Kuvhiringidza kurara kufema - vanhu vakuru

Kudzivirira kurara kwekufema (OSA) idambudziko umo kufema kwako kunomira panguva yekurara. Izvi zvinoitika nekuda kwekutetepa kana kuvharika kwemhepo.

Paunorara, tsandanyama dzese mumuviri wako dzinozoreruka. Izvi zvinosanganisira mhasuru dzinobatsira kuti uchengete huro yako yakavhurika kuitira kuti mweya upinde mumapapu ako.

Kazhinji, huro yako inoramba yakavhurika zvakakwana panguva yekurara kuti mweya upfuure. Vamwe vanhu vane huro nhete. Kana mhasuru dziri pahuro yavo yekumusoro dzichizorora panguva yekurara, zvinyama zvinovharira mukati uye zvinodzivirira nzira yemhepo. Kumira uku pakufema kunonzi kufemereka.

Ruzha ngonono chiratidzo chekutaura cheASA. Kuchengeta kunokonzerwa nemhepo inosvinira nemumugwagwa wakamanikana kana wakavharika. Havazi vese vanofemeruka vane hope dzekufema kunyangwe.

Zvimwe zvinhu zvakare zvinogona kuwedzera njodzi yako:

• Shaya yepasi ipfupi kana ichienzaniswa neshaya yako yekumusoro
• Mamwe maumbirwo edenga remuromo wako (mukanwa) kana yemumhepo inoita kuti idonhe zvirinyore
• Mutsipa wakakura kana saizi yekoloni, 17 inches (43 masentimita) kana kupfuura mune varume uye 16 inches (41 masentimita) kana kupfuura mune vakadzi
• Rurimi rukuru, runogona kudonha shure uye rovharira nzira yemhepo
• Kufutisa
• Matoni makuru uye adenoids ayo anogona kuvharidzira nzira yemhepo

Kurara kumusana kwako kunogona kukonzera kuti nzira yako yemhepo ivharwe kana kudzikira.

Central sleep apnea imwezve chirwere chehope panguva yekufema kunogona kumira. Izvo zvinoitika apo uropi hunombomira kutumira masaini kumhasuru dzinodzora kufema.

Kana iwe uine OSA, iwe kazhinji unotanga kuridza ngonono zvakanyanya mushure mekurara.

• Iyo ngonono inowanzo kuve inonzwika zvakanyanya.
• Kuchengeta kunokanganiswa nenguva yakanyarara kwenguva refu apo kufema kwako kunomira.
• Runyararo runoteverwa nekurira kukuru uye kufema, paunenge uchiedza kufema.
• Iyi pateni inodzokorora husiku hwese.

Vanhu vazhinji vane OSA havazive kuti kufema kwavo kunotanga nekumira panguva yehusiku. Kazhinji, munhu waakarara naye kana dzimwe nhengo dzemhuri vanonzwa kurira kukuru, kufemereka, uye kuridza ngonono. Kuchengeta kunogona kurira kwazvo kuti unzwe kuburikidza nemadziro. Dzimwe nguva, vanhu vane OSA vanomuka vachifemera mweya.

Vanhu vane apnea yekurara vanogona:

• Muka usina kuzorodzwa mangwanani
• Inzwa wakarara kana kukotsira mukati mezuva rese
• Ita chigumbu, kusashivirira, kana kutsamwa
• Kanganwa
• Kurara uchishanda, kuverenga, kana kuona TV
• Inzwa hope paunenge uchityaira, kana kutobatwa nehope paunenge uchityaira
• Iva akaomarara-ekurapa musoro

Mamwe matambudziko anogona kuitika anosanganisira:

• Kushungurudzika
• Hunhu hwekusagadzikana, kunyanya muvana
• Zvakaoma kurapa yakakwira BP
• Kutemwa nemusoro, kunyanya mangwanani

Anokuchengetedza hutano anotora nhoroondo yako yekurapa uye oongorora muviri.

• Mupi wako anoongorora muromo wako, mutsipa, nehuro.
• Unogona kubvunzwa nezve kurara masikati, kunyatsorara, uye tsika dzekurara.

Iwe unozofanirwa kuve neakarara kudzidza kuti usimbise OSA. Uku kuyedzwa kunogona kuitwa mumba mako kana mubazi rekurara.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Arterial eropa magasi
• Electrocardiogram (ECG)
• Echocardiogram
• Utachiona hwekushanda

Kurapa kunobatsira kuti nzira yako yemhepo izarurike paunenge wakarara kuti kufema kwako kurege kumira

Maitiro ehupenyu angabatsira kudzikisira zviratidzo kune vanhu vane hushoma hope dzekufema, senge:

• Dzivisa doro kana mishonga inoita kuti uve nehope usati warara. Vanogona kuita kuti zviratidzo zviwedzere.
• Dzivisa kurara nemusana.
• Deredza uremu hwakawandisa.

