Ngaba ngamanye amaxesha uziva uphelelwa ngumphefumlo? Okanye ngaba kukho umntu kusapho lwakho, mhlawumbi utata, orhona kakhulu ebusuku xa elele, aze azive ngathi ufuthanisekile okwethutyana? Namhlanje siza kuthetha ngomatshini okhethekileyo osetyenziswa ngoogqirha kwiimeko ezinjalo. Lo matshini ubizwa ngokuba yiBiPAP. Usenokuba ukhe waliva eli gama esibhedlele. Masibone ukuba liyintoni kwaye lisebenza njani.
Yintoni iBiPAP ngokulula?
Ngamafutshane, iBiPAP ngumatshini okuncedayo ukuphefumla. Igama layo elipheleleyo yiBilevel Positive Airway Pressure. Kodwa akukho mntu uthi elo gama lide, libizwa ngokuba yiBiPAP ngamafutshane. Ukuba unokuphefumla wedwa, kodwa awukwazi ukufumana ioksijini eyaneleyo emzimbeni wakho, okanye ukuba awukwazi ukufumana i-carbon dioxide eyaneleyo emzimbeni wakho, ugqirha wakho unokugqiba ekubeni asebenzise lo matshini.
Eyona nzuzo inkulu yoku kukuba yindlela 'engangenisi' . Oko kukuthi, ayiqhagamshelwanga kwityhubhu esemqaleni wakho njengomntu okwiyunithi yokhathalelo olunzulu (ICU). Endaweni yoko, ikhupha umoya ngemaski efanela ubuso bakho . Ke ngoko, ikhuselekile kakhulu.
Cinga ngayo, "Uxinzelelo Lomoya Olulungileyo" luthetha ukuba lo matshini utyhala umoya empumlweni yakho, emlonyeni, nakwi-trachea ngoxinzelelo oluphezulu kancinci kunoluqhelekileyo. Uxinzelelo oluphezulu lugcina indlela yakho yomoya ivulekile, kwaye lunceda kakhulu ekungeneni nasekuphumeni komoya emiphungeni yakho.
Igama elithi "bilevel" lithetha ukuba oku kusebenza kumanqanaba amabini oxinzelelo .
1. Xa uphefumla (Uphefumla): Umoya unikwa ngoxinzelelo oluphezulu. Oku kuthiwa yi-Inhalation Positive Airway Pressure `(IPAP)` ngokwezonyango.
2. Xa ukhupha umoya: Umoya unikwa ngoxinzelelo oluphantsi. Oku kubizwa ngokuba yi-Exhale Positive Airway Pressure `(EPAP)`.
La manqanaba mabini oxinzelelo akwenza uzive ukhululekile kakhulu xa uphefumla naxa ukhupha umoya. Lo matshini wenzelwe ukulungisa uxinzelelo ngokuzenzekelayo ngokwendlela ophefumla ngayo.
Kuphantsi kweziphi iimeko apho kufuneka khona umatshini weBiPAP?
Umatshini weBiPAP usetyenziswa kwiimeko ezingxamisekileyo kunye nezigulo ezingapheliyo. Abanye abantu bade bawusebenzise lo matshini emakhaya. Makhe sijonge ezona meko zixhaphakileyo osetyenziselwa zona.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Ukumelwa yintliziyo | Ukunciphisa uxinzelelo emiphungeni ngenxa yokusebenza kwentliziyo okubuthathaka nokwenza ukuphefumla kube lula. |
| I-COPD (Isifo Esingapheliyo Sokuthintelwa Kwemiphunga) | Esi sisifo semiphunga esihlala ixesha elide. Sisetyenziselwa ukunciphisa ubunzima bokuphefumla ngexesha lokwanda kwesi sifo. |
| Ukuphelelwa ngamandla kokulala | Njengonyango lweemeko ezinje ngokuvaleka kwendlela yomoya okanye ukuyeka ukuphefumla okomzuzwana ngexesha lokulala. |
| Ukungaphumeleli kokuphefumla kwe-Hypercapnic | Oku kuthetha ukuba inqanaba lekhabhoni dayokhsayidi egazini liyanda kwaye alinakukhutshelwa kakuhle emzimbeni xa ukhupha umoya. I-BiPAP iyanceda koku. |
Yintoni umahluko phakathi kweBiPAP kunye neCPAP?
