Ukuba unikwe umyalelo wokuqhubeka uxinzelelo lwe-airway (CPAP) ngokuqhubekayo ukunyanga ukuphazamiseka kokugula okuphazamisayo , unokuzibuza ukuba yeyiphi imiphumo emibi ehambelana nokusetyenziswa kwayo. Ngenhlanhla, unyango lwe-CPAP lukhuselekile. Izikhalazo eziqhelekileyo zibandakanya ukungahambi kakuhle kwi-interface yolwazi okanye uxinzelelo lomoya. Khangela okokungahambi kakuhle xa usebenzisa ulwaphulo lwe-CPAP ukulungisa isantya kunye nokulala kwe-apnea.
Iimpawu zoKhuseleko okanye uhlaselo oluvela kwi-CPAP
I-mask yakho ye-CPAP ingashiya amanqaku elukhumbeni xa ingahambelani kakuhle. Kunokwenzeka ukuba oku kunokukhokelela kwizilonda okanye izilonda, ngokukodwa ngebhuloho yakho ekhaleni. Abantu abanesikhumba esibuhlungu banokuhlakulela ukugqithisa okanye ukucaphukisa isikhumba, ingakumbi ngamaski aqukethe i-latex. Iimpawu zeemaski, izixhobo zokukhawulela, ukukhulula imaski, okanye isiskiti esilungele ukulungiswa kangcono kunokususa ezi mpawu.
Ukufuduka komoya ukusuka kwi-Masp
Kude, ukuvuza kuyinkxalabo eqhelekileyo enxulumene nokusetyenziswa kwe-CPAP. Ukuba i-mask ayifanelekanga ngokufanelekileyo, umoya ungaphuma malunga nemida. Ingaba nzima ngakumbi xa utshintsha indawo ebusuku. Isalathisi esikhulu, njengalezo ezifihla impumlo nomlomo, zilungele ukuvuza. Ezi zivuza zingaba nomsindo kwaye ziphazamise umlingane wakho wombhede. Ukuvuza kungaphathisa unyango lwakho ngokunciphisa uxinzelelo olunikeziweyo. Ukuvuza kungancitshiswa ngokusebenzisa imaski yomzi okanye umqubu womsi .
Ukuba unengxaki ye-mask yakho ye- CPAP , izicwangciso zengcinezelo ezingaphantsi ngamanye amaxesha ziba luncedo. Ukuba kukho uxinzelelo oluninzi lwomoya, umoya ogqithiseleyo ubalekela emaphethelweni emaski okanye ngaphandle komlomo. Xoxa ngalokhu nodokotela wakho ngaphambi kokutshintsha izicwangciso.
Yomisa kwiNose okanye emlonyeni ukusuka kwi-CPAP
Ukucwina kwempumlo okanye umlomo kudla ngokuhamba nokuvuza.
Oku kunokukhokelela kumaphunga okuphunga okanye nokuba nomonakalo kwizinsini zakho namazinyo. Ukusebenzisa i-humidifier evuthayo kunye ne- tubing evuthayo kunokunceda ukwenza i-CPAP yakho ikhululeke ngakumbi. Ukuba umlomo wakho uyawavuleka, umoya ungasinda kwaye unokukhokelela emlonyeni okanye ngolwimi olumileyo. Ukusebenzisa i- chinstrap okanye i-mask-face full-face ejongene neempumlo kunye nomlomo unokulungisa oko. Ukuba impumlo yakho iyomile, i-over-counter-calal salal spray inganceda.
Ukuphazamiseka Ukuphulukiswa
Xa uqala ukusebenzisa unyango lwe-CPAP, kukho ixesha lokutshintshwa okwenzekayo. Akunakuvakalelwa ukuphefumla ngaphandle kwengcinezelo. Nangona kulula ukuphefumula, unokufumana kunzima ukuphefumula. Oku kuya kuphucula emva kwexesha, kodwa kunokunokubangela ukuba i-insomnia ibangele. Kwezinye iimeko, ukunyuka kweengcinezelo ezingaphantsi kokuqala okanye into ekuvumela ukufudumala lula kunokuba luncedo. Kusenokuba kuyimfuneko ukunciphisa iingcinezelo jikelele. Kwiimeko ezinqabileyo, unyango lwe-bi-level- yiphi ingcinezelo esetyenziswayo ukuphefumula, kwaye ingcinezelo esezantsi isetyenziselwa ukuphefumula-ingafuneka.
Ukutshayela umoya okanye i-Aerophagia esuka kwi-CPAP
Abantu abaninzi bafumana umoya ogwinyayo, obizwa ngokuthi i-aerophagia (ngokwegama lithetha "ukutya komoya"). Ukuba uvuka kwaye isisu sakho sigcwele umoya, oku kungakho ngenxa ye-aerophagia.
