Key Difference – Apnea vs Dyspnea
Apnea thiab dyspnea yog ob yam xwm txheej uas cuam tshuam rau tus qauv qub thiab lub cev ua pa. Apnea yog qhov ua tsis taus pa uas kav ntev li 10 vib nas this lossis ntau dua thaum pw tsaug zog. Dyspnea, ntawm qhov tod tes, yog qhov kev xav ntawm qhov tsis xis nyob yuav tsum ua pa. Qhov sib txawv tseem ceeb ntawm apnea thiab dyspnea yog nyob rau hauv pw tsaug zog apnea, cov txheej txheem ntawm kev ua pa yog nres kiag li, nyob rau hauv dyspnea, kev ua pa tsis yog tag nrho tab sis tsuas yog ib feem cuam tshuam.
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 ntawm ib lub voj voog ntawm kev pw tsaug zog tsawg dua tsib, nws tsis suav tias yog kab mob.
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 lub cev cov ntaub so ntswg thiab ua rau khaws cov pa roj carbon dioxide. Raws li qhov tshwm sim ntawm qhov kev tsis txaus siab no, cov hlab ntsws pulmonary yog constricted, ua rau pulmonary hypertension. Qhov no, nyob rau hauv lem, tuaj yeem ua rau lub plawv hypoxia, congestive plawv tsis ua hauj lwm, thiab plawv arrhythmias.
Kev tshwm sim ntawm OSA
- Nyob ua ntu zus thiab ib hnub pw tsaug zog
- 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
Daim duab 01: Apnea
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 kuaj mob, yuav tsum hais txog 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, Electro myography, pulse oximetry, qhov ntswg thiab qhov ncauj airflow, ntshav siab, esophageal siab thiab pw tsaug zog txoj hauj lwm.
Kev kho mob
Tsis phais
- 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
Dyspnea yog dab tsi?
Dyspnea txhais tau tias yog qhov kev xav ntawm qhov tsis xis nyob xav tau ua pa. Raws li lub sijhawm, nws tuaj yeem faib ua ob pawg raws li
- mob hnyav ua tsis taus pa
- Kev ua tsis taus pa ntev
Kev ua tsis taus pa ntev
Dyspnea ntawm lub sijhawm ntev yog hu ua kev ua tsis taus pa ntev ntev. Cov tsos mob ntawm tus mob no txawv nyob ntawm seb lub hauv paus pathology. Yog li ntawd, yuav tsum tau nug ob peb lo lus nug tseem ceeb thaum lub sij hawm ua keeb kwm.
ua pa thaum so thiab hmo ntuj li cas?
Nyob hauv COPD, qhov ua tsis taus pa yog qhov tsawg kawg nkaus ntawm kev so tab sis nws yog exacerbated los ntawm kev tawm dag zog. Hauv kev mob hawb pob, dyspnea ua rau hmo ntuj ua rau muaj kev cuam tshuam txog kev pw tsaug zog uas tus neeg mob tau yws sai sai. Yuav muaj orthopnea yog tias tus neeg mob muaj mob plawv.
Ntev npaum li cas koj tuaj yeem taug kev yam tsis ua pa?
Kev poob qis ntawm kev tawm dag zog lub cev yog ib qho ntawm COPD. Hauv kev mob hawb pob, pom qhov txawv txav ntawm qhov kev tawm dag zog. Ntawm qhov tod tes, yog tias tus neeg mob dyspneic txawm tias thaum so, ces tus neeg mob yuav muaj feem cuam tshuam los ntawm interstitial fibrosis.
Puas muaj teeb meem ua pa thaum yau?
Txhua yam ua xua uas muaj peev xwm tshem tawm cov tshuaj tiv thaiv anaphylactic yuav tsum raug txheeb xyuas.
Ib yam mob tshwm sim?
Caus
- mob hawb pob
- mob plawv tsis ua hauj lwm
- COPD
- Bronchial carcinoma
- Interstitial lung disease
- mob ntsws pulmonary thromboembolism
- Pleural effusion
- Lymphatic carcinomatosis
- Severe anemia
mob hnyav ua tsis taus pa
Nov yog kev kho mob xwm txheej ceev.
Nyob hauv keeb kwm, yuav tsum nug cov lus nug txog qhov,
- Tus nqi pib ua tsis taus pa
- Severity
- Kev muaj cov tsos mob xws li mob hauv siab
Nyob rau hauv cov neeg mob menyuam yaus, ib txwm xav txog qhov muaj peev xwm ntawm tus mob epiglottitis thiab lub cev txawv teb chaws cuam tshuam rau txoj hlab pa.
Cov yam ntxwv tseem ceeb uas yuav tsum tau ntsuas thaum lub sijhawm soj ntsuam yog,
- Level of nco ntsoov
- Degree of central cyanosis
- Cov tsos mob ntawm anaphylaxis xws li urticaria
- Patency ntawm qaum airway
- Muaj peev xwm hais lus
- Txhim kho plawv
Daim duab 02: Sternal retractions uas yog ib qho cim ntawm kev ua tsis taus pa
Dab tsi yog qhov zoo sib xws ntawm Apnea thiab Dyspnea?
Nyob rau hauv ob qho xwm txheej, lub tshuab ua pa cuam tshuam
Qhov txawv ntawm Apnea thiab Dyspnea yog dab tsi?
Apnea vs Dyspnea |
|
| Apnea yog qhov ua tsis taus pa uas kav ntev li 10 vib nas this lossis ntau dua thaum pw tsaug zog. | Dyspnea txhais tau tias yog qhov kev xav ntawm qhov tsis xis nyob xav tau ua pa. |
| Kev cuam tshuam | |
| Lub tshuab ua pa cuam tshuam tag nrho. | Tsuas muaj qee qhov cuam tshuam rau lub tshuab ua pa. |
| Qhov no tsuas yog tshwm sim thaum pw tsaug zog. | Qhov no tuaj yeem tshwm sim thaum twg los tau. |
Summary – Apnea vs Dyspnea
Apnea thiab dyspnea yog ob yam xwm txheej uas cuam tshuam rau tus qauv qub thiab lub cev ua pa. Qhov sib txawv tseem ceeb ntawm apnea thiab dyspnea yog tias nyob rau hauv pw tsaug zog apnea, cov txheej txheem ntawm kev ua pa yog nres kiag li, thaum dyspnea, cov txheej txheem ua pa tsis cuam tshuam tag nrho tab sis tsuas yog cuam tshuam ib feem. Txawm hais tias ob qho xwm txheej no tuaj yeem kho tau yooj yim nrog kev ua tiav siab, tsis tau txais kev kho kom raug tuaj yeem ua rau muaj mob hnyav thiab qee zaum ua rau tuag taus.
Download PDF Version of Apnea vs Dyspnea
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li cov ntawv sau tseg. Thov download PDF version ntawm no Qhov txawv Ntawm Apnea thiab Dyspnea.
