Ukalamba Wanu Wofooka Mtundu Umene Umapereka Choyenera Kwa Inu
Ngati mwapezeka kuti muli ndi vuto la kugona , mwinamwake mwakhala mukudziwitsapo njira imodzi yothetsera chithandizo. Njira yowonjezereka (ndi yothandiza) imapitirizabe kuyendetsa mpweya wabwino (CPAP). Mungakhalenso ndi chidwi chodziwa kusiyana pakati pa njira ziwiri zofanana ndizo: CPAP ndi BiPAP (kapena bilevel) therapy. Komanso, kodi mankhwala a ASV ndi otani?
Dziwani zambiri zokhudza mitundu yothandizirayi komanso imene mungakhale nayo.
Kodi Chipatala cha CPAP cha Apnea Chogona N'chiyani?
Chithandizo choyenera cha obstructive sleep apnea ndi kugwiritsa ntchito makina omwe amapereka chithandizo kuti mutsegule panjira mukakhala mtulo. Izi zikhoza kuchitidwa ndi kupitilira kwabwino kwa mpweya wabwino (CPAP) momwe mpweya wokhala ndi chipinda chosungira nthawi zonse umaperekedwa kudzera pamasikiti a nkhope .
Kodi CPAP imagwira ntchito bwanji kuti igwiritse ntchito matenda obisala ndi vuto lomwe likufunika? Mavuto a mpweya umenewu nthawi zambiri amatsimikiziridwa ndi dokotala wochokera pa zosowa zanu. Izi zikhoza kuyesedwa ngati gawo la phunziro la kugona kapena mukhoza kuyembekezera chifukwa cha zoopsa zanu, monga momwe mumayambira ndi kulemera kwanu. Njira yowonjezera yowonjezera imateteza kuti apnea ndi kupopera ndikuyenera kuchepetsa chiwerengero cha apnea-hypopnea (AHI) pansi pa zisanu, komanso kusintha zizindikiro zina zogonana ndi kugona.
Mtundu wothandizana nawo ndi AutoCPAP, kapena APAP, momwe mavuto ambiri amaperekedwa ndi chipangizochi. Ngati kulimbana kumtunda wapamwamba (pamlingo wofewa kapena phokoso la lilime pamphuno) kukudziwika, kupanikizika kumeneku kudzasinthidwa mwazinthu zomwe zalembedwa.
Kodi BiPAP kapena Bilevel Therapy ya Sleep Apnea?
Mankhwala ofanana ndi amenewa amatchedwa bilevel, kapena BiPAP , koma amasiyana m'njira zofunika.
BiPAP ndi chidule chimene chimapangidwa ndi wopanga Respironics chifukwa cha mpweya wabwino wa mphepo. (Icho chimatchedwa VPAP ndi Wopanga wina wamkulu, ResMed.) Chigawo cha "bilevel" chikutanthauza kuti pali zovuta ziwiri zomwe makina amatha kusinthanitsa.
Izi zimakuthandizani kupuma ndi kuthamanga kwakukulu ndikupuma kunja kuthamanga pang'ono. Izi zingathandize anthu omwe akuvutika kuti ayambe kuyanjana ndi CPAP. Zingamuthandize mpweya kumeza (wotchedwa aerophagia). Zingathandizenso ndi claustrophobia. Zingakhale zofunikira pamene zovuta zikhale zapamwamba kuti zithetse chitonthozo, makamaka pa zovuta za PAP zomwe zimakhala ndi masentimita 15 a madzi kapena apamwamba.
Kupatula pa lemba kapena mtundu wosiyana, kuchokera kunja, makina sangayang'ane mosiyana ndi CPAP. Amafunikiranso mankhwala omwe amawagwiritsira ntchito pogwiritsira ntchito mankhwalawa. Zingakhale zogwira mtima pakusankha, monga zomwe zanenedwa pamwambapa, komabe.
Kodi Ndikufunikira CPAP kapena BiPAP Kuti Ndichite Nthenda Yanga Yabwino?
