Apnea-Hypopnea Index Inobatsira Kutora Apnea Sleep Severity
Kana iwe wakave nekurara kwekurara kwekurara kunonzi " polysomnogram" , chiremba wako angangokupa ripoti yakazara, kusanganisira chiyero chinonzi apnea-hypopnea index (AHI) . Ndezvipi zvinoreva AHI kune vanhu vakuru vane chirwere chekurara? Inoenderana sei nekuoma kwemamiriro ekurara kwepabonde ? Dzidza nezve tsanangudzo dzeAHI dzinoshandiswa mukurara kurara uye kurapwa uye zvinorevei kwauri.
Kunzwisisa Maitiro AHI Anoenzaniswa
IAHI yakakosha kuverenga yakaitwa zvichienderana nemigumisiro yehutachidzo hwehusiku husiku hwekurara hunoti "polysomnogram" kana kuti muhope yekudzivirira kupona kwepamba. Sezvimwe chikamu chekuedzwa, kune masheya akaiswa mumhino kana kuti pedyo nemuromo unoyera kufambisa kwemhepo. Kunewo mabhanhire akatarisana nebhokisi uye mudumbu inotenderera sokufema kunoitika. Apnea zviitiko zvinowanzoitika kana gwagwa rinenge rakavharidzirwa zvachose uye hapana kubuda kwemhepo kunowanikwa nemhino nemuromo pasinei nekuedza kunoitika sekuenzaniswa nebhokisi uye mabhandi emimba. Kana kubuda kwemhepo kuchiderera zvishoma, asi neanenge makumi matatu kubva muzana zvichifungidzirwa zvichienderana nebhokisi rechiratidzo, inonzi hypopnea .
Izvi zviitiko zvinofungidzirwa kuva zvakakosha kana zvikaitika mumamiriro ezvimwe zviitiko zviviri: oxygen level inodonha kana kumutswa kubva pakarara. Iyo oxygenation yeropa inoyerwa ne oximeter, inoratidzika shoma inopenya chiedza chekundu kuburikidza nemunwe.
Apo uwandu hweokisijeni inowira, izvi zvinonzi kushatiswa , uye madonhwe eanoda kusvika 3 muzana ane dambudziko. Dzidzo dzekurara dzakadzikawo dzinonyora kukwira kubva pakadzika kusvika kuhope kurara uye kunyange kumutswa ne electroencephalogram (EEG) . Iyi kumutswa kunogona kuparadzanisa kurara, kuita kuti irege kugutsikana, uye inotungamirira kurara kwemasikati.
Apneas uye hypopneas zvinodudzirwa sevhiringidzi kana paine hune oxygen desaturations kana kuti inomutsa.
IAHI yakaenzana nechiyero. Inotarwa nokutora nhamba yose yepamusoro yepnea kana hypopnea zviitiko zvakakamurwa nehuwandu hwenguva yakashandiswa kurara mumaawa. Mune mamwe mazwi, iyo inowanika nguva paawa yekurara (kana kurereka) kuti gwara rekufamba kwemhepo rinenge ranyatsopera kana rakaputsika zvachose, zvichiita kuti madonhwe makuru mumakemikari eropa kana kuti anomuka kubva pakadzika kusvika pachiedza chekurara. Kana iAHI yako ine makore gumi nemashanu, izvi zvinoreva kuti, paavhareji, nguva 15 paawa yekurara kufema kwako kwakakanganisa uye izvi zvakatungamirira kumigumisiro yakaipa.
Kune dzimwe nzvimbo dzekurara dzinoshandisa dzimwe nzira kuti uongorore huwandu hwekuoma. Izwi rinoputika-kupoteredza (RDI) rinogona kushandiswa kana chiyero chekudzivirira kwemhepo nechisimba chekushaya manometer chinosanganiswawo muchidzidzo. Iyo oxygen-deaturation index (ODI) inoedza kuverenga nhamba yezviitiko zvepnea kana hypopnea paawa inotungamirira padonhoji yeokisijeni inenge 3 muzana. Izvi zvinofungidzirwa kuti zvakakosha pakucherechedza dambudziko rekugara kwenguva refu yemwoyo (kuwedzerwa kweropa, kushaya mwoyo, uye kushaya mwoyo) kana kuti neurocognitive (stroke uye dementia) migumisiro.
