Ropa rako rinotakura kutakura okisijeni kune nhengo dzako nezvimwe tishu. Zvisinei, dzimwe nguva usiku, hazvina kutakura okisijeni yakawandisa sezvinowanzoitika. Dambudziko iri rinonzi kudarika kwemazuva ekudengesa, izvo zvisiri nyore zvinoreva kudonha kwenguva pfupi muropa rako reyerojeni mazinga kubva pamagariro avo, masikati masikati (" oxygen saturation " ndiyo nheyo ye okisipa ropa rako rinotakura).
Nguva inononoka yechinamato yekushatisa ndiyo dambudziko rinowanzovapo kune vanhu vane chirwere chisingaperi chisingagadziriswa cheplmmine - zvinogona kukanganisa kusvika 38% yevaya vane COPD .
Risk Factors
Vanhu vane hutano vane chirwere chepapu chinowanzogadziriswa neoxygen saturation mazinga ari pakati pe 95% ne100%. Izvi zvinoreva masero avo matsvuku eropa ari kuswedera pedo kana kana azere yakakwana yekutakura simba.
Vanhu vane COPD vanowanzova nemaodzanyemba ekusikira mazinga eoksijeni kupfuura anowanzoitika. Zvimwe zvidzidzo zvakagumisa kuti masikati machini ekusimudzira mweya yakasvibira kana pasi kana akaenzana na 93% anokwanisa kufanidzira njodzi yakakwirira yekushatiswa kwemasikati manheru kune vanhu vane COPD yakasimba.
Kunyanya, kuti mumwe munhu aongororwe ane kusvibiswa kwemazuva masikati, zuva ravo rokutengesa oksijeni yepamusi inofanira kudonha kupfuura 4% kubva pamagariro avo ezuva rimwechete kwemaminitsi mashanu kana ivo vavete.
Zvinokonzera
Nguva yakasvibiswa yakasvibiswa inogona kuitika kana kufema kwako kunonoka munguva yehope.
Izvi zvinonzi hypoventilation .
Hypoventilation inogona kutungamirira kuchinja mumagetsi emaropa akadai se hypercapnia (yakawandisa carbon dioxide) uye hypoxemia (yakawandisa oksijeni) nevarwere veCOPD, zvikurukuru munguva yeR sleep. Iko kushanduka kunogona kukonzera kuwedzera kwezvikamu zvekumutsa nekuvhiringidzika kwehope, kupemha kwepemonta uye kuwedzera kwekufa kwevakafa.
Uyezve, kuva nezvimwe zvirwere zvehope zvakadai sokuputika kwepabonde zvinogona kuwedzeredza matambudziko uye zviratidzo zvinosanganiswa nekunonoka kwemazuva ano.
Zuva rezuva rinoshandiswa nehutachiona hunogonawo kuitika nekuda kwezvinonzi ventilation / perfusion zvisina kufanira , izvo zvinoreva kuti nguva yekufema kwako haina kufanana nekusvika kweropa rako rinopararira nemapapu ako. Ichi ndicho chimwe chinetso chinowanzoitika kune varwere veCOPD.
Kuongorora Kufungisisa
Mune vanhu vane muongorori kuCOPD avo vanofungidzirwa kuti vane nguva yekusvibiswa kwemazuva masikati, oximetry yemusha inoshandiswa kubudirira pakuongorora nyaya iyi.
Usiku huno huno hutachiona hunokwana mizinga yeakisijeni yekusimudza panguva yekurara uye inenge ine mazamu anonzwika apo oxygen yakasanganiswa inowira pasi peimwe yezinga. Vanonyorawo mazinga ako ekusimudza oksijeni kuitira kuti mupi wehutano wako wehutano angakwanisa kukuongorora zviri nani nokuda kwekushandurwa kwemazuva ekupedzisira.
Chimwe chishandiso chinobatsira pakutsvaga kwemazuva masikati ekudengiswa kwemazuva uye mamwe matambudziko ekurara ndechidzidzo chehope, inozivikanwawo nehutambo term overnight polysomnography (PSG).
Dzidzo dzehope dzinoitwa munzvimbo yakarongeka, kunyanya nzvimbo yekurara. Paunenge uchidzidzira kurara, iwe uchacherechedzwa neunyanzvi akadzidziswa.
Imwe midziyo yekudzidza panguva imwechete inonyora zvakasiyana-siyana zvepfungwa dzemararamiro dzakabatana nekurara uye kumuka, kusanganisira kufema, kushaya mwoyo, oksijeni maitiro, misi miitiro uye kufamba kweziso.
Kurapa
Varwere vane chirwere chakakomba chemasikati chinoshandiswa zuva rinosvika pakujeka vanobatsirwa nekurapwa kwenguva refu yeropajeni , kunyanya kana pane uchapupu hwemasikati hunyengeri.
Uyezve, kana uri kushandisa oxygen masikati, iwe unofanirwa kutaura nemutarisiri wako wehutano nezvehutano hwekuda humwe oxygen munguva yehope kuti urege kudzivirirwazve muusiku mukati meusiku. Vanhu vane COPD vangawanawo kuti vanowana humwe huri nani husiku hunovata vachishandisa oxygen usiku chete, asi, kubatsirwa kweizvi hakusi pachena.
Chinhu
Fanfulla F, Cascone L, Taurino AE.Minerva Med. Kurara-kuora mwoyo kufema mune varwere vane chirwere chisingaperi chisingamupiritsi chinonzi pulmonary disease. 2004 Aug; 95 (4): 307-21.
Lacasse Y et. al. Kuongorora manheru ekukanganiswa kweoksijeni muCOPD - yakadzokororwa. Respir Med. 2011 May 9.
Marrone O, Salvaggio A, Insalaco G. Int J Chron Bvisa Pulmon Dis. Matambudziko okuputika paanorara muchirwere chisingagadziriswi chepemmonic disease. 2006; 1 (4): 363-72.
Weitzenblum E, Chaouat A, Charpentier C, Krieger J. Hope uye COPD. Rev Prat. 1995 May 15; 45 (10): 1257-60.