Kuyeza Kumasonyeza Chiwerengero cha Ma Oxygen Levels mu Kugonana Apnea
Ngati mwakhala ndi phunziro la kugona kuti muone ngati mukulephera kugona, simungakhale ndi mafunso ena okhudza mawu omwe amagwiritsidwa ntchito mu lipoti lofotokoza zotsatira za mayesero. Njira imodzi yomwe ingathe kuphatikizidwa, yotchedwa oxygen desaturation index (ODI), ingakhale yovuta kwambiri. Kodi oxygen deaturation index ndi chiyani?
Phunzirani momwe chiyesochi chingathandizire kupeza matenda aakulu ogona ogona omwe angagwirizane ndi madontho a m'madzi a oxygen ndi zotsatira zina zam'tsogolo monga matenda a mtima ndi matenda a maganizo.
Kodi Oxygen Desaturation Index (ODI) ndi chiyani?
Oxygen desaturation index (ODI) ndi chiwerengero cha nthawi pa ola lagona kuti mpweya wa okosijeni umatayika pamlingo winawake kuchokera pazoyambira. ODI imayesedwa ngati gawo la maphunziro ogona ogona, monga matenda opatsirana polysomnogram , kuyezetsa kugonana kwapanyumba kunyumba , kapena kupitilira usiku . Zingakhale zosalondola ngati magawo osagona sali woyesedwa ndi mayesero monga momwe chiwerengero chikhoza kukhalira pa nthawi yonse yojambula mmalo mwake, zomwe zingaphatikizepo nthawi yowuka.
Chiwerengero cha kusintha kuchokera pazowonjezereka chikhoza kuyesedwa m'njira ziwiri. Zomwe zimagwiritsidwa ntchito poyang'ana ndondomeko zingasinthe malinga ndi malamulo oyendetsera ntchito. Malingana ndi malangizo a 2007 ochokera ku American Academy of Sleep Medicine, chochitika chilichonse cha kupuma pamene tigona ndi 3 peresenti amachepa m'magazi a mpweya amawerengedwa ku chiwerengero. Mwachitsanzo, kusintha kuchokera pa 95 peresenti kufika pa 92 peresenti kudzakhala chochitika chomwe chiwerengedwa ku chiwerengero cha index.
Komabe, Medicare ndi ma inshuwalansi ena adakalipo pa malamulo akuluakulu olemba malipiro ndipo amafunika kusintha kwa magawo 4 pokhapokha kuti chiwonetserocho chiwerengedwe ku ndondomeko.
Madontho amenewa mu ma oxygen amatchedwa desaturations . ODI imayesedwa ndi oximeter, yomwe ndi chipangizo chomwe chimayikidwa pazitsulo zomwe zimayatsa kuwala kofiira pakhungu ndipo zimatha kuyerekezera kuchuluka kwa mpweya m'magazi amkati.
Teknoloji yatsopano ingalole kuti izi ziyezedwe m'njira zosiyanasiyana kudzera pakhungu.
Pamene kupuma kumasokonezeka pa nthawi ya tulo, monga momwe zingayambitsire matenda obisala ogona , mpweya wa okosijeni ukhoza kugwa mobwerezabwereza. Madonthowa amadziwika ndi kugwa kwapansi, zochitika zomwe zimatchedwa apnea kapena hypopnea. (A hypopnea akuimira kugwa kwapang'onopang'ono kwa mphambano.) Madontho a oxygen amachitika mobwerezabwereza mukumenyana kapena kumtunda kwakumwera kwa matenda a mpweya (UARS) , zinthu ziwiri zomwe zimapangitsa kuti kupuma kusokonezeke, komabe mpaka pang'onopang'ono. Kugawanitsa tulo kungabweretse popanda ziwonetsero zogwirizana.
Ndikofunika kumvetsetsa kuti ODI imasiyana ndi chiyeso china chotchedwa apnea-hypopnea index (AHI) . AHI imaphatikizapo zochitika zomwe zingayambitse kudzuka kapena kuwuka kuchokera ku tulo popanda kukhudza ma oksijeni. ODI imasonyezanso kuti ndiyeso yeniyeni ya magazi, yomwe ingatchedwe kuperewera kwa oxygen kapena oxygen yadi yophunzira. Ngati mpweya wa okosijeni uli wotsika mokwanira (nthawi zambiri kuposa 88 peresenti ndi pakhomo) ndipo wathandizira kwa mphindi zisanu, hypoxemia ikhoza kupezeka.
Nchiyani Chimachititsa ODI Yowonongeka?
ODI ikhoza kuipiraipira anthu omwe ali ndi matenda a m'mapapu, kuphatikizapo matenda osokoneza bongo (COPD), ndi kupweteka mtima kwa mtima.
Ndi kuchepa kwa malo osungirako, kugwa kwa mpweya wapamwamba kungachititse kuti magazi a mpweya azikhala mofulumira kwambiri. Izi zikhoza kuyanjananso ndi kuchuluka kwa mpweya wa carbon dioxide, monga kunenepa kwambiri kwa hypoventilation syndrome .
Zotsatira za Umoyo
Zimakhulupirira kuti kukwera kwa ODI kungayambitse kuwonjezereka kwa okosijeni ndi kusintha kwaulere m'thupi lomwe lingapangitse anthu kukhala ndi moyo wautali wautali, kuphatikizapo kuthamanga kwa magazi (kupsinjika kwa mtima ), matenda a mtima, kukwapulidwa, kusemphana maganizo monga matenda a atrial, ndi kukumbukira kukumbukira matenda a dementia. Kuphatikizana kwa cortisol kungachititse kuti insulini isamangidwe ndipo kumawonjezera ngozi, komanso kudwala matenda a shuga.
Zotsatira izi ndizo gawo lochita kafukufuku wa kugona.
Mawu Ochokera
Mwamwayi, njira yabwino yothetsera matenda obisala obstructive ndi mpweya wabwino (CPAP) ikhoza kuyimitsa kupuma ndi kuchepetsa kuopsa kwa nthawi yayitali yogwirizanitsa ndi mpweya wosagonana. Monga gawo la kukambirana zotsatira za phunziro lanu la kugona, lankhulani ndi dokotala wanu ogona ogona atsimikiziridwa za mankhwala abwino pa chikhalidwe chanu. Kuthetsa kupumula kusokonezeka kugona kungapindulitse ubwino wa kugona komanso thanzi labwino.
> Chitsime:
> Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." ExpertConsult , edition la 6, 2017.