Nthaŵi zina, zingakhale zopindulitsa kugwiritsa ntchito njira ina yowonjezereka yopitilira mpweya wabwino (CPAP) yotchedwa bilevel positive airway pressure (BiPAP). Kodi mankhwala a BiPAP ndi otani pamene amagwiritsidwa ntchito nthawi zambiri? Phunzirani momwe BiPAP imagwiritsira ntchito pofuna kuthetsa vuto la kugona tulo komanso kugona kwapakati pa tulo tomwe timagwiritsa ntchito maskiti.
Kodi BiPAP kapena Bilevel Therapy ndi chiyani?
Zambiri mwazigawo za makina a BiPAP ndi ofanana ndi makina a CPAP . Mwachitsanzo, ikufunikanso mask nkhope ndi tubing zogwirizana ndi chipangizocho. Chidziwitso chofunika kwambiri cha BiPAP ndi chakuti mpweya wopanikizidwa umaperekedwa pawiri. Kutsimikizira kuti mpweya wabwino kwambiri (IPAP) ndi wapamwamba ndipo umathandizira mpweya pamene ukutengedwera. Mosiyana ndi zimenezi, kupuma kwapansi kwapansi (EPAP) ndikutsika kwambiri komwe kumakupatsani mpweya wabwino. Zovuta izi ndizokonzekera malinga ndi mankhwala omwe amaperekedwa ndi dokotala wanu ogona ndi ena monga chitsanzo chanu chopuma.
Pambuyo pazimenezi, pali kusiyana kochepa komwe kulipo. Zowonjezera ST zimaphatikizapo nthawi yopereka mpweya ngati kupuma kupuma kumachitika. Kupuma kumeneku nthawi zambiri kumakhala mkatikati mwa kugona kwapakati. Kuwonjezera pamenepo, servo-mpweya wabwino (ASV) umaphatikizapo zinthu zovuta kwambiri zomwe zimasiyanitsa nthawi, kutalika, ndi mpweya wa mpweya womwe umaperekedwa.
Pamene mankhwala a BiPAP akugwiritsidwa ntchito kuti asapitirire kudwala
BiPAP ndi njira yopuma chithandizo chomwe chimagwiritsidwa ntchito pochizira matenda oyamba ogona tulo , chikhalidwe chomwe chimapezeka pa nthawi ya opioid ntchito, congestive mtima kusalimba, komanso kupweteka kwapadera. Ikhoza kugwiritsidwanso ntchito pa matenda obisala ogona obisala kwambiri, makamaka ngati zochitika zowonongeka zowonongeka zilipo, zomwe zimaphatikizapo mbali yapakati yakugona.
Zingagwiritsidwe ntchito pochitira anthu omwe sangathe kulekerera kupitilizika kwapansi kwapansi (CPAP), makamaka iwo amene amadandaula kuti n'zovuta kupuma kunja kwa chipsinjo. Izi zimakhala zovuta kwambiri kuchitika pakakhala zovuta kwambiri pamene izi ziyenera kuti zitseguke. Ngakhale kuti izi zimakhala zosiyana, nthawi zambiri zimakhala zovuta pamakani opitirira 15 masentimita a mphamvu ya madzi (CWP). Zingathandize kuwongolera kutsata pakati pa omwe akulimbana ndi mankhwalawa.
Kuonjezera apo, ndi njira zopanda chithandizo zomwe zingagwiritsidwe ntchito muzipatala zomwe ziri m'masautso opuma koma omwe safuna kuziyika pa mpweya wabwino. Zingakhale zothandiza kwa iwo omwe ali ndi zofooka za neuromuscular, zomwe zingachitike ndi amyotrophic lateral sclerosis (ALS).
Maina Osiyana: Kodi BiPAP Imasiyana Bwanji ndi VPAP Therapy?
Pali chisokonezo pa mawu oti BiPAP mwiniwake, makamaka momwe amasiyana ndi bilevel. Izi ziridi chinthu chomwecho. Maina a chipangizocho amasiyana mosiyana ndi opanga.
Mmodzi mwa opanga makina opangira, Respironics, walembetsa BiPAP dzina la chizindikiro cha teknoloji yomwe imatchedwa bilevel.
Wopikisana wina wamkulu, Wowonjezeredwa, akuyitana mafoni ofanana VPAP.
Kukonzanso tsopano kumagulitsa chipangizo chotchedwa AirCurve chomwe ndi chipangizo cha bilevel.
Ngakhale mayinawo angakhale osiyana, mfundo zofanana ndizofanana.
Zomwe Mungasankhe: Kodi Ndikufunikira CPAP kapena BiPAP?
Nthaŵi zambiri matenda obongoletsa obstructive, CPAP yokha ndikwanira ngati mankhwala. Mu zochitika zovuta kwambiri zomwe tatchula pamwambapa, kapena pamene n'zovuta kulekerera CPAP, BiPAP ikhoza kukhala njira yothandiza. Anthu ambiri ayamba kulandira mankhwala ndi CPAP ndipo ngati pakufunika phunziro lachidziwitso lingathe kuchitidwa kuti adziwe momwe angakhalire kuti athe kuyankhidwa ndi mankhwalawa.
Tiyenera kudziwa kuti BiPAP ndi yokwera mtengo kuposa makina a CPAP.
Zitha kukhala mtengo pawiri kapena katatu mtengo wa CPAP. Zithunzi za ASV zingagulitse zoposa $ 4,000.
Mawu Ochokera
Ngati mukufuna kudziwa ngati BiPAP ingakhale mankhwala abwino, mukhoza kuyamba ndi dokotala wanu ogona . Pambuyo poyang'ana zoopsa zanu, ndipo ngati pakufunika, kuyesa koyeso, chithandizo choyenera chingaperekedwe kuti muthetse vuto lanu. Ichi ndi chisankho chopangidwa bwino pakugwirizanitsa ndi dokotala wanu amene akufotokoza za mankhwalawa.
Zotsatira:
Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." Elsevier , edition la 6, 2017.
Reeves-Hoche, MK et al . "Kupitirizabe kugwiritsira ntchito mpweya wabwino wa mpweya wolepheretsa kugona tulo." Am J Respir Amatsutsa Kusamala Med 1995; 151: 443.