Ubufasha ku bibazo byo guhumeka: Reka twige neza ibijyanye n'imashini ya BiPAP! (Imashini ya BiPAP)

Ushobora kuba warabonye umuntu wo mu muryango wawe cyangwa umuntu uzi wambaye agapfukamunwa mu bitaro, cyane cyane mu cyumba cy’indembe (ICU). Iyo bigoye guhumeka, abaganga bakoresha ubwo bwoko bw’imashini. Uyu munsi tugiye kuvuga ku mashini yihariye ikoreshwa mu bihe nk’ibi kandi ifasha cyane mu guhumeka. Iyo ni imashini ya BiPAP . Reka turebe icyo ari cyo, uko ikora, n’inyungu zayo.

BiPAP ni iki? Reka tubisobanukirwe mu buryo bworoshye.

BiPAP isobanura 'Bilevel Positive Airway Pressure'. Nubwo izina rishobora kumvikana nk'irigoye, mu by'ukuri ni imashini igufasha guhumeka. Tekereza ko ushobora guhumeka wenyine, ariko umubiri wawe ntubona ogisijeni ihagije cyangwa umwuka wa dioxyde de carbone ukora ntusohoke neza. Icyo gihe ni bwo abaganga bakoresha imashini ya BiPAP.

Ibi bikubiyemo gutanga umwuka ku gitutu runaka ukoresheje agapfukamunwa gakwiranye n'isura yawe. Ubu buryo tubwita "Guhumeka bidatera indwara". Ni ukuvuga ko ari uburyo bufasha hanze tudashyize ibikoresho mu mubiri, nka "Guhumeka mu buryo bw'ikoranabuhanga butera indwara", bukorerwa mu muyoboro unyura mu muhogo.

Ijambo 'bilevel' risobanura ko iyi mashini itanga umwuka ku rugero rubiri rw'umuvuduko .

1. Guhumeka: Iyo uhumeka, umwuka utangwa ku muvuduko mwinshi. Ibi byitwa `(Inhalation Positive Airway Pressure - IPAP)`. Ibi bituma umwuka winjira mu bihaha byoroshye.

2. Gusohora umwuka: Iyo usohora umwuka, umwuka usohoka ku muvuduko muto. Ibi byitwa ``Gusohora umwuka mwiza mu muvuduko w'umwuka - EPAP''. Niyo mpamvu utwumva bigoye mu guhumeka umwuka.

Izi ngero ebyiri z'umuvuduko zishobora gushyirwaho n'imashini mu gihe runaka, cyangwa ushobora kuzishyiraho kugira ngo zihinduke mu buryo bwikora bitewe n'uburyo uhumeka.

Ni irihe tandukaniro riri hagati ya BiPAP na CPAP?

Indi mashini iza mu mutwe iyo uvuga kuri BiPAP ni CPAP. Nubwo zombi zifasha mu guhumeka, hari itandukaniro rito mu buryo zikora.

Imashini za CPAP zikunze gukoreshwa mu kuvura indwara yo guhumeka mu gihe cyo gusinzira. Ariko, niba hari abantu bagorwa no kumenyera CPAP, cyangwa niba bafite izindi ndwara, muganga wabo ashobora kubagira inama yo gukoresha imashini ya BiPAP.

Iri tandukaniro rishobora kumvikana neza ukurikije imbonerahamwe iri hepfo.

Ni ryari imashini ya BiPAP ikenewe?

Imashini za BiPAP zikoreshwa mu bihe byihutirwa ndetse no mu kuvura indwara zidakira. Dore zimwe mu mikoreshereze y'ingenzi y'iyi mashini:

• Umutima unanirwa gukora neza: Iyo imikorere y'umutima igabanutse, bishobora kugira ingaruka ku bihaha bigatera ibibazo byo guhumeka.
• COPD (Indwara y'ibihaha idakira): Iyi ni indwara y'ibihaha imara igihe kirekire. BiPAP ikoreshwa mu gufasha guhumeka mu gihe cy'ubukana bw'iyi ndwara.
• Kuruhuka mu gihe umuntu asinziriye nabi kandi adafite ubumuga bwo mu mutwe: Ku barwayi badashobora kwihanganira CPAP cyangwa badashobora kuyihanganira.
• Kunanirwa guhumeka cyane: Muri make, iyi ni indwara aho urugero rwa dioxyde de carbone mu maraso rurenze urugero ku buryo rudashobora gusohoka neza mu mubiri. Muri iki gihe, BiPAP ifasha mu gusohora dioxyde de carbone.

