Pw Tsaug Zog Hauv Cov Menyuam: Yam Koj Yuav Tsum Tau Paub

Zoo Siab

• Txheej txheem cej luam
• Cov tsos mob ntawm kev tsaug zog apnea hauv cov menyuam yaus
• Qhov cuam tshuam ntawm kev tsis pw tsaug zog apnea hauv cov menyuam yaus
• Cov ua rau pw tsaug zog apnea nyob rau hauv cov me nyuam
• Soj ntsuam pw tsaug zog apnea nyob rau hauv cov me nyuam
• Txoj kev kho rau kev tsaug zog apnea hauv cov menyuam yaus
• Qhov tshwm sim yog dab tsi?

Txheej txheem cej luam

Pediatric pw tsaug zog apnea yog kev puas tsuaj pw tsaug zog uas tus me nyuam muaj kev ncua nyob rau hauv kev ua pa thaum tsaug zog.

Nws ntseeg tau tias 1 txog 4 feem pua ​​ntawm cov menyuam yaus hauv tebchaws Meskas tau pw tsaug zog. Lub hnub nyoog ntawm cov menyuam yaus uas muaj tus kabmob no txawv txav, tab sis ntau ntawm lawv nyob nruab nrab ntawm 2 txog 8 xyoo, raws li American Sleep Apnea Association.

Ob hom kev tsaug zog ua pa puas cuam tshuam cov menyuam yaus. Kev pw tsaug zog apnea yog vim txhaws hauv caj pas lossis lub qhov ntswg. Nws yog hom ntau tshaj.

Lwm yam, nruab nrab pw tsaug zog apnea, tshwm sim thaum ib feem ntawm lub hlwb lub luag haujlwm ntawm kev ua pa tsis ua haujlwm zoo. Nws tsis xa cov pa ua pa ntawm tej cim uas ua pa.

Ib qho sib txawv ntawm ob hom apnea yog tus nqi ntawm snoring. Kev ua qaj yuav tshwm sim nrog kev pw tsaug zog apnea, tab sis nws tseem ceeb dua nrog kev pw tsaug zog tsis tsaug zog vim nws cuam tshuam nrog cov hlab pa txhaws.

Cov tsos mob ntawm kev tsaug zog apnea hauv cov menyuam yaus

Dhau ntawm kev pw tsaug zog, cov tsos mob tsis ua haujlwm thiab pw tsis tsaug zog nruab nrab yog tib yam.

Cov tsos mob tshwm sim ntawm kev tsaug zog apnea rau cov menyuam thaum hmo ntuj suav nrog:

• nrov nchav
• hnoos los txhawm chim thaum pw tsaug zog
• kev ua pa ntawm qhov ncauj
• pw tsaug zog
• txaj-zaws
• paus ua pa
• pw hauv luag hauj lwm

Cov tsos mob ntawm kev tsaug zog apnea tsis yog tshwm sim thaum hmo ntuj nkaus xwb. Yog tias koj tus me nyuam tau pw tsis tsaug zog vim muaj kev puas ntsoog no, cov tsos mob nruab hnub xws li:

• nkees
• teeb meem sawv thaum sawv ntxov
• ntog pw tsaug zog nruab hnub

Nco ntsoov tias cov menyuam mos thiab menyuam yaus pw tsaug zog apnea yuav tsis hnia, tshwj xeeb yog cov neeg pw tsaug zog nruab hnub. Qee zaum, tsuas yog daim paib pw tsaug zog hauv pawg hnub nyoog no muaj teeb meem lossis ntxhov siab pw tsaug zog.

Qhov cuam tshuam ntawm kev tsis pw tsaug zog apnea hauv cov menyuam yaus

Yog tsis pw tsaug zog apnea ua rau kev pw tsaug zog ntev ntev ua rau mob nkees nruab hnub. Tus me nyuam tsis pw tsaug zog tsis tsaug zog tej zaum yuav tsis mob siab kawm ntawv. Qhov no tuaj yeem ua teeb meem rau kev kawm thiab kev kawm tsis tau zoo.

