Magazi anu ndi omwe amanyamula oksijeni ku ziwalo zanu ndi zida zina. Komabe, nthawi zina usiku, sichitengera mpweya wochuluka mofanana. Vutoli limatchedwa kutayidwa kosatha kwa usiku, zomwe zimatanthauza kuchepa kwa mpweya wanu m'magazi awo, nthawi yamasana (" oxygen saturation " ndi mlingo wa mpweya umene magazi anu amanyamula).
Kukhalitsa kwapadera kwa tsiku ndi tsiku ndi vuto lachilendo kwa anthu omwe ali ndi matenda opatsirana omwe amachititsa kuti matendawa asapitirire. Izi zingakhudze oposa 38% a anthu omwe ali ndi COPD .
Zowopsa
Anthu wathanzi omwe ali ndi mapapu amadzimadzi amakhala ndi magulu okwana 95% ndi 100%. Izi zikutanthauza kuti maselo ofiira amagazi akugwira ntchito pafupi kapena okosijeni atanyamula mphamvu.
Anthu omwe ali ndi COPD amakonda kukhala ndi makina ochepa ochepa okosijeni okosijeni kuposa obadwawo. Kafukufuku wina wanena kuti masana okosijeni okwana masentimita osachepera kapena olingana ndi 93% amatha kunena kuti pangakhale chiopsezo chachikulu cha kutayika kwa tsiku ndi tsiku kwa anthu okhala ndi COPD.
Mwachindunji, kuti munthu adziwe kuti ali ndi nthawi yowonongeka kwa tsiku ndi tsiku, msinkhu wawo wa mpweya wokhala ndi mpweya wa tsiku ndi tsiku uyenera kuponyera oposa 4% kuchoka pa msinkhu wawo wamasiku osachepera asanu pamene akugona.
Zimayambitsa
Kutentha kwapakati pa usiku kumatha kuchitika pamene mpweya wanu umachepa panthaŵi ya tulo.
Izi zimatchedwa hypoventilation .
Hypoventilation ingapangitse kusintha kwa magetsi opha magazi monga hypercapnia (carbon dioxide wochuluka) ndi hypoxemia (oxygen yochepa kwambiri) odwala COPD, makamaka pa nthawi ya kugona kwa REM. Kusintha kumeneku kungapangitse kuwonjezeka kwa zizindikiro za kuwuka ndi kugona tulo, kuthamanga kwa magazi ndi msinkhu wa imfa.
Kuwonjezera pamenepo, kukhala ndi mavuto ena ogona monga kugona tulo kungapangitse kuwonjezera mavuto ndi zizindikiro zokhudzana ndi kutayika kwa usiku.
Kukhazikika kwa tsiku ndi tsiku kumakhalanso chifukwa cha zomwe zimatchedwa kupuma kwa mpweya / kutaya thupi , zomwe zimatanthauza kuti kupuma kwanu sikugwirizana ndi nthawi yomwe magazi anu amazungulira m'mapapu anu. Ichi ndi vuto linalake la odwala COPD.
Kusinkhasinkha
Kwa anthu omwe ali ndi COPD omwe amawoneka kuti ali ndi chiwonongeko chotsatira cham'mawa, ma oximetry kunyumba ndi chida chothandizira poyesa matendawa.
Oximeter kunyumba usiku amayeza kuchuluka kwa oxygen m'magulu pamene agona ndipo ali ndi malamu azimveka pamene oxygen saturation akugwa pansi pa mlingo winawake. Iwo amalembetsanso miyezo yanu yowonjezera mpweya kuti wothandizira zaumoyo wanu azikhoza kukuyesani bwino kwa kutayika kosatha kwa usiku.
Chinthu chinanso chothandizira kudziwa nthawi yowonongeka kwa tsiku ndi tsiku ndi mavuto ena ogona ndi maphunziro a kugona, omwe amadziwika ndi luso lotchedwa overnight polysomnography (PSG).
Maphunziro a tulo amachitika m'malo olamulidwa, makamaka malo ogona. Mukakhala mukugona, mudzayang'aniridwa ndi aphunzitsi ophunzitsidwa.
Zida zophunzirira panthawi imodzi zimagwiritsa ntchito njira zosiyanasiyana zomwe zimagwirizana ndi kugona ndi kuwuka, kuphatikizapo kupuma, kuthamanga kwa mtima, mpweya wa okisijeni, zochitika za minofu ndi kayendedwe ka maso.
Chithandizo
Odwala omwe ali ndi chizoloŵezi choopsa cha tsiku lachidziwitso amatha kupindula ndi mankhwala owonjezera a oxygen , makamaka ngati pali umboni wamasana wa tsiku ndi tsiku.
Kuonjezera apo, ngati mukugwiritsa ntchito mpweya masana, muyenera kulankhula ndi wothandizira zaumoyo wanu kuti mwina mungafunike mpweya wochuluka pamene mukugona kuti musathenso kutayika usiku. Anthu omwe ali ndi COPD angapeze kuti akugona bwino usiku pogwiritsa ntchito oksijeni usiku, koma, kupindula kwa chitsimikizochi sikudziwika bwino.
Kuchokera
Fanfulla F, Cascone L, Taurino AE.Minerva Med. Kupuma mokwanira kwa odwala omwe ali ndi matenda osokoneza bongo. 2004 Aug; 95 (4): 307-21.
Lacasse Y et. al. Kufufuza kutentha kwa mpweya wokhala ndi mpweya wokha madzulo ku COPD - kukonzanso. Muzilemekeza. 2011 May 9.
Marrone O, Salvaggio A, Insalaco G. Int J Chron Chotsani Pulmon Dis. Matenda otha kupuma pamene akugona mu matenda osokoneza bongo. 2006; 1 (4): 363-72.
Weitzenblum E, Chaouat A, Charpentier C, J. J. Krieger Kugona ndi COPD. Rev Prat. 1995 May 15; 45 (10): 1257-60.