Yu kin dɔn si sɔmbɔdi na yu famili ɔ pɔsin we yu sabi we wɛr mask na ɔspitul, mɔ na di say usay dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU). We i at fɔ blo, dɔktɔ dɛn kin yuz dɛn kayn mashin ya. Tide wi go tɔk bɔt wan spɛshal mashin we dɛn kin yuz na tɛm lɛk dis ɛn we kin rili ɛp fɔ blo. Dat na di BiPAP mashin. Lɛ wi tek tɛm luk wetin i bi, aw i de wok, ɛn wetin na di bɛnifit dɛn we i gɛt.
Wetin na BiPAP? Lɛ wi ɔndastand am simpul wan.
BiPAP tinap fɔ ‘Bilevel Pozitiv Aywe Prɛshɔn’. Pan ɔl we di nem kin tan lɛk se i kɔmplikt, fɔ tru, i rili simpul. Na mashin we de ɛp yu fɔ blo. Imajin se yu kin blo yusɛf, bɔt yu bɔdi nɔ de gɛt bɛtɛ ɔksijɛn ɔ di kabon dayɔgzayd we i de mek nɔ de kɔmɔt fayn. Na da tɛm de dɔktɔ dɛn kin yuz di BiPAP mashin.
Dis min se yu fɔ gi briz pan wan patikyula prɛshɔn tru wan mask we fit yu fes. Wi kin kɔl dis ``Nɔn-invasiv ventilashɔn''. dat min se na mεtכd we de εp frכm do we nכ de put di ikwipment insay di bכdi, lεk ``Invasive mechanical ventilation'', we dεn de du tru wan tכb tru di trot.
di wɔd ‘bilevel’ min se dis mashin de gi briz na tu prɛshɔn lɛvɛl .
1. Inhaling: We yu de blo, dɛn de gi yu briz wit ay prɛshɔn. dis dεn kכl am `(Inhalashכn Pozitiv Aywe Prεshכn - IPAP)`. Dis kin mek di briz go insay di lɔng dɛn izi wan.
2. Fɔ blo: We yu pul di briz, di briz de kɔmɔt wit prɛshɔn we smɔl. dis dεn kכl am ``Exhalation Positive Airway Pressure - EPAP''. Dis na di rizin we mek yu nɔ kin fil ɛni prɔblɛm fɔ pul di briz.
Di mashin kin sɛt dɛn tu prɛshɔn lɛvɛl ya pan wan patikyula tɛm, ɔ yu kin sɛt dɛn fɔ chenj ɔtomɛtik wan bay aw yu de blo.
Wetin na di difrɛns bitwin BiPAP ɛn CPAP?
Wan ɔda mashin we kin rili kam na yu maynd we yu de tɔk bɔt BiPAP na CPAP. Pan ɔl we dɛn ɔl tu de ɛp fɔ blo, smɔl difrɛns de pan aw dɛn de wok.
Fɔ tɔk am simpul wan, CPAP mashin de gi di sem prɛshɔn we yu de blo ɛn we yu de blo. BiPAP mashin de gi ay prɛshɔn we yu de blo ɛn smɔl prɛshɔn we yu de blo.
Dɛn kin yuz CPAP mashin dɛn mɔ fɔ trit slip apnɛa. Bɔt if sɔm pipul dɛn gɛt prɔblɛm fɔ ajɔst to CPAP, ɔ if dɛn gɛt ɔda mɛrɛsin, dɛn dɔktɔ kin tɛl dɛn fɔ yuz BiPAP mashin.
Wi kin ɔndastand dis difrɛns klia wan frɔm di tebul we de dɔŋ ya.
| Tin | BiPAP mashin | CPAP mashin we dɛn kin yuz |
|---|---|---|
| Prɛshɔn fɔ di Eya | Tu lεvεl dεm fכ prεshכn (sεparat fכ inhalεshכn εn εkhalashכn) . | Di sem kɔntinyu prɛshɔn |
| Di Praymari Yuz | COPD, at pwɛl, slip apnɛa pasɛnt dɛn we nɔ ebul fɔ telɛ CPAP | Fɔ bɔku pan di wan dɛn we gɛt Slip Apnea |
Ustɛm dɛn nid BiPAP mashin?
Dɛn kin yuz BiPAP mashin dɛn na imejensi sityueshɔn ɛn bak fɔ manej krɛse sik. Na sɔm pan di men tin dɛn we dɛn kin yuz dis mashin:
- At nɔ de wok fayn: We di at in wok wik, i kin afɛkt di lɔng dɛn ɛn mek i nɔ izi fɔ blo.
- COPD (Chronic obstructive pulmonary disease): Dis na wan sik wae de kam pan pɔrsin fɔ lɔng tɛm. Dɛn kin yuz BiPAP fɔ ɛp fɔ blo di tɛm we dis sik de wɔs.
- Obstructive and central sleep apnea: Fɔ di wan dɛn we nɔ de ansa ɔ we nɔ ebul fɔ telɛ CPAP.
- Hypercapnic respiratory failure: Fɔ tɔk am simpul wan, dis na kɔndishɔn usay di lɛvɛl fɔ di kabon dayɔgzayd na di blɔd tu ay fɔ mek dɛn ebul fɔ pul di briz fayn fayn wan na di bɔdi. If na so i bi, BiPAP de ɛp fɔ pul di kabɔn dayɔgzayd.