Qee tus menyuam yaus tseem muaj lub siab ua qhov tsis ua haujlwm, ua rau lawv raug qhov tsis raug zoo nrog kev mloog tsis taus / nyob tsis tswm (ADHD). Nws tau kwv yees
tias cov tsos mob ntawm kev tsaug zog pw tsaug zog yuav tshwm sim muaj hauv25 feem pua ​​ntawm cov menyuam yaus muaj tus kab mob ADHD.

Cov menyuam yaus no tseem yuav ntsib teeb meem kev sib raug zoo thiab kev kawm. Nyob rau hauv cov mob hnyav dua, pw tsaug zog apnea yog lub luag haujlwm rau kev loj hlob thiab kev paub qeeb thiab teeb meem hauv lub plawv.

Yog tsis pw tsaug zog apnea tuaj yeem ua rau ntshav siab, ua rau muaj kev pheej hmoo mob stroke thiab plawv nres. Nws kuj tseem yuav cuam tshuam nrog kev pham thaum yau.

Cov ua rau pw tsaug zog apnea nyob rau hauv cov me nyuam

Nrog kev pw tsaug zog apnea, cov leeg hauv qab caj pas txhaws thaum pw tsaug zog, ua rau tus menyuam ua pa nyuaj.

Qhov ua kom muaj kev tsaug zog pw tsaug zog hauv cov menyuam yaus feem ntau txawv ntawm qhov ua rau hauv cov neeg laus. Kev pham yog qhov pib loj dua hauv cov neeg laus. Kev rog dhau los kuj tseem tuaj yeem ua rau muaj kev cuam tshuam txog kev pw tsaug zog apnea rau menyuam yaus. Tab sis rau qee tus menyuam yaus, nws feem ntau tshwm sim los ntawm kev txhab lossis mob adenoids. Cov ntaub so ntswg ntxiv tuaj yeem ua kom tiav lossis ib nrab txhaws ntawm lawv cov hlab pa.

Qee tus menyuam yaus yuav muaj feem pheej ua lub neej pw tsis tsaug zog. Cov teeb meem phom sij kom pw tsaug zog pab neeg pw tsaug zog suav nrog:

• muaj tsev neeg keeb kwm ntawm pw tsaug zog apnea
• rog dhau los rog dhau hwv
• muaj qee yam mob (mob hlwb, Down syndrome, mob caj dab, kab mob hauv lub pob txha taub hau lossis ntsej muag)
• ua neeg yug los muaj tsawg phaus
• muaj tus nplaig loj

Qee yam uas tuaj yeem ua rau pw tsaug zog nruab hnub yog:

• qee yam mob kho mob, xws li lub plawv tsis ua haujlwm thiab mob hlab ntaws
• ua neeg yug ntxov
• qee qhov tsis muaj cuab lub ntsej muag tsis huv
• qee cov tshuaj, xws li opioids

Soj ntsuam pw tsaug zog apnea nyob rau hauv cov me nyuam

Nws yog ib qho tseem ceeb kom ntsib kws kho mob yog koj xav tias tsam pw tsaug zog ntawm koj tus menyuam. Koj tus kws kho mob yuav xa koj mus rau tus kws paub hauj lwm pw tsaug zog.

Txhawm rau txheeb xyuas lub sijhawm pw tsaug zog kom zoo, tus kws kho mob yuav nug txog koj tus menyuam cov tsos mob, kuaj xyuas lub cev, thiab teem sijhawm kawm pw tsaug zog.

