Nchifukwa chiyani kulimbika kwabwino kumagwiritsidwa ntchito mu Breathing Devices?
Ngati mukukhala ku United States ndipo muli pakati pa zaka 30 ndi 70, mukhoza kukhala mmodzi wa anthu 26 mwa anthu 100 omwe ali ndi vuto la kugona. Matenda a kugonana ogwirizana ogona omwe akugwirizana nawo akhala akuwonjezeka kuyambira 2000 pamene kunenepa kwambiri kumakhala nkhani yaikulu. Kugonana kofiira kumachitika pamene mpweya wanu ukugwa; kuletsa kupuma.
Ngati mulibe matenda a mapapo, mukhoza kupuma komanso kutuluka popanda chopinga. Komabe, ngati mukulemera, n'zotheka kuti pamene mukupuma, mpweya wanu wam'mwamba udzagwa. Izi zikhoza kuzipangitsa kuti mpweyawo usatseguke pamene mukupuma ndipo muli ndi kachilombo ka apnea (kupuma pang'ono). Pali zipangizo zingapo zomwe zimagwiritsa ntchito chitsimikizo chabwino (kupanikizika kupita kumapapo) kuti athandizire kupuma. Zitsanzo ndi: CPAP, BiPAP, ndi EPAP
Muyenera kudziwa kuti pamene tidzakambirana za mankhwala omwe amachititsa kuti tipewe kugona tulo, chinthu chabwino kwambiri chomwe mungachite kuti mukhale ndi vuto la kuperewera ndi kugona thupi (kupatula ngati kugona kwanu sagwirizana ndi kunenepa kwambiri).
Zotsatira za Apuloa Yogona
- usana ndi usana ndi kutopa
- Kusokonezeka maganizo kumagwira ntchito
- kuwonongeka kwa kagayidwe kachakudya - thupi lanu silikuwonongeka kapena kumadya zakudya zambiri
- matenda a mtima
- imfa
Kuthamangitsidwa Kosangalatsa Kowonjezera kwa Airway
EPAP ndichidziwitso chomwe chimatanthauzanso "kupuma kwapansi kwapansi." Kupuma kumeneku kumathandizira kumangokhalira kupanikizika.
Izi zimagwira ntchito chifukwa cha chikhulupiliro chakuti kugwa kwa ndege komanso chifukwa cha kugona kwa mpweya kwambiri kumakhala kovuta pamene mukupuma.
Chipangizo chimodzi chomwe chimagwiritsa ntchito EPAP kuti chichepetse kugona, chimatchedwa Provent. Njira imeneyi imadziwika kuti nasal EPAP . Malingana ndi wopanga, Provent amagwiritsa ntchito valavu imodzi yomwe imayikidwa pamphuno usiku.
Vuvu imatsegulira pamene iwe umalumikiza, koma pang'onopang'ono imatseka panthawi yopuma kuthamangitsa mpweya wako wotuluka kunja kupyolera mu mabowo ang'onoang'ono, ndikupangitsani kupsinjika kwabwino pamsewu. Provent siigwiritsa ntchito madzi kapena magetsi. Ndizonso zodabwitsa kwambiri. Wopanga amanena kuti izi ndi zopindulitsa, ndipo maphunziro awo asonyeza kuti akutsatira kwambiri EPAP kusiyana ndi momwe amachitira anthu omwe amagwiritsa ntchito CPAP pofuna kuchiza matenda obisala.
Kusiyana pakati pa EPAP, IPAP, CPAP & BiPAP
CPAP, kupitilira kwabwino kwapansi, ndi njira imodzi yodzizira kugona kwa mpweya. Ndi CPAP, kupanikizika kwabwino kumagwiritsidwa ntchito ndi makina nthawi zonse panthawi zonse. BiPAP (bilevel maganizo) imagwira ntchito yabwino pamagulu onse awiri, koma osati ngati kupitirizabe. EPAP ndi yosiyana ndi njira zowonjezera ziwiri zomwe zimapuma chifukwa sichimasokoneza chitsimikizo pa nthawi yopuma. Zimangowonjezera mavuto omwe mumakhala nawo pamene mukutha. IPAP, yomwe imalimbikitsa kuponderezedwa, imangotanthauza kupanikiza kwabwino pamene mupuma. Ventilators (makina othandizira kupuma moyo) ndipo BiPAP imagwiritsira ntchito IPAP ndi EPAP.
Zotsatira:
American Academy of Sleep Medicine. (2014). Kuwonjezeka kwa kufala kwa kugona ku US kumayambitsa thanzi labwino.
Thandizani Kuletsa Kugonana kwa Apnea. About Provent Therapy. http://www.proventtherapy.com/
Rosenthal L, Massie CA, Dolan DC, Loomas B, Kram J, Hart RW. Wophunzira wambiri, woyembekezera kuphunzira pulogalamu yamphongo ya pulogalamu yachipatala ya EPAP pochiza matenda obongoletsa obstructive: kuthandizira komanso kusunga tsiku la 30. J Mchipatala Gonani Med. 2009 Dec 15; 5 (6): 532-7.
Yaremchuk, KL & Wardrop, PA (2010). Kugona Mankhwala. http://www.ebrary.com (Kuyenera Kulembetsa)