Central Sleep Apnea

Apnea yehope yepakati chirwere chinoita kuti kufema kumire zvakare zvakare panguva yekurara.

Apnea yehope yepakati inoitika nekuti uropi harutumire zviratidzo zvakakodzera kune tsandanyama dzinoita kuti ufemhe. Iyi mamiriro akasiyana neapnea yehope inorambidza, umo kufema kunomira nekuti tsandanyama dzemuromo dzinosununguka uye dzinovhara nzira yemhepo. Apnea yehope yepakati haina kujairika kupfuura apnea yehope inorambidza.

Apnea yehope yepakati inogona kubva kune zvimwe zvirwere, zvakadai sekukundikana kwemoyo nekurova. Chimwe chikonzero chinogona kunge kuri kurara pamusoro.

Kurapwa kwe apnea yehope yepakati kunogona kusanganisira kutarisira mamiriro aripo, kushandisa chishandiso chekubatsira kufema kana kushandisa oksijeni yakawedzerwa.

Zviratidzo zvakajairika zvekushaya hope kwepakati (central sleep apnea) zvinosanganisira: Kuonekwa kwezviitiko zvekusakwanisa kufema panguva yekurara. Kumuka kamwe kamwe nekushomeka kwekufema. Kusakwanisa kuramba wakarara, kunzi insomnia. Kurara kwakanyanya masikati, kunzi hypersomnia. Dambudziko rekutarisa. Kushanduka kwemanzwi. Kurwadziwa kwemusoro mangwanani. Kuchema. Kunyange zvazvo kuchema kunoratidza kuti pane dambudziko rekuvhara kwekufema, kuchema kunogonawo kuitika kune vanhu vane central sleep apnea. Zvisinei, kuchema kungave kusina kujeka ne central sleep apnea sezvakaita ne obstructive sleep apnea. Bvunza chiremba kana iwe uine - kana shamwari yako yakacherechedza - chero zviratidzo zve central sleep apnea, kunyanya: Kushomeka kwekufema kunokumutsa pakurara. Kuchema kwekufema panguva yekurara. Dambudziko rekurara. Kurara kwakanyanya masikati, izvo zvinogona kukonzera kuti urware panguva yauri kushanda, uchitarisa terevhizheni kana kutotyaira. Bvunza nhengo yemhuri yako yehutano nezve chero dambudziko rekurara rinokusiya uchinetseka, uchirara uye uchitsamwa nguva dzose. Kurara kwakanyanya masikati kunogona kukonzerwa nezvirwere zvimwe, saka zvakakosha kuwana chirwere chakarurama. Kurara kwemasikati kunogona kukonzerwa ne obstructive sleep apnea, nekusapa nguva yekurara zvakakwana usiku kana nekumuka kamwe kamwe kwekurara, kunzi narcolepsy.

Bvunza chiremba kana iwe uchinge uine— kana kuti mumwe wako akaona— zviratidzo zve central sleep apnea, kunyanya zvinotevera:

• Kushaya mweya kunokumutsa pakurara.
• Kuchema kwekufema kwako panguva yekurara.
• Kunetseka kurara.
• Kurara kwakanyanya masikati, izvo zvinogona kukonzera kuti urware panguva yauri kushanda, uchitarisa terevhizheni kana kutotyaira.

Bvunza nhengo yemhuri yako yekutarisira utano nezve chero dambudziko rekutora hope rinokusiya uchinetseka, uchirara uye uchitsamwa nguva dzose. Kurara kwakanyanya masikati kunogona kukonzerwa nezvimwe zvirwere, saka zvakakosha kuwana chirwere chaicho. Kurara masikati kunogona kukonzerwa ne obstructive sleep apnea, nekusapa nguva yekurara zvakakwana usiku kana nekurara kamwe kamwe, kunonzi narcolepsy.

Apnea yehope yokurara inowanikwa kana uropi hwako husina kutumira masaini kumapfupa ako ekufema.

