Umoya wokuLungisa unokuthi ukhokele ekubanjeni, ukuHlanganisa, kunye nokuCima
Uxinzelelo oluqhubekayo lwe-airway (CPAP) lusetyenziswa ngonyango oluphambili lwe-apnea yokulala , kodwa akukho ngaphandle kwayo. Esinye sezikhalazo eziqhelekileyo kunye nokusetyenziswa kwayo yi-CPAP ehlobene negesi, kubandakanywa umoya ogqithisayo ongena kwisisu kwaye ukhokelela ekugqibeleni kwebhola, ukubethelwa, ukuhamba, kunye nokuqhawula emva kokusetyenziswa.
Yintoni ebangela igalelo legesi le-CPAP?
Ngaba kukho iindlela zokwenza unyango olufanelekileyo ukuphepha ukuvela kwayo? Hlola ezinye zeempawu ezinxulumene negesi ye-CPAP kunye nento enokuyenza malunga nokunciphisa ukugwinya komoya.
Yintoni ebangela i-CPAP igesi okanye i-Air ukukhawuleza ukuba ivele?
Ukugwinya komlilo ngenye yeempawu eziqhelekileyo ezinxulumene ne-CPAP unyango lokugula kwe-apnea. Ikhokelela ekubanjeni, igesi engadingiyo eyenza i-burping kunye ne-farting, kwaye ingakhathazeki. Ngaloo nto isisu esiswini sisoloko sibizwa ngokuba yi-aerophagia, okoqobo ithetha "umoya wokugwinya" okanye "ukutya komoya." Yintoni ebangela ukuba lo moya uginye?
I-CPAP isebenza ngokubonelela ukuqhuma komoya okwenza i-airway engenayo ivule kwaye ivimbele ukuwa kwayo ngexesha lokulala. Xa kunyamezelekile, kusebenza kakhulu ekuthintela ukugonjwa kwe-apnea, imeko ebonakaliswa ukuwa kwexesha elincinci kunye nolwimi ephoseni olukhokelela kwinqanaba le-oxygen kunye nokuvuswa. Olu lukhuseleko lomoya luya kuba yingxaki, nangona kunjalo, ingakumbi ukuba umoya uphezulu kwaye uya apho afuneki khona.
Ukuba ubona ibhubhu egijima isuka kwiphakamso lempumlo yakho emiphakeni yakho, ukukhutshwa kwe-airpress ephawulisiweyo ye-CPAP igcina le tyhubhu ivulekile. Kuya kufutshane namathishini athile, ngokukodwa kwindawo yelungu elincinci , ulwimi, kunye nomqala. Inxalenye engezantsi yendlela yomoya ixhaswa yizakhiwo zebony kunye ne-cartilage kwaye ibandakanya i-trachea, ekhokelela kwi-bronchi kunye nemiphunga.
Ukunene ngasekungeneni kwi-trachea ngumvulo okhokelela kwisisu kunye nesisu. Ngoko ke, ukuba umoya ogqithiseleyo uphazamiseka phantsi kwe-esophagus, isisu singagcwalisa umoya kwaye oku kunokukhokelela ekunyameni okukhulu.
Xa ingahambelani nokusetyenziswa kwe-CPAP unyango, i-aerophagia inokubangelwa ezinye iziganeko. Idla rhoqo kunye naluphi uhlobo lokutya, ngakumbi xa umntu edla ngokukhawuleza. I-Aerophagia idla ngokuphuza ukusela izidaka ezifana ne-soda pop okanye iziphuzo ezinomlilo eziqukethe i-carbon dioxide. Kungenzeka kwakhona xa uhlafuna i-gum okanye nangona utshaya. Kukho imeko ezinqabileyo ezinokuthi zidibaniswe ne-aerophagia, ezifana nokuziphatha okuxhalabisayo kulabo abanokulimala kwengqondo ekuzalweni.
