Ndeupi Rudzi rweKurara Kutadza kufema Bvunzo Kwakakukodzera?

Zvemukati

• Kubatwa nehope kunoonekwa sei?
• In-lab yekurara kudzidza (polysomnography)
• Zvakanakira nekuipira kweiyo mune-lab yekurara kudzidza
• Zvayakanakira
• Nezvayakaipira
• Ku-kumba kurara bvunzo
• Pros uye cons yeiyo kumba-yekurara bvunzo
• Zvayakanakira
• Nezvayakaipira
• Mhedzisiro yebvunzo
• Kurapa nzira
• Chinokosha

Kurara kutadza kufema (anne apnea) chiitiko chakajairika chinoita kuti umire kufema kwenguva pfupi paunenge wakarara. Kana ikasarapwa, inogona kuve nehutano hwakakura pamusoro penguva refu.

Kana chiremba wako achifunga kuti iwe unogona kunge uine kurara kufema, iwe ungangoita usiku hwekurara bvunzo dzinoongorora kufema kwako.

Ngatinyatsoongororai sarudzo dzekuyedza dzinowanikwa pakuongorora kufema kwekurara.

Kubatwa nehope kunoonekwa sei?

Kuti uongorore kufema kwekurara, chiremba wako anotanga kukubvunza nezve ako zviratidzo.

Chiremba wako anogona kukukumbira kuti upedze rimwe kana akawanda emibvunzo kuti uongorore zviratidzo zvakaita sekurara masikati uye pamwe nenjodzi dzechimiro, sekukwirira kweropa, kufutisa, uye zera.

Kana chiremba wako achifungidzira hope dzekurara, vanogona kukurudzira muyedzo wekutarisa kurara. Iyo inonzi zvakare yekurara yekudzidza kana polysomnography (PSG), inosanganisira kupedza husiku kubazi, kukiriniki, kana kuchipatara. Kufema kwako uye zvimwe zviratidzo zvakakosha zvichaongororwa paunenge wakarara.

Zvinogonekawo kuongorora kurara kwako mumba mako. Chiremba wako anogona kuratidza kumba-kurara yekutarisa kana zviratidzo zvako uye njodzi zviine simba zvinoratidza kurara kwekufema.

In-lab yekurara kudzidza (polysomnography)

In-lab yekurara zvidzidzo zvinoshandiswa kuongorora kurara kufema, pamwe neakasiyana siyana mamwe matambudziko ekurara.

Dzidzo dzakawanda dzekurara dzinowanzoitika pakati pegumi. na6 mangwanani Kana iwe uri zizi rehusiku kana lark yemangwanani, ino nguva inogona kunge isingaite. Muedzo wepamba unogona kukurudzirwa panzvimbo.

Iwe uchagara mukamuri repachivande rakagadzirirwa kuti unzwe kugadzikana, zvakanyanya seimba yehotera. Uyai nemapyjama uye chero chimwe chinhu chamunowanzofanira kurara.

Dzidzo dzekurara hadzifadzi. Iwe haufanire kupa muyero weropa. Zvisinei, iwe unenge uine tambo dzakasiyana dzakabatanidzwa nemuviri wako. Izvi zvinogonesa nyanzvi yekurara kuongorora kufema kwako, chiitiko cheuropi, uye zvimwe zviratidzo zvakakosha paunenge wakarara.

Kunyanya kusununguka iwe, zvirinani iyo nyanzvi inogona kuongorora kurara kwako.

Ukangobatwa nehope, nyanzvi ichaongorora zvinotevera:

• nguva yako yekurara, sekusarudzwa nemafungu ako ehuropi uye kufamba kwemaziso
• kurova kwemwoyo wako neBP
• kufema kwako, kusanganisira oxygen mazinga, kufema kupera, uye ngonono
• chinzvimbo chako uye chero kufamba kwemaoko

Kune mafomati maviri ezvidzidzo zvekurara: husiku hwakazara uye husiku hwakakamurwa.

Pakati peyakazara-husiku hwekurara kudzidza, hope dzako dzinozo tariswa kwehusiku hwese. Kana iwe ukatambira kuongororwa kwehope hwekurara, ungangoda kudzokera kubazi panguva inotevera kuti umise chishandiso chinokubatsira kufema.

Munguva yekudzidza-kupatsanura-husiku, hafu yekutanga yeusiku inoshandiswa kuongorora kurara kwako. Kana apnea yekurara ikaonekwa, chikamu chechipiri chehusiku chinoshandiswa kumisikidza chishandiso chekurapa.

Zvakanakira nekuipira kweiyo mune-lab yekurara kudzidza

In-lab yekurara bvunzo ine zvayakanakira nezvayakaipira. Taura nachiremba wako nezve yako bvunzo zvaunofarira.

