Kurara Apnea muVana: Zvaunofanira Kuziva

Zvemukati

• Mhedziso
• Zviratidzo zvekufema kufema muvana
• Migumisiro yekusagadziriswa kurapwa kwekurara muvana
• Zvinokonzera kubatwa nehope muvana
• Kuongorora kugona kurara muvana
• Kurapa kwekufema kufema muvana
• Ndeapi maonero?

Mhedziso

Pediatric sleep apnea chirwere chekurara apo mwana ane kumbomira zvishoma mukufema akarara.

Zvinotendwa kuti 1 kusvika ku4 muzana yevana muUnited States vane kufema kwekurara. Zera revana vane chirwere ichi rinosiyana, asi mazhinji acho ari pakati pemakore maviri neasere ekuberekwa, sekureva kweAmerican Sleep Apnea Association.

Mhando mbiri dzehope dzekurara dzinokanganisa vana. Kuvharidzira kufema kufema kunokonzeresa kuvharirwa kumashure kwehuro kana mhino. Ndiyo mhando yakajairika.

Rumwe rudzi, rwepakati pekurara rwunotadza kufema, rwunoitika kana chikamu chehuropi chinotarisira kufema chisingashande mushe. Hazvitumire mhasuru dzekufema zviratidzo zvakajairika kufema.

Mumwe musiyano uripo pakati pemhando mbiri dzeapnea huwandu hwehwe ngonono. Kuchengeta kunogona kuitika neapnea yekurara kwepakati, asi zvakanyanyisa kuzivikanwa nekutadzisa kufema kufema kwekufema nekuti zvine chekuita nekudzivirira kwemhepo.

Zviratidzo zvekufema kufema muvana

Kunze kwekukweva, zviratidzo zvekudzivirira uye kwepakati pekurara kwepabhesi zvakangofanana.

Zviratidzo zvakajairika zvekufema kufema muvana mukati mehusiku zvinosanganisira:

• kuridza ngonono
• kukosora kana kukachidza wakarara
• kufema nemumuromo
• hope dzinotyisa
• kunyorera pamubhedha
• anombomira achifema
• kurara munzvimbo dzisina kujairika

Zviratidzo zvekufema kufema hazviitike chete panguva yehusiku, zvakadaro. Kana mwana wako akarara husina hope husiku nekuda kwechirwere ichi, zviratidzo zvemasikati zvinogona kusanganisira:

• kuneta
• kunetseka kumuka mangwanani
• kurara masikati

Ramba uchifunga kuti vacheche uye vana vadiki vane hope dzekurara vangangorega, kunyanya avo vane apnea ekurara kwepakati. Dzimwe nguva, chiratidzo choga chekupererwa kwekurara muzera iri chinetsekana kana kuvhiringidzwa kurara.

Migumisiro yekusagadziriswa kurapwa kwekurara muvana

Kusabatwa hope kwekufema kutadza kutungamira kune nguva refu yekurara kunovhiringidza kunokonzera kusingaperi kwemasikati kuneta. Mwana ane chirwere chisingarapiki chekurara kwekufema angave achiomerwa nekuteerera kuchikoro. Izvi zvinogona kukonzeresa matambudziko ekudzidza uye kusashanda zvakanaka pedzidzo.

Vamwe vana vanowedzerawo kusagadzikana, zvichikonzera kuti vasatarisirwe zvisirizvo nekutarisa-kushomeka / kusagadzikana kwehutano (ADHD). Inofungidzirwa
kuti zviratidzo zvekudzivirira kufema kufema zvinogona kuve zviripo kusvika25 muzana yevana vane chirwere cheADHD.

Vana ava vanogona zvakare kunetsekana kubudirira munharaunda nemudzidzo. Muzviitiko zvakakomba zvakanyanya, kufema kufema kwemweya kunokonzera kukura uye kunonoka kunonoka uye matambudziko emwoyo.

Kusagadziriswa kurapwa kwekurara kunogona kukonzera kukwira kweropa, kuwedzera njodzi yekurohwa uye kurohwa kwemoyo. Inogona zvakare kuve nehukama nehucheche hwekuneta.

Zvinokonzera kubatwa nehope muvana

Nekudzivirira kufema kufema, mhasuru dziri kumashure kwehuro dzinodonha paunenge wakarara, zvichiita kuti zviomere mwana kufema.