Brainstem inosunga uropi nemutadzi wemutsipa. Inotonga mabasa mazhinji, kusanganisira kurova kwemoyo nekufema. Apnea yehope yokurara inogona kukonzerwa nemamiriro akawanda anokanganisa kugona kwebrainstem kutonga kufema.

Chikonzero chinosiyana nerudzi rwe apnea yehope yokurara yaunayo. Marudzi anosanganisira:

• Kufema kweCheyne-Stokes. Rudzi urwu rwe apnea yehope yokurara runowanzoenderana nekukundikana kwemoyo kana kurohwa ne stroke.

  Panguva yekufema kweCheyne-Stokes, kuedza kufema nekufamba kwemhepo zvinosimukira zvishoma nezvishoma wobva zvadzikira. Panguva yekuedza kufema kwakasimba, kushayikwa kwemhepo kunogona kuitika.

• Apnea inokonzerwa nemishonga. Kutora mishonga yakaita se opioids kunogona kukonzera kufema kusina kururama kana kumira zvachose kwenguva pfupi. Mishonga iyi inogona kunwiwa nemuromo kana ne injection. Inosanganisira morphine (MS Contin, Mitigo, nezvimwewo), oxycodone (Roxicodone, Oxycontin, nezvimwewo) uye codeine.

• Kufema kwenguva yakatarwa kwakakwirira. Kufema kweCheyne-Stokes kunogona kuitika kana uri pakakwirira kwazvo. Kushanduka kweokisijeni pakakwirira kunogona kukonzera kufema nekukurumidza, kunonzi hyperventilation, zvichiteverwa nekutorwa kwemhepo shoma.

• Apnea yehope yokurara inokonzerwa nechirwere chekurapa. Zvirwere zvakawanda zvekurapa, kusanganisira chirwere cheitsvo chekupedzisira uye kurohwa ne stroke, zvinogona kutungamira ku apnea yehope yokurara. Rudzi urwu rwe apnea yehope yokurara harusanganisiri kufema kweCheyne-Stokes.

• Apnea yehope yokurara huru, inozivikanwawo se idiopathic sleep apnea. Chikonzero cherudzi urwu rusingawanzoitika rwe apnea yehope yokurara hachizivikanwi.

Kufema kweCheyne-Stokes. Rudzi urwu rwe apnea yehope yokurara runowanzoenderana nekukundikana kwemoyo kana kurohwa ne stroke.

Panguva yekufema kweCheyne-Stokes, kuedza kufema nekufamba kwemhepo zvinosimukira zvishoma nezvishoma wobva zvadzikira. Panguva yekuedza kufema kwakasimba, kushayikwa kwemhepo kunogona kuitika.

Zvimwe zvinhu zvinoita kuti uve panjodzi yakawedzera yekuva necentral sleep apnea: Bonde. Varume vane mukana wakakura wekuva necentral sleep apnea kupfuura vakadzi. Zera. Central sleep apnea inowanzoitika pakati pevakuru, kunyanya avo vanopfuura makore makumi matanhatu. Izvi zvinogona kuitika nekuti vanhu vanopfuura makore makumi matanhatu vane mamwe mamiriro ehutano kana maitiro ekurara ane hukama necentral sleep apnea. Matambudziko emoyo. Matambudziko emoyo anoisa vanhu panjodzi yakakura yekuva necentral sleep apnea. Kusarongeka kwekurova kwemoyo, kunozivikanwa se atrial fibrillation, kunogona kuwedzera njodzi. Kuva nemhasuru dzemoyo dzisingapamhi zvakakwana ropa kune zvinodiwa nemuviri, kunozivikanwa se congestive heart failure, kunogona zvakare kukwidza njodzi. Stroke, bundu reuropi kana dambudziko rechimiro cheuropi. Aya mamiriro europi anogona kukanganisa kugona kweuropi kudzora kufema. Nzvimbo yakakwirira. Kurara panzvimbo yakakwirira kupfuura yawajaira kunogona kuwedzera njodzi yekuva ne sleep apnea. High-altitude sleep apnea inogadzirisa mavhiki mashoma mushure mekudzokera kunzvimbo yakaderera. Kushandisa opioid. Mishonga yeopioid inogona kuwedzera njodzi yekuva necentral sleep apnea. CPAP. Vamwe vanhu vane obstructive sleep apnea vanogona kuva necentral sleep apnea pavanenge vachishandisa continuous positive airway pressure (CPAP). Iyi mamiriro anozivikanwa se treatment-emergent central sleep apnea. Iko kusanganiswa kwe obstructive uye central sleep apneas. Kune vamwe vanhu, complex sleep apnea inopera nekuramba vachishandisa chishandiso chavo cheCPAP. Vamwe vanhu vanogona kurapwa neimwe mhando yepositive airway pressure therapy.

