LUBapnea ib co pw yog manifested involuntary nres nyob rau hauv ua pa, "apneas", tshwm sim thaum pw tsaug zog. Pw tsaug zog apnea feem ntau tshwm sim rau cov neeg uas rog dhau, cov neeg laus, lossis cov uas hnia hnyav.

Cov kev ua pa nres no dhau los ntawm kev txhais ntau tshaj 10 vib nas this (thiab tuaj yeem ncav cuag ntau dua 30 vib nas this). Lawv tshwm sim ob peb zaug ib hmos, nrog ntau zaus. Cov kws kho mob xav tias lawv muaj teeb meem thaum muaj ntau tshaj 5 ib teev. Hauv cov xwm txheej hnyav, lawv tshwm sim ntau dua 30 zaug hauv ib teev.

Cov apneas no cuam tshuam kev pw tsaug zog thiab feem ntau ua rau qaug zog thaum koj sawv mob taub hau los yog ib tug tsaug zog thaum nruab hnub.

Ua rau

Feem ntau ntawm cov neeg mob, apneas yog vim kev so ntawm tus nplaig thiab cov leeg ntawm caj pas, uas tsis muaj tonic txaus thiab thaiv cov huab cua thaum lub sijhawm ua haujlwm. ua pa. Yog li, tus neeg sim ua pa, tab sis huab cua tsis ncig vim yog qhov cuam tshuam ntawm txoj hlab pa. Qhov no yog vim li cas cov kws kho mob hais txog obstructive apnea, los yog obstructive pw tsaug zog apnea syndrome (SAOS). Qhov kev so ntau dhau no feem ntau cuam tshuam rau cov neeg laus, uas nws cov leeg tsis tshua muaj zog. Cov neeg rog rog kuj muaj ntau dua rau pw tsaug zog apnea vim tias caj dab rog ntau dua ua rau cov pa hauv pa.

Tsis tshua muaj, apneas yog vim muaj kev ua haujlwm tsis zoo ntawm lub hlwb, uas tsis xa cov "hais kom" ua pa rau cov leeg ua pa. Nyob rau hauv rooj plaub no, tsis zoo li obstructive apnea, tus neeg tsis ua rau ib qho kev ua pa. Peb mam li tham txogapnea pw tsaug zog. Hom apnea no feem ntau tshwm sim hauv cov neeg uas muaj mob hnyav, xws li kab mob plawv (lub plawv tsis ua haujlwm) lossis kab mob neurological (piv txwv li, meningitis, Parkinson's disease, thiab lwm yam). Lawv tuaj yeem tshwm sim tom qab mob stroke lossis rog rog. Kev siv tshuaj tsaug zog, tshuaj narcotics lossis cawv kuj yog ib qho kev pheej hmoo.

Muaj coob tus neeg muaj ib tug "mixed" pw tsaug zog apnea, nrog kev hloov ntawm obstructive thiab central apneas.

loj heev

Qhov ntau zaus ntawmapnea ib co pw yog siab heev: nws yog piv rau lwm yam kab mob ntev xws li mob hawb pob lossis mob ntshav qab zib hom 2. Pw tsaug zog apnea tuaj yeem cuam tshuam rau cov neeg laus thiab menyuam yaus, tab sis nws cov zaus nce ntxiv nrog lub hnub nyoog.

Nws yog 2 mus rau 4 npaug ntawm cov txiv neej ntau dua li cov poj niam, ua ntej hnub nyoog 60.⁶.

Qhov kwv yees ntawm qhov sib txawv ntawm qhov sib txawv raws li qib ntawm qhov hnyav tau muab rau hauv tus account (tus naj npawb ntawm apneas ib teev, ntsuas los ntawm qhovapnea-hypopnea index lub AHI). Qee qhov kev tshawb fawb hauv North America kwv yees qhov zaus ntawm obstructive pw tsaug zog apnea (ntau dua 5 apneas ib teev) ntawm 24% ntawm cov txiv neej thiab 9% ntawm cov poj niam. Kwv yees li 9% ntawm cov txiv neej thiab 4% ntawm cov poj niam muaj ib qho mob me me mus rau qhov hnyav ntawm obstructive pw tsaug zog apnea syndrome.^1,2.

Muaj teeb meem tshwm sim

Nyob rau hauv luv luv, lubapnea ib co pw ua rau qaug zog, mob taub hau, chim siab ... Nws tuaj yeem ua rau tus txij nkawm tsis yooj yim, vim nws feem ntau nrog nrov snoring.

