He aha te Apnea moe? Tohutohu, Take, me te Maimoatanga

Ko te apnea moe he mate moe kei reira te mutu me te tīmatanga o tō manawa i ngā wā maha i te pō. Ka roa pea enei wā mutu mai i te torutoru hēkona ki te neke atu i te meneti kotahi, ā, ka tupu pea i te kore e mōhiotia e koe.

Whakaarohia he penei te pāwhiri mutu o te manawa o tō tinana i a koe e moe ana. Ka kitea e tō roro te hekenga o te hāora, ā, ka oho poto koe kia tīmata anō te manawa. Ka taea e tēnei huringa te whakahokinga i te tekau mano, i te rau mano rānei o ngā wā i ia pō, ka waiho koe i te ngenge ahakoa he pō moe katoa te ahua.

He aha ngā tohu o te apnea moe?

Ko ngā tohu tino kitea o te apnea moe ka puta i te rā i a koe e ara ana. Ka ngenge pea koe ahakoa he maha ngā haora moe, kāore rānei e kitea e koe te moe i ngā mahi māngai penei i te pānui, i te matakitaki rānei i te pouaka whakaata.

Ko ēnei ngā tohu noa ka pā atu ki a koe i te moe me te rā katoa:

• Te ngunguru nui, roa, ka āhei pea te whakaoho i ētahi atu
• Ngā oro ngākau, pēnei i te whakakī i te moe
• Ngā wā mutu o te manawa i kitea e te hoa moe
• Te oho maha i te pō
• Ngā mamae o te upoko i te ata ka ngāwari haere i te rā
• Te moe nui i te rā
• Te uaua ki te aro atu, ki te whakamahara rānei
• Te riri, te huringa ngākau rānei
• Te maroke o te waha, te mamae rānei o te korokoro i te oho

Ka pā atu pea ki ētahi atu ngā tohu kaore i te noa, penei i te wera o te pō, te mimi maha i te pō, te uaua rānei ki te moe. Ka rerekē pea ēnei tohu mai i te tangata ki te tangata, ā, kāore koe e hiahia ki te whai i ētahi katoa kia whai apnea moe.

He aha ngā momo apnea moe?

E toru ngā momo nui o te apnea moe, he rerekē ngā take o raro. Ko te mōhiotanga ki te momo pea kei a koe ka āhei te whakatau i te huarahi maimoatanga pai.

Ko te apnea moe ārai (OSA) te momo tino noa, e pā ana ki te 90% o te hunga e whai apnea moe ana. Ka ngawari rawa ngā uaua o tō korokoro i te moe, ka pēnei ai te ārai manawa ki te whakaiti, ki te kati rānei. Ka hangaia tēnei i te ngunguru me ngā wā mutu o te manawa.

Ko te apnea moe pokapū (CSA) kāore i te noa, ā, ka puta mai i te kore e tuku mai e tō roro ngā tohu tika ki ngā uaua e whakahaere ana i te manawa. Kāore pea koe e ngunguru nui, engari ka whai tonu koe i ngā wā mutu o te manawa me te ngenge i te rā.

Ko te mate apnea moe uaua te whakakotahitanga o ngā momo e rua. Ka tīmata koe me ngā wā ārai, engari ahakoa kua maimoatia te ārai o te ārai manawa, ka puta mai ngā āhua apnea pokapū. Me whai ngā huarahi maimoatanga motuhake tēnei momo whakakotahitanga.

He aha ngā take o te apnea moe?

Ka puta te apnea moe ina he mea kei te whakakore i ō āhua manawa noa i te moe. Ka rerekē ngā take i runga i te momo kei a koe, engari he maha ngā take ka āhei te whakauru ki tēnei mate.

Mō te apnea moe ārai, ko ngā take tinana e whakaiti ana i tō ārai manawa te mea nui:

• Te taumaha nui, ina koa i te kaki me te korokoro
• Ngā tonsils nui, ngā adenoids rānei
• Te whānuitanga kaki nui (neke atu i te 17 inihi i ngā tāne, 16 inihi i ngā wāhine)
• Te iti o te kauae, te kauae hoki e hoki ana
• Te arero nui ka āhei te ārai i te ārai manawa
• Te kōtiti o te ihu, ngā raruraru hanganga rānei
• Te korokoro iti noa iho

He rerekē ngā whakaoho o te apnea moe pokapū, e hono ana ki ngā mate hauora, ki ngā rongoā rānei:

• Te kore o te ngakau, ētahi atu mate ngakau rānei
• Te pēhanga roro, ngā mate pūngāwerewere rānei
• Te moe i teitei
• Ētahi rongoā mamae, ina koa ngā opioids
• Te kore o te whatukuhu
• Te whānau wawe (i ngā pēpi)

I etahi wā, ka puta mai te apnea moe pokapū kaore he take mārama. Ka āhei tō tākuta te awhina i te whakatau i te mea pea kei te whakauru ki tō āhuatanga motuhake.

