Ndekupi Kuunganidza Kunobatsira Kuita Apnea Yokurara
Ndezvipi zviratidzo zvekurara kwepabonde muvana? Ndeipi nguva inobata muvana yakasununguka, uye rinenge rini dambudziko?
Overview
Kuvhiringidza kurara apnea syndrome (OSAS) inetso inowanzo muvana, inobata 2 kusvika ku4% yevana pane imwe nguva. Iyo iri kuwedzera kuonekwa sechikonzero chemasikati kutarisa nezvinetso zvekuita.
Kurara Apnea muvana vs Vakuru
Kusiyana nevanhu vakwegura vane chirwere chekurara , avo vanowanzopisa uye vanowanzosimuka usiku, vana vane OSA vane zvakaoma kuziva uye kuongorora.
Kusiyana nevakuru, vazhinji vana vane chirwere chekurara nehope haisi kuwandisa. Izvozvo zvakati, kuwedzeresa muviri kune ngozi yekurara kwepabonde muvana sevanhu vakuru, nekuda kwekuwedzera kwemafuta kumativi pamutsipa nehuro.
Zviratidzo
Kunyangwe kuchingura chiratidzo chinowanzoonekwa kune vana vane hutachiona hwekurara kwekurara, zvinokosha kuyeuka kuti pakati pe10 ne20 muzana yevana vanowanzogara nyoka (kunyanya kudya) nguva dzose kana mukati-kati.
Zvimwe zvezviratidzo nezviratidzo zvekudzivirira kubatwa kwepabonde muvana zvinosanganisira:
- Kunyora - Kuchengeta kunowanzokwira uye kunowanikwa usiku hwakawanda.
- Kakawanda kumutswa kana kusazorora nehope. Iwe unogona kuona kuti mwana wako ane nguva apo kufema kwake kunomira kwechinguva chiduku.
- Kukundikana kubudirira (kuora kurasikirwa kana kushaya uwandu hunorema) - Kurara kwepabhesi kunogona kukonzera kuderera kwekugadzira kwekukura kwehomoni, iyo inogonawo, inokonzera kushaya uremu uye kuwedzerwa kuwana.
- Kuwedzera kwehupombwe - Kunyange kupererwa kwepnea kunogona kukonzera kukura kukura uye kubudirira, kunogonawo kukonzera kuwedzera, kana kuvata kwemasikati kunogona kukonzera kuderera kwekuita muviri uye kunokonzera kusuruvara kwekudzivirira.
- Muromo kufema.
- Tandils akawedzerwa uye adenoids.
- Kufukura kwakanyanyisa usiku.
- Vanowanzorova usiku.
- Bedwetting.
- Kuwedzerwa kwekurara kwezuva masikati.
- Morning headaches.
- Zvinetso zvezuva nezuva uye zvinetso, zvinosanganisira matambudziko okuteerera, unhu hunopesana uye kusagadzikana, izvo zvinogona kutungamirira kumatambudziko kuchikoro.
Zvinetso Zvokuita Sechiratidzo Chekurara Kwepabonde muvana
Kukosha kwekutarisa kuti mukana wekurara kwepabonde muvana vane maitiro echinetso haugoni kuomeswa zvakakwana. Kwete nokuti kururamisa kubatwa kwepanea sechinhu chakareruka (iyo ndiyo iyo) nzira yekugadzirisa matambudziko aya, asi nokuti migumisiro yenguva refu yevana ndiyo yakaoma zvikuru kupfuura vanhu vakuru, kusanganisira kwete nyaya dzehutano chete asi kukura uye kukurudzirwa mupfungwa pamwe chete.
Zvakakosha kutaura nemwana wako nezvemhando ipi zvayo yekuchinja inokutambudza. Ramba uchiyeuka kuti izvi hazvirevi nguva dzose vana vari kuita zvinyengeri kana nehasha. Inogonawo kusanganisira avo vaimbova pane "nzvimbo yekutendesa" nzvimbo asi iye zvino vava kunyanya kururamisa uye kunyarara nekuda kwekuneta kwemasikati.
Associated Medical Conditions
Ndezvipi zvirwere zvinogona kukonzera njodzi yokuti mwana wako angave ane chirwere cheperesi chekurara?
- Down's syndrome - Vana vane Down's syndrome vari pangozi yakakura yekurara kwepabonde, pamwe zvakabatana nekuderera kwemazwi emutauro uyewo kuwedzera rurimi rwekura.
