Mazuva ano pamba kuedza kurara kunowedzera kushandiswa kuongorora zvirwere zvekurara zvakadai sevstructive sleep apnea . Sei uchigona kuudzwa kuti uwane dzimba yokurara mumba? Ndezvipi zvinobatsira uye zvipingamupinyi zvekuva nemuedzo wekurara mumba kana uchienzaniswa ne-mukati-kati yepolysomnogram ? Dzidza nezvekushandiswa kwekudzidza kwekugara kumba, chii chaunotarisira nekudzidza kwako, uye kuti zvii zvinotevera pakuonekwa kwako uye kurapwa kungave.
Nzira Yokuwana Sei Imba Yokurara Kudzidza?
Chokutanga, ungashamisika kuti nei iwe uchida kuti udzidze kurara pakutanga. Iyi miedzo inoshandiswa kutarisa matambudziko akasiyana-siyana ekurara. Kunyangwe zviratidzo uye kuongorora kwakanaka kwemuviri kunogona kureva chinokonzera matambudziko ako ekurara, muedzo unotarisirwa kuti ugadzirise zvakasimba kuongororwa (uye, pakupedzisira, kune inshuwarheni kubhadhara kurapa).
Bhodhi-vakavimbiswa vanachiremba vekurara vanowanzotarisirwa kurongedza kurara kwehope. Aya maitiro anowanzotarisa varwere vachinyunyuta nezvekushaiwa kwehope uye nekudzidzira kwavo vanogona kudzokorora zvidzidzo uye vanopa chirongwa chakakosha zvikuru. Vashandi vekuchengetedza kwepamusoro nevamwe vadzidzisi vezvehutano vanogonawo kubvumirwa kurongedza kuedzwa kwekurara kumba, asi American Academy yeTein Medicine haibvumiri tsika iyi.
Haasi munhu wose anofanira kunge ane dzimba yokurara kumba. Iyo inobatsira chete kuongororwa obstructive sleep apnea (OSA).
Izvi kuenzanirwa kunofanira kurongedzwa kana kune kusafungirwa kwekuda kwekuenzanisa kusvika kune yakawanda yeOSA. Kuenzanisa kunoshandiswawo nguva nenguva kuongorora kubudirira kwehutano hwepabonde rehope dzakadai semushandi wemuromo kana chirwere .
Kana imwe mishonga iripo iyo inogona kukanganisa kunyatsoongorora, kutarisa kumba kwekurara hakuoneki kwakakodzera.
Iyo hainawo kushandiswa kuongororodza zvimwe zvinetso zvekurara kunze kwokupererwa kwepomea. Zvimwe zvezvipikisano izvi zvezvechiremba kuongororwa kwekurara kumba zvinosanganisira:
- Zvishoma nezvishoma kune zvakanyanya maperembudzi chirwere
- Neuromuscular disease
- Congestive heart failure
- Central sleep apnea
- Periodic limb movement of sleep
- Kunyunyuta
- Parasomnias (mararamiro okurara)
- Circadian rhythm matambudziko ekurara
- Dambudziko rekunyengera
Pakupedzisira, kuongororwa kwekugara kumba kunogona kushandiswa pane dzimwe nguva kune vanhu vasingakwanisi kuva nechirwere chekuongorora chirwere mukati mekuda nekuda kwekusagadzikana, kuchengeteka, chirwere chinorwara, kana zvimwe zvinetso. Zvakakosha, kuongororwa kwekugara kumba hakukodzeri vana.
Makomborero uye Dhiyabhorosi Yeimba Kuongororara Kurara
Kudzidza kwekugara kwekumba inzira inofadza yekutonga-muhope yepamusoro pakati pevanhu vakasarudzwa zvakanaka. Kana pane kukanganisika kwakanyanya kwechirwere ichi, inogona kunge iri mutsara wekusimbisa hunoita kuti murwere arambe achienda kuchikamu chekurapa kwekutarisira. Zvisinei, muedzo wakaipa haugone kubvisa chirwere chacho. Kana chirwere chisina kunaka chekurara kumba chinowanikwa (ine apnea-hypopnea index kana AHI iri pasi apa 5), chirwere chekuongorora chirwere mumugariro wekurara chinowanzodiwa.
Pane zvikonzero zvakasiyana-siyana izvo varwere vanosarudza kuva nemuedzo wokurara mumba, kusanganisira:
- Iko kazhinji inodhura , inodhura mazana emadhora achienzaniswa nezviuru zvemadhora mu--pakati yekuedzwa inogona kudhura.
- Zviri nyore , kukubvumira kurara pamba pane pane nzvimbo isina kujairika.
- Inonyanya kusununguka , ine mafaira mashomanana uye kusvikirwa kwenyaradzo yemusha.