He aha ngā take morearea mō te apnea moe?

He maha ngā take ka nui ake te tūponotanga o te whanake apnea moe, ahakoa te whai take morearea kāore e whakamana ka whiwhi koe i te mate. Ko te mōhiotanga ki ēnei ka āhei te awhina i a koe me tō tākuta ki te aromatawai i tō tūponotanga ki te whai apnea moe.

Ko te tau me te ira tangata ngā mea nui i te morearea apnea moe:

• Ko te tane (e 2-3 wā te tūponotanga o ngā tāne ki te whai apnea moe)
• Ko te neke atu i te 40 tau
• Ko te muri o te menopause (mō ngā wāhine)
• Te whai hītori whānau o te apnea moe

Ka nui ake hoki te morearea o ngā āhuatanga noho me te hauora:

• Ko te taumaha nui, te momona rānei
• Te whakakī tapeka
• Te inu waipiro noa, ina koa i mua i te moe
• Te tango i ngā rongoā moe, ngā rongoā māngai rānei
• Te whai mate huka
• Te toto teitei
• Ētahi iwi whenua (Āpirika Amerika, Hīpānika, Motu Pākeha)

Ahakoa he maha ngā take morearea kei a koe, kāore te apnea moe e kore e taea. Ka taea te whakarereke i te maha o ēnei take, penei i te taumaha me te whakakī, hei whakaiti i tō morearea.

Nōhea te haere ki te tākuta mō te apnea moe?

Me whakaaro koe ki te haere ki te tākuta mena kei te whai koe i te ngenge o te rā e āhei ana te whakakore i ō mahi o ia rā. He mea nui tēnei, ina koa mena kei te moe koe i ngā kōrero, i te whakahaere rānei i te waka, i te mahi rānei.

Ko ētahi atu tohu whero e hiahia ana ki te tiaki hauora ko te ngunguru nui me ngā oro ngākau, pēnei i te whakakī i te moe. Mena ka kitea e tō hoa moe te mutu o tō manawa i te moe, he tohu kaha tēnei e hiahia ana koe ki te aromatawai ngaio.

Kaua e tatari mena kei te whai koe i ngā mamae o te upoko i te ata, te uaua ki te aro atu, te huringa ngākau rānei me ngā tohu moe. Ka whakaatu ēnei tohu kei te pānga nui tō kounga moe, ka āhei te pānga ki tō hauora whānui me tō ora.

Rapua te tiaki hauora tonu mena he nui te ngenge o te rā e whakatūpono ana koe i te whakahaere waka, i te whakahaere rānei i ngā mīhini. Ka taea te aukati i ngā aituā e pā ana ki te apnea moe mā te maimoatanga tika.

He aha ngā raruraru pea o te apnea moe?

Ka āhei te arahi i te apnea moe kore maimoatanga ki ngā raruraru hauora nui i te roa. Ko ngā hekenga maha o ngā taumata hāora me te moe whakakore ka whakapā atu i te ahotea ki ngā pūnaha tinana maha, ina koa tō ngakau me tō roro.

Ko ngā raruraru o te ngakau te mea nui o ngā āwangawanga nui:

• Te toto teitei e uaua ana ki te whakahaere
• Ngā raruraru o te au o te ngakau (arrhythmias)
• Te kore o te ngakau
• Te nui ake o te morearea o te mate ngakau
• Te pēhanga
• Te toto teitei o te pūkahukahu (te toto teitei i ngā uaua pūkahukahu)

Ka pā hoki te apnea moe ki tō metabolism me tō hauora hinengaro:

• Te mate huka momo 2, te ātete rānei ki te insulin
• Te nui o te taumaha, te uaua rānei ki te ngaro taumaha
• Te pouri me te awangawanga
• Ngā raruraru whakamahara me te hekenga o te hinengaro
• Te hekenga o te mahi ārai mate
• Te nui ake o te morearea aituā nā te ngenge o te rā

Ko te rongo pai ko te maimoatanga o te apnea moe ka taea te whakaiti i ēnei morearea, ā, ka taea te whakapai ake i ngā mate hauora o nāianei. Ka kite te nuinga o te iwi i ngā whakapainga i te toto teitei, i ngā taumata kaha, i te ngākau hoki i roto i ngā wiki i muri i te tīmatanga o te maimoatanga.

