Ngati wina ali ndi vuto loti asagone tulo , mankhwala ogwiritsidwa ntchito kwambiri ndi kugwiritsa ntchito mankhwala opatsirana opatsirana (CPAP) . Mukagwira ntchito bwino, CPAP ikhoza kukhala vumbulutso. Yankho lachinsinsi lingamve ngati chophimba chikuchotsedwa, koma iwo omwe ali ndi phindu lalikulu akhoza kumva ngati kuwala kwatsekedwa mu chipinda chakuda. Mwatsoka, si aliyense amene amasangalala ndi yankho la mankhwala.
N'chifukwa chiyani zili choncho? Pezani zifukwa zomwe simukumvera bwino mutagwiritsira ntchito mankhwala a CPAP kuti muzitha kudwala matenda ogona ndi kugona kwa nthawi yaitali.
Simukukhala ndi Apnea Yogona
Ngakhale kuti sizingatheke, ndizotheka kuti simukuzindikira kupindula kwa mankhwala a CPAP chifukwa simunadziŵe bwino ndi kugonana kwa kugona. N'zotheka kuti vutoli lachoka . Pali kusiyana kwa usiku ndi usiku mu zotsatira za kuyesa kugona. Pakatikati mwa anthu omwe amapita kukayezetsa matenda a polysomnogram ndilo golide woyendera matenda. Zingathandize kuzindikira kusintha kosasunthika m'magawo ogona komanso madontho a mpweya, kupuma kupuma, kusokonezeka kwa mtima, komanso ngakhale kuyenda mwendo. Kuyesera kugonana kwapakhomo kwapakhomo , ngakhale kuli koyenera, kungakhale kosalondola. Ngati mukukayikira za matendawa, kapena ngati zovuta zanu monga kulemera kwanu zasintha, ganizirani kuwerenganso.
Simukugona
Kugona kwapakati pa usana chifukwa cha kugona tulo ndi chimodzi mwa zizindikiro zomwe zimagwirizanitsa ndi matenda osagonana osagonjetsedwa.
Komabe, sikuti aliyense ali ndi chizindikiro ichi. Mphamvu ya kugona ikhoza kuchepetsedwa kwambiri chifukwa cha kuwuka kokhudzana ndi kupuma kwabwino. Kufooka kwa apnea pang'ono kungagwirizane ndi kudzuka mpaka maulendo 15 pa ola kuti apitirize kupuma! Sizodabwitsa kuti ngati kugona sikungakhale kosangalatsa, ngakhale mutakhala ndi maola asanu ndi atatu.
Kugona mokwanira kungayesedwe ndi mpikisano wa Epworth . Ngati simugona tulo musanayambe kumwa mankhwala, simungaone kusiyana kwakukulu mukatha kuchigwiritsa ntchito.
Simukuligwiritsa Ntchito Nthawi Yochuluka Tsiku Lililonse
Zingakhale zovuta kusintha kwa mankhwala a CPAP. Kukwera usiku kungachititse kuchotsa chigobacho. Anthu ambiri amachotsa m'mawa, ndikudzidalira kuti, popanda iwo, akhoza "kugona tulo". Mwamwayi, kugona tulo nthawi zambiri kumakhala kovuta m'maola angapo apita usiku. Kuyenda mwamsanga kwa maso (REM) kugona kumachitika m'gawo lachitatu la usiku. Gawo ili la kugona limakhudzana ndi maloto omveka bwino ndi kusungunuka kwa minofu, kuti athetse maloto. Minofu ya mlengalenga imatsitsimuka ndipo izi zingapangitse kuti apnea asagone. Ngati mwachotsa mask anu musanafike m'mawa, simungapeze phindu. Muyenera kuyesa kugwiritsa ntchito, pogwiritsira ntchito CPAP kuyambira pachiyambi mpaka kumapeto kwa usiku uliwonse, kuti muone momwe zingakuthandizireni.
Kugona Kwanu Kumayambitsidwa ndi Mavuto a CPAP
Tsoka ilo, CPAP ikhoza kuyambitsa mavuto ake omwe. Popanda kuthandizidwa komanso kuthandizira, nkhanizi zingathe kuchepetsa kuyesetsa kwanu kuti mukhale ndi chithandizo. Poyamba, zimakhala zosavuta kupuma motsutsana ndi zovuta, koma izi zingakhale bwino ndi zina.
