Hurdada dhexe ee hurdada

Cudurka 'Central apnea' waa cillad xagga hurdada ah oo neefsashadu ay joogsato iyo in ka badan inta lagu jiro hurdada.

Hurdada dhexe ee hurdada waxay keentaa marka maskaxdu si ku meelgaar ah u joojiso inay u dirto calaamadaha muruqyada xakameeya neefsashada.

Xaaladda badanaa waxay ku dhacdaa dadka leh dhibaatooyin caafimaad qaarkood. Tusaale ahaan, wuxuu ku kori karaa qof dhibaato ku qaba aag maskaxda ka mid ah oo la yiraahdo maskaxda maskaxda, oo xakameysa neefsashada.

Xaaladaha sababi kara ama keeni kara hurdada dhexe ee hurdada waxaa ka mid ah:

• Dhibaatooyinka saameeya xididdada maskaxda, oo ay ku jiraan infekshinka maskaxda, istaroog, ama xaaladaha laf-dhabarka ilmo-galeenka (qoorta)
• Cayil daran
• Daawooyinka qaarkood, sida dawooyinka xanuun joojiyaha

Haddii cudurku uusan la xiriirin cudur kale, waxaa loo yaqaan 'idiopathic central apnea apnea'.

Xaalad loo yaqaan Neefsashada Cheyne-Stokes waxay saameyn ku yeelan kartaa dadka qaba wadno xanuun daran waxayna la xiriiri kartaa hurdada dhexe ee hurdada. Qaabka neefsashadu wuxuu ku lug leeyahay ku-beddelasho neefsasho qoto dheer iyo culus oo qoto-dheer, ama xitaa ma neefsato, badiyaa hurdada.

Hab-dhiska dhexe ee hurdada ma aha mid la mid ah hurdada oo la xannibo. Hurdada oo hakinaysa, neefsashadu way joogsataa wayna bilaabataa maxaa yeelay marinka hawadu wuu cidhiidhsan yahay ama xidhan yahay. Laakiin qofku wuu yeelan karaa labada xaaladoodba, sida dhibaato caafimaad oo loo yaqaanno buurnida hypoventilation syndrome.

Dadka qaba hurdada dhexe ee hurdada waxay leeyihiin dhacdooyin neefsasho qasan inta lagu jiro hurdada.

Calaamadaha kale waxaa ka mid noqon kara:

• Daal joogto ah
• Hurdo maalmeed
• Madax xanuun
• Hurdo aan degganayn

Calaamadaha kale ayaa laga yaabaa inay dhacaan haddii cilladdu ay sabab u tahay dhibaatada nidaamka neerfaha. Astaamuhu waxay kuxiranyihiin qaybaha nidaamka neerfaha ee la saameeyo, waxaana ka mid noqon kara:

• Neefta oo kugu yaraata
• Dhibaatooyinka wax liqidda
• Isbadalka codka
• Daciifnimo ama kabuubyo jirka oo dhan ah

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Tijaabooyin ayaa la sameyn doonaa si loo ogaado xaalad caafimaad oo salka ku haysa. Daraasadda hurdada (polysomnography) waxay xaqiijin kartaa hurdada hurdada.

Tijaabooyinka kale ee laga yaabo in la sameeyo waxaa ka mid ah:

• Echocardiogram
• Tijaabada shaqada sanbabada
• MRI maskaxda, lafdhabarta, ama qoorta
• Tijaabooyinka dhiigga, sida heerarka gaaska dhiigga ee xididdada dhiigga

Daweynta xaaladda keeneysa hurdada dhexe ee hurdada ayaa kaa caawin karta maaraynta astaamaha. Tusaale ahaan, haddii hurdada dhexe ee hurdada ay sabab u tahay wadnaha oo istaaga, ujeedku waa in la daaweeyo wadnaha oo shaqa la'aantu lafteeda.

Aaladaha loo isticmaalo hurdada si ay u caawiyaan neefsashada ayaa lagula talin karaa. Kuwaas waxaa ka mid ah cadaadiska hawo-mareenka wanaagsan ee joogtada ah ee sanka (CPAP), cadaadiska hawo-mareenka wanaagsan ee bilevel (BiPAP) ama la-qabsiga servo-hawo qaadashada (ASV). Noocyada hurdada dhexe ee hurdada waxaa lagu daaweeyaa daawooyin kiciya neefsashada.

Daaweynta oksijiinta ayaa laga yaabaa inay gacan ka geysato hubinta in sanbabada ay helaan oksijiin ku filan inta ay hurdaan.

Haddii daawada mukhaadaraadka ay sababayaan astaamaha, qiyaasta daawada ayaa laga yaabaa inay u baahan tahay in la yareeyo ama daawada la beddelo.

Sida ugu wanaagsan ee aad wax u qabato waxay kuxirantahay xaalada caafimaad ee sababi karta hurdada dhexe ee hurdada.

Aragtida ayaa inta badan u roon dadka qaba hurdada dhexe ee idiopathic.

Dhibaatooyinka waxaa laga yaabaa inay ka dhashaan cudurka salka ku haya ee keena hurdada dhexe ee hurdada.

Wac daryeel bixiyahaaga haddii aad leedahay calaamado hurdo la'aan. Cudurka 'apnea' ee hurdada dhexe waxaa badanaa lagu ogaadaa dadka horeyba u jiran.

Xilliga hurdada - dhexe; Cayilnaanta - hurdada dhexe ee hurdada; Cheyne-Stokes - hurdada dhexe ee hurdada; Wadne istaag - hurdada dhexe ee hurdada

Redline S. Neefsashada hurdo xumada iyo cudurada wadnaha. Gudaha: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Cudurka Wadnaha ee Braunwald: Buugga Buugta Daawada Wadnaha iyo Xididdada. 11aad. Philadelphia, PA: Elsevier; 2019: cutubka 87.

Ryan CM, Bradley TD. Hurdada dhexe ee hurdada. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 89.

Zinchuk AV, Thomas RJ. Hurdada dhexe ee hurdada: ogaanshaha iyo maaraynta. Gudaha: Kryger M, Roth T, Dement WC, eds. Mabaadi'da iyo Tababarka Daaweynta Hurdada. 6aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 110.