Kusiyanitsa Pakati pa CPAP, APAP, ndi BiPAP monga Kugona kwa Apnea Therapies

Zamkati

• Kodi APAP ndi chiyani?
• CPAP ndi chiyani?
• Kodi BiPAP ndi chiyani?
• Zotsatira zoyipa za APAP, CPAP, ndi BiPAP
• Ndi makina ati omwe ali oyenera kwa inu?
• Mankhwala ena obanika kutulo
• Zosintha m'moyo
• Kusintha kachitidwe kanu kausiku
• Opaleshoni
• Tengera kwina

Matenda obanika kutulo ndi gulu lamavuto ogona omwe amachititsa kupuma nthawi zambiri mukamagona. Mtundu wofala kwambiri ndi matenda obanika kutsekemera ogona (OSA), omwe amapezeka chifukwa cha kupindika kwa khosi.

Kupuma kwapakati kwapakati kumachitika chifukwa cha vuto laubongo lomwe limaletsa kupuma koyenera. Matenda ovuta kugona amaperewera kwambiri, ndipo zikutanthauza kuti mumakhala ndi vuto la kupumula kwa kugona.

Vuto lakugona ili pachiwopsezo cha moyo ngati silichiritsidwa.

Ngati mukudwala matenda obanika kutulo, dokotala wanu angakulimbikitseni makina opumira kuti akuthandizeni kupeza mpweya wabwino womwe mwina simukusowa usiku.

Makinawa amangiriridwa ku chigoba chomwe mumavala m'mphuno ndi pakamwa. Amapereka zipsinjo zothandizira minofu yanu kupumula kuti muzitha kupuma. Izi zimatchedwa chithandizo chabwino cha airway pressure (PAP).

Pali mitundu itatu ikuluikulu yamakina yomwe imagwiritsidwa ntchito pochiza matenda obanika kutulo: APAP, CPAP, ndi BiPAP.

Pano, tikuphwanya kufanana ndi kusiyana pakati pa mtundu uliwonse kuti muthe kugwira ntchito ndi dokotala wanu kuti akuthandizeni kusankha njira yabwino kwambiri yothandizira kugona tulo.

Kodi APAP ndi chiyani?

Makina osinthika a airway (APAP) amadziwika bwino chifukwa chotha kupereka zovuta zosiyanasiyana mukamagona, kutengera momwe mumapangira.

Imagwira pamitundu ingapo yama 4 mpaka 20, yomwe ingakupatseni kusinthasintha kukuthandizani kuti mupeze zovuta zanu.

Makina a APAP amagwira ntchito bwino ngati mungafune kupanikizika kowonjezera kutengera tulo tofa nato, kugwiritsa ntchito mankhwala ogonetsa, kapena malo ogona omwe amasokoneza mpweya, monga kugona m'mimba mwanu.

CPAP ndi chiyani?

Makina opitilira muyeso wamaulendo apandege (CPAP) ndiye makina osankhidwa kwambiri opumira tulo.

Monga momwe dzinalo likusonyezera, CPAP imagwira ntchito popereka mphepo yotulutsa mpweya ndi mpweya. Mosiyana ndi APAP, yomwe imasintha kukakamizidwa kutengera kupuma kwanu, CPAP imapereka vuto limodzi usiku wonse.

Ngakhale kuthamanga kosalekeza kungathandize, njirayi imatha kubweretsa kupuma kovuta.

Nthawi zina kupanikizako kumatha kuperekedwabe pomwe mukuyesera kutulutsa, kukupangitsani kumva kuti mukutsamwa. Njira imodzi yothetsera izi ndikuchepetsa kukakamizidwa. Ngati izi sizikuthandizanibe, adotolo angavomereze mwina makina APAP kapena BiPAP.

Kodi BiPAP ndi chiyani?

Kupanikizika komweko mkati ndi kunja sikugwira ntchito pamavuto onse obanika kutulo. Apa ndipomwe makina a bi-level positive airway pressure (BiPAP) angathandizire. BiPAP imagwira ntchito popereka zovuta zosiyanasiyana zakupumira ndi kutulutsa mpweya.

Makina a BiPAP ali ndi malo otsika ofanana ndi APAP ndi CPAP, koma amapereka kuthamanga kwapamwamba kwambiri kwa 25. Chifukwa chake, makinawa ndi abwino kwambiri ngati mungafune masitepe othamanga mpaka otsika. BiPAP nthawi zambiri imalimbikitsidwa kuti munthu azigona movutikira komanso matenda a Parkinson ndi ALS.

Zotsatira zoyipa za APAP, CPAP, ndi BiPAP

Chimodzi mwazomwe zimafala kwambiri pamakina a PAP ndikuti zimatha kupangitsa kuti kuzikhala kovuta kugona ndi kugona.

Monga kugona tulo tokha, kusowa tulo pafupipafupi kumatha kukulitsa chiopsezo cha kagayidwe kachakudya, komanso matenda amtima komanso matenda amisala.