Kuenderera mberi kwakanaka kwemhepo yekumanikidza (CPAP) zvishandiso zvinoshanda zvakanyanya kurapa kudzikisira kufema kufema muvanhu vazhinji.

• Unopfeka chifukidzo pamusoro pemhino dzako kana pamusoro pemhino nemuromo paunenge wakarara.
• Iyo maski inosunganidzwa nehosi kune muchina mudiki unogara padivi pemubhedha wako.
• Muchina uyu unopomba mweya pasi pekumanikidza kuburikidza nehosi uye mask uye munzira yako yemhepo iwe uchakarara. Izvi zvinobatsira kuchengetedza yako yemhepo yakavhurika.

Zvinogona kutora nguva kujairira kurara neCPAP kurapwa. Kutevera kwakanaka uye kutsigirwa kubva kunzvimbo yekurara kunogona kukubatsira iwe kukunda chero matambudziko uchishandisa CPAP.

Midziyo yemazino inogona kubatsira vamwe vanhu. Iwe unozvipfekedza mumuromo mako paunorara kuti shaya yako irambe ichienda mberi uye nzira yemhepo yakavhurika.

Kumwe kurapwa kunogona kuwanikwa, asi pane humbowo hushoma hwekuti hunoshanda. Zviri nani kutaura nachiremba anonyanya kugadzirisa matambudziko ekurara usati waedza.

Kuvhiya kunogona kuve sarudzo kune vamwe vanhu. Inowanzo iri yekupedzisira sarudzo kana mamwe marapirwo aisashanda uye iwe une zviratidzo zvakakomba. Kuvhiya kunogona kushandiswa ku:

• Bvisa zvimwe zvinyama kumashure kwehuro.
• Ruramisa matambudziko nezvivakwa kumeso.
• Gadzira yakavhurika mupombi yemhepo yekupfuura nzira yakavharika yemhepo kana paine matambudziko epanyama.
• Bvisa matoni uye adenoids.
• Kuisa pacemaker-senge mudziyo unosimudzira mhasuru dzehuro kuti ugare wakavhurika panguva yekurara.

Kuvhiya hakugone kunyatsoporesa kutadza kufema kwekurara uye kunogona kuve nemhedzisiro yenguva refu.

Kana ikasarapwa, kufema kufema kunogona kukonzera:

• Kuzvidya mwoyo uye kuora mwoyo
• Kupera kufarira bonde
• Kuita kwakashata kubasa kana kuchikoro

Kurara kwemasikati nekuda kwekufema kufema kunogona kuwedzera njodzi ye:

• Tsaona dzemotokari kubva pakutyaira wakarara
• Maindasitiri tsaona kubva pakubatwa nehope pabasa

Muzviitiko zvakawanda, kurapwa kunoderedza zvachose zviratidzo uye matambudziko kubva kuhope kufema.

Kusagadziriswa kusagadzikana kwekurara kwepabonde kunogona kutungamira kana kuwedzera chirwere chemwoyo, kusanganisira:

• Mwoyo arrhythmias
• Kutadza kwemoyo
• Kumira kurova kwemoyo
• Kuwedzera kweropa
• Kurohwa

Fonera mupiki wako kana:

• Iwe unonzwa wakaneta zvikuru uye wakarara mukati mezuva
• Iwe kana mhuri yako munoona zviratidzo zvekuvhiringidza kufema kufema
• Zviratidzo hazviite nekurapwa, kana zviratidzo zvitsva zvinokura

Kurara kufema - kukanganisa - vanhu vakuru; Apnea - inopesana nekurara kutadza kufema munhu - vanhu vakuru; Kurara-kwakakanganisa kufema - vakuru; OSA - vakuru

• Mushure mekuvhiyiwa-kurasikirwa nekuvhiyiwa - chii chekubvunza chiremba wako
• Usati waremerwa-kurasikirwa uremu - chii chekubvunza chiremba wako
• Gastric bypass kuvhiya - kubuda
• Laparoscopic gastric banding - kubuda
• Toni uye adenoid kubviswa - kubuda

• Kurambidza kufema kufema

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Ng JH, Yow M. Midziyo yemumuromo mune manejimendi yekudzivirira kufema kufema. Kurara neMedhi. 2019; 14 (1): 109-118. PMID: 30709525 www.ncbi.nlm.nih.gov/pubmed/30709525.

Patil SP, Ayappa IA, Caples SM, Kimoff RJ, Patel SR, Harrod CG. Kurapa kwevakuru kuvhiringidza kurara kufema pamwe neakanaka mweya nzira yekumanikidza: iyo American Academy yeSleep Mishonga kiriniki yekudzidzira nongedzo J Clin Kurara Med. 2019; 15 (2): 335-343. PMID: 30736887 pubmed.ncbi.nlm.nih.gov/30736887.

Redline S. Kurara-kwakakanganisa kufema uye chirwere chemoyo. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 87.