I-Apnea Yakho yoButhongo Uhlobo Lwakho Luchaza Okulungileyo Kuwe
Ukuba uye wafumanisa ukuba unobomi bokulala , mhlawumbi uye waziswa ngokukodwa kwindlela enokwenzeka yokwelashwa. Unyango oluqhelekileyo (kwaye osebenzayo) unyango oluqhubekayo uxinzelelo lwe-airway (CPAP). Unokufuna ukwazi ukuba umehluko phakathi kweendlela ezimbini zokwelapha ezifanayo: CPAP kunye ne- BiPAP (okanye i-bilevel) . Ukongezelela, yintoni inyeza ye-ASV?
Fumana ulwazi oluninzi malunga nale fayili yedivayisi kunye nokuba ngubani onokulungele.
Yintoni i-CPAP Therapy for Apnea yokulala?
Ukunyanga okusemgangathweni kokuphazamiseka kokuphazamiseka kobuthongo kukusebenzisa umatshini onika inkxaso ukuze uhlale uvulekile xa ulala. Oku kungenziwa ngokuqhutyelwa kokunyanzeliswa komoya (CPAP) okuqhubekayo apho ukuhamba rhoqo kwendawo yokugonywa emoyeni kunikwa nge- mask ubuso .
I-CPAP isebenza njani ekuphatheni i-apnea yokulala kwaye yintoni ingcinezelo efunekayo? Isimiselo soxinzelelo lwaloo moya sihlala siqulathwe ngugqirha esekelwe kwiimfuno zakho. Oku kungaphononongwa njengenxalenye yesifundo sokulala okanye kunokuqikelelwa ngokusekelwe kwimingcipheko yakho, njenge-anatomy yakho nesisindo. Ukucwangcisa ukusetyenziswa kwengcinezelo kubhekiselele ekukhuseleni i-apnea kunye nokunciphisa kunye nokunciphisa i- apnea-hypopnea index (AHI) engaphantsi kwe-5, kunye nokuphucula ezinye iimpawu ezihambelana nokugula kwe-apnea.
Uhlobo oluthile lwenyango luyi-AutoCPAP, okanye i-APAP, apho uluhlu lweengcinezelo lubonelelwa ngeso sixhobo. Ukuba ukuxhatshazwa kwindlela ephezulu (kwinqanaba elincinci okanye isiseko seelwimi emqaleni) kuyafunyanwa, uxinzelelo oluya kukhutshwa luya kulungelelanisa ngaphakathi kwinqanaba elimiselweyo.
Yintoni i-BiPAP okanye iTransvel Bilevel for Sleep Apnea?
Ulwaphulo olunjalo lubizwa ngokuba yi-bilevel, okanye i- BiPAP , kodwa luhluke ngeendlela ezibalulekileyo.
I-BiPAP isicatshulwa esichazwe ngumenzi we-Respironics ngenxa yeengcinezelo ezintle zomoya. (Kubizwa ngokuba yi-VPAP ngenye imveliso enkulu, i-ResMed.) Icandelo elithi "blevel" libhekiselele ekubeni kukho iminyango emibili, apho umatshini akwazi ukutshintsha phakathi.
Oku kukuvumela ukuba uphefumle ngoxinzelelo oluphezulu kwaye uphefumle ngaphandle kokunyanzeliswa kancinci. Oku kunokubanceda abo banzima ukuthobela i-CPAP. Inokuphucula umoya ukugwinya (okubizwa ngokuba yi-aerophagia). Inokukunceda kwakhona nge-claustrophobia. I-Bilevel ingadingeka xa iingcinezelo ziphezulu ukuphucula induduzo, ingakumbi kwiimpembelelo ze-PAP ezi-15 cm zamanzi zengcinezelo okanye ngaphezulu.
Ngaphandle kwileyibhile okanye umbala ohlukileyo, ukusuka ngaphandle, umatshini angabonakali ehluke kakhulu kwi-CPAP. Isadinga isifo esisodwa kunye nokujongana nomaski osetyenziswa kwi-CPAP. Inokusebenza ngakumbi kwiimeko ezikhethiweyo, njengalezo zichazwe ngasentla, nangona kunjalo.
Ngaba ndifuna i-CPAP okanye i-BiPAP ukuba ndiyiphathe i-Apnea yokulala?
