Ngati mwauzidwa kuti mupitirize kukhala ndi mpweya wabwino (CPAP) kuti mupewe matenda obisala , mungadabwe kuti zotsatira zake zimagwiritsidwa ntchito bwanji. Mwamwayi, mankhwala a CPAP ndi otetezeka. Zidandaulo zomwe zimakhala zovuta kwambiri zimakhudzana ndi kusokonezeka kwa mawonekedwe kapena masewera a mpweya. Dziwani zomwe zingawonongeke ngati mugwiritsira ntchito CPAP mankhwala kuti musamalidwe ndi kugona.
Malonda a Khungu kapena Rashes kuchokera ku CPAP
Maskiti anu a CPAP akhoza kusiya zizindikiro pa khungu lanu ngati silikugwirizana bwino. N'zotheka izi zingapangitse zilonda kapena zilonda, makamaka pambali pa mlatho wa mphuno. Anthu omwe ali ndi khungu lopepuka angathenso kuyamba kutentha kapena kukwiya khungu, makamaka ndi maski omwe ali ndi latex. Zovala za maski, zotchinga zotsekemera, kumasula chigoba, kapena chigoba chokwanira bwino chingathetsere zizindikiro izi.
Kuthamanga kwa ndege kuchokera ku CPAP Masks
Pakadali pano, kudandaula kwakukulu komwe kumagwiritsidwa ntchito ndi CPAP. Ngati chigoba sichikwanira bwino, mpweya ukhoza kuthawa m'mphepete mwake. Zingakhale zovuta ngati mutasintha malo usiku. Maski akuluakulu, monga omwe amaphimba mphuno ndi pakamwa, amatha kutuluka. Kuphulika uku kungakhale phokoso komanso kusokoneza bwenzi lako. Kutuluka kwa madzi kungapangitsenso mankhwala anu pothandizira kupanikizika kumeneku. Mphuno imatha kuchepetsedwa pogwiritsira ntchito chigoba chamkati kapena msolo wamkati .
Ngati mukulimbana ndi masewera anu a CPAP , zochepetsera zochepa zazomwe zingakhale zothandiza. Ngati pali mpweya wochuluka kwambiri, mphepo yamkuntho imatha kupitilira m'mphepete mwa maski kapena kunja. Kambiranani izi ndi dokotala musanayambe kusintha.
Dya Mphuno kapena Mlomo kuchokera ku CPAP
Kuuma kwa mphuno kapena pakamwa panu nthawi zambiri kumaphatikizapo kuphulika.
Izi zingayambitse mphuno kapena ngakhale kuwononga mafupa ndi mano anu. Kugwiritsira ntchito chimbudzi chosungunuka ndi kutentha kwapadera kungathandize kuti CPAP yanu ikhale yabwino. Ngati kamwa yako imatseguka, mpweya ukhoza kuthawa ndipo ukhoza kutsogolera pakamwa kapena m'kamwa. Kugwiritsira ntchito chinstrap kapena nkhope-mask mask yomwe imakhudza mphuno ndi pakamwa zingakonze izi. Ngati mphuno zanu zouma, pulogalamu yapamwamba ya salal spine ingathandize.
Kusokonezeka Kupuma
Mukangoyamba kugwiritsa ntchito mankhwala a CPAP, pali nthawi ya kusintha komwe kumachitika. Zingakhale zosamveka kupuma kunja kutsutsana. Ngakhale kuli kovuta kupuma, mukhoza kupeza zovuta kupuma. Izi zikhoza kusintha pakapita nthawi, koma zingathenso kukwiya ndi kusowa tulo. Nthaŵi zina, kuthamanga kwapansi koyambirira kapena chinthu chololeza kutuluka mpweya mosavuta kungakhale kothandiza. Zingakhale zofunikira kuchepetsa mavuto onse. Nthawi zambiri, mankhwala omwe amachititsa kuti azipuma, omwe amachititsa kuti apuma, ndi kutsika kwapakati kumagwiritsidwa ntchito kupuma.
Kuthamanga kwa Air kapena Aerophagia kuchokera ku CPAP
Anthu ambiri amawona mpweya ukumeza, wotchedwa aerophagia (kwenikweni "kudya kwauzimu"). Mukadzuka ndipo mimba yanu ili ndi mpweya, izi zikhoza kukhala chifukwa cha aerophagia.
