Kuri bamwe, gusinzira ni ikintu giteye ubwoba cyane kandi giteye ubwoba. Mu gihe cyo gusinzira, guhumeka bihita bihagarara, hanyuma nyuma y'igihe gito, bongera guhumeka cyane. Iyi ndwara tuyita ' sleep apnea '. Ushobora kuba warumvise imashini ya CPAP ikoreshwa mu kuvura ibi. Ariko uyu munsi tugiye kuvuga ku mashini ikora mu buryo butandukanye gato, kandi mu buryo 'bwiza' cyane. Iyo ni imashini ya ASV. Iri zina rishobora kuba ari rishya kuri wewe, ariko rishobora kuba igisubizo cyiza ku bibazo bimwe na bimwe bigoye byo guhumeka mu gihe cyo gusinzira.
Imashini ya ASV ni iki?
Mu magambo make, ASV ( Adaptive-servo ventilation ) ni imashini yihariye ikoreshwa mu kuvura ibibazo byo guhumeka mu gihe usinziriye. Kimwe n'imashini ya CPAP, iyi ni igikoresho gisaba kuryama wambaye agapfukamunwa gafatanye n'umuyoboro. Ikora mu gutanga umwuka urimo umuvuduko kugira ngo umwuka wawe ukomeze gufunguka.
Ariko dore ikibazo. Imashini ya ASV ni imashini 'y'ubwenge' cyane. Ntabwo ipompa umwuka gusa buri gihe. Ahubwo, ikoresha ibyuma byihariye kugira ngo ipime uburyo bwo guhumeka kwawe buri gihe. Imashini isobanukiwe byose kuva ku buryo uhumeka, igihe uhagarika guhumeka, n'uburyo uhumeka vuba. Hanyuma, itanga gusa igitutu ukeneye muri ako kanya, uko bikenewe. Ibi bivuze ko ari imashini ihindura imiterere y'umubiri wawe.
Ni gute ASV itandukanye na CPAP?
Nubwo intego y'ibanze y'izi mashini zombi ari imwe, uburyo zikora buratandukanye cyane. Kugira ngo wumve iri tandukaniro, reba imbonerahamwe iri hepfo.
| Ibiranga | Imashini ya CPAP (Umuvuduko Uhoraho w'Impyiko Igenda Ihinduka) | Imashini ikoresha uburyo bwa ASV (Adaptive-servo ventilation) |
|---|---|---|
| Uburyo bwo gutanga umuvuduko w'umwuka | Muganga azakomeza gutanga igitutu gihoraho nk'uko byategetswe. | Bitewe n'uburyo uhumeka, umuvuduko uhinduka ukagera ku gipimo gikenewe mu gihe gisabwa (umuvuduko uhindagurika). |
| Imikorere | Uburyo bwo guhumeka bugomba gufungurwa. Ndetse no mu gihe uhumeka umwuka, ugomba kurwanya uyu muvuduko. | Guhumeka birakurikiranwa kandi igitutu gishyirwa gusa iyo guhumeka bihagaze cyangwa bitangiye kuba bito cyane. Guhumeka ni bike cyane mu gihe cyo guhumeka bisanzwe. |
| Ikoreshwa cyane cyane | Akenshi yitwa `Obstructive Sleep Apnea (OSA)` (indwara iterwa no kuziba kw'inzira z'ubuhumekero). | Ahanini ku ndwara yitwa `Central Sleep Apnea (CSA)` hamwe n'izindi ndwara zikomeye zo guhumeka mu gihe cyo gusinzira. |
Indwara yo kuruhuka mu gihe cyo gusinzira (CSA) ni iki? Ni gute ASV yafasha?
Hari ubwoko bubiri bw'indwara yo guhumeka mu gihe cyo gusinzira. Bumwe ni "Obstructive Sleep Apnea (OSA)," buterwa n'uko imitsi yo mu muhogo ifungana ikabuza inzira z'ubuhumekero. Ni bwo bwoko bukunze kugaragara cyane.
Ariko `Central Sleep Apnea (CSA)` ni ikindi kintu gitandukanye. Muri iki gihe, nta kibazo kiri mu bihaha byawe cyangwa mu muhogo. Ikibazo kiri mu bwonko bwawe! Guhumeka kwacu bigenzurwa n'ubutumwa buturuka mu bwonko. Muri CSA, ubwonko ntibwohereza ubutumwa ku mubiri kugira ngo uhumeke neza. Kubwibyo, guhumeka birahagarara igihe runaka mu gihe cyo gusinzira.
