Therapy ya BiPAP ya COPD: Zomwe Muyenera Kuyembekezera

Zamkati

• Kodi BiPAP imathandiza bwanji ndi COPD?
• Kodi pali zovuta zina?
• Kodi BiPAP ingayambitse zovuta zina?
• Kodi pali kusiyana kotani pakati pa mankhwala a CPAP ndi BiPAP?
• Kodi pali njira zina zochiritsira zomwe zilipo?
• Mankhwala
• Ndi chithandizo chiti chomwe chili choyenera kwa inu?

Kodi BiPAP Therapy ndi chiyani?

Mankhwala a Bilevel positive airway pressure (BiPAP) amagwiritsidwa ntchito nthawi zambiri pochiza matenda osokoneza bongo (COPD). COPD ndi nthawi ya ambulera yamapapu ndi matenda opuma omwe amapangitsa kupuma kukhala kovuta.

Poyamba, chithandizochi chinkangopezeka ngati chithandizo chodwala wodwalayo mzipatala. Tsopano, zitha kuchitika kunyumba.

Makina amakono a BiPAP ndi zida zapatebulo zokhala ndi ma tubing ndi mask. Mumangoyika chigoba pamphuno ndi / kapena pakamwa kuti mulandire magawo awiri ampweya wothinikizika. Mulingo umodzi wampanikizidwe umaperekedwa mukamatulutsa mpweya, ndipo kupsyinjika pang'ono kumaperekedwa mukamatulutsa mpweya.

Makina a BiPAP nthawi zambiri amakhala ndi nthawi "yabwino" yopumira yomwe imasinthasintha momwe mumapumira. Icho chimangobwezeretsanso mlingo wa mpweya wopanikizika pakufunika kuti zithandizire kupuma kwanu pa chandamale.

Mankhwalawa ndi mtundu wa mpweya wabwino (NIV). Izi ndichifukwa choti chithandizo cha BiPAP sichifuna kuchitidwa opaleshoni, monga intubation kapena tracheotomy.

Pitirizani kuwerenga kuti mudziwe momwe mankhwalawa amathandizira kuyang'anira COPD komanso momwe amafanizira ndi njira zina zamankhwala.

Kodi BiPAP imathandiza bwanji ndi COPD?

Ngati muli ndi COPD, kupuma kwanu kuyenera kuti kumagwira ntchito. Kupuma pang'ono ndi kupumula ndizizindikiro zodziwika bwino za COPD, ndipo zizindikilozi zimatha kukulirakulira chifukwa matendawa akupita.

Chithandizo cha BiPAP chimayang'ana kupuma kosagwira ntchito. Mukakhala ndi mpweya womwe mumakonda kupumira komanso mpweya wachiwiri mukamatulutsa, makinawo amatha kukupatsani mpumulo m'mapapu anu ogwira ntchito mopitirira muyeso komanso minyewa yamafuwa pachifuwa.

Mankhwalawa poyamba ankagwiritsidwa ntchito pochizira matenda obanika kutulo, ndipo pazifukwa zomveka. Mukamagona, thupi lanu limadalira dongosolo lanu lamanjenje kuti mutsogolere kupuma. Ngati mukupuma pamalo osasunthika, mumakhala ndi zovuta zambiri mukamapuma.

Kutengera zosowa zanu, chithandizo cha BiPAP chitha kuchitika mukadzuka kapena kugona. Kugwiritsa ntchito masana kumachepetsa kulumikizana pakati pazinthu zina, koma kungakhale kofunikira nthawi zina.

Kawirikawiri, mumagwiritsa ntchito makina a BiPAP usiku kuti muthandize kuti mpweya wanu ukhale wotseguka mukugona. Izi zimathandizira kusinthana kwa oxygen ndi kaboni dayokisaidi, zomwe zimapangitsa kuti musavutike kupuma.

Kwa anthu omwe ali ndi COPD, izi zikutanthauza kupuma kochepera usiku. Kupanikizika kwanu kumalimbikitsa mpweya wabwino. Izi zimathandiza kuti mapapu anu azinyamula mpweya wabwino mthupi lanu ndikuchotsani mpweya woipa.

Kafukufuku wasonyeza kuti kwa anthu omwe ali ndi COPD komanso kuchuluka kwa kaboni dayokisaidi, kugwiritsa ntchito nthawi yayitali ya BiPAP kumatha kusintha moyo komanso kupuma, ndikuwonjezera kupulumuka kwakanthawi.

Kodi pali zovuta zina?

Zotsatira zoyipa kwambiri za mankhwala a BiPAP ndi awa:

• mphuno youma
• Kuchuluka kwa mphuno
• rhinitis
• kusapeza kwakukulu
• chiwonetsedwe

Ngati chigoba chanu ndi chotayirira, mutha kukhalanso ndi mpweya wopumira. Izi zitha kupangitsa makinawo kuti asamapanikizike. Izi zikachitika, zimakhudza kupuma kwanu.