Kumeza kwauzimu kungakhale chizindikiro cha mavuto a CPAP omwe ali apamwamba kwambiri. M'malo mochirikiza mphepo yam'mlengalenga, mpweya wambiri ukhoza kulowa m'mimba kudzera m'mimba. Chotsatira chake, kubisa, kutuluka, ndi kubwezera kungakhale mavuto. Zovuta zochepetsedwa zingathandize kuchepetsa izi. Mankhwala ena opatsirana aerophagia monga kugwiritsa ntchito mankhwala kwa kupweteka kwa mtima kapena GERD, mapiritsi ogona ogona, ndi mankhwala omwe angakhale ochepetsetsa angakhalenso othandiza.
Kupanga Apnea Yakugona Kwambiri
Anthu ena ayamba kuwona kupuma kwapakati pakati , kumene mpweya ukugwira umawoneka ngati mankhwala a CPAP. Ngati apneas apakati sanaganizire za kusokonezeka kwambiri kupuma musanayambe pulogalamu, koma tsopano zimathandiza pa zochitika zoposa zisanu pa ola, zikhoza kuimira zovuta zowonongeka.
Nthawi zina izi zimatsimikizira nthawi. Zingasinthe kusintha kwa mankhwala a ASV. Nthawi zina, zingathe kuchepetsedwa mwa kungochepetsa kupanikizika kwa CPAP.
Yang'anizana ndi Mavuto Achikulire Ana Ogwiritsira Ntchito CPAP
Ana amene amagwiritsira ntchito CPAP ayenera kuyang'aniridwa kuti asakhale ndi vuto la kukula pakati pa nkhope zawo zokhudzana ndi zovuta za maski kumphuno. Mitundu yatsopano ya mask, kuphatikizapo ndodo yamphongo, ingachepetse chiopsezo ichi.
Zosintha Zomwe Zimakhudza Kuthamanga kwa CPAP Iwe Ukufuna
Nthawi zina nkofunika kuchepetsa zovuta za makina a CPAP pamene zifukwa zomwe zimayambitsa matenda obwera chifukwa cha kugonana zasintha. Kulemera kwakukulu ndi chimodzi mwa zinthu zowonjezera kwambiri zomwe zimawathandiza kuti asagone. Ngati mungathe kutaya 10 peresenti ya kulemera kwa thupi lanu kudzera mu zakudya ndi masewera olimbitsa thupi, mungafunike kutsika kwa CPAP. Ngati mumayamba kukhala ndi mavuto pakumala kwa mpweya, kusokoneza, kapena kupuma kupanikizika, izi zingakhale zothandiza.
Ngati muli ndi chiwopsezo cha chilengedwe, mankhwala opatsirana ndi mankhwala kapena nasal sprays angakulepheretseni kupanikizika kufunikira mwa kusintha mpweya wa mpweya kudzera m'matumbo. Komanso, kusintha kwa opaleshoni- kuphatikizapo tonsillectomy, nasal septoplasty, ndi palati yofewa kapena opaleshoni ya lilime-ingasinthe mankhwala anu a CPAP.
Kugwiritsira ntchito mankhwala kungawononge chiopsezo cha kugona tulo. Ngati mumasuta , kupopera ndi kugona mofulumira kumatha kuwonjezereka. Mowa umagwiritsidwa ntchito pafupi ndi nthawi ya kugona kungachititse kuti thupi likhale losangalala komanso limathandizira kugona. Mankhwala, kuphatikizapo minofu yotsekemera ndi benzodiazepines, akhoza kupweteka kwambiri kugona kwa apnea. Ngati musiya kugwiritsa ntchito zinthu izi, vuto lanu la kugona la kugona lingachepetse ndipo vuto lanu likhoza kuchepetsedwa.
Mawu Ochokera
Ngati mukukumana ndi zotsatira za zotsatirazi kapena mukuganiza kuti mungafunike kuchepetsa vuto lanu la CPAP, lankhulani ndi katswiri wanu wogona kapena ogulitsa zothetsera mavuto omwe muli nawo. Pambuyo powerenga ndondomeko yanu ya CPAP, mungagwiritse ntchito zomwe mungachite kuti musinthe kusintha kwanu kapena kusintha zina. Pamene izi ndizopatsidwa mankhwala ndi mitundu yosiyanasiyana yomwe muyenera kuganizira, musasinthe nokha. Mwamwayi, nthawi zambiri kusintha kungapangidwe kuti zithetse vutoli ndi mankhwala a CPAP komanso kuchepetsa zotsatirapo.
> Chitsime:
> Kryger MH, Roth T, Dement WC. Mfundo ndi Zochita za Kugona Mankhwala . Philadelphia, PA: Elsevier; 2017.