Ukukhutshwa kwe-Airflow ephazamisayo kuvula uMoya oMoya kwaye ukhulule iimpawu, iziphumo
Ukuba uye watshelwa ukuba kufuneka usebenzise umshini oqhubekayo wokunyusa umoya (CPAP) ukuze uphathe u-apnea lwakho lokulala, unokuzibuza ukuba umsebenzisi we-CPAP usebenza njani.
Apha, uya kufunda ukuba ezi zixhobo ziyanceda njani ukugcoba kunye nokulala ngomoya ophefumlelweyo kunye nokuba yiyiphi ingqwalasela ekhethekileyo enokuba yinto enyanzelekile ukuba unayo i-apnea yokulala.
Invention
Imishini ye-CPAP isetyenziselwe unyango lwe-apnea yokulala ukususela ngo-1981.
UDkt. Colonel Sullivan waqala ukuqonda ukuba inzuzo engasetyenziswayo rhoqo, i-airflow airflow eyenziwe ngomoya we-vacuum cleaner. I-apnea yokulala yayidinga i- tracheostomy ukuba isombulule, ukugqithisa ukuwa komqala.
Ngoku, nge-mask efakwe, i-tubing, kunye nomshini onokuvelisa uxinzelelo lwomoya, ingxaki leyo isisombululo. Kwakuyinto ephawulekayo yokufumanisa - kwaye omnye wadibana neengxaki zokuqala. Kuya kuthatha iminyaka emi-5 ngaphambi kokuba izixhobo zifumaneke ngokubanzi kwizorhwebo.
I-CPAP isebenza njani
Amashishini e-CPAP anamhlanje asebenza ngokusekelwe kumgaqo ofanayo kunye nezixhobo zokuqala eziphuhliswe nguDkt. Sullivan. Iingcinezelo ngoku ziveliswa ngamancinci amancinci. Nangona kunjalo, umoya wendawo (hhayi i-oksijeni) ithathwa ngokucoca kunye nexinzelelo ngokubhekiselele kwizicwangciso ezinqunywe ngu-sleeping specialist. Amashishini asetyenziselwa ukuhambisa uxinzelelo oluvela kwi-4 centimitha yoxinzelelo lwamanzi (i-CWP) ukuya kuma-CWP angama-25.
Esi somoya sidla ngokudlula kwisihluthulelo esinomlilo kwaye sithunyelwe nge-tubing kwisikrini sombukiso.
Umjikelezo oqhubekayo womoya ocinezelweyo udala umkhombandlela kunye nomoya ophezulu . Abanye baye bakuchazela njengengqungquthela ye-pneumatic (air) egciniweyo egcina umhobho ungaphumeleli. Oku kuvimbela i-palate epholileyo, ukuvula, kunye nolwimi ukusuka kwi-airway.
Iyanciphisa ukutshukunyiswa okwenza isandi sokumisa. Iyakunciphisa ukuvuvukala ngaphakathi kwempumlo kunye nokucima i-muscus ukusuka kwindlela yokuhamba. Ngokuxhasa i-airway, ukuphefumula kufanelana nokulala komgangatho kuphucula njengoko ubuthongo obuqhekekileyo buxazulula. Amanqanaba e-oksijini angagcinwa. Imiphumo emibi yokugonya i-apnea ingasuswa.
Imishini ye-AutoCPAP iyahluka kancinci ukuba iyakwazi ukubona ukuwa kwe-airway ngokulinganisa ukuxhatshazwa kwaye iyenze ngokunyusa uxinzelelo njengoko kufunekayo ebusuku ukuze kulungiswe ukuphazamiseka kwe-apnea yokulala. Ezi zixhobo ziya kuphinda zivavanye iingcinezelo eziphantsi kwaye zilungele phantsi xa kunokwenzeka.
Iimpawu kunye neengozi
Abanye banokukhathazeka ngokuphathelele kwimiphumo ebonakalayo okanye "engeyonto" ye-CPAP. Ngethamsanqa, kukho imiphumo embalwa yecala .
Iingxaki eziqhelekileyo ezinxulumene nokusetyenziswa kwe-CPAP ngumlomo owomileyo kunye nokugwinya komoya ( aerophagia ). Imiphunga ayikwazi ukuphuma (iingcinezelo ezisetyenzisiweyo ziphantsi). Ayinxinzezeli i-asthma okanye i-COPD. Esikhundleni sokubangela isifo , unyango luyanciphisa umngcipheko wokuba nomnye. Izono zesiswini kunye neendlebe zangaphakathi azange zithinteke ngonyango nangona iingxelo zeengxelo zibonisa ukuba kunokwenzeka ukuba ixabiso elincinci loxinzelelo lugqityiwe kwiifisi zobuso.
Kukho ubungqina bokuba isaskiti esomeleleyo okanye esithintelayo ingathintela ukukhula kobuso obuphakathi kubantwana, kodwa oku kuya kulandelwa ukuphepha ezi mpembelelo. Ukubonelelwa ngeenzuzo zonyango, iziphumo zempembelelo zincinci kwaye zincinci kalula.
Ukuqwalaselwa ngokunyangwa kwe-Central Sleep Apnea
Kubalulekile ukuhlaziya imeko ekhethekileyo yimeko ehambelana nayo. I-apnea yokulala ebumbini ichazwa ngamaxesha okuphefumla abonakala ngokungabikho komzamo wokuphefumula, kunokuba ukuwa kwe-airway. Ngokuqhelekileyo kuvela kwinqanaba elisezantsi ukuya kwintlungu, ukusilela kwintliziyo yesifo senhliziyo (CHF), kunye nokusetyenziswa kwamachiza okanye i-opioid.
Iyakwenzeka kwakhona ekuphenduleni ukwelashwa kwe-CPAP ngokwayo, kwindawo ebizwa ngokuba yi- apnea yobuthongo obunzima .
Kwi-apnea yokulala ebumbini, ngamanye amaxesha kuyimfuneko ukuqwalasela ezinye iindlela zokwelapha. Ngokukodwa, i- british bills sometimes ngeyomfuneko . I-Bilevel ihambisa iingcinezelo ezimbini, enye ukuphefumula kunye noxinzelelo oluphantsi ukuphefumula. I-ST ye-Bilevel inokukhaba ngokuphefumula ngexesha elifanelekileyo ukuhlawulela ukuphefumula. Imodi efike ngexesha ingakwazi ukufaka imiphunga ukuze kuqinisekiswe inani elincinci lokuphefumula. Ukongezelela, inqanaba elongezelelweyo lonyango olubizwa ngokuba yi-adaptive (okanye i-auto) ye-servo-ventilation (ASV) ingasetyenziswa. Oku kuvumela ukulawulwa kwezinga lokuphefumla, umthamo, ixesha lokuhambisa umoya, kunye nezinye izinto eziguquguqukayo kulabo abanokuphefumula kakhulu.
Ngethamsanqa, akudingeki ukuba wazi ngokubanzi malunga nokuba umatshini wakho usebenza njani. Ingcali efanelekileyo yokuqeqeshwa ebuthongweni iya kukwazi ukuvavanya impilo yakho, ubuyekeze isifundo sakho sokulala kwaye ukhethe unyango olufanelekileyo ukuphucula imeko yakho.
> Imithombo:
> Sullivan CE, iBeron-Jones M, Issa FG, u-Eves L. "Ukuguqulwa kwe-apnea yokuphazamiseka kokulala ngokuqhubekayo kwengcinezelo yomoya osebenzayo kwizitha." ULancet 1981, 862-865.