Kwabaninzi, ukulala kunokuba ngumthombo wexhala. Ukuba wakha waxelelwa ukuba ukuphefumla kwakho kuyeka ngequbuliso ebusuku uze uqale kwakhona ngokuphefumla, usenokuba ujongene ne -sleep apnea . Usenokuba sele uqhelene nomatshini we-CPAP osetyenziswa rhoqo ukulawula oku. Nangona kunjalo, namhlanje siza kuxoxa ngenye indlela ephucukileyo, "ekrelekrele": umatshini we-ASV. Nangona igama lisenokuba litsha kuwe, linokuba sisisombululo esifanelekileyo kwimingeni ethile enzima yokuphefumla ebuthongweni.
Yintoni umatshini we-ASV?
Ngamafutshane, i-ASV ( Adaptive-Servo Ventilation ) sisixhobo esikhethekileyo esisetyenziselwa ukunyanga ubunzima bokuphefumla ngexesha lokulala. Njengomatshini we-CPAP, ifuna ukuba unxibe imaski eqhagamshelwe ngetyhubhu kwisixhobo. Isebenza ngokuhambisa umoya oxinzelelweyo ukugcina iindlela zakho zomoya zivulekile.
Nangona kunjalo, nanku umahluko: i-ASV sisixhobo 'esikrelekrele' ngokwenene. Ayishukumisi nje umoya ngesantya esingaguqukiyo. Endaweni yoko, isebenzisa izinzwa ezakhelwe ngaphakathi ukujonga indlela yakho yokuphefumla eyahlukileyo ngexesha langempela. Ibona indlela ophefumla ngayo, xa ukuphefumla kwakho kuyeka, kunye nokuba uphefumla ngokukhawuleza kangakanani. Emva koko inika uxinzelelo kuphela xa lufuneka kwaye apho lufuneka khona. Ngokwenyani, ngumatshini ohlengahlengisayo ohambelana neemfuno zomzimba wakho.
I-ASV yahluke njani kwi-CPAP?
Nangona zombini ezi matshini zijolise ekukuncedeni uphefumle ngcono, indlela ezisebenza ngayo yahlukile kakhulu. Nceda ujonge kwitheyibhile engezantsi ukuze uqonde la mahluko aphambili.
| Uphawu | I-CPAP (Uxinzelelo Lomoya Oluqhubekayo Oluhle) | I-ASV (Umoya oVuselelwayo-oSelvo) |
|---|---|---|
| Ukuhanjiswa koxinzelelo lomoya | Inika uxinzelelo oluhlala luhleli nolumiselweyo ngugqirha wakho. | Ilungisa uxinzelelo ngendlela eguquguqukayo (uxinzelelo oluguquguqukayo) ngokusekelwe kumjikelo wakho wokuphefumla. |
| Ukusebenza kakuhle | Igcina indlela yomoya ivulekile ngokunyanzela umoya ungene; kufuneka uphefumlele ngaphandle ngokuchasene noxinzelelo oluqhubekayo. | Ijonga ukuphefumla kwaye inika inkxaso kuphela xa ukuphefumla kuyeka okanye kuba nzulu. |
| Ukusetyenziswa Okuphambili | Ngokuyintloko yi-Obstructive Sleep Apnea (OSA) ebangelwa kukuvaleka komoya. | Ngokuyintloko kwi-Central Sleep Apnea (CSA) kunye nezinye iimeko ze-sleep apnea ezintsonkothileyo. |
Yintoni i-Central Sleep Apnea (CSA) kwaye i-ASV inceda njani?
Kukho iintlobo ezimbini ze-sleep apnea. Enye yi-'Obstructive Sleep Apnea' (OSA), apho izihlunu zomqala ziphumla kwaye zivale indlela yomoya. Le yeyona ndlela ixhaphakileyo.
Nangona kunjalo, i-'Central Sleep Apnea' (CSA) yahlukile. Ingxaki ayikho kwimiphunga okanye emqaleni wakho—ikwingqondo yakho! Ukuphefumla kwethu kulawulwa ziimpawu ezithunyelwa zisuka engqondweni. Kwi-CSA, ingqondo ayithumeli umyalezo ochanekileyo emzimbeni ukuze iphefume, nto leyo ebangela ukuba ukuphefumla kume kancinci ngexesha lokulala.
Izizathu ezinokubakho ze-CSA:
- Iimeko zentliziyo : Ingakumbi i-Congestive Heart Failure okanye i-Atrial Fibrillation .
