Kuyera Kunoshandiswa Kuongorora Kurara kweApnea Kuoma
Kana iwe uine chidzidzo chehope chakadai sepakati-kuongorora kuongorora polysomnogram kana kunyange kutarisa kubhekwa kwepabhesi yokurara, unogona kugamuchira mushumo kubva kuna chiremba wako anotsanangura kuoma kwekubata kwako kwepabonde maererano neapnea-hypopnea index (AHI), asi chii iAHI here? Kana ukashandisa zvinoramba zvichienderera mberi mumhepo yepamhepo (CPAP) yekurapa, unogonawo kuona AHI yakarondedzera kushandiswa kweusiku humwe.
Dzidza kuti AHI chii uye kuti chiyero chinoshandiswa sei kuongorora kuoma kwepabhesi yekurara uye mhinduro yako kunerapi.
Ndeapi Apnea-Hypopnea Index (AHI)?
AHI, kana apnea-hypopnea index , inhamba yemabare inobata nhamba yekumisa kufema kwako muawa yekurara. Zviitiko zvingave zvakabatanidzwa nemhepo yekufema inobata kana kuvhara zvishoma kana kwakakwana kwehuro pairi nerurimi kana matukisi ari kumashure kwehuro. Izvi zvinokonzerwa nokufema zvinowanzobatanidzwa nekanguva kamukira kana kumutsa kubva kurara kana 3 kusvika ku4 muzana inodonha muropa rey oxygen mazinga, anonzi deaturation.
IAHI inoshandiswa kutarisa kuoma kwemunhu wepnea yokurara. Iyo inoputira nehutano hwekuputika kwepumusoro (RDI), chimwe chiyero chingave chakataurwa, kunyange chechipiri chinopesana sezvo chinowanzobatanidza mamwe matambudziko mashoma ekufema. IAHI chikamu chehuwandu hwehutano hwakadzidza hwekurara kwepabheya yekurara.
Zvinogonawo kuonekwa mumatare akabatanidzwa neCPAP kushandiswa, kunyange chiyero chiri mumamiriro ezvinhu aya chinopesana.
Nhamba yeAHI Panguva Yokurara Yokudzidza
Chirwere chehope chinokonzerwa nechirwere chinokonzerwa nehope chinonzi polysomnogram chinowanzoshandiswa kuongororwa nehope apnea. Izvo zvinogona zvakare kuti chiitiko chiongororwe zvichibva pakuedzwa kwekumba.
Mamwe mashoko akawanda anounganidzwa, uye chikamu chechinangwa chezviongorori izvi ndechekucherechedza kufema kwako maitiro kubusiku. Izvi zvinoitwa ne sensor inogara mumhino pamwe chete nebhandi rekupumadza rinotambanudza mubhokisi uye rinowanzova mudumbu. Mukuwedzera, sensor inonzi oximeter inotarisa yako inopfuurira oksijeni uye kupisa kwemazimbe nekupenya chiedza chemalasi kuburikidza nemunwe wako kuburikidza ne clip.
Zvose izvi ruzivo runotsvakurudzwa kuti uone kuti kangani iwe unofema zvishoma kana kumira kufema zvachose panguva yeusiku. Chero chipi zvacho chinopesana zvisina kufanira chemugwagwa chinonzi "hypopnea". Hypopnea inoreva kuderedzwa kwenguva pfupi kwekufema kwemhepo (kazhinji pavanenge vavete) iyo inotora kwemaminitsi gumi. Kufema zvishoma kana kuti kuperesa kwepamusoro kwepamusoro kunogona kunzi hypoventilation.
Kupera zvachose mukufema kunonzi apnea. Hypopnea haisi yakanyanya kukunda kupfurikidza nemapnea (iyo iri kurasikirwa kwakakwana kwemafirimu). Izvo zvinogona kuitawo kuti kuwedzerwa kwemafambiro emhepo kunopera mumapapu uye kunogona kukonzera kukanganiswa kweokisijeni muropa kudonha. Kurara kwepabhesi kunonyanya kuitika nekuda kwekudzivirira kusarura kwepamusoro pemhepo.