Iimpawu zoMlambo oMoya
Xa umoya oxinzelelweyo ovela kwi-CPAP ungena ngesisu ngokungafanelekanga, ukhokelela kwizikhalazo ezimbalwa eziqhelekileyo. Ezi ziquka:
- Burping okanye belching
- Ukuqhawula (flatus okanye flatulence)
- Ukuzalisa okanye isisu esisisigxina (ukubhubhisa)
- Ukuvuthwa komoya (okungafaneki)
- Intlungu yesisu
Ezi zimpawu zincinci kwaye zibekezeleke. Uninzi lwabantu lunokwazi ukuqaphela ukuphumula kwiyure yokuqala yosuku ngokudlula igesi. Nangona kunjalo, kunokuba kunzima kwaye kunzima. Into enenhlanhla kukuba akukho mngcipheko wokumonakalisa ngonaphakade emzimbeni wakho.
Nangona kunjalo, kunokuba lunqweneleka ukufuna iindlela zokwenza le nkathazo encinci ngokunciphisa ubuninzi kunye neqondo lokugwinya.
Amanyango okunciphisa iGesi yeGCAP
Kukho iindlela zokunciphisa i-CPAP igesi kuxhomekeke kwinto ebangelwayo. Iindaba ezilungileyo kukuba iimeko eziphazamisayo ezinxulumene negesi ye-CPAP ziyakwazi ukunqotshwa kwaye ukuphumelela kwonyango kunokunandipha. Cinga ngale ndlela:
Lungisa izicwangciso zoxinzelelo
Esinye sezizathu eziqhelekileyo zegesi ye-CPAP kukuba ukunyanzeliswa komatshini kuphezulu kakhulu. Ukuba ingcinezelo ayizange ibekwe njengenxalenye yesifundo sokubhaliweyo, ukuba isixhobo sichaza kuphela uxinzelelo olusisigxina, okanye ukuba ulahlekelwe ubuncinane ubuncinane beepesenti ezili-10 zomzimba wakho, oku kunokwenzeka.
Ngokunciphisa uxinzelelo, okanye ukubeka uluhlu lweengcinezelo ezibandakanya isiseko esisezantsi nge-AutoCPAP, umoya ogwinyayo unokuphucula kakhulu. Kwezinye iimeko, kunokuba kuyimfuneko ukutshintshelwa unyango lwe-bilevel , uhlobo lwesicatshulwa elinciphisa uxinzelelo ngexesha lokuphumla komzimba kwaye okuya kwenza kube lula ukuphefumula ngaphandle kokungena kwomoya.
Lungisa Indawo Yakho Yokulala
Enye into ebalulekileyo kukulala kwakho. Ukuba ulala emhlane wakho, kunokunceda ulale ekuhlaleni. Oku kuya kuthintela "ikink" kwisigxina esingakhokelela ukuba sikwazi ukuvumela ukuhamba kwomoya kwisisu. Uninzi lwabantu lubona luncedo ukulala nekhanda phezulu kwinqanaba elingama-30 ukuya kuma-40 degrees. Oku kuya kufezwa ngokulala emkhombeni . Ingqungquthela ingafakwa phezulu okanye ngaphantsi komtatha, kuxhomekeke kwindlela yokuyila. Kufuneka uqiniseke ukuba umthwalo weemithwalo awugcini nje ukuhambisa intloko yakho phambili. Inene ngokuphathelele intloko yakho, intamo, amahlombe, kunye nomzimba ophezulu uxhaswa ngokupheleleyo kwiindawo ezingathathi hlangothi.
Abanye abantu bakhetha ibhedi elungiswayo, kodwa oku kungabiza, kaninzi kubiza amawaka eedola. Enye inokukhetha ukuphakamisa ibhedi ngokubanzi. Ngokusetyenziswa kweencwadi (ezinjengeencwadi ezindala zefowuni) okanye nakwiibhloko ze-cinder, unokwenza iinyawo zombini zisekhanda lakho. Ngoko ke, yonke ibhedi iya kugcinwa kwisitya. Oku kuvame ukunyamezelwa ngumlingane wokulala xa unayo, kwaye kunomngcipheko omncinci wokukhupha ebhedeni kwindawo efanelekileyo.
