Kune vamwe vanhu, kurara chiitiko chinonetsa uye chinotyisa. Panguva yekurara, kufema kunomira kamwe kamwe, uye mushure mechinguva, vanofema zvakare zvakanyanya. Isu tinodana chirwere ichi kuti ' sleep apnea '. Ungave wakanzwa nezvemuchina weCPAP unoshandiswa semushonga weizvi. Asi nhasi tichataura nezvemuchina unoshanda zvakasiyana zvishoma, uye nenzira 'yakangwara'. Ndiwo muchina weASV. Zita iri ringave idzva kwauri, asi rinogona kuva mhinduro yakanakisa yezvinetso zvakaoma zvekufema pakurara.
Chii chinonzi muchina weASV?
Muchidimbu, ASV ( Adaptive-servo ventilation ) muchina wakakosha unoshandiswa kurapa matambudziko ekufema panguva yekurara. Kufanana nemuchina weCPAP, uyu mudziyo unoda kuti urara wakapfeka mask yakabatana nechubhu. Unoshanda nekupa mweya wakamanikidzwa kuti mweya wako ugare wakavhurika.
Asi heino nyaya. Muchina weASV muchina 'wakangwara' zvikuru. Haungopombi mweya nguva dzose. Pane kudaro, unoshandisa masensa akakosha kuti urambe uchiyera maitiro ako ekufema. Muchina unonzwisisa zvese kubva pakufema kwaunoita, paunomira kufema, uye kuti unofema nekukurumidza sei. Zvadaro, unongopa kumanikidzwa kwaunoda panguva iyoyo, sezvinodiwa. Izvi zvinoreva kuti muchina unochinjika unochinjika kumuviri wako.
ASV yakasiyana sei neCPAP?
Kunyangwe chinangwa chikuru chemichina iyi yese chakafanana, mashandiro ayo akasiyana zvikuru. Kuti unzwisise musiyano uyu, ona tafura iri pazasi.
| Hunhu | Muchina weCPAP (Continuous Positive Airway Pressure) | Muchina weASV (Adaptive-servo ventilation) |
|---|---|---|
| Maitiro ekupa mweya unomanikidzwa | Chiremba acharamba achipa kumanikidzwa kwakafanana nekurairwa. | Zvichienderana nemafambiro ako ekufema, kumanikidzwa kunochinjwa kusvika pahuwandu hunodiwa panguva inodiwa (kumanikidzwa kunoshanduka). |
| Mashandiro | Nzira yekufema inovhurwa zvine simba. Kunyangwe paunenge uchifema, unofanirwa kushanda nesimba uchidzivisa kumanikidzwa uku. | Kufema kunoongororwa uye kumanikidzwa kunoitwa chete kana kufema kwamira kana kuti kwava kushoma. Kupindira kushoma panguva yekufema kwakajairika. |
| Inonyanya kushandiswa | Kazhinji inonzi `Obstructive Sleep Apnea (OSA)` (chirwere chinokonzerwa nekuvharika kwenzira yekufema). | Kunyanya kune chirwere chinonzi `Central Sleep Apnea (CSA)` uye mamwe mamiriro akaomarara ekufema kwepamuviri. |
Chii chinonzi Central Sleep Apnea (CSA)? ASV ingabatsira sei?
Kune mhando mbiri dzechirwere chekufema chinotapukira panguva yekurara. Imwe yacho inonzi "Obstructive Sleep Apnea (OSA)," iyo inokonzerwa netsandanyama dziri pahuro dzinogumira uye dzinovhara nzira yekufema. Ndiyo inonyanya kuitika.
Asi `Central Sleep Apnea (CSA)` chimwe chinhu chakasiyana. Panyaya iyi, hapana dambudziko mumapapu ako kana pahuro. Dambudziko riri muuropi hwako! Kufema kwedu kunodzorwa nemashoko anobva kuuropi. MuCSA, uropi hahutumire meseji kumuviri kuti ufeme zvakanaka. Nokudaro, kufema kunomira kwenguva yakati panguva yekurara.