Zotsatira zina ndizo:

• chimfine kapena mphuno
• matenda a sinus
• pakamwa pouma
• Meno a mano
• kununkha m'kamwa
• Kukwiya khungu kuchokera kumaso
• kumverera kwa kuphulika ndi mseru kuchokera kuthamanga kwa mpweya m'mimba mwanu
• majeremusi ndi matenda omwe amabwera chifukwa chosayeretsa chipangizocho moyenera

Njira zabwino zothanirana ndi mpweya sizingakhale zoyenera ngati muli ndi izi:

• nthenda yamapapo yamphongo
• cerebrospinal madzimadzi amatuluka
• Kutuluka magazi pafupipafupi
• pneumothorax (mapapo atagwa)

Ndi makina ati omwe ali oyenera kwa inu?

CPAP kawirikawiri ndiyo mzere woyamba wa mankhwala opatsirana opatsirana pogonana.

Komabe, ngati mukufuna makinawo kuti azitha kusintha okha kukakamiza kutengera kutulutsa mpweya wabwino, APAP ikhoza kukhala chisankho chabwino. BiPAP imagwira ntchito bwino ngati muli ndi zovuta zina zomwe zimafunikira kufunika kwamiyeso yayikulu kukuthandizani kupuma mu tulo.

Kuphatikiza ma inshuwaransi kumatha kusiyanasiyana, makampani ambiri omwe amakhala ndi makina a CPAP poyamba. Izi ndichifukwa choti CPAP imawononga ndalama zochepa ndipo imagwirabe ntchito kwa anthu ambiri.

Ngati CPAP sichikwaniritsa zosowa zanu, inshuwaransi yanu itha kuyika makina awiriwo. BiPAP ndiye chisankho chokwera mtengo kwambiri chifukwa cha zovuta zake.

Mankhwala ena obanika kutulo

Ngakhale mutagwiritsa ntchito CPAP kapena makina ena, mungafunikire kukhala ndi zizolowezi zina zothandizira kuchiza matenda obanika kutulo. Nthawi zina, pamafunika mankhwala owopsa.

Zosintha m'moyo

Kuphatikiza pa kugwiritsa ntchito makina a PAP, dokotala atha kulangiza kusintha kwamachitidwe otsatirawa:

• kuonda
• kuchita masewera olimbitsa thupi
• kusuta fodya, komwe kungakhale kovuta, koma dokotala akhoza kupanga pulani yomwe ingakuthandizeni
• kuchepetsa mowa kapena kupewa kumwa kwathunthu
• Kugwiritsa ntchito mankhwala opha tizilombo ngati mumakhala ndi mphuno pafupipafupi chifukwa cha chifuwa

Kusintha kachitidwe kanu kausiku

Popeza kuti chithandizo cha PAP chimayika pachiwopsezo chakusokoneza tulo tanu, ndikofunikira kusamalira zina zomwe zingapangitse kuti zikhale zovuta kugona usiku. Taganizirani izi:

• kuchotsa zipangizo zamagetsi m'chipinda chanu chogona
• kuwerenga, kusinkhasinkha, kapena kuchita zinthu zina mwakachetechete ola limodzi musanagone
• kusamba mofunda musanagone
• kuyika chopangira chinyezi m'chipinda chanu kuti zikhale zosavuta kupuma
• kugona kumbuyo kapena mbali (osati m'mimba mwako)

Opaleshoni

Ngati njira zonse zochiritsira komanso kusintha kwa moyo zikulephera kusintha, mungaganize zochitidwa opaleshoni. Cholinga chachikulu cha opareshoni ndikuthandizira kutsegula kwanu kuti musadalire makina opanikizira kupuma usiku.

Kutengera ndi chomwe chimayambitsa matenda obanika kutulo, opaleshoni imatha kubwera motere:

• kuchepa kwa minofu kuchokera pamwamba pakhosi
• kuchotsa minofu
• amadzala ofewa ofewa
• nsagwada
• kukondoweza kwamitsempha kuyendetsa kayendedwe ka lilime
• tracheostomy, yomwe imagwiritsidwa ntchito pamavuto akulu ndipo imakhudza kukhazikitsa njira yatsopano yapaulendo pakhosi

Tengera kwina

APAP, CPAP, ndi BiPAP ndi mitundu yonse yamagetsi yomwe ingaperekedwe pochizira matenda obanika kutulo. Aliyense ali ndi zolinga zofananira, koma APAP kapena BiPAP itha kugwiritsidwa ntchito ngati makina wamba a CPAP sakugwira ntchito.

Kupatula pa chithandizo chabwino chapaulendo wapandege, ndikofunikira kutsatira upangiri wa adotolo pazosintha zilizonse zomwe mungachite pamoyo wanu. Matenda obanika kutulo amatha kukhala pachiwopsezo cha moyo, chifukwa chake kuwachiza pakadali pano kumatha kusintha malingaliro anu komanso kukupatsani moyo wabwino.