Zifukwa Zowonjezera Chifukwa Kuyezetsa Kowonjezera Kofunika N'kofunika
Ngati mwakumana ndi vuto la phunziro la kugona kamodzi kamodzi, mungadabwe kuti: Ndichifukwa chiyani ndikusowa phunziro lachiwiri la kugona? Phunzirani chifukwa chake katswiri wa kugona angaganizire kubwereza phunziro ndikukhala momwe zingathandizire kuyang'anira matenda anu ogona.
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Chimodzi mwa zifukwa zodziwika kuti katswiri wa kugona adzalamula kuti phunzirani kugona mobwerezabwereza ndi chifukwa zolemba za phunziro loyambirira sizingatheke.
Mwatsoka, odwala ndi madokotala mofanana sizinakhale nthawizonse otchuka. Izi zimafala kwambiri ngati kusintha kwa dokotala wanu ogona kwachitika. Ngati phunziroli litamalizidwa zaka zapitazo, pali chitsimikizo chokwanira kuti malipoti ndi ma data okhudzana ndi phunziro atayika. Pofuna kupeza chidziwitso, kugona tulo kumafunika kuti chiwerengero cha inshuwalansi chilipire zipangizo za CPAP .
Komanso, pakhala kusintha kwatsopano kwa inshuwalansi, makamaka kwa omwe amagwiritsa ntchito Medicare ku United States. Malamulo okhwima ali pano omwe amafuna zolemba zamalonda, mapepala ophunzirira ogona omwe amatanthauzidwa ndi akatswiri ogona ogona ogona, komanso zolemba zokhudzana ndi chithandizo m'masiku 90 oyambirira ogwiritsidwa ntchito. Pamene mapepalawa sali oyenera, chifukwa nthawi zambiri sichifukwa chokhalira ndi zofunikira zakale zapitazo, kafukufuku watsopano ogona amafunika kuti ayambe kapena apitirize mankhwala a CPAP, kuphatikizapo kuti apeze zatsopano monga maski ndi tubing.
Kusintha M'moyo Wanu
Ngati phunziro la tulo linkachitidwa zaka zingapo zapitazo, pakhoza kukhala kusintha kwakukulu m'moyo wanu zomwe zimafuna kuti mudziwe kuti mukugona. Kusintha kwakukulu kwambiri kwa kulemera, kaya kupeza kapena kutaya 10% ya thupi lanu, kungakhale chifukwa chobwereza phunziro. Kulemera kwa nthendayi kumawonjezereka kuchuluka kwa kugonana kwa kugona pamene kutayika kungapangitse kapena kuchepetsa kuthetsa.
Zizindikiro zomwe munapanga zomwe sizinalipo panthawi yomwe munayamba kudwala matendawa zingayambitsenso kubwereza. Mwachitsanzo, ngati mwangoyamba kukhala ndi miyendo yopuma yopanda mapeto kapena mukudziwika kuti mumayenda mofulumira usiku, izi zingafunike kuyesa. Kuphatikizanso, makhalidwe osagwirizana monga kugonana kwa REM angapangitse patsogolo m'moyo ndipo ayenera kuyesedwa ndi phunziro lagona tulo.
Potsirizira pake, kusintha kwakukulu kwa thanzi kuyenera kuyang'ana kachiwiri. Kulephera kwa mtima, kukwapulidwa, kapena kuyambitsa mankhwala osokoneza bongo kungakhale chifukwa choonetsetsa kusintha kwa kupuma pamene tulo sitinakhalepo. Zonsezi zingathe kugwirizanitsidwa ndi matenda opatsirana ogona tulo , matenda omwe nthawi zambiri amafuna mankhwala a bilevel .
