Misiyano Pakati peCAPAP, APAP, uye BiPAP seKurara Apnea Therapies

Zvemukati

• Chii chinonzi APAP?
• Chii chinonzi CPAP?
• Chii chinonzi BiPAP?
• Zvinogona kuitika mhedzisiro yeAPAP, CPAP, uye BiPAP
• Ndeupi muchina wakakukodzera?
• Mimwe mishonga yekurapa kufema
• Mararamiro anochinja
• Kuchinja maitiro ako ehusiku
• Kuvhiya
• Tora woenda nazvo

Kurara kutadza kufema iboka rekushushikana kwekurara kunokonzera kumbomira mukufema panguva yako yekurara. Rudzi rwakajairika kuvharidzira kufema kwekurara (OSA), kunoitika semhedzisiro yehuro mhasuru kusungwa.

Central apnea yekurara inoitika kubva pane chiratidzo chehuropi chinodzivirira kufema kwakakodzera. Complex sleep apnea syndrome haina kujairika, uye zvinoreva kuti une mubatanidzwa wekudzivirira uye wepakati pekurara kufema.

Idzi matambudziko ekurara anogona kutyisidzira hupenyu kana akasiiwa asina kurapwa.

Kana iwe uine chirwere chekurara kwekufa kwekurara, chiremba wako anogona kukurudzira michina yekufema kuti ikubatsire kuwana iyo yakakosha okisijeni iwe yaunogona kunge usipo husiku.

Iyi michina yakasungirirwa kumask yaunopfeka pamusoro pemhino nemuromo. Vanounza kumanikidza kubatsira mhasuru dzako kuzorora kuitira kuti ugone kufema. Izvi zvinonzi zvakanaka airway pressure (PAP) therapy.

Kune matatu makuru marudzi emachina anoshandiswa pakurapa kurara kufema: APAP, CPAP, uye BiPAP.

Pano, tinoputsa kufanana uye misiyano pakati pemhando yega yega kuitira kuti ugone kushanda nachiremba wako kuti ubatsire kusarudza yakanyanya kurara kufema mweya yekurapa iwe.

Chii chinonzi APAP?

An auto-inogadziriswa yakanaka yemhepo yekumanikidza (APAP) muchina unonyanya kuzivikanwa nekukwanisa kwayo kupa akasiyana mamanho emitengo mukati mekurara kwako, zvichibva nemaitiro aunofema.

Inoshanda pamatanho mana kusvika makumi maviri ekumanikidza, ayo anogona kupa mukana wekubatsira iwe kuti uwane yako yakanaka yekumanikidza renji.

APAP michina inoshanda zvakanyanya kana iwe uchida kumwe kumanikidza kunoenderana neakadzika ekurara mamhepo, iko kushandisa sedatives, kana nzvimbo dzekurara izvo zvinowedzera kukanganisa mweya, sekurara padumbu rako.

Chii chinonzi CPAP?

Iyo inoenderera yakanaka yakanaka yekumhepo kumanikidza (CPAP) unit ndiyo yakatemerwa muchina wekurara kufema.

Seizvo zita rinoratidzira, CPAP inoshanda nekuendesa yakadzvanya kumanikidza muyero weese mweya uye mweya. Kusiyana neAPAP, iyo inogadzirisa kumanikidza kunoenderana neako kufema, CPAP inopa imwe mwero wekumanikidza mukati mehusiku hwese.

Nepo mwero unoramba uchienderera wekumanikidza ungabatsira, nzira iyi inogona kutungamira mukusagadzikana kwekufema.

Dzimwe nguva kumanikidzwa kwacho kungave kuchiri kuendeswa paunenge uchiedza kuburitsa mweya, zvichiita kuti unzwe kunge uri kudzipwa. Imwe nzira yekugadzirisa izvi kudzora huwandu hwesimba. Kana izvi zvakadaro zvisingabatsire, chiremba wako anogona kukurudzira chero APAP kana BiPAP muchina.

Chii chinonzi BiPAP?

Iko kumanikidza kumwe mukati nekunze hakushande kune ese anorara maapnea kesi. Apa ndipo panogona kubatsira bi-level yakanaka yemhepo kumanikidza (BiPAP) muchina. BiPAP inoshanda nekuendesa akasiyana madzvinyiriro emitero yekufema uye kufema.

BiPAP michina ine yakafanana yakaderera renji yekumanikidza nzvimbo seAPAP neCPAP, asi ivo vanopa yakakwira yepamusoro kumanikidza kuyerera kwemakumi maviri neshanu. Nekudaro, muchina uyu wakanakisa kana iwe uchida mwero- kusvika pakakwirira-kumanikidza masosi. BiPAP inowanzo kuve inokurudzirwa yehope kufema pamwe nechirwere chePasinson neALS.

Zvinogona kuitika mhedzisiro yeAPAP, CPAP, uye BiPAP

Imwe yemhedzisiro inowanzoitika yemakemikari ePAP ndeyekuti ivo vanogona kuita kuti zvive zvakaoma kudonha uye kuramba wakarara.