Uburyo bwo kuvura bwa BiPAP butangwa bute?

Uburyo ukoresha imashini ya BiPAP buratandukanye gato bitewe n'uko uri mu bitaro cyangwa uri mu rugo.

Mu bitaro

Mu bitaro, umuforomo cyangwa umuganga azaguhuza n'ibi.

• Ubwa mbere, bafungura imashini ya BiPAP hanyuma bagahindura urugero rw'umuvuduko kugira ngo rujyane n'imimerere yawe. Ibi byitwa `(titration)`.
• Hanyuma, uhitamo agapfukamunwa gakwiranye neza n'isura yawe hanyuma ukagafunga buhoro buhoro. Aka gapfukamunwa gashobora kuba agapfukamunwa gusa, cyangwa agapfukamunwa n'izuru.

Niba ukoresha mu rugo

Niba muganga wawe yagusabye imashini ya BiPAP yo gukoresha mu rugo, ugomba gukurikiza izi ntambwe.

• Ubwa mbere, shyira imashini ahantu hadahinduka kandi urebe neza ko akayunguruzo gasukuye. Nibiba ngombwa, shyiramo amazi ku cyuma gifasha guhumeka hanyuma ushyireho umuyoboro w'amazi ku mashini na mask. Muganga wawe cyangwa umutanga ibikoresho by'ubuvuzi azagusobanurira uburyo bwo kubikora.
• Hanyuma, icara ugororotse, shyira agapfukamunwa mu maso, hanyuma uhumeke buhoro buhoro kugira ngo wirinde ko umwuka usohoka.
• Noneho fungura imashini, uryame ku buriri, hanyuma wongere ushyireho agapfukamunwa nibiba ngombwa.

Ni izihe nyungu n'ingaruka za BiPAP?

Nk’uko bigenda ku buvuzi ubwo aribwo bwose, BiPAP ifite ibyiza n’ingaruka zimwe na zimwe.

Nigute nakora ngo BiPAP yorohere kuyikoresha?

Bifata igihe kugira ngo umenyere imashini ya BiPAP, ariko nukurikiza aya mabwiriza, bizakoroha cyane kuri wewe.

• Hitamo agapfukamunwa gakwiye: Hitamo agapfukamunwa gakwiranye neza n'isura yawe, bitewe n'uburyo usinziriye. Baza muganga wawe inama kuri ibi.
• Imenyere kwambara agapfukamunwa: Mbere yo kuryama, ambara agapfukamunwa akanya gato ku manywa udakoresheje imashini. Icyo gihe bizakoroha kumenyera uko ubyumva.
• Koresha buri gihe: Niba uyikoresha mu gihe cyo gusinzira, ikoreshe buri joro. Nuyikoresha umunsi umwe hanyuma ukaza kuyikoresha undi, bizagorana kuyimenyera, kandi umusaruro uzaba muto.
• Koresha uburyo bwa 'Ramp': Niba imashini yawe ifite ubu buryo, bufungure. Ibi bizaguha umuvuduko muke kugeza ugiye gusinzira, hanyuma bikongere byikora kugeza ku muvuduko washyizweho nyuma yo gusinzira.

Niba wumva ko indwara ya COPD cyangwa indwara yo mu mutwe idashobora kugenzurwa neza n'ubu buryo bwo kuvura, vugana na muganga wawe . Azasuzuma indwara yawe kandi aguhe uburyo bwiza bwo kuvura.