Anthu ambiri amene amakumana ndi mavuto amakumana ndi masewera awo a CPAP . Ngati siukukula bwino kapena kusinthika, zingayambitse kupweteka, zizindikiro pamaso, zilonda zamtundu kapena zilonda, ndi kutsogolo kwa mpweya. Kupeza chigoba choyenera kumatenga chitsogozo chaching'ono kuchokera kwa wogulitsa katundu. Pali zinthu zambiri zomwe mungachite: msolo wamphongo, masks, ndi mask nkhope. Pambuyo pa chigoba, chinyezi ndi kutentha kwa mlengalenga zingafunikire kusinthidwa kukonza chitonthozo. Kusokonezeka kwapadera kapena kusokoneza kungapangitse pakamwa kupuma komanso pakamwa. Kupanikizika kwambiri kungayambitse mpweya kumeza (aerophagia). Nkhanizi zingapangitse kugona tulo ndi kuonjezera kugona.
Mukakwiya kapena kukhumudwa, kugona kumakhala kovuta kwambiri. Limbikitsani kwa opereka anu kuti muyambe kukonzekeretsa mavuto anu onse kuti mufike pa njira yoyenera.
Inu Mukhale Ndi Apulo Akale Okha
N'kutheka kuti munthu amene ali ndi matenda obisala tulo tochepa sangazindikire zambiri za mankhwalawa. Ngati muli ndi matenda aakulu ogona tulo, ndikumva kusokonezeka kwapakati pa 100 pa ora la kugona, ndipo mankhwala a CPAP akudumpha mwadzidzidzi nambalayi pansi pa zisanu, mudzawona kusiyana kwakukulu. Ngati muli ndi vuto la kugona tulo tofa nato, ndi zochitika 10 zokha pa ora, ndipo nambalayo yafupika kufika zisanu, simungathe kusintha kwambiri. Anthu ambiri amatha kuzindikira bwino, ngakhale kuti amatha kugona tulo tofa nato, choncho izi siziyenera kukhala chifukwa chochitira chithandizo chamtsogolo. Ganizirani za ubwino umene mukupeza, poyerekeza ndi zomwe mukukumana nazo ndi njira yabwino kwambiri yothetsera zizindikiro zanu zoyambirira, ndikuwone ngati kusintha kulikonse ndi kugwiritsa ntchito CPAP kumatsimikizira zovutazo.
Muli ndi Kutupa
Kugonjetsa ndi chizindikiro chodziwika bwino cha kugonana kwa kugona. Anthu ambiri amanena kuti akudzuka usiku chifukwa chodziŵika bwino. Izi zikhoza kukumbukiridwa maola angapo, koma zingakhale zovuta kwambiri kuposa zomwezo ndipo zimakhala zovuta makamaka m'mawa pamene zingakhale zosatheka kubwereranso. Ngati mwapeza chifukwa chomwe mwapeza bwino, ndipo pewani kuperewera kwa mapiritsi ogona, mukhoza kulimbana ndi mankhwala. Anthu omwe ali ndi vuto la kusowa tulo amadzuka usiku komanso masana, kotero kuti tulo timatha. Ngati muli ndi vuto la kugona kumayambiriro kwa usiku, izi zingawonongeke povala maski omwe akuwombera mpweya pamaso panu. Mapulogalamu ogona angathandize kuchepetsa kusintha, komanso matenda opatsirana pogonana (CBTI) angathandize ngati kugona kukupitirizabe.