- Kune humwe huripo hwekuwana kuedza. Nzvimbo dzokurara dzinogona kusakwanika nekuda kwenzvimbo kana kunyange kuronga. Kuongorora mishonga yemusha kunogona kutumirwa kumba kubva kuhofisi yechiremba uye dzimwe nguva kunyange kutumirwa kunze.
Nzira yegoridhe yekuongororwa kwehutano hwose hwekurara inoramba ichishandiswa kuongororwa kwepolysomnogram mune imwe nzvimbo yehope.
Izvi zvinosanganisira matanho ezvimwe zvezvikamu zvehope uye kurara kuputika kuburikidza neEEG , rwiyo rwemoyo kuburikidza neKGG, uye netsoka kana gumbo kana kuti simba rekufamba; izvo zvese zvingave zvisingabatanidzwi pamwe nekuongororwa kweimba yakafanana. Uyezve, kana iwe uine chirwere chinorara chekurara, imba yekuedza inogona kungopotsa kuongororwa.
Zvaunotarisira Neimba Kuvata Kudzidza
Kana imwe chiremba wako asarudza kuti iwe unoda kuva neimba yekudzidzira kurara, iwe ucharayirirwa kuti ungashandisa sei chigadzirwa kumba. Kakawanda mubatsiri wezvechiremba, chiremba wekupumha, kana muchengeti wehope anopa mirairo iyi. Iwe ucharatidzirwa kuti ungashandisa sei masvikiro anodiwa. Kazhinji, izvi zvinosanganisira bhandi rinoputika pachifuva kana mudumbu kuti ione kuporesa, rimwe remhepo rinokonzerwa mumhepo yepamhino inotanidza kubuda kwemhepo, uye oximeter inoshandiswa kumucheto iyo inoratidzira kutengesa kwehutano uye ropa reyerojeni mazinga. Zvichienderana nechinoshandiswa chinoshandiswa, pangava nekusiyana kwezvinhu izvi zvinokosha. Kana iwe wakanyatsokodzera, iwe unofanirwawo kuwana hutungamiri pamusoro pokuti ungashandura sei chigadziri uye chigadzire.
Paunenge wakagadzirira kuenda kunorara kumba, unoshandurazve ma sensens uye unotenderera chigadziro sezvawakarayirwa. Kana iwe ukasimuka kuenda kuimba yekugezera usiku, iwe unogona kunge uine huwandu hwemasero munzvimbo. Mambakwedza, mamwe mazano achakuzivisa iwe nechiedza kana kuverenga kukuzivisa iwe kuti zvakakwana zvakadhindwa. Sezvo mutemo wehuwandu, maawa mashomanana ekurekodha anodiwa anowedzera kuongororwa kwakakwana. Vamwe vanachiremba vacharumbidza kuti varwere vanoita 2 (uye kunyange kusvika kusvika 3) usiku hunoedza kuedza kuongorora kuti kubudirira kwekuedzwa kwapera.
Mitezo Inotevera Mukuziva uye Kurapa Mushure mekunge Musha Wokurara Muedzo
Mushure mokudzorera chigadzirwa, chiremba wekurara achatsvaga chigadziro, chekuongorora pachedu uye kushandura dheta, uye kubudisa pfupiso yemigumo yemigumisiro. Sezvambotaurwa pamusoro apa, kana chiyero chekurara kumba chinoratidzira ruzivo rwakakwana kana kuti hauna kunaka kwekurara kwepabonde, mukati-muedzo unogona kudiwa kuti uzive mamiriro acho ezvinhu. Pakuzotevera kusarudzwa mumakiriniki ekurara, izvi zvabuda zvichaongororwa newe uye matanho anotevera achakurukurwa.
Kana muedzo unoratidza kurara kwepabonde, zvirongwa zvekurapa zvichaongororwa, kusanganisira kushandiswa kwekuenderera mberi kwemafambiro emhepo (CPAP) , midziyo yemuromo, kurasikirwa kwemazivo, kurapa kwemazuva ano, kuvhiyiwa, uye zvimwe zvimwe zvekurapa.
Kumba kuongorora kurara kunogona kuva chinhu chinonakidza chekuona kubata apnea mune avo vanofungidzirwa zvikuru kuti vane chimiro uye vasina avo vanopesana kana zvimwe zvinetso zvinokonzera kurara. Kana iwe uchida kuwana imba yekurara yekudzidzira nekutsvaga kurapwa, tanga nekuona bhodhi-unyanzvi hwekurara unyanzvi uyo anogona kukupa sarudzo yakazara, kutungamirirwa mukuedzwa, uye kutsigirwa kuburikidza nekurapa.
> Kwakabva:
> Collop, NA et al . " Clinical Guidelines for the Use of Unattended Portable Monitorers in the diagnosis of Obstructive Sleep Apnea in Elderly Patients ." Journal of Clinical Sleep Medicine . 2007; 3 (7): 737-747.