Ibintu bishobora gutera CSA:
- Indwara z'umutima : Cyane cyane indwara nka 'Congestive Heart Failure' cyangwa ' Atrial Fibrillation (Afib)'.
- Imiti imwe n'imwe: Imiti ya Opioid ikoreshwa nk'imiti igabanya ububabare .
- Imyaka: Iyi ngaruka iri hejuru ku bantu barengeje imyaka 60.
- Indwara z'imitsi : Indwara nk'indwara yo gucika kw'imitsi.
- Kuba ahantu hari imisozi miremire: Kuba cyangwa kugenda ahantu hari imisozi miremire irenga metero 2.500 uvuye ku nyanja bishobora gutera urugero ruke rwa ogisijeni mu maraso (`Hypoxia`).
Imashini ya CPAP ishobora kudakora ku muntu urwaye CSA, kuko ikibazo atari uburyo bwo guhumeka buzibye. Imashini ya ASV yagenewe neza n'ubu bwoko bw'ikibazo. Iyo guhumeka bihagaze nta butumwa buvuye mu bwonko, ASV irabimenya igatanga igitutu gikenewe kugira ngo ifashe guhumeka.
Ni izihe nyungu n'ingaruka z'imashini ya ASV?
Ibyiza bimwe na bimwe:
- Ifite akamaro kanini: Ubu ni uburyo bwiza cyane bwo kuvura indwara ya `Central Sleep Apnea`.
- Birushaho kuryoha: Kubera ko nta muvuduko w'umwuka uhoraho ubaho, ibi biroroshye kuri benshi gukoresha kuruta CPAP. Bisa n'ibisanzwe kuri benshi kuko bidasaba gusunika umuvuduko mwinshi iyo bahumeka.
- Guhindura imiterere y'umubiri wawe: Ubu ni uburyo bwo kuvura bwihariye ku mubiri wawe.
Ingaruka zidasanzwe ugomba kumenya:
Icy'ingenzi cyane: Niba ufite ikibazo cy'umutima cyitwa `Congestive Heart Failure` , ubushakashatsi bumwe na bumwe bwagaragaje ko hashobora kubaho ingaruka zimwe na zimwe zijyanye no gukoresha imashini ya ASV. Kubwibyo, niba ufite ikibazo nk'icyo, ugomba kubiganiraho na muganga wawe mbere yo gukoresha imashini ya ASV no gufata icyemezo ushingiye gusa ku nama ze.
Ibintu ugomba kumenya kwa muganga mbere yo gukoresha iyi mashini
Niba muganga wawe agusabye imashini ya ASV, ibaze ibi bibazo kandi ukemure impungenge ushobora kuba ufite mbere yo kuyitangira.
- "Muganga, ese nshobora kubona amakuru yanjye yo guhumeka kuri iyi mashini? Ni iki ngomba kumenya kuri yo?"
- "Hari ikintu kidasanzwe ngomba kumenya ku bijyanye n'imiterere y'umuvuduko kuri ibi?"
- "Ese ushobora gusobanura gato ku buryo sensors zikora?"
- "Niba narigeze gukoresha CPAP mbere, ese bizamera ukundi mugihe nkoresha iyi?"
Wibuke ko utagomba gutinya kubaza muganga wawe ikibazo icyo ari cyo cyose ufite. Ni ngombwa cyane ko usobanukirwa neza uburyo uvura.
Ubutumwa bwo kujyana mu rugo
- Imashini ya ASV ni igikoresho 'cy'ubwenge' kivura ibibazo byo guhumeka mu gihe cyo gusinzira, cyane cyane indwara ya `Central Sleep Apnea (CSA) .'
- Ntabwo ipompa umwuka buri gihe nk'imashini ya CPAP. Ahubwo, ihuza n'uburyo bwo guhumeka kandi ikagufasha gusa iyo bikenewe.
- Kubera iyo mpamvu, hari abantu bamwe babona ko byoroshye gukoresha kurusha CPAP.
- Icy'ingenzi cyane: Niba ufite ikibazo cy'umutima nka Congestive Heart Failure , banza uganire na muganga wawe mbere yo gukoresha imashini ya ASV.
- Ubu buryo si uburyo bumwe bwo kuvura. Muganga wawe ni we uzaguhitiramo uburyo bwiza bwo kuvura nyuma yo gupimwa na muganga. Ni ngombwa cyane gukurikiza amabwiriza ye.
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