Anthu omwe ali ndi matenda obisala obettive amatha kuyamba mankhwala ndi CPAP kapena AutoCPAP. Tiyenera kukumbukira kuti bilevel, kapena BiPAP, imagwiritsidwa ntchito nthawi zambiri pochiza matenda apakati .
Matendawa amatha kupuma popanda kuponderezedwa pamsewu ndipo amadziwika ngati gawo la phunziro la kugona. Zitha kuchitika kawirikawiri kwa anthu omwe ali ndi vuto la mtima, matenda osokoneza bongo, kapena omwe amagwiritsira ntchito mankhwala ozunguza bongo. Ikhoza nthawi zina kuyambitsidwa ndi CPAP yokha, koma izi sizingapitirire kupitirira miyezi ingapo yoyamba yogwiritsira ntchito.
Chipangizo cha BiPAP chikhoza kukhazikitsidwa chifukwa cha kupuma kumeneku pakupuma pogwiritsa ntchito mpweya wambiri ngati mukufunikira. Zida zina ndizovuta kwambiri, zimasiyanitsa mpweya umene umaperekedwa kuti ukhale ndi mpweya wozizira komanso womwe umakhudza kupuma.
Matendawa ndi odwala matenda osokoneza bongo (COPD), amyotrophic lateral sclerosis (ALS), ndi zina.
Kodi Pali Njira Zina Kapena Zosankha?
Pambuyo pa CPAP ndi BiPAP, pali makonzedwe owonjezera a makina omwe angathe kulamulidwa ndi katswiri wogona . Makina ambiri, omwe nthawi zambiri ali ndi chiganizo "Auto," ali ndi chinthu chokhacho chimene chimalola mavuto osiyanasiyana kuti agwiritsidwe ntchito. Zida zamagetsi zimatha kukhala zosiyanasiyana za CPAP kapena bilevel. Chipangizocho chimatha kuyankha zowonongeka pamsewu ndipo zimatha kupanikizika ngati kuli kofunika usiku. Izi zingakhale zothandiza ngati apnea akugona chifukwa cha kusintha kwa malo ogona (monga kumbuyo kwa msana) kapena chifukwa cha kugona kwa REM kumayambitsa zowonjezeka.
Palinso mtundu wa bilevel umene ukhoza kupereka mpweya wabwino nthawi zambiri (wotchedwa bilevel ST). Izi zikhoza kutsimikizira kuti kuchuluka kwa mpweya pamphindi kukuchitika. Izi zikhoza kukhala zofunikira pakati pa kugonana kwapakati pakati.
Kodi mankhwala a ASV ndi otani?
Pomalizira pake, pali makina ena opangidwa ndi magalimoto omwe amachititsa kuti apitirize kupuma mokwanira. Zingasinthenso kutulutsa mpweya komanso mpweya umene mapapu amalowetsamo ndi kutetezedwa, pakati pa zochitika zina. Nthawi zambiri zipangizozi zimasungidwira anthu omwe amafunika kuthandizidwa kwambiri chifukwa chodwala matenda a mtima, mapiritsi kapena mapiritsi.
Mawu Ochokera
Kodi mumasankha bwanji izi? Mwamwayi, simusowa! Katswiri wanu ogona ayenera kuonetsetsa kuti mukufunikira chithandizo cha mankhwala anu pogwiritsa ntchito zotsatira za maphunziro anu ogona komanso kafukufuku wanu kuchipatala. Kambiranani zomwe mungasankhe mukakhala pafupipafupi ndikukhala pafupi ngati mukukumana ndi mavuto omwe mukukumana nawo pogonana kwanu. Malingana ndi deta yogwiritsira ntchito, ngati kusintha kwa mankhwala anu kumafunika, izi zikhoza kukonzedwera mukamawoneka mukutsatiridwa mwachizolowezi. Nthawi zina zimakhala zofunikira kupanga ndondomeko yophunzirira momwe njira zosiyanasiyanazi zingaganizire moyenera.
> Chitsime:
> Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." Elsevier , edition la 6, 2017.