Kuongororwa kweApnea Yokurara Pamba Panogona Kushanda Zvakanaka Sarudza Mamiriro
Anenge pasina munhu anorara zviri nani murabhoreti yehope kuti awane kurara kweusiku hunoenzanisa neimba. Zviri pachena kuti pane nzira dzakanakisisa dzokurara pane kutengesa mumatairi nemumwe munhu achikutarisa uye kunzwa manzwiro ekurara. Varwere vazhinji vanobvunza mibvunzo yekuedzwa kwavo kana vane husiku hwakaipa hwekurara. Ndeipi imwe nzira? Nenzira yakanaka, imba yekurara yokupona kupona ingangodaro inofungisisa.
Chii chinonzi kuvimba kwepabonde yekupona mumba (HSAT)? Chimbofunga izvi zvakasarudzwa, kana zvingave zvakakodzera kuti uongorore chirwere chako chehope, uye mari uye zvikanganiso zvinosangana nezvidzidzo zvekurara kumba.
Chii Chinonzi Imba Yokurara Kuberekwa?
Sezvo zita racho rinoreva, kupera kwemahombekombe ekurara kwekugara kumba ndiko kutungamirirwa kwekurara kwekurara mukunyaradza kweimba yako kuitira kuonekwa kwekudzivirira kubata kwepnea . Pane mavara akasiyana-siyana anowanikwa pakuedzwa. Izvi zvinogona kuwanikwa kuburikidza nehutano hwehope, muchengeti wekutarisira, kana kuti kunyange makambani akazvimiririra makambani-purofiti.
Kunyanya misha yekurara kwepamba inotarisa zvirongwa zvinoshandiswa pakuona kufema-kuora mwoyo kufema. Kunyange zvazvo zvishandiso zvakasiyana, vazhinji vanoona ropa rinokonzerwa neurogi neine oximeter , moyo wepamuviri, kufema kufema nebhanhire rakadzika mumimba, kunonotsa mhepo, uye kubuda kwemhepo mumhino ine oxygen cannula. Zvimwe zviyero zvinonyorera zvidimbu zvakare, zvakadai semafungiro asina kukwana europi neEEG yekurara kwekurara, kurara, uye kunyange kufamba.
Imba Yenyu Yokurara Kuberekwa Kuedzwa Kwandinofanira Here?
Kune zvirevo zvakananga izvo zvinoshandiswa kuzivisa varwere vanogona kupinda mumba vachirara kupona. Aya mazano anowedzera kubudirira kwekuedzwa uye nekuita kuti kuongororwa kwakakodzera.
Pari zvino, zvinokurudzirwa kuti vanachiremba vacharamba varipo vanoenda kunosangana nekuongorora chirwere chepolymnogram .
Saka, HSAT inongororerwa kune avo vane makore gumi nemana kana kupfuura. Vaya vane mikana yakawanda yekuenzanisa kushaya simba kwakanyanya kwekurara kunobva mukuratidza zviratidzo uye kugoverwa kwemaatomy kunofanira kusarudzwa kuti zviongorwe kumba. Zvimwe zvezviratidzo zvakakosha zvinosanganisira:
- Kurira kunononoka
- Akapupurirwa apnea (anomira mukufema panguva yehope)
- Kurara kwezuva masikati ( Epworth score > 10)
- Nocturia (waking kazhinji kuti urinate)
- Bruxism (meno achikuya kana kuvhara)
- Kurara kwakaparadzana nehope
- Kuwedzera muviri
- Pakati kusvika pazera remakore (Kubatanidza nevakadzi vanotevera-menopausal)
Inowanzokosha kune bhodhi-unyanzvi hwekurara unyanzvi kuti uongorore iwe kuti uone kukosha kwakakodzera kwauri. Mune zvimwe zviitiko, pangave kune zvinopesana nekutarisa kurara kumba.
Mamiriro Ezvinhu Anoda In-Lab Yega Kurara Zvidzidzo
Nokuda kwehutano hwekuedzwa uye nekukanganisa kwayo, zvinotevera zvinoregererwa zvinowanikwa. Mune zvimwe zviitiko, ichocho chinogona kukanganisa kukodzera kwakakodzera kwemuedzo kumba. Panewo mamwe marapirwo ayo kuverenga kwakadzika muchikwata chekuedza kunodiwa kuti uongorore zvakanaka chirwere chacho. Zvikonzero zvakajairika zvekusava neimba yekurara kwepasea yepamba dzinosanganisira:
- Kuchenjerera kana kuti mitauro inopesana nekutongwa kwekuedzwa
- Zvishoma nezvishoma kune zvakanyanya maperembudzi chirwere
- Neuromuscular disease
- Congestive heart failure
- Akashungurudzwa mukati mekurara kwepabonde
- Kushungurudzwa nguva nenguva chikwata chinokonzera kufamba (PLMD)
- Kunyanya kusuruvara
- Circadian rhythm disorders
- Parasomnias (mararamiro okurara)
- Dambudziko rekunyengera
Kuongororwa kunogona kutaridzirwa pane imwe nyaya-ne-zvikonzero pakati pevarwere vasingakwanisi kupinda pamapurisomnography nekuda kwekusagadzikana, kuchengeteka, kana kuti zvirwere zvinorwara zvakanyanya. Varwere vanochengetedzwa neMurengeti vanogona kuve nekodzero yepamusoro yekufungidzirwa yakapiwa zvikwereti zvakanyanyisa zvinowanzoshandiswa nekuongorora kumba.
