Kuthamanga kwa Air Kungayambitse Kulimbitsa, Kuthamanga, ndi Kuphulika
Kupitiriza kupuma kwa mpweya wabwino (CPAP) ndi mankhwala othandiza kwambiri obstructive apnea , koma palibe zotsatira zake. Chimodzi mwa zodandaula zomwe zimagwiritsidwa ntchito ndi gasi yokhudzana ndi CPAP, kuphatikizapo mpweya wochuluka womwe umalowa mmimba ndipo umatsogolera kuwonjezeka kwa mimba, kubisala, kutuluka, ndi kubisala mutatha kugwiritsa ntchito.
Kodi zimayambitsa zotsatira zotani za mpweya wa CPAP?
Kodi pali njira zabwino zothandizira mankhwala kuti mutha kupezeka? Fufuzani zina mwa zizindikiro zokhudzana ndi galimoto ya CPAP komanso zomwe zingatheke kuti zithetse kuchepetsa mpweya.
Nchiyani chimayambitsa galimoto ya CPAP kapena kuwomba kwa Air kuti ichitike?
Kumeza kwadzidzidzi ndi chimodzi mwa zizindikiro zowonjezereka zogwiritsidwa ntchito ndi mankhwala a CPAP pofuna kugona mofulumira. Zimayambitsa kupopera, mpweya wosayenerera womwe umayambitsa kupweteka komanso kutaya. Nthaŵi zina mpweya umenewu m'mimba umatchedwa aerophagia, kutanthauza kuti "kumeza mpweya" kapena "kudya kwa mpweya." Kodi n'chiyani chimayambitsa mpweyawu ukumeza kuti uchitike?
CPAP imagwira ntchito popereka mpweya nthawi zonse yomwe imapangitsa mphepoyo kukhala yotseguka komanso imalephera kugona. Mukakulinganiza, zimakhala zothandiza kwambiri popewera kugona kwa mphuno, matenda omwe amapezeka mobwerezabwereza m'matumbo ndi lilime lomwe limapangitsa kuti mpweya wa okosijeni ugwe pansi ndi kuwuka. Kutuluka kwa mpweya kungakhale kovuta, komabe, makamaka ngati mlengalenga ndilopitirira ndipo imapita komwe sikufunidwa.
Ngati mukuganiza kuti chubu ikuyenda kuchokera kumapeto kwa mphuno yanu mpaka mapapu anu, mpweya wozungulira wa CPAP umasunga tiyiyi. Icho chidzakankhira pamatenda ofewa pambali, makamaka mmalo mwa phula lofewa , lilime, ndi mmwamba. Gawo la pansi pa msewuwu limathandizidwa ndi maboma ndi kanyumba kake ndipo imakhala ndi trachea, yomwe imatsogolera ku bronchi ndi mapapo.
Pafupi ndi kulowa kwa trachea ndi kutsegula kumene kumayambitsa mimba ndi m'mimba. Choncho, ngati mpweya wochulukirapo umasokonezeka pamimba, mimba ikhoza kudzaza ndi mpweya ndipo izi zingapangitse kuwonjezeka.
Ngati sagwirizana ndi kugwiritsa ntchito mankhwala a CPAP, aerophagia angayambidwe ndi zochitika zina. Nthawi zambiri zimakhudzana ndi kudya, makamaka pamene wina amadya mofulumira kwambiri. Aerophagia amapezeka chifukwa cha zakumwa zakumwa monga soda kapena zakumwa zomwe zili ndi carbon dioxide. Zingathenso kupezeka pamene akutafuna chingamu kapena ngakhale akusuta. Pali zinthu zochepa zomwe zingagwirizanitsidwe ndi aerophagia, monga khalidwe lodzidetsa nkhaŵa kwa omwe ali ndi vuto la ubongo kuyambira kubadwa.
Zizindikiro za Kutsegula kwa Air
Pamene mpweya wolimbikitsidwa kuchokera ku CPAP umalowetsa m'mimba molakwika, umatsogolera kuzing'ung'onoting'ono zochepa. Izi zikuphatikizapo:
- Burping kapena kubanika
- Kutsegula (flatus kapena flatulence)
- Yodzaza kapena yosokonezeka m'mimba (kuvulaza)
- Kuthamanga kwa mpweya (kawirikawiri)
- Kupweteka kwa m'mimba
Zizindikirozi zingakhale zochepa komanso zosavomerezeka. Anthu ambiri amatha kuzindikira mpumulo mu ola loyamba la tsiku mwa kudutsa gasi. Komabe, zingakhalenso zovuta komanso zovuta. Chinthu chamtengo wapatali ndi chakuti pali pangozi yaikulu ya kuwonongeka kwamuyaya kwa thupi lanu.
Komabe, zingakhale zabwino kufunafuna njira zothetsera vutoli pochepetsa kuchepa kwa mpweya ndi kuchuluka kwa mpweya.
Kuchiza Kuchepetsa CPAP Gas
Pali njira zochepetsera galimoto ya CPAP malingana ndi zomwe zimayambitsa. Nkhani yabwino ndi yakuti mavuto okhudzidwa ndi galimoto ya CPAP amatha kugonjetsedwa ndipo zotsatira za mankhwalawa zingakhale zabwino. Taganizirani izi:
Sinthani Mapangidwe Opanikizika
Chinthu chimodzi chomwe chimayambitsa galimoto ya CPAP ndi chakuti makina opanikizika ndi apamwamba kwambiri. Ngati kupanikizika sikudakhala ngati gawo la phunziro lakutchulidwa, ngati chipangizocho chimangotulutsa mavuto okhaokha, kapena ngati mwataya 10 peresenti ya kulemera kwa thupi lanu, izi ndizotheka.