Kufufuza kwa Kupambana kwa Njira Zina Zochiritsira
Anthu ambiri amasankha njira zochiritsira zosagwiritsira ntchito njira zochiritsira pofuna kugwiritsira ntchito mankhwala opatsirana pogonana , kuphatikizapo kugwiritsa ntchito zipangizo zamakono kuchokera kwa dokotala wa mano kapena mankhwala opaleshoni . Kodi mukudziwa bwanji ngati chithandizocho chikugwira ntchito? Makina a CPAP amatha kufufuza njira zothandizira anthu kuti adziwonetse usiku wonse, koma mankhwalawa sapereka ndondomekoyi yopitilira kuchipatala. Chotsatira chake, phunziro lachiwiri la kugona lingakhale njira yothandiza kuyang'anitsitsa momwe zipangizo zanu zimagwirira ntchito kapena ngati opaleshoniyo inali yopambana.
Chida chamakono chikhoza kuvala pamene phunziro lagona tulo likuchitidwa kuti mudziwe kupuma kwanu. Kafukufuku amatha kupitanso patsogolo, ndipo kawirikawiri imachitika miyezi iwiri kapena patapita nthawi opaleshoniyi itachitika. Ndikofunika kuyerekeza maapulo ndi maapulo ndi malalanje: khalani ndi phunziro lomwelo (ndi malo omwewo) monga momwe munayesedwa kale kuti muwonetsetse kuti zosiyana zina sizilepheretsa kufananitsa. Ngati kugona kwa apnea kumapitirirabe ngakhale kuti ndi mankhwalawa, kawirikawiri ndi bwino kuganiziranso njira zina zothandizira.
Zizindikiro Zosathetsedwe ndi Kukulitsa Chithandizo cha CPAP
Nthawi zina phunziro la kugona limabwerezedwa pofuna kuthetsa zizindikiro zosasintha.
Ngati mudakali mtulo , izi zikhoza kukhala chizindikiro chokumba pang'ono. Maphunzirowa amathandizanso kukonzanso mankhwala, kuphatikizapo kutchulidwa kwa CPAP.
Kulimbana kwambiri ndi kugona kwa tsiku ndi tsiku kungafunikire kuganiziranso momwe zikhalidwe zina zingakhalire. Mlingo wa Sleeping Epworth ndi chida chowonetsera chomwe chikugwiritsidwa ntchito muzipatala kuti mudziwe munthu amene angakhale akugona. Kufufuza kozama kwambiri nthawi zambiri kumakhala kofunikira kuthetsa chifukwa chachikulu cha boma. Zitha kuchitika chifukwa cha kunyalanyaza tulo, kupuma kwa kugona, kugwedezeka , kapena zinthu zina. Kufufuza kwa polysomnogram yotsatiridwa ndi mayesero angapo ogona a kugona (MSLT) kungapereke umboni pa chifukwa.
Chizindikiro chodziwika kwambiri pa usiku wachiwiri wa kuphunzila tulo ndi kuyambitsa ndi kukonzetsa chithandizo chabwino cha mpweya wa mpweya kuti athetse kugonana kwa apnea. Nthawi zina zimakhala zosatheka kupeza njira zabwino kwambiri zowonjezerapo ngati mbali imodzi ya phunziro loyamba la usiku kapena ndi mayesero a mankhwala kunyumba. M'malo mwake, kafukufuku wachiwiri angagwiritsidwe ntchito poonetsetsa kuti chigoba choyenera chikhale choyenera, kupititsa patsogolo kugwiritsira ntchito mankhwala, ndikudziŵa zovuta zomwe zimayesetsabe kuti asunge pandege pogona. Nthawi zina, njira zochiritsira zosagwiritsidwe ntchito zingathe kufufuzidwa monga CPAP, bilevel, komanso ngakhale magalimoto kapena adapotoza mpweya wabwino (ASV). Wothandizira kugona angagwire ntchito nanu kuti akwaniritse chithandizo cha mankhwalawa.
Ngati mukukhulupirira kuti mungapindule ndi phunziro lachiwiri la kugona, lankhulani ndi katswiri wa kugona za zomwe mungapeze. Malingana ndi zosowa zanu, mungathe ngakhale kufufuza kuti mungakhale ndi mayeso ogona kunyumba. Mwamwayi, maphunziro opambanawa angakuthandizeni kuti mupeze kugona kwabwino komwe mukufunikira kuti mukhale ndi thanzi labwino komanso moyo wabwino.