Sɔntɛnde, yu kin fil smɔl fɔ blo? Ɔ sɔmbɔdi na yu famili, sɔntɛm na papa, kin snor lawd wan na nɛt we i de slip, ɛn fil lɛk se dɛn de swɛla fɔ sɔm tɛm? Tide wi go tɔk bɔt wan spɛshal mashin we dɔktɔ dɛn kin yuz pan dɛn kayn tin ya. Na dat dɛn kɔl BiPAP. Sɔntɛm yu dɔn yɛri dis nem na ɔspitul. Lɛ wi si wetin i bi ɛn aw i de wok.
Wetin na BiPAP insay simpul wɔd dɛn?
Fɔ tɔk am simpul wan, BiPAP na mashin we de ɛp yu fɔ blo. I ful nem na Bilevel Positive Airway Pressure. Bot nobodi se dat long nem, dem kol am BiPAP fo shot. If yu ebul fɔ blo yusɛf, bɔt yu nɔ ebul fɔ gɛt inof ɔksijɛn na yu bɔdi, ɔ if yu nɔ ebul fɔ pul inof kabon dayɔgzayd na yu bɔdi, yu dɔktɔ kin disayd fɔ yuz dis mashin.
di big advantej fכ dis na dat na ‘noninvasive’ mεtכd. Dat min se, i nɔ kɔnɛkt to tyub na yu trot lɛk pɔsin we de na intensiv kia yunit (ICU). Bifo dat, i de mek di briz go tru wan mask we fit yu fes . So, i rili sef.
Tink bɔt am, "Positive Airway Pressure" min se dis mashin de push di briz insay yu nos, mɔt, ɛn trakya wit prɛshɔn we ay smɔl pas aw i nɔmal. Dat ay prɛshɔn de mek yu aywe opin, ɛn i kin ɛp bɔku wit di briz we de go insay ɛn kɔmɔt na yu lɔng.
di wod "bilevel" min se dis de wok pan tu prεshכn lεvεl dεm .
1. We yu de blo (Inhaling): Dɛn kin gi yu briz pan ay prɛshɔn. dis na mεdikal kכl am Inhalashכn Pozitiv Aywe Prεshכn `(IPAP)`.
2. We yu de blo: Dɛn kin gi yu briz pan prɛshɔn we smɔl. dis dεn kכl am Ekhalashכn Pozitiv Aywe Prεshכn `(EPAP)`.
Dɛn tu prɛshɔn lɛvɛl ya kin mek yu fil fayn fayn wan we yu de blo ɛn pul briz. Dɛn mek dis mashin fɔ ajɔst di prɛshɔn ɔtomɛtik wan akɔdin to aw yu de blo.
Insay us sityueshɔn dɛn nid fɔ gɛt BiPAP mashin?
Dɛn kin yuz BiPAP mashin pan imejensi ɛn bak fɔ sik dɛn we nɔ de mɛn. Sɔm pipul dɛn kin ivin yuz dis mashin na os. Lɛ wi tek wan luk pan di tin dɛn we kin apin we dɛn kin yuz am fɔ.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| At we nɔ de wok fayn | fכ ridyus di prεshכn pan di lכng dεm bikoz fכ di at fכ wok we wik εn mek i izi fכ brith. |
| COPD (Krכnik Obstrכktiv Pulmonari Disiz) . | Dis na wan sik we de mek pɔsin in lɔng lɔng tɛm. Dɛn kin yuse am fɔ ridyus di prɔblɛm fɔ blo we di sik de wɔs. |
| Slip apnɛa fɔ slip | As tritmɛnt fɔ kɔndishɔn dɛn lɛk we yu de blo ɔ we yu nɔ de blo fɔ smɔl tɛm we yu de slip. |
| Hypercapnic Respiratory Failure we de mek pɔsin nɔ ebul fɔ blo fayn | Dis min se di lɛvɛl we di kabon dayɔgzayd de na di blɔd de go ɔp ɛn i nɔ go ebul fɔ pul am fayn fayn wan na di bɔdi we yu de blo. BiPAP de ɛp wit dis. |
Wetin na di difrɛns bitwin BiPAP ɛn CPAP?