Me pēhea te aukati i te apnea moe?

Ahakoa kāore e taea e koe te aukati i ngā momo apnea moe katoa, ka taea e koe te whakaiti i tō morearea mā te mahi i ngā whiringa noho hauora. Ko te nuinga o ngā rautaki aukati tino whai hua e aro ana ki te pupuri i te hauora whānui pai me ngā tikanga moe.

Ko te whakahaere taumaha tētahi o ngā mahi aukati tino kaha ka taea e koe te tango. Ahakoa he iti te ngaro taumaha o te 10-15 pauna ka taea te whakaiti nui i te morearea apnea moe mena kei te taumaha nui koe. Kāore te whakakori tinana noa e āhei te awhina i te whakahaere taumaha, engari ka whakapai ake hoki i te kounga moe me te whakaiti i te mumura.

He mea nui hoki tō taiao moe me ō tikanga:

• Moe ki tō taha, kāore ki tō tua
• Pupuri i ō ara ihu kia mārama mā ngā horoi saline, ngā decongestants rānei
• Kaua e inu waipiro, ngā rongoā moe rānei, ina koa i mua i te moe
• Whakamutu i te whakakī tapeka, i te mea ka nui ake te mumura o te ārai manawa
• Pupuri i te wā moe noa
• Maimoatia ngā mate pāwera e āhei ana te kōtiti i te ihu

Mena he take morearea kei a koe kāore e taea te whakarereke, penei i te hītori whānau, te tau rānei, aro ki ngā mea ka taea te whakarereke. Ka āhei te awhina i ngā tirotiro noa ki tō tākuta ki te hopu i te apnea moe i te tīmatanga ina ngāwari ake te maimoatanga.

Me pēhea te whakatau i te apnea moe?

Ko te whakatau i te apnea moe e tīmata ana i te kōrero taipitopito mō ō tohu me ō āhua moe. Ka ui tō tākuta mō tō ngunguru, tō ngenge o te rā, me ētahi atu whakamārama a tō hoa moe mō tō manawa i te moe.

Ko te whakamātau tinana e aro ana ki ō ārai manawa me tō korokoro. Ka tirotirohia e tō tākuta tō whānuitanga kaki, ka tirotiro i tō korokoro mō ngā kiko nui, ka rapu hoki i ngā tohu o te kōtiti o te ihu, ngā raruraru hanganga rānei ka āhei te whakauru ki ngā raruraru manawa.

Ko te paerewa koura mō te whakatau i te apnea moe ko te ako moe, ko te polysomnography hoki. Ka taea tēnei i roto i te rūma moe, i te kāinga rānei me ngā taputapu kawe. I te wā o te ako, ka aroturukihia e ngā pūoko ngā manawa, te tere o te ngakau, te mahi o te roro, me ngā taumata hāora i te pō katoa.

Kei te noho noa ake ngā whakamātau moe kāinga mō te hunga e whai tohu mārama ana, kāore hoki i ētahi atu mate moe. Ko ēnei whakamātau whakaiti e aro ana ki ngā āhua manawa me ngā taumata hāora. Heoi, ka whakarato ngā ako i roto i te rūma i ngā mōhiohio whānui ake, ā, he mea tika mō ngā take uaua, te whakapae rānei i ētahi atu mate moe.

He aha te maimoatanga mō te apnea moe?

Ko te maimoatanga mō te apnea moe e whakawhirinaki ana ki te momo me te nui o tō mate. Ko te whāinga ko te pupuri i tō ārai manawa kia tuwhera i te moe, kia whakarite hoki ka whiwhi koe i te okiokinga, te moe kore whakakore.

Ko te Pehanga Ara Manawa Pai Tonu (CPAP) te maimoatanga tino noa me te whai hua mō te apnea moe ārai o te waenga ki te nui. Ka tuku tēnei mīhini i te hau pehanga mā te kanohi hei pupuri i tō ārai manawa kia tuwhera. Ahakoa he uaua ki te whakamahi, ka kite te nuinga o te iwi i ngā whakapainga nui i ō rātou tohu i roto i ngā rā.

Ko ētahi atu taputapu pehanga ara manawa ko ngā mīhini BiPAP, e whakarato ana i ngā pehanga rerekē mō te manawa me te manawa, me ngā mīhini Auto-PAP e whakarite aunoa ana i te pehanga i te pō katoa. Ka pai te mahi o ēnei whiringa mō te hunga e uaua ana ki te whakaae i te maimoatanga CPAP noa.

