Ongororo yekiriniki yakaitwa paArnau de Vilanova Santa Maria University Hospital (Lleida) inoratidza kuti kugara uchishandiswa kweCPAP kunogona kudzivirira BP muvanhu vane obstructive sleep apnea (OSA) avo pakutanga vane mwero wakajairika weBP.
Tsvagiridzo iyi, yakabudiswa sechinyorwa chepakutanga muEuropean Respiratory Journal uye yakasainwa kutanga na Adriano DS Targa y Gerard Torres, akaenderera mberi kwekota boka revarwere vane OSA yakaoma uye vakawana kuti avo vakashandisa CPAP kweanenge maawa mana manheru ega ega vaiva yakachengetedzwa kubva pakuwedzera kwemagetsi, nepo avo vasina kuishandisa vakaratidza kuwedzera kukuru.
Chidzidzo muLérida: dhizaini uye huwandu hwevanhu
Kutongwa kwaisanganisira 60 vanozvipira ane kutadza kufema kwakakomba, makore anosvika 52, uye BP. Panguva yekutevera, vamwe vatori vechikamu vakagamuchira CPAP kurapwa uye vamwe vakapfuurira netarisiro yenguva dzose, vachibvumira kuenzanisa kwokufambira mberi pakati pemapoka.
Kuongorora shanduko, timu yakashandisa iyo ambulatory blood pressure monitoring (ABPM) 24-awa yekutarisa. Iyi nzira inopa mufananidzo wakanyatsojeka weropa zuva rose neusiku, iyo inonyanya kukosha muOSA, apo kuvhiringidzika kweusiku kunogona kuitika. kusundira kukwira kweropa.
Migumisiro: Kuomerera kunoita mutsauko
Vanyori vakaona muenzaniso wakajeka: kusashandisa CPAP kwakabatana nekuwedzera kukuru mune zvakasiyana-siyana zvehutano hweropa mukati memwedzi mitatu. Kusiyana neizvi, pakati peavo vakachengeta CPAP maawa mana kana kupfuura pausiku, hapana kuchinja kwakanyorwa kana kunyange kuderedza kuduku kwakaonekwa muMAPA.
Kubatsira kwaienderana ne kutevedza. Varwere vasina kukwana kushandiswa kwemidziyo akaratidza kuwedzera kweBP inofananidzwa neiyo yeboka risiri reCPAP, zvichiratidza kuti nguva chaiyo yekushandisa yakakosha kuwana kuchengetedzwa kwekunetsekana.
Kurara apnea uye hypertension: inozivikanwa link
OSA uye high blood pressure zvakabatana nhete uye bidirectional. Nyanzvi dzakadai sepulmonologist Eusebi Chiner Vanoyeuka kuti inenge hafu yeavo vanorwara ne<em>apnea vanewo hypertensive, uye izvozvo zvinenge 40% yevanhu vane hypertensive vanoridza ngonono inogona kupa AOS.
Beyond blood pressure, iyi pathology inotungamirira kukurara kwemasikati uye njodzi huru ye traffic kana tsaona dzebasaMabhuku ezvokurapa anobatanidza OSA nematambudziko akakomba, anosanganisira kukundikana kwemoyo, sitiroko, uye ischemic heart disease, ine hutano hwakakosha uye magariro. mapapiro makuru.
Kutarisirwa kwehutano uye diagnostic impact
MuSpain, kufema kwehope kunomiririra chikamu chakakosha chechiitiko muPulmonology: inofungidzirwa kuti inosvika hafu yekutaurirana munzvimbo ino. Mukuwedzera, kuongororwa kwayo kuri kukura gore negore pamwero we 8-10%, kuratidzira kudikanwa kunopfuurira kwokutarisirwa.
Chirwere chinopfuurira, pasinei nezvose, asina kuongororwa. Yayo pathophysiology inosanganisira oxygen desaturation, shanduko mu intrathoracic pressure uye microarousals, nzira dzinotungamira kutsimwaira, kukanganisa kwekuziva uye kufema, moyo, metabolic uye kuzvimba kusagadzikana.
Zvinotaurwa nenyanzvi
Kune pulmonologist Ferran Barbé, nhengo yeSEPAR uye muongorori webasa, chidzidzo ichi chinovhura a nzira inoshanda yekuvandudza hutano uye hupenyu hweavo vanotambura neOSA, vachitarisa kuzvipira kwemurwere pakurapa kwavo kuderedza mhedzisiro senge kukwira kweropa uye, nekuwedzera, zviitiko zvakakomba zvemoyo.
Chiner anosimbirira kuti kushaikwa kwekuzorora kwehusiku ndiko kunonyanya kuoneka uye kuti maitiro ayo ezuva nezuva haasi madiki, asi anosimbisa kuti chinhu chinonyanya kunetsa ishamwari ne cardiovascular pathologies uye oncological, saka kusimbisa kuongororwa uye kuomerera kumishonga inoshanda yakadai seCPAP inokosha.
CPAP: Chii uye Nei Inogona Kubatsira
CPAP (continuous positive airway pressure) chishandiso chinosundira mweya pane zvakafanotemerwa dzvinyiriro kuburikidza ne mask, kuchengetedza mhepo yakavhurika panguva yekurara. Nekudzikisa kumira kwekufema uye kuvandudza oxygenation, inogona kumisa nocturnal blood pressure spikes uye zvisaririra zvayo zvemasikati.
Chinokosha ndechokuishandisa kwenguva yakareba zvakakwana usiku hwega hwega. Maererano nedata yekudzidza, chikumbaridzo che maawa mana pazuva inoratidza musiyano pakati pekudzora kugadzikana kweBP uye njodzi yeBP pfura nekufamba kwenguva.
Matanho ekusimudzira nzira
Nechinangwa chekusimudzira ruzivo uye kudzidzisa nyanzvi, masangano uye vagari nezve dambudziko rekufema rine chekuita nekurara, SEPAR inosimudzira SEPAR Gore reTRS, chirongwa chinoratidza kupararira kwayo kwakanyanya uye mutoro wehupfumi. Vashandi vanosanganisira masangano akadai BTI Apnia y Linde, pamwe nevanoshandira pamwe muchikamu (Esteve Teijin, Orthoapnea, Oximesa, VitalAire, Welltech naYuwell), vachisimbisa network yekubatana kuvandudza kuongororwa uye kurapwa.
Pakati peakakosha data yebasa rakaitwa muLérida ndeaya anotevera: muenzaniso we60 vatori vechikamu neOSA yakaoma uye yakajairika yeropa pakutanga, kutevera mwedzi mitatu ne24-awa ABPM uye chisimbiso chekuti kushandiswa kweCPAP ≥4 maawa/usiku inodzivirira kubva pakukwira kweBP, kusiyana nekutarisira kwakajairika.
Ichi chikamu chehumbowo chinoisa CPAP sea chisarudzo chishandiso kudzora kukonzeresa kutadza kufema kwehope paBP, chero paine kutevedzera zvakanaka, uye kusimbisa kukosha kwekuona OSA nekukurumidza uye kuperekedza varwere kuti. chengetedza kurapwa nokutsungirira.