Zvinhu zvinogona kukonzera CSA:
- Chirwere chemwoyo : Zvikuru sei `Congestive Heart Failure` kana ` Atrial Fibrillation (Afib)`.
- Mimwe mishonga: Mishonga yeopioid inoshandiswa semushonga unoderedza marwadzo .
- Zera: Njodzi iyi yakakura kune vanhu vane makore anopfuura makumi matanhatu.
- Zvirwere zvetsinga : Zvirwere zvakaita sestroke.
- Kugara munzvimbo dzakakwirira: Kugara kana kufamba munzvimbo dzakakwirira kupfuura mamita 8,500 pamusoro pegungwa kunogona kukonzera kudzikira kwemazinga eokisijeni muropa (`Hypoxia`).
Muchina weCPAP ungasashanda kune munhu ane CSA, nekuti dambudziko harisi dambudziko remhepo yakavharika. Muchina weASV wakagadzirirwa mamiriro ezvinhu akadai. Kana kufema kwamira pasina shoko rinobva kuuropi, ASV inozviziva uye inopa kumanikidzwa kunodiwa kuti ibatsire kufema.
Ndezvipi zvakanakira uye njodzi dzemuchina weASV?
Zvimwe zvakanakira:
- Inoshanda zvikuru: Iyi imishonga inoshanda zvikuru pakurapa chirwere che 'Central Sleep Apnea'.
- Zviri nyore kushandisa: Nekuti hapana mhepo inogara ichimanikidzwa, izvi zviri nyore kune vazhinji kushandisa pane CPAP. Zvinoita sezvechisikigo kune vazhinji nekuti havafanirwe kumanikidza zvakanyanya pavanenge vachifema.
- Kugadzirisa: Uku kurapwa kwakanangana nemuviri wako.
Njodzi dzakakosha dzekuziva nezvadzo:
Zvakakosha: Kana uine chirwere chemwoyo chinonzi `Congestive Heart Failure` , zvimwe zvidzidzo zvakaratidza kuti panogona kunge paine njodzi dzinobatanidzwa nekushandisa muchina weASV. Saka, kana uine chirwere chakadaro, unofanira kunyatsokurukura nachiremba wako usati washandisa muchina weASV uye woita sarudzo zvichibva pane zvaanotaura.
Zvinhu zvaunofanira kuziva kubva kuna chiremba wako usati washandisa muchina uyu
Kana chiremba wako akakurudzira muchina weASV kwauri, bvunza mibvunzo iyi uye gadzirisa chero zvinokunetsa usati watanga kuushandisa.
- "Chiremba, ndingaone here data rangu rekufema pamuchina uyu? Chii chandinofanira kuziva kubva mauri?"
- "Pane chimwe chinhu chakakosha chandinofanira kuziva nezvemamiriro ekumanikidzwa pane izvi here?"
- "Ungatsanangura zvishoma here nezve mashandiro anoita masensa?"
- "Kana ndakamboshandisa CPAP kare, zvichanzwa zvakasiyana here pandinoshandisa iyi?"
Yeuka, usatya kubvunza chiremba wako chero mibvunzo yaunayo. Zvakakosha kuti unzwisise zvakanaka marapirwo ako.
Mharidzo Yekuenda Nayo Kumba
- Muchina weASV mudziyo 'wakangwara' unorapa matambudziko ekufema panguva yekurara, kunyanya chirwere che'Central Sleep Apnea (CSA) '.
- Haipombi mweya nguva dzose semuchina weCPAP. Asi, inochinjika kumafambiro ako ekufema uye inobatsira chete kana zvichidikanwa.
- Nekuda kweizvi, vamwe vanhu vanoona zviri nyore kushandisa pane CPAP.
- Zvakakosha: Kana uine chirwere chemwoyo chakadai seCongestive Heart Failure , iva nechokwadi chekutaura nachiremba wako usati washandisa muchina weASV.
- Iyi haisi nzira imwe chete yekurapa. Chiremba wako ndiye achasarudza nzira yakanakisisa yekurapa mushure mekuongororwa nachiremba. Zvakakosha kutevedzera mirairo yake.
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