Kwezinye iimeko, kunokuba luncedo ukusebenzisa enye indlela yokunyanzeliswa kwengqondo eqhubekileyo (CPAP) ebizwa ngokuba yi-Blevel positive airway pressure (BiPAP). Iyintoni unyango lwe-BiPAP kwaye lixesha eliqhelekileyo lisetyenziswe? Funda indlela i-BiPAP isetyenziselwa ngayo ukuphazamisa ukuphazamiseka kwe-sleep apnea kunye ne-central apnea yokulala ngokuhambisa iingcinezelo ezibini ezithintekayo ngokusebenzisa imaski yobuso.
Yintoni i-BiPAP okanye i-Bilevel Therapy?
Uninzi lwezixhobo zomshini weBiPAP zifana nomshini we CPAP . Ngokomzekelo, kusadingeka ukuba imaski yomntu kunye ne-tubing exhunywe kwisixhobo. Isici esibalulekileyo sokwahluka kwe-BiPAP kukuba umoya ophefumlelweyo unikezelwa ngamanqanaba amabini atshintsho. Uxinzelelo oluphefumlelweyo lwangaphakathi lomoya (IPAP) luphezulu kwaye luxhasa umoya njengoko kuthathelwa kuwo. Ngapha koko, uxinzelelo olungapheliyo lwe-airway (EPAP) luxinzelelo oluncinci olukuvumela ukuba uphefumlelwe. Ezi ngcinezelo zilungiselelwe ngokusekelwe kumgunyiselo owenziwe ngugqirha wakho wokulala kunye nomnye ofanayo njengempatho yakho yokuphefumla.
Ngaphandle kwezi zicwangciso eziqhelekileyo, kukho ezinye iinguqu ezimbalwa ezikhoyo. I-ST ye-Bilevel ibandakanya ukuhanjiswa kwexesha elifanelekileyo xa ukuphefumula kubonakala. Ezi zithuba zihlala zikhona kwi-apnea yokulala. Ukongeza, i-servo-ventilation (auto-ventilation) okanye i-servo-ventilation (ASV) eyenziwa ngokuzenzekelayo iquka izicwangciso ezingaphezulu kwezinto eziyinkimbinkimbi ezahlula ixesha, ubude kunye nomthamo wokuphefumula ohanjiswayo.
Xa unyango lwe-BiPAP lisetyenziselwa ukwelashwa kwe-Apnea yokulala
I-BiPAP yindlela yokuphefumla esetyenziswa rhoqo ekuphatheni i -apnea yokulala ebomkhulu , imeko eyenzeka ekusetyenzisweni kwe-opioid, ukungaphumeleli kwintliziyo yesifo, kunye nesifo sokuqala. Ingasetyenziswa kwakhona kwi-apnea yobuthongo obunzima kakhulu, ingakumbi xa kukho iziganeko ezixubileyo ze-apnea ezikhoyo, ezibonisa i-component of central apnea yokulala.
Ingasetyenziselwa ukuphatha abantu abangenako ukunyamezela uxinzelelo oluqhubekayo lwe-airway (CPAP), ngakumbi abo banomkhalazo ukuba kunzima ukuphefumula ngaphandle kwengcinezelo. Oku kunokwenzeka ukuba kwenzeke kwiingcinezelo eziphezulu xa zifuneka ukuba kugcinwe indlela yokuhamba. Nangona le mingcele ihluka, kudla ngokufunekayo kwiingcinezelo eziphakamileyo kunama-centimitha angu-15 yoxinzelelo lwamanzi (i-CWP). Inokukunceda ukuphucula ukuthobela phakathi kwabo banenkinga ye-CPAP.
Ukongezelela, yindlela yokuncedisa engekho intshayelelo engasetyenziselwa abantu ababhedlele abaphethwe yintlungu yokuphefumula kodwa abanqwenela ukufakwa kwi-ventilator. Kungaba luncedo kulabo abanobuthakathaka be-neuromuscular, njengokuba lunokwenzeka nge-amyotrophic lateral sclerosis (ALS).
Amagama ahlukeneyo: I-BiPAP ihluke njani kwi-VPAP Therapy?
Kukho ukudideka malunga negama le- BiPAP ngokwalo, ngokukodwa indlela ehluke ngayo kwi-bilevel. Le nto yinto efanayo. Amagama esi sixhobo siya kuhluka ngokusekelwe kumenzi.
Omnye wabenzi abaziintloko bezixhobo, i-Respironics, ubhalisile i-BiPAP njengegama lophawu lophawu lobugcisa obubizwa ngokuba yi-bilevel.
Omnye umncintiswano omkhulu, u-ResMed, ubiza iifayile ezifanayo ze-VPAP.
Ukuhlaziywa ngoku ukurhweba idivaysi ebizwa ngokuba yi-AirCurve eyona sixhobo.
Nangona amagama ahlukile, imigaqo-siseko iyafana.
Indlela yokwenza isigqibo: Ngaba ndifuna i-CPAP okanye i-BiPAP?
Kwiimeko ezininzi zokuphazamiseka kwe-apnea yokulala, i-CPAP yedwa yanele njengonyango. Kwiimeko eziyinkimbinkimbi ezichazwe ngasentla, okanye xa kunzima ukunyamezela i-CPAP, i-BiPAP ingaba yindlela efanelekileyo. Uninzi lwabantu luya kuqalisa unyango nge-CPAP kwaye ukuba kufuneka ukuba kwenziwe isifundo sokubhaliweyo ukuze kuqinisekiswe imimiselo efunekayo yokuphendula ngokuthe ngqo kwipilisi.
Kufuneka kuqatshelwe ukuba i-BiPAP iyabiza ngaphezu komshini we CPAP.
Inokuthi ixabiso lentlawulo ezimbini okanye kathathu iindleko ze-CPAP. Iimodeli ze-ASV zinokubiza imali engaphezu kwama-4,000.
ILizwi
Ukuba ufuna ukwazi ukuba i-BiPAP ingaba unyango olufanelekileyo kuwe, ungaqala ngokuthetha nodokotela wakho wokulala . Emva kokuvavanywa kwimiba yengozi kwaye, njengoko kuyimfuneko, ukuvavanywa okukhethiweyo, unyango olufanelekileyo lunokunikwa ukulungisa imeko yakho. Esi sisigqibo esilungileyo ngokubonisana nodokotela wakho oza kululela unyango.
Imithombo:
Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 6, 2017.
Reeves-Hoche, MK et al . "Uxinzelelo olungapheliyo lweengcingo zomoya ezinobungozi bokuphelisa ubuthongo obuthintekayo." Ngaba i-J Respir Crit Care Med Med 1995; 151: 443.