Txog kev kawm txog kev pw tsaug zog, koj tus menyuam siv sijhawm hmo ntuj hauv tsev khomob lossis tsev kho mob pw. Tus kws tshaj lij kev pw tsaug zog tso cov cim rau lawv lub cev, thiab tom qab ntawd soj ntsuam cov hauv qab no thoob plaws ib hmos:

• lub hlwb vuag
• qib pa
• lub plawv dhia
• cov leeg ua si
• qauv ua pa

Yog tias koj tus kws kho mob tsis paub tseeb tias koj tus menyuam xav tau kev pw tsaug zog tag nrho, lwm txoj kev xaiv yog kev kuaj ntshav (oximetry test). Qhov ntsuam xyuas no (ua tiav hauv tsev) ntsuas koj tus menyuam lub plawv dhia siab thiab cov pa oxygen hauv lawv cov ntshav thaum tsaug zog. Nov yog qhov pib kuaj xyuas cov cuab yeej los saib seb puas pom pw tsaug zog apnea.

Raws li cov txiaj ntsig ntawm kev sim oximetry, koj tus kws kho mob yuav pom zoo txoj kev tshawb fawb pw tsaug zog tag nrho kom paub meej tias kuaj mob ua pa tsaug zog.

Ntxiv nrog rau kev kawm txog kev pw tsaug zog, koj tus kws kho mob yuav teem ib lub electrocardiogram los txiav txim tawm cov kev mob plawv. Daim ntawv sib tw no sau cov hluav taws xob hauv koj tus menyuam lub siab.

Kev tshuaj ntsuam kom zoo yog ib qho tseem ceeb vim tias kev pw tsaug zog apnea qee zaum raug ntsia rau cov menyuam yaus. Qhov no tuaj yeem tshwm sim thaum ib tus menyuam yaus tsis ua cim cov tsos mob tshwm sim tsis zoo.

Piv txwv li, hloov ntawm kev pw tsaug zog thiab noj ntau ntau hnub nruab hnub, tus menyuam pw tsaug zog tsaug zog yuav dhau los ua lub ntsej muag, chim siab, thiab txhim kho lub siab lub ntsws, uas ua rau kuaj tus cwj pwm tsis zoo.

Raws li yog niam txiv, nco ntsoov koj paub kom muaj kev phom sij txog kev pw tsaug zog hauv cov menyuam yaus. Yog tias koj tus menyuam tau ua raws li cov qauv qhia rau pw tsaug zog thiab pom cov cim ntawm lub ntsej muag tsis mloog lus lossis teeb meem cwj pwm, tham nrog koj tus kws kho mob txog kev kawm txog kev pw tsaug zog.

Txoj kev kho rau kev tsaug zog apnea hauv cov menyuam yaus

Tsis muaj cov txheej txheem los tham txog thaum yuav kho kev mob pw tsaug zog hauv cov menyuam yaus uas txhua tus lees txais. Txog kev pw tsaug zog me me yam tsis muaj tsos mob, koj tus kws kho mob yuav xaiv tsis kho tus mob, yam tsawg kawg yog tsis tam sim ntawd.

Qee cov menyuam yaus pw tsis tsaug zog. Yog li, koj tus kws kho mob yuav soj ntsuam lawv tus mob ib ntus seb puas muaj kev txhim kho. Cov txiaj ntsig ntawm qhov ua qhov no yuav tsum tau ntsuas tawm qhov kev pheej hmoo ntawm cov teeb meem mob mus ntev los ntawm kev tsis pw tsaug zog tsis tsaug zog.

Cov tshuaj pleev rau lub qhov ntswg tuaj yeem muab tshuaj kom txo cov ntshav ntswg hauv qee tus menyuam. Cov tshuaj no suav nrog fluticasone (Dymista, Flonase, Xhance) thiab budesonide (Rhinocort). Lawv yuav tsum tsuas yog siv ib ntus kom txog rau thaum qhov kev sib hais sib hais tas lawm. Lawv tsis yog npaj rau kev kho mob ntev.

Thaum ua mob loj tuaj lawm lossis adenoids ua rau txhawm rau pw tsaug zog, kev tshem tawm ntawm cov tonsil thiab adenoids feem ntau ua rau qhib koj tus menyuam txoj hlab pa.

Tus neeg rog, koj tus kws kho mob yuav qhia kev tawm dag zog lub cev thiab kev noj haus kom kho pw tsaug zog apnea.