Kuti uverenge muAHI idzi dzinomira mukufema dzinofanira kupera kwemaminitsi gumi uye dzinobatanidzwa nekunonoka kwemajini eropa kana kukonzera kuve kunonzi anoushe.
IAHI ndiyo nhamba yose yekumiswa kwemaawa inowanzoenderana neawa yehope.
Nzira iyo AHI Inoshandiswa Kuona Nayo Kubata Apnea
IAHI inoshandiswa kusarudza kuoma kwepabonde yako yekurara, maererano nezvinodiwa zvevanhu vakuru:
- Kazhinji : zvishoma pane zviitiko zvishanu paawa yekurara
- Unyoro : 5-14.9 zviitiko nenguva yekurara
- Muenzaniso: 15-29.9 zviitiko nenguva yekurara
- Zvakanyanya : zviitiko zvinopfuura 30 paawa yekurara
Muvana, zvinonzi hazvina kujairika kana kune huwandu hwemhepo inopfurikidza yekufema chiitiko neawa yekurara sezvakaenzaniswa neAHI, uye vana havafaniri kumbogara vachinwa.
Izvi zvinobatsira pakugadzirisa nzira dzakanakisisa dzokurapa uyewo mukana wezviratidzo zvinosanganiswa, kusanganisira kuora kwezuva masikati , kurwara kweropa , chirwere cheshuga, kurohwa , uye zvimwe zvinetso.
Kana mamiriro acho ari munyoro kana kuti akaenzanisa, mudziyo wemuromo unogona kunge wakakodzera.
Kududzira AHI neCPAP Therapy
Kuzvikamu zvose zvekutsungirira, kuenderera mberi kwakanaka kunofambisa mweya (CPAP) kunogona kufungwa. Makomera akawanda eCPAP anokwanisa kupa maitiro ezuva nezuva eAHI senzira yekugadzirisa kupindura kwakakodzera kurapwa. Inoita izvi nekuyera kumira kumhepo. Apo kushorwa kuri kuwedzerwa, kunogona kududzira izvi zvichienderana nemugwagwa unenge uchidzivirirwa. Kazhinji chinangwa chekurapa ndechokuti uwane AHI mukati mehutano hwakakwana neCAPAP therapy, asi pasi zvingave zviri nani.
Zvakakosha kuti chiremba wako afunge nezvehutano hwako hwekurara kwepabonde pakusarudza kurapa kwako. Somuenzaniso, imwe tsvakurudzo yakarongedza kuti 30% chete yevanhu vane hutano husina kunaka hwekurara nehope vachabvumira chirwere chePCAP. Izvi zvakagadziridzwa nemashandisirwo matsva nemasikisi mafashoni, zvisinei. Mukuwedzera, iwe unogona kuona kuti AHI yako yakakwirira apo iwe wakarara pamusana wako kana panguva yekurara kwe REM, iyo inogona kuva nehutano hwekurapa.
Shoko Rinobva
Kana uine mamwe mibvunzo pamusoro pezvinodiwa neAHI yako mumamiriro ako ezvinhu, taura newaini yako-yakagadzirirwa chiremba wekurara . Inofanira kuva yakakosha kuwana mishonga inoshanda inokusiya iwe kurara uye unonzwa zviri nani.
Sources:
American Academy Yokurara Mushonga. "Kuenzanisira Munyika Dzepasi Dambudziko Rokurara: Bhuku Rekuongorora uye Rokunyora." 2nd ed. 2005.
Giles, TL et al . "Kuenderera mberi Zvakanaka Airways Kutsigira Kuvharidzira Apnea Yokurara Muvanhu Vakuru." Cochrane Database Syst Rev. 2006; 3: CD001106.