Kusimwa Chiridzwa Chinoshandisa Mutauro Masumbu Kuzarura Airway
Kurapa kwakajairika kunowanzobatwa nehope yokurara - inoramba ichienderera mberi inofambisa mweya (CPAP) kana bilevel - inogona kuva yakaoma kushivirira. Sezvo mamiriro acho ezvinhu anogona kunge akaoma, uye kunyange akauraya , migumisiro, unogona kukurudzirwa kutsvaga dzimwe nzira dzingasarudzwa. Kuvhiya kunogona kuonekwa sechinhu chakanaka uye kushandiswa kwechigadzirwa chitsva chinonzi hypoglossal nerve stimulator kunogona kuve kuchifadza.
Kuvhiyiwa kweiyo hypoglossal nerve stimulator, inonzi Inspire , inobata sei kudzivisa kubatwa nehope? Dzidza kuti rurimi rwakagadzirirwa sei pacemaker runoshanda.
Chii chinonzi Hypoglossal Nerve Stimulator?
Iyo hypoglossal nerve stimulator chirongwa chekurapa chinoshandiswa chinoshanda kuderedza kuitika kwekudzivirira kuberekwa kwemahope ekudzivirira kwegesi kuburikidza nemagetsi kukurudzira mutezo we hypoglossal kune rurimi. Izvi zvinokurudzira mitsipa yerurimi, kuwedzera inzwi uye kuifambisa mberi, kure nechekunze kwemhepo. Hazvikonzeri kurwadziwa. Izvozvo zvinogona kubudirira kubata kurapwa kwemaitiro ekurara.
Ko Hypoglossal Nerve Stimulator Work?
Kuvharirwa kwepabonde kunokonzerwa nehope kunoratidzirwa nekudzivirirwa kwepamusoro pemugwagwa wepamusoro (kazhinji mushure wemuromo kana kuti muhuro). Apo kuvhara uku kunowanzoitika, mhepo inovhuvhuta yakazara zvachose uye kufema kwepakati panguva yehope haigone kuitika.
Pane mamwe mamiriro ezvinhu anogona kutarisa mumwe munhu kuti azvidzivirire.
Nzira yemhepo inogona kuwira nekuda kwekurasikirwa kwemazwi emusana anoitika sechikamu chekufamba kwemaziso nokukurumidza (REM) kurara . Zvinogona kunge zvakapararira patinorara pamitsipa yedu. Inogona kuva yakawanda sezvatinenge takura . Icho chinonyanya kukosha pakati pehuwandu hwehuwandu uye huwandu. Kushandisa doro uye mishonga inoderedza misuru inogonawo kutarisana nayo.
Mukuwedzera, kune zvikamu zvehutachiona hwedu hunogona kutungamirira kuhope yepamusoro. Semuenzaniso, rurimi rukuru (runonzi macroglossia ) kana kuti rukadzoka rushaya rwemajaya (anonzi retrognathia ) rinogona kutungamirira kumugwagwa.
Iyo hypoglossal nerve stimulator inofanirwa kuzarura mhepo inotamisa rurimi mberi panguva yehope. Kana ikashandurwa, iyo magetsi inosimudzira mitsipa ye hypoglossal kune rurimi. Izvi zvinokonzera kushungurudzika kwemisimba kunounza rurimi mberi. Nguva yekufambisa iyi inogona kugara iripo panguva yehope kana kuti yakagadziriswa kuti ienderane nemafema ako ekufema.
Ndezvipi Mamiriro Ezvinhu Anobata?
Iko hypoglossal nerve stimulator ikozvino inoshandiswa pakurapa kwekudzivirira kupora kwepabonde. Hazvizobatsiri kune vanhu vane hutano hwepabonde mukati . Inogonawo kuwedzera kuwedzera, asi haibvumirwi chete kubata chirwere ichi. Vanhu vane mweya wepamusoro air resistance syndrome vangawanawo kurapwa kunobatsira.
Nzira yekuvhiya yekuiswa
Iyo hypoglossal nerve stimulator inofanira kuiswa chirwere. Chikamu chikuru chechigadzirwa chacho chakasimwa pasi peganda rekumusoro kwechifuva, zvakadai se pacemaker. Izvi zvinosanganisira bhateri uye chikamu chinoita kuti magetsi awedzere.
Kubva pano, tambo iyo inokurudzira rurimi runopfuurira kune nhengo ye hypoglossal.
Dambudziko reHypoglossal Nerve Stimulator
Dambudziko rinowanzoitika nekushandiswa kwe hypoglossal nerve stimulator kune avo vanobatanidzwa nekuvhiyiwa kwekuisa. Kana hutano hwako hwehutano uye hwehutano hukuisa pangozi yakakwirira yekuvhiyiwa chero kupi zvako, zvino izvi zvingave zvisina kunaka iwe. Sezvo nekuvhiyiwa chero kupi zvako, kune ngozi yekubuda ropa uye utachiona.
Iyo hypoglossal nerve stimulator inogona kukanganisa. Izvi zvinogona kureva kuti inomira kushanda zvachose. Inogonawo kupisa kana kushanda zvisina kunaka.
Bhatiri pakupedzisira inokundikana, ichida kuti rimwe chirwere chigadzire kunze kwechigadziriswa (asi kwete chaiyo foni inobatanidza kune mutsara).
Zvimwe nzira kune Hypoglossal Nerve Stimulator
Kana iwe ukasarudza kuti hypoglossal nerve stimulator haisi yako, ungada kufungisisa mamwe maitiro ekurapa. Zvechokwadi, CPAP ndiwo mushonga wekutanga wekutanga uye iwe unogona kudzidza kubvumira zviri nani nekutevera mamwe mazano ekutanga . Zvinogona kunge zvakaoma sekudzidza kusarudza maski . Vamwe vanhu vanosarudza kushandiswa kwechigadzirwa chemazino , chinogona kugadzirisa rushaya uye kuderedza kurara kwepnea. Pane dzimwe nzira dzokuvhiya, kusanganisira mbiru yekuita uye tracheostomy . Kunyange chimwe chinhu chakareruka sekurema kwekureruka kunogona kubudirira.
Kana iwe uchida kudzidza zvakawanda nezve hypoglossal nerve stimulator, iwe unogona kunge uchida kutumirwa kune unyanzvi hwekurara uyo une unyanzvi mune chigadzirwa. Zvinogona kunge zvisati zvichishandiswa munzvimbo dzose sezvo zvichiri nzira itsva yekurapa.
Sources:
Eastwood, PR et al . "Kurapa kubvumira kubatwa nehope yokuputira ne hypoglossal nerve stimulation." Kurara . 2011 Nov 1; 34 (11): 1479-86.
Eisele, DW et al . "Mutauro neuromuscular uye zvakananga nenyenganyenga yegoggoshe inokurudzira kubvumira kunetseka kurara." Otolaryngol Clin North Am. 2003 Jun; 36 (3): 501-10.
Kezirian, EJ et al . "Kusimudzira magetsi emutsara we hypoglossal mukurapwa kwemaitiro ekudzivirira kubatwa nehope." Kurara Mubhuku . 2010 Oct; 14 (5): 299-305.
Oliven, A. "Kuchengetedza obstructive kurara kwepnea ne hypoglossal nerve stimulation." Curr Opin Pulm Med. 2011 Nov; 17 (6): 419-24.