Chiyero chinoratidza chidimbu cheOxygen Levels Drop in Apnea yokurara
Kana iwe wakave nehope yekudzidza kuti uongorore kuti usakanganiswa kurara, iwe hapana mubvunzo une mibvunzo pamusoro pezvimwe zvezwi rinoshandiswa mumushumo unotsanangura mhinduro dzekuedza. Chimwe chinogona kuenzaniswa chinogona kubatanidzwa, chinonzi oxygen desaturation index (ODI), inogona kunyanya kunetseka. Chii chinonzi oxygen deaturation index?
Dzidza kuti chiyero ichi chinogona sei kubatsira kuziva zvirwere zvakanyanya zvekurara zvinogona kuenzaniswa nemadonheji emvura yepamusoro uye mamwe mararamiro ehutano kwenguva refu akadai sechirwere chepfungwa uye kuora mwoyo.
Chii Chinonzi Oxygen Desaturation Index (ODI)?
Iyo oxygen desaturation index (ODI) inhamba yezvikamu paawa yekurara iyo ropa reyeroji yepamusoro inodonha nedzimwe chiyero kubva kubva pakutanga. IODI inowanzoenzaniswa sechikamu chezvidzidzo zvekurara zvakakwana, zvakadai sekuongorora chirwere chekuongorora, kupera kwemahombekombe ekurara mumba , kana nehusiku hwehusiku huno . Zvinogona kunge zvisina kururama kana zvikamu zvehope zvisingaenzaniswi nemuedzo sezvo rondedzero inogona kugoverwa pamusoro penguva yekurekodha nguva pane, iyo inogona kusanganisira nguva yakashandiswa kumuka.
Chiyero chekushanduka kubva kubva pakutanga chinogona kuyerwa nenzira mbiri dzakasiyana. Nzira inoshandiswa kugadzirisa iyo index inogona kusiyanana zvichienderana nemitemo yekugadzirisa inoshandiswa. Maererano nemitemo ya2007 kubva kuAmerican Academy of Sleep Medicine, chero chiitiko chekufema panguva yokurara ne 3% inodonha muropa ye oxygen mazinga inotaridzirwa kune yose. Semuenzaniso, kuchinja kubva kubva ku95 kusvika ku 92 muzana kunenge iri chiitiko chinotarirwa kunotarisana nenyaya.
Zvisinei, Medicare nedzimwewo inshuwarisi zvichiri kuvimba nemitemo yekare yekuisa zvikwereti uye inoda 4% kuchinja kwechiitiko chinofanira kuverengwa kune index.
Aya madonhi mumhepo yakakosha anonzi desaturations . ODI inotaridzwa neoximeter, iyo inowanzoiswa pachigunwe chechiedza chinopenya chiedza chitsvuku paganda uye inogona kufungidzira kuwanda kwomweya muropa rega.
Inyanzvi itsva inogona kubvumira izvi kuyerwa nenzira dzakasiyana-siyana kuburikidza nepamusoro peganda.
Apo kufema kunovhiringidzika panguva yekurara, sezvinogona kuitika mukuvhiringidzika kwepabonde rehope , mazinga e okisijeni eropa anogona kuramba achiwa. Madonhwe aya anowanzobatanidzwa nekudengenyeka kwepamusoro pemhepo, zviitiko zvinonzi apnea kana hypopnea. (A hypopnea inomirira kuputsika kwepakati pemugwagwa.) Madonhwe eOxygen anoitika zvishoma nezvishoma mukunyorova kana kumusoro-airway resistance syndrome (UARS) , mamiriro maviri ekufema kunokanganiswa, asi kusvika pamwero muduku. Kurara kuputika kunogona kuitika kunze kwezvinyorwa zvinoshandiswa.
Zvakakosha kunzwisisa kuti ODI yakasiyana nedzimwe chiyero chinonzi apnea-hypopnea index (AHI) . IAHI inosanganisira zviitiko zvinogona kukonzera kukwidza kana kumutswa kubva muhope pasina kuipa majini oksijeni. IODI hainawo kuratidzira zvachose chikamu chengirozi yeropaji yakatarwa, iyo inogona kunzi inoshandiswa kuwanda kweoksijeni saturation kana oxygen nadir yekudzidza. Kana mizinga ye okisijeni yakadzika zvakakwana (kazhinji pasi pe88 muzana ndiyo chikumbaridzo) uye inotsigirwa kwemaminitsi mashanu, hypoxemia inogona kuonekwa.
Chii Chinokonzera Kusagadzikana ODI?
ODI inogona kuwedzera kukuvadza kune vanhu vane chirwere chepapu chepamuviri, kusanganisira chirwere chisingaperi chisinganzwisisiki cheplm (COPD), uye congestive heart failure.
Nekuderera kwezvokuchengetedza, kuwa kwepamusoro kwepamhepo kunogona kuita kuti ropa reyerojeni riwedzere kudonha nokukurumidza. Izvi zvinogonawo kuenzaniswa nehuwandu huwandu hwekhabhoni dioxide, yakadai sekunyanyisa hypoventilation syndrome .
Health Migumisiro
Zvinotendwa kuti kukwirira kweODI kunogona kutungamirira kuwedzerwa kushushikana kwehutano uye kusununguka kwemasimba mumutumbi unogona kutarisa vanhu kune nguva yakareba yehutano hwemwoyo, kusanganisira kuwedzerwa kweropa (hypertension), kurwisa kwemwoyo, kurohwa, arrhythmias sefriday fibrillation, uye kurasikirwa mupfungwa kunokonzerwa nehutementia. Kushamwaridzana kunokonzerwa ne-cortisol kunogona kutungamirira ku insulin kusagadzikana uye kunowedzera kukanganisa, uye kuoma kwechirwere cheshuga.
Iyi migumisiro inzvimbo inoshingaira yekutsvakurudza kurara.
Shoko Rinobva
Nenzira inofadza, kurapa kwakanaka kwekudzivirira kuberekwa kwepabonde nehupenyu hunoramba huchienderera mberi (CPAP) kunogona kuchengetedza kufema nekuderedza njodzi dzenguva refu dzinosangana nehutachiona husina kubatwa nehope. Sechikamu chekuongorora zviitiko zvako zvehope dzekurara, taura nechiremba chako-chiremba wekurara anozivikanwa pamusoro pemishonga yakanakisisa yemamiriro ako. Kugadzirisa kurara-kunetseka kufema kunogona kubatsira zvose kurara kwehutano uye hutano hwenguva refu.
> Kwakabva:
> Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." ExpertConsult , 6th edition, 2017.