Kugadzirisa uye Kuita Imba Kubata Apnea Dzidza
Varwere vakamboongororwa uye vanoonekwa vakakodzera HSAT vacharamba vachiongorora.
Mushure mekunge chiremba wako akaraira chidzidzo, mumwe mudzidzisi kana mubatsiri wezvechiremba acharatidza kuti angashandisa sei zvigadzirwa. Iwe uchaenda nayo kumba uye unoita kuedzwa, kazhinji kwemaawa maviri kana maviri husiku. Mushure mokunge kuedzwa kwapera, chigadzirwa chacho chinodzoserwa kuti chikanganwe kuitira kuti chiremba aone kudzokorora dheta uye kuita zvirwere uye mazano ekurapa. Nokuva nemuedzo unoitwa nebhodhi-unyanzvi hwekurara unyanzvi uyo anogona kududzira zvigumisiro, iwe unogona kukurumidza kukuonana nachiremba uyo achakutungamirira uye anotanga kurapa kugadzirisa kurara kwako kwepabonde.
Zvinowedzera uye Kuda Kwekurara kweAporoa Kurara
Pane zvimwe zvikomborero zvakajeka kuva nekutarisa kwepabhesi yokurara kwepamba. Chimwe chezvinhu zvakakosha zvikuru ndiko kukwanisa kukuru kwekukwanisa kurara pabhedha rako pamba. Kana iwe uri mutarisiri ane hanya kune mumwe munhu, kusanganisira vana, izvi zvinogona kuita kuti zvinhu zvive nyore. Kune mhepo shomanana inoda kuenzaniswa, iyo inoita kuti kuedza kuderedze kusinganzwisisiki uye kunyatsonaka. Kuedzwa kunowanzosadhura, kazhinji kunotengesa mazana emadhora emadhora kuenzaniswa nemadhora anodarika $ 1000 mu--badzidzo zvidzidzo inowanzobhadhara. Pamusana pokuwedzera kuwanikwa, zvinogona kuitwa nokukurumidza nekukurumidza kudzokera kunotanga kurapwa.
Usati wasarudza kuva neimba yokurara kwepasea yekurara, iwe unofanirawo kufunga nezvekugona kuita izvi kuedza. Sezvakataurwa, iyi kuedzwa kunoshandiswa kuongororesa kubvumira kugadzikana kwepabonde chete. Hazvina kukodzera kuongororwa kwepakati yokurara kwepabonde, kusuruvara, kusagadzikana kwemakumbo syndrome, circadian disorders, parasomnias, narcolepsy, kugumburwa, nezvimwe zvinetso.
Kana kuedzwa kuchidzoka sechinhu chisina kunaka, nechigumisiro chinowanzoitika, izvi zvingasava zvakarurama. Kunyarara kwepnea kunogona kunge kusisipo. Izvi zvinonyanya kukosha kuvakadzi vaduku uye vanhu vomuviri wepanyama. Chero nguva ipi zvayo inopedzisira yakamuka ichaderedza kuwandisa kwenhamba yezvokurara zvepanea zviitiko zvakatarwa neawa yekunyora. Izvi zvinogona kuchinja kuongororwa kana kutungamirira kumanzwiro enhema ekugara. Kana chimwe chinhu chisingafadzi mukushandiswa kwemasenzi kana zviyero zvakanyorwa, muedzo unogona kudzokorora.
Kazhinji, kana musha wekushaya apnea muedzo unokundikana kuongorora kubata apnea, in-lab labor test ichakurudzirwa kuti iongororore chiitiko chacho. Kana hutachiona hwekurara hwepabonde hunoonekwa nehutachiona hwekurara kwepasea mumba, akaenda kunzvimbo yekudzidza ye bilevel therapy inowanzodiwa. Kana muedzo unoratidza kurara kwepabonde, zvichava nyore kufamba pamwe nekurapwa, zvakadai seCPAP therapy kana kushandiswa kwemushonga wemuromo.
Kana iwe uchida kudzidza zvakawanda pamusoro pekutsvaga kwekurara kwepokugara kumba sechinhu chisarudzo, tsvaga bhodhi-unyanzvi hwehutano hwehutano pedyo newe uye uongororwe kuti uwane hutachiona, kurapwa, nekuzorora kwehutano zvaunoda.
Kunobva:
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.