Kugonana ndi mphuno yowonongeka ndi yowopsa komanso yowoneka ngati ikupuma kupuma (kapena kupuma pang'ono) pamene mukugona. Pofika nthawi zisanu (kapena kuposa) pa ora, kupuma kupuma kungakhale masekondi 10 kapena 20 kapena kupitirira. Nthawi zambiri kugona tulo timasokoneza tulo, ndipo timakhala ndi ubwino wogona komanso usana.
Zothetsera Zachilengedwe za Kugonana Kwapakati
Pakadali pano, chithandizo cha sayansi cha chidziwitso chakuti mankhwala achilengedwe angagwiritse ntchito matenda obisala akusowa.
1) Kutsegula
Kuchulukitsa thupi ndi chimodzi mwa mitundu yochepa ya mankhwala omwe amasonyeza kuti ali ndi malonjezano othandizira kufooka kwa kugona. Komabe, kafukufuku wambiri akuyesera kuti agwiritsidwe ntchito monga matenda opatsirana pogona akuphatikizapo ochepa odwala.
Mwachitsanzo, mu kafukufuku wina wofalitsidwa mu 2009, ofufuza anagawa anthu 30 omwe ali ndi matenda obisala ogona chifukwa cha katatu kapena asanu pa sabata. Pambuyo pa magawo 30, odwalawa amasonyeza kusintha kwakukulu pa zinthu monga hypoxia (mankhwala oti alibe oxygen). Kufufuza koyambirira kwa odwala 26 omwe ali ndi matenda obisala ogona ogona akugona kuti anthu omwe amapatsidwa ma sabata khumi ndi awiri omwe amachiritsa maulendo a mlungu ndi mlungu anali ndi vuto lalikulu la kupuma-apnea wokhudzana ndi kupuma (poyerekeza ndi omwe sanalandire chithandizo).
Chifukwa cha kusowa kwa maphunziro akuluakulu okhudza kutupa thupi ndi kugona tulo, n'kofunika kukaonana ndi dokotala wanu musanayambe kuchita mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogona.
Zambiri zokhudza kugwira ntchito .
2) Zitsamba
Ngakhale kuti zitsamba zotchedwa passionflower ndi valerian zimalimbikitsidwa nthawi zina pochizira matenda obisala, palibe umboni woti mankhwala alionse angathandize kuthandizira kugona.
Phunzirani za zitsamba ndi njira zina zachilengedwe zomwe zingathandize ndi mavuto ena ogona.
Kulepheretsa Kugona ndi Central Sleep
Kwa anthu omwe ali ndi matenda obisala ogona (omwe amatha kugona mofulumira), mpweya umakhala wotsekedwa chifukwa mphepo ikugwa kapena ikulephereka kugona.
Zosazoloŵera kusiyana ndi kukhumudwa kwa mphuno ya kugona, kupuma kwapakati pakati pamabuku chifukwa cha kusokonezeka pakati pa minofu yanu yopuma ndi ubongo wanu womwe umayang'anira kupuma kwanu.
Zimayambitsa
Anthu ambiri omwe ali ndi matenda obisala ogona, amayamba kutsekemera chifukwa cha kulemera kwa thupi komanso minofu yofewa m'mphepete mwa mphepo. (Ndipotu, akuti anthu oposa 70% odwala matenda opatsirana pogona ali olemera kwambiri.) Komabe, mavuto ena (monga matani akuluakulu) angathandizenso kugona tulo.
Anthu otsatirawa akhoza kukhala pangozi yowonongeka ndi kugona:
- anthu omwe ali ndi mpweya wazing'ono m'mphuno mwawo, mmero, kapena pakamwa (nthawi zina chifukwa cha kukhalapo kwa chifuwa ) kapena zina zomwe zimayambitsa chisokonezo)
- anthu omwe ali ndi banja la mbiri yakugonana
- African-American, American, and Pacific Islanders
- anthu omwe amasuta
- anthu omwe ali ndi kuthamanga kwa magazi
- anthu omwe ali ndi chiopsezo chifukwa cha kupwetekedwa mtima kapena mtima wosalimba
Kugonana kofiira kumakhalanso kofala kwa amuna.