Usenokuba ukhe weva negama elithi CPAP. Nangona zombini zizixhobo ezikunceda uphefumle, kukho umahluko omncinci phakathi kwazo.
- I-CPAP (Uxinzelelo Lomoya Oluqhubekayo Olulungileyo): Lo matshini uhlala unika uxinzelelo olufanayo . Oku kuthetha ukuba nokuba uphefumla okanye uphuma, ufumana uxinzelelo olufanayo. Iimatshini ze-CPAP ziyacetyiswa kubantu abaninzi abane-sleep apnea.
- I-BiPAP (Uxinzelelo lwe-Bilevel Positive Airway): Njengoko besitshilo ngaphambili, oku kunika amanqanaba amabini oxinzelelo . Kunika uxinzelelo oluphezulu xa uphefumla kwaye kunciphisa uxinzelelo xa uphefumla.
Kwabanye abantu abakufumanisa kunzima ukuqhelana nomatshini we-CPAP baze bafumanise ukuba awukhululekanga, ugqirha unokucebisa umatshini we-BiPAP.
Unyango lweBiPAP lusebenza njani?
Kukho umahluko omncinci phakathi kwendlela enikwa ngayo le nto esibhedlele nendlela esetyenziswa ngayo ekhaya.
Ukuba usesibhedlele okanye kwi-ETU...
Ukuba ungeniswe kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ngexesha likaxakeka, ugqirha okanye umongikazi nguye oza kukudibanisa.
- Okokuqala, umatshini weBiPAP uyavulwa kwaye amanqanaba oxinzelelo ayalungiswa ukuze ahambelane nemeko yakho. Oku kukwabizwa ngokuba yi-titration.
- Emva koko, ukhetha imaski efanela ubuso bakho uze uyiqinise. Ezinye iimaski zigubungela impumlo kuphela, ngelixa ezinye zigubungela impumlo nomlomo. Zilungiswa ngokuchanekileyo ukuze zingabambeki okanye zibambeke.
Ukuba uyisebenzisa ekhaya...
Ukuba unikwe iBiPAP ukuba uyisebenzise ekhaya ngenxa yemeko efana ne-Sleep Apnea, kuya kufuneka uyilungise ngokwakho.
- Beka umatshini kwindawo ezinzileyo kwaye ujonge ukuba isihluzo sicocekile. Ukuba kukho isixhobo sokufumisa, sigcwalise ngamanzi acocekileyo ukuya kwinqanaba elifanelekileyo.
- Qhagamshela iipayipi kumatshini uze ufake imaski ngokufanelekileyo. Ugqirha wakho okanye umthengisi wezixhobo zonyango uza kukuchazela konke oku ngokucacileyo.
- Emva koko, ngelixa uhleli , beka imaski ebusweni bakho uze uyilungise kakuhle.
- Vula umatshini, ulale, uze ulale. Ukuba kuyimfuneko, lungisa imaski kancinci.
Eyona nto ibalulekileyo kukuba, ungazami ukutshintsha useto loxinzelelo olunikwe ngugqirha wakho. Ukuba unengxaki yokungakhululeki, thetha nogqirha wakho ngayo loo nto.
Zithini iingenelo kunye neengozi zoku?
