Mitsempha Yowonongeka Momwe Mungayambitsire Chifukwa Chakudya, Kupuma Kwambiri
Ngakhale mutadziwa bwino vuto limene limatchedwa kuti apnea , simungadziwe bwinobwino zomwe zikuchitika m'thupi. Kodi kugona kwa apnea kumachitika bwanji? Kodi ndi chani chomwe chimachitika pandege pomwe khalidwe likupuma kupuma? Malingana ndi kuuma kwake, kodi njira yomweyi ingathe bwanji kubwereza, hypopnea, kapena apnea? Dziwani kusiyana kwake ndi momwe kupuma kwanu kumathandizira kusokonezeka pamene mukugona.
Kuti tiyankhe mafunso awa, tiyeni tiwone mbali yochokera ku UpToDate - njira yodalirika yachipatala yogwiritsidwa ntchito ndi ogwira ntchito zaumoyo ndi odwala mofanana. Ndiye, pitirizani kuwerenga m'munsimu za zomwe zidziwitso izi zikutanthauza kwa inu.
"Kummero kumakhala kuzunguliridwa ndi minofu yomwe imayendetsa pamsewu kuti uyankhule, kumeza, ndi kupuma. Mukakhala tulo, minofu imeneyi sakhala yogwira ntchito, ndipo izi zimachititsa kuti khosi lichepetse.Tsiku lina, Nthawi zina zimakhala zochepa kapena zowonongeka ndi mphepo. Mpweya wotsekedwa mwamphamvu popanda kuthamanga kwa mpweya umatchedwa apnea obstructive. Kukanika kwina ndi kutuluka kwa mpweya wambiri kumatchedwa hypopnea. Munthu akhoza kukhala ndi apnea ndi hypopnea akagona."Kupuma mokwanira chifukwa cha kupuma kwa mpweya kapena hypopnea kumapangitsa kuti mpweya wa okosijeni ufike ndipo mpweya wa carbon dioxide ukukwera chifukwa chakuti mpweya umatsekedwa, kupuma mofulumira kapena kovuta sikuthandiza kusintha mpweya wokwanira mpaka mphepo itatsegulsidwanso. Pambuyo pa kutseguka, munthuyo amatenga mpweya pang'ono kuti apume kupuma. Pamene munthuyo amadzutsa, akhoza kusuntha mwachidule, kumenyera kapena kupuma, ndikupuma kwambiri. , munthu akhoza kudzutsa kwathunthu ndi kutengeka, kutsekedwa, kapena kugwedeza.
"Ngati munthuyo agona mofulumira, sangakumbukire zochitikazo. Anthu ambiri omwe ali ndi vuto la kugona sakudziwa kuti amapuma mokwanira, ndipo odwala onse amazindikira kuti nthawi zambiri amakhala atagona mokwanira. kukhala wosasangalatsa ndipo umayambitsa kugona ndi usana. "
Pali minofu mthupi lanu lonse, ngakhale m'malo osayembekezeka ngati khosi lanu. Pali mitundu iwiri yoyamba ya minofu, mitsempha ya mitsempha, ndi minofu yosalala. Mitsempha ya mitsempha imapezeka m'kamwa mwako ndi mmwamba, pamene minofu yosalala imakhala yochepetsetsa, imayika mimba yanu. Chinthu chimodzi chosiyana kwambiri ndi chakuti mitsempha ya chigoba ili pansi pa chidziwitso chanu.
Izi zikutanthauza kuti mumatha kuchita mgwirizano wanu pakufuna kwanu, monga pamene mukuganiza kumeza kapena chifuwa. Zingathenso kutsegulidwa. Pamodzi minofuyi ikuthandizani kuti mutsegule ndi kuteteza kugwa kwake.
Mmene Mphepete mwa Mlengalenga Amasinthira Pa Nthawi Yogona
Komabe, pamene mukugona, minofu ya lilime ndi mpweya wabwino zimakhala bwino. Izi ndizowona makamaka pamene mukuyenda mofulumira (REM) kugona pamene malingaliro akugwira ntchito koma thupi likufa. Minofu yochepa imapulumuka ku ziwalo zowonongeka, makamaka zomwe zimapangitsa maso ndi chotupa, zomwe zimakhala ngati mitsempha yodzaza mapapo. Malingana ndi momwe thupi lanu limayambira, kusungulumwa kwa minofu kungakhale kovuta.
