Kwa anthu ena, kugona ndi chinthu chodetsa nkhawa komanso choopsa kwambiri. Pa nthawi yogona, kupuma kumasiya mwadzidzidzi, kenako pakapita kanthawi, amapumanso kwambiri. Tikutcha vutoli kuti ' sleep apnea '. Mwina munamvapo za makina a CPAP omwe amagwiritsidwa ntchito ngati chithandizo cha izi. Koma lero tikambirana za makina omwe amagwira ntchito mosiyana pang'ono, komanso 'mwanzeru' kwambiri. Umenewo ndi makina a ASV. Dzinali likhoza kukhala latsopano kwa inu, koma lingakhale yankho labwino kwambiri pamavuto ena ovuta opumira m'tulo.
Kodi makina a ASV ndi chiyani?
Mwachidule, ASV ( Adaptive-servo ventilation ) ndi makina apadera omwe amagwiritsidwa ntchito pochiza mavuto opuma mukagona. Monga makina a CPAP, ichi ndi chipangizo chomwe chimafuna kuti mugone mutavala chigoba cholumikizidwa ndi chubu. Chimagwira ntchito popereka mpweya wopanikizika kuti mpweya wanu ukhale wotseguka.
Koma nayi nkhani. Makina a ASV ndi makina 'anzeru' kwambiri. Samangopopa mpweya nthawi zonse. M'malo mwake, amagwiritsa ntchito masensa apadera kuti ayesere mpweya wanu nthawi zonse. Makinawa amamvetsetsa chilichonse kuyambira momwe mumapumira, nthawi yomwe mumasiya kupuma, komanso momwe mumapumira mwachangu. Kenako, amapereka mphamvu yokhayo yomwe mukufunikira panthawiyo, ngati pakufunika. Izi zikutanthauza kuti ndi makina osinthika omwe amasinthasintha malinga ndi thupi lanu.
Kodi ASV ndi yosiyana bwanji ndi CPAP?
Ngakhale cholinga chachikulu cha makina onsewa ndi chimodzi, momwe amagwirira ntchito ndi zosiyana kwambiri. Kuti mumvetse kusiyana kumeneku, onani tebulo ili m'munsimu.
| Khalidwe | Makina a CPAP (Continuous Positive Airway Pressure) | Makina a ASV (Adaptive-servo ventilation) |
|---|---|---|
| Momwe mungapangire mpweya woipa | Dokotala apitiliza kupereka mphamvu yofanana ndi yomwe adalemba. | Kutengera ndi kapumidwe kanu, kupanikizika kumasinthidwa kufika pamlingo wofunikira panthawi yofunikira (kupanikizika kosinthasintha). |
| Magwiridwe antchito | Mpweya wolowera umatsegulidwa mwamphamvu. Ngakhale mukamapuma, muyenera kulimbana ndi kupanikizika kumeneku. | Kupuma kumayang'aniridwa ndipo kupanikizika kumachitika pokhapokha ngati kupuma kwasiya kapena kwachepa. Kulowererapo kumakhala kochepa panthawi yopuma bwino. |
| Amagwiritsidwa ntchito kwambiri | Kawirikawiri amatchedwa `Obstructive Sleep Apnea (OSA)` (vuto lomwe limayamba chifukwa cha kutsekeka kwa njira yopumira). | Makamaka pa matenda otchedwa `Central Sleep Apnea (CSA)` ndi matenda ena ovuta a sleep apnea. |
Kodi vuto la kupuma movutikira m'tulo (CSA) n'chiyani? Kodi matenda a ASV angathandize bwanji?
Pali mitundu iwiri ya matenda a kupuma movutikira. Mtundu umodzi ndi ``Obstructive Sleep Apnea (OSA),'' womwe umayamba chifukwa cha minofu ya pakhosi yomwe imapindika ndikutseka njira yopumira. Ndi mtundu wofala kwambiri.
Koma `Central Sleep Apnea (CSA)` ndi chinthu china chosiyana. Pankhaniyi, palibe vuto m'mapapo kapena pakhosi panu. Vuto lili mu ubongo wanu! Kupuma kwathu kumayendetsedwa ndi mauthenga ochokera mu ubongo. Mu CSA, ubongo sutumiza uthenga ku thupi kuti lipume bwino. Chifukwa chake, kupuma kumasiya kwakanthawi panthawi yogona.