Poletsa kuthamanga, kapena kuyika zovuta zambiri zomwe zimaphatikizapo malo otsika ndi AutoCPAP, mpweya ukumeza kungapite patsogolo kwambiri. Nthaŵi zina, zingakhale zofunikira kuti mutembenuzire ku mankhwala a bileled , mtundu wa chipangizo chomwe chimapweteka kupuma panthawi yomwe imatulutsa mpweya ndipo zidzakupangitsani kupuma mosavuta kutsutsana ndi mpweya.
Sinthani Malo Anu Akugona
Chinthu china chofunika ndichogona kwanu. Ngati mugona pamsana panu, zingakhale zothandiza kugona. Izi zidzateteza kink "yomwe imatha kuyendetsa mlengalenga. Anthu ambiri amapeza kuti ndibwino kugona ndi mutu kumbali ya madigiri 30 mpaka 40. Izi zikhoza kuchitidwa ndi kugona pamtolo wa mphero . Mphete ikhoza kuikidwa pamwamba kapena pansi pa matiresi, malingana ndi kapangidwe kake. Muyeneranso kukhala otsimikiza kuti phokoso la mapilo silimangoyendetsa mutu wanu. Zili choncho za mutu, khosi, mapewa, ndi thupi lanu kuti zithandizidwe mokwanira.
Anthu ena amasankha bedi losinthika, koma izi zingakhale zodula, nthawi zambiri zimagula madola zikwi. Njira ina ikanakhala kukweza bedi lonse. Pogwiritsira ntchito mabuku (monga mabuku akale a telefoni) kapena ngakhale zitseko, mungathe kukweza mapazi anu pamutu pa bedi lanu. Choncho, bedi lonse lidzasungidwa pamsewu. Izi nthawi zambiri zimalekerera ndi bwenzi lanu ngati muli ndi imodzi, ndipo palibe vuto lalikulu lakutaya pabedi pamlingo woyenera.
Kutsekedwa kwa Mauthenga
Ndizofala kawirikawiri chifukwa cha mpweya wa aerophagia ndi CPAP womwe umakhudzana ndi kupweteka kwa mtima kapena matenda a reflux a gastroesophageal (GERD). Kutentha kwa mpweya, makamaka pamene kumachitika usiku, kungapangitse mpweya kumeza.
Mbali ya m'munsi ya mimbayi imakhala ndi mphete yam'mimba yomwe imatchedwa sophageal sphincter. Mphete iyi imatsegula mimba kuchokera mmimba. Izi zimateteza zomwe zili m'mimba, kuphatikizapo mimba ya asidi, kuchoka mpaka kumimba. Komabe, mwa anthu omwe ali ndi HIV kapena kupweteka kwa mtima, sphincter imafooka. Sichikutseketsa mbali yomwe imayambira komanso momwe iyenera kukhalira. Izi zimathandiza reflux ya m'mimba ya asidi m'mimba, koma imathandizanso kuti mpweya ufike mmimba ndi kugwiritsa ntchito CPAP.
Anthu ena adzapeza kugwiritsa ntchito mankhwala kwa GERD kukhala othandiza poteteza galimoto ya CPAP, kuphatikizapo njira zowonjezerapo monga:
- Omeprazole (Prilosec)
- Esomeprazole (Nexium)
- Cimetidine (Tagamet)
- Ranitidine (Zantac)
- Calcium carbonate (Tums)
Zingakhale zofunikira kuti muyankhule ndi dokotala ngati izi zikufunika kuti mugwiritse ntchito nthawi yaitali.
Zosankha Zogwiritsa Ntchito Mankhwala Oposa
Njira yowonjezera yothandizira ikhoza kugwiritsidwa ntchito kwa Gasi-X (kugulitsidwa pa-counter-pansi pa dzina lachidziwitso cha simethicone). Izi zikhoza kupereka mpumulo, koma ngati kuchuluka kwa mpweya kumame ndi kofunika, sikungakhale kokwanira.
Ngakhale kuti zingakhale zosasangalatsa, zotsitsimula zambiri zingakhale kungotulutsa mpweya mwachibadwa mwa burping kapena farting.
Kodi Mask Anu Amachita Udindo?
Potsirizira pake, anthu amafunsa ngati mtundu wa masikiti a CPAP uli ndi mphamvu yowonongeka ndi mpweya. Mwachitsanzo, ngati chigoba chiri pamwamba pa mphuno poyerekeza ndi kuphimba mphuno ndi pakamwa, kodi izi zimapangitsa kusiyana?
Yankho lalifupi ndilo ayi. Kaya mpweya wopanikizidwa ukuperekedwa kudzera m'mphuno kapena pakamwa, pamapeto pake umabwera kumalo omwewo kumbuyo kwa mmero. Vuto liri patali pamsewu ndipo osati pamphuno kapena pakamwa kumene maski angagwiritsidwe ntchito mosiyana. Choncho, sizingapangitse kusiyana kwakukulu komwe kumasankha kugwiritsa ntchito.
Mawu Ochokera
Zingakhale zovuta kwambiri kuwonetsa mpweya woopsa kwambiri kumeza, makamaka pogwiritsa ntchito mapulogalamu a CPAP omwe sali okonzedweratu. Musamavutike mwachete! Ndibwino kuti nthawi yomweyo musiye kugwiritsa ntchito makina anu a CPAP. Tumizani kwa PCAP yanu yopereka chithandizo kuti muthe kuchepa. N'kutheka kuti mukufunanso kuti dokotala wanu asagone pazomwe kusintha kulikonse, chifukwa izi ndizo kusintha kwa mankhwala. Mwamwayi, ndi mafoni angapo, mungathe kupeza njira yoyenera. Ndi mpumulo bwanji.
Chitsime:
Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." Elsevier , edition la 6, 2017.