Ngati mukuganiza kuti mukuyenda mozungulira ngati chubu, chifuwacho chimalepheretsa kugwedezeka pamene ali ndi mawu abwino. Komabe, nthawi ya kugona - ndipo ngati chubu yanu ili yopapatiza kapena yochulukirapo (monga momwe ingachititsire kunenepa kwambiri) - ikhoza kugwa mosavuta. M'malo mofotokoza momveka bwino kuti mpweya ukhoza kuyenda mosavuta, mpweya umasokonezeka. Pamene kusokonezeka uku kumachitika, kugwedezeka kungabweretse. Izi zikuwombera . Thumba likhoza kugwa mopitirira, mwina pang'onopang'ono (zomwe zimayambitsa hypopnea) kapena kwathunthu (zomwe zimachititsa apnea ).
Kugonana Kwapakati Kumayambitsa Kupweteka Kwambiri Kuti Ziguduli Zizigona
Pamene kupuma kwanu kusokonezeka chifukwa cha kugwa, mapapu anu sapeza mpweya wabwino ndipo simungathe kuchotsa carbon dioxide.
Yankho ndikutsegula chubu. Izi nthawi zambiri zimafuna munthu wokhudzidwayo kuti awonongeke mu tulo tomwe akugona, ngati mwachidule. Izi zimakhala zosazindikirika ndi munthu yemwe ali ndi apnea monga momwe zimakhalira, kupatula kuti zamoyo izi zimakhala zocheperapo chifukwa cha kugona kwa tsiku ndi tsiku komanso zotsatira zina.
Thupi limayankha ndi mantha chifukwa cha kupuma. Monga momwe mungagwedezere ngati mutagwedezeka pansi pa madzi, thupi lanu limachita zonse zomwe zingathe kuti mupume mpweya wanu. Pali vuto lalikulu la mahomoni (otchedwa cortisol) komanso kuthamanga kwa mtima wanu komanso kuthamanga kwa magazi kungathamangitsidwe pamene thupi lanu likukweza.
Mukamadzuka, minofu yomwe ili panjira yanu imayambanso kutulutsa mawu ndi kutsegula chubu. Koma, pamene mugona tulo, mavuto omwewo angayambitsenso. Choncho, phokoso limapitirizabe usiku wonse pamene kupuma kwanu kukuphwanyidwa, thupi lanu limadzuka, ndipo mumagona tulo kuti musokoneze kupuma kwanu.
Kwa iwo omwe amamuwona munthu yemwe ali ndi matenda obisala, pakhoza kukhala nthawi ya bata potsatira phokoso lopweteka kapena laphulika. Uku ndiko kupuma komwe kudzakhazikitsanso patapita nthawi ya apnea. Zitha kuchitika kangapo usiku. Phunziro lagona tulo monga polysomnogram , kupepuka kwa mpweya kungapangidwe ndi mchitidwe wotchedwa apnea-hypopnea index (AHI) .
Zowonjezera Zowonjezera Kupsinjika Kwakufa Kwakufa
Pali zifukwa zina zomwe zimapangitsa kuti munthu asagone mpweya wosagonjetsedwa, monga momwe thupi lako limayendera . Komabe, pali zosankha zina zomwe zingayambitsenso kugwa kwa njira, monga kumwa mowa . Komanso, kugona kumbuyo kwanu kungaperekepo kanthu. Ngati muli olemera kwambiri kapena owonjezera, izi zingachititsenso mavuto. Kuonjezera apo, pali njira zabwino zothandizira matenda opatsirana pogonana monga kupitilira kwapansi kwapansi (CPAP) yomwe imagwira ntchito yoyendetsa ndege. Palinso kufufuza kwatsopano pa kagwiritsidwe ntchito ka zipangizo monga hypoglossal nerve stimulators zomwe zimayambitsa minofu ya mpweya pogona.
Ngati mukudandaula za kupuma kwanu kapena wokondedwa wanu pamene mukugona, muyenera kufunsa dokotala wanu za momwe mungakhalire ndi njira zanu zothandizira.
Mukufuna kuphunzira zambiri? Onani mutu waToDate , "Kugonana ndi abambo akuluakulu," kuti mudziwe zambiri zachipatala.
> Chitsime:
> Schmidt-Nowara W, et al . "Kugona m'mimba mwa akuluakulu." Kupititsa patsogolo .