BiPAP Therapy yeCOPD: Chii Chaunotarisira

Zvemukati

• BiPAP inobatsira sei neCOPD?
• Pane chero mhedzisiro here?
• Inogona here BiPAP kukonzera chero kunetsekana?
• Ndeupi musiyano uripo pakati peCPAP neBiPAP kurapwa?
• Kune kumwe kurapa kuripo here?
• Mishonga
• Ndeupi kurapa kwakakukodzera?

Chii chinonzi BiPAP Therapy?

Bilevel yakanaka yemhepo yekumanikidza (BiPAP) kurapa inowanzo shandiswa pakurapa kwechirwere chisingaperi chepremonary chirwere (COPD). COPD izwi remamburaira remapapu uye zvirwere zvekufema zvinoita kuti kufema kuome.

Pakutanga, kurapa kwacho kwaingowanikwa sekurapwa kwemurwere mukati mezvipatara. Zvino, zvinogona kuitwa pamba.

Yemazuva ano BiPAP michina michina yetafura pamusoro yakaiswa tubing uye mask. Iwe unongoisa masiki pamusoro pemhino dzako uye / kana muromo kuti ugamuchire maviri mazinga emhepo yakamanikidzwa. Imwe yero yekumanikidza inoendeswa kana iwe uchifema, uye yakaderera kumanikidzwa kunoendeswa kana iwe uchifema.

BiPAP michina inowanzo kuve ne "smart" yekufema timer iyo inoenderana neako ekufema maitiro. Inozvigadziridza yega mwero wemhepo yakamanikidzwa kana ichidikanwa kuti ibatsire kuchengetedza kufema kwako pane chakanangwa.

Iyi kurapa mhando yeinvasvasive ventilation (NIV). Izvi zvinodaro nekuti BiPAP kurapa hakudi nzira yekuvhiya, senge intubation kana tracheotomy.

Ramba uchiverenga kuti udzidze kuti kurapa uku kunobatsira sei kubata COPD uye kuti inofananidzwa sei nedzimwe nzira dzekurapa.

BiPAP inobatsira sei neCOPD?

Kana uine COPD, kufema kwako kunogona kunge kwakashanda. Kupfupika kwemweya uye kufema ndizvo zvakajairika zviratidzo zveCOPD, uye izvi zviratidzo zvinogona kuwedzera sezvo mamiriro achienderera.

BiPAP therapy inonongedza aya mapfumo ekusafema. Nekuve neyakajairwa mweya kumanikidza kana iwe uchifema uye yechipiri tsika mweya kumanikidza paunoburitsa mweya, muchina unokwanisa kupa zororo kune ako akanyanyisa kushanda mapapu uye chipfuva madziro mhasuru.

Iyi kurapa pakutanga yaishandiswa kurapa kufema kufema, uye nechikonzero chakanaka. Kana iwe uchinge warara, muviri wako unovimba nepakati penheremu yako kutungamira maitiro ekufema. Kana iwe uchizorora mune yakadzikama chinzvimbo, iwe unowana kumwe kuramba kana uchifema.

Zvichienderana nezvamunoda iwe wega, BiPAP kurapwa kunogona kuitika kana iwe wakamuka kana wakarara. Kushandisa masikati kunogona kudzikamisa kudyidzana, pakati pezvimwe zvinhu, asi zvinogona kudikanwa mune mamwe mamiriro.

Kazhinji, iwe unoshandisa BiPAP muchina husiku kubatsira kuchengetedza yako yemhepo yakavhurika iwe uchinge wakarara. Izvi zvinobatsira kuchinjaniswa kwe oxygen ne carbon dioxide, zvichiita kuti zvive nyore kwauri kufema.

Kune vanhu vane COPD, izvi zvinoreva kufema kushoma panguva yehusiku. Iko kumanikidza munzira yako yekumhepo kunokurudzira kuyerera kwakadzikama kweoksijeni. Izvi zvinobvumidza mapapu ako kunyatso fambisa oxygen mumuviri wako uye kubvisa yakawandisa carbon dioxide.

Kutsvagurudza kwakaratidza kuti kune vanhu vane COPD uye yakakwira carbon dioxide mazinga, nguva yenguva dzehusiku BiPAP yekushandisa inogona kuvandudza hupenyu hwehupenyu nekufema, uye kuwedzera kurarama kwenguva refu.

Pane chero mhedzisiro here?

Mhedzisiro inowanzoitika yeBiPAP kurapa inosanganisira:

• mhino dzakaoma
• kuzara mumhino
• rhinitis
• Kazhinji kusagadzikana
• claustrophobia

Kana yako maski yakasununguka, iwe unogona zvakare kuona iyo mask yemhepo inodonha. Izvi zvinogona kuchengetedza muchina kubva mukuchengetedza yakatarwa kumanikidza. Kana izvi zvikaitika, zvinogona kukanganisa kufema kwako.

