Thâwk harsate tanpui: BiPAP machine chungchang chiang takin i zir ang u! (BiPAP Machine) a ni.

I chhungte emaw, i hriat mi emaw, damdawi inah mask vuah i hmu tawh mai thei, a bik takin intensive care unit (ICU)-ah. Thâwk a harsat lai hian doctor-te chuan heng machine chi hrang hrangte hi an hmang ṭhin. Vawiin hian hetiang huna hman thin, thawk chhuahna atana pui tak tak, machine bik kan sawi dawn a ni. Chu chu BiPAP machine a ni. Eng nge a nih, engtin nge a thawh tih leh a hlawkna eng nge ni tih hi han thlir ila.

BiPAP chu eng nge ni? A awlsam zawngin i hrethiam ang u.

BiPAP hi ‘Bilevel Positive Airway Pressure’ tihna a ni. A hming hi buaithlak tak angin lang mahse, a takah chuan a awlsam khawp mai. Thâwk chhuahna tur machine a ni. Mahni chauhva thawk thei mah la, i taksain oxygen a dawng tlem emaw, a siam carbon dioxide pawh a chhuak tha lo emaw tih hi han ngaihtuah teh. Chu chu Doctor ten BiPAP machine an hman lai a ni.

Hei hian i hmai nena inmil mask hmangin pressure engemaw chen boruak pek a huam a ni. Hei hi Non-invasive ventilation'' kan ti a. Chu chu, taksa chhunga hmanrua dah lovin pawn lam atanga tanpui thei method a ni a, chu chu Invasive mechanical ventilation'' ang chi a ni a, chu chu tube hmanga ril kaltlangin tih a ni.

‘bilevel’ tih thumal hian he machine hian pressure level pahnih ah boruak a pe chhuak tihna a ni .

1. Inhaling: I thaw chhuah hian pressure sang zawkin boruak a pe thin. Hei hi (Inhalation Positive Airway Pressure - IPAP) tih a ni. Hei hian lung chhungah boruak a lut awlsam zawk a ni.

2. Thâwk chhuah: Thâwk i chhuah hian pressure hniam zawkin boruak a pe chhuak ṭhin. Hei hi Exhalation Positive Airway Pressure - EPAP'' tih a ni. Hei vang hian thawk chhuah harsa i ti lo.

Heng pressure level pahnih hi machine hian hun bituk ah a set thei a, a nih loh leh i thawk dan azirin automatic a inthlak turin i set thei bawk.

BiPAP leh CPAP hi eng nge an danglamna?

BiPAP chungchang sawi dawna kan rilruah a lo lang tak tak machine dang chu CPAP hi a ni. An pahnih hian thawk laknaah an puih laiin, an hnathawh danah erawh danglamna tlem a awm.

A awlsam zawngin, CPAP machine hian i thawk chhuah leh i thawk chhuah hunah pawh pressure inang chiah a pe chhuak a ni. BiPAP machine hian i thawk chhuah hian pressure sang zawk a pe a, i thawk chhuah hian pressure a ti hniam bawk.

Sleep apnea enkawlna atan hian CPAP machine hi hman a ni ber. Mahse, mi thenkhatin CPAP-a insiamrem harsa an tih chuan, emaw, damdawi lam harsatna dang an neih chuan an doctor chuan BiPAP machine hman a rawt thei a ni.

He danglamna hi a hnuaia table atang hian chiang zawkin kan hre thei ang.

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Engtikah nge BiPAP machine hi a mamawh?

BiPAP machine hi emergency situation-ah pawh hman a ni a, chronic condition enkawlna atan pawh hman a ni. He machine hmanna ber thenkhat chu hetiang hi a ni:

• Heart failure: Lung hnathawh a chak loh chuan lung a nghawng thei a, thawk harsatna a thlen thei bawk.
• COPD (Chronic obstructive pulmonary disease): Hei hi hun rei tak chhung lung natna a ni. BiPAP hi he natna hi a zual zel lai hian thawk lakna atan hman a ni.
• Obstructive leh central sleep apnea: CPAP dawng lo emaw, tuar thei lo emaw damlo tan.
• Hypercapnic respiratory failure: A awlsam zawngin sawi ila, hei hi thisen a carbon dioxide level a san lutuk avangin taksa atanga thaw tha tak tak chhuah theih loh a ni. Chutiang a nih chuan BiPAP hian carbon dioxide chhuah tir a pui thin.

Engtin nge BiPAP therapy hi pek thin?

BiPAP machine i hman dan hi damdawi ina i awm leh awm loh a zirin a inang lo deuh a ni.

Damdawi inah

Damdawi inah chuan nurse emaw doctor emaw chuan hei hi a connect ang che.

• A hmasa berin BiPAP machine an on a, i dinhmun ang zela pressure level an siamrem thin. Hei hi (titration) an ti a.
• Tichuan, i hmai nena inmil chiah mask i thlang a, zawi zawiin i tikhauh thin. He mask hi hnar chauh khuh thei, hnar leh hmui pahnih khuh thei a ni thei bawk.

In lama hman a nih chuan

I doctor-in in lama hman tur BiPAP machine a rawn rawt che a nih chuan hengte hi i zawm tur a ni.

• A hmasa berin machine chu hmun nghet takah dah la, filter a fai em tih enfiah rawh. A tul chuan humidifier-ah tui dah la, tubing chu machine leh mask-ah connect rawh. I doctor emaw damdawi hmanrua supplier emaw chuan heng thilte hi tih dan tur a hrilhfiah ang che.
• A dawtah chuan ding takin thu la, i hmaiah mask dah la, boruak a chhuah loh nan zawi zawiin thawk la.
• Tunah chuan machine chu on la, khumah chuan mu la, a tul chuan mask chu hnawih leh rawh.

BiPAP hian eng hlawkna leh hlauhawmna nge a neih?

Damdawi dang ang bawkin BiPAP hian hlawkna a nei a, hlauhawmna engemaw zat a nei bawk.

Engtin nge BiPAP hman awlsam zawka ka siam theih ang?

BiPAP machine hman thiam nan hun engemaw chen a ngai a, mahse heng thupekte hi i zawm chuan i tan a awlsam zawk hle ang.

• Mask dik thlang rawh: I hmai nena inmil chiah mask thlang la, i mut dan azirin. Hemi chungchangah hian doctor hnenah thurawn zawt rawh.
• Mask vuah thiam rawh: Mut hmain machine on lovin nilengin rei vak lo mask vuah thin ang che. Tichuan, chutiang rilru put hmang chu hman thiam a awlsam zawk ang.
• Hman reng rawh: Sleep apnea atan i hmang a nih chuan zan tin hmang thin ang che. Ni khat i kal a, ni khat dang i kal leh chuan hman thiam a harsa ang a, a rah pawh a tlem phah ang.
• ‘Ramp’ feature hmang rawh: I machine-in he feature hi a neih chuan on rawh. Hei hian i mut thlengin pressure a ti hniam ang a, chutah chuan i mut hnuah automatic in a set pressure thlengin a ti sang ang.

He enkawlna hmang hian i COPD emaw, i sleep apnea emaw chu a control tawk lo nia i hriat chuan i doctor nen inbiakna neihpui ngei ang che . I dinhmun chu a ennawn ang a, i tana enkawlna tha ber tur a ruat ang.