Kushungurudzika Kweusiku Kunoita Kuti Urege Kuedza Kubudirira
Panogona kuva nezvinokonzera kukanganisa kufema panguva yehope, uye imwe yadzo ndeyepakati yekurara kwepabonde, asi chii chinonzi central apnea yokurara? Izvo zvinogona kutungamirira kumapfupa ekufema kweusiku, asi nokuti chikonzero chinokonzera chakasiyana nechibvumirano chekubata kurara , chinoda kurapwa kwakanyatsonaka. Tsvaga zviratidzo zvakanyanya, zvinokonzera, kuongororwa, uye zvinoshandiswa kurapwa (zvakadai se bilevel therapy
Ndezvipi zviratidzo zve Central Sleep Apnea?
Central sleep apnea chirwere chinopfutidza chinowanikwa panguva yokurara uye chinoguma apo uropi hunokundikana kuita kuti mapfupa afufuke. Izvi zvinotungamirira pakanguva pfupi mukufema kunogona kupedza maawa gumi kana kupfuura. Kusiyana nehutachiona hwehutano hwekurara hutachiona - hunokonzerwa nepamusoro pemhepo yepamusoro inoputirwa kwenguva pfupi - mukati mekurara kwepabonde, kuedza kufema kumira uye hapana kuvhara kwakananga kwemhepo.
Kunyangwe chikonzero chacho chakasiyana zvakasiyana, mhedzisiro yepakati yokurara apnea yakafanana. Apnea inobva muchiGiriki uye inoreva kuti "hapana kufema". Sezvo zvakadaro, iyo inobatanidza nemadonhwe mumakisi ekisijeni eropa. Uropi hunoona izvi uye kune kuedza kumutsa munhu anotambudzika kuitira kuti adzorere kufema. Zvapupu zvinogona kuona kufema kana kufema zvisina kufanira usiku uye zvinogona kuona kumira mukufema. Chiitiko chepneic chinotungamirira kukurumidza kumutsa kubva kurara.
Sezvo izvi zvichiitika kakawanda munguva yeusiku, zvinotungamirira kurara zvakaparadzana uye kurara kwakadzika . Izvi zvinogona kukonzera kusuruvara uye kuora mwoyo kwemasikati masikati .
Chii chinokonzera Central Sleep Apnea?
Chikonzero chaicho chepakati pekushaya chirwere chekurara hachizivikanwi. Icho chinoputira kupora mukati meuropi kazhinji chinodzora kufema.
Kana kabhoni dioxide mazinga akaderedzwa pasi pemazuva ose kana kana pane kukanganisa kumigwagwa yetsvina inobatanidzwa mukudzivirira kupema, kunogona kuve kukanganisa mukufema. Sezvambotaurwa pamusoro apa, kusiyana nekudzivirira kubata kwepabonde, mhepo inenge isina kubhurwa.
Central apnea yokurara kazhinji inowanzoitika mukushandura pakati pokurara uye kumuka, asi inogonawo kuramba ichienda kumatanho ekurara anonzi NREM . Iko dzimwe nguva inogona kuitika mushure mekumuka, uye inonzi inonzi post-arousal central munyaya iyi.
Kuvhiringidzika kwekufema kunowanzoonekwa mune zvinetso zvakasiyana-siyana zvehutano, kusanganisira Parkinson's disease uye multiple system atrophy . Inogona kuonekwa mushure mekurohwa, kunyanya kana uropi hwehutachiona hwave hwakakuvadzwa. Zvinogonawo kuitika pamwe chete neKeyne-Stokes kufema kufema kunoonekwa nevarwere vane congestive heart failure .
Zvinogona kuitika kakawanda pakati pevaya vanoshandisa mishonga yemarwadzo emakumbo kana opioid. Nenzira yakanaka, munyaya ino, ichagadzirisa nekuregererwa kwerapi.
Zvakakosha kuparadzanisa kubata kwepnea inoratidzika iyo inowedzera mukupindura kunopfuurira kwakanaka kwemafambisi emhepo (CPAP). Inogona kukura kana zvipingamupinyi zvakakwirira kwazvo. Izvi zvinonzi chirwere chakakosha chokurara . Muna 98% yezviitiko, rudzi urwu rwepakati rekushaya apnea richagadzirisa munguva, kazhinji mwedzi yakawanda, nekuenderera mberi kwekurapa.
Icho hachidi zvimwe zvimwe zvinoshandiswa mukurapa.
Kuongororwa nekurapwa kweCentral Sleep Apnea
Central sleep apnea inogona kuongororwa nehutano hwakakwana hwokudzidza inonzi polysomnogram. Izvi zvinoratidza kuratidzika kwemazuva ano mukufema panguva yekurara nekushaya simba kwekupema. Shati mabhanhire akavharidzirwa mudumbu rako uye chifuva zvinoshandiswa kuyera kufema kufema. Izvo zvine sensor inogona kuona kutama, uye mukati mehope yepamusoro yekufema kuedza kuchaderedza kana kumira zvachose. Izvo zvichave zvakare kukwanisa kunyora kudonha muropa rey oxygen level uye kuchinja muEEG inoratidzira kurara kwehope.
Kurapa kunowanzoitwa ne bilevel therapy (dzimwe nguva inonzi BiPAP kana VPAP) nekupa kubuda kwemhepo kunounzwa kuburikidza nesiso rinosungirirwa rakapfeka paunorara. Izvozvo zvinodzvinyirirwa zvinopfurikidza pakati pematanho maviri: mumwe kufema mu (IPAP) uye mumwe kufema kunze (EPAP). Mhepo inomanikidzirwa nemichina shomanana uye inounzwa kuburikidza nepurasitiki inotarisa kumasikisi. Oxygen inogonawo kushandiswa. Zvimwe zvigadzirwa zvinokwanisa kubudisa kumwezve kufema kana nguva refu inomira pakufema kwatinoona. Mune zvimwe zviitiko, kugadzirisa kana auto-servoventilation (ASV) ingaratidzwa.
Kana iwe uine hanya kuti iwe unenge uine hutano hwepabonde hukuru, taura newaini yako yekurara pamusoro pekusarudza kwako kurapwa.
> Kwakabva:
> Mowzoon, N et al . "Neurology Yezvokurara Kwehope." Neurology Board Review: An Illustrated Guide. 2007; 726.