Dzimwe nguva unonzwa kushaya mweya here? Kana kuti mumwe munhu mumhuri mako, zvichida baba, anoridza hope huru husiku akarara, onzwa sekunge ari kudzipwa kwechinguva? Nhasi tichataura nezvemuchina wakakosha unoshandiswa navanachiremba muzviitiko zvakadaro. Uyo unonzi BiPAP. Ungave wakambonzwa zita iri muchipatara. Ngatione kuti chii uye kuti rinoshanda sei.
Chii chinonzi BiPAP muchidimbu?
Zvichitaurwa zviri nyore, BiPAP muchina unokubatsira kufema. Zita rawo rakazara ndiBilevel Positive Airway Pressure. Asi hapana anotaura zita iroro refu, rinonzi BiPAP muchidimbu. Kana uchikwanisa kufema wega, asi usingakwanise kuwana oxygen yakakwana mumuviri wako, kana kuti kana usingakwanise kubvisa carbon dioxide yakakwana mumuviri wako, chiremba wako angasarudza kushandisa muchina uyu.
Chinhu chikuru chakanakira izvi ndechekuti inzira 'isingapindi' . Kureva kuti, haina kubatana nechubhu iri pahuro semunhu ari muchikamu chevarwere vakanyanya (ICU). Asi, inoburitsa mweya kuburikidza nemasiki inokwana kumeso kwako . Saka, yakachengeteka zvikuru.
Funga nezvazvo, "Positive Airway Pressure" zvinoreva kuti muchina uyu unosundira mweya mumhino dzako, mumuromo, uye mu trachea nekumanikidzwa kwakakwira zvishoma pane zvakajairwa. Kumanikidzwa kwakakwira uku kunoita kuti mweya wako ugare wakavhurika, uye kunobatsira zvikuru kuti mweya upinde uye ubude mumapapu ako.
Izwi rekuti "bilevel" rinoreva kuti izvi zvinoshanda pamatanho maviri ekumanikidzwa .
1. Paunenge uchifema (Kufema): Mhepo inopihwa nekumanikidzwa kwakanyanya. Izvi zvinonzi zvekurapa Kufema Nekusimba Kwemhepo `(IPAP)`.
2. Paunenge uchifema: Mhepo inopihwa nedzvinyiriro yakaderera. Izvi zvinonzi Kubuda Nemhepo Yakanaka Kumanikidzwa `(EPAP)`.
Madanho maviri aya ekumanikidzwa anoita kuti unzwe wakasununguka zvikuru paunenge uchifema uye uchiburitsa mweya. Muchina uyu wakagadzirwa kuti ugadzirise otomatiki kumanikidzwa zvichienderana nemafambiro ako ekufema.
Mumamiriro api ezvinhu apo muchina weBiPAP unodiwa?
Muchina weBiPAP unoshandiswa kana paine njodzi pamwe chete nezvirwere zvisingaperi. Vamwe vanhu vanotoshandisa muchina uyu kumba. Ngatitarisei zvirwere zvinowanzo shandiswa.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Kukundikana kweMwoyo | Kuderedza kumanikidzwa kwemapapu nekuda kwekushaya simba kwemoyo uye kuita kuti kufema kuve nyore. |
| COPD (Chirwere Chisingaperi Chekudzivirira Mapupa) | Ichi chirwere chemapapu chinogara kwenguva refu. Chinoshandiswa kuderedza matambudziko ekufema panguva yekuwedzera kwechirwere. |
| Kumborara usina kufema | Sekurapa zvirwere zvakaita sekuvharika kwemhepo inofambisa mweya kana kumira kufema kwenguva pfupi panguva yekurara. |
| Kukundikana Kwekufema Kwepamuviri | Izvi zvinoreva kuti huwandu hwekabhoni dhayokisaidhi muropa hunowedzera uye hahugone kubviswa mumuviri zvakanaka paunoburitsa mweya. BiPAP inobatsira pane izvi. |
Ndeupi musiyano uripo pakati peBiPAP neCPAP?
Ungave wakambonzwawo zita rekuti CPAP. Kunyangwe zvese zviri michina inokubatsira kufema, pane musiyano mudiki pakati pezviviri izvi.
- CPAP (Continuous Positive Airway Pressure): Muchina uyu unoramba uchipa kumanikidzwa kwakafanana . Izvi zvinoreva kuti kunyangwe uchifema kana kubuda, unowana kumanikidzwa kwakafanana. Michina yeCPAP inokurudzirwa kuvanhu vazhinji vane sleep apnea.
- BiPAP (Bilevel Positive Airway Pressure): Sezvatakambotaura, izvi zvinopa mazinga maviri ekumanikidzwa . Zvinopa kumanikidzwa kwakakwira paunofema uye zvinoderedza kumanikidzwa paunofema.
Kune vamwe vanhu vanoomerwa nekujaira muchina weCPAP uye vanowana usina kunaka, chiremba anogona kukurudzira muchina weBiPAP.
Kurapa kweBiPAP kunoshanda sei?
Pane musiyano mudiki pakati penzira yaunopihwa nayo mushonga uyu muchipatara nenzira yaunoshandisirwa nayo kumba.
Kana uri muchipatara kana muETU...
Kana ukapinda muEmergency Treatment Unit (ETU) kana paine emergency, chiremba kana mukoti ndiye achakubatanidza.
