Cutar barci mai hana - manya

Mutuwar bacci mai nauyi (OSA) matsala ce wacce numfashinku yake dakatawa yayin bacci. Wannan na faruwa ne saboda kunkuntar ko toshe hanyoyin iska.

Lokacin da kake bacci, dukkan tsokoki a jikinka zasu zama masu annashuwa. Wannan ya hada da jijiyoyin da zasu taimaka wajen bude makogwaronka don iska zata iya zuwa huhunka.

A ka'ida, maƙogwaronka yana buɗe isa lokacin barci don barin iska ta wuce. Wasu mutane suna da kunkuntar maƙogwaro. Lokacin da tsokoki a cikin makogwaronsu na sama suka yi annashuwa yayin barci, kyallen takarda suna rufewa kuma suna toshe hanyar iska. Wannan tsayawa a numfashi ana kiransa apnea.

Snara da ƙarar iska shine alamar bayyanar OSA. Yunkurin yana faruwa ne ta hanyar matse iska ta cikin kunkuntar ko hanyar da aka toshe. Ba duk wanda yayi sanyin bane yake da matsalar bacci duk da haka.

Sauran abubuwan na iya ƙara haɗarin ka:

• Jawarƙashin muƙamuƙi wanda yake a takaice idan aka kwatanta shi da hammata na sama
• Wasu siffofin rufin bakinka (na sama) ko hanyar iska wanda ke haifar dashi saurin fadowa
• Babban wuya ko girman abin wuya, inci 17 (santimita 43) ko fiye a cikin maza da inci 16 (santimita 41) ko fiye a mata
• Babban harshe, wanda na iya faɗuwa ya toshe hanyar iska
• Kiba
• Manyan tonsils da adenoids waɗanda zasu iya toshe hanyar iska

Barci a bayanka na iya haifar da toshewar hanyar iska da kuma taƙaita su.

Cutar barcin tsakiya wata cuta ce ta bacci yayin da numfashi zai iya tsayawa. Yana faruwa ne lokacin da kwakwalwa ta daina aika sigina zuwa wani lokaci zuwa tsokoki masu kula da numfashi.

Idan kana da OSA, yawanci zaka fara minshari ba da daɗewa ba bayan bacci.

• Yunkurin yakan zama da karfi sosai.
• Silentan tsayi yana katsewa ta hanyar dogon shiru yayin da numfashinku ya tsaya.
• Shirun ya biyo baya da wata kara mai karfi da huci, yayin da kake kokarin numfashi.
• Wannan tsarin yana maimaitawa tsawon dare.

Yawancin mutane da ke da OSA ba su san numfashinsu yana farawa da tsayawa a cikin dare ba. Galibi, abokin bacci ko wasu dangi suna jin kara mai karfi, gurnani, da shaka. Ikrari na iya zama da ƙarfi sosai don ji ta bango. Wani lokaci, mutanen da ke da OSA suna farka suna shan iska.

Mutanen da ke fama da cutar barcin na iya:

• Ka farka da sassafe da safe
• Jin bacci ko bacci a tsawon yini
• Yi girman kai, mai haƙuri, ko mai saurin fushi
• Kasance mai mantawa
• Fada barci yayin aiki, karatu, ko kallon TV
• Jin bacci yayin tuki, ko ma yin bacci yayin tuki
• Samun ciwon kai mai wahalar magani

Sauran matsalolin da zasu iya faruwa sun haɗa da:

• Bacin rai
• Halin lalata, musamman a yara
• Da wuya a magance cutar hawan jini
• Ciwon kai, musamman da safe

Mai ba da lafiyar ku zai ɗauki tarihin lafiyar ku ya yi gwajin jiki.

• Mai ba ku sabis zai duba bakinku, wuyanku, da maƙogwaronku.
• Ana iya tambayarka game da barcin rana, yadda kake bacci, da kuma al'adar kwanciya.

Kuna buƙatar yin nazarin bacci don tabbatar da OSA. Ana iya yin wannan gwajin a cikin gidanku ko kuma a cikin dakin bacci.

Sauran gwaje-gwajen da za'a iya yi sun haɗa da:

• Gas na jini
• Lantarki (ECG)
• Echocardiogram
• Nazarin aikin aikin thyroid

Yin jiyya na taimaka wajan buɗe hanyar iska yayin da kuke bacci don numfashinku baya tsayawa.

Canje-canjen salon rayuwa na iya taimakawa sauƙaƙan bayyanar cututtuka a cikin mutanen da ke da ƙaramin bacci, kamar su:

• Guji shaye-shaye ko magungunan da ke sa bacci kafin lokacin bacci. Suna iya sa alamun cutar su ta'azzara.
• Guji bacci a bayan ka.
• Rage nauyi mai nauyi

Cigaba da ingantaccen iska mai ƙarfi (CPAP) na'urori suna aiki mafi kyau don magance matsalar hana bacci a cikin yawancin mutane.