Zvayakanakira

• Yakawanda chaiyo bvunzo inowanikwa. Iko-mu-lab yekurara bvunzo inoonekwa seyegoridhe chiyero chekuongorora kuongororwa kwehope kufema.
• Sarudzo yekuita yekuparadzanisa-husiku kudzidza. Zvidzidzo zvekuparadzanisa-husiku zvinobvumidza kuongororwa uye kurapwa muhusiku humwe chete, zvakasiyana neese ezere-husiku uye kumba-bvunzo.
• Yakanakisa bvunzo yemamwe marudzi ebasa. Vanhu vanozviisa panjodzi huru kwavari kana kune vamwe kana vakarara pabasa vanofanira kutora chikamu mune ye-lab yekurara yekudzidza kuti vaone kunyatso kuongororwa. Izvi zvinosanganisira vanhu vanoshanda setekisi, bhazi, kana vatyairi-vanogovana-vatyairi, pamwe nevatyairi uye mapurisa.
• Yakanakisa sarudzo kune vanhu vane zvimwe zvekurara kana zvinonetsa. In-lab yekutarisisa inonyanya kukodzera kune vanhu vane mamwe mamiriro ehutano, kusanganisira kurara uye chirwere chemwoyo nemapapu.

Nezvayakaipira

• Zvinodhura pane kuyedza kumba. In-lab miedzo inodhura kumusoro kwe $ 1 000. Kana iwe uine inishuwarenzi, mupi wako anogona kuvhara imwe kana yese yemubhadharo, asi havazi vese vanopa vanovhara uyu bvunzo. Vamwe vanopa vanoda mhedzisiro yeye kumba-bvunzo usati watora ye--yabvunzo.
• Zvishoma zvinowanikwa. In-lab zvidzidzo zvinoda kutakurwa kuenda uye kubva kurara lab. Zvichienderana nekwaunogara, izvi zvinogona kutora nguva kana kudhura.
• Yakareba nguva yekumirira. Zvichienderana nekwaunogara uye kudiwa kwemhando iyi yemuyedzo, ungatofanira kumirira vhiki dzinoverengeka kana kunyangwe mwedzi kutora bvunzo.
• Zvishoma zviri nyore. Kutora bvunzo yekurara mu-lab ingangokanganisa hurongwa hwako hwebasa kana kukanganisa maitiro ako ezuva nezuva uye nemitoro.
• Set kurara maawa ekudzidza. Zvidzidzo zvakawanda zvekurara zvinoitika pakati pegumi. na6 mangwanani Kana iwe uine imwe nguva yekurara, bvunzo yekumba inogona kuve iri nani sarudzo.

Ku-kumba kurara bvunzo

Ku-kumba kwekurara bvunzo iyi yakareruka vhezheni ye-ye-lab bvunzo. Iko hakuna nyanzvi. Panzvimbo iyoyo, chiremba wako acharaira inotakurika yekufema yekutarisa kit iyo iwe yaunotora kumba.

Pahusiku hwebvunzo, iwe unogona kutevedzera yako yenguva dzose yekurara maitiro. Nyatsoteerera kumirayiridzo yakapihwa kit yacho kuti uone kuti unonyatsobatanidza ma sensors ekutarisa.

Mazhinji epamba pekurara kufema kwemapazi monitors zviri nyore kumisikidza. Izvo zvinowanzo sanganisira zvinotevera zvinhu:

• chidimbu chemunwe icho chinoyera yako oxygen mazinga uye kurova kwemoyo
• nasal cannula kuyera oxygen uye mweya
• sensors kuteedzera kumuka uye kudonha kwechipfuva chako

Kusiyana neyemu-lab bvunzo, iyo yekumba-bvunzo haina kuyera yako yekurara kutenderera kana chinzvimbo kana mitezo kufamba mukati mehusiku.

Kutevera bvunzo, mhedzisiro yako ichatumirwa kuna chiremba wako. Vachaonana newe kuti vakurukure zvabuda uye vaone kurapwa, kana zvichidikanwa.

Pros uye cons yeiyo kumba-yekurara bvunzo

Ku-kumba kurara bvunzo kune zvakwakanakira nekuipira. Taura nachiremba wako nezve yako bvunzo zvaunofarira.

Zvayakanakira

• Zvimwe zviri nyore. Ku-kumba bvunzo kuri nyore pane kuyedza -mubazi. Iwe unogona kutevedzera maitiro ako ehusiku, izvo zvinogona kunyatso kupa kuverenga kwakanyatso kwekuti unofema sei paunenge wakarara pane kuyedzwa -mubazi.
• Zvishoma kudhura. Ku-kumba miedzo ingangoita yemutengo wemu-lab bvunzo. Inishuwarenzi ingangoita yekuvhara iyo, zvakare.
• Zvimwe zvinowanikwa. Ku-kumba bvunzo inogona kunge iri yechokwadi sarudzo kune vanhu vanogara kure nenzvimbo yekurara. Kana zvichidikanwa, mutariri anogona kutotumirwa kwauri mune tsamba.
• Mhedzisiro mhedzisiro. Paunenge uchinge uine inotakurika kufema yekutarisa, iwe unogona kuita iyo bvunzo. Izvi zvinogona kutungamira kumhedzisiro mhedzisiro pane ye-mu-lab bvunzo.

