Kulepheretsa kugona tulo - akulu

Kulepheretsa kugona tulo (OSA) ndi vuto lomwe limapumira mukamagona. Izi zimachitika chifukwa chothina kapena kutsekeka kwa mayendedwe.

Mukamagona, minofu yonse mthupi lanu imamasuka. Izi zikuphatikizapo minofu yomwe imathandiza kuti khosi lanu likhale lotseguka kuti mpweya uzilowa m'mapapu anu.

Nthawi zambiri, khosi lanu limakhala lotseguka mokwanira mukamagona kuti mpweya udutse. Anthu ena ali ndi khosi lopapatiza. Minofu yapakhosi lawo ikamasuka mtulo, minofu imatsekera ndipo imatchinga njira yolowera panja. Kupuma kumeneku kumatchedwa kubanika.

Kulira mokweza ndi chizindikiro chodziwikiratu cha OSA. Nthawi zina mkonono umayamba chifukwa cha kufinya kwa msewu wopyola kapena wotsekedwa. Sikuti aliyense amene amafufuma amakhala ndi tulo tofa nato.

Zina zimapanganso chiopsezo chanu:

• Nsagwada yakumunsi yomwe ndi yayifupi poyerekeza ndi chibwano chanu chapamwamba
• Maonekedwe ena padenga la pakamwa panu (m'kamwa) kapena panjira yapaulendo yomwe imapangitsa kuti igwe mosavuta
• Khosi lalikulu kapena kolala, mainchesi 17 (43 masentimita) kapena kupitilira apo mwa amuna ndi mainchesi 16 (41 masentimita) kapena kupitilira apo mwa akazi
• Lilime lalikulu, lomwe limatha kubwerera mmbuyo ndikulepheretsa kuyenda
• Kunenepa kwambiri
• Matani akulu ndi adenoids omwe amatha kuletsa njira yapaulendo

Kugona kumbuyo kwanu kungapangitsenso kuti njira yapaulendo itsekeke kapena kuchepa.

Matenda obanika kutulo ndi vuto linanso lomwe limalepheretsa munthu kupuma. Zimachitika ubongo ukamasiya kutumiza kwakanthawi minofu yolamulira kupuma.

Ngati muli ndi OSA, nthawi zambiri mumayamba kusuta mutangogona.

• Nthawi zambiri amakoka mwamphamvu kwambiri.
• Nthawi zina mkonono umasokonezedwa ndikumakhala chete kwakanthawi pomwe kupuma kwanu kumaima.
• Chetewo chimatsatiridwa ndikufuula kwamphamvu ndikumapuma, pamene mukuyesera kupuma.
• Chitsanzochi chimabwereza usiku wonse.

Anthu ambiri omwe ali ndi OSA sakudziwa kuti kupuma kwawo kumayamba ndikusiya usiku. Nthawi zambiri, yemwe amagona naye kapena abale ena amamva kulira kwakukulu, kupumira, ndi kupopera. Nthawi zina mkonono umamveka mokweza kwambiri kuti mungamve kudzera pamakoma. Nthawi zina, anthu omwe ali ndi OSA amadzuka akupuma.

Anthu omwe amadwala matenda obanika kutulo akhoza:

• Dzukani osatsitsimutsidwa m'mawa
• Kumva kugona kapena kugona tsiku lonse
• Khalani wokwiya, wosapirira, kapena wokwiya
• Khalani oiwala
• Kugona mukamagwira ntchito, kuwerenga, kapena kuonera TV
• Muzimva kugona mukamayendetsa, kapena kugona pamene mukuyendetsa
• Khalani ndi zovuta kuchiritsa mutu

Mavuto ena omwe angachitike ndi awa:

• Matenda okhumudwa
• Khalidwe losasamala, makamaka kwa ana
• Zovuta kuchiza kuthamanga kwa magazi
• Mutu, makamaka m'mawa

Wothandizira zaumoyo wanu amatenga mbiri yanu yazachipatala ndikuwunika.

• Wothandizira anu amayang'ana pakamwa panu, khosi, ndi pakhosi.
• Mutha kufunsidwa zakugona masana, kugona mokwanira, komanso zizolowezi zogona.

Muyenera kukhala ndi kafukufuku wogona kuti mutsimikizire OSA. Kuyesaku kumatha kuchitika mnyumba mwanu kapena kumalo ogonera.

Mayesero ena omwe angachitike ndi awa:

• Mitsempha yamagazi yamagazi
• Electrocardiogram (ECG)
• Zojambulajambula
• Maphunziro a chithokomiro

Chithandizo chimathandiza kuti panjira panu mutseguke mukamagona kuti mpweya wanu usayime.

Kusintha kwa moyo kumatha kuthandiza kuthetsa zizindikiritso mwa anthu omwe ali ndi vuto la kugona tulo pang'ono, monga:

• Pewani mowa kapena mankhwala omwe amakupangitsani kugona musanagone. Amatha kukulitsa zizindikilo.
• Pewani kugona chagada.
• Kuchepetsa thupi.

Zipangizo zopitilira kupitilira mpweya (CPAP) zimagwira ntchito bwino kuthana ndi vuto lobanika kutulo mwa anthu ambiri.

