Miyaad heshay sigaarka sare oo leh hurdiga hurdada ee kuugu dhow ee sariirta? Hadday sidaas tahay, isagu ama iyadu waxay halis ugu jirtaa in ka badan oo kaliya xanuunkaaga oo kaa celinaya mar kale. Daraasado cilmi baaris ah oo dhowr ah ayaa soo gabagabeeyay in dadka qaba hurdada hurdada laga yaabo inay yeeshaan halis dheeraad ah ee dhibaatooyinka xasuusta , sida cillad maskaxeed oo fudud , Cudurka Alzheimer , iyo asaas la'aanta. Ha ka daalin, si kastaba ha ahaatee.
Waxaa sidoo kale jiri kara hab fudud si loo yareeyo khatarta.
Ku saabsan Hurdada Hurdada
Hurdada hurdada waa xaalad aad joojiso neefsashada markaad hurdooto. Sida laga soo xigtay khabiirka hurgumada hurdada , Dr. Brandon Peters, waxaa laga yaabaa inaad neeftaada ku hayso 10 ilbiriqsi, bilowdo neefsashada mar labaad, ka dibna ku celceli tan in ka badan 100 jeer habeenkii. Waxaa laga yaabaa in aad qallajiso, si tartiib ah u neefsato, ama aad si joogta ah u qufacdo marka jirkaagaagu ka shaqeeyo si loo magdhabo hurdada hurdada. Sida aad u qiyaasi karto, tani waxay ku dhibeysaa hurdo-celintaada.
Qiyaastii mid ka mid ah afarta qof ee waaweyn ee da'doodu u dhaxayso 30 iyo 70 ayaa leh hurdada hurdada. Hurdada hurdada ayaa horeyba loo xiray cadaadis dhiig oo sarreeya , cudurka wadnaha , istaroogga , nooca 2aad ee sonkorowga , iyo niyadjab.
Dib u eeg calaamadaha hurdada hurdada ee hurdada ah oo la tasho dhakhtarkaaga haddii aad ka welwelsan tahay inaad la kulmi karto hurdada hurdada.
Halista Cudurka Aids iyo Dementia
Qaar ka mid ah cilmi-baadhayaashu waxay barteen hurdada hurdada si ay u bartaan haddii, iyo sida, waxaa laga yaabaa inay ku xiran tahay maskaxda, xusuusta, iyo halista waallida.
Mid ka mid ah dib-u-eegidda cilmi-baadhista, cilmi-baarayaashu waxay eegeen dhowr ka mid ah daraasadihii hore ee lagu sameeyay hurdada 'sleep apnea' iyo 'dementia' waxayna heleen xidhiidh adag oo u dhexeeya labada arrimood. Gaar ahaan, dadka qaba cudurka Alzheimers waxay ahaayeen shan jeer oo ka badan kuwa aan qabin Alzheimers inay sidoo kale hurdada hurdada ku hayso.
Intaa waxaa dheer, waxay ogaadeen in qiyaastii kala badh ka mid ah ka qaybgalayaasha daraasaadka ee laga helay cudurka 'dementia' ay la kulmeen hurdada hurdada wakhti yar ka dib markii la ogaado.
Daraasad kale oo lagu daabacay wargeyska Neurology oo lagu qabtay New York University School of Medicine ayaa muujisay cilmi-baaris la sameeyay in ka badan 2,000 oo ka-qaybgalayaasha. Kadib markii dib loo eego qaababka hurdada iyo hawlaha garashada ee kaqeybgalayaashan, cilmi baarayaashu waxay gaareen gabagabadii soo socota:
- Dadka qaba hurdada hurdada ayaa soo jiitay caqabadaha khafiifka ah ee khalkhalka ku saabsan 10 sano ka hor noloshooda marka loo eego kuwa aan hurdada hurdada lahayn. ( Dhibaatada fahamka fudud , ama MCI, waxay kordhisaa halista waallida, laakiin dadka qaarkiis oo leh MCI way ku sii jiri karaan shaqadooda.)
- Hurdada hurdada ayaa xiriir la leh jiritaanka Alzheimers oo da'doodu tahay 83 jir marka loo eego da'da 88 ee kuwa aan hurdada hurdada lahayn.
- Halkan waa war wanaagsan: Daraasaddan, dadka daaweeyay hurdada hurdada iyaga oo isticmaalaya mishiinnada CPAP waxay heleen qiyaastii 10 sano oo ah garashada garashada. Waxay yeesheen naafonimo khafiif ah (MCI) markay da'doodu ahayd 82 jir, halka kuwa aan daweynin hurdadoodu hurdada ay u diyaarisay MCI markay ahayd da'da 72.
Daraasad saddexaad ah ayaa lagu ogaaday in hurdada hurdada ee la xiriirta hoos u dhac ku yimaadda mugga hippocampal iyo kordhinta maqaarka cad ee maskaxda-isbeddelada sida badanaa ku dhacaan dhibaatooyinka garashada sida cudurka Alzheimers.
