He wā poto te manawa e pā mai ana ki a koe? He wā rānei kei roto i tō whānau, he pāpā pea, e ngongoro nui ana i te pō i a ia e moe ana, ā, e ahua ana kei te mōmona rātou mō tētahi wā? I tēnei rā ka kōrero tātou mō tētahi mīhini motuhake e whakamahia ana e ngā tākuta i roto i ēnei momo take. Ko te ingoa o tēnei ko te BiPAP. Kua rongo pea koe i tēnei ingoa i roto i tētahi hōhipera. Kia kite tātou he aha tēnei ingoa, me pēhea hoki tana mahi.
He aha te BiPAP i roto i ngā kupu māmā?
Ki te kī māmā noa, he mīhini te BiPAP hei āwhina i a koe ki te manawa. Ko tōna ingoa katoa ko Bilevel Positive Airway Pressure. Engari kāore tetahi e kī ana i taua ingoa roa, ko te ingoa poto ko BiPAP. Mena ka taea e koe te manawa ko koe anake, engari kāore e taea e koe te tiki i te nui o te hāora ki roto i tō tinana, ki te kore rānei e taea e koe te tiki i te nui o te hauhā waro mai i tō tinana, ka whakatau pea tō tākuta ki te whakamahi i tēnei mīhini.
Ko te painga nui o tēnei he tikanga 'kore e pokanoa' . Arā, kāore e honoa ki tētahi ngongo i roto i tō korokoro pērā i tētahi i roto i te wāhanga tiaki nui (ICU). Engari, ka tukuna te hau mā roto i tētahi kopare e uru ana ki tō mata . Nō reira, he tino haumaru.
Whakaarohia, ko te tikanga o te "Pēhanga Huarere Pai" ko te pana i te hau ki roto i tō ihu, waha, me te trachea i te pēhanga teitei ake i te tikanga. Mā taua pēhanga teitei ake ka noho tuwhera tō ara manawa, ā, he tino āwhina i te hau e tomo ana, e puta atu ana i ō pukahukahu.
Ko te tikanga o te kupu "bilevel" e mahi ana tēnei i ngā taumata pēhanga e rua .
1. Ina manawa ana (Te manawa): Ka tukuna te hau i te pēhanga teitei. E kiia ana tēnei e te rongoā ko te Inhale Positive Airway Pressure `(IPAP)`.
2. I te wā e whakapūha ana: Ka tukuna te hau i te pēhanga iti iho. Ka kiia tēnei ko te Pēhanga Huarere Pai o te Whakapūha `(EPAP)`.
Mā ēnei taumata pēhanga e rua koe e tino whakamarie ai i a koe e manawa ana, e manawa ana hoki. Kua hangaia tēnei mīhini hei whakarerekē aunoa i te pēhanga kia rite ki tō tauira manawa.
I roto i ēhea āhuatanga e hiahiatia ai he mīhini BiPAP?
Ka whakamahia te mīhini BiPAP i ngā wā ohorere, tae atu ki ngā mate pūmau. Ka whakamahia anō hoki tēnei mīhini e ētahi tāngata ki te kāinga. Me titiro tātou ki ngā mate e whakamahia whānuitia ana.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Te ngoikore o te ngākau | Hei whakaiti i te pēhanga ki runga i ngā pukahukahu nā te ngoikore o te mahi a te ngākau, hei whakangāwari ake hoki i te manawa. |
| COPD (Mate Pūkahukahu Ārai Mau) | He mate pūkahukahu roa tēnei. E whakamahia ana hei whakaiti i ngā uauatanga manawa i te wā e kaha haere ana te mate. |
| Te moe pōrearea | Hei rongoā mō ngā āhuatanga pēnei i te aukati i te ara manawa, te mutu rānei o te manawa mō tētahi wā poto i te wā e moe ana. |
| Te ngoikore o te manawa hypercapnic | Ko te tikanga o tēnei ka piki ake te taumata o te hauhā waro i roto i te toto, ā, kāore e taea te tango tika mai i te tinana ina tukuna e koe he manawa. Ka āwhina te BiPAP i tēnei. |
He aha te rerekētanga i waenga i te BiPAP me te CPAP?
Kua rongo pea koe i te ingoa CPAP. Ahakoa he mīhini ēnei e rua hei āwhina i a koe ki te manawa, he rerekētanga paku kei waenganui i a rāua.
- CPAP (Te Pēhanga Āhuarangi Pai Tonu): Ka tukuna tonutia e tēnei mīhini te pēhanga ōrite . Ko te tikanga, ahakoa ka manawa koe ki roto, ki waho rānei, ka whiwhi koe i te pēhanga ōrite. E taunakihia ana ngā mīhini CPAP mō te tini o te hunga e pāngia ana e te apnea moe.
- BiPAP (Pēhanga Āhua Pai Taumata-rua): E ai ki tā mātou i kōrero ai i mua ake nei, e rua ngā taumata pēhanga ka puta mai i tēnei. Ka nui ake te pēhanga ina manawa koe ki roto, ā, ka iti iho te pēhanga ina manawa koe ki waho.
Mō ētahi tāngata e uaua ana ki te taunga ki te mīhini CPAP, ā, e kore e pai ki a rātou, ka tūtohu pea te tākuta i te mīhini BiPAP.
He pēhea te mahi a te maimoatanga BiPAP?
He iti noa ngā rerekētanga i waenganui i te huarahi e hoatu ai tēnei ki a koe i te hōhipera me te huarahi e whakamahia ai i te kāinga.
Mena kei roto i te hōhipera, i te ETU rānei...
Mena ka whakaurua koe ki te Wāhanga Maimoatanga Ohotata (ETU) i roto i tētahi āhuatanga ohorere, mā te tākuta, mā te nēhi rānei koe e hono atu.
