Njira yabwino yothanirana ndi mpweya

Chithandizo chabwino cha kuthamanga kwa ndege (PAP) chimagwiritsa ntchito makina kupopera mpweya mopanikizika polowera m'mapapu. Izi zimathandiza kuti mphepo yamkuntho izitseguka pogona. Mpweya wokakamizidwa woperekedwa ndi CPAP (kupitiriza kwa kuthamanga kwa mpweya wabwino) kumalepheretsa kugwa kwa mlengalenga komwe kumalepheretsa kupuma kwa anthu omwe ali ndi vuto la kupuma tulo komanso mavuto ena opuma.

MUYENERA KUGWIRITSA NTCHITO PAP

PAP imatha kuchiza bwino anthu ambiri omwe ali ndi vuto lobanika kutulo. Ndiotetezeka ndipo imagwira ntchito bwino kwa anthu azaka zonse, kuphatikiza ana. Ngati mumangokhala ndi tulo tating'onoting'ono ndipo simukumva kugona tulo masana, mwina simudzafunika.

Mutagwiritsa ntchito PAP pafupipafupi, mutha kuzindikira:

• Kulingalira bwino ndi kukumbukira
• Kukhala tcheru komanso kugona pang'ono masana
• Kulimbitsa tulo kwa mnzako pabedi
• Kukhala wopindulitsa pantchito
• Kuchepetsa nkhawa komanso kukhumudwa komanso kusangalala
• Njira zogona tulo
• Kuchepetsa kuthamanga kwa magazi (mwa anthu omwe ali ndi kuthamanga kwa magazi)

Wothandizira zaumoyo wanu adzakupatsani mtundu wa makina a PAP omwe amayang'ana vuto lanu:

• Kupitirizabe kuthamanga kwapanyanja (CPAP) kumapereka mpweya wofatsa komanso wosasunthika munjira yanu kuti izikhala yotseguka.
• Kuthamanga kwapadera (kusintha) mpweya wabwino (APAP) umasintha usiku wonse, kutengera momwe mumapumira.
• Bilevel positive airway pressure (BiPAP kapena BIPAP) imakhala ndimphamvu kwambiri mukamapumira komanso kutsitsa kuthamanga mukamatuluka.

BiPAP ndi yothandiza kwa ana ndi akulu omwe ali ndi:

• Ma Airways omwe amagwa atagona, zomwe zimapangitsa kuti zikhale zovuta kupuma momasuka
• Kuchepetsa kusinthana kwa mpweya m'mapapu
• Kufooka kwa minofu komwe kumapangitsa kuti kukhale kovuta kupuma, chifukwa cha zinthu monga kupindika kwa minofu

PAP kapena BiPAP itha kugwiritsidwanso ntchito ndi anthu omwe ali ndi:

• Kulephera kupuma
• Kupuma kwapakati kwapakati
• COPD
• Mtima kulephera

MMENE PAP NTCHITO

Mukamagwiritsa ntchito PAP kukhazikitsa:

• Mumavala chigoba pamphuno kapena mphuno ndi pakamwa mukamagona.
• Chigoba cholumikizidwa ndi payipi pamakina ang'onoang'ono omwe amakhala pambali pa kama wako.
• Makinawo amapopa mpweya mopanikizika kudzera payipi ndi chigoba ndikulowa panjira yanu mukugona. Izi zimathandiza kuti njira yanu yotseguka isatseguke.

Mutha kuyamba kugwiritsa ntchito PAP mukakhala mu tulo usiku. Makina ena atsopano (omwe amadzipangira okha kapena auto-PAP), atha kukukhazikirani kenako ndikungokupatsani kuti mugone nawo kunyumba, osafunikira mayeso kuti musinthe zovuta.

• Wopereka wanu adzakuthandizani kusankha chigoba chomwe chingakukwanireni bwino.
• Adzasintha makinawo mukamagona.
• Zokonzera zidzasinthidwa kutengera kukula kwa matenda obanika kutulo.

Ngati zizindikiro zanu sizikusintha mukamamwa mankhwala a PAP, makonda pamakina angafunike kusintha. Wothandizira anu akhoza kukuphunzitsani momwe mungasinthire makonda kunyumba. Kapena, mungafunike kupita kumalo ogona kuti mukasinthe.

KUGWIRITSIRA NTCHITO KU MACHINE

Zitha kutenga nthawi kuti muzolowere kugwiritsa ntchito kukhazikitsa kwa PAP. Mausiku angapo oyamba nthawi zambiri amakhala ovuta kwambiri ndipo mwina sungagone bwino.

Ngati mukukumana ndi mavuto, mutha kuyesedwa kuti musagwiritse ntchito makinawo usiku wonse. Koma mudzazolowera msanga ngati mutagwiritsa ntchito makina usiku wonse.

Mukamagwiritsa ntchito kukhazikitsa koyamba, mutha kukhala ndi:

• Kumverera kotsekedwa mu (claustrophobia)
• Kupweteka kwa minofu pachifuwa, komwe nthawi zambiri kumatha pakapita kanthawi
• Kupsa mtima kwa diso
• Kufiira ndi zilonda pa mlatho wa mphuno zanu
• Mphuno yothamanga kapena yodzaza
• Mlomo wowawa kapena wouma
• Kutulutsa magazi m'mphuno
• Matenda apamwamba opuma

Ambiri mwa mavutowa amatha kuthandizidwa kapena kupewa.

• Funsani omwe amakupatsani mwayi wogwiritsa ntchito chigoba chopepuka komanso chotseka. Maski ena amangogwiritsidwa ntchito mozungulira kapena m'mphuno.
• Onetsetsani kuti chigoba chikukwanira bwino kuti chisatulutse mpweya. Sayenera kukhala yolimba kwambiri kapena yotayirira kwambiri.
• Yesani kupopera madzi amchere amphongo pamphuno yothinana.
• Gwiritsani ntchito chopangira chinyezi kuti muthandizire pakhungu louma kapena ndime zammphuno.
• Sungani zida zanu zoyera.
• Ikani makina anu pansi pa kama wanu kuti muchepetse phokoso.
• Makina ambiri amakhala chete, koma mukawona phokoso lomwe limakupangitsani kugona tulo, uzani omwe akukupatsani.

Wothandizira anu amatha kutsitsa makinawo ndikuwonjezeranso pang'onopang'ono. Makina ena atsopano amatha kusintha kuti akwaniritse kuthamanga koyenera.

Wopitiriza zabwino airway kuthamanga; CPAP; Bilevel zabwino airway kuthamanga; Zamgululi Autotitrating zabwino airway kuthamanga; APAP; NCPAP; Kutulutsa kosavomerezeka kwabwino; NIPPV; Mpweya wosalowerera; NIV; OSA - CPAP; Kulepheretsa kugona tulo - CPAP

• CPAP Yamphuno

Freedman N. Chithandizo chapaulendo chapaulendo cha kutsekemera kwa tulo. Mu: Kryger M, Roth T, Dement WC, olemba. Mfundo ndi Zochita za Mankhwala Ogona. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2017: mutu 115.

Kimoff RJ. Kulepheretsa kugona tulo. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi.Philadelphia, PA: Elsevier Saunders; 2016: chap 88.

Shangold L, Jacobowitz O. CPAP, APAP, ndi BiPAP. Mu: Friedman M, Jacobowitz O, olemba. Kugona Tulo ndi Kuputa. Wachiwiri ed. Philadelphia, PA: Elsevier; 2020: mutu 8.