- Amayeza athile: Iipilisi zokuphelisa iintlungu ezisekelwe kwi-opioid.
- Ubudala: Umngcipheko uyanda kubantu abangaphezu kwama-60.
- Iimeko ze-neurological : Ezifana ne-stroke.
- Ukuphakama Okuphezulu: Ukuhlala okanye ukuhamba kwiindawo eziphakamileyo (ngaphezulu kweenyawo eziyi-8,500), nto leyo enokubangela amanqanaba aphantsi eoksijini egazini (i-hypoxia).
Ukuba une-CSA, i-CPAP eqhelekileyo isenokungasebenzi kuba indlela yakho yomoya ayivalwanga. Umatshini we-ASV wenzelwe ngokukodwa ezi meko. Wakuba nje uziva ukuba ukuphefumla kwakho kuyekile ngenxa yokuba ingqondo ayiniki zimpawu, i-ASV iyasebenza ukuze inike inkxaso efunekayo.
Iingenelo kunye neengozi ze-ASV
Iingenelo:
- Isebenza Kakhulu: Le yenye yezona ndlela zonyango ziphumelele kakhulu kwi-Central Sleep Apnea.
- Intuthuzelo: Ngenxa yokuba ayityhaleli uxinzelelo oluqhubekayo noluzinzileyo, abasebenzisi abaninzi bayifumana ikhululekile ngakumbi kuneCPAP. Ivakala ngathi yendalo kuba ayikunyanzeli ukuba ukhuphe umoya xa uxhathisa.
- Yenzelwe wena: Ihambelana neendlela ezahlukeneyo zokuphefumla zomzimba wakho.
Isilumkiso Esibalulekileyo Sokhuseleko:
Kubaluleke Kakhulu: Ukuba unesifo sentliziyo esibizwa ngokuba yiCongestive Heart Failure , uphando lubonise ukuba ukusebenzisa umatshini we-ASV kunokuba neengozi ezithile. Ke ngoko, ukuba unale meko, kufuneka udibane nogqirha wakho okanye ingcali yentliziyo ngaphambi kokuba uqalise unyango lwe-ASV kwaye ulandele izikhokelo zabo ngokungqongqo.
Imibuzo kugqirha wakho ngaphambi kokuba uqale unyango
Ukuba ugqirha wakho ukuxelela umatshini we-ASV, xoxa ngala manqaku ukuqinisekisa ukuba uzive uqinisekile kwaye unolwazi:
- "Ndingayifumana idatha yokulala kule matshini, kwaye zeziphi iindlela eziphambili ekufuneka ndizijonge?"
- "Ngaba kukho iimeko ezithile zoxinzelelo ekufuneka ndizazi?"
- "Ungandichazela indlela olu hlengahlengiso olusekelwe kwisensor olusebenza ngayo kum?"
- "Ukuba ndikhe ndasebenzisa i-CPAP ngaphambili, imvakalelo yomzimba yokuphefumla nge-ASV iza kwahluka njani?"
Khumbula, ungaze unqikaze ukubuza imibuzo. Ukuqonda isicwangciso sakho sonyango kubalulekile kwimpilo yakho nentuthuzelo yakho.
Izinto ezibalulekileyo ekufuneka ziqwalaselwe
- Umatshini we-ASV sisixhobo esikrelekrele esisetyenziselwa ukunyanga ukuphefumla okuphazamisekileyo ebuthongweni, ngakumbi i-Central Sleep Apnea (CSA) .
- Ngokungafaniyo ne-CPAP eqhelekileyo, ayityhaleli umoya rhoqo; iyaziqhelanisa nesigqi sakho sokuphefumla, ingenelela kuphela xa kuyimfuneko.
- Abasebenzisi abaninzi bafumanisa ukuba indlela yokuguquguquka ye-ASV ilula ngakumbi kunonyango lwe-CPAP lwendabuko.
- Kubalulekile: Ukuba une- Congestive Heart Failure , kufuneka udibane nogqirha wakho ngaphambi kokuba usebenzise umatshini we-ASV.
- I-ASV ayifanele wonke umntu. Ugqirha wakho uza kukumisela unyango olungcono ngokusekelwe kwizifundo zokulala. Hlala ulandela iingcebiso zikagqirha wakho ukuze ukhuseleke kwaye ube nempilo entle.
