Kutheni i-Impression Positive Used in Out Breathing Devices?
Ukuba uhlala eUnited States kwaye uphakathi kweminyaka engama-30 no-70 ubudala, unokuba ngu-26 kwabangama-100 abalala ne-apnea yokulala. Izibalo zokulala ezihambisana nokuphazamiseka kokuphefumula sele zikhuphuka ukususela ngo-2000 njengoko ukunyamezeka kuba ngumba omkhulu. Ukupheka kwe-apnea kuyenzeka xa i-airway yakho iwa; ukukhawulela ukuphefumula.
Ukuba awunayo nayiphi na ingxaki yemiphunga, unokuphefumula kwaye uphume ngaphandle kokuphazamiseka. Nangona kunjalo, ukuba uthola ubunzima, kunokwenzeka ukuba njengoko uphefumula, i-airway yakho ephezulu iya kuwela. Oku kunokwenza ukuba i-airway ayivuli ngokuzenzekelayo xa uphefumula kwaye unesiqhelo se-apnea (ukuphelelwa kancinci kokuphefumla). Kukho izixhobo ezininzi ezisebenzisa uxinzelelo olungileyo (uxinzelelo oluya kwimiphophu) ukunceda ngokuphefumla. Imizekelo ibandakanya: i-CPAP, i-BiPAP, ne-EPAP
Kufuneka ukwazi ukuba ngelixa siza kuxubusha unyango lwe-apnea yokulala, into enokuyenza ukuba uphathe u-apnea yakho yokulala iwukuba ulahlekelwe isisindo (ngaphandle kokuba u-apnea lwakho ubuthongo aluhambelani nokukhuluphala).
Iziphumo ze-Apnea yokulala
- ubuthongo bemini kunye nokukhathala
- umsebenzi ongenakucatshulwa
- ukungasebenzi komzimba - umzimba wakho awuyi kuphazamiseka okanye ukufumana izondlo ngokuqhelekileyo
- isifo sentliziyo
- ukufa
Uxinzelelo oluxhamlayo lwe-Airway Pressure
I-EPAP yinto eqingqiweyo echaza "ukunyanzelwa kweengcingo zomoya." Le ndlela yokuxhasa ukuphefumula isebenza nje uxinzelelo oluhle xa uqhuba.
Oku kucatshangelwa ukuba kusebenze ngenxa yenkolelo yokuba ukuwa kwe-airway kunye ne-apnea ebangelwa kukulala kakhulu kunokwenzeka xa uphefumula.
Esinye isixhobo esisisebenzisa i-EPAP ukuphatha i- apnea yokulala sibizwa ngokuba yiProvent. Le teknoloji yaziwa ngokuba yi- EPAP ye-nasal . Ngokutsho komenzi, i-Provent isebenzisa i-valve yendlela enye ebeka phezu kwamakha ebusuku.
Ivevve ivuleka xa uvula, kodwa ivala ngokukhawuleza ngexesha lokukhukhumeza ukuphoqa umoya ophefumulayo ngaphandle kwemibhobho emancinci, ukudala uxinzelelo olungileyo kwi-airway. Iprovent ayisebenzisi amanzi okanye umthombo wamandla kagesi. Kwakhona ziphatheka ngakumbi. Umenzi wenzi-mali uthi le nto inzuzo, kwaye izifundo zabo zibonise ukuthotyelwa okukhulu kwe-EPAP kunokuba kubonakala kubantu abasebenzisa i-CPAP ekwenzeni unyango wokulala.
Ukwahlukana Phakathi kwe-EPAP, IPAP, CPAP & BiPAP
I-CPAP, ukuqhubeka kwengcinezelo ehamba phambili, enye yeendlela eziqhelekileyo zokuphatha i-apnea yokulala. Nge-CPAP, uxinzelelo oluchanekileyo lusetyenziswa ngumshini rhoqo kuzo zonke zombini iziphefumlelo kunye neziphelo zokuphela. I-BiPAP (ingcinezelo enobungozi be-bilevel) isebenza uxinzelelo oluhle phakathi kwezi zombini zigaba, kodwa kungekhona njengengcinezelo eqhubekayo. I-EPAP iyahluke kwiindlela ezimbini zokugqibela zokuxhasa ukuphefumula kuba ayiyikunikela ingcinezelo efanelekileyo ngexesha lokuphefumula. Kuphela kunika umxinzelelo ochanekileyo xa uphefumula. I-IPAP, ukunyanzeliswa kwengcinezelo emihle, ibhekiselele kwingcinezelo efanelekileyo xa uphefumula. I-ventilators (umshini wokuxhasa ubomi wokuphefumla) kunye ne-BiPAP isebenzisa i-IPAP ne-EPAP.
Imithombo:
I-American Academy yoLondolozo lweMpilo. (2014). Ukunyuka kwe-apnea yokulala e-US kusongela impilo yoluntu.
Ukukhusela i-Apnea Therapy. Malunga neNyango yokuLawula. http://www.proventtherapy.com/
Rosenthal L, Massie CA, Dolan DC, Loomas B, Kram J, Hart RW. I-multicenter, ekufundeni i-novel ye-EPAP ifowuni kwinkqubo yokukhusela i-apnea yokuphazamiseka yokulala: ukuphumelela nokunyanzeliswa kweentsuku ezingama-30. J Clin Sleep Med. 2009 I-15 ye-15; 5 (6): 532-7.
Yaremchuk, KL & Wardrop, PA (2010). U kulala kweMithi. http://www.ebrary.com (Ubhaliso olufunekayo)