Pofuna kuti mpweya usatuluke, ndikofunikira kuti mugule chigoba choyenera pakamwa panu, mphuno, kapena zonse ziwiri. Mukayika chigoba chija, sungani zala zanu m'mphepete kuti muwonetsetse kuti "zasindikizidwa" ndikukhazikika pankhope panu.

Kodi BiPAP ingayambitse zovuta zina?

Zovuta zochokera ku BiPAP ndizosowa, koma BiPAP siyithandizo yoyenera kwa anthu onse omwe ali ndi vuto la kupuma. Mavuto omwe amakhudzidwa kwambiri amakhudzana ndi kukulira kwamapapo kapena kuvulala. Lankhulani ndi dokotala wanu za zoopsa zomwe mungakhale nazo ndi mankhwala a BiPAP. Amatha kukuthandizani kuti muyese zomwe mungasankhe ndikupatsanso malangizo ena.

Kodi pali kusiyana kotani pakati pa mankhwala a CPAP ndi BiPAP?

Kupitirizabe kuthamanga kwa ndege (CPAP) ndi mtundu wina wa NIV. Mofanana ndi BiPAP, CPAP imatulutsa mpweya wopanikizika kuchokera pa tebulo lapamwamba.

Kusiyanitsa kwakukulu ndikuti CPAP imapereka gawo limodzi lokha la mpweya wokonzedweratu. Kupanikizika komweko kumaperekedwa panthawi yopumira komanso kutulutsa mpweya. Izi zitha kupangitsa mpweya kukhala wovuta kwambiri kwa anthu ena.

Mpweya umodzi wokha ungathandize kuti njira zanu zapaulendo zizitseguka. Koma adapeza kuti sizothandiza kwa anthu omwe ali ndi COPD pokhapokha atakhala ndi vuto la kugona.

Makina a BiPAP amapereka mpweya wosiyanasiyana, womwe umapangitsa kuti kupuma kuzikhala kosavuta kuposa makina a CPAP. Pachifukwa ichi, BiPAP imakonda anthu omwe ali ndi COPD. Zimachepetsa ntchito yomwe imafunika kupuma, yomwe ndi yofunika kwa anthu omwe ali ndi COPD omwe amagwiritsa ntchito mphamvu zambiri kupuma.

CPAP ili ndi zovuta zomwezo monga BiPAP.

BiPAP itha kugwiritsidwanso ntchito kuchiza matenda obanika kutulo, makamaka pamene CPAP sinakhale yothandiza.

Kodi pali njira zina zochiritsira zomwe zilipo?

Ngakhale ofufuza ena ati BiPAP ndi njira yabwino kwambiri yothandizira COPD, si njira yanu yokhayo.

Ngati mwathetsa kale mndandanda wazomwe mungasinthe pamoyo wanu - ndipo mwayamba chizolowezi ngati mumasuta fodya - njira yanu yosinthira mankhwala ingaphatikizepo mankhwala osakaniza ndi ma oxygen. Opaleshoni imangochitika ngati njira yomaliza.

Mankhwala

Kutengera zosowa zanu, adotolo angavomereze kuti achite mwachidule kapena bronchodilator wazaka zambiri kapena zonse ziwiri. Ma bronchodilator amathandizira kupumula minofu mkati mwanjira zanu. Izi zimathandiza kuti mpweya wanu utseguke bwino, ndikupangitsa kupuma mosavuta.

Mankhwalawa amaperekedwa kudzera mu makina a nebulizer kapena inhaler. Zipangizozi zimalola kuti mankhwalawo alowe m'mapapu anu.

Pazovuta kwambiri, dokotala wanu amathanso kukupatsani steroid yosakanizidwa kuti ikuthandizireni bronchodilator wanu. Steroids itha kuthandizira kuchepetsa kutupa munjira yanu yampweya.

Ndi chithandizo chiti chomwe chili choyenera kwa inu?

Gwiritsani ntchito ndi dokotala wanu kuti mudziwe njira yabwino kwambiri yothandizira. Zizindikiro zanu zidzakuthandizani dokotala kusankha mankhwala ndi kupanga malingaliro anu.

Anthu ambiri omwe ali ndi COPD nthawi zambiri amapeza kuti kugona nkovuta. Pazochitikazi, BiPAP ikhoza kukhala njira yopitira. Dokotala wanu angakulimbikitseninso mankhwala osakaniza ndi othandizira oksijeni.

Pofufuza zomwe mungachite, funsani dokotala wanu:

• Kodi njira yabwino kwambiri kwa ine ndi iti?
• Kodi pali njira zina?
• Kodi ndiyenera kugwiritsa ntchito izi tsiku ndi tsiku, nthawi ndi nthawi? Kodi ndi yankho lakanthawi kapena lokhalitsa?
• Kodi ndingasinthe mitundu yanji yamoyo kuti ndikhale ndi matenda?
• Kodi inshuwaransi kapena Medicare zitha kubisa izi?

Pamapeto pake, chithandizo chomwe mungasankhe chimadalira momwe mapapu anu amagwirira ntchito pa inu komanso njira ziti zomwe zingapezere mpweya wabwino m'mapapu anu.