Ukugwinya kwamanzi kungabonakalisa iimpompo ze-CPAP eziphezulu kakhulu. Kunokuba uxhasane nomoya ophezulu, umoya ogqithiseleyo ungangena esiswini nge-esophagus. Ngenxa yoko, ukugubha, ukuhamba, kunye nokubetha kungabangela iingxaki. Uxinzelelo oluncitshiswa lunokunceda ukunciphisa oku. Olunye unyango lwe-aerophagia olufana nokusetyenziswa kwamachiza okuguquka okanye i-GERD, ukulala kwemilenze yokulala, kunye neyeza-bi-level ingasinceda.
Ukuphuhlisa i-Central Sleep Apnea
Abanye abantu baya kuqala ukufumana i -apnea yokulala ebumbini , apho umoya ophefumulayo ubonakala njengempendulo kwonyango lwe-CPAP. Ukuba i-apneas ephakathi ayizange iphendule ubuninzi bokuphazamiseka kwakho kokuphefumla ngaphambi kokuqala i-CPAP, kodwa ngoku igalela kwimicimbi engaphezu kwemihlanu ngeyure, inokuthi ibhekiselele kwi-apnea yobuthongo obunzima.
Ngamanye amaxesha ugqibezela ngexesha. Kungadinga utshintsho kwi-ASV unyango. Kwezinye iimeko, kunokunciphisa ngokunciphisa uxinzelelo lwe-CPAP.
Ukujongana neengxaki zokukhula kubantwana abasebenzisa i-CPAP
Abantwana abasebenzisa i-CPAP kufuneka babekwe iliso ukuze bangavelisi iingxaki zokukhula zabo eziphakathi noxinzelelo lweemaski ngaphaya kwempumlo. Izitayela ze-mask ezitsha, eziquka imilenze ye-nasal, inokunciphisa umngcipheko.
Iinguqu ezithinta i-CPAP Ucinezelo olufunayo
Ngamanye amaxesha kuyimfuneko ukunciphisa iingcinezelo zomshini we-CPAP xa ubuncipheko bakho bokubamba i-apnea yokulala bitshintshile. Ubunzima obunzima kakhulu ngenye yegalelo elikhulu lokulala nomngcipheko we-apnea. Ukuba unokulahlekelwa ubuncinane ubuncinane beepesenti ezili-10 zesisindo somzimba wakho ngokutya kunye nokuzilolonga, ungadinga uxinzelelo lwe-CPAP oluphantsi. Ukuba uqala ukuba neengxaki ngokugwinya komoya, ukuvuza umfutho, okanye ubunzima bokuphefumla ngaphandle kwengcinezelo, oku kuya kunceda.
Ukuba unobungozi bokusingqongileyo, unyango olulungisiweyo kunye neyeza okanye i-nasal sprays lunokunciphisa iimfuno zoxinzelelo ngokuphucula ukuhamba kwe-air ngokusebenzisa i-passage passage. Kwakhona, ukuguqulwa kweengubo-kuquka i-tonesillectomy, i-nasal septoplasty, kunye ne-palal soft or tongue-surgery-inokuguqula iimfuno zakho zokwelapha kwe-CPAP.
Ukusetyenziswa kweziyobisi kunokuchaphazela umngcipheko wokugonjwa kwe-apnea. Ukuba utshaya , ukugcoba nokulala i-apnea kungadluka. Utywala basebenzisa ixesha lokulala kungabangela ukuphumla kwemisipha kunye negalelo lokulala ne-apnea. Imithi, kuquka i-muscle relaxants kunye ne-benzodiazepines, ingaba nzima ngakumbi ukulala kwe-apnea. Ukuba unqamle ukusetyenziswa kwanoma yiyiphi yalezi zinto, ubungozi bakho be-apnea bubuthongo buya kuncipha kwaye iimfuno zakho zengcinezelo zingancitshiswa.
ILizwi
Ukuba ufumana esinye seziphumo zecala okanye ummangalo ongadinga ukunciphisa uxinzelelo lwakho lwe-CPAP, thetha ne-sleeping specialist okanye umboneleli wezxhobo malunga nezicombululo ezifumaneka kuwe. Emva kokuhlaziywa kwedatha yakho ye-CPAP, unokuthi wenze isigqibo malunga nendlela engcono ngayo ukutshintsha izicwangciso zakho zengcinezelo okanye wenze ezinye iinguqulelo. Njengoko le yonyango echanekileyo kunye neziguquko ezininzi zokuqwalasela, musa ukwenza olo tshintsho ngokwakho. Ngethamsanqa, utshintsho luyakwenziwa rhoqo ukuphucula amava nge-CPAP unyango kunye nokunciphisa imiphumo emibi.
> Umthombo:
> I-Kryger MH, i-Roth T, i-Dement WC. Imigaqo kunye nokuSebenza kweMpilo yokulala . Philadelphia, PA: Elsevier; 2017.