Kune avo vanotambura nekunyanyisa hypoventilation syndrome , zvakakosha zvikuru kutsvaga kurapwa. Sezvo mamiriro acho angave ane hutano hwakakomba uye kunyange hunouraya, kupindira kwekutanga uye kwechisimba kunogona kudikanwa. Dzidza pamusoro pezvimwe zvinogona kuitwa kurapwa kwekuwedzera kwehutano hypoventilation syndrome uye zvinangwa zvezvirapa izvi.
Treatment Options
Nzira dzokurapa kwehupenzi hypoventilation syndrome (OHS) inogona kugoverwa mukugadzirisa zvinhu zviviri zvinokosha zvechirwere: kuora muviri nekusimbiswa kwekufema.
Kuonda
Sezvo zita rinoreva, kuora kwechirwere chinhu chikuru chinoita kuti chirwere chacho chiwedzere. Kana kurasikirwa kwakakura kunogona kuwanikwa, rubatsiro runowanikwa. Izvi zvinogona kuwanikwa kuburikidza nekudya uye zvekurovedza muviri, asi zvinopfuura mapaundi zana ekurasikirwa kweropa zvinogona kudiwa. Sezvo kurasikirwa kwekukura kwekukurumidza kunogona kuva nengozi, zvinokurudzirwa kuti vanhu vaite izvi pasi pekutarisirwa kwechiremba wavo. Vashandi vezvokudya vanogona kupa mazano anobatsira mukugadzirisa maitiro. Zvinosuruvarisa, hazvibviri kutaurira huwandu chaihwo hwehuremu hunofanirwa kurasikirwa kuti munhu aporese OHS.
Parizvino, kuora kurasikirwa nemishonga hakurudzirwi kutarisira kuneta mu OHS.
Sezvokudya uye kurovedza muviri zvingasave zvakakonzera migumisiro pakuderedza uremu, zvingave zvichidikanwa kutendeukira kune zvingasarudzwa zvinoshandiswa segastric kuputira chirwere. Aya maitiro muvanhu vane kuwandisa uye vane zvirwere zvekurara zvakanyanya kuwedzera njodzi. Kunyanya, mhepo inogona kuparara pasi peanesthesia inoshandiswa pakuvhiya uye kugona kungave kwakaoma.
Zvinokurudzirwa kuti chirongwa chebhaatric chichengeterwe vanhu vane muviri wehuwandu huwandu (BMI) hukuru kune 35 uye hapana humwe hutano hunogona kuwedzera ngozi yekuvhiya. Zvinobatsira kuva nehope yekudzidza inonzi polysomnogram isati yasvika uye mushure mekuvhiyiwa kuti iongorore kubatsira kwebato racho.
Sezvo kuora kwekuora kunowanikwa kwechinguva chemwedzi, zvingave zvakakosha kutsigira kufema panguva ino nemamwe mushonga.
Kutsigira Kunotsigira
Nheyo yekurapa muH OHS ndeyokupa tsigiro yekufema, kazhinji kuburikidza nekushandiswa kwekuenderera kwakanaka kwemafambisi emhepo (CPAP) kana bilevel . Izvi zvinokonzera kuyerera kwemhepo kunogona kuvharidza mhepo yepamusoro kuti irege kudonha panguva yehope.
Kana OHS ichitaura nechinetso nekufema, inokwanisa kushandiswa oksijeni kuigadzirisa here? Supplemental oxygen therapy inogona kuwedzerwa kana kune chirwere chepapu chinonzi COPD , asi hachina kukwana pachako. Kutaura zvazviri, kushandisa oxygen yoga mu OHS kunogona kupedza kufema kufema.
Mumatambudziko akaoma, zvingave zvakafanira kuita tracheostomy . Izvi zvinosanganisira kuiswa kwepurasitiki yekufema purasitiki pamberi pehuro. Izvi zvinopfurikidza nepamusoro pemhepo, iyo inowanzogumburwa kana kuvhiringidzwa kune vanhu vane OHS. Kunyange zvazvo tracheostomy inoshanda, pane zvinetso zvinosanganiswa nekushandiswa kwayo. Zvinogona kuva zvakaoma kugadzirisa kushanduka, kunyanya kuti inobata sei kutaura. Bronchitis inogonawo kuitika kakawanda. Kazhinji, kupa mamwe maitiro ekurapa, ikozvino haisati yashandiswa.
Izvo zvinodiwawo kuti urege kunwa doro uye zvimwe zvinodhaka zvinoderedza kukwanisa kwako kufema.
Zvivi zvinokwanisika zvinosanganisira mishonga yemishonga, sebenzodiazepines , opiates, uye barbiturates. Iwe unofanirwa kuongorora mishonga yako nachiremba wako kuti uone kuti hapana mumwe wavo anokuisa pangozi yakawedzerwa.
Zvinangwa Zvokurapa
Pakupedzisira, chinangwa chemishonga chero ipi zvayo mukunyanyisa hypoventilation syndrome ndechokugadzirisa zvinetso zvinokonzera iyo chirwere. Kufema kusina basa kunoratidza kuti chirwere ichi chinokonzera kusaenzana mumakemikari eropa. Apo carbon dioxide isingagoni kubviswa zvakanaka, mazinga ayo anowedzera uye anoita kuti ropa riwedzere. Izvi zvinokonzera huwandu hwekuchinja mumuviri unogona kuva nemigumisiro yakaipa.
Kurapa kunogona kudzivirira madonhwe mumhepo yakagadziriswa yeropa rako, kukwirira mumusero weropa tsvuku inonzi erythrocytosis, uye mwoyo kusakatika (inozivikanwa sekort pulmonale ). Kurasikirwa kwemahombeksi kunowedzera oksijeni uye carbon dioxide. Kushandiswa kwePCAP kana bilevel, pamwe chete nezvimwe zviyero, zvinodzivirirawo izvi.
Pakupedzisira, kurara kunowedzera kuderera uye izvi zvinovandudza kurara kwemasikati masikati. Izvi zvinoguma nehutano hunovandudzwa hwehupenyu, iyo ndiyo chinangwa chekurapa kunobudirira kupi zvako.
Sources:
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