Kodi nthawi zina mumamva kupuma pang'ono? Kapena wina m'banja mwanu, mwina bambo, amakodola mokweza usiku akagona, ndipo amamva ngati akupuma pang'ono kwa kanthawi? Lero tikambirana za makina apadera omwe madokotala amagwiritsa ntchito pazochitika zotere. Dzina lakuti BiPAP. Mwina munamvapo dzinali kuchipatala. Tiyeni tiwone kuti ndi chiyani komanso momwe limagwirira ntchito.
Kodi BiPAP ndi chiyani mwachidule?
Mwachidule, BiPAP ndi makina omwe amakuthandizani kupuma. Dzina lake lonse ndi Bilevel Positive Airway Pressure. Koma palibe amene amanena dzina lalitali limenelo, mwachidule limatchedwa BiPAP. Ngati mungathe kupuma nokha, koma simungathe kupeza mpweya wokwanira m'thupi lanu, kapena ngati simungathe kutulutsa mpweya woipa wokwanira m'thupi lanu, dokotala wanu angasankhe kugwiritsa ntchito makinawa.
Ubwino waukulu wa izi ndikuti ndi njira 'yosavulaza' . Izi zikutanthauza kuti, siyilumikizidwa ndi chubu pakhosi panu ngati munthu amene ali mu chipinda chosamalira odwala kwambiri (ICU). M'malo mwake, imapereka mpweya kudzera mu chigoba chomwe chimakwanira nkhope yanu . Chifukwa chake, ndi chotetezeka kwambiri.
Taganizirani izi, "Positive Airway Pressure" imatanthauza kuti makinawa amakankhira mpweya m'mphuno mwanu, mkamwa, ndi m'khosi mwanu pamphamvu yokwera pang'ono kuposa yachibadwa. Kuthamanga kwakukulu kumeneko kumasunga mpweya wanu wotseguka, ndipo kumathandiza kwambiri mpweya wolowa ndi kutuluka m'mapapu mwanu.
Mawu oti "bilevel" amatanthauza kuti izi zimagwira ntchito pamlingo wa kupanikizika kawiri .
1. Mukapuma mpweya (Mukupuma): Mpweya umaperekedwa ndi mpweya wopanikizika kwambiri. Izi zimatchedwa kuti Inhalation Positive Airway Pressure `(IPAP)` m'chipatala.
2. Mukatulutsa mpweya: Mpweya umaperekedwa ndi mphamvu yotsika. Izi zimatchedwa Kutulutsa Mpweya Wabwino Wothamanga `(EPAP)`.
Kupanikizika kuwiriku kumakupangitsani kumva bwino kwambiri mukamapuma komanso mukamatuluka mpweya. Makinawa adapangidwa kuti azisintha kuthamanga kwa mpweya malinga ndi momwe mumapumira.
Kodi makina a BiPAP amafunikira nthawi ziti?
Makina a BiPAP amagwiritsidwa ntchito pazidzidzidzi komanso pa matenda osatha. Anthu ena amagwiritsa ntchito makinawa kunyumba. Tiyeni tiwone matenda omwe amagwiritsidwa ntchito kwambiri.
| Matenda | Kufotokozera kosavuta |
|---|---|
| Kulephera kwa Mtima | Kuchepetsa kuthamanga kwa magazi m'mapapo chifukwa cha kufooka kwa ntchito ya mtima komanso kupangitsa kupuma kukhala kosavuta. |
| COPD (Matenda Osatha a M'mapapo Oletsa Kutsekeka) | Uwu ndi matenda a m'mapapo omwe amakhudza nthawi yayitali. Amagwiritsidwa ntchito kuchepetsa mavuto opuma panthawi yowonjezereka kwa matendawa. |
| Kupuma movutikira | Monga chithandizo cha matenda monga kutsekeka kwa mpweya kapena kuleka kupuma kwakanthawi munthu akagona. |
| Kulephera kwa Kupuma Kwambiri | Izi zikutanthauza kuti kuchuluka kwa carbon dioxide m'magazi kumawonjezeka ndipo sikungachotsedwe bwino m'thupi mukatulutsa mpweya. BiPAP imathandiza pa izi. |
Kodi pali kusiyana kotani pakati pa BiPAP ndi CPAP?
