Hormonal Changes, Weight Gain May Kuvhiringidza Kufema Mukurara
Kuputira panguva yekurara kunogona kuchinja panguva yekudzivirira: sekuita kwekuita pamuviri, kunogona kuve nekufambira mberi kwakachena kubva kunonoka kusvika kunononoka, uye kunyange kumbomira kana kukanganiswa kwekufema kunosanganisira chirwere chinonzi kupona kwepnea . Kurara kwepabhesi sezvinowanikwa mukudzivirira kunonzwisisika kune ngozi, zviratidzo, uye marapirwo. Tsvaga kuti kuvhiringidzika kwepabonde kunobatsira sei kubata pamuviri uye chii chingaitwa kuti utarise zvakajeka mamiriro acho ezvinhu kuti uve nechokwadi chehutano hwemadzimai nemwana.
Zvinokonzera Njodzi dzeAkubata Kuberekwa Mukurara
Kuchengeta kunowedzera zvishoma nezvishoma muhuwandu uye huwandu hwepakati pahutachiwana, uye apo iyo ndege inovhiringidzika zvakare, chirwere cheperesi chinogona kuitika. Kurara kwepabhesi kunoratidzwa nekumira mukati mokufema panguva yehope iyo inotora kwemaminitsi gumi, uye iyo inobatanidza nekumuka (inonzi arousals ) uye inodonha mumakisi ekisijeni eropa (anonzi desaturations ). Kurara kwepabhesi kunogona kuva nemigumisiro inokosha, uye vamwe vakadzi vangave vari pangozi yakakura yekuvandudza mamiriro acho ezvinhu.
Nenzira inofadza, njodzi yakawanda yekutora apnea yokurara munguva yekuzvitakura iri shoma, nekuda kwezvikonzero zvishoma: kutanga, maitiro eprogesterone akareba panguva yekuzvitakura-nyika inoratidzika sekudzivirirwa, sezvo hormone inobata mishonga inowedzera mhepo. Mukuwedzera, progesterone inowedzera kukanganisa kwehuropi kune carbon dioxide , uye kuendeswa kwemhepo yakakosha kumatomu emuviri kunowedzerawo nekuwedzera kwema moyo uye kuwedzerwa kwemidziyo yeropa inoperera.
Chechipiri, nekuda kwekusagadzikana kwepanyama kunobatana nekudzivirira kwekupedzisira, nguva shomanana inopedza kurara mushure , iyo inobatanidza nehuwandu hwehutachiona hwekurara.
Kurara kwepabhesi kunogona kuitika zvakadaro. Kunyange zvazvo kupararira kwakakwana kusingazikamwi, kunofungidzirwa kuchinja 10% yevakadzi vane pamuviri. Kurara kwepabhesi kunowanzoitika kakawanda kuvakadzi vane uremu hwakanyanya kana kuti vanorema, uye kuwedzerwa kuwanda kwepabonde panguva yekuzvitakura kungawedzerawo ngozi.
Vakadzi vane uwandu hwemutsipa mukuru vanewo zvirwere zvakawanda zvekurara. Mukuwedzera, kupindirana kwepasipo nekuda kwemazinga akakwirira eprogesterone kunogona kuita kuti mamiriro acho aite. Mavhiri akawanda anogona kuderedzwa pamusana pekumanikidzwa kubva kumucheche anowedzera, zvichiita kuti kuwedzera kufema kuwedzere. Kunyatsoona kusvuta ndeyewo ngozi inonzwisisika yekuvandudza kupona kwepnea.
Zviratidzo zvekurara kwepamuviri mukudzivirira
Vakadzi vane chirwere chekurara nehope pakuberekwa vanoita zviratidzo zvakafanana nemamiriro ezvinhu kana zvichiitika mune dzimwe mamiriro ezvinhu. Zviratidzo izvi zvinosanganisira:
- Kuchengeta
- Kuporesa kuputika kana kupfupika kwefema muhope
- Waking with choking, snorting, kana gasping
- Kuwedzerwa kwekurara kwezuva masikati
- Kuramba uchidzoka usiku ( nocturia )
Mamiriro acho angangodaro asina kuongororwa. Zvingave zvakakosha kutsvaga kuongorora kubva kune unyanzvi hwekurara, kunyanya mushure memwedzi wechitanhatu wekubata, apo zviratidzo zvinogona kuwedzera. Vakadzi vane huwandu hwehutano hwakanyanya, preeclampsia, gestational chirwere cheshuga, uye kutapisa kwekuwedzera kweprauterine kunofanira kuongororwa. Izvi zvingasanganisira kuverenga kweusiku husiku hwokurumbira kunonzi polysomnogram .
Kuchengetedzwa Kwepamuviri-Kubatana neApnea Yokurara
Zvakakosha kubata pamuviri wehutano hwepamuviri hwepamuviri, sezvo hunogona kuita kuti pave nemigumisiro yakaipisisa mumadzimai uye fetus.
Kurara kwepabhesi kunobatanidza ne gestational hypertension, chirwere cheshuga, uye zvikamu zveKesariya zvisati zvarongwa. Izvo zvinogonawo kutungamirira kumucheto wekukura kwekukura uye kushanda kwenguva refu. Vakadzi vanovhiringidzika vanogona kukudziridza kuora muviri hypoventilation syndrome .
Mushure mekusununguka uye kurasikirwa kunotevera kunorema, kurara kwepabonde kuchavandudza. Zvidzidzo zvinoratidza kuti chiyero chekurara kwepabhesi chakasimba chinonzi apnea-hypopnea index (AHI) inowanzosimudza mushure mekusununguka.
Panguva yekuzvitakura, zvinogona kubatsira vakadzi kuti varara pamativi avo. Iyo yegoridhe yakarongedzerwa kushandiswa kushandiswa kwekuenderera kwakanaka kwemafambisi emhepo (CPAP) . Mumatambudziko akakomba ane hutano hunobatanidza, kana mumakumbo maviri, bilevel therapy ingashandiswa.
Maitiro ekudzvinyirirwa anoshandiswa mumishonga aya achada kugadziriswa panguva yekuzvitakura. Sezvo kubwinya kwepanyama kunowanikwa, kuwedzera kunoda kuwedzera. Muzviitiko zvisingawanzoitiki, kushandiswa kwekuwedzera kweokisijeni, kana chirongwa chokuvhiya chinonzi tracheostomy , chinogona kudiwa.
Kana iwe uchinzwa uine zviratidzo kana zviratidzo zvinokurudzira kurara kwepabonde panguva yekudzivirira, unofanira kufanira chiremba wako kuti akurukure kugadzirisa miedzo inodiwa uye kurapwa kuti ikubatsire kuzorora nekufema zviri nyore.
Kunobva:
Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." ExpertConsult , 5th edition, 2011, mapeji 1576-1577.