THEkufema vamwe vanorara inoratidzwa na kumira kusingaite pakufema, "apneas", kuitika panguva yekurara. Kumbotadza kufema kana munhu akarara kunowanzoitika muvanhu vakafuta, vakwegura, kana kuti vanoridza ngonono zvakanyanya.

Kumbomira kwekufema uku kunopera netsanangudzo inodarika masekonzi gumi (uye inogona kusvika kumasekonzi anopfuura makumi matatu). Zvinoitika kakawanda pausiku, pamwe nekusiyana kwakasiyana. Vanachiremba vanovaona seane dambudziko kana paine anopfuura mashanu paawa. Muzviitiko zvakakomba, zvinoitika kusvika kanopfuura makumi matatu paawa.

Aya apneas anovhiringidza kurara uye kunyanya kuguma manyaro paunomuka headaches kana kugona masikati.

Zvinokonzera

Muzviitiko zvakawanda, apneas inokonzerwa nekuzorora kwerurimi uye mamhasuru epahuro, ayo asina tonic zvakakwana uye anovharira mafambiro emhepo panguva. kufema. Nokudaro, munhu anoedza kufema, asi mhepo haitendereri nekuda kwekuvhara kwemhepo. Ndosaka vanachiremba vachitaura nezve obstructive apnea, kana obstructive sleep apnea syndrome (SAOS). Kutandara kwakanyanyisa uku kunonyanya kunetsa vanhu vakura, vane tsandanyama dzinenge dzisina tone. Vanhu vakafutisa zvakare vanowanzo batwa nehope nekuti mafuta akawandisa mumutsipa anodzikisira mhepo.

Kakawanda, apneas inokonzerwa nekusashanda zvakanaka kweuropi, iyo inomira kutumira "murairo" wekufema kumamhasuru ekufema. Muchiitiko ichi, kusiyana neobstructive apnea, munhu wacho haaiti chero simba rekufema. Tinobva tataura nezvazvokufema kurara kwepakati. Rudzi urwu rwekuputira kunoitika zvakanyanya muvanhu vane chirwere chakakomba, senge chirwere chemoyo (moyo kukundikana) kana chirwere chetsinga (somuenzaniso, meningitis, Parkinson's disease, nezvimwewo). Vanogonawo kuonekwa mushure mekurohwa kana mukufuta kwakanyanya. Kushandiswa kwemapiritsi ekukotsirisa, narcotics kana doro zvakare kune njodzi.

Vanhu vazhinji vane a "kusanganiswa" kubatwa nehope, nekuchinjana kwekuvharisa nepakati pekufema.

Kuwanda

The frequency ofkufema vamwe vanorara yakakwirira kwazvo: inofananidzwa neyezvimwe zvirwere zvisingaperi zvakadai seasthma kana rudzi rwechipiri chirwere cheshuga. Kutadza kufema munhu akarara kunogona kubata vanhu vakuru nevana, asi kuwanda kwakwo kunowedzera zvakanyanya nezera.

Iri 2 kusvika ku 4 kakawanda kune varume kupfuura vakadzi, vasati vasvika makore 60. Mushure mezera iri, kuwanda kwakafanana muvarume vose.⁶.

Iko fungidziro yehuwandu inosiyana zvichienderana nehukuru hwekuomarara hunotorwa mufungwa (nhamba yeapneas paawa, inoyerwa neapnea-hypopnea index kana AHI). Zvimwe zvidzidzo muNorth America zvinofungidzira kuwanda kwekuvhara kufema kwehope (kupfuura 5 apneas paawa) pa24% muvarume uye 9% muvakadzi. Inenge 9% yevarume uye 4% yevakadzi vane nzira iri pakati nepakati kusvika yakaoma ye obstructive sleep apnea syndrome.^1,2.

Zvinogona kuitika

Munguva pfupi, thekufema vamwe vanorara zvinokonzera kuneta, kutemwa nemusoro, kushatirwa ... Zvinogonawo kukanganisa mukwanyina, nekuti kazhinji zvinoperekedzwa kuridza ngonono.