Nezvayakaipira

• Zvishoma kunyatso. Pasina nyanzvi iripo, zvikanganiso zvekuyedza zvinowanzoitika. Ku-kumba bvunzo hakuoni zvakavimbika zviitiko zvese zvehope kufema. Izvi zvinogona kuve nenjodzi kana iwe uine basa rine njodzi kana imwe hutano mamiriro.
• Inogona kutungamira kune ye-lab yekurara yekudzidza. Kunyangwe mhedzisiro yako iri yakanaka kana isina kunaka, chiremba wako anogona achiri kuratidza iyo ye-murabhu bvunzo yekurara. Uye kana iwe ukatambira kurara kwekufema kwekurara, ungangodaro uchidikanwa kupedza husiku murabhoritari kuti uve nechirongwa chekurapa chakakodzera.
• Hazviongorore mamwe matambudziko ekurara. Ku-kumba bvunzo chete kuyera kufema, moyo kurovera, uye oxygen mazinga. Zvimwe zvinowanzovhiringidzika zvekurara, senge narcolepsy, hazvigone kuwanikwa kubva pamuedzo uyu.

Mhedzisiro yebvunzo

Chiremba kana nyanzvi yekurara anozodudzira mhedzisiro yeako mu-lab kana kumba-kurara kufema kwekuzorora.

Vanachiremba vanoshandisa chiyero chinonzi iyo Apnea Hypopnea Index (AHI) kuongorora kufema kutadza kufema. Chiyero ichi chinosanganisira kuyerwa kwenhamba yemapfeas, kana kupera mweya, paawa yekurara panguva yechidzidzo.

Vanhu vasina kufema kufema, kana vane fomu yakapfava yekufema kufema, kazhinji vanowana isingasviki apneas mashanu paawa. Vanhu vane chirwere chakakomba chekubata hope vangasangana nemapfeas ekurara anopfuura makumi matatu paawa.

Vanachiremba zvakare vanoongorora yako oxygen mazinga kana uchiongorora hope dzekufema. Nepo pasina chinogamuchirwa che cutoff level yehope kufema, kana ropa rako okisijeni mazinga ari akaderera pane avhareji, chingave chiratidzo chehope kufema.

Kana zvabuda zvisina kujeka, chiremba wako anogona kukurudzira kudzokorora bvunzo. Kana apnea yekurara isingawanikwe asi zviratidzo zvako zvinopfuurira, chiremba wako anogona kukurudzira imwe bvunzo.

Kurapa nzira

Kurapa kunoenderana nekuoma kwehope yako yekurara. Mune zvimwe zviitiko, shanduko yemararamiro ndizvo zvese zvinodiwa. Izvi zvinogona kusanganisira:

• kuonda
• kushandisa yakakosha yekurara yekumira piro
• kuchinja nzvimbo yako yekurara

Kune nzira dzinoverengeka dzekurapa dzinoshanda dzekufema kurara. Izvi zvinosanganisira:

• Kuenderera mberi kwakanaka kwemhepo kumanikidza (CPAP). Chinhu chinowanzojairika uye chinobudirira chekurapa kufema kwekurara imushini unonzi CPAP. Nechigadzirwa ichi, chigumbuso chidiki chinoshandiswa kuwedzera kumanikidza mumhepo dzako.
• Zvishandiso zvemumuromo. Chigadzirwa chemazino chinosundira shaya yako yepasi kumberi chinogona kudzivirira huro yako kuvhara kana iwe uchifema. Izvi zvinogona kuve zvinobudirira mune zvinyoro uye zvine mwero zviitiko zvekurara kufema.
• Nasal mudziyo. Chishoma-bhandeji-senge chishandiso chinonzi Provent Kurara Apnea Therapy yanga iine zvimwe zviitiko zvinyoro kusvika pakuenzanisa kurara kufema. Inoiswa mukati memhino chete uye inogadzira kumanikidza kunobatsira kuti nzira dzako dzekufema dzivhurike.
• Oxygen kuendesa. Dzimwe nguva, okisijeni inonyorerwa padhuze neCPAP chishandiso kuwedzera huwandu hweropa reokisijeni.
• Kuvhiya. Kana kumwe kurapa kusiri kushanda, kuvhiya kunogona kuve sarudzo yekuchinja chimiro chenzira dzako dzekufema.Kune nzira dzakasiyana siyana dzekuvhiya dzinogona kubata apnea yekurara.

Chinokosha

Zvese zviri mu-lab uye kumba-kurara kufema kufema kwekuyera kuyera mabasa akakosha, sekufema mapatani, kurova kwemoyo, uye nemazinga eoksijeni. Mhedzisiro yemiedzo iyi inogona kubatsira chiremba wako kuona kana iwe uine hope dzekufema.

Iyo polysomnography (PSG) inoitiswa murabhorari ndiyo bvunzo chaiyoiyo inowanikwa kuti uongorore kufema kwekurara. Kumba-kurara kufema kufema kwepamhepo bvunzo dzine chokwadi chakaringana. Iwo zvakare anodhura anodhura uye ari nyore.