Idilesi
Kuqhelekile ukuba kubangelwe i-aerophagia kunye ne-CPAP igesi ehambelana nokugqithwa okungenakuphulukiswa okanye isifo se-reflux yesifo se-gastroesophageal (GERD). Ukuqumba, ikakhulukazi xa kwenzeka ebusuku, kunokunyusa umoya ukugwinya.
Inxalenye engezantsi ye-esophagus ine-ring ye-muscular ebizwa ngokuba yi-sphincter engaphantsi. Le ngcebo ivala isisu kwisisu. Oku kuvimbela iziqulatho zesisu, kubandakanywa nesisu sase-acid, ukusuka ekuhlaleni ukuya kwindawo. Nangona kunjalo, kubantu abaneGERD okanye i-heartburn, i-sphincter iyancipha. Awuyivali i-oopopus kwakunye nokuba kufanelekile. Oku kuvumela ukuba i-acluk acid isesigxina kwisisu, kodwa inokuvumela umoya ukuba ungene kwisisu kunye nokusetyenziswa kwe-CPAP.
Abanye abantu baya kufumana ukusetyenziswa kwamachiza kwiGERD ukuba luncedo ekukhuseleni igesi yeCPAP, kubandakanywa okukhethwa kukho ngaphezulu kwee-counter ezifana ne:
- Omeprazole (Prilosec)
- Esomeprazole (Nexium)
- Cimetidine (Tagamet)
- I-Ranitidine (iZantac)
- I-calcium carbonate (i-Tums)
Kungaba kubalulekile ukuthetha nodokotela wakho ukuba ngaba kufuneka ukuba kusetyenziswe ixesha elide.
Izinketho Zogqirha Ngaphezulu
Unyulo olongezelelweyo lwenyango lunokusetyenziswa kweGesi-X (ithengiswe ngaphaya kwe-counter phantsi kwegama eliqhelekileyo lexesha lesigxina). Oku kunokubonelela ngokukhululeka, kodwa ukuba inani lemimoya liginyiweyo, lingenakwanele.
Nangona kungenokuba kungathandeki, ukukhululeka okungakumbi kunokukugqithisa igesi ngokwemvelo ngokugqithisa okanye ukuhamba.
Ngaba iMask yakho idlala indima?
Ekugqibeleni, abantu bavame ukubuza ukuba uhlobo lwe- mask ye- CPAP lunendima ekwenzeni ukwanda komoya kugxininise. Umzekelo, ukuba imaski iphezu kwempumlo xa kuthelekiswa nokumboza impumlo nomlomo, ngaba oku kwenza ukubahluko?
Impendulo emfutshane ayikho. Ingaba umoya ophefumlelweyo uhanjiswa ngeempumlo okanye emlonyeni, ekugqibeleni ufika kwinqanaba elifanayo emva komqala. Ingxaki ihleli ngaphaya komoya kwaye ingekho ekhaleni okanye emlonyeni apho i-mask ingasetyenziswa ngokuhlukileyo. Ngako oko, akuyi kuba nokwenza umehluko omkhulu owukhethayo ukuwusebenzisa.
ILizwi
Ingaba nzima kakhulu ukuva umoya ogqamile, ngokukodwa ngokusebenzisa izicwangciso ze-CPAP ezingenakulungiswa. Musa ukuvala ngoxolo! Kucetyiswa ukuyeka ngokukhawuleza ukusebenzisa umshini wakho we-CPAP. Finyelela kumboneleli wakho wenkxaso ye-CPAP ukuze uhlalutye. Kusenokwenzeka nokuba kuya kufuneka udibanise ugqirha wakho wobuthongo malunga naluphi na utshintsho lwimiqathango, njengoko lo luguqulelo lwemiqathango. Ngethamsanqa, kunye neefowuni ezimbalwa, ungangena kwindlela efanelekileyo. Yiyiphi inkululeko.
Umthombo:
Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 6, 2017.