Yu go dɔn yɛri bak di nem CPAP. Pan ɔl we dɛn ɔl tu na mashin dɛn we de ɛp yu fɔ blo, smɔl difrɛns de bitwin dɛn tu.
- CPAP (Continuous Positive Airway Pressure): Dis mashin de kɔntinyu fɔ gi di sem prɛshɔn . Dis min se ilɛksɛf yu de blo ɔ yu de blo, yu kin gɛt di sem prɛshɔn. Dɛn kin advays fɔ yuz CPAP mashin fɔ bɔku pipul dɛn we gɛt slip apnɛa.
- BiPAP (Bilevel Positive Airway Pressure): As wi bin dɔn tɔk, dis kin gi tu lɛvul dɛn fɔ prɛshɔn . I de gi ay prɛshɔn we yu de blo ɛn smɔl prɛshɔn we yu de blo.
Fɔ sɔm pipul dɛn we nɔ kin izi fɔ yus to di CPAP mashin ɛn we nɔ kin fil fayn, di dɔktɔ kin tɛl dɛn fɔ yuz BiPAP mashin.
Aw BiPAP tritmɛnt de wok?
Smɔl difrɛns de bitwin di we aw dɛn kin gi yu dis na ɔspitul ɛn di we aw dɛn kin yuz am na os.
If na ɔspitul ɔ ETU...
If dɛn admit yu na di Imejɛnsi Tritmɛnt Yunit (ETU) we yu gɛt imejensi, na dɔktɔ ɔ nɔs go kɔnɛkt yu.
- Fɔs, dɛn kin on di BiPAP mashin ɛn ajɔst di prɛshɔn lɛvɛl dɛn fɔ fit yu kɔndishɔn. Dɛn kin kɔl dis bak taytreshɔn.
- Dɔn, yu kin pik mask we fit yu fes ɛn tay am. Sɔm mask dɛn kin kɔba di nos nɔmɔ, ɛn ɔda wan dɛn kin kɔba di nos ɛn di mɔt. Dɛn kin ajɔst am di rayt we so dat i nɔ go stɔp ɔ stɔp.
If yu yuz am na os...
If dɛn dɔn gi yu BiPAP fɔ yuz na os bikɔs ɔf wan kɔndishɔn lɛk Slip Apnea, yu go gɛt fɔ ajɔst am yusɛf.
- Put di mashin na say we nɔ de chenj ɛn chɛk if di filta klin. If humidifier de, ful-ɔp am wit klin wata to di kɔrɛkt lɛvul.
- Kɔnekt di hos dɛn to di mashin ɛn mask fayn fayn wan. Yu dɔktɔ ɔ di pɔsin we de gi yu mɛrɛsin go ɛksplen ɔl dis to yu klia wan.
- Dɔn, we yu sidɔm , put di mask na yu fes ɛn ajɔst am fayn fayn wan.
- On di mashin, go slip, ɛn slip. If nid de, ajɔst di mask smɔl mɔ.
Di tin we impɔtant pas ɔl na dat, nɔ tray fɔ chenj di prɛshɔn sɛtin we yu dɔktɔ dɔn gi yu. If yu gɛt ɛni prɔblɛm, tɔk to yu dɔktɔ bɔt am.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis kin gɛt?