Mwina munamvapo dzina lakuti CPAP. Ngakhale kuti zonsezi ndi makina omwe amakuthandizani kupuma, pali kusiyana pang'ono pakati pa ziwirizi.
- CPAP (Continuous Positive Airway Pressure): Makinawa amapereka mphamvu yomweyo nthawi zonse. Izi zikutanthauza kuti kaya mupumira kapena kutuluka, mumapeza mphamvu yomweyo. Makina a CPAP amalimbikitsidwa kwa anthu ambiri omwe ali ndi vuto la kupuma movutikira.
- BiPAP (Bilevel Positive Airway Pressure): Monga tanenera kale, izi zimapereka magawo awiri a kupanikizika . Zimapereka kupanikizika kwakukulu mukamapuma ndi kupsinjika kochepa mukamapuma.
Kwa anthu ena omwe amavutika kuzolowera makina a CPAP ndipo sakusangalala, dokotala angakulangizeni makina a BiPAP.
Kodi chithandizo cha BiPAP chimagwira ntchito bwanji?
Pali kusiyana pang'ono pakati pa momwe mankhwalawa amaperekedwera kuchipatala ndi momwe amagwiritsidwira ntchito kunyumba.
Ngati muli kuchipatala kapena ku ETU...
Ngati mwalowa mu Emergency Treatment Unit (ETU) pakagwa ngozi, dokotala kapena namwino ndiye amene adzakulumikizani.
- Choyamba, makina a BiPAP amayatsidwa ndipo kuchuluka kwa kuthamanga kwa magazi kumasinthidwa kuti kugwirizane ndi vuto lanu. Izi zimatchedwanso kuti titration.
- Kenako, mumasankha chigoba chomwe chimakwanira nkhope yanu ndikuchilimbitsa. Zigoba zina zimaphimba mphuno yokha, pomwe zina zimaphimba mphuno ndi pakamwa. Zimakonzedwa bwino kuti zisamatirire kapena kumatirira.
Ngati mugwiritsa ntchito kunyumba ...
Ngati mwapatsidwa BiPAP kuti mugwiritse ntchito kunyumba chifukwa cha matenda monga Sleep Apnea, muyenera kusintha nokha.
- Ikani makina pamalo okhazikika ndipo onetsetsani kuti fyulutayo ndi yoyera. Ngati pali chotenthetsera, mudzaze ndi madzi oyera kufika pamlingo woyenera.
- Lumikizani mapaipi ku makinawo ndipo pukutani chigoba bwino. Dokotala wanu kapena wogulitsa zida zachipatala adzakufotokozerani zonsezi momveka bwino.
- Kenako, mutakhala pansi , ikani chigobacho pankhope panu ndipo muchikonze bwino.
- Yatsani makina, pita kukagona, ndikugona. Ngati kuli kofunikira, sinthani chigobacho pang'ono.
Chofunika kwambiri ndichakuti, musayese kusintha mayendedwe a kuthamanga kwa magazi omwe dokotala wanu wakupatsani. Ngati muli ndi vuto lililonse, lankhulani ndi dokotala wanu za vutoli.
Kodi ubwino ndi zoopsa zake ndi ziti?
