Ki ētahi tāngata, he tino whakararuraru, he tino whakamataku hoki te moe. I a rātou e moe ana, ka mutu ohorere te manawa, ā, i muri i tētahi wā, ka nui anō te manawa. Ka karangatia tēnei mate ko te ' sleep apnea '. Kua rongo pea koe i te mīhini CPAP hei rongoā mō tēnei. Engari i tēnei rā ka kōrero tātou mō tētahi mīhini he rerekē te mahi, ā, he 'matatau' ake. Ko te mīhini ASV tēnā. He ingoa hou pea tēnei ki a koe, engari koinei pea te otinga pai mō ētahi raruraru manawa uaua i te moe.
He aha te mīhini ASV?
He māmā noa iho, ko te ASV ( Adaptive-servo ventilation ) he mīhini motuhake e whakamahia ana hei rongoā i ngā raruraru manawa i te wā e moe ana. Pērā i te mīhini CPAP, he taputapu tēnei e hiahia ana kia moe koe me te mau i tētahi kopare e hono ana ki tētahi ngongo. Ka mahi mā te tuku hau pēhanga hei pupuri i tō ara manawa kia tuwhera tonu.
Engari koinei te mea. He mīhini tino 'atamai' te mīhini ASV. Kāore e pupuhi noa i te hau. Engari, ka whakamahia e ia he pūoko motuhake hei ine tonu i tō tauira manawa. Ka mārama te mīhini ki ngā mea katoa mai i te āhua o tō manawa, te wā e mutu ai tō manawa, me te tere o tō manawa. Kātahi ka tukuna noa te pēhanga e hiahiatia ana e koe i taua wā, i runga i te hiahia. Ko te tikanga he mīhini urutau e urutau ana ki tō tinana.
He aha te rerekētanga o te ASV me te CPAP?
Ahakoa he rite tonu te kaupapa matua o ēnei mīhini e rua, he rerekē rawa te āhua o tā rāua mahi. Hei mārama ki tēnei rerekētanga, tirohia te ripanga i raro nei.
| Āhuatanga | Mīhini CPAP (Pēhanga Ara Āhua Pai Tonu) | Mīhini ASV (Whakaohooho-whakauru) |
|---|---|---|
| Me pēhea te hoatu i te pēhanga hau | Ka haere tonu te tākuta ki te whakarato i te pēhanga pumau e ai ki te whakahaunga. | I runga i tō tauira manawa, ka whakarerekētia te pēhanga ki te nui e hiahiatia ana i te wā e hiahiatia ana (pēhanga rerekē). |
| Mahi | Ka tūwhera te ara manawa. Ahakoa e tuku ana i te manawa, me mahi tonu koe ki te ārai i tēnei pēhanga. | Ka aro turukihia te manawa, ā, ka pēhia anake mēnā ka mutu te manawa, ka pāpaku rānei. He iti noa te wawaotanga i te wā e manawa noa ana. |
| Te nuinga o te whakamahinga | E mōhiotia whānuitia ana ko te 'Obstructive Sleep Apnea (OSA)' (he āhuatanga e puta mai ana i te aukati o te ara manawa). | Mō te mate e kiia nei ko te 'Central Sleep Apnea (CSA)' me ētahi atu mate uaua o te moe apnea. |
He aha te Central Sleep Apnea (CSA)? Me pēhea te āwhina a te ASV?
E rua ngā momo o te mate moe pōrearea. Ko tētahi ko te "Obstructive Sleep Apnea (OSA)," e puta mai ana i te whakawhāiti me te aukati i te ara manawa o ngā uaua o te korokoro. Koinei te momo tino noa.
Engari he rerekē te 'Central Sleep Apnea (CSA)'. I tēnei wā, kāore he raruraru i roto i ō pukahukahu, i tō korokoro rānei. Kei roto i tō roro te raruraru! Ko ngā karere mai i te roro te mea e whakahaere ana i tō tātou manawa . I roto i te CSA, kāore te roro e tuku karere ki te tinana kia manawa tika. Nō reira, ka mutu te manawa mō tētahi wā i te wā e moe ana.