Chikonzero chekumira kwekufema kufema muvana kazhinji chinopesana nechikonzero chevakuru. Kufutisa kunokonzeresa muvanhu vakuru. Kuwedzeredza muviri kunogona zvakare kubatsira kudzikisira kufema kufema muvana. Asi mune vamwe vana, zvinonyanya kukonzerwa neakakura matoni kana adenoids. Iyo yekuwedzera matissue inogona zvachose kana zvishoma chikamu ichivhara nzira yavo yemhepo.

Vamwe vana vari panjodzi yekusagadzikana kwekurara. Njodzi dzinokonzeresa kufema kwevana kurara dzinosanganisira:

• kuva nemhuri nhoroondo yekubatwa nehope
• kunyanyisa kana kufutisa
• kuva nezvimwe zvehutano (cerebral palsy, Down syndrome, sickle cell chirwere, kusagadzikana mudhehenya kana kumeso)
• kuzvarwa uine huremu hwekuzvarwa hushoma
• kuva nerurimi rukuru

Zvimwe zvinhu zvinogona kukonzera kurara kwekumbotadza kufema ndeizvi:

• mamwe marapirwo, sekushaya moyo pamwe nekurohwa
• kuzvarwa nguva isati yakwana
• kumwe kuberekwa kusanzwisisika
• mimwe mishonga, yakadai seopioid

Kuongorora kugona kurara muvana

Zvakakosha kuona chiremba kana iwe uchifungidzira kurara kufema kwemwana mumwana wako. Chiremba wevana vako anogona kukuendesa kune nyanzvi yekurara.

Kuti unyatsoongorora kufema kwekurara, chiremba anozobvunza nezve zviratidzo zvemwana wako, kuita ongororo yemuviri, uye kuronga chidzidzo chekurara.

Pachidzidzo chehope, mwana wako anogara husiku muchipatara kana kukiriniki yekurara. Nyanzvi yekurara inoisa maseru ekuyedza pamiviri yavo, vozoongorora zvinotevera husiku hwese:

• mafungu ehuropi
• oxygen chikamu
• Mamhanyiro emoyo
• tsandanyama chiitiko
• maitiro ekufema

Kana chiremba wako asina chokwadi kana mwana wako achida chidzidzo chehope chakazara, imwe sarudzo ndeye oximetry bvunzo. Bvunzo iyi (yakapedziswa kumba) inoyera kurova kwemoyo wemwana wako uye huwandu hweoxygen muropa rake paanenge akarara. Ichi chishandiso chekutanga chekutarisa kuti utarise zviratidzo zvehope kufema.

Kubva pamhedzisiro yeoetetry bvunzo, chiremba wako anogona kukurudzira kurara kwakazara kudzidza kuti usimbise kuongororwa kwehope hwekurara.

Pamusoro pekudzidza kwekurara, chiremba wako anogona kuronga electrocardiogram kutonga kunze chero moyo mamiriro. Uyu muedzo unonyora chiitiko chemagetsi mumoyo wemwana wako.

Kuongororwa kwakaringana kwakakosha nekuti kufema kutadza kufema kunombotadziswa muvana. Izvi zvinogona kuitika kana mwana asingaratidze chaiwo zviratidzo zvechirwere.

Semuenzaniso, pachinzvimbo chekungoridza ngonono uye kutora nguva yekurara masikati, mwana ane chirwere chekufema anogona kurwara, kushatirwa, nekukura kushanduka kwemamiriro, zvichikonzera kuongororwa kwedambudziko rehunhu.

Semubereki, ita shuwa kuti iwe unoziva iyo njodzi yezvikonzero zvekurara kufema muvana. Kana mwana wako akasangana nematanho ekurara kwekufema uye anoratidza zviratidzo zvekusagadzikana kana matambudziko ehunhu, taura nachiremba wako nezve kuwana chidzidzo chekurara.

Kurapa kwekufema kufema muvana

Iko hakuna nhungamiro inokurukura nguva yekurapa kufema kwekurara muvana inogamuchirwa nemunhu wese. Nokuda kwekurara kwepabonde pasina zviratidzo, chiremba wako angasarudza kusarapa mamiriro acho, zvichida kwete pakarepo.

Vamwe vana vanokurumidza kufema kufema. Saka, chiremba wako anogona kuongorora mamiriro avo kwechinguva kuti aone kana paine kuvandudzwa. Zvakanakira kuita izvi zvinofanirwa kuyerwa pamusoro penjodzi yematambudziko enguva refu kubva pasati yagadziriswa kurapwa kwekufema.

