Snoring - nā mākua
He kani nui, hū, a hanu koʻikoʻi ka hū ʻana i ka wā hiamoe. ʻO ka ʻūlū ka mea maʻamau i nā mākua.
Hiki i ka leo nui, ka hū ʻana pinepine ke paʻakikī iā ʻoe a me kāu hoa moe e lawa ai ka hiamoe. I kekahi manawa hiki i ka hū ke hōʻailona o kahi maʻi hiamoe i kapa ʻia ʻo sleep apnea.
Ke hiamoe ʻoe, hoʻomaha nāʻiʻo i kou puʻu a hoʻi hou kou alelo i kou waha. Hana ʻia ka hū ke pale aku kekahi mea i ka ea mai kahe kahe ma o kou waha a me kou ihu. Ke hanu ʻoe, haʻalulu nā paia o kou puʻu, e kani ana ka leo o ka ʻū.
Nui a hewahewa nā kumu i hiki ke alakaʻi i ka snoring, me:
- Kaumaha nui ʻana. ʻO ke kinona keu i kou ʻāʻī e hoʻokau i kāu mau ala kaʻa.
- ʻO ka huehue o ka pīhaʻu i ka mahina hope o ka hāpai ʻana.
- Crooked or bent nasal septum, ʻo ia ka paia o ka iwi a me ka cartilage ma waena o kou piko.
- Nā ulu i kāu mau ihu ihal (nasal polyps).
- Kahi ihu mai ke anu a i ʻole nā mea āpau.
- ʻO ka pehu ʻana i loko o ka hale o kou waha (palate palupalu) a i ʻole ka uvula, ka ʻāpana o nā ʻaʻa e kau ana i ka hope o kou waha. ʻOi aku ka lōʻihi o kēia mau wahi ma mua o ka maʻamau.
- ʻO nā adenoids pehu a me nā tonsil e ālai i nā alaloa. He kumu maʻamau kēia o ka hū ʻana i nā keiki.
- He alelo i ākea ma ke kumu, a i ʻole he alelo nui i ka waha liʻiliʻi.
- Kahi leo maikaʻi ʻole. Hiki ke kumu ʻia kēia e ka ʻelemakule a i ʻole me ka hoʻohana ʻana i nā lāʻau moe, antihistamines, a i ʻole ka waiʻona i ka wā hiamoe.
I kekahi manawa hiki i ke kaniʻuhū ke hōʻailona o kahi maʻi hiamoe i kapa ʻia ʻo sleep apnea.
- Kū kēia ke pau ʻoe a i ʻole hapa paha i ka hanu ʻana ma mua o 10 kekona ke hiamoe ʻoe.
- Hāhai ʻia kēia e ka hū koke a i ʻole ka hanu ʻana ke hoʻomaka ʻoe i ka hanu hou. I loko o kēlā manawa ala ʻoe me ka ʻike ʻole.
- A laila hoʻomaka ʻoe e ʻūlū hou.
- Hana pinepine kēia pōʻai i nā manawa he nui i ka pō, kahi mea paʻakikī e hiamoe nui.
Hiki i ka apnea ke hiamoe ke hana paʻakikī i kāu hoa moe e hiamoe maikaʻi.
E kōkua i ka hōʻemi ʻana i ka huki ʻana:
- Hōʻalo i ka waiʻona a me nā lāʻau e hoʻomoe ai ʻoe i ka wā hiamoe.
- MAI moe palahalaha ma kou kua. E hoʻāʻo e hiamoe ma kou ʻaoʻao ma kahi. Hiki iā ʻoe ke humuhumu i kahi kolepa a i ʻole kinipōpō peku i ke kua o kou mau lole pō. Inā ʻolokaʻa ʻoe, e kōkua ke kaomi o ka poepoe iā ʻoe e noho ma kou ʻaoʻao. Ma hope o ka manawa, e lilo ka hiamoe ʻaoʻao i mea maʻamau.
- Lilo i ke kaupaona, inā ʻoi aku kou kaumaha.
- E hoʻāʻo i nā ʻope ihu over-the-counter, ʻaʻohe lāʻau e kōkua i ka hoʻonui ʻana i nā puka ihu. (ʻAʻole kēia nā lāʻau lapaʻau no ka apnea hiamoe.)
Inā hāʻawi kāu mea mālama ola iā ʻoe i kahi mea hanu, e hoʻohana ia ma kahi maʻamau. E hāhai i ka ʻōlelo aʻoaʻo a kāu mea hāʻawi aku no ka mālama ʻana i nā ʻōuli o ke alohō.
E kamaʻilio i kāu mea hāʻawi inā ʻoe:
- Loaʻa nā pilikia me ka nānā, ka noʻonoʻo, a me ka hoʻomanaʻo paha
- E ala i ke kakahiaka me ka hoʻomaha ʻole
- Hiamoe loa i ka lā
- Loaʻa i nā poʻo poʻo o ke kakahiaka
- Loaʻa kaupaona
- Ua hoʻāʻo ka mālama iā ʻoe iho no ka hū ʻana, a ʻaʻole ia i kōkua
Pono ʻoe e kamaʻilio pū me kāu mea hāʻawi inā loaʻa ʻoe i nā ʻāpana o ka hanu ʻole (apnea) i ka pō. Hiki i kāu hoa ke haʻi iā ʻoe inā e ʻūlū nui ana ʻoe a i ʻole ke kani ʻana a me ke kani ʻana o ke kani.
Aia i kāu mau ʻōuli a me ke kumu o kou hū ʻana, e kuhikuhi paha kāu mea hāʻawi iā ʻoe i kahi loea hiamoe.
Huon L-K, Guilleminault C. Nā hōʻailona a me nā ʻōuli o ka maʻi hiamoe ākea a me nā maʻi kūʻē kūwaho kiʻekiʻe. I: Friedman M, Jacobowitz O, eds. ʻO ka Apne Moe a me ka Honi. ʻElua ed. Piladelapia, PA: Elsevier; 2020: chap 2.
Stoohs R, Gula AR. Snoring a pathologic luna airway ia'ku syndromes. I: Kryger M, Roth T, Dement WC, hua pā. Nā Kumumanaʻo a me ka Hoʻomaʻamaʻa ʻana o ka lāʻau hiamoe. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 112.
ʻO Wakefield TL, ʻo Lam DJ, ʻo Ishman SL. ʻO ka maʻi hiamoe a me nā maʻi hiamoe. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 18.
- ʻŪhū