanana Kwambiri
Kugonana ndi matenda obisala kwenikweni kumakhala kofala. Pamene kugona kwa apnea kumatanthawuza kukhala ndi zochitika zoposa zisanu ndi zisanu (5 apneic) pa ora zomwe zimayambitsa chizindikiro (monga kugona kwa usana wa tsiku), ndiye kuti anthu awiri mpaka 9 peresenti amakhala ndi matenda obisala. Pofotokozedwa kuti ali ndi zochitika zoposa 5 zapneic pa ora popanda chizindikiro chodziwika, chiwerengerochi ndi 9-24% mwa anthu ambiri. Chifukwa vuto la mtima la kugona kwa mpweya kumachitika mosasamala kanthu za kukhalapo kwa masana monga zizindikiro monga kugona, kenako kumatengedwa kuti ndiwowonjezereka.
Kukula kumawonjezeka kuyambira zaka 18 mpaka 45 ndikufika pamtunda kuyambira zaka 55 mpaka 65.
Ngati wina angayambe kugona tulo, amagwiritsa ntchito nthawi imeneyi. Ndi pafupifupi kaŵirikaŵiri kawirikawiri pakati pa amuna.
Kudziwa
Kafukufuku wamatenda ogona akugonjera kawirikawiri amadalira mbiri yakale komanso kafukufuku wamankhwala ndi dotolo woyenerera ogwira ntchito ogona. Kuyesedwa kwina kumakwaniritsidwa pogwiritsa ntchito mayesero oyenerera opatsirana , omwe angaphatikizepo:
- Polysomnography
- Kunyumba Kugonjera kwa Apnea
- Kuyesedwa Kwambiri Kwambiri Kwambiri (MSLT)
- Kusungidwa kwa Kukhalitsa (MWT)
- Overnight Oximetry
- Epworth Sleeping Scale
- Chizindikiro Chogona
Kawirikawiri, mayesero ogona a apnea ogona kunyumba kapena omwe amapezekapo pamapulojekiti ndi omwe amayesedwa kuti apeze kugonana kwa apnea.
Kuchiza
Kugonana kofiira kumatha kuchitidwa bwino m'njira zosiyanasiyana. Kawirikawiri, anthu ambiri adzayesedwa pazitsulo zopitilira mpweya wabwino (CPAP) . Izi zimafuna kusankha masikiti a CPAP . Chithandizo chofananamo chotchedwa bilevel positive airway pressure (BiPAP) chimagwiritsidwanso ntchito nthawi zina. Zingatenge nthawi kuti tidziwidwe ndi mankhwalawa, ndipo pali zina zomwe zingathandize kuthetsa mavuto . Pali malo ogona monga chinsalu chomwe chingalepheretse kupuma pakamwa . Kuwonjezera apo, ndikofunika kuti CPAP yanu ikhale yoyera . N'zotheka kuyang'anira ntchito yanu ya CPAP .
Kwa iwo omwe sangakhoze kulekerera CPAP, pali njira zina zochiritsira kwa CPAP . Izi zingaphatikizepo zipangizo zamalankhulidwe , mankhwala opatsirana, kapena opaleshoni . Nthaŵi zina, pamene kugona kwapakati patsiku kumapitirizabe ngakhale kuti akudwala, zizindikiro monga Ritalin , Provigil , ndi Nuvigil zingakhale zofunikira kuti asamalidwe. Ngakhale njira zina zowonjezera monga kusewera kwa didgeridoo zawonetsedwa kuti ndizochiritsira. Anthu ena angapeze phindu kuchokera ku khofi kapena ngakhale kukonzekera. Monga nthawi zonse, anthu omwe ali ndi vuto la kugona amapindula mwa kuyang'ana malangizo abwino ogona .
Zotsatira Ngati Wotsalira Asanamveke
Pakhoza kukhala zotsatira zoopsa - ngakhale zakupha - kumatenda osagonana, monga:
- Kuukira kwa ischemic komweko kapena kosakhalitsa
- Matenda a mtima wa Coronary
- Kulephera kwa mtima
- Kuphatikizika kwa mtima
- Matenda amtima
- Kuthamanga kwa magazi
- Kutsekemera ndi reflux
- Matenda a shuga
- Kusokonekera kwa Erectile
- Matenda okhumudwa ndi kukumbukira (kugwidwa maganizo)
- Kusokonezeka maganizo
- Imfa yadzidzidzi
Pali zotsatira zosiyana za kugonana kwa kugonana kwa ana , zomwe zingaphatikizepo kusakhudzidwa , kuchepa kukula, ndi kuchepa kwa nzeru.
Kutsiliza
Kugona kwa mpweya ndi vuto lofala lomwe limaphatikizapo kupuma kupuma komwe kumachitika pogona. Pali mitundu yosiyanasiyana ya kugonana kwa kugona, ndipo ikhoza kukhala yowonjezereka m'madera ena. Zizindikiro zomwe zimabweretsa nthawi zambiri zimaphatikizapo kugona mofulumira kwa tsiku, koma zingakhalenso zoopsa - ngakhale zakupha - zotsatira. Pali zifukwa zingapo zomwe zingayambitse matenda ogona tulo kapena kuvulaza. Kudziwa kawirikawiri kumadalira mbiri yakale ndi kuunika kwa dokotala ndi kugona tulo monga kuyesa kugonana kwa apnea kapena mkatikati mwa polysomnogram. Chithandizo chingapangidwe pogwiritsa ntchito njira yowonjezera ya mpweya (CPAP) kapena njira zina zothandizira monga mankhwala opangira pakamwa kapena opaleshoni. Pakhoza kukhala malo ena ogona omwe ayenera kukonzedwa kuti apititse patsogolo kutsata mankhwala. Mwamwayi, kugona kwa mphuno kawirikawiri kumathandizidwa bwino ndi zotsatira zabwino.
Zotsatira:
American Academy of Sleep Medicine. "Mayiko osiyanasiyana akusowa kugona: Buku lodziŵira ndi lolemba." 2d. 2005.
Collop, N. "Zotsatira za matenda obwera chifukwa cha kugona kwa matenda obwera chifukwa cha matenda aakulu." Cleveland Clinic Journal of Medicine . 2007 74: 1.
Durmer, J et al. "Mankhwala Akugona Mankhwala." American Academy of Neurology ikupitirira. 2007; 153-200.
Epstein, LJ et al. "Malangizo othandizira kuunika, kuyang'anira, ndi kusamalira nthawi yaitali matenda obisala ogona m'mimba mwa akuluakulu." J Mchipatala Gonani Med. 2009; 5: 263.
Jennum, P et al. "Matenda a matenda ogona apnea / hypopnoea syndrome ndi kupuma kumeneku." Eur Respir J. 2009; 33: 907.