Lɛk ɛni mɛrɛsin, BiPAP tritmɛnt kin gɛt bɛnifit ɛn risk.
| Bɛnifit dɛn | Risk dɛn we kin apin |
|---|---|
| Nɔn invasive: Dɛn nɔ de put no tiub na di trot, so di risk fɔ gɛt di sik nɔ bɔku. | Diskɔmfɔt: Sɔm pipul dɛn kin si am se i nɔ kin izi fɔ wɛr mask. |
| Ɛp fɔ lɛf fɔ gɛt layf sɔpɔt: Dɛn kin yuz dis fɔ pul pɔsin we sik smɔl smɔl na ventilator. | Klɔstrofobia: Sɔm pipul dɛn kin fil se di mask dɔn trɔp dɛn. |
| Ɔda we fɔ CPAP: BiPAP na gud ɔda we fɔ di wan dɛn we gɛt prɔblɛm wit CPAP. | Hypotension: Sɔntɛnde, blɔd prɛshɔn kin go dɔŋ. |
| Aspiration Nyumonia: Na smɔl risk de fɔ mek it ɔ wata go insay di lɔng ɛn mek yu gɛt infekshɔn. |
Impɔtant: Fɔ yuz BiPAP mashin, yu fɔ ebul fɔ blo yusɛf. I jɔs de ɛp yu fɔ blo. Pɔsin we dɔn stɔp fɔ blo kpatakpata nɔ go ebul fɔ yuz am.
Wetin a kin du fɔ yus to di BiPAP mashin?
I nɔmal fɔ mek dis mashin ɛn mask fil smɔl strenj ɛn nɔ kɔmfyut fɔs. Bɔt yu kin yus to am smɔl smɔl. Na sɔm simpul advays dɛn ya fɔ ɛp.
- Pik di rayt mask fɔ yu: Bɔku difrɛn kayn mask dɛn de na di makit. Aks yu dɔktɔ bɔt di bɛst wan fɔ yu, bay aw yu de slip ɛn aw yu fes shep.
- Yuz fɔ wɛr di mask: Wear di mask fɔ sɔm tɛm insay di de, we yu nɔ go on di mashin. Lɛk we yu de wach TV ɔ rid buk. Dɔn i go izi fɔ yu fɔ yus to di filin.
- Yuz am ɛvride: Ɛspɛshali fɔ slip apnea, yuz am ɛvri nɛt we yu nɔ skip wan de. If yu skip wan de, i go tranga fɔ yus to am ɛn di rizɔlt nɔ go bɔku.
- Yuz di "Ramp" ficha: If yu mashin gɛt dis ficha, ɔn am. I go gi yu smɔl prɛshɔn te yu slip, dɔn smɔl smɔl i go mek di prɛshɔn go ɔp to di lɛvɛl we yu want wans yu dɔn du am. Dis go mek i izi fɔ lɛ pɔsin slip.
If yu gɛt ɛnitin we nɔ fayn, lɛk we yu skin dɔn dray ɔ yu nos we dɔn stɔp, tɔk to yu dɔktɔ. I kin pɔsibul fɔ ajɔst di humidifier na di mashin ɔ yuz ɔda we.
Mɛsej we dɛn kin kɛr go na os
- BiPAP na mashin we de ɛp yu fɔ blo, bɔt nɔ de blo fɔ yu. So, yu fɔ ebul fɔ blo yusɛf fɔ yuz am.
- Dis gɛt tu prɛshɔn lɛvɛl (Bi-lɛvɛl). Yu kin gɛt ay prɛshɔn we yu de blo ɛn smɔl prɛshɔn we yu de blo. Di CPAP mashin gɛt wan prɛshɔn nɔmɔ.
- Dɛn kin yuse BiPAP fɔ mek i izi fɔ blo pan kes dɛm lɛk COPD, Slip Apnea, ɛn sɔm at kɔndishɔn dɛm.
- I kin tranga fɔ yus to di mask fɔs, bɔt if yu peshɛnt ɛn kɔntinyu fɔ yuz am, di prɔblɛm go dɔn.
- If yu gɛt ɛnitin fɔ wɔri bɔt di sɛtin ɔ aw fɔ yuz yu BiPAP mashin, tɔk to yu dɔktɔ bɔt am opin wan.
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