Nyaya dzemusoro nasal steroids dzinogona kunyorerwa kuti dzibvise kuzara kwemazino mune vamwe vana. Iyi mishonga inosanganisira fluticasone (Dymista, Flonase, Xhance) uye budesonide (Rhinocort). Iwo anongofanirwa kushandiswa kwechinguva kusvikira kuzara kwagadziriswa. Izvo hazvina kuitirwa kurapwa kwenguva refu.

Kana matoni akawedzerwa kana maadenoid achikonzeresa kufema kufema kwekurara, kuvhiya matoni uye adenoid kunowanzoitwa kuvhura nzira yemwana wako.

Muchiitiko chekuneta, chiremba wako anogona kukurudzira chiitiko chemuviri uye chikafu chekurapa kufema kufema.

Kana kurara kufema kwakakomba kana kusati kuchivandudza nekuvandudzika kubva pakurapwa kwekutanga (kudya uye kuvhiyiwa kwekutadzisa kurara kufema kwekurara uye kudya uye kurapwa kwemamiriro ezvinhu epakati pekurara kufema), mwana wako angangoda kuenderera kwakanaka kweanopemha mweya kurapa (kana CPAP kurapa) .

Munguva yeCPAP yekurapa, mwana wako achapfeka maski inovhara mhuno nemuromo vakarara. Muchina unopa kuenderera kuyerera kwemhepo kuchengetedza yavo yemhepo yakavhurika.

CPAP inogona kubatsira zviratidzo zvekuvhiringidza kufema kufema, asi hazvigone kurapa. Dambudziko hombe neCPAP nderekuti vana (uye vakuru) kazhinji havadi kupfeka chakakomba kumeso kumeso manheru ega ega, saka vanorega kuishandisa.

Kune zvakare mazino emuromo ekuti vana vane chipingaidzo chekurara kufema kwavanogona kupfeka pavanenge vakarara. Aya majaira akagadzirirwa kuchengetedza shaya pamberi uye nekuchengetedza nzira yavo yemhepo yakavhurika. CPAP inoshanda zvakanyanya, kazhinji, asi vana vanowanzo tsungirira miromo zviri nani, saka vangangoishandisa manheru ega ega.

Miromo yemuromo haibatsire mwana wese, asi vanogona kunge vari sarudzo kune vana vakuru vasingachaoni kumeso kwemabhonzo.

Chigadzirwa chinonzi noninvasive chakanaka kumanikidza mweya mweya mudziyo (NIPPV) inogona kushanda zvirinani kune vana vane epakati yekurara kufema. Iyi michina inobvumidza backup yekufema mwero kuiswa. Izvi zvinoona kuti yakatarwa nhamba yekufema inotorwa mineti yega yega kunyangwe isina chiratidzo chekufema kubva muuropi.

Apnea alarms inogona kushandiswa kune vacheche vane epakati yekurara kufema. Inonzwika sey alarm kana chiitiko cheapnea chikaitika. Izvi zvinomutsa mucheche uye zvinomisa iyo apneic episode. Kana mucheche akakurira dambudziko, alarm haichadiwe zvakare.

Ndeapi maonero?

Kurara kwepabhesi yekurara kunoshanda kune vana vazhinji. Kuvhiya kunobvisa zvinovhiringidza kufema kufema kwekurara zviratidzo zvinosvika makumi manomwe kusvika makumi mapfumbamwe muzana muzana evana vane matoni akawedzera uye adenoids. Saizvozvowo, vamwe vana vane chero rudzi rwehope yekurara vanoona kuvandudzwa kwezviratidzo zvavo nehuremu manejimendi kana kushandiswa kweCAPAP muchina kana mudziyo wemuromo.

Kana ikasiiwa isina kurapwa, kufema kufema kunogona kutowedzera uye kukanganisa hupenyu hwemwana wako. Zvinogona kuva zvakaoma kwavari kuti vafunge muchikoro, uye kusagadzikana uku kunovaisa panjodzi yekutyisidzira hupenyu sekurwara kana chirwere chemwoyo.

Kana iwe ukacherekedza kurira kukuru, kumbomira mukufema wakarara, kusagadzikana, kana kuneta kwemazuva masikati mumwana wako, taura nachiremba wako uye kurukura nezve mukana wehope hwekurara.