Qhov Tseem Ceeb - Apnea vs Hypopnea
Hypopnea thiab apnea yog ob qho xwm txheej zoo sib xws uas tshwm sim los ntawm ntau yam qauv thiab kev ua haujlwm deformities ntawm cov kab mob ua pa, feem ntau hauv thaj tsam laryngeal. Kev ntxhov siab pw tsaug zog yog qhov teeb meem kho mob tshaj plaws ntawm cov teeb meem no. Txawm hais tias cov huab cua tau cuam tshuam rau ob qho xwm txheej no, muaj qhov ua tiav ntawm txoj hlab pa hauv apnea whereas, tsuas muaj ib feem ntawm txoj hlab pa hauv hypopnea, tso cai rau huab cua tsawg los ntawm txoj kev ua pa. Qhov no yog qhov sib txawv tseem ceeb ntawm apnea thiab hypopnea.
Apnea yog dab tsi?
Apnea yog qhov ua tsis taus pa uas kav ntev li 10 vib nas this lossis ntau dua thaum pw tsaug zog. Tab sis yog tias tus naj npawb ntawm ntu ib lub voj voog ntawm kev pw tsaug zog tsawg dua tsib qhov no tsis suav tias yog kab mob pathological.
Qhov peb hom apnea tau piav qhia
- Obstructive Sleep Apnea (OSA)
- Central Sleep Apnea
- Nyob sib xyaw
Obstructive pw tsaug zog Apnea
Vim muaj ntau yam ua rau, txoj hlab cua sab saud tuaj yeem tawg, cuam tshuam cov cua ntws los ntawm nws. Apnea vim muaj kev cuam tshuam ntawm lub qhov ntswg, pharynx lossis larynx kuj poob rau hauv pawg no.
Pathophysiology of OSA
Apnea cuam tshuam cov pa oxygen rau hauv lub cev cov ntaub so ntswg thiab ua rau khaws cov pa roj carbon dioxide. Vim qhov tshwm sim ntawm qhov kev tsis txaus siab no, cov hlab ntsws pulmonary yog constricted, ua rau pulmonary hypertension. rau lub plawv hypoxia, congestive cardiac tsis ua hauj lwm, thiab cardiac arrhythmias.
Kev tshwm sim ntawm OSA
- Congestive heart failure and cor pulmonale
- Kev mob plawv arrhythmias
- polycythemia thiab ntshav siab
- Snoring tus txij nkawm syndrome
- Tsis nco
- Txuag libido
Risk Factors
- Txiv neej poj niam
- Hnub nyoog tshaj 40 xyoo
- Kev rog
Kev tswj hwm
Kev Ntsuas Tshuaj Kho Mob
Hauv kev ua keeb kwm, nws yog ib qho tseem ceeb kom muaj tus neeg mob lub txaj pw vim tias cov ntaub ntawv muab los ntawm tus neeg mob tsis yog qhov tseeb feem ntau. Thaum lub sij hawm soj ntsuam kuaj mob, yuav tsum tseem ceeb rau cov hauv paus ntsiab lus hais hauv qab no.
- BMI
- dab tshos loj
- Kev xeem lub taub hau thiab caj dab
- Muller's maneuver
- Kev kuaj kab mob yuav tsum tau ua txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txiav
- Cephalometric radiographs - lub hom phiaj ntawm lawv yog txhawm rau tshem tawm qhov muaj peev xwm ntawm cov kab mob craniofacial anomalies thiab cuam tshuam ntawm lub hauv paus ntawm tus nplaig.
- polysomnography
Qhov no yog qhov kev tshawb nrhiav tus qauv kub rau kev kuaj mob pw tsaug zog apnea. Cov ntaub ntawv thiab ntsuas hauv qab no raug coj mus rau lub sijhawm polysomnography;
EEG, ECG, Electroculogram, Electromyography, pulse oximetry, qhov ntswg thiab qhov ncauj airflow, ntshav siab, esophageal siab thiab pw tsaug zog txoj hauj lwm.
Kev kho mob
Nonsurgical
- Kev hloov pauv kev ua neej xws li txo lub cev hnyav, ua raws li kev noj zaub mov kom zoo thiab noj qab haus huv, thiab txo qis kev haus cawv.
- Txoj Kev Kho Mob
- Cov khoom siv hauv lub cev
- Nruab cua zoo siab
Kev phais
- Tonsillectomy thiab/los yog adenoidectomy
- Nasal surgery
- phais oropharyngeal
- Kev nce qib genioplasty nrog hyoid ncua
- Npaj puag zaus radiography
- Maxillomandibular advancement osteotomy
Hypopnea yog dab tsi?
Hypopnea txhais tau tias yog qhov poob ntawm 50% ntawm huab cua ntws los ntawm lub hauv paus cuam tshuam nrog EEG txhais tau hais tias arousal lossis 4% poob hauv cov pa oxygen.
Qhov ua rau, muaj feem cuam tshuam, cov yam ntxwv kho mob thiab kev tswj hwm ntawm hypopnea yog tib yam li ntawm apnea. Feem ntau, ob qho tib si apnea thiab hypopnea pom ib txhij nyob rau hauv feem ntau ntawm cov neeg mob.
Dab tsi zoo sib xws ntawm Apnea thiab Hypopnea?
- Cov huab cua raug cuam tshuam hauv ob qho xwm txheej no
- Qhov ua rau, qhov chaw kho mob thiab kev tswj hwm ntawm ob qho xwm txheej no tib yam.
Qhov txawv ntawm Apnea thiab Hypopnea yog dab tsi?
Apnea vs Hypopnea |
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| Apnea yog qhov ua tsis taus pa uas kav ntev li 10 vib nas this lossis ntau dua thaum pw tsaug zog. | Hypopnea txhais tau tias yog qhov poob ntawm 50% ntawm huab cua ntws los ntawm lub hauv paus cuam tshuam nrog EEG txhais tau hais tias arousal lossis 4% poob hauv cov pa oxygen. |
| Txoj Kev Tshaj Tawm ntawm Airway | |
| Txoj kev pam tuag tag. | Txoj kev dav hlau tsuas yog qee qhov occluded. |
Summary – Apnea vs Hypopnea
Hypopnea txhais tau tias yog qhov poob ntawm 50% ntawm huab cua ntws los ntawm cov hauv paus ntsiab lus cuam tshuam nrog EEG txhais tau hais tias arousal lossis 4% poob rau hauv oxygen saturation whereas apnea yog qhov ua tsis taus pa ntev li 10 vib nas this lossis ntau dua thaum lub sijhawm pw tsaug zog. Qhov sib txawv tseem ceeb ntawm apnea thiab hypopnea yog tias, hauv apnea, muaj qhov ua tiav ntawm txoj hlab pa, tab sis hauv hypopnea, txoj hlab pa tsuas yog ib feem ntawm qhov occluded.
Download PDF Version of Apnea vs Hypopnea
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Apnea thiab Hypopnea