Apnea yehope inobata pakati ndechirwere chakakomba chekurapa. Zvimwe zvinetso zvinosanganisira:

• Kuneta. Kurara kwakawanda kunobatanidzwa neapnea yehope kunoita kuti hope dzokuzorodza dzisavapo. Vanhu vane apnea yehope inobata pakati kazhinji vane kuneta kwakanyanya, hope dzezuva nehasha.

  Ungave uine dambudziko rekutarisa. Unogona zvakare kuzviwana uri kurara pabasa, uchitarisa terevhizheni kana kutotyaira.

• Matambudziko emwoyo. Kudonha kwakapotsa kwemazinga eokisijeni muropa kunoitika panguva ye apnea yehope inobata pakati kunogona kukanganisa hutano hwemoyo.

  Kana uine chirwere chemwoyo, zviitiko zvakawanda zveokisijeni yakaderera zvinoita kuti njodzi yekusagadzikana kwemoyo iwedzere.

Kuneta. Kurara kwakawanda kunobatanidzwa neapnea yehope kunoita kuti hope dzokuzorodza dzisavapo. Vanhu vane apnea yehope inobata pakati kazhinji vane kuneta kwakanyanya, hope dzezuva nehasha.

Ungave uine dambudziko rekutarisa. Unogona zvakare kuzviwana uri kurara pabasa, uchitarisa terevhizheni kana kutotyaira.

Matambudziko emwoyo. Kudonha kwakapotsa kwemazinga eokisijeni muropa kunoitika panguva ye apnea yehope inobata pakati kunogona kukanganisa hutano hwemoyo.

Kana uine chirwere chemwoyo, zviitiko zvakawanda zveokisijeni yakaderera zvinoita kuti njodzi yekusagadzikana kwemoyo iwedzere.

Nyanzvi yekutarisira utano hwemunhu inogona kuongorora mamiriro ako ezvinhu zvichienderana nezviratidzo zvako. Kana kuti ungatumirwa kunyanzvi yekurara muchirongwa chekurapa chirwere chekurara.

Nyanzvi yekurara inogona kukubatsira kusarudza kana uchida kuongororwa zvakare. Izvo zvinogona kusanganisira kutarisa kwemasikati ekufema kwako nemamwe mabasa emuviri panguva yekurara kudzidza kunonzi polysomnography.

Panguva ye polysomnography, unobatanidzwa nezvishandiso zvinotarisa basa remwoyo wako, mapapu nehuropi, maitiro ekufema, kufamba kwemaoko nemakumbo, uye mazinga eoksijeni yeropa paunorara. Ungaita ongororo yekurara usiku hwese kana ongororo yekurara kwehafu yeusiku.

Polysomnography inogona kubatsira kuona chirwere chekurara chepakati. Inogona zvakare kubatsira kubvisa mamwe marwere ekurara, akadai sekurara kwakavharwa, kufamba-famba kwenguva dzose panguva yekurara kana narcolepsy. Aya mamwe marwere anogona kukonzera kurara kwakanyanya kwemasikati asi anoda kurapwa kwakasiyana.

Vanachiremba vakadzidziswa zvirwere zvehurongwa hwematumbu, vanozivikanwa se neurologists, uye muzvirwere zvemoyo, vanozivikanwa se cardiologists, nevamwe vanogona kubatanidzwa mukuongorora mamiriro ako ezvinhu. Ungada mifananidzo yemusoro wako kana moyo wako kuti utarise mamiriro ezvinhu anokonzera.