Ungave wakamboona mumwe munhu mumhuri mako kana mumwe munhu waunoziva akapfeka chifukidziro muchipatara, kunyanya mukamuri revarwere vane chirwere chepfungwa (ICU). Kana zvakaoma kufema, vanachiremba vanoshandisa michina yemhando iyi. Nhasi tichataura nezvemuchina wakakosha unoshandiswa munguva dzakadai uye unobatsira chaizvo pakufema. Ndiwo muchina weBiPAP . Ngationei kuti chii, kuti unoshanda sei, uye kuti ndeapi mabhenefiti awo.
Chii chinonzi BiPAP? Ngatizvinzwisise zviri nyore.
BiPAP inomiririra 'Bilevel Positive Airway Pressure'. Kunyange zvazvo zita racho ringanzwika serakaoma, zviri nyore chaizvo. Muchina unokubatsira kufema. Fungidzira kuti unogona kufema wega, asi muviri wako hausi kuwana oxygen yakakwana kana kuti kabhoni dhayiokisaidhi yaunogadzira haisi kubuda zvakanaka. Ndipo panozoshandiswa vanachiremba muchina weBiPAP.
Izvi zvinosanganisira kupa mweya nekumanikidzwa kwakati kuburikidza nemasiki inokodzera kumeso kwako. Tinoti izvi "Non-invasive ventilation". Kureva kuti, inzira inobatsira kubva kunze pasina kuisa michina mumuviri, senge "Invasive mechanical ventilation", iyo inoitwa kuburikidza nechubhu inopinda nepahuro.
Izwi rekuti 'bilevel' rinoreva kuti muchina uyu unoburitsa mweya padanho rechipiri rekumanikidzwa .
1. Kufema: Paunofema, mweya unopihwa nekumanikidzwa kwakanyanya. Izvi zvinonzi `(Inhalation Positive Airway Pressure - IPAP)`. Izvi zvinoita kuti mweya upinde mumapapu zviri nyore.
2. Kuburitsa mweya: Paunoburitsa mweya, mweya unoburitswa nemhepo ine simba shoma. Izvi zvinonzi ``Exhale Positive Airway Pressure - EPAP''. Ndokusaka usinganzwe kuoma kubudisa mweya.
Madanho maviri aya ekumanikidzwa anogona kugadziriswa nemuchina panguva yakatarwa, kana kuti unogona kuachinja otomatiki zvichienderana nemafambiro ako ekufema.
Ndeupi musiyano uripo pakati peBiPAP neCPAP?
Mumwe muchina unouya mupfungwa dzako kana uchitaura nezveBiPAP iCPAP. Kunyange zvazvo zvese zvichibatsira pakufema, pane musiyano mudiki pamashandiro azvinoita.
Muchidimbu, muchina weCPAP unopa kumanikidzwa kwakafanana paunofema nekubudisa mweya. Muchina weBiPAP unopa kumanikidzwa kwakawanda paunofema uye unodzikisa kumanikidzwa paunoburitsa mweya.
Michina yeCPAP inonyanya kushandiswa kurapa kufema kwemunhu ari muhope. Zvisinei, kana vamwe vanhu vachiomerwa nekujaira CPAP, kana kuti vaine zvimwe zvirwere, chiremba wavo anogona kukurudzira muchina weBiPAP.
Musiyano uyu unogona kunzwisiswa zvakajeka kubva patafura iri pazasi.
| Chinhu | Muchina weBiPAP | Muchina weCPAP |
|---|---|---|
| Kumanikidzwa kwemhepo | Matanho maviri ekumanikidzwa (akasiyana ekufemera nekufema) | Kumanikidzwa kwakafanana kunoenderera mberi |
| Kushandiswa Kwakanyanya | COPD, kutadza kushanda zvakanaka kwemoyo, varwere vane sleep apnea vasingakwanise kutsungirira CPAP | Kune vazhinji varwere vane Sleep Apnea |
Muchina weBiPAP unodiwa riini?
Michina yeBiPAP inoshandiswa mumamiriro ezvinhu ekukurumidzira pamwe nekurapa zvirwere zvisingaperi. Heano mamwe emashandisirwo makuru emuchina uyu:
- Kukundikana kwemoyo: Kana kushanda kwemoyo kusina simba, zvinogona kukanganisa mapapu uye kukonzera matambudziko ekufema.
- COPD (Chirwere chemapapu chinogara kwenguva refu): Ichi chirwere chemapapu chinogara kwenguva refu. BiPAP inoshandiswa kubatsira kufema panguva yekuwedzera kwechirwere ichi.
- Kusagona kufema zvakanaka uye kurara zvisina tsarukano: Kune varwere vasingapindure kana kuti vasingakwanise kushivirira CPAP.
- Kutadza kufema zvakanaka: Izvi zvinoreva kuti, huwandu hwekabhoni dhayokisaidhi muropa hwakanyanya kukwira zvekuti hunogona kuburitswa mumuviri zvakanaka. Panyaya iyi, BiPAP inobatsira kubudisa kabhoni dhayokisaidhi.