Ngā mea ka pā ki te CSA:
- Mate manawa : Ina koa ko ngā āhuatanga pēnei i te 'Congestive Heart Failure' me te ' Atrial Fibrillation (Afib)'.
- Ētahi rongoā: Ngā rongoā opioid e whakamahia ana hei rongoā whakamamae .
- Tau: He nui ake tēnei mōrearea mō te hunga neke atu i te 60 tau te pakeke.
- Ngā mate o te pūnaha io : Ngā āhuatanga pēnei i te whiu.
- Te noho i ngā teitei: Mā te noho, te haereere rānei i ngā teitei neke atu i te 8,500 putu i runga ake i te taumata o te moana ka iti te taumata hāora i roto i te toto ('Hypoxia').
Kāore pea te mīhini CPAP e mahi mō te tangata whai CSA, nā te mea ehara te raruraru i te ara manawa kua āraia. He mea hanga te mīhini ASV mō tēnei momo āhuatanga. Ina mutu te manawa me te kore he karere mai i te roro, ka mōhio te ASV ki a ia, ā, ka tukuna te pēhanga e tika ana hei āwhina i te manawa.
He aha ngā painga me ngā mōrearea o tētahi mīhini ASV?
Ētahi painga:
- Tino whai hua: He rongoā tino whai hua tēnei mō te mate 'Central Sleep Apnea'.
- He whakamarie ake: Nā te mea kāore he pēhanga hau pumau, he māmā ake tēnei mō te tini o te tangata ki te whakamahi i te CPAP. He āhua maori ake mō te tini o te tangata nā te mea kāore rātou e hiahia ki te pēhi i te nui o te pēhanga i te wā e whakaputa ana i te manawa.
- Te Whakawhaiaro: He maimoatanga tēnei e hāngai ana ki tō tinana.
Ngā mōrearea motuhake hei mōhio māu:
He mea tino nui: Mena he mate ngakau tōu e kiia nei ko te 'Congestive Heart Failure' , kua whakaatuhia e ētahi rangahau tera pea ētahi mōrearea e pā ana ki te whakamahi i te mīhini ASV. Nō reira, mena he mate pēnei tōu, me kōrero koe ki tō tākuta i mua i te whakamahi i te mīhini ASV, ā, me whakatau i runga i āna tohutohu anake.
Ngā mea me mōhio koe i tō tākuta i mua i te whakamahi i tēnei mīhini
Ki te tūtohu tō tākuta i tētahi mīhini ASV māu, pātaihia ēnei pātai, ā, whakatauhia ō āwangawanga i mua i te tīmatanga.
- "E te tākuta, ka taea e au te kite i aku raraunga manawa i runga i tēnei mīhini? He aha ngā mea me mōhio e au mai i tēnei?"
- "He mea motuhake anō kei te hiahia ahau ki te mōhio mō ngā tautuhinga pēhanga o tēnei?"
- "Ka taea e koe te whakamārama mai i te mahi a ngā pūoko?"
- "Mena kua whakamahia e au he CPAP i mua, ka rerekē te ahua ina whakamahia tēnei?"
Kia maumahara, kaua e wehi ki te pātai atu ki tō tākuta mō āu pātai. He mea tino nui kia mārama koe ki te tikanga o tō maimoatanga.
Karere Tangohia ki te Kāinga
- He taputapu 'mārama' te mīhini ASV e rongoā ana i ngā raruraru manawa i te wā e moe ana, inā koa te mate 'Central Sleep Apnea' (CSA) .
- Kāore e pupuhi tonu te hau pērā i te mīhini CPAP. Engari, ka urutau ki tō tauira manawa, ā, ka āwhina noa i te wā e tika ana.
- Nā konei, he māmā ake te whakamahi i ētahi tāngata i te CPAP.
- He mea tino nui: Mena he mate ngakau tōu pēnei i te Congestive Heart Failure , kia mōhio koe ki te kōrero ki tō tākuta i mua i te whakamahi i te mīhini ASV.
- Ehara tēnei i te maimoatanga kotahi e pai ana mō te katoa. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu i muri i te tirotiro hauora. He mea tino nui kia whai i ana tohutohu.
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