Kufanana neapnea yekurara pachayo, kazhinji kushaya hope kunogona kuwedzera njodzi yako kune metabolic mamiriro, pamwe nechirwere chemwoyo uye kusagadzikana kwemanzwiro.

Mimwe mhedzisiro inosanganisira:

• runny nose kana kuzara mumhuno
• sinus zvirwere
• muromo wakaoma
• mazino mhango
• mweya wetsvina
• kutsamwa kweganda kubva kumask
• kunzwa kwekuzvimba uye kusvotwa kubva kumhepo kumanikidza mudumbu rako
• utachiona uye hutachiona hunotevera kubva pakusachenesa unit zvakanaka

Yakanaka mweya yekumanikidza kurapa kunogona kunge kusiri kukodzera kana iwe uine chero eanotevera mamiriro:

• chirwere chinotyisa chemapapu
• cerebrospinal fluid inodonha
• kazhinji kubuda mhino
• pneumothorax (mapapu akadonha)

Ndeupi muchina wakakukodzera?

CPAP kazhinji ndiyo yekutanga mutsara wekuyerera chizvarwa kurapwa kwehope kufema.

Nekudaro, kana iwe uchida kuti muchina uzvigadzirise wega kumanikidza kunoenderana nekusiyana kwekurara kufema, APAP inogona kunge iri sarudzo iri nani. BiPAP inoshanda zvakanyanya kana iwe uine mamwe mamiriro ehutano ayo anodikanwa kudiwa kwemazinga epamusoro ekumanikidza kuti akubatsire kufema muhope dzako.

Inishuwarenzi kufukidza kunogona kusiyana, nemakambani mazhinji anofukidza machina eCPAP kutanga Izvi zvinodaro nekuti CPAP inodhura zvishoma uye ichiri kushanda kune vanhu vazhinji.

Kana CPAP ikasasangana nezvido zvako, inishuwarenzi yako inogona kuvhara imwe yemimwe michina miviri. BiPAP ndiyo sarudzo inodhura kwazvo nekuda kweyakaomesesa maficha.

Mimwe mishonga yekurapa kufema

Kunyangwe iwe ukashandisa CPAP kana mumwe muchina, ungangoda kutora mimwe miitiro yekubatsira kurapa kufema kufema. Mune zvimwe zviitiko, kurapwa kwakanyanya kunodikanwa.

Mararamiro anochinja

Pamusoro pekushandisa PAP muchina, chiremba anogona kukurudzira anotevera mararamire shanduko:

• kuonda
• kugara uchirovedza muviri
• kusvuta kurega, izvo zvinogona kuve zvakaoma, asi chiremba anogona kugadzira chirongwa chinoshanda kwauri
• kunwa doro kana kudzivisa kunwa zvachose
• kushandisa decongestant kana iwe uchigara uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitenderera

Kuchinja maitiro ako ehusiku

Sezvo kurapa kwePAP kuchikonzera njodzi yekukanganisa kurara kwako, zvakakosha kutora kudzora zvimwe zvinhu zvingaite kuti zviome kurara husiku. Funga nezve:

• kubvisa zvigadzirwa zvemagetsi kubva mubhedhuru rako
• kuverenga, kufungisisa, kana kuita zvimwe zvinyararire kweawa usati warara
• kutora bhati inodziya usati warara
• kuisa humidifier mukamuri rako rekurara kuti zvive nyore kufema
• kurara kumusana kwako kana padivi (kwete dumbu rako)

Kuvhiya

Kana zvese zvekurapa uye mararamiro achichinja kutadza kuita chero chakakosha chiitiko, unogona kufunga nezvekuvhiyiwa. Chinangwa chese chekuvhiya ndechekubatsira kuvhura yako yemhepo kuitira kuti usatsamire pamichina yekumanikidza yekufema husiku.

Zvichienderana nechinokonzera chikonzero chekurara kwepabonde, kuvhiyiwa kunogona kuuya nenzira ye:

• shrinkage yetishu kubva kumusoro kwehuro
• kubvisa tishu
• mbichana nyoro
• kushaya patsva
• kukurudzira kukurudzira kudzora rurimi
• tracheostomy, iyo inongoshandiswa muzviitiko zvakakomba uye inosanganisira kugadzirwa kwenzira nyowani yemumhepo pahuro

Tora woenda nazvo

APAP, CPAP, uye BiPAP ese marudzi emagetsi ekuyerera ayo anogona kupihwa kurapwa kweapnea yekurara. Imwe neimwe ine zvinangwa zvakafanana, asi APAP kana BiPAP inogona kushandiswa kana iyo yakajairika CPAP muchina isingashande.

Kunze kwekurapa kwakanaka kwekubhururuka kwemhepo, zvakakosha kutevedzera kuraira kwachiremba pane chero shanduko inokurudzirwa yemararamiro. Kurara kwepabhesi kunogona kutyisidzira hupenyu, saka kurapa izvozvi kunogona kuvandudza zvakanyanya maonero ako nekuvandudza hupenyu hwako hwese.