Nekufamba kwenguva, kana ikasarapwa, apnea yekurara ine mhedzisiro yehutano yakawanda:

Zvirwere zvemwoyo. Kuputsika kwehope kunowedzera zvakanyanya njodzi yehutano hwemwoyo, kuburikidza nemaitiro asina kunyatsonzwisiswa. Nekudaro, isu tinoziva kuti kumbomira kwega kwega kwekufema kunokonzera kushomeka kweokisijeni yehuropi (hypoxia), uye kuti kamwe kamwe micro-kumuka kunokonzera kuwedzera kweropa uye kurova kwemoyo. Nekufamba kwenguva, apneas inosanganiswa nekuwedzera kwengozi matambudziko emwoyo, zvakadai se: hypertension, sitiroko, myocardial infarction (heart attack), cardiac arrhythmia (cardiac arrhythmia) uye kukanganisa kwemoyo. Pakupedzisira, pakaitika apnea inokosha, njodzi yekufa kamwe kamwe paunenge wakarara inowedzera.

kusuruvara. Kushaikwa kwekurara, kuneta, kuda kutora nguva yekurara, uye kutsimwaira zvine chekuita nekufema kwehope. Vanoderedza hupenyu hweavo vanobatwa, avo vanowanzotambura nekuora mwoyo uye kuzviparadzanisa nevamwe. Ongororo yenguva pfupi yapfuura yakatoratidza kubatana pakati pekutadza kufema kwehope nekusaziva zvakanaka kwevakadzi vakuru.⁵.

tsaona. Kushaikwa kwekurara kunokonzerwa nekushaya hope kunowedzera njodzi dzetsaona, kunyanya tsaona dzepabasa nemumugwagwa. Vanhu vane obstructive sleep apnea syndrome vane mukana wakapetwa kaviri kana kanomwe wokuva mutsaona yemumugwagwa².

Matambudziko panyaya yekuvhiyiwa. Kumbotadza kufema pakurara, kunyanya kana kusati kwaonekwa, kunogona kuita kuti pave nengozi yeaneshesia. Chokwadi, anesthetics inogona kusimbisa kuzorora kwemhasuru dzehuro uye nekudaro apnea inowedzera. Mishonga yemarwadzo inopiwa mushure mekuvhiyiwa inogonawo kuwedzera njodzi yekuputira zvakanyanya.³. Saka zvakakosha kuzivisa chiremba wako wekuvhiya kana uchinetseka nehope yekurara.

Nguva yekubvunza

Vanachiremba vanotenda kuti ruzhinji rwevanhu vanekufema vamwe vanorara kusaziva. Kazhinji kazhinji, mukwanyina ndiye anoona kuvapo kwepneas uye ngonono. Zvinokurudzirwa kuti ona chiremba kana :

• ngonono dzako dzine ruzha uye dzinokanganisa hope dzemumwe wako;
• unowanzo kumuka usiku uchinzwa sokuti uri kunetseka kufema kana kana uchienda kuchimbuzi kakawanda usiku;
• mumwe wako anocherechedza kufema kunomira iwe wakarara;
• unonzwa wakaneta mangwanani uye unorara kazhinji mukati mezuva. Epworth's sleepiness test inoyera kuti wakarara sei masikati.

Chiremba wako anogona kukuendesa kune imwe nzvimbo inyanzvi muzvidzidzo zve hope. Muchiitiko ichi, muedzo wakadanwa polysomnography zvichazoitika. Muedzo uyu unoita kuti zvikwanisike kudzidza zvikamu zvakasiyana zvekurara uye kuyera zvimiro zvakati wandei kuona kutadza kufema kwemunhu wakarara uye kuongorora kuoma kwazvo. Mukuita, iwe unofanirwa kupedza husiku muchipatara kana mune yakasarudzika centre. Electrodes anoiswa munzvimbo dzakasiyana pamuviri kuti atarise maparamendi akadai sehuropi kana tsandanyama kuita, mwero weokisijeni muropa (kuona kuti kufema kunoshanda) uye zvakasiyana. zvikamu zvekurara. Izvi zvinokutendera kuti uzive kana munhu wacho ari kupinda muchikamu chehope dzakadzika kana kuti apneas iri kudzivirira.