Nyob rau lub sijhawm ntev, yog tias tsis kho, pw tsaug zog apnea muaj ntau yam kev mob tshwm sim:

Kab mob plawv. Kev pw tsaug zog apnea ua rau muaj kev pheej hmoo ntawm cov kab mob plawv, los ntawm cov txheej txheem uas tsis nkag siab tag nrho. Txawm li cas los xij, peb paub tias txhua qhov ua pa nres ua rau lub hlwb tsis muaj oxygenation (hypoxia), thiab txhua qhov micro-awakening ua rau muaj ntshav siab thiab lub plawv dhia. Nyob rau hauv lub sij hawm ntev, apneas yog txuam nrog kev pheej hmoo siab ntawm kev mob plawv, xws li: kub siab, mob stroke, myocardial infarction (lub plawv nres), plawv arrhythmia (cardiac arrhythmia) thiab lub plawv tsis ua hauj lwm. Thaum kawg, thaum muaj qhov tseem ceeb apnea, qhov kev pheej hmoo ntawm kev tuag tam sim ntawd thaum pw tsaug zog yog nce.

Kev nyuaj siab. Tsis tsaug zog, qaug zog, xav tau pw tsaug zog, thiab tsaug zog yog txuam nrog pw tsaug zog apnea. Lawv txo qis lub neej zoo ntawm cov neeg cuam tshuam, uas feem ntau raug kev nyuaj siab thiab kev nyob ib leeg. Ib txoj kev tshawb fawb tsis ntev los no txawm pom qhov sib txuas ntawm kev pw tsaug zog apnea thiab kev paub tsis meej hauv cov poj niam laus.⁵.

Cov xwm txheej. Tsis tsaug zog vim apnea ua rau muaj kev pheej hmoo ntawm kev sib tsoo, tshwj xeeb yog kev sib tsoo ntawm kev ua haujlwm thiab ntawm txoj kev. Cov neeg uas muaj obstructive pw tsaug zog apnea syndrome yog 2 mus rau 7 npaug ntau dua yuav nyob rau hauv kev sib tsoo tsheb².

Teeb meem nyob rau hauv rooj plaub ntawm kev phais. Pw tsaug zog apnea, tshwj xeeb tshaj yog tias nws tseem tsis tau kuaj pom, tuaj yeem ua rau muaj kev pheej hmoo rau kev siv tshuaj loog. Qhov tseeb, cov tshuaj loog tuaj yeem ua rau lub cev so ntawm cov leeg hauv caj pas thiab yog li ua rau mob apnea. Cov tshuaj mob uas tau muab tom qab kev phais kuj tseem tuaj yeem ua rau muaj kev pheej hmoo ntawm apnea hnyav.³. Yog li ntawd, nws tseem ceeb heev kom qhia rau koj tus kws phais yog tias koj raug kev txom nyem los ntawm pw tsaug zog apnea.

Thaum twg los sab laj

Cov kws kho mob ntseeg tias feem coob ntawm cov neeg nrogapnea ib co pw tsis paub. Feem ntau, nws yog tus txij nkawm uas pom tias muaj apneas thiab snoring. Nws yog advisable mus mus ntsib kws kho mob yog:

• koj snoring nrov thiab cuam tshuam koj tus khub pw tsaug zog;
• koj nquag sawv thaum hmo ntuj zoo li koj tawm tsam ua pa lossis yog tias koj mus rau chav dej ob peb zaug ib hmo;
• koj tus khub pom tias ua tsis taus pa thaum koj tsaug zog;
• koj nkees thaum sawv ntxov thiab tsaug zog ntau thaum nruab hnub. Epworth's sleepiness test ntsuas seb koj tsaug zog npaum li cas thaum nruab hnub.

Koj tus kws kho mob tuaj yeem xa koj mus rau ib lub chaw tshwj xeeb hauv kev kawm ntawm pw tsaug zog. Hauv qhov no, ib qho kev xeem hu ua polysomnography yuav paub. Qhov kev sim no ua rau nws muaj peev xwm kawm txog cov theem sib txawv ntawm kev pw tsaug zog thiab ntsuas ntau qhov ntsuas kom pom kev pw tsaug zog apnea thiab ntsuas lawv qhov hnyav. Hauv kev xyaum, koj yuav tsum tau siv sijhawm hmo ntuj hauv tsev kho mob lossis hauv qhov chaw tshwj xeeb. Cov hluav taws xob tau muab tso rau hauv qhov chaw sib txawv ntawm lub cev los saib xyuas qhov tsis xws li lub hlwb lossis cov leeg nqaij, qib oxygen hauv cov ntshav (kom paub meej tias ua pa zoo) thiab ntau yam. pw tsaug zog theem. Qhov no tso cai rau koj paub yog tias tus neeg tau nkag mus rau theem pw tsaug zog lossis yog tias apneas tiv thaiv nws.