Aw dɛn kin gi BiPAP tɛrapi?
Di we aw yu de yuz BiPAP mashin kin difrɛn smɔl fɔ no if yu de na ɔspitul ɔ yu de na os.
Na di ɔspitul
Insay ɔspitul, nɔs ɔ dɔktɔ go kɔnɛkt yu to dis.
- Fɔs, dɛn kin on di BiPAP mashin ɛn ajɔst di prɛshɔn lɛvɛl dɛn fɔ fit yu kɔndishɔn. Dɛn kɔl dis `(taytreshɔn)`.
- Dɔn, yu kin pik mask we fit yu fes ɛn tayt am smɔl smɔl. Dis mask kin bi wan we de kɔba di nos nɔmɔ, ɔ wan we de kɔba di nos ɛn di mɔt.
If yu de yuz am na os
If yu dɔktɔ dɔn tɛl yu fɔ yuz BiPAP mashin fɔ yuz na os, yu fɔ fala dɛn step ya.
- Fɔs, put di mashin na say we tinap ɛn chɛk if di filta klin. If nid de, ad wata to di humidifier ɛn kɔnɛkt di tubing to di mashin ɛn mask. Yu dɔktɔ ɔ di pɔsin we de gi yu mɛrɛsin ikwipmɛnt go ɛksplen to yu aw fɔ du dɛn tin ya.
- Neks, sidɔm stret, put di mask na yu fes, ɛn ajɔst di pozishɔn smɔl smɔl so dat ɛni briz nɔ go lik kɔmɔt.
- Naw, opin di mashin, ledɔm na di bed, ɛn put di mask bak if nid de.
Wetin na di bɛnifit ɛn risk dɛn we BiPAP gɛt?
Lɛk ɛni mɛrɛsin, BiPAP gɛt bɛnifit ɛn sɔm prɔblɛm dɛn.
| Bɛnifit dɛn | Risk ɛn Drawbak dɛn |
|---|---|
| - biכs dεn nכ de put nכ instrכmεnt insay di bכdi (non-invasive), di risk fכ infεkshכn sכm. | - Dɛn nɔ kin yuz dis we di pɔsin nɔ de blo fɔ insɛf. |
| - I de ɛp di sik pipul dɛm we dɛn de pul na layf sɔpɔt fɔ lan fɔ blo bak. | - I kin fil nɔ fayn fɔs. Sɔm pipul dɛn kin fil se dɛn nɔ de fred fɔ klɔs bikɔs ɔf di mask. |
| - Na gud opshɔn fɔ di wan dɛn we gɛt prɔblɛm fɔ yus to CPAP. | - Na sכm tεm, if yu prεshכn pasmak i kin mek di lכng damej (mכst mashin dεm gεt sef fכm). |
| - Lכw bכdi prεshכn (haypotεnshכn). | |
| - Risk de fɔ mek it ɛn drink go insay di lɔng ɛn mek yu gɛt nyumonia (aspiration pneumonia). |
Aw a go mek i izi fɔ yuz BiPAP?
I kin tek sɔm tɛm fɔ yus to di BiPAP mashin, bɔt if yu fala dɛn instrɔkshɔn ya, i go izi fɔ yu.
- Pik di rayt mask: Pik mask we fit yu fes gud gud wan, i go dipen pan aw yu de slip. Aks yu dɔktɔ fɔ advays bɔt dis.
- Yuz fɔ wɛr di mask: Bifo yu go slip, wɛr di mask fɔ sɔm tɛm insay di de we yu nɔ go on di mashin. Dɔn i go izi fɔ yu fɔ yus to di filin.
- Yuz am ɔltɛm: If yu de yuz am fɔ slip apnɛa, yuz am ɛvri nɛt. If yu go wan de ɛn afta dat ɔda de, i nɔ go izi fɔ yu fɔ yus to am, ɛn di tin dɛn we go apin nɔ go bɔku.
- Yuz di ‘Ramp’ ficha: If yu mashin gɛt dis ficha, ɔn am. Dis go gi yu prɛshɔn we smɔl te yu go slip, dɔn ɔtomɛtik inkrisayz to di prɛshɔn we yu dɔn sɛt afta yu dɔn slip.
If yu fil se dɛn nɔ de kɔntrol yu COPD ɔr slip apnea fayn fayn wan wit dis tritmɛnt, mek shɔ se yu tɔk to yu dɔktɔ . I go chɛk yu sik ɛn disayd di bɛst tritmɛnt fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- BiPAP na mashin we de ɛp yu fɔ blo, nɔto layf sɔpɔt mashin we de blo fɔ yu ɔltogɛda.
- dis difrεn frכm CPAP biכs i de gi tu lεvεl dεm fכ prεshכn we yu de inhal εn exhal.
- Dɛn kin yuse am fɔ COPD, at sik, ɛn sɔm kayn sik wae de kam pan pɔrsin wae gɛt pwɛl hat sik.
- I kin tek sɔm tɛm fɔ yus to di mashin ɛn di mask, so i rili impɔtant fɔ pik di rayt mask ɛn yuz am ɔltɛm.
- If yu gɛt ɛni prɔblɛm ɔ prɔblɛm, go to yu dɔktɔ ɔltɛm.
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