Usenokuba ukhe wabona umntu kusapho lwakho okanye umntu omaziyo enxibe imaski esibhedlele, ingakumbi kwigumbi labagula kakhulu (ICU). Xa kunzima ukuphefumla, oogqirha basebenzisa olu hlobo loomatshini. Namhlanje siza kuthetha ngomatshini okhethekileyo osetyenziswa ngamaxesha anje kwaye onceda kakhulu ekuphefