Hazvisi zvisizvo kuti munhu ave nehope apnea uye COPD. Asi, zvinopesana nekutenda kwakakurumbira, kuvapo kwekurara kwepabonde hakusi kwakanyanya kune varwere veCOPD kupfuura kune vanhu vakawanda. Izvi zvinoreva kuti hukama hwavo hunongokonzerwa nemukana uye kwete nekuda kwechinhu chinotangira, pathophysiological link. Kunyange zvakadaro, kuva nematambudziko maviri panguva imwechete kunonetsa.
Kana iwe uine COPD uye uchifungidzira iwe unogona kunge uine apnea yokurara, verenga.
Overview
Kurara kwepabhesi yakakomba uye dzimwe nguva hupenyu hunopisa dambudziko rekurara rinoratidzirwa nenguva yepnea (kufema kupumha) panguva yokurara. Inowanzoperekedzwa nezwi guru, rinokanganisa kupisa.
Munguva yeapneic episode, unogona kumira kufema kwemaminitsi gumi kana kupfuura uye, sezvo ropa rako rey oxygen richidonha, unogona kumutsa pakarepo nenzwi guru kana kuti rinoputika. Nhamba yezviitiko zvepneic inowanikwa inogona kunge yakakura semakumi maviri kusvika ku30 usiku humwe kana kupfuura, uye migumisiro inogona kukonzera kukanganisika kweutano hwakakomba.
Aina
Kune mhando mitatu yekuputika kwepabonde: Kuvhiringidza, mukati uye kusanganiswa. Kuvhiringidzika kwekurara kwepabonde (OSA) kunonyanya kuonekwa muhuwandu hwevanhu uye kune vanhu vane COPD. OSA inowanikwa apo misoro yako inonyorera, kusanganisira rurimi rwako, zorora paunenge urota uye dzivhara iwe. Nokuti vanhu vazhinji vanotambura neOSA vane uwandu hwehuwandu, vanowanzove nerurimi rwakapararira uye maruva akanaka uye / kana mafuta akawanda muhuro yavo.
Risk Factors
Kunyangwe munhu upi zvake anogona kunge ane chirwere chekurara, zvinotevera zvinokonzera ngozi zvinogona kuwedzera dambudziko rako:
- Kuva murume
- Kuva mukuru
- Kuva Africa-American, Hispanic kana Pacific Island
- Kuva wanyanyisa
- Kuva nemutsipa wakakura mumutsipa (17 "kana kupfuura kwevarume ne16" kana kupfuura zvevakadzi)
- Kunwa doro
- Kusvuta
- Zvimwe zvirwere zvehutano, zvakadai segastroesophageal reflux disorder (GERD), chirwere cheshuga, kana kuti polycystic ovary syndrome
Zviratidzo
Pamwe nezvirongwa zve periodic zvepnea panguva yekurara uye kupedza nguva pfupi, zviratidzo zvekurara kwepabonde zvinosanganisira:
- Kuwedzerwa kwekurara kwezuva masikati
- Morning headache
- Huro inorwadza
- Kuchinja muhupenyu hwako
- Kuora mwoyo kwepfungwa
- Zvinetso zvekuita
- Bed wetting
- Kutadza
- Kuwedzera muviri
- Zvinonyunyuta kubva kune waunofambidzana newe zvaunodanidzira zvakare
COPD uye Kurara Apnea
Pamwechete, COPD neOSA dzinowanzobatanidzwa sehuwandu hwe syndrome (OS.) Zvose COPD neOSA zvinodzivirira zvinokonzerwa nezvinetso zvemoyo zvinogona kusanganisira kusagadzikana kwepfungwa, kukwirira kweropa, kupera kwemwoyo nekurova, uye kugara kwavo muS OS kunogona kuwedzera dambudziko remwoyo. Izvi zvinoratidza kushandiswa kwokutanga kweASA kune vanhu vane COPD inonyanya kukosha.
Vanhu vane OS vanogonawo kuva:
- Nhamba yakakwirira ye hypo hypoemia uye hypercapnia
- Kuwedzera kwekuwedzera kwepemonta yerupemhesi uye cor pulmonale
- Higher morbidity rates
Kurapa
Zvisarudzo zvekurapwa kweASA zvinosanganisira:
- Kuonda
- Inopfuurira zvakanaka positive airway pressure (CPAP)
- Rurimi-kuchengetedza mafaira kana varindi vanoruma
Kana iwe uri mumwe munhu asingakwanisi kubvumira CPAP uye OSA yako yakaoma, iwe unogona kuda kukurukura nenzira dzinotevera dzokuvhiya pamwe nemutarisiri wako wehutano:
- Uvulopalatopharyngoplasty (UPPP)
- Laser-yakabatsirwa wavelopalatoplasty (LAUP)
- Gastric surpass surgery (nokuda kwevanhu avo avo vanonzi OSA vanokonzerwa nokuneta zvakanyanya)
- Tracheostomy
- Jaw chirurgic
Kana Iwe Uchifunga Iwe Une OSA
Kana iwe uine OSA, iwe unogona kunge usingazvizivi, kunyanya kana uchigara uri woga. Kunyatsocherechedza kurara kwako uye zviratidzo zvako zvezuva nezuva zvichakubatsira kuona ingangodaro dambudziko. Kana iwe uchifunga iwe unogona kunge uine OSA kana, kana mumwe wako achinyunyuta kuti kurova kwako kwakanyanya, zvingave nguva yekushanyira mutano wako wehutano kuti uongorore uye mamwe mashoko.
Sources:
Pronzato C. Chirwere chekudzivirira chirwere chepachimara nekuvhara chirwere chekurara chinokanganisa: Sangano, migumisiro, uye kurapa. Monaldi Arch Chest Dis. 2010 Dec; 73 (4): 155-61.
Victor, Lyle DMD Kudzivirira Kubata Apnea. American Family Physician. November 15, 1999.