Kurara kwepakati pekurara

Central sleep apnea chirwere chekurara umo kufema kunomira pamusoro nekudzoka panguva yekurara.

Kumbotadza kufema munhu paanorara kunoguma apo uropi hunombomira kutumira mameseji kumasuru anodzora kufema.

Mamiriro acho anowanzoitika kune vanhu vane mamwe matambudziko ekurapa. Semuenzaniso, inogona kukura mune mumwe munhu ane dambudziko nenzvimbo yehuropi inonzi brainstem, iyo inodzora kufema.

Mamiriro ezvinhu anogona kukonzera kana kutungamira kune epakati yekurara kufema kunosanganisira:

• Matambudziko anokanganisa iyo brainstem, kusanganisira hutachiona hutachiona, sitiroko, kana mamiriro ecervical spine (mutsipa)
• Kunyanyisa kufutisa
• Mimwe mishonga, yakadai semarwadzo ekurapa

Kana apnea isingabatanidzwe nechimwe chirwere, inonzi idiopathic central sleep apnea.

Mamiriro anonzi Cheyne-Stokes kufema anogona kukanganisa vanhu vane moyo wakakundikana uye vanogona kusangana nepakati pekurara kufema. Iyo yekufema maitiro inosanganisira kuchinjisa yakadzika uye inorema kufema nekudzika, kana kusatombo fema, kazhinji kana wakarara.

Central sleep apnea haina kufanana nekudzivirira kupererwa kwepabonde. Nekudzivirira kutadza kufema kwekufema, kufema kunomira uye kunotanga nekuti nzira yemhepo yakatetepa kana kuvharika. Asi munhu anogona kuve nemamiriro ese ari maviri, senge nedambudziko rekurapa rinonzi kufutisa hypoventilation syndrome.

Vanhu vane apnea ekurara kwepakati vane zvikamu zvekuvhiringidzika kwekufema panguva yekurara.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kuneta kusingaperi
• Kurara masikati
• Mangwanani kutemwa nemusoro
• Kurara kusingazorori

Zvimwe zviratidzo zvinogona kuitika kana kufema kwemweya kuri kukonzerwa nedambudziko nehurongwa hwemitsipa. Zviratidzo zvinoenderana nezvikamu zvehurongwa hwemitsipa zvakakanganiswa, uye zvinogona kusanganisira:

• Kufema kwekufema
• Kumedza matambudziko
• Izwi rinochinja
• Kushaya simba kana kudzikama mumuviri wese

Anopa hutano anoita bvunzo dzepanyama. Miedzo ichaitwa kuti uongorore mamiriro ehutano ari pasi. Kudzidza kwekurara (polysomnography) kunogona kusimbisa kufema kufema.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Echocardiogram
• Lung basa kuyedza
• MRI yeuropi, musana, kana mutsipa
• Ropa bvunzo, senge arterial eropa gasi mazinga

Kuchengetedza mamiriro ezvinhu ari kukonzera mukati mekurara kwepabonde kunogona kubatsira kugadzirisa zviratidzo. Semuenzaniso, kana pakati pekurara kwepabhesi kunokonzerwa nekushaya simba kwemoyo, chinangwa ndechekurapa kutadza kwemoyo pachako.

Midziyo inoshandiswa panguva yekurara kubatsira kufema inogona kukurudzirwa. Izvi zvinosanganisira nasal inoenderera yakanaka yakanaka yemhepo kumanikidza (CPAP), bilevel yakanaka yemhepo kumanikidza (BiPAP) kana adaptive servo-ventilation (ASV). Dzimwe mhando dzeapnea yekurara yepakati inorapwa nemishonga inomutsa kufema.

Oxygen kurapwa kunogona kubatsira kuona kuti mapapu anowana okisijeni yakakwana paanenge akarara.

Kana mushonga wezvinodhaka uchikonzera kufema kwemweya, muyero wacho ungangoda kudzikiswa kana mushonga wacho kuchinja.

Kunyatsoita kwaunoita kunoenderana nehutano mamiriro anokonzeresa epakati pekurara kufema.

Maonero acho anowanzo kuve akanaka kune vanhu vane idiopathic yepakati pekurara kufema.

Matambudziko anogona kukonzeresa kubva kuchirwere chiri kukonzera hutachiona hwepakati pekurara.

Fonera mupiki wako kana iwe uine zviratidzo zvekurara kufema. Central sleep apnea inowanzoonekwa muvanhu vakatorwara zvakanyanya.

Kurara kufema - pakati; Kufutisa - kwepakati pekurara kufema; Cheyne-Stokes - apnea yekurara kwepakati; Kutadza kwemoyo - yepakati yekurara kufema

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.

Ryan CM, Bradley TD. Kurara kwepakati pekurara. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 89.

Zinchuk AV, Thomas RJ. Central sleep apnea: kuongororwa uye manejimendi. Mune: Kryger M, Roth T, Dement WC, eds. Nheyo uye Maitiro Ekurara Mushonga. 6th ed. Philadelphia, PA: Elsevier; 2017: chits. 110.