Daraasad kale ayaa lagu go'aamiyey in dadka qaba hurdada hurdada ah ee u muuqda inay si caadi ah u shaqeynayaan garashada dhabta ah ay muujiyeen hoos u dhac dib u dhac ah iyo hoos u dhac ku yimid hawl fulinta marka la tijaabiyo Baaritaanka Baaritaanka Baaritaanka. ( Trail Making Test waa mid ka mid ah imtixaanaadka baaritaanka badan ee garashada.) Fulinta fulinta waxay ku lug leedahay awooda lagu abaabulo lana qorsheeyo hawlo badan, iyo sidoo kale kormeerida dabeecadeena.
Cilmi-baareyaasha daraasaddan shanaad ee dib-u-eegis lagu sameeyay in ka badan 400 oo haween ah ayaa muujiyay in haweenka qaba hurdada hurdada ay ku badan tahay suurtogalnimada dhibaatooyinka garashada, oo ay ku jiraan waallida.
Mid ka mid ah daraasad kale ayaa loo aqoonsaday in ay tahay cillad, waxqabadka fulinta, awoodda aragti-arag iyo xusuusta ka-qayb-galayaasha ee ka-qaybgalayaasha leh hurdada hurdada, laakiin sidoo kale waxay ogaatay in daaweynta CPAP ay wanaajisay calaamadahaas.
Mashiinnada CPAP
Mashiinnada CPAP waxay u daaweyaan apnea hurdada iyadoo la isticmaalayo maaskaro si loogu dhigo hawo cadaadisay afkaaga si aad u ilaaliso marin-haweedkaaga. Daraasado badan ayaa lagu ogaaday in daaweynta CPAP laga yaabo inay gacan ka geysato wax ka qabashada hoos u dhaca fikirka iyo xasuusta la xiriirta hurdada hurdada. Dad badan ayaa soo sheega hagaajinta hurdadoodu waxayna shaqeeyaan ka dib marka la isticmaalayo mashiin CPAP.
Talaabooyinka Xiga
Inkastoo daraasadahan aysan cadeynin in hurdada hurdada ay keento waallida, waxay muujinayaan xidhiidh adag. Xaaladdan oo kale, iyo sidoo kale khataraha caafimaad ee kale ee hurdada u jiifay ayaa lagu xidhay, aqoonsi iyo daaweyn dhakhtarku si xoog leh lagula taliyay. Adeecitaanka apnea hurdadaadu waxay noqon kartaa hab fudud oo lagu hagaajin karo caafimaadkaaga hadda iyo mustaqbalka, labadaba jirkaada iyo maskaxdaada.
> Ilo:
> Ducca EL, Gumb T, Pirraglia E, iyo al. Neefsasho aan loola jeedin niyad-jabka ayaa kor u kaca garashada fahamka waayeelka. Nuurolojiyada . Abriil 2015: 10-1566.
> Emamian F, Khazaie H, Tahmasian M, iyo al. Xidhiidhka u dhexeeya hurdada hurdada ee Apnea iyo Alzheimer: Falanqaynta Meta-Falanqaynta. 2016; 8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4828426/.
Waxyaabaha loo yaqaan 'sleep apnea syndrom' ee xasuusta xasiloonida iyo hawlaha fulinta ee waayeelka waayeelka ah. Wargeyska Jaamicada Mareykanka ee Waayeelka. 2012; 60 (6): 1099-103. https://www.ncbi.nlm.nih.gov/pubmed/22646710.
> Kinugawa K, Nguyen-Michel V, Mariani J. [Sababta dhibaatooyinka garashada ee waayeelka ah]. La Revue de medecine interne. 2014; 35 (10): 664-9. https://www.ncbi.nlm.nih.gov/pubmed/24630586.
> Kicinta baahida hurdada ee hurdada Maraykanka ee Maraykanka ayaa ku hanjabta caafimaadka dadweynaha - akademiyada Maraykanka ee daawada hurdada (AASM). http://www.aasmnet.org/articles.aspx?id=5043
> Yaffe K, Laffan AM, Harrison SL, et al. Neefsashada hurdo la'aanta ah, Hypoxia, iyo khatarta dhibaatooyinka khafiifka ah ee garaadka iyo waallida ee dumarka da'da weyn. JAMA. http://jamanetwork.com/journals/jama/fullarticle/1104205
> Zhonghua Yi Xue Zi Zhi. 2014 Dec 2; 94 (44): 3483-7. [Iskaashi dhexmara caabuqyada iyo garashada garashada iyo saameynta daaweynta cadaadiska joogtada ah ee cadaadiska joogtada ah ee hurdada uur-jiifka ah ee apnea hypopnea syndrome].
> Zhonghua Yi Xue Zi Zhi. 2014 Mar 18; 94 (10): 724-8. [Dhexdhexaadinta u dhexeeya garashada garashada iyo hippocampal atrophy iyo dhaawacyada maskaxda ee maskaxda caddadka cad ee bukaanka qaba hurdada 'apnea hypopnea syndrome').