Zinthu zomwe zingayambitse CSA:
- Matenda a mtima : Makamaka matenda monga `Congestive Heart Failure` kapena ` Atrial Fibrillation (Afib)`.
- Mankhwala ena: Mankhwala a opioid omwe amagwiritsidwa ntchito ngati mankhwala ochepetsa ululu .
- Zaka: Chiwopsezochi n'chokwera kwambiri kwa anthu opitirira zaka 60.
- Matenda a mitsempha : Matenda monga sitiroko.
- Kukhala m'malo okwera: Kukhala kapena kuyenda m'malo okwera kuposa mamita 8,500 pamwamba pa nyanja kungayambitse kuchepa kwa mpweya m'magazi (`Hypoxia`).
Makina a CPAP sangagwire ntchito kwa munthu amene ali ndi CSA, chifukwa vuto si vuto la mpweya wotsekeka. Makina a ASV adapangidwira vuto lamtunduwu. Kupuma kukasiya popanda uthenga wochokera ku ubongo, ASV imazindikira ndipo imapereka mphamvu yofunikira kuti ithandize kupuma.
Kodi ubwino ndi zoopsa za makina a ASV ndi ziti?
Ubwino wina:
- Yothandiza kwambiri: Iyi ndi njira yothandiza kwambiri yothandizira matenda a `Central Sleep Apnea`.
- Zosavuta: Popeza palibe mpweya wokhazikika, izi n'zosavuta kwa anthu ambiri kugwiritsa ntchito kuposa CPAP. Zimakhala zachilendo kwa anthu ambiri chifukwa safunika kukankhira kupsinjika kwakukulu akamapuma.
- Kusintha Zinthu: Ichi ndi chithandizo chomwe chimagwirizana ndi thupi lanu.
Zoopsa zapadera zomwe muyenera kuzidziwa:
Chofunika Kwambiri: Ngati muli ndi vuto la mtima lotchedwa `Congestive Heart Failure` , kafukufuku wina wasonyeza kuti pakhoza kukhala zoopsa zina zokhudzana ndi kugwiritsa ntchito makina a ASV. Chifukwa chake, ngati muli ndi vuto lotere, muyenera kukambirana ndi dokotala wanu musanagwiritse ntchito makina a ASV ndikupanga chisankho kutengera upangiri wake.
Zinthu zomwe muyenera kudziwa kuchokera kwa dokotala musanagwiritse ntchito makina awa
Ngati dokotala wanu akulangizani makina a ASV, funsani mafunso awa ndipo chotsani nkhawa zilizonse zomwe mungakhale nazo musanayambe kugwiritsa ntchito.
- "Dokotala, kodi ndingathe kuwona deta yanga yopumira pa makina awa? Kodi ndiyenera kudziwa chiyani kuchokera pamenepo?"
- "Kodi pali chilichonse chapadera chomwe ndiyenera kudziwa chokhudza momwe zinthu zilili pankhaniyi?"
- "Kodi mungandifotokozere pang'ono za momwe masensa amagwirira ntchito?"
- "Ngati ndagwiritsapo ntchito CPAP kale, kodi zidzamveka mosiyana ndikugwiritsa ntchito iyi?"
Kumbukirani, musaope kufunsa dokotala wanu mafunso aliwonse omwe muli nawo. Ndikofunikira kwambiri kuti mumvetse bwino za chithandizo chanu.
Uthenga Wopita Nawo Kunyumba
- Makina a ASV ndi chipangizo 'chanzeru' chomwe chimathandiza kuthetsa mavuto opuma panthawi yogona, makamaka matenda a `Central Sleep Apnea (CSA) .'
- Sipompa mpweya nthawi zonse ngati makina a CPAP. M'malo mwake, imasintha momwe mumapumira ndipo imathandiza pokhapokha ngati pakufunika.
- Chifukwa cha izi, anthu ena amaona kuti kugwiritsa ntchito n'kosavuta kuposa CPAP.
- Chofunika kwambiri: Ngati muli ndi vuto la mtima monga Congestive Heart Failure , onetsetsani kuti mwalankhula ndi dokotala musanagwiritse ntchito makina a ASV.
- Iyi si njira imodzi yokha yochizira matenda. Dokotala wanu adzakukonzerani chithandizo chabwino kwambiri mukatha kuyesedwa ndi dokotala. Ndikofunikira kwambiri kutsatira malangizo ake.
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