Ka whakarato ngā taputapu waha i te whiringa iti ake mō te apnea moe ngawari ki te waenga. Ko ēnei taputapu whakaritea e whakarereke ana i tō kauae, i tō arero rānei hei pupuri i tō ārai manawa kia tuwhera. He tino whai hua rātou mō te hunga kāore e taea te whakaae i ngā mīhini CPAP.

He whiringa pokanga kei te wātea ina kāore i mahi ētahi atu maimoatanga:

• Te tango i ngā kiko korokoro nui (UPPP)
• Te whakarereke i ngā iwi kauae (maxillomandibular advancement)
• Ngā taputapu whakauru e whakaohooho ana i ngā uaua ārai manawa
• Te pokanga ihu hei whakapai ake i te rere o te hau
• Te tango i ngā tonsils nui, ngā adenoids rānei

Mō te apnea moe pokapū, ko te maimoatanga e aro ana ki te whakahaere i ngā mate o raro penei i te kore o te ngakau. Ka whai hua ētahi ki ngā taputapu whakahaere servo-whakauru (ASV) rānei ki ngā rongoā e whakaohooho ana i te manawa.

Me pēhea te whakahaere i te apnea moe i te kāinga?

Ko te whakahaere kāinga he mea nui ki te maimoatanga apnea moe, e mahi tahi ana me ngā maimoatanga hauora hei whakapai ake i tō kounga moe. Ka taea e ngā huringa noho ngāwari te whakarereke nui i ō tohu me tō hauora whānui.

He mea nui ake te tu moe i to whakaaro pea. Ko te moe ki tō taha ka āhei te aukati i tō arero me ngā kiko ngawari ki te hinga whakamuri me te ārai i tō ārai manawa. Ka taea e koe te whakamahi i te moenga tinana, i ngā taputapu whakarite tu rānei hei awhina i a koe ki te noho ki tō taha i te pō katoa.

Ko te whakahaere taumaha tonu tētahi o ngā rautaki kāinga tino whai hua. Ahakoa he 10% te whakaiti i te taumaha o te tinana ka taea te whakapai ake i ngā tohu apnea moe. Aro ki te kai rite me te maha o ngā hua, ngā huawhenua, me ngā pūmua ngawari i te wā e whakaiti ana i ngā kai tukatuka me ngā kalori nui.

Hangaia he taiao moe pai me te tikanga:

• Pupuri i tō ruma moe kia makariri, pouri, me te māngai
• Whakaritea he wā moe me te wā oho noa
• Kaua e kai nui, caffeine, waipiro rānei i mua i te moe
• Whakamahia he humidifier mena ka whakaheke te hau maroke i ō ārai manawa
• Whakahaerehia te hauora o te ihu mā ngā horoi saline
• Mahia ngā whakakori korokoro me te arero e taunakitia ana e tō tākuta

Mena kei te whakamahi koe i te maimoatanga CPAP, he mea nui te tiaki tika. Horoihia ō kanohi me ō tūpū i ia wā, whakarerekehia ngā kāpeka i te mea e hiahiatia ana, kia whakarite hoki kei te pai te noho o tō kanohi. Ka kite te maha o te iwi ka āhei te whakanui haere i ō rātou wā whakamahinga hei awhina i a rātou ki te whakaae pai ake ki te maimoatanga CPAP.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui apnea moe ka āhei te whakarite ka whiwhi koe i te whakatau tino tika me te mahere maimoatanga whai hua. Tīmata mā te pupuri i te puka moe mō te kotahi wiki i mua i tō haerenga, mā te tuhi i tō wā moe, tō wā oho, me te pehea te okiokinga o tō ata.

Tono atu ki tō hoa moe kia haere mai rānei ki te tuku i ngā whakamārama tuhituhi mō ō āhua moe. Ka taea e rātou te whakaatu i tō ngunguru, ngā wā mutu o te manawa i kitea e rātou, me te maha o ngā wā e oho ana koe i te pō. He mea utu nui tēnei mōhiohio mō te aromatawai a tō tākuta.

Kohikohia ngā mōhiohio nui hei kawe ki tō hui:

• Rārangi katoa o ngā rongoā me ngā taapiri o nāianei
• Hītori hauora, tae atu ki ngā raruraru ngakau, mate huka, pokanga o mua rānei
• Hītori whānau o ngā mate moe
• Ngā kōrero mō ō tohu, tae atu ki te wā i tīmata ai rātou me te pehea te pānga ki tō oranga o ia rā
• Ngā kōrero mō tō inu waipiro me tō inu caffeine
• Ngā ako moe o mua, ngā maimoatanga rānei kua whakamātauhia e koe

Tuhia ngā pūrongo e hiahia ana koe ki te ui, penei i te momo ako moe pea e hiahia ana koe, ngā whiringa maimoatanga kei te wātea, me te roa o te wā e tika ana ki te kite i te whakapainga. Kaua e whakaroa ki te tono whakamārama mō tetahi mea kāore koe e mōhio.