• Mumavala chigoba pamphuno kapena pamphuno ndi pakamwa mukamagona.
• Chigoba cholumikizidwa ndi payipi pamakina ang'onoang'ono omwe amakhala pambali pa kama wako.
• Makinawo amapopa mpweya mopanikizika kudzera payipi ndi chigoba ndikulowa panjira yanu mukugona. Izi zimathandiza kuti njira yanu yotseguka isatseguke.

Zitha kutenga nthawi kuti muzolowere kugona ndi mankhwala a CPAP. Kutsata bwino ndi kuthandizira kuchokera ku malo ogona kungakuthandizeni kuthana ndi mavuto aliwonse pogwiritsa ntchito CPAP.

Zipangizo zamano zingathandize anthu ena. Mumavala pakamwa panu mukamagona kuti nsagwada zanu ziziyenda kutsogolo komanso panjira pake pakatseguke.

Mankhwala ena atha kupezeka, koma pali umboni wocheperako wosonyeza kuti amagwira ntchito. Ndibwino kuti mukambirane ndi dokotala yemwe amakhazikika pamavuto ogona musanayese.

Opaleshoni itha kukhala njira kwa anthu ena. Nthawi zambiri zimakhala zomaliza ngati mankhwala ena sakugwira ntchito ndipo muli ndi zizindikilo zoopsa. Opaleshoni itha kugwiritsidwa ntchito:

• Chotsani minofu yowonjezera kumbuyo kwa mmero.
• Konzani mavuto ndi mawonekedwe pamaso.
• Pangani chotsegulira pamphepo kuti mudutse njira yoletsedwa ngati pali zovuta zina.
• Chotsani matani ndi adenoids.
• Bzalani chida chokhala ngati pacemaker chomwe chimalimbikitsa minofu ya pakhosi kuti ikhale yotseguka tikamagona.

Kuchita maopareshoni sikungathe kuchiritsa matenda obanika kutulo ndipo kumatha kukhala ndi zotsatirapo zazitali.

Ngati sanalandire chithandizo, kugona tulo kumayambitsa:

• Kuda nkhawa ndi kukhumudwa
• Kutaya chidwi pa kugonana
• Kusachita bwino kuntchito kapena kusukulu

Kugona masana chifukwa cha matenda obanika kutulo kumawonjezera ngozi ya:

• Ngozi zamagalimoto poyendetsa muli mtulo
• Ngozi zamakampani chifukwa chogona pa ntchito

Nthawi zambiri, chithandizo chamankhwala chimathetsa mavuto ndi zovuta zamatenda obanika kutulo.

Kulephera kubadwa kwa matenda obanika kutulo kumatha kubweretsa kapena kukulitsa matenda amtima, kuphatikiza:

• Makhalidwe a mtima
• Mtima kulephera
• Matenda amtima
• Kuthamanga kwa magazi
• Sitiroko

Itanani omwe akukuthandizani ngati:

• Mumamva kutopa kwambiri komanso kugona tulo masana
• Inu kapena banja lanu mumazindikira zisonyezo za matenda obanika kutulo
• Zizindikiro sizisintha ndi chithandizo chamankhwala, kapena zizindikilo zatsopano zimayamba

Kufooka kwa tulo - kutsekeka - achikulire; Matenda obanika kutulo obanika kutulo - achikulire; Kupuma kosagona - achikulire; OSA - akuluakulu

• Pambuyo pa opaleshoni yochepetsa thupi - zomwe mungafunse dokotala wanu
• Musanachite opaleshoni yochepetsa thupi - zomwe mungafunse dokotala wanu
• Opaleshoni yolambalala m'mimba - kutulutsa
• Laparoscopic chapamimba banding - kumaliseche
• Tonsil ndi adenoid kuchotsa - kumaliseche

• Kulepheretsa kugona tulo

Greenberg H, Lakticova V, Scharf SM. Kulepheretsa kugona tulo: mawonekedwe azachipatala, kuwunika, ndi mfundo zoyang'anira. Mu: Kryger M, Roth T, Dement WC, olemba. Mfundo ndi Zochita za Mankhwala Ogona. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2017: mutu 114.

Kimoff RJ. Kulepheretsa kugona tulo. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 88.

Ng JH, Yow M. Zipangizo zamagetsi pakuwongolera kupuma kwa tulo. Kugona ndi Chipatala. 2019; 14 (1): 109-118. (Adasankhidwa) PMID: 30709525 www.ncbi.nlm.nih.gov/pubmed/30709525. (Adasankhidwa)

[Adasankhidwa] Patil SP, Ayappa IA, Caples SM, Kimoff RJ, Patel SR, Harrod CG. Chithandizo cha matenda obanika kutulo obanika kutulo ndi mpweya wabwino: malangizo aku America Academy of Sleep Medicine. J Clin Kugona Med. 2019; 15 (2): 335--343. PMID: 30736887 pubed.ncbi.nlm.nih.gov/30736887.

Redline S. Kupuma kosagona bwino komanso matenda amtima. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: mutu 87.