- Tuatahi, ka whakakāhia te mīhini BiPAP, ā, ka whakarerekētia ngā taumata pēhanga kia rite ki tō āhua. Ka kiia hoki tēnei he titration.
- Kātahi ka whiriwhiria e koe he kopare e tau ana ki tō mata, ka whakakīkī. Ko ētahi kopare ka taupokina te ihu anake, ko ētahi ka taupokina te ihu me te waha. Ka whakatikatikaina kia tika kia kore ai e piri, e kore rānei e mau.
Ki te whakamahia e koe i te kāinga...
Mena kua hoatu he BiPAP ki a koe hei whakamahi ki te kāinga nā te mea he mate pēnei i te Sleep Apnea, me whakarerekē e koe anō.
- Whakatakotoria te mīhini ki tētahi wāhi pumau, ā, tirohia mēnā he ma te tātari. Mēnā he mea whakamakuku hau, whakakīia ki te wai ma ki te taumata tika.
- Honoa ngā ngongo ki te mīhini me te kopare kia tika. Mā tō tākuta, mā tō kaiwhakarato taputapu hauora rānei ēnei mea katoa e whakamārama mārama ki a koe.
- Kātahi, i a koe e noho ana , whakatakotoria te kopare ki tō mata, ka whakatikatika kia tika.
- Whakakāhia te mīhini, haere ki te moenga, ka moe. Ki te tika, whakatikatikahia te āhua o te kopare.
Ko te mea nui, kaua e ngana ki te whakarerekē i ngā tautuhinga pēhanga kua hoatu e tō tākuta ki a koe. Mēnā he mamae tōu, kōrero ki tō tākuta.
He aha ngā painga me ngā mōrearea o tēnei?
Pērā i ngā maimoatanga hauora katoa, ka whai hua, ka whai mōrearea hoki te maimoatanga BiPAP.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Kore-whakaekenga: Kāore he ngongo e whakauruhia ana ki roto i te korokoro, nō reira he iti te mōrearea o te mate. | Te whakamā: He uaua ki ētahi tāngata te mau i te kopare. |
| Āwhina ki te whakamutu i te tautoko ora: Ka taea te whakamahi i tēnei hei tango mārire i te tūroro i te mīhini manawa. | Te mataku ki te taupoki kanohi: Tērā pea ka mau ētahi tāngata i te mau o te kopare. |
| He huarahi kē atu i te CPAP: He huarahi pai te BiPAP mō te hunga e uaua ana ki te CPAP. | Te toto toto iti: I ētahi wā, ka heke te toto toto. |
| Pneumonia Āputa: He iti noa te mōrearea o te kai, o te wai rānei ki roto i ngā pukahukahu, ā, ka pā mai he mate. |
He mea nui: Hei whakamahi i te mīhini BiPAP, me āhei koe ki te manawa ko koe anake. Ka āwhina noa i a koe ki te manawa. Kāore e taea te whakamahi e te tangata kua mutu katoa te manawa.
Me aha ahau kia taunga ai ki te mīhini BiPAP?
He mea noa te ahua rerekē, te ahua kore whakamarie hoki o tēnei mīhini me te kopare i te tīmatanga. Engari ka taea e koe te taunga haere. Anei ētahi tohutohu ngāwari hei āwhina.
- Kōwhiria te kopare tika māu: He maha ngā momo kopare kei te mākete. Pātai atu ki tō tākuta mō te mea pai rawa atu māu, i runga i tō momo moe me te āhua o tō mata.
- Whakamātauria te mau i te kopare: Mauria te kopare mō tētahi wā i te awatea, kaua e tahuri te mīhini. Pērā i te wā e mātaki ana i te pouaka whakaata, e pānui pukapuka ana rānei. Kātahi ka māmā ake te whakamātau ki te kare ā-roto.
- Whakamahia i ia rā: Ina koa mō te mate moe pōrearea, whakamahia i ia pō, kaua e mahue tetahi rā. Ki te mahue tetahi rā, ka uaua ki te taunga ki tēnei, ā, ka iti ake ngā hua.
- Whakamahia te āhuatanga "Ramp": Mena kei tō mīhini tēnei āhuatanga, whakakāhia. Ka tukuna he pēhanga iti kia moe rā anō koe, kātahi ka piki haere te pēhanga ki te taumata e hiahiatia ana ina moe koe. Mā tēnei ka māmā ake te moe.
Ki te pāngia koe e tētahi āhuatanga kore whakamarie, pērā i te kiri maroke, te ihu pūngāwerewere rānei, kōrero ki tō tākuta. Tērā pea ka taea te whakarerekē i te whakamakuku o te mīhini, te whakamahi rānei i tētahi atu tikanga.
Karere Tangohia ki te Kāinga
- He mīhini te BiPAP e āwhina ana i a koe ki te manawa, engari kāore e manawa māu. Nō reira, me āhei koe ki te manawa ko koe anake kia taea ai te whakamahi.
- E rua ngā taumata pēhanga o tēnei (Taumata-rua). Ka nui ake te pēhanga ina manawa koe ki roto, ā, ka iti iho te pēhanga ina manawa koe ki waho. Kotahi anake te pēhanga o te mīhini CPAP.
- E whakamahia ana te BiPAP hei whakangāwari i te manawa i roto i ngā take pēnei i te COPD, te Sleep Apnea, me ētahi mate manawa.
- He uaua pea te taunga ki te kopare i te tīmatanga, engari mā te manawanui me te whakamahi tonu, ka memeha haere te mamae.
- Mena he āwangawanga āu mō ngā tautuhinga, mō te whakamahinga rānei o tō mīhini BiPAP, kōrero mārire ki tō tākuta.
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