Simukukhala ndi CPAP Yoyenera
N'zomvetsa chisoni kunena kuti, koma anthu ambiri sapeza phindu lalikulu la mankhwala awo chifukwa cha zolakwika zosayenera za makina a CPAP. Zokonzera izi zimayikidwa ndi dokotala ndipo zimatsimikiziridwa ndi phunziro lakutchulidwa komwe kusintha kwa msinkhu kumapangidwira pamene mukuyang'ana kupuma kwanu. Zingakhale zotheka kukhazikitsa mitundu yosiyanasiyana ya zosokoneza ndikuwongolera pamene mukubwerera ndikutsatila ndikugwiritsiridwa ntchito deta. Pamene chipangizochi chimaikidwa kusasintha, nthawi zambiri kuyambira 4 mpaka 20 kapena 25 masentimita a mphamvu ya madzi, izi zikhoza kukhala zosakwanira. Ngati chiwerengero cha apnea-hypopnea (AHI) chikupitirira pamwamba pa zochitika zisanu pa ora, kusintha kwazomwekuyenera kusinthidwa. Zolinga, cholinga chake ndi kupeza nambalayi mochepa, ndipo anthu ambiri amapindula ndi malo abwino omwe amachititsa AHI pafupi ndi 1 kapena 2 zochitika pa ora.
Simunavutike ndi Nthenda Yanu Yogona Kusanayambe Kuchiza
Ngakhale kuti n'zosadabwitsa, anthu ena amafufuza chithandizo cha matenda obisala tulo kapena kuponyera chifukwa cha zomwe zimawakhudza ndi bedi lawo. Kuwombera kwakukulu ndi kusokoneza kungakhudze maubwenzi. Zingapangitse kuti azigona mokwanira. Zingasokoneze tchuthi kapena ulendo wopita kumsasa. Monga tafotokozera pamwambapa, anthu ena sali chizindikiro chochokera ku matenda awo ogona. Zitha kukhala ndi thanzi labwino, monga kuthamanga kwa magazi kapena chiwopsezo chachikulu cha shuga kapena mafinya a atrial, koma mwina sadziwa kuti ali ndi vuto ndi tulo. Ngati mutayamba kuvutika maganizo, zingakhale zovuta kuona chithandizo chilichonse ndi chithandizo. Ganizirani zizindikiro monga kubisala, kugona masana, kukanguka nthawi zambiri, kukwera usiku, ndi mano akupera monga momwe zingathere kuti asagone. Mutha kuwona mavuto, kusinkhasinkha, komanso kukumbukira kwa nthawi yayitali kuchokera ku mpweya wosagonana.
Wakhala Wovuta Kugonana Apnea
N'zotheka kuti mankhwala a CPAP apangitse vuto lina kuti lichitike. Anthu ambiri omwe ali ndi matenda obisala amayamba kuvulaza, chifukwa cha kugwa kwa mphepo yam'mwamba (kawirikawiri kumbuyo kwa mmero ndi mmimba). Izi zikhoza kuchepetsedwa ndi kayendedwe ka mpweya kosaperekedwa ndi CPAP. Mwamwayi, anthu ena amayamba kupuma kupanikizika ndi vuto pamene akugona. Zotsatira zake, zimakhala zovuta kuti munthu asagone . Padzakhala kupumula kupuma kwasachepera masekondi khumi omwe palibe kuyesa (palibe kusuntha kwa chifuwa kapena mimba). Ngati zochitika izi zimachitika kasanu ndi kawiri pa ora, popanda chizoloŵezi chogonjetsa kugona, vuto liripo. Mwamwayi, amatsimikizira kuti anthu 98 peresenti ali ndi chithandizo chamankhwala, nthawi zambiri pa miyezi ingapo. Nthawi zina, mankhwala ozunguza bongo angafunike kuthetsa.
Mwangoyamba Kugwiritsa Ntchito Izo
Nthawi zina, anthu amayembekezera zotsatira zochepa kuchokera kuchipatala cha CPAP, koma izi sizingatheke. Ngati kugona kwa apnea kuli koopsa kwambiri ndi chithandizo chamankhwala musanayambe kuchipatala, kusintha kwakukulu kumachitika. Pamene ndibisika, zingatengere nthawi yaitali kuti ziwoneke bwino. Ngati mwangogwiritsa ntchito mankhwalawa kwa masiku angapo, makamaka ngati simunathe kugwiritsa ntchito usiku wonse, perekani nthawi yambiri. Zitha kutenga masabata angapo musanazindikire kusintha.
Ngati simukuzindikira kupindula kwa chithandizo chanu, lankhulani ndi dokotala wanu ogona ogona kuti muli ndi njira zothandiza kuti mankhwala anu akhale opindulitsa.