Njengalo naluphi na unyango lwezonyango, unyango lwe-BiPAP lunokuba neenzuzo kunye neengozi.
| Iinzuzo | Iingozi |
|---|---|
| Ayingenisi: Akukho mbhobho ufakwayo emqaleni, ngoko ke umngcipheko wosulelo uphantsi. | Ukungakhululeki: Abanye abantu bakufumanisa kunzima ukunxiba imaski. |
| Uncedo lokuyeka inkxaso yobomi: Oku kungasetyenziselwa ukususa kancinci kancinci isigulana kwi-ventilator. | Uloyiko lokungaziva ukhululekile: Abanye abantu banokuziva bebanjwe yimaski. |
| Enye indlela endaweni ye-CPAP: I-BiPAP yindlela elungileyo kwabo banengxaki nge-CPAP. | Uxinzelelo lwegazi oluphantsi: Kwezinye iimeko, uxinzelelo lwegazi lunokwehla. |
| I-Aspiration Pneumonia: Kukho umngcipheko omncinci kakhulu wokungena kokutya okanye ulwelo emiphungeni nto leyo ebangela usulelo. |
Kubalulekile: Ukuze usebenzise umatshini weBiPAP, kufuneka ukwazi ukuphefumla wedwa. Ikunceda kuphela ukuphefumla. Ayinakusetyenziswa ngumntu oye wayeka ngokupheleleyo ukuphefumla.
Ndingenza ntoni ukuze ndiqhelane nomatshini weBiPAP?
Kuqhelekile ukuba lo matshini kunye nemaski zizive zingaqhelekanga kwaye zingakhululekanga ekuqaleni. Kodwa ungaqhela kancinci kancinci. Nazi ezinye iingcebiso ezilula zokunceda.
- Khetha imaski efanelekileyo kuwe: Kukho iintlobo ngeentlobo zeemaski ezithengiswayo. Buza ugqirha wakho ngeyona ifanelekileyo kuwe, ngokusekwe kwindlela olala ngayo kunye nokuma kobuso bakho.
- Ziqhelise ukunxiba imaski: Nxiba imaski okwethutyana emini, ungavuli umatshini. Njengaxa ubukele iTV okanye ufunda incwadi. Emva koko kuya kuba lula ukuqhelana nemvakalelo.
- Yisebenzise yonke imihla: Ingakumbi kwi-sleep apnea, yisebenzise yonke imihla ngaphandle kokutsiba usuku. Ukuba utsiba usuku, kuya kuba nzima ukuqhela kwaye iziphumo ziya kuba zincinci.
- Sebenzisa uphawu lwe "Ramp": Ukuba umatshini wakho unalo olu phawu, luvule. Luza kukunika uxinzelelo oluphantsi ude ulale, uze ulunyuse kancinci kancinci luye kwinqanaba olifunayo xa sele ulele. Oku kuya kwenza kube lula kakhulu ukulala.
Ukuba ufumana naluphi na uvakalelo olungathandekiyo, njengolusu olomileyo okanye impumlo exineneyo, thetha nogqirha wakho. Kunokwenzeka ukuba ulungise i-humidifier ematshinini okanye usebenzise enye indlela.
Umyalezo Wokuya Ekhaya
- I-BiPAP ngumatshini okuncedayo ukuphefumla, kodwa awuphefumli. Ngoko ke, kufuneka ukwazi ukuphefumla wedwa ukuze uyisebenzise.
- Oku kunamanqanaba amabini oxinzelelo (i-Bi-level). Ufumana uxinzelelo oluphezulu xa uphefumla kwaye uphantsi uxinzelelo xa uphefumla. Umatshini we-CPAP unoxinzelelo olunye kuphela.
- I-BiPAP isetyenziselwa ukwenza ukuphefumla kube lula kwiimeko ezifana ne-COPD, i-Sleep Apnea, kunye nezinye izifo zentliziyo.
- Kusenokuba nzima ukuqhelana nemaski ekuqaleni, kodwa ngomonde nangokuqhubeka uyisebenzisa, ukungonwabi kuya kuphela.
- Ukuba unenkxalabo malunga nezicwangciso okanye ukusetyenziswa komatshini wakho weBiPAP, thetha nogqirha wakho ngayo ngokukhululekileyo.
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