Kufutisa hypoventilation syndrome (OHS)

Kufutisa hypoventilation syndrome (OHS) mamiriro mune vamwe vanhu vakafutisa umo kufema kwakashata kunotungamira kudzikisa oxygen uye yakakwira carbon dioxide mazinga muropa.

Icho chaicho chikonzero cheOHS hachizivikanwe. Vatsvagiri vanotenda kuti OHS inoguma nehurema mukutonga kwehuropi pamusoro pekufema. Kurema kwakanyanyisa kumadziro echipfuva kunoitawo kuti zviomere kuti mhasuru dzigone kufema nekufema nekukasika zvakakwana. Izvi zvinokanganisa kudzora kufema kwehuropi. Nekuda kweizvozvo, ropa rine kabhoni dhayoksaidhi yakawandisa uye isina oxygen yakakwana.

Zviratidzo zvikuru zveOHS zvinokonzerwa nekushaikwa kwekurara uye zvinosanganisira:

• Kurara kwakashata mhando
• Kurara kufema
• Kurara masikati
• Kushungurudzika
• Kutemwa nemusoro
• Kuneta

Zviratidzo zvepasi reropa oksijeni nhanho (chisingaperi hypoxia) inogona zvakare kuitika. Zviratidzo zvinosanganisira kupfupika kwemweya wekufema kana kunzwa kuneta mushure mekuedza kushoma.

Vanhu vane OHS vanowanzo nyanyisa. Kuongorora kwepanyama kunogona kuratidza:

• Ruvara rweBluish mumiromo, zvigunwe, zvigunwe, kana ganda (cyanosis)
• Ganda rakatsvuka
• Zviratidzo zvekurudyi-moyo moyo kutadza (cor pulmonale), senge kuzvimba makumbo kana tsoka, kufema mweya, kana kunzwa kuneta mushure mekuita kushoma
• Zviratidzo zvekunyanyisa kurara

Miedzo inoshandiswa kubatsira kuongorora uye kusimbisa OHS inosanganisira:

• Arterial ropa gasi
• Chest x-ray kana CT scan kutonga kunze zvimwe zvinokonzeresa
• Lung basa bvunzo (pulmonary basa bvunzo)
• Kurara kudzidza (polysomnography)
• Echocardiogram (Ultrasound yemoyo)

Vanoona nezvehutano vanogona kuudza OHS kubva pakuvhiringidza kufema kufema nekuti munhu ane OHS ane yakakwira kabhoni dhayokisaidhi muropa rake kana amuka.

Kurapa kunosanganisira kufema rubatsiro uchishandisa akakosha michina (mechina kufefetedza) Sarudzo dzinosanganisira:

• Noninvasive mechanical ventilation yakadai seyakaramba ichienderera yakanaka mweya yekumanikidza (CPAP) kana bilevel yakanaka mweya yekumanikidza (BiPAP) kuburikidza nemask inokodzera kwazvo pamusoro pemhino kana mhino nemuromo (kunyanya kurara)
• Oxygen kurapa
• Kufema rubatsiro kuburikidza nekuvhura mumutsipa (tracheostomy) yezviitiko zvakakomba

Kurapa kunotangwa muchipatara kana semunhu anorwara kunze.

Mamwe marapirwo anoitirwa kurerutsa uremu, izvo zvinogona kudzosera OHS.

Isina kurapwa, OHS inogona kutungamira kumatambudziko akakura emoyo neropa, kuremara kwakanyanya, kana kufa.

Matambudziko eOHS ane chekuita nekushaikwa kwekurara anogona kusanganisira:

• Kushungurudzika, kushungurudzika, kusagadzikana
• Kuwedzera njodzi yetsaona kana kukanganisa pabasa
• Matambudziko nehukama hwepabonde

OHS inogona zvakare kukonzera matambudziko emoyo, akadai se:

• Kuwedzera kweropa (hypertension)
• Kurudyi-sided moyo kutadza (cor pulmonale)
• Kuwedzera kweropa mumapapu (pulmonary hypertension)

Fonera mupiki wako kana iwe wakaneta kwazvo mukati mezuva kana uine zvimwe zviratidzo zvinoratidza OHS.

Chengetedza huremu hune hutano uye dzivirira kufutisa. Shandisa yako CPAP kana BiPAP kurapwa sekupa kwaunopihwa nemupi wako.

Pickwickian chirwere

• Kufuridzira system

Malhotra A, Powell F. Kukanganisika kwekudzora mweya. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 80.

Mokhlesi B. Kufutisa-hypoventilation syndrome. Mune: Kryger M, Roth T, Dement WC, eds. Nheyo uye Maitiro Ekurara Mushonga. 6th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 120.

Mokhlesi B, Masa JF, Brozek JL, et al. Kuongorora uye manejimendi ekufutisa hypoventilation syndrome. Mukuru weAmerican Thoracic Society kiriniki yekudzidzira nhungamiro. Am J Respir Crit Kuchengeta Med. 2019; 200 (3): e6-e24. PMID: 31368798 www.ncbi.nlm.nih.gov/pubmed/31368798.