Monga chithandizo chilichonse chamankhwala, chithandizo cha BiPAP chingakhale ndi ubwino komanso zoopsa.
| Ubwino | Zoopsa |
|---|---|
| Siyolowa m'thupi: Palibe chubu chomwe chimayikidwa pakhosi, kotero chiopsezo cha matenda ndi chochepa. | Kusasangalala: Anthu ena amavutika kuvala chigoba. |
| Thandizo loletsa chithandizo cha moyo: Izi zingagwiritsidwe ntchito pochotsa pang'onopang'ono wodwala kuchokera mu makina opumulira. | Kuopa Claustrophobia: Anthu ena angamve ngati agwidwa ndi chigoba. |
| Njira ina m'malo mwa CPAP: BiPAP ndi njira ina yabwino kwa iwo omwe ali ndi vuto ndi CPAP. | Kuthamanga kwa magazi m'thupi: Nthawi zina, kuthamanga kwa magazi kumatha kuchepa. |
| Chibayo cha mpweya: Pali chiopsezo chochepa kwambiri choti chakudya kapena zakumwa zilowe m'mapapo ndikuyambitsa matenda. |
Chofunika: Kuti mugwiritse ntchito makina a BiPAP, muyenera kukhala ndi mphamvu yopumira nokha. Amangokuthandizani kupuma. Sangagwiritsidwe ntchito ndi munthu amene wasiya kupuma kwathunthu.
Kodi ndingachite chiyani kuti ndizolowere makina a BiPAP?
Ndizachilendo kuti makina ndi chigoba ichi zimveke zachilendo komanso zosasangalatsa poyamba. Koma pang'onopang'ono mutha kuzolowera. Nazi malangizo osavuta okuthandizani.
- Sankhani chigoba choyenera kwa inu: Pali mitundu yosiyanasiyana ya chigoba pamsika. Funsani dokotala wanu za chomwe chili chabwino kwa inu, kutengera kalembedwe kanu ka kugona ndi mawonekedwe a nkhope yanu.
- Zolowerani kuvala chigoba: Valani chigobacho kwa kanthawi masana, osayatsa makina. Monga mukuonera TV kapena kuwerenga buku. Pamenepo zidzakhala zosavuta kuzolowera mmene mukumvera.
- Gwiritsani ntchito tsiku lililonse: Makamaka pa vuto la kupuma movutikira, gwiritsani ntchito usiku uliwonse popanda kulumpha tsiku. Ngati mulumpha tsiku, zidzakhala zovuta kuzolowera ndipo zotsatira zake zidzakhala zochepa.
- Gwiritsani ntchito mawonekedwe a "Ramp": Ngati makina anu ali ndi mawonekedwe awa, ayatseni. Adzakupatsani mphamvu yochepa mpaka mutagona, kenako pang'onopang'ono muwonjezere mphamvuyo kufika pamlingo womwe mukufuna mukangogona. Izi zipangitsa kuti kugona kukhale kosavuta.
Ngati mukumva kusasangalala kulikonse, monga khungu louma kapena mphuno yotsekeka, lankhulani ndi dokotala wanu. Mwina mungathe kusintha chotenthetsera madzi mu makina kapena kugwiritsa ntchito njira ina.
Uthenga Wopita Nawo Kunyumba
- BiPAP ndi makina omwe amakuthandizani kupuma, koma sakupumirani. Chifukwa chake, muyenera kukhala ndi mphamvu yopumira nokha kuti mugwiritse ntchito.
- Izi zili ndi milingo iwiri ya kupanikizika (Bi-level). Mumapeza kupanikizika kwakukulu mukamapuma ndipo mumachepetsa kupanikizika mukamapuma. Makina a CPAP ali ndi kupanikizika kamodzi kokha.
- BiPAP imagwiritsidwa ntchito kuti ipangitse kupuma kukhala kosavuta pazochitika monga COPD, Sleep Apnea, ndi matenda ena a mtima.
- Poyamba zingakhale zovuta kuzolowera chigobacho, koma ndi kuleza mtima ndi kupitiriza kugwiritsa ntchito, kusasangalalako kumatha.
- Ngati muli ndi nkhawa iliyonse yokhudza makonda kapena kugwiritsa ntchito makina anu a BiPAP, lankhulani ndi dokotala wanu za izi poyera.
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