Kurapa kweBiPAP kunopiwa sei?
Mashandisiro aunoita muchina weBiPAP anosiyana zvishoma zvichienderana nekuti uri muchipatara here kana kuti uri kumba.
Muchipatara
Muchipatara, mukoti kana chiremba achakubatanidzai nazvo.
- Kutanga, vanobatidza muchina weBiPAP vogadzirisa mwero wekumanikidzwa kuti ukwane mamiriro ako ezvinhu. Izvi zvinonzi `(titration)`.
- Wobva wasarudza chifukidziro chinokodzera kumeso kwako wochisimbisa zvishoma nezvishoma. Chifukidziro ichi chinogona kunge chiri chinovhara mhuno chete, kana kuti chinovhara mhuno nemuromo.
Kana uchishandisa kumba
Kana chiremba wako akakurudzira muchina weBiPAP kuti ushandise kumba, unofanira kutevera matanho aya.
- Kutanga, isa muchina panzvimbo yakagadzikana uye tarisa kuti firita yacho yakachena here. Kana zvichidikanwa, wedzera mvura kumuchina wehumidifier uye batanidza chubhu kumuchina nemasiki. Chiremba wako kana mutengesi wemidziyo yekurapa achakutsanangurira maitiro ekuita zvinhu izvi.
- Zvadaro, gara wakatwasuka, isa mask kumeso kwako, wobva wagadzirisa nzvimbo yacho zvishoma nezvishoma kuitira kuti mhepo isabude.
- Zvino vhura muchina, rara pamubhedha, wozorazve mask kana zvichidikanwa.
Ndezvipi zvakanakira nengozi dzeBiPAP?
Kufanana nechero nzira yekurapa, BiPAP ine zvakanakira uye dzimwe njodzi.
| Mabhenefiti | Njodzi & Zvipingamupinyi |
|---|---|
| - Sezvo pasina michina inopinzwa mumuviri (isingapindi mishonga), njodzi yekutapukirwa ishoma. | - Izvi hazvigone kushandiswa kana murwere asiri kufema ega. |
| - Inobatsira varwere vari kubviswa pamidziyo yekutsigira hupenyu kuti vadzidze kufema zvakare. | - Zvinogona kunzwika zvisina kunaka pakutanga. Vamwe vanhu vanogona kunzwa kutya masiki. |
| - Sarudzo yakanaka kune avo vanonetseka kujaira CPAP. | - Kashoma, kumanikidzwa kwakanyanya kunogona kukonzera kukuvara kwemapapu (michina mizhinji ine zvinhu zvekuchengetedza). |
| - Kuderera kweropa (hypotension). | |
| - Pane njodzi yekuti chikafu nechinwiwa zvipinde mumapapu zvokonzera pneumonia (aspiration pneumonia). |
Ndingaite sei kuti kushandisa BiPAP kuve nyore?
Zvinotora nguva kuti ujairire muchina weBiPAP, asi kana ukatevera mirairo iyi, zvichave nyore kwauri.
- Sarudza chifukidzo chakakodzera: Sarudza chifukidzo chinokodzera kumeso kwako, zvichienderana nekuti unorara sei. Bvunza chiremba wako kuti akupe mazano panyaya iyi.
- Jaira kupfeka chifukidzo: Usati warara, pfeka chifukidzo kwenguva yakati masikati usingabatidze muchina. Ipapo zvichava nyore kujaira kunzwa kwacho.
- Shandisa nguva dzose: Kana uchiishandisa pakurapa sleep apnea, ishandise husiku hwese. Kana ukashandisa rimwe zuva wozoshandisa rimwezve, zvichave zvakaoma kuijaira, uye mhedzisiro yacho ichave mishoma.
- Shandisa chinhu chinonzi 'Ramp': Kana muchina wako uine chinhu ichi, chibatidze. Izvi zvinokupa kumanikidzwa kwakaderera kusvika warara, uye zvobva zvawedzera otomatiki kusvika pakumanikidzwa kwakatarwa mushure mekurara.
Kana uchifunga kuti COPD yako kana sleep apnea haisi kudzorwa zvakakwana nekurapwa uku, iva nechokwadi chekutaura nachiremba wako . Iye achaongorora mamiriro ako uye achasarudza nzira yakanakira yekurapwa.
Mharidzo Yekuenda Nayo Kumba
- BiPAP muchina unokubatsira kufema, kwete muchina unotsigira hupenyu unofema zvakakwana.
- Izvi zvakasiyana neCPAP nekuti zvinopa mazinga maviri ekumanikidzwa pakufema nekufema.
- Inoshandiswa zvakanyanya pakurapa COPD, chirwere chemwoyo, uye mamwe mamiriro ekushaya hope.
- Zvinogona kutora nguva kuti ujairire muchina nemasiki, saka zvakakosha kusarudza mask yakakodzera uye kuishandisa nguva dzose.
- Kana uine kusagadzikana kana matambudziko, gara uchibvunza chiremba wako.
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