Mpweya wothamanga wa Airflow umatsegula mphepo yam'mlengalenga ndipo imatsitsa zizindikiro, zotsatira
Ngati mwauzidwa kuti muyenera kugwiritsa ntchito makina opitilira mpweya wabwino (CPAP) kuti muzitha kupuma kwanu, mukhoza kudabwa momwe makina a CPAP amagwirira ntchito.
Pano, mudzaphunziranso momwe zipangizozi zimathandizira kupuma ndi kugona kwa mpweya ndi mpweya wopanikizika komanso zomwe zingakhale zofunikira ngati muli ndi apnea ogona.
Kudziwa
Makina a CPAP akhala akugwiritsidwa ntchito pochiza matenda obongola kuyambira mu 1981.
Dr. Colin Sullivan adayamba kuzindikira kuti kupindula kwa mpweya wabwino nthawi zonse, komwe kumakhala ndi mpweya wabwino, kunapangidwa ndi galimoto yoyera. Kugonana kofiira poyamba kunkafuna tracheostomy kuthetsa, kupyolera kugwa kwa mmero.
Tsopano, ndi chigoba chokwanira, tubing, ndi makina omwe angayambitse kupanikizika kwa mpweya, matendawa atsimikiziridwa. Zinali zodabwitsa zopezeka - ndipo wina anakumana ndi kukayikira koyambirira. Zitha kutenga zaka zisanu zisanafike kuti zipangizozi zikhale zofala kwambiri pa malonda.
Momwe CPAP Imagwirira Ntchito
Makina a CPAP amasiku ano amagwira ntchito mofanana ndi zomwe Dr. Sullivan adayambitsa. Zovuta tsopano zimapangidwa ndi magalimoto ang'onoang'ono, owopsa. Komabe, mpweya (osati oksijeni) umatengedwa kudzera mu fyuluta ndi kupanikizika molingana ndi zolemba zomwe wophunzira wanu akugona. Makina amapangidwa kuti apereke mphamvu kuchokera ku masentimita 4 a mphamvu ya madzi (CWP) mpaka kufika pa 25 CWP.
Mlengalenga nthawi zambiri imadutsa pamoto wotentha kwambiri ndipo amaperekedwa kudzera mu tubing ku mawonekedwe a mask.
Kutuluka kwa mphepo yosokoneza nthawi zonse kumapanga chitukuko pamtunda wa pamtunda . Ena awalongosola ngati kupuma kwa mpweya (mpweya) umene umapangitsa kuti khosi lisagwe. Izi zimalepheretsa chilakolako chofewa, kutsegula, ndi lilime kuchoka kumalo okwera.
Amachepetsa kugwedeza kumene kumapangitsa kuti phokoso likhale lopsa. Zimatha kuchepetsa kutupa mkati mwa mphuno ndi kutulutsa chiphuphu kuchokera kumtunda. Pogwirizira pandege, kupuma kumayendera bwino komanso kugona kwabwino monga momwe kugona kumagwirizanirana. Ma oksijeni akhoza kusungidwa. Zotsatira za kugonana kwa kugona zimatha.
Makina a AutoCPAP amasiyana pang'ono moti amatha kuzindikira kugwa kwa mpweya poyerekeza ndi kukaniza ndipo amachititsa kuwonjezereka komwe kumafunika usiku kuti athetseretu kugonana kwa kugona. Zipangizozi zimayesanso kuyesedwa kwapansi ndi kusintha pansi ngati n'kotheka.
Zizindikiro ndi Mavuto
Ena amakayikira za zotsatira za mankhwala opangidwa ndi "CPC" omwe amawoneka ngati osadziwika. Mwamwayi, pali zotsatira zochepa zodabwitsa.
Mavuto ambiri omwe amagwiritsidwa ntchito ndi CPAP ndi owuma mkamwa komanso mpweya wakumeza ( aerophagia ). Mapapu sangathe kuwomba (zovuta zomwe zimagwiritsidwa ntchito ndizochepa kwambiri). Sichikuipitsa mphumu kapena COPD. M'malo mowopsa , mankhwalawa amachepetsa chiopsezo chokhala nacho chimodzi. Machimo a m'mphuno ndi makutu amkati sizimakhudzidwa kwambiri ndi chithandizo ngakhale mauthenga a zifukwa amasonyeza kuti n'zotheka kuti pangakhale pang'onopang'ono kuthamangitsidwa m'magazi a nkhope.
Pali umboni wina wosonyeza kuti chigoba cholimba kapena chokhazikika chimakhudza kukula pakati pa ana, koma izi zikhoza kuyang'aniridwa kuti zisawonongeke. Chifukwa chopindula ndi mankhwalawa, zotsatira zake zimakhala zochepa komanso mosavuta.
Malingaliro ochiza Chithandizo cha Apnea Ogona Kwambiri
Ndikofunika kubwereza nkhani yapadera ya mkhalidwe wofanana. Kugonana kwapakati pakatikati kumatanthauzidwa ndi kupuma kupuma komwe kumadziwika chifukwa cholephera kupuma, osati kugwa kwa mpweya. Nthawi zambiri imakhala yachiwiri kuti iwonongeke, kupwetekedwa mtima kwa mtima (CHF), ndi mankhwala osokoneza bongo kapena opioid.
Zitha kuchitikanso pogwiritsa ntchito mankhwala a CPAP, pamtundu wotchedwa apnea wovuta kugona .
M'katikati mwa kugonana kwapakati, nthawi zina ndi bwino kuganizira njira zina zothandizira. Makamaka, mankhwala a bilevel nthawi zina amafunika. Zowonongeka zimapereka mavuto awiri, kupuma ndi kupanikizika kwapansi kuti mupume kunja. Zovuta ST zimatha kukhazikika pamapeto kuti zipepetse mpweya wopuma. Njirayi imatha kusintha mapapu kuti atsimikizire kuti pali mpweya wambiri. Kuonjezera apo, njira yowonjezereka yothandizira yotchedwa adaptive (kapena auto) servo-ventilation (ASV) ingagwiritsidwe ntchito. Izi zimathandiza kulamulira mpweya wa mpweya, kuthamanga, nthawi ya mpweya wotulutsa mpweya, ndi zosiyana zina mwa iwo omwe ali ndi kupuma kwapadera kwambiri.
Mwamwayi, simukufunikira kudziwa zambiri za momwe makina anu amagwirira ntchito. Katswiri wodziwa kugona, yemwe ali ndi ubwino wokhala ndi ubwino, adzatha kuyesa thanzi lanu, ayang'anitseni maphunziro anu ogona ndipo asankhe mankhwala abwino kuti musinthe matenda anu.
> Zotsatira:
> Sullivan CE, Berthon-Jones M, Issa FG, Eves L. "Kuthetsa matenda obisala obettive pogwiritsa ntchito mpweya wambiri wa mpweya umene umagwiritsidwa ntchito kudzera m'mabowo." Lancet 1981, 862-865.