Abantu abaneendlela eziqhelekileyo zokuphelisa ubuthongo obuthintekayo bavame ukuqala unyango nge-CPAP okanye i-AutoCPAP. Kufuneka kuqatshelwe ukuba i-bilevel, okanye i-BiPAP, isetyenziselwa ukuphatha i -apnea yokulala .
Le meko ibonakala ngezikhala zokuphefumula ngaphandle kokuphazamiseka komoya kwaye ichongiwe njengenxalenye yovavanyo lokulala. Kungenzeka ngokuphindaphindiweyo kubantu abanesifo senhliziyo, ukubetha, okanye abo bahlala besebenzisa imithi yeentlungu zentlungu. Ngamanye amaxesha kungenziwa kubangelwa yiCPAP ngokwayo, kodwa oku kunqabile ukuqhubeka ngaphaya kweenyanga ezimbalwa zokuqala zokusetyenziswa.
Isixhobo se-BiPAP singasetyenziselwa ukuhlawulela ezi zikhefu ngokuphefumula ngokukhaba ngokuphefumula okunye okufunekayo. Ezinye iifayili ziyinkimbinkimbi, zihlula ukuthuthwa komoya ohanjiswa ukuhlawulela izifo zokuphefumula kunye ne-neuromuscular disorders ezichaphazela ukuphefumla.
Ezi ngxaki zibandakanya isifo esingapheliyo se-pulmonary disease (COPD), i-amyotrophic lateral sclerosis (ALS) kunye nezinye iimeko.
Ngaba kukho enye iMashishini okanye iindlela zokubeka?
Ngaphandle kwe-CPAP kunye ne-BiPAP, kukho izicwangciso ezongezelelweyo zoshishini ezinokulawulwa ngumbono wakho wokulala . Ubuninzi boomatshini, ngokuqhelekileyo kunye nesiqalo esithi "Auto," sinomxholo ozenzekelayo ovumela uluhlu lweengcinezelo ezisetyenziswayo. Iifowuni ezizenzekelayo zingaba ziintlobo ze-CPAP okanye i-bilevel. I sixhobo sikwazi ukuphendula ngokugqithisileyo kwi-airway kwaye inokukhupha ingcinezelo njengoko kufunekayo ebusuku. Oku kunokuba luncedo ukuba i-apnea yokulala ibuhlungu ngenxa yeenguqu kwindawo yokulala (njengokuba ilele kumva) okanye ngenxa yokulala kwe-REM eyenza iimeko ezikhulayo.
Kukho uhlobo lwe-bilevel engakwazi ukuhambisa ukuphefumlelwa ngexesha eliqhelekileyo (elibizwa ngokuba yi-ST). Oku kunokuqinisekisa ukuba ubuncinane ubunani bomphefumlo ngomzuzu. Oku kubalulekile ekuphambeni kokulala okuphakathi.
Yintoni i-ASV Therapy?
Ekugqibeleni, kukho omnye umshini ococekileyo obizwa ngokuba yi-auto okanye i-servo ventilation (ASV) eneempawu ezininzi zokugcina ukuphefumula ngokuqhelekileyo ekulele. Iyakwazi ukuhlula umthamo womoya ohanjiswe kunye nesantya apho imiphunga igalelwe kwaye ihlanjululwe, phakathi kwezinye izicwangciso. Ezi zixhobo zihlala zigcinwe abantu abafuna inkxaso eyongezelelweyo yokuxhasa umoya ngenxa ye-neuromuscular, cardiac, okanye izifo zamapulmoni.
ILizwi
Ungayilungisa njani le nto? Ngenhlanhla, awunayo! Ubungcali bakho bokulala kufuneka bakwazi ukuzimisela ngokufanelekileyo iimfuno zakho zonyango ngokusekelwe kwiziphumo zovavanyo lwakho lokulala kunye novavanyo lwakho kwiklinikhi. Xoxa ngeendlela ozikhethayo xa usityelele kwaye ube nobudlelwane obusondeleyo xa ufumana ubunzima bonyango lwakho lokugula. Ngokusekelwe kwidatha yokusetyenziswa, ukuba utshintsho kwilonyango lwakho lufunekayo, oku kuya kulungiswa xa ubonwa ngokulandelelana rhoqo. Ngamanye amaxesha kuyimfuneko ukulungiselela isifundo se-titration apho ezi ndlela ezahlukeneyo zingahlolwa ngayo ngendlela elawulwayo.
> Umthombo:
> Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 6, 2017.