• Kuna sanya mask a hanci da hanci da bakinku yayin barci.
• An haɗa mask ɗin ta tiyo zuwa ƙaramin injin da yake zaune a gefen gadonka.
• Injin yana tura iska ta matsi ta bututun sa da abin rufe fuska da kuma cikin hanyar iska yayin da kake bacci. Wannan yana taimakawa barin bude hanyar iska.

Zai iya ɗaukar ɗan lokaci don amfani da bacci tare da maganin CPAP. Kyakkyawan bibiya da tallafi daga cibiyar bacci na iya taimaka muku shawo kan duk wata matsala ta amfani da CPAP.

Na'urar hakori na iya taimaka wa wasu mutane. Kuna sa su a cikin bakinku yayin da kuke barci don kiyaye muƙamuƙin ku gaba da kuma iska ta buɗe.

Sauran magunguna na iya kasancewa, amma akwai ƙarami shaidar cewa suna aiki. Zai fi kyau a tattauna da likita wanda ya ƙware a matsalolin bacci kafin a gwada su.

Yin aikin tiyata na iya zama zaɓi ga wasu mutane. Yawancin lokaci shine mafaka na ƙarshe idan wasu jiyya basuyi aiki ba kuma kuna da alamomi masu tsanani. Ana iya amfani da tiyata don:

• Cire ƙarin nama a bayan makogwaro.
• Gyara matsaloli tare da sifofi a fuska.
• Irƙiri buɗewa a cikin bututun iska don keta hanyar iska da aka toshe idan akwai matsaloli na zahiri.
• Cire tonsils da adenoids.
• Shigar da na'urar-kamar na'urar bugun zuciya wacce ke motsa tsokokin makogwaro su kasance a bude yayin bacci.

Yin aikin tiyata ba zai iya warkar da cutar bacci ba kuma zai iya haifar da sakamako mai tsawo.

Idan ba a magance shi ba, cutar bacci na iya haifar da:

• Tashin hankali da damuwa
• Rashin sha'awar jima'i
• Rashin ingancin aiki ko makaranta

Baccin rana saboda barcin bacci na iya ƙara haɗarin:

• Hadarin abin hawa daga tuki yayin bacci
• Hadarin masana'antu daga yin bacci akan aiki

A mafi yawan lokuta, magani gaba daya yana magance bayyanar cututtuka da matsaloli daga cutar bacci.

Maganin hana bacci da ba shi da magani zai iya haifar da cutar cututtukan zuciya, gami da:

• Ciwon zuciya
• Ajiyar zuciya
• Ciwon zuciya
• Hawan jini
• Buguwa

Kira mai ba da sabis idan:

• Kuna jin gajiya sosai da barci da rana
• Kai ko dangin ku sun lura da alamun rashin bacci na rashin bacci
• Kwayar cutar ba ta inganta tare da magani, ko kuma sabon alamun ci gaba

Barcin barci - hanawa - manya; Apnea - cututtukan rashin lafiya na hana bacci - manya; Numfashin da ya lalace - manya; OSA - manya

• Bayan tiyata-asarar nauyi - abin da za a tambayi likita
• Kafin tiyata-asarar nauyi - abin da za a tambayi likita
• Tiyatar ciki ta hanji - fitarwa
• Laparoscopic gastric banding - fitarwa
• Tonsil da adenoid cire - fitarwa

• Barcin barcin mai cutarwa

Greenberg H, Lakticova V, Scharf SM. Rashin barci mai lalacewa: fasalin asibiti, kimantawa, da ka'idojin gudanarwa. A cikin: Kryger M, Roth T, Dement WC, eds. Ka'idoji da Aikin Magungunan bacci. Na 6 ed. Philadelphia, PA: Elsevier; 2017: babi na 114.

Kimoff RJ. Barcin barcin mai cutarwa. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 88.

Ng JH, Yow M. Kayan aiki na baka a cikin kula da cutar hana bacci. Likitocin bacci. 2019; 14 (1): 109-118. PMID: 30709525 www.ncbi.nlm.nih.gov/pubmed/30709525.

Patil SP, Ayappa IA, Caples SM, Kimoff RJ, Patel SR, Harrod CG. Jiyya game da haɓakar haɓakar ƙwararren balagagge tare da matsin lamba na iska mai kyau: Jagorar aikin likita na Cibiyar Nazarin Baccin Magungunan Baccin Amurka. J Clin Barcin Med. 2019; 15 (2): 335–343. PMID: 30736887 pubmed.ncbi.nlm.nih.gov/30736887.

Redline S. Numfashi mai rikicewar bacci da cututtukan zuciya. A cikin: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald ta Cutar Cutar: Littafin rubutu na Magungunan zuciya da jijiyoyin jini. 11th ed. Philadelphia, PA: Elsevier; 2019: babi na 87.