Kana kuverenga kwako kurara hakune zviyero izvi zvakanyanyisa, izvi hazvisi chinhu chokufunganya pamusoro.
AHI uye Kuoma kweApnea Sleep
Nhamba iyi inotarisirwa sei sezvinotaurwa neAHI inobatanidza nekuoma kwekupererwa kwepanea? Kunyange zvazvo mitemo yakagamuchirwa pamunyika yese yemishonga yekurara, cutoffs yega yega yega inotenderwa kuti inenge isinganzwisisiki. Kubva pakutsvakurudza, boka rakatevera rinoshandiswa kune vanhu vakuru:
- Rudzi rwakafanana: 0 kusvika ku5
- Kubata kwepnea yakasimba: 5 kusvika ku15
- Kupera kwemazuva mashoma: 15 kusvika ku30
- Kurasikirwa kwakanyanya kwehope: 30 uye kupfuura
Nenzira yakawanda, zviyero izvi zvinowedzera kukosha kana kune uchapupu hwezvimwe zvinokanganisa zvinokonzerwa nehope yepamusoro, kusanganisira kukwirira mumwero weE sleepworth pamusoro pe10, chiratidzo chekurara kwezuva masikati.
Idzi ruzivo runogona kuwedzerwa kushandiswa paunofunga nezvekurapa kwekurapa. Semuenzaniso, kunyoroka kusvika pakuenzanisa kubata kwepnea kunogona kurapwa nekuenderera mberi kwakanaka kwemafambisi emhepo (CPAP) uye pamwe nemidziyo yemuromo . Positional therapy uye zvimwe zvinopindira zvinogonawo kuva zvine musoro. Uyezve, kurapwa kunogona kubatsira pakurapa mamiriro ezvinhu kune vanhu vane chirwere chisingaregi kurara.
Pane mhirizhonga pamusoro pevanhu vane chirwere chakanyanya kufema chokurara. Pakati pezviitiko izvi zvinogona kuva vakadzi vasati vasvika (avo vanochengetedzwa nemahomoni estrogen uye progesterone) kana vanhu vane hutano hwemazuva ose, pane kuti vave nepamusoro pemapnea ekurara, vanogona kunge vaine airway resistance resistance syndrome (UARS) .
Inofanira kuwedzera zvakare kuti vana vanogona kunge vane chirwere chekurara chinotarisana neAHI iri pasi. Kazhinji, iAHI inofungidzirwa kuti haina kukwana kana ichikuru kupfuura 1 (kunyange chiyero ichi chakanga chavepo 2). Izvi zvakaoma nekuvandudzwa kwekuvandudza kunoitika mukupera. Vachiri kuyaruka avo vakatoenda kuburikidza nekukura kwavo kukuru kunogona kuongororwa zvakanakisisa vachishandisa boka revanhu vakuru. Iyi kuongorora nekutsunga kunoitwa zvakanakisa zvichienderana nekutarisirwa kwechirongwa chekurara kwevana vako.
IAHI inogonawo kubatsira kutarisa mhinduro yako kune inoenderera mberi inofambisa mweya yepachimani (CPAP) therapy. Chinangwa ndechokuti uve muhutano hwakanaka, uye zvishoma pane zviitiko zvishanu paawa, asi nhamba yakaderera iri nani. Inowanzokwanisika kugadzirisa zvirongwa kuti uwane AHI kusvika 1 kana 2.
Kana uine mamwe mibvunzo pamusoro pezvinoitwa neAHI, taura nachiremba wako pamusoro pemigumisiro yechiratidzo uye nzira dzakanakisisa dzokurapa kuti ugadzirise zvaunoda.
> Kwakabva:
> Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." Elsevier , 6th edition. 2016.