- Neuromuscular uye central central nervous system zvisiri izvo zvinosanganisira cerebral palsy .
- Craniofacial isina kunaka sezvakaita Pierre Robin syndrome, Treacher Collins syndrome uye Crouzon syndrome.
- Vana vane craniosynostosis vakadai sePfeffer's syndrome nezvimwe.
- Kuwedzera muviri.
Kuziva
Kuongororwa kweASA mune vana kazhinji kunobva pane zvinoratidza zviratidzo uye uchapupu hweAdenotonsillar hypertrophy (mabhii makuru uye adenoids) uye kufema mumuromo. Vana vanofungidzirwa kuti vane OSA inowanzofanira kuongororwa neAchiremba weECT muongorori kuti awedzere kuongororwa.
Kana zvichidikanwa, kumwe kuedzwa kunogona kusanganisira polysomnography (chirwere chekurara kwevana).
Mishonga
Kunyange zvazvo vana vaduku vaduku neOSA vasina kuwandisa, kana mwana akawandisa, izvo zvinogona kuita kuti zviratidzo zvake zvivepo. Kurasikirwa kwehuwandu, naizvozvo, zvinokosha kune vana vanopfuura kuwandisa kwepamusoro vane kuvhiringidzika kwepabonde yekurara.
Zvimwe zvinokonzerwa nezvoutano, kunyanya kuora muviri, zvinofanirawo kubatwa. Steroid inobuda inogona kubatsira kugadzirisa dambudziko remvura uye zviratidzo zveASA kune vana vanewo zvirwere.
Kurapa kwevana vaduku neOSA kuvhiyiwa, nekubvisa matonsi akawedzerwa emwana uye adenoids ( tonsillectomy uye adenoidectomy kana T & A ). Panguva yazvino, vazhinji veT & A vari munyika dzisina kubvumirwa vanoitwa nekurara kunetseka kupemha nekuvhiringidza kupona kwepabonde.
Nguva zhinji, kuvhiyiwa (T & A) kuchaguma nekugadzirisa kurara kwepabonde muvana. Kana zvisina kudaro, kuvhiyiwa mberi kunogona kudiwa, kana chiremba wako anogona kukurudzira kushandiswa kwekuenderera mberi kwemafambiro emhepo (CPAP) . kana orthodontic nzira dzakadai sokuwedzera kukurumidza maxillary .
Zvaunoda Kuziva Somubereki
- Sezvakaita vanhu vakuru, kuvhiringidzika kwekurara kwepabonde kunogona kukonzera matambudziko akawanda, kusanganisira kukura kusina kunaka, musoro wepamusoro, kukwira kweropa uye mamwe matambudziko emwoyo nemapapu.
- OSA, uye matambudziko ekurara, kazhinji, ari kuwedzera kuonekwa sechikonzero chezvinetso zvezuva nezuva zvekuchikoro uye zvinetso. Kana mwana wako ari kutambudzika kuchikoro kana nemafambiro ake uye anonyaradza zvikuru, unofanira kubvunza chiremba wevana nezveASA.
Pasi Pasi
Kana mwana wako ane chimwe chezviratidzo panguva dzose dzekurara kwepabonde, taura nevana vako. Ndapota cherechedza zvakare kuti, kusiyana nevakuru, vana vakawanda vanotambura nehope dzisina kurara havakwanisi. Kurara kwepabonde kunogona kuva nemigumisiro yakakomba kumwana maererano nehuwandu hwemasimba, maitiro, nekudzidza. Migumisiro yekupererwa kwepabonde muvana inogona kuchinja kunyange mhinduro dzavo pane zvidzidzo zveunyanzvi.
Sources:
American Academy of Otolaryngology - Musoro uye Neck Surgery. Chirwere Chirwere Chisingavhiringidzi Kuputika / Kuvhara Kurara Kwepabonde. http://www.entnet.org/content/pediatric-sleep-disordered-breathingobstructive-sleep-apnea
Dehlink, E., uye H. Tan. Chirongwa chekubatsira vana kubatwa nehope. Zvinyorwa zveTrracic Disease . 2016. 8 (2): 224-35.
Marcus, C., Brooks, L., Draper, K. uye al. Kuongororwa uye kutarisa kwehutano hwekudzivirira kubata apnea syndrome. Pediatrics . 2012. 130 (3): e714-55.