Yakanaka mweya yekumanikidza kurapwa

Positive airway pressure (PAP) kurapwa kunoshandisa muchina kupompa mweya pasi pekumanikidza kupinda munzira yemapapu. Izvi zvinobatsira kuti gomba remhepo rivhurike panguva yekurara. Mhepo yekumanikidzwa inounzwa neCPAP (inoenderera yakanaka mweya yekumanikidza) inodzivirira episodes yekudonha kwemhepo iyo inovhara kufema mukati mevanhu vane chipingaidzo chekurara kufema uye mamwe matambudziko ekufema.

HO ANOFANIRA KUSHANDISA PAP

PAP inogona kubudirira kurapa vanhu vazhinji vanovhiringidza kufema kufema. Iyo yakachengeteka uye inoshanda mushe kune vanhu veese mazera, kusanganisira vana. Kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge wakarara zvakanyanya mukati mezuva, iwe unogona kunge usingade.

Mushure mekushandisa PAP nguva dzose, unogona kuona:

• Zvirinani kusangana uye ndangariro
• Kunzwa kungwarira uye kushoma hope mukati mezuva
• Kuvandudzwa kwekurara kwemubhedha wako
• Kuve nekubudirira zvakanyanya pabasa
• Kusanyanya kushushikana uye kushushikana uye mamiriro ari nani
• Kazhinji kurara maitiro
• Kuderera kweropa (mune vanhu vane kuwedzerwa kweropa)

Wako wekuchengeta hutano anokuraira mhando yePAP muchina inotarisana nedambudziko rako:

• Kuenderera mberi kwakanaka kwemhepo yekumanikidza (CPAP) inopa hunyoro uye hwakadzikama kumanikidza kwemhepo munzira yako yekufema kuti irambe yakavhurika.
• Autotitrating (inogadziriswa) yakanaka yemhepo kumanikidza (APAP) inoshandura kumanikidza mukati mehusiku hwese, zvichienderana nemafambiro ako ekufema.
• Bilevel yakanaka mweya yekumanikidza (BiPAP kana BIPAP) ine yakanyanya kumanikidza kana iwe uchifemera mukati uye wakadzikira kumanikidza kana iwe uchifema kunze.

BiPAP inobatsira kuvana nevakuru vane:

• Airways iyo inodonha paunenge wakarara, zvichiita kuti zvive zvakaoma kufema zvakasununguka
• Kupera kwekuchinjana kwemhepo mumapapu
• Tsandanyama kushaya simba kunoita kuti zviome kufema, nekuda kwemamiriro akaita seye muscular dystrophy

PAP kana BiPAP inogona zvakare kushandiswa nevanhu vane:

• Kukundikana kwekufema
• Kurara kwepakati pekurara
• COPD
• Kutadza kwemoyo

MAPAPA ANOSHANDA SEI

Paunenge uchishandisa setup yePAP:

• Unopfeka chifukidzo pamusoro pemhino dzako kana mhino nemuromo paunenge wakarara.
• Iyo maski inosunganidzwa nehosi kune muchina mudiki unogara padivi pemubhedha wako.
• Muchina uyu unopomba mweya pasi pekumanikidza kuburikidza nehosi uye mask uye munzira yako yemhepo iwe uchakarara. Izvi zvinobatsira kuchengetedza yako yemhepo yakavhurika.

Unogona kutanga kushandisa PAP iwe uri mune yekurara nzvimbo yehusiku. Mimwe michina mitsva (yekuzvigadzirisa kana auto-PAP), inogona kumisikidzwa iwe ndokuzongopihwa iwe yekurara nayo kumba, pasina chikonzero chekuyedzwa kugadzirisa kumanikidza.

• Wako mupi achabatsira kusarudza mask inokodzera iwe zvakanyanya.
• Vachagadzirisa zvigadziriso pamushini iwe paunenge wakarara.
• Izvo zvigadziriro zvichagadziriswa zvichienderana nekuoma kwehope yako yekurara.

Kana zviratidzo zvako zvikasavandudzika mushure mekurapwa kwePAP, zvigadziriso pamushini zvinogona kuda kuchinjwa. Mupi wako anogona kukudzidzisa maitiro ekugadzirisa marongero pamba. Kana, iwe ungangoda kuenda kunzvimbo yekurara kuti igadziriswe.

KUSHANDISWA KUMASHURE MBERI

Zvinogona kutora nguva kujairira kushandisa iyo PAP setup. Husiku hushoma hwekutanga kazhinji hwakaomesesa uye unogona kusarara zvakanaka.

Kana iwe uchinge uine matambudziko, iwe unogona kuyedzwa kuti usashandise muchina husiku hwese. Asi iwe unozojairira iyo nekukurumidza kana ukashandisa muchina kwehusiku hwese.

Paunenge uchishandisa iyo setup kekutanga, iwe unogona kunge uine:

• Kunzwa kwekuvharwa mu (claustrophobia)
• Chipfuva kusagadzikana, izvo zvinowanzoenda mushure mechinguva
• Kushatirwa kweziso
• Kutsvuka uye maronda pamusoro pebhiriji remhino dzako
• Runny kana yakamisikidzwa-kumusoro mhino
• Muromo unorwadza kana kuoma
• Mhino dzemhino
• Utachiona hwepamusoro hwekufema

Mazhinji ematambudziko aya anogona kubatsirwa kana kudzivirirwa.

• Kumbira mupiki wako nezve kushandisa masiki akareruka uye akasungwa. Mamwe mamask anoshandiswa chete kutenderedza kana mukati memhino.
• Ita shuwa kuti mask inokwana nenzira kwayo kuti irege kubuda mweya. Haifanire kunge yakanyanya kubatikana kana kusununguka zvakanyanya.
• Edza nasal mvura yemunyu mapiritsi emhino isina chinhu.
• Shandisa humidifier kubatsira neganda rakaoma kana mhuno.
• Chengetedza midziyo yako yakachena.
• Isa muchina wako pasi pemubhedha wako kudzikamisa ruzha.
• Mazhinji michina yakanyarara, asi kana iwe ukaona ruzha rwunoita kuti zvive zvakaoma kurara, udza wako mupi.

Wako mupi anogona kudzikisa kumanikidza pamushini uyezve ndokuwedzera futi zvishoma nezvishoma. Mimwe michina mitsva inokwanisa kuchinjira kune chaiyo kumanikidza.

Kuenderera mberi kwakanaka kwemhepo kumanikidza; CPAP; Bilevel yakanaka yemhepo kumanikidza; BiPAP; Autotitrating yakanaka yemweya kumanikidzwa; APAP; nCPAP; Isina-invasive yakanaka kumanikidza kufefetedza; NIPPV; Isingakuvadze kufefetedza; NIV; OSA - CPAP; Kudzivirira kurara kwekufema - CPAP

• Nasal CPAP

Freedman N. Positive airway kumanikidza kurapwa kwekutadzisa kurara kufema. Mune: Kryger M, Roth T, Dement WC, eds. Nheyo uye Maitiro Ekurara Mushonga. 6th ed. Philadelphia, PA: Elsevier; 2017: chits. 115.

Kimoff RJ. Kudzivisa kufema kufema. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheRefiratory Medicine. 6th ed.Philadelphia, PA: Elsevier Saunders; 2016: chits 88.

Shangold L, Jacobowitz O. CPAP, APAP, uye BiPAP. Muna: Friedman M, Jacobowitz O, eds. Kurara Kufema uye Kugovera. 2nd ed. Philadelphia, PA: Elsevier; 2020: chits. 8.