He aha te mea nui mō te apnea moe?

He mate nui engari he tino taea te maimoatanga te apnea moe e pā ana ki te miriona o te iwi. Ko te mea nui rawa atu ki te mōhio ko te ngenge ahakoa te moe nui kāore i te noa, ā, kāore koe e noho ki reira.

Ka taea e te whakatau me te maimoatanga i te tīmatanga te aukati i ngā raruraru hauora nui me te whakapai ake i tō kounga ora. Ka kite te nuinga o te hunga e whai apnea moe ana i ngā whakapainga nui i ō rātou kaha, ngākau, me te hauora whānui i roto i ngā wiki i muri i te tīmatanga o te maimoatanga.

Kia mahara ko te maimoatanga apnea moe he motuhake. Ko te mea pai mō tētahi tangata pea kāore i te huarahi tika mō tētahi atu. Mahi tata atu ki tō rōpū hauora hei kimi i te maimoatanga e rite ana ki tō noho me ō hiahia hauora.

Ko te haerenga ki te moe pai ake e tīmata ana mā te kite i ngā tohu me te tango i taua taahiraa tuatahi hei rapu awhina. Mā te maimoatanga tika me ngā whakarereketanga noho, ka taea e koe te tumanako ki ngā pō okiokinga me ngā rā kaha i mua.

Ngā pūrongo e ui ana mō te apnea moe

Ka taea te ngaro atu te apnea moe i a ia ano?

Kāore te apnea moe e mutu i te kore maimoatanga, ina koa ngā take waenga ki te nui. Heoi, ka taea te whakapai ake i te apnea moe ngawari mā te ngaro taumaha nui, ngā whakarereketanga noho, te maimoatanga rānei i ngā mate o raro penei i ngā mate pāwera. Ko te nuinga o te iwi e hiahia ana ki te whakahaere tonu hei pupuri i ō rātou tohu kia whakahaerehia, kia aukati hoki i ngā raruraru hauora.

He mea kino te apnea moe mena kāore i te maimoatia?

Ae, ka āhei te arahi i te apnea moe kore maimoatanga ki ngā raruraru hauora nui tae atu ki te toto teitei, te mate ngakau, te pēhanga, me te mate huka. Ka nui ake hoki te morearea o ngā aituā nā te ngenge o te rā. Ko te rongo pai ko ēnei morearea e heke nui ana mā te maimoatanga tika.

E hia te roa o te whakaae ki te maimoatanga CPAP?

Ko te nuinga o te iwi e hiahia ana ki te 2-4 wiki hei whakaae katoa ki te maimoatanga CPAP, ahakoa ka kite ētahi i ngā whakapainga i ō rātou kounga moe i roto i ngā pō tuatahi. He mea noa te whai i ētahi uaua tīmatanga ki te kanohi, ki te pehanga rānei. Ko te mahi tahi me tō tohunga moe hei kimi i te noho kanohi tika me ngā tautuhinga pehanga ka āhei te awhina i te tere ake o te tukanga whakaae.

Ka taea e ngā tamariki te whai apnea moe?

Ae, ka taea e ngā tamariki te whanake apnea moe, ko te nuinga na te nui o ngā tonsils me ngā adenoids. Ko ngā tohu i ngā tamariki ko te ngunguru nui, te moe kore ata noho, te mimi moenga, me ngā raruraru āhuatanga o te rā, te uaua rānei ki te aro atu. Ko te maimoatanga e whai ana i te tango i ngā tonsils me ngā adenoids nui, ka taea te whakatau katoa i te mate.

Ka whakaora te ngaro taumaha i te apnea moe?

Ka taea e te ngaro taumaha te whakapai ake, te whakakore rānei i te apnea moe i ētahi tangata, ina koa mena ko te taumaha nui te take matua. Heoi, kāore te katoa e whai apnea moe e taumaha nui ana, ā, ngā take hanganga penei i te hanganga kauae, ngā kiko nui rānei pea e hiahia ana ki ētahi atu maimoatanga. Ahakoa te kore e whakaora katoa te ngaro taumaha i tō apnea moe, ka āhei te mahi i ētahi atu maimoatanga kia whai hua ake.