Kuti udzivise mweya unodonha kubva pakuitika, zvakakosha kuti utenge chifukidzo chakanyatsogadzirirwa pamuromo wako, mumhino, kana zvese zviri zviviri. Mushure mekuisa masiki, mhanya minwe yako pamusoro pemakona kuti uone kuti "yakavharwa" uye yakagadzika kumeso kwako.

Inogona here BiPAP kukonzera chero kunetsekana?

Zvinetso kubva kuBiPAP hazviwanzo, asi BiPAP haisi kurapwa kwakakodzera kune vese vanhu vane matambudziko ekufema. Zvinonyanya kunetsa zvine chekuita nekukura kwemapapu basa kana kukuvara. Taura nachiremba wako nezve njodzi nenjodzi zvaungave nazvo neBiPAP kurapa. Ivo vanogona kukubatsira kuyera zvaunogona kuita uye nekupa imwe nhungamiro.

Ndeupi musiyano uripo pakati peCPAP neBiPAP kurapwa?

Kuenderera mberi kwakanaka kwemhepo kumanikidza (CPAP) ndeimwe mhando yeNIV. Sezvo neBiPAP, CPAP inodzinga mweya wakamanikidzwa kubva patafura yetafura.

Musiyano wakakosha ndewekuti CPAP inonunura chete imwechete nhanho yekumisikidza mweya kumanikidza. Iko kumwe kuenderera kumanikidza kunoendeswa panguva yekufema uye kufema. Izvi zvinogona kuita kuti kufema kuome zvakanyanya kune vamwe vanhu.

Iyo imwechete mweya kumanikidza kunogona kubatsira kuchengetedza yako yemhepo yakavhurika. Asi yakawana kuti haina kubatsira kune vanhu vane COPD kunze kwekunge vainewo kutadzisa kufema kufema.

BiPAP michina inopa maviri akasiyana mazinga emhepo kumanikidza, izvo zvinoita kuti kufema kuve nyore kupfuura zvazviri neCPAP muchina. Neichi chikonzero, BiPAP inosarudzwa kune vanhu vane COPD. Inoderedza basa rainotora kufema, iro rakakosha kune vanhu vane COPD vanoshandisa yakawanda simba rekufema.

CPAP ine mhedzisiro yakafanana neBiPAP.

BiPAP inogona zvakare kushandiswa kurapa kufema kufema, kunyanya kana CPAP isina kubatsira.

Kune kumwe kurapa kuripo here?

Kunyangwe vamwe vaongorori vakarumbidza BiPAP seyakanakisa kurapwa kweCOPD, haisi yako chete sarudzo.

Kana iwe watotopedza yako runyorwa rweanogona mararamiro maratidziro - uye kukanda iyo tsika dai iwe waive wasvuta - yako yakagadziridzwa kurapwa chirongwa chingasanganisira musanganiswa wemishonga uye oksijeni kurapwa. Kuvhiya kunowanzoitwa chete senzira yekupedzisira.

Mishonga

Zvichienderana nezvido zvako, chiremba wako anogona kukurudzira pfupi-kuita kana bronchodilator inoshanda-refu kana zvese zviri zviviri. Bronchodilators anobatsira kudzikamisa mhasuru mukati memafambiro ako. Izvi zvinobvumidza yako yemhepo kuti ivhurike zvirinani, zvichiita kufema kuve nyore.

Mushonga uyu unopihwa kuburikidza nebulizer muchina kana inhaler. Midziyo iyi inobvumidza mushonga kuti uende wakananga mumapapu ako.

Mumatambudziko akakomba, chiremba wako anogona zvakare kupa steroid inhaled kuti ikubatsire bronchodilator yako. Steroid inogona kubatsira kudzikisa kuzvimba mumhepo yako.

Ndeupi kurapa kwakakukodzera?

Shanda nachiremba wako kuti uone yakanakisa yekurapa chirongwa chako. Zviratidzo zvako pachako zvinobatsira chiremba wako kuti asarudze pane zvekurapa uye nekuita ekurumbidza.

Vanhu vazhinji vane COPD vanowanzoona kuti kurara kunetseka. Mune zviitiko izvi, BiPAP inogona kunge iri nzira yekuenda. Chiremba wako anogona zvakare kukurudzira mubatanidzwa wemishonga uye ekurapa kweoksijeni.

Paunenge uchiongorora zvaunogona kuita, bvunza chiremba wako:

• Ndeupi mushonga wakanyanya kunaka kwandiri?
• Pane here dzimwe nzira?
• Ndichada here kushandisa izvi zuva nezuva, nguva nenguva? Ndiyo mhinduro yenguva pfupi kana isingaperi?
• Ndedzipi mhando dzekuchinja mararamiro dzandingaite kuti ndiwedzere zviratidzo zvangu?
• Inishuwarenzi kana Medicare ichavhara izvi here?

Pakupedzisira, kurapwa kwaunosarudza kunoenderana nemhedzisiro iyo yako yemapapu basa pauri uye ndedzipi nzira dzakanakisa kuwana mweya waunoda kumapapu ako.