Kupuma kwapakati kwapakati

Kupuma kwapakati kwapakati ndimatenda ogona omwe kupuma kumayima mobwerezabwereza tulo.

Kupuma kwapakati kumachitika pamene ubongo umaleka kutumiza kwakanthawi minofu yolamulira kupuma.

Vutoli limapezeka nthawi zambiri mwa anthu omwe ali ndi mavuto ena azachipatala. Mwachitsanzo, amatha kukhala ndi munthu yemwe ali ndi vuto ndi gawo laubongo lotchedwa brainstem, lomwe limayang'anira kupuma.

Zinthu zomwe zingayambitse kapena kubweretsa matenda obanika kutulo ndi monga:

• Mavuto omwe amakhudza ubongo, kuphatikiza matenda am'magazi, sitiroko, kapena vuto la msana (khosi)
• Kunenepa kwambiri
• Mankhwala ena, monga mankhwala opha ululu

Ngati apnea sagwirizana ndi matenda ena, amatchedwa idiopathic central sleep apnea.

Matenda otchedwa Cheyne-Stokes kupuma amatha kukhudza anthu omwe ali ndi vuto la mtima ndipo amatha kuphatikizika ndi vuto la kugona. Njira yopumira imasinthasintha kupumira mwakuthwa komanso kolemera mopumira, kapenanso osapuma, nthawi zambiri mukamagona.

Kupuma kwapakati pakati sikuli kofanana ndi kutsekereza kugona tulo. Ndikutsekereza kwa tulo tomwe timapuma, kupuma kumayima ndikuyamba chifukwa njira yochepetsera mpweya ndiyopapatiza kapena yotsekedwa. Koma munthu atha kukhala ndimikhalidwe yonse iwiri, monga vuto la zamankhwala lotchedwa kunenepa kwambiri kwa hypoventilation syndrome.

Anthu omwe ali ndi vuto lobanika kutulo amakhala ndi nthawi zosokoneza kupuma pogona.

Zizindikiro zina zitha kuphatikiza:

• Kutopa kwambiri
• Kugona masana
• Mutu wam'mawa
• Kugona mopanda mpumulo

Zizindikiro zina zimatha kuchitika ngati matenda obanika kutulo amabwera chifukwa cha vuto lamanjenje. Zizindikiro zimadalira magawo amanjenje omwe akukhudzidwa, ndipo atha kukhala:

• Kupuma pang'ono
• Kumeza mavuto
• Kusintha kwa mawu
• Kufooka kapena dzanzi m'thupi lonse

Wothandizira zaumoyo adzayesa. Kuyesedwa kudzachitika kuti mupeze vuto lazachipatala. Kafukufuku wogona (polysomnography) atha kutsimikizira kugona tulo.

Mayesero ena omwe angachitike ndi awa:

• Zojambulajambula
• Kuyesa kwa mapapo
• MRI yaubongo, msana, kapena khosi
• Kuyezetsa magazi, monga magulu amwazi wamagazi ochepa

Kuchiza zomwe zimayambitsa matenda obanika kutulo kungathandize kuthana ndi zizindikilo. Mwachitsanzo, ngati kugona kwapakati kwapakati kumachitika chifukwa cha kulephera kwa mtima, cholinga chake ndikuthandizira kulephera kwa mtima.

Zipangizo zomwe zimagwiritsidwa ntchito tulo kuti tithandizire kupuma zingalimbikitsidwe. Izi zikuphatikiza kupsinjika kwapompopompopompopompo (CPAP), bilevel positive airway pressure (BiPAP) kapena adaptive servo-ventilation (ASV). Mitundu ina yamatenda obanika kutulo amachiritsidwa ndi mankhwala omwe amachititsa kuti munthu azipuma bwino.

Chithandizo cha oxygen chingathandize kutsimikizira kuti mapapo amapeza mpweya wokwanira akagona.

Ngati mankhwala osokoneza bongo akuyambitsa matenda obanika kutulo, mlingo wake ungafunike kutsitsidwa kapena mankhwala asinthidwa.

Momwe mumakhalira bwino zimadalira matenda omwe amachititsa kuti munthu asagone bwino.

Maganizo nthawi zambiri amakhala abwino kwa anthu omwe ali ndi vuto la kugona tulo tofa nato.

Zovuta zimatha kubwera chifukwa cha matenda omwe amachititsa kugona kwapakati.

Itanani omwe akukuthandizani ngati muli ndi matenda obanika kutulo. Nthawi zambiri matenda obanika kutulo amapezeka mwa anthu amene ali ndi matenda aakulu.

Kugonana - pakati; Kunenepa kwambiri - kugona kwapakati pakatikati; Cheyne-Stokes - matenda obanika kutulo; Kulephera kwa mtima - kugona kwapakati pakatikati

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.

Ryan CM, Bradley TD. (Adasankhidwa) Kupuma kwapakati kwapakati. 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 89.

Zinchuk AV, Thomas RJ. Apnea ogona pakati: kuzindikira ndi kuwongolera. Mu: Kryger M, Roth T, Dement WC, olemba. Mfundo ndi Zochita za Mankhwala Ogona. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2017: mutu 110.