- Kutanga, muchina weBiPAP unobatidzwa uye mwero wekumanikidzwa unogadziriswa kuti ukwane mamiriro ako ezvinhu. Izvi zvinonziwo titration.
- Wobva wasarudza chifukidziro chinokwana kumeso kwako wochisimbisa. Mamwe mafirokisi anovhara mhuno chete, mamwe anovhara mhuno nemuromo. Anogadziriswa nemazvo kuitira kuti asabatike kana kubatwa.
Kana uchiishandisa kumba...
Kana wakapihwa BiPAP kuti ushandise kumba nekuda kwechirwere chakadai seSleep Apnea, uchafanira kuigadzirisa wega.
- Isa muchina panzvimbo yakagadzikana uye tarisa kuti sefa yacho yakachena. Kana paine humidifier, uzadze nemvura yakachena kusvika padanho rakakodzera.
- Batanidza mapombi kumuchina wobva waisa chifukidzo zvakanaka. Chiremba wako kana mutengesi wemidziyo yekurapa vachakutsanangurira zvese izvi zvakajeka.
- Wobva waisa mask pachiso chako woigadzirisa zvakanaka.
- Batidza muchina, enda kunorara, worara. Kana zvichidikanwa, gadzirisa mask zvishoma.
Chinhu chinonyanya kukosha ndechekuti, usaedza kuchinja mamiriro ekumanikidzwa kwawakapihwa nachiremba wako. Kana uine chero kusagadzikana, taura nachiremba wako nezvazvo.
Ndezvipi zvakanakira uye njodzi dzeizvi?
Kufanana nechero kurapwa, kurapwa kweBiPAP kunogona kuva nezvakanaka nenjodzi.
| Mabhenefiti | Njodzi |
|---|---|
| Hazvipindi: Hapana chubhu inopinzwa muhuro, saka njodzi yekutapukirwa ishoma. | Kusagadzikana: Vamwe vanhu vanoomerwa nekupfeka chifukidziro. |
| Rubatsiro rwekubvisa rutsigiro rwehupenyu: Izvi zvinogona kushandiswa kubvisa murwere zvishoma nezvishoma kubva muchina wekufema. | Kutya Claustrophobia: Vamwe vanhu vanogona kunzwa vakavharirwa nemasiki. |
| Imwe nzira yeCPAP: BiPAP inzira yakanaka kune avo vane dambudziko neCPAP. | Kushaya simba kweropa: Mune zvimwe zviitiko, BP inogona kudzikira. |
| Pneumonia yekufema: Pane njodzi diki yekuti chikafu kana mvura zvipinde mumapapu zvichikonzera hutachiona. |
Zvakakosha: Kuti ushandise muchina weBiPAP, unofanirwa kukwanisa kufema wega. Unongokubatsira kufema chete. Haugone kushandiswa nemunhu akarega kufema zvachose.
Ndingaitei kuti ndijairire muchina weBiPAP?
Zvakajairika kuti muchina uyu nemasiki zvinzwe zvisinganzwisisike uye zvisina kugadzikana pakutanga. Asi unogona kuzvijaira zvishoma nezvishoma. Heano mamwe matipi ari nyore ekubatsira.
- Sarudza masiki akakunakira: Kune mhando dzakasiyana-siyana dzemasiki dziri kutengeswa. Bvunza chiremba wako kuti ndeipi yakakunakira, zvichienderana nemaitiro ako ekurara uye chimiro chechiso.
- Jaira kupfeka chifukidzo: Pfeka chifukidzo kwenguva yakati masikati, usingabatidze muchina. Sekunge paunenge uchiona TV kana kuverenga bhuku. Ipapo zvichava nyore kujaira kunzwa kwacho.
- Ishandise mazuva ese: Kunyanya kune vane sleep apnea, ishandise manheru ese usingaderedze zuva. Kana ukasaderedza zuva, zvichave zvakaoma kuti ujaire uye mhedzisiro yacho ichave mishoma.
- Shandisa chinhu chinonzi "Ramp": Kana muchina wako uine chinhu ichi, chibatidze. Chichakupa kumanikidzwa kwakaderera kusvika warara, uye wobva wawedzera kumanikidzwa zvishoma nezvishoma kusvika padanho raunoda kana wangodaro. Izvi zvichaita kuti zvive nyore kurara.
Kana uchinzwa kusagadzikana, senge ganda rakaoma kana mhino yakavharika, taura nachiremba wako. Zvinogoneka kugadzirisa humidifier mumuchina kana kushandisa imwe nzira.
Mharidzo Yekuenda Nayo Kumba
- BiPAP muchina unokubatsira kufema, asi haufemere iwe. Saka, unofanira kukwanisa kufema wega kuti uushandise.
- Izvi zvine mazinga maviri ekumanikidzwa (Bi-level). Unowana kumanikidzwa kwakakwira paunofema uye kuderedzwa kwekumanikidzwa paunofema. Muchina weCPAP une kumanikidzwa kumwe chete.
- BiPAP inoshandiswa kuita kuti kufema kuve nyore muzvirwere zvakaita seCOPD, Sleep Apnea, uye mamwe matambudziko emwoyo.
- Pakutanga zvingava zvakaoma kujaira chifukidzo ichi, asi nekutsungirira uye kuramba uchichishandisa, kusagadzikana kwacho kuchapera.
- Kana muine zvinokunetsai nezvemagadzirirwo kana mashandisirwo emuchina wenyu weBiPAP, taurai nachiremba wenyu nezvazvo pachena.
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