Zizindikiro
Popeza kuti matenda obwera chifukwa cha kugona amapezeka m'tulo, zimakhala zovuta kuzindikira matendawa. Chimodzi mwa zizindikiro zowonongeka kwambiri za kugona ndizofuula, zowonongeka, nthawi zambiri zimatsatiridwa ndi kukomoka. Pamene kugona kwa mpweya kumapitirira, kusungunuka kungapitirire kuchulukira ndipo kumachitika kawirikawiri.
Komabe, sikuti aliyense amene amanyalanyaza ali ndi matenda obisala.
Zizindikiro zina zogonana ndi izi:
- kugona kwa masana
- mitu yam'mawa
- zovuta kuika patsogolo
- mavuto a kukumbukira
- kukwiya
- kusinthasintha maganizo kapena zizindikiro za kupsinjika maganizo
- khungu lodzuka pa kuwuka
Kufunika kwa Chithandizo
Mukapanda kusamalidwa, kugona kwa mpweya kungabweretse mavuto ambiri (omwe ambiri amapezeka chifukwa cha kutuluka mwadzidzidzi m'magazi a oxygen). Mavutowa ndi awa:
- kuthamanga kwa magazi
- ziphuphu zopanda pake
- chiopsezo chachikulu cha matenda a mtima, kupweteka kwa shuga , shuga , ndi mtima wosalimba
Kugonana ndi Apnea Chithandizo
Pochiza matenda obisala, madokotala amayesetsa kuthetsa zizindikiro ndi kubwezeretsa nthawi zonse pogona.
Njira zothandizira kwambiri komanso zowonjezereka zimaphatikizapo kugwiritsa ntchito zipangizo zamakono komanso kupuma. Nthawi zina nthawi zambiri zimakhala zovuta kwambiri kuti munthu asagone tulo. Izi zimaphatikizapo kuika chubu la pulasitiki kudzera mu khosi kupita mu mphepo. Pa milandu yowopsya, njira ina yopaleshoni ingakhale ya uvulopalatopharyngoplasty (UPPP), yomwe imaphatikizapo kuchotsa mkodzo wofewa, kutsegula ndi matani.
Palinso kusintha kosintha kwa moyo komwe kungakhale kothandiza pa matenda opatsirana pogonana. Izi zikuphatikizapo:
- kupewa kumwa mowa ndi mankhwala omwe amakupangitsani kugona
- kukhala ndi kulemera kwabwino
- kugona pambali panu mmalo mwa msana wanu
- kusiya kusuta
Chifukwa cha kusowa kochita kafukufuku, ndiposachedwa kwambiri kuti ayambe mankhwala ochiritsira a kugona tulo. Zakudya sizinayesedwe kuti zikhale zotetezeka komanso chifukwa chakuti zakudya zowonjezera zakudya zimakhala zosavomerezeka, zomwe zilipo zingakhale zosiyana ndi zomwe zafotokozedwa palemba. Kumbukiraninso kuti chitetezo cha njira zothandizira odwala m'mimba mwa amayi apakati, amayi oyamwitsa, ana, ndi omwe ali ndi matenda kapena omwe akumwa mankhwala sanakhazikitsidwe. Mukhoza kupeza njira zogwiritsira ntchito zowonjezeretsa apa , koma ngati mukuganizira kugwiritsa ntchito mtundu uliwonse wa mankhwala osakaniza, lankhulani ndi wothandizira wanu woyamba. Kudzisamalira komanso kupewa kapena kuchepetsa kusamalidwa kosatha kungakhale ndi zotsatira zoopsa.
Zotsatira:
Freire AO, Sugai GC, Chrispin FS, Togeiro SM, Yamamura Y, Mello LE, Tufik S. "Kuchiza matenda opatsirana ogona ogona tulo ogwidwa ndi opaleshoni. Kugona. 2007 8 (1): 43-50.
Nthenda ya National Heart, Lung ndi Blood Institute Matenda ndi Mavuto Index, "Sleep Apnea". May 2009.
Wang XH, Yuan YD, Wang BF. "Zimene akatswiri ena amanena zokhudza mmene amavutika ndi matenda a aprica." Zhongguo Zhong Xi Yi Jie He Za Zhi. 2003 23 (10): 747-9.
Xu J, Niu YX, Piao XM, Liu Z, Wu LZ, Liang RL. "Mmene zimachititsa kuti magazi azikhala ndi mpweya wa okosijeni odwala matenda obisala m'mimba." Zhongguo Zhen Jiu. 2009 29 (1): 84-6.
Chodziwikiratu: Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.