Obstructive pw tsaug zog apnoea: nws yog dab tsi thiab yuav kho li cas

Obstructive pw tsaug zog apnea yog ib qho mob uas tshwm sim los ntawm kev cuam tshuam hauv kev ua pa thaum pw tsaug zog vim tag nrho lossis ib feem ntawm cov hlab cua sab saud. Nws tseem hu ua OSAS (Obstructive Sleep Apnea Syndrome)

Obstructive pw tsaug zog apnoea yog dab tsi?

Muaj ntau theem ntawm kev tsis sib haum xeeb: apnea yog thaum qhov kev cuam tshuam ntawm kev ua pa ntawm 10 vib nas this mus rau tsawg dua 3 feeb; hypopnoea yog thaum muaj qhov txo qis hauv kev ua pa; RERA (Respiratory Effort Related Arousal) yog thaum muaj kev txwv ntawm kev ua pa nrog kev nce ntxiv hauv kev ua pa ua pa tom qab tso tawm tam sim ntawd.

Qhov teeb meem no cuam tshuam rau txiv neej ntau dua li cov poj niam, thiab hauv cov poj niam nws muaj ntau dua tom qab lub cev tsis muaj zog.

Dab tsi yog qhov ua rau obstructive pw tsaug zog apnea?

Qee qhov xwm txheej nyiam qhov pib ntawm pw tsaug zog apnoea:

  • rog / rog dhau
  • kev cuam tshuam ntawm cov hlab cua sab saud (qhov ntswg, qhov ncauj, caj pas)
  • haus cawv ua ntej yuav mus pw
  • noj tshuaj tsaug zog

Cov tsos mob ntawm obstructive pw tsaug zog apnea yog dab tsi?

Obstructive pw tsaug zog apnea neeg mob snores heev heev los ntawm thawj theem ntawm kev pw tsaug zog (snoring yuav nrov thiab nrov kom txog rau thaum tus neeg tsis ua pa rau ob peb feeb, tsuas yog dheev pib ua pa dua thiab pib ib lub voj voog tshiab, zoo ib yam).

Muaj ntau cov tsos mob uas cuam tshuam nrog qhov teeb meem no

  • pw tsaug zog ntev ntev
  • nyuaj rau kev xav
  • pw tsaug zog tawm tsam
  • mob taub hau thiab/los yog qhov ncauj qhuav thaum sawv los
  • tsaus ntuj tawm hws
  • sudden awakenings nrog choking hnov
  • yuav tsum tso zis thaum hmo ntuj
  • impotence

Yuav ua li cas tiv thaiv obstructive pw tsaug zog apnoea?

Txhawm rau tiv thaiv qhov pib ntawm obstructive pw tsaug zog apnea, nws raug nquahu kom:

  • poob phaus yog tias koj rog dhau lossis rog;
  • noj qab nyob zoo thiab tawm dag zog tas li, txawm tias me ntsis;
  • zam kev haus luam yeeb;
  • zam cawv, tshwj xeeb tshaj yog thaum pw.

mob

Obstructive pw tsaug zog apnea syndrome tshwm sim thaum tus naj npawb ntawm apnoeas sib npaug los yog ntau dua 5 lub sijhawm ib teev, lossis thaum muaj tsawg kawg yog 15 lossis ntau ntu nrog rau kev ua pa kom pom tseeb.

Kev kuaj mob yog ua ntej ntawm tag nrho cov tsos mob qhia los ntawm tus neeg mob thiab tus khub. Nyob rau hauv qhov kev tshwm sim ntawm kev ua xyem xyav, tus kws kho mob tej zaum yuav raug rau kev ntsuas ntsuas ntawm ntau yam tsis xws li:

  • Polysomnography: qhov no suav nrog kev ntsuas, thaum ob peb teev ntawm kev pw tsaug zog hmo ntuj, huab cua ntws, qib oxygen hauv ntshav, lub plawv dhia, thoracic thiab plab ua pa txav mus los thiab lub cev pw tsaug zog.
  • Respiratory polygraphy (los yog nocturnal cardio-respiratory xyuas): qhov kev ntsuam xyuas muaj los ntawm kev saib xyuas lub ntsiab cardio-pab paib thaum pw tsaug zog.

Lwm yam kev kuaj yuav raug sau tseg

  • electroencephalogram (los tshuaj xyuas qhov hluav taws xob ua haujlwm ntawm lub hlwb).
  • electromyography ntawm libs (los tshuaj xyuas cov leeg nqaij).
  • Pw tsaug zog apnoea, kev kho mob

Cov neeg mob uas pw tsaug zog apnea tau qhia rau:

  • poob phaus yog tias lawv rog lossis rog dhau;
  • zam dej cawv thiab tshuaj tsaug zog;
  • pw ntawm lawv sab;
  • kho tej yam mob ntawm cov hlab cua sab sauv.

Pharmacological kev kho mob yog tsom rau ob qho tib si tiv thaiv cov tsos mob thiab kho qhov ua rau muaj teeb meem.

Feem ntau, kev kho mob suav nrog

  • Kev siv Cpap (Nruam zoo huab cua txoj kev siab): qhov no yog lub npog ntsej muag uas siv rau ntawm lub qhov ntswg thiab qhov ncauj thiab ua rau lub qhov ncauj tawm ntawm huab cua, pab ua pa.
  • Kev siv cov kev phais: qhov no yuav muaj xws li kho lub qhov ntswg deviated septum los yog tshem tawm hypertrophied tonsils, nyob ntawm seb qib thiab hom kev cuam tshuam nyob rau hauv cov hlab cua sab sauv.

Nyeem kuj:

Dangerous Myths about CPR – Tsis muaj pa lawm

Tachypnoea: Lub ntsiab lus thiab pathologies txuam nrog nce zaus ntawm kev ua pa ua pa

Tau qhov twg los:

Neeg Phem

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