Thaum pw tsaug zog apnea yog mob hnyav lossis tsis tau zoo dua nrog kev txhim kho los ntawm kev kho mob thaum pib (kev noj zaub mov zoo thiab kev phais mob txhawm rau pw tsaug zog thiab kev noj haus thiab kev kho mob hauv qab daus ua pa tsaug zog), koj tus menyuam yuav xav tau kev pab ua pa kom zoo (lossis CPAP kho) Cov.

Thaum kho CPAP, koj tus menyuam yuav hnav daim npog uas npog lawv lub qhov ntswg thiab qhov ncauj thaum pw tsaug zog. Lub tshuab tshuab txais cov tshuab ua ntu zus rau ntawm cov cua kom lawv cov hlab cua qhib.

CPAP tuaj yeem pab cov tsos mob ntawm kev tsaug zog pw tsaug zog, tab sis nws tsis tuaj yeem kho nws. Qhov teeb meem loj tshaj plaws ntawm CPAP yog tias cov menyuam yaus (thiab cov neeg laus) tsis nyiam hnav lub ntsej muag npog ntsej muag txhua hmo, yog li lawv tsis tsum siv.

Kuj tseem muaj qhov ncauj tiv thaiv hniav uas cov menyuam ua pa tsaug zog thaum hnav tsaug zog. Cov cuab yeej siv no yog tsim kom ceev lub puab tsaig nyob rau hauv lub hauv ntej thiab tuav lawv txoj hlab pa. CPAP zoo dua, feem ntau, tab sis menyuam yaus nyiam lub ntsej muag zoo dua, yog li lawv yuav nyiam siv txhua hmo.

Lub qhov ncauj tsis muaj kev pab cuam rau txhua tus menyuam, tab sis lawv yuav yog qhov kev xaiv rau cov menyuam loj dua uas tsis muaj kev loj hlob ntawm pob txha ntsej muag.

Cov cuab yeej siv hu ua noninvasive positive pressure ventilation device (NIPPV) yuav ua haujlwm zoo dua rau cov menyuam yaus pw tsaug zog nruab hnub. Cov tshuab no tso cai ua tus thaub qab ua kom muaj pa ceev tau teeb tsa. Qhov no ua kom ntseeg tau tias txheej txheem kev ua pa tau suav daws txhua feeb txawm tias tsis muaj lub cim los ua pa ntawm lub hlwb.

Lub tswb ntsuas apnea tuaj yeem siv rau cov menyuam mos nrog lub plawv nres apnea. Nws suab tswb thaum muaj ceeb toom apnea tshwm sim. Nov ua rau tus minyuam mos thiab nres lub apneic rov. Yog hais tias tus me nyuam mos dhau qhov teeb meem, lub tswb yuav tsis tau lawm.

Qhov tshwm sim yog dab tsi?

Kev pw tsaug zog apnea ua haujlwm rau ntau tus menyuam. Cov kev phais yuav tshem tawm kev pw tsaug zog apnea li ntawm 70 rau 90 feem pua ​​ntawm cov menyuam yaus mob qog thiab adenoids. Zoo li no, qee cov menyuam yaus nrog qee yam kev tsaug zog tsaug zog pom kev txhim kho lawv cov tsos mob nrog tswj lub cev nyhav lossis siv lub tshuab CPAP lossis cov cuab yeej siv hauv qhov ncauj.

Yog tias tsis kho, kev ua kom tsaug zog yuav ua rau koj tus menyuam lub neej tsis zoo. Nws tuaj yeem ua rau lawv nyuaj nyob rau hauv tsev kawm ntawv, thiab qhov kev puas tsuaj no ua rau lawv muaj kev phom sij txog lub neej xws li mob hlab ntsha tawg lossis mob plawv.

Yog tias koj pom snoring nrov, nres ua pa thaum tsaug zog, hyperactivity, los yog nkees heev thaum nruab hnub hauv koj tus menyuam, tham nrog koj tus kws kho mob thiab sab laj txog kev tsaug zog tsaug zog.