Le ame geɖe gome la, alɔ̃dɔdɔ ate ŋu ana woatsi dzimaɖi. Ne wogblɔ na wò kpɔ be wò gbɔgbɔ nu tsona zi ɖeka le zã me gake wògadzea egɔme kple gbɔgbɔtsixe la, ke ɖewohĩ alɔ̃dɔdɔ ƒe gbɔgbɔtsixe tsia ƒowò . Ðewohĩ ènya CPAP mɔ̃ si wozãna zi geɖe tsɔ kpɔa esia gbɔe xoxo. Gake egbea la, míele nu ƒom tso mɔnu bubu si de ŋgɔ wu, "si me nunya le wu" ŋu: ASV mɔ̃a. Togbɔ be ŋkɔa ate ŋu anye nu yeye na wò hã la, ate ŋu anye alɔ̃dɔdɔ ƒe gbɔgbɔ ƒe kuxi sesẽ aɖewo gbɔ kpɔnu nyuitɔ kekeake.
Nukae nye ASV mɔ̃?
Kpuie ko la, ASV ( Adaptive-Servo Ventilation ) nye mɔ̃ tɔxɛ aɖe si wozãna tsɔ daa gbɔgbɔ ƒe kuxiwo le alɔ̃dɔdɔ me. Abe CPAP-mɔ̃ ene la, ebia be nàdo ametakpɔnu si wotsɔ mɔ̃ aɖe do ka kple mɔ̃a. Ewɔa dɔ to ya si wotsɔ nyaƒoɖeamenu ɖo nana me be wò yaƒoƒomɔ̃wo nanɔ ʋuʋu ɖi.
Gake vovototoae nye esi: ASV nye mɔ̃ ‘si me nunya le’ vavã. Menye ɖeko wòtutua ya le agbɔsɔsɔ si nɔa anyi ɖaa me o. Ke boŋ ezãa sensor siwo wotu ɖe eme tsɔ léa ŋku ɖe wò gbɔgbɔ ƒe ɖoɖo tɔxɛa ŋu le ɣeyiɣi ŋutɔŋutɔ me. Edea dzesi alesi nègbɔa yae, ɣeyiɣi si me wò gbɔgbɔ tɔ te, kple alesi nèle gbɔgbɔm kabakabae. Emegbe ne ehiã kple afisi wòhiã le ko hafi wònaa nyaƒoɖeamenu. Le nyateƒe me la, enye mɔ̃ si trɔna ɖe nɔnɔmewo ŋu si wɔa ɖeka kple wò ŋutilã ƒe nuhiahiãwo.
Aleke ASV to vovo tso CPAP gbɔe?
Togbɔ be mɔ̃ eveawo siaa ƒe taɖodzinue nye be yewoakpe ɖe ŋuwò nàgbɔ ya nyuie hã la, woƒe mɔnu ya to vovo kura. Taflatse kpɔ kplɔ̃ si le ete be nàse vovototo vevi siawo gɔme.
| Ŋutinu | CPAP (Yaƒomɔ̃ ƒe Nyaƒoɖeamenu Nyui Siwo Yia Edzi) . | ASV (Adaptive-Servo Yaƒoƒo) . |
|---|---|---|
| Ya ƒe Nyaƒoɖeamenu ƒe Nyatakakawo Gbɔgblɔ | Enaa nyaƒoɖeamenu si nɔa anyi ɖaa si nɔa anyi ɖaa si wò ɖɔkta ŋlɔ na wò. | Trɔa asi le nyaƒoɖeamenu ŋu le mɔ si trɔna nu (nyaƒoɖeamenu si trɔna) le wò gbɔgbɔ ƒe tsatsam nu. |
| Dɔwɔwɔ ƒe ŋutete | Enaa yaƒoƒomɔ̃a nɔa ʋuʋu ɖi to ya dzizizi be wòage ɖe eme me; ele be nàgbɔ ya atsi tre ɖe nyaƒoɖeamenu si nɔa ŋuwò ɣesiaɣi la nu. | Eléa ŋku ɖe gbɔgbɔ ŋu eye ne gbɔgbɔa tɔ alo me goglo ko hafi wònaa kpekpeɖeŋu. |
| Zãzã Gbãtɔ | Vevietɔ na Obstructive Sleep Apnea (OSA) si yaƒoƒomɔ̃ ƒe xexe hena vɛ. | Vevietɔ na Central Sleep Apnea (CSA) kple alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ƒe dɔléle sesẽ aɖewo. |
Nukae nye Central Sleep Apnea (CSA) eye aleke ASV kpena ɖe ame ŋui?
Alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe ƒomevi eve li. Ðekae nye `Obstructive Sleep Apnea` (OSA), afisi lãmeka siwo le ŋɔti me ɖea dzi ɖi le eye woxea yaƒoƒomɔ̃a. Esiae nye nɔnɔme si bɔ wu.
Gake `Central Sleep Apnea` (CSA) ya to vovo. Menye wò lãkusi alo ŋɔti mee nyaa le o—wò ahɔhɔ̃ mee! Dzesi siwo tso ahɔhɔ̃a gbɔe kpɔa míaƒe gbɔgbɔ dzi. Le CSA me la, ahɔhɔ̃a mete ŋu ɖoa dzesi nyuitɔ ɖe ŋutilãa be wòagbɔ ya o, si wɔnɛ be gbɔgbɔtsixe tsia anyi le alɔ̃dɔdɔ me.
Nusiwo ate ŋu ahe CSA vɛ:
- Dzi ƒe nɔnɔmewo : Vevietɔ Dzi ƒe Dɔmawɔmawɔ nyuie alo Dzitodzito ƒe Ʋuʋudedi .
- Atike aɖewo: Vevesesenutsitike siwo me opioid le .
- Ƒe: Afɔku dzina ɖe edzi na ame ɖekaɖeka siwo xɔ wu ƒe 60.
- Ahɔhɔ̃mekawo ƒe nɔnɔmewo : Abe ʋusɔgbɔdɔ ene.
- Kɔkɔƒe: Agbenɔnɔ alo mɔzɔzɔ le teƒe kɔkɔwo (si wu afɔ 8,500), si ate ŋu ana oxygen ƒe agbɔsɔsɔ si le ʋu me naɖiɖi (hypoxia).
Ne CSA le ŋuwò la, ɖewohĩ CPAP si wozãna ɖaa mawɔ dɔ o elabena wò yaƒoƒomɔ̃ mexe o. Wotrɔ asi le ASV mɔ̃a ŋu koŋ na nɔnɔme siawo. Ne enya kpɔe be yeƒe gbɔgbɔ tɔ te le ahɔhɔ̃a ƒe dzesiwo manɔmee ta ko la, ASV la wɔa dɔ be wòana kpekpeɖeŋu si hiã.
Viɖewo Kple Afɔku Siwo Le ASV Ŋu
Viɖe:
- Ewɔa dɔ ŋutɔ: Enye atikewɔwɔ siwo kpɔa dzidzedze wu na Central Sleep Apnea la dometɔ ɖeka.
- Akɔfafa: Esi metua nyaƒoɖeamenu si nɔa anyi ɖaa, si nɔa anyi ɖaa o ta la, ezãla geɖe kpɔnɛ be eɖea dzi ɖi wu CPAP. Esena le eɖokui me be ele dzɔdzɔme nu wu elabena mezia dziwò be nàgbɔ ya le tsitretsiɖeŋu ɣesiaɣi o.
- Ame ŋutɔ: Etrɔna ɖe wò ŋutilã ƒe gbɔgbɔ ƒe ɖoɖo tɔxɛa nu.
Dedienɔnɔ Ŋuti Nuxlɔ̃ame Vevi aɖe:
Vevietɔ ŋutɔ: Ne dzidɔ le fu ɖem na wò la, numekukuwo ɖee fia be ASV mɔ̃ zazã ate ŋu ahe afɔku tɔxɛ aɖewo vɛ. Eyata ne dɔléle sia le ŋuwò la, ele be nàƒo nu kple wò ɖɔkta alo dzidɔŋutinunyala hafi adze ASV zazã gɔme eye nàwɔ ɖe woƒe mɔfiamewo dzi pɛpɛpɛ.
Nyabiase siwo nàbia wò ɖɔkta hafi adze atikewɔwɔ gɔme
Ne wò ɖɔkta ŋlɔ ASV mɔ̃ aɖe na wò la, dzro nya siawo me be nàkpɔ egbɔ be kakaɖedzi le ye ŋu eye yenya nu tso eŋu:
- "Ðe mate ŋu akpɔ alɔ̃dɔdɔ ŋuti nyatakakawo tso mɔ̃ sia dzia, eye nɔnɔme vevi kawoe wòle be madi?"
- "Ðe nyaƒoɖeamenu ƒe ɖoɖo tɔxɛ aɖewo li siwo ŋu wòle be manya nu tsoea?"
- "Àte ŋu aɖe alesi asitɔtrɔ siwo wotu ɖe sensor dzi wɔa dɔ nam mea?"
- "Ne mezã CPAP kpɔ la, aleke ŋutilã me seselelãme si nye gbɔgbɔ kple ASV ato vovoe?"
Ðo ŋku edzi be mègahe ɖe megbe gbeɖe le nyabiabia me o. Wò atikewɔwɔ ƒe ɖoɖoa gɔmesese le vevie ŋutɔ na wò lãmesẽ kple akɔfafa.
Nu Vevi Siwo Wotsɔna Yia Nu
- ASV mɔ̃a nye mɔ̃ si me nunya le si wozãna tsɔ daa alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe, vevietɔ Central Sleep Apnea (CSA) .
- To vovo na CPAP si wozãna ɖaa la, metutua ya ɣesiaɣi o; etrɔna ɖe wò gbɔgbɔ ƒe tsɔtsɔme ŋu, eye ne ehiã ko hafi wòdea nu nyaa me.
- Ezãla geɖe kpɔe be ASV ƒe tɔtrɔ ɖe nɔnɔmewo ŋu le bɔbɔe wu CPAP ƒe atikewɔwɔ si wozãna tsã.
- Vevietɔ: Ne Congestive Heart Failure , le ŋuwò la, ele be nàkpɔ wò ɖɔkta hafi azã ASV mɔ̃.
- ASV menye amesiame tɔ o. Wò ɖɔkta anɔ te ɖe alɔ̃dɔdɔ ŋuti numekuku siwo wowɔ le kɔdzi dzi anya atike nyuitɔ kekeake na wò. Wɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖowo dzi ɣesiaɣi le wò dedienɔnɔ kple lãmesẽ ta.
