Kupuma kwa mpweya wabwino (CPAP) kumatchulidwa kawirikawiri kuti munthu azigona mokwanira . Cholinga ndi kupititsa patsogolo usiku, koma mungadziwe bwanji ngati CPAP ikugwira ntchito bwino? Chizindikiro cha apnea-hypopnea (AHI) chingakhale chithandizo chothandizira kuti muwone momwe ntchito yanu ikuyendera.
Kodi AHI amawerenga chiyani pa phunziro la kugona kapena makina a CPAP?
Kodi chimachitika ngati chiwonetsero? Ngati nambala ya AHI ikukwera, mungafunse, "Ndimasintha bwanji makina anga a CPAP?"
Dziwani cholinga chanu cha AHI kuti mupindule kwambiri pogwiritsa ntchito CPAP kuti mukhale opaleshoni yabwino komanso momwe zipsyinjozo zatsimikizidwira ndikuyenera kusintha.
Kodi AHI ndi chiyani?
Choyamba, ndikofunikira kumvetsetsa zomwe AHI akuwerenga zimatanthauza, zonse ndi maphunziro ogona ndi makina a CPAP.
Chiyeso ichi nthawi zambiri chimaperekedwa mkati mwa nkhani ya phunziro la kugona . Ndi nambala ya nthawi pa ola lakutali kuti mpweya wanu wam'mwamba (lilime kapena phula pamphuno) pang'ono kapena pang'onopang'ono, zomwe zimayambitsa kuwukitsidwa mwachidule kapena kuwuka ku tulo kapena kutaya m'magazi a mpweya wa magazi. Kugwa kwapadera kwa pandege kumatchedwa hypopnea. Kulephera kwa mpweya kutuluka mphuno ndi pakamwa, ngakhale kuyesera kupuma monga momwe zilili pachifuwa ndi mimba, kumatchedwa chochitika cha apnea.
AHI imagwiritsidwa ntchito kufotokozera kufooka kwa kugonana kwa kugona.
Mgwirizano womwewo umagwiritsidwa ntchito pofufuza momwe makina a CPAP akugwirira ntchito. Malangizo otsatirawa amagwiritsidwa ntchito kwa akuluakulu:
- Zachibadwa : Zochepa kuposa zochitika 5 zopuma kupuma pa ola lagona
- Kukhala ndi mpweya wovuta kugona : 5 mpaka 15 zochitika kupuma pa ola la kugona
- Matenda apakati ogona : 15 mpaka 30 zochitika kupumira pa ola lagona
- Kugonana kwakukulu kwa kugona : Kuposa 30 kupuma mpweya pa ola la kugona
Kugona kwa ana kumayesedwa ndi zovuta zowonongeka ndipo zochitika zambiri pa ola limodzi zimaganiziridwa kuti sizinali zachilendo pa kuyesa kugona.
Kodi Cholinga cha AHI N'chiyani Chokhazikitsa Thandizo?
Kodi cholinga chanu AHI chiyenera kukhala chiyani? Choyamba, kumvetsetsa kuti pangakhale kusiyana pakati usiku ndi usiku muyeso iyi. Monga taonera, kupuma kwa mpweya kungakhale kovuta chifukwa chogona kwambiri kumbuyo kwanu, kukhala ndi tulo tapang'ono to REM , kapenanso kumwa mowa kwambiri pafupi ndi nthawi yogona. Choncho, sizothandiza kuthamangitsa nambala ya tsiku ndi tsiku. M'malo mwake, kusiyana kumeneku kuyenera kupitirira masiku 30 mpaka 90.
Kawirikawiri, AHI iyenera kusungidwa pafupipafupi kuposa zochitika zisanu pa ola, zomwe ziri muyeso yeniyeni. Akatswiri ena ogona adzagonjetsa AHI ya 1 kapena 2 poganiza kuti zochitika zochepa sizidzasokoneza kwambiri kugona. Ngati mndandanda wa AHI pa phunziro la kugona ndi waukulu kwambiri, monga zochitika 100 pa ora, ngakhale zochitika 10 pa ora zingakhale zofunikira kwambiri.
Mitundu ya zochitika zingakhale zolepheretsa, pakati (kuimira zozizira mpweya), kapena zosadziwika (zokhudzana ndi kutsika). Mitundu iyi ili ndi zisankho zosiyana. Mwachitsanzo, kupweteka kwa CPAP kungafunikire kukwera-kapena pansi-kapena mask angafunike m'malo.
Cholinga chabwino kwambiri kwa inu chikhoza kudalira kukula kwake ndi chikhalidwe chanu choyamba. Zingakhale zovuta chifukwa chotsatira chithandizo, ndi zovuta zochepa zomwe zimaloledwa kukonza chitonthozo. Njira yabwino kwambiri yothetsera vuto lanu ndi yabwino kwambiri kwa katswiri wanu ogona tulo ogwira ntchito ogona ndi odwala omwe ali ndi AHI omwe amagwiritsidwa ntchito pazochitika zanu.
Kodi Machina a CPAP Amagwira Ntchito Bwanji Chithandizo?
Masiku ano CPAP ndi makina a bileled amatha kuwona zochitika zowonjezera zowonjezera zomwe zikuchitika pa nthawi yomwe mukukumana ndi mavuto. Zonsezi zikugwirizana ndi kuwuka mwachidule kapena kuchepa kwapakati pazigawo za magazi.
Mungakhulupirire kuti kugwiritsa ntchito CPAP kudzateteza chikhalidwe chonsecho, koma izi siziri choncho. Zikudalira mbali imodzi pazovuta zomwe akatswiri anu ogona amagona.
Tangoganizani kuyesera kuti mugwirizane ndi chubu lakutayira yaitali. Ndi mpweya wochepa kwambiri, chubu sichidzatseguka ndipo idzagwa. Mofananamo, ngati makina anu a CPAP akakhala otsika kwambiri, mpweya wanu wam'mwamba ukhoza kugwa. Izi zingayambitse zochitika zosayembekezereka za hypopnea kapena apnea. Komanso, zizindikiro zanu zingapitirire chifukwa cha kusakwanira.
N'zotheka kuti zosiyana zina zidzakhudza kuchuluka kwa mphamvu yomwe ikufunika kuti mutseguke. Zinthu izi zimaphatikizapo kugona (zovuta pogona kumbuyo), kugona (makamaka ku sleeping REM), kusokonezeka kwa msana, ndi kumwa mowa kapena mankhwala omwe amachititsa kuti thupi likhale losangalala.
Momwe Mipikisano ya CPAP Machine Yakhalira Kugonana Kwakufa Kwakuya
Makina atsopano angayang'ane zochitika zanu zowonjezera zowonjezera ndikukhala ndi AHI. Izi zikhoza kupezeka pa chipangizochi kapena kudzera pa intaneti zomwe zikutsatizanitsa. Kodi izi zimachitika bwanji?
Yankho lalifupi ndilokuti njira izi ndizopangira, zinsinsi, ndipo siziwululidwa ndi makampani omwe amapanga zipangizo. Mwachidule, komabe, taganizirani kuti makinawa amachititsa kupanikizika nthawi zonse. Ikhoza kupanganso kuphulika kwapakati pazowonjezereka. Icho chimayesa kukana mkati mwa msewu kwa kupanikizidwa kwina kwina.
Ngati palibe kusiyana kwakukulu pakati pa kutsutsana pakati pa mavuto apansi ndi apamwamba, zimamveka kuti misewu imatseguka. Komabe, ngati ndegeyo ikadapanda (kapena ngakhale kwathunthu) kugwa, kuwonjezeka kwina kungakumane ndi kukana. Mu makina "auto", izi zidzachititsa kuti makina ayambe kupanikizika muzinthu zoyenera kuti zithandizire paulendo wanu.
Kumbukirani kuti chiyeso ichi sichiri cholondola monga chomwe chimachitika pa phunziro labwino la kugona. Chiyesocho chingasokonezedwe ndi kutsika kwakukulu kwa maski. Ngati ikhala ikukwera popanda tsatanetsatane, ikhoza kubwereza phunziro la kugona kuti muone ngati mukudwala.
AHI yomwe makinawo amawerengera amalembedwa pa khadi lachindunji. Wopereka zipangizo zanu kapena dokotala akhoza kuzilitsa izi ndikupanga lipoti kuti atsogolere mankhwala anu. Ikhozanso kuwonetsedwa m'mawa pawindo la chipangizo kapena mawonekedwe a mawonekedwe. Zambirizi zikhoza kugawidwa ku mtambo ndikukufotokozerani za momwe ntchito yanu imathandizira ndi mapulogalamu ena.
Mmene Mungayankhire Zofuna Zosintha ndi Kusintha CPAP
Monga tanena kale, pali ziwerengero zingapo zomwe muyenera kulingalira pomasulira AHI kuwerenga. Sungathe kuthetsedweratu mwa kutembenuza kukakamizidwa kwa chipangizo mmwamba kapena pansi.
Kusintha kwakukulu koyeneranso kungakhale kophweka. Mwachitsanzo, wina yemwe ali ndi AHI yapamwamba pa phunziro la kugona sangafunikire kulemera kwa CPAP kuti athetse vutoli. Anatomy ndi zinthu zina zingakhale ndi gawo. Ngati chipangizochi chikukwera kwambiri, chikhoza kuchititsa kuti mpweya wodwala usagone. Ngati makonzedwewa ali otsika kwambiri, sangagwire bwino mokwanira kuti athetse vutoli.
Ngati AHI idayamba kukwera, ndi nthawi yobwereranso kwa katswiri wodziwa kugona kuti adziwe ngati mukugona. Wopereka mankhwalawa akhoza kutanthauzira AHI malinga ndi phunziro lanu lakugona tulo, anatomy, mankhwala, kusintha kwaumoyo, ndi zina. Munthuyu ayenera kukhala yemwe akusintha makina anu a CPAP. Ngakhale kuti zosintha zingasinthidwe ndi wina aliyense, wothandizira wanu akhoza kupanga chisankho chodziwikiratu.
Mawu Ochokera
Ngati muli ndi mafunso ngati CPAP yanu ikugwira ntchito komanso ingakhale ya inu, funsani mwiniwake kuti akambirane za momwe mulili komanso zomwe mungachite kuti mukhale ndi chithandizo chabwino. Kuwongolera nthawi zonse kuchipatala kudzaonetsetsa kuti mankhwala anu ndi opambana.
> Zotsatira:
> "Mafotokozedwe AHI Amodzi." FAQ, Philips Respironics DreamMapper.
> Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." ExpertConsult , kope lachisanu ndi chimodzi. 2017.
> "N'chifukwa chiyani ndondomeko yanga ya apnea-hypopnea (AHI) imasintha?" Onetsani .