Kuvhiya kweKurara Kutadza kufema

Zvemukati

• Ndedzipi nzira dzakasiyana?
• Radiofrequency volumetric tishu kudzikisira
• Uvulopalatopharyngoplasty
• Kufambira mberi kweMaxillomandibular
• Anterior yakaderera mandibular osteotomy
• Genioglossus kufambira mberi
• Midline glossectomy uye hwaro hwekudzora rurimi
• Lingual tonsillectomy
• Septoplasty uye turbinate kudzikira
• Hypoglossal tsinga inosimudzira
• Kumiswa kweiyo Hyoid
• Ndezvipi njodzi dzekuvhiyiwa kwehope kufema?
• Taura nachiremba wako
• Chinokosha

Chii chinonzi apnea yekurara?

Kurara kwepabhesi rudzi rwekukanganiswa kwekurara kunogona kuve nemhedzisiro inokanganisa hutano. Zvinokonzera kufema kwako kumira nguva nenguva paunenge wakarara. Izvi zvinoenderana nekuzorora kwetsandanyama dziri muhuro mako. Paunomira kufema, muviri wako unowanzo muka, zvichikonzera kuti urasikirwe nehunhu hwekurara.

Nokufamba kwenguva, kurara kwepabhesi kunogona kuwedzera njodzi yako yekukura kweBP, nyaya dzemagetsi, uye mamwe matambudziko ehutano, saka zvakakosha kurapa. Kana kurapa kwekuvhiya kusingabatsire, ungangoda kuvhiyiwa.

Ndedzipi nzira dzakasiyana?

Pane zvakawanda zvekuvhiya zvekurapa kufema kufema, zvichienderana nekuti kurara kwako kufema kwakanyanya sei uye hutano hwako hwese.

Radiofrequency volumetric tishu kudzikisira

Kana iwe usingakwanise kupfeka chishandiso chekufema, senge chichienderera chakanaka cheanofamba nemhepo (CPAP) muchina, chiremba wako anogona kukurudzira radiofrequency volumetric tishu kudzikisira (RFVTR). Maitiro aya anoshandisa masaisai eredhiyo kuti adzike kana kubvisa zvinyama kumashure kwehuro yako, kuvhura nzira yako yemhepo.

Ramba uchifunga kuti iyi nzira inowanzo shandiswa kurapa kuridza ngonono, asi inogona zvakare kubatsira neapnea yekurara.

Uvulopalatopharyngoplasty

Sekureva kweCleveland Clinic, ichi ndicho chimwe chekuvhiyiwa kwakajairika kwekurapa kufema kwekurara, asi kwete iko kunonyanya kushanda. Inosanganisira kubvisa mamwe maturu kubva kumusoro kwehuro uye kumashure kwemuromo wako. Kufanana neRFVTR maitiro, zvinowanzoitwa chete kana iwe usingakwanise kushandisa CPAP muchina kana chimwe chishandiso, uye inowanzo shandiswa sekurapa ngonono.

Kufambira mberi kweMaxillomandibular

Maitiro aya anonzi zvakare kushaya patsva. Zvinosanganisira kufambisa shaya yako kumberi kuti ugadzire imwe nzvimbo kuseri kwerurimi. Izvi zvinogona kuvhura yako yemhepo. Chinhu chidiki chinosanganisira 16 vatori vechikamu vakaona kuti maxillomandibular kufambira mberi kwakadzora kukomba kwekufema kufema mune vese vatori vechikamu neinopfuura 50%.

Anterior yakaderera mandibular osteotomy

Maitiro aya anopatsanura chin chako pfupa muzvikamu zviviri, uchibvumira rurimi rwako kuenda kumberi. Izvi zvinobatsira kuvhura yako yemhepo uchidzikamisa shaya nemuromo. Maitiro aya ane nguva ipfupi yekudzoreredza kupfuura mamwe akawanda, asi kazhinji haina kunyanyo shanda. Chiremba wako anogona zvakare kukurudzira kuita iyi nzira pamwe chete neimwe mhando yekuvhiya.

Genioglossus kufambira mberi

Kufambira mberi kweGenioglossus kunosanganisira kusimbisa zvishoma tendon pamberi peirimi rako. Izvi zvinogona kudzivirira rurimi rwako kuti rurege kudzoka shure uye kupindira nekufema kwako. Inowanzoitwa padivi peimwe kana yakawanda mamwe maitiro.

Midline glossectomy uye hwaro hwekudzora rurimi

Rudzi urwu rwekuvhiya runosanganisira kubvisa chikamu chekuseri kwerurimi rwako. Izvi zvinoita kuti nzira yako yekubhururuka iwedzere. Sekureva kweAmerican Academy yeOtolaryngology, ongororo inoratidza kuti maitiro aya ane mwero wekubudirira we60 muzana kana kupfuura.

Lingual tonsillectomy

Maitiro aya anobvisa matoni ako maviri pamwe chete nematone matoni pedyo neshure kwerurimi rwako. Chiremba wako anogona kukurudzira iyi sarudzo kuti ubatsire kuvhura chikamu chezasi chehuro yako kuti zvive nyore kufema.

Septoplasty uye turbinate kudzikira

Iyo nasal septum musanganiswa wefupa uye shwashwa inoparadzanisa mhino dzako. Kana yako septum yemhino yakakotama, inogona kukanganisa kufema kwako. Septoplasty inosanganisira kururamisa septum yako yemhino, iyo inogona kubatsira kutwasanura mhino dzako uye kuita kuti zvive nyore kufema.

Mapfupa akakombama pamadziro emukoto wako, anonzi ma turbinates, dzimwe nguva anogona kukanganisa kufema. Kuderedzwa kweturbine kunosanganisira kudzikisira saizi yemapfupa aya kuti ubatsire kuvhura yako yemhepo.

Hypoglossal tsinga inosimudzira

Maitiro aya anosanganisira kubatanidza electrode kune yakakomba tsinga inodzora rurimi rwako, inonzi iyo hypoglossal nerve. Iyo electrode yakabatana kune chishandiso chakafanana neye pacemaker. Paunomira kufema muhope dzako, zvinokurudzira rurimi rwako mhasuru kuvadzivirira kubva pakuvhara nzira yako yemhepo.

Iyi ndiyo nyowani yekurapa sarudzo ine mibairo inovimbisa. Nekudaro, yemaitiro akacherekedza kuti mhedzisiro yacho haina kuenderana mune vanhu vane yakakwira body mass index.

Kumiswa kweiyo Hyoid

Kana kufema kwako kwekurara kuchikonzerwa nekuvhara pedyo nezasi kwerurimi rwako, chiremba wako anogona kuratidza maitiro anonzi hyoid kumiswa. Izvi zvinosanganisira kufambisa hyoid bone uye mhasuru dziri padhuze mumutsipa wako padhuze nepamberi pemutsipa wako kuti uvhure yako yekufema.

Zvichienzaniswa nezvimwe zvakajairika zvekuvhiya kufema kwekurara, iyi sarudzo yakanyanya kuomarara uye kazhinji isinganyanyo shanda. Semuenzaniso, inosanganisira makumi maviri neshanu vatori vechikamu vakaona kuti ine mukana wekupasa weye chete 17 muzana.

Ndezvipi njodzi dzekuvhiyiwa kwehope kufema?

Kunyange zvazvo kuvhiya kose kune dzimwe njodzi, kuva nehope yekurara kunogona kuwedzera njodzi yako yezvimwe zvinetso, kunyanya kana zvasvika kune anesthesia. Mishonga yakawanda yeanesthesia inosunungura misungo yako yehuro, iyo inogona kuita kuti apnea yekurara iwedzere panguva yekuita.

Nekuda kweizvozvo, iwe ungangoda rubatsiro rwakawedzerwa, senge endotracheal intubation, kuti ikubatsire kufema panguva yekuita. Chiremba wako anogona kukuudza kuti ugare muchipatara kwenguva yakati rebei kuti vakwanise kuongorora kufema kwako sezvaunopora.

Dzimwe njodzi dzinogona kuitika dzekuvhiya dzinosanganisira:

• kubuda ropa zvakanyanya
• hutachiona
• yakadzika tsinga thrombosis
• mamwe matambudziko ekufema
• kuchengetedza weti
• allergic reaction to anesthesia

Taura nachiremba wako

Kana iwe uchifarira kuvhiyiwa kwehope kufema, tanga nekutaura nachiremba wako nezvezviratidzo zvako uye kumwe kurapa kwawaedza. Sekureva kweMayo Clinic, zviri nani kupa kumwe kurapa kwekuyedza kwemwedzi mitatu usati wafunga kuvhiyiwa.

Izvi zvimwe zvinosanganisira:

• CPAP muchina kana chishandiso chakafanana
• oxygen therapy
• kushandisa mamwe mapiro kuti uzvigadzirire iwe paunorara
• kurara nedivi rako pane musana
• mudziyo unotaurwa, senge wekuchengetedza muromo, wakagadzirirwa vanhu vane kufema kwekurara
• mararamiro anochinja, akadai sekudzikisa huremu kana kurega kusvuta
• kurapa chero moyo wepamoyo kana neuromuscular kusagadzikana kunogona kukonzeresa kurara kwako kufema

Chinokosha

Pane zvakawanda zvekuvhiya zvekurapa kufema kufema, zvichienderana nechinokonzera chikonzero. Shanda nachiremba wako kuti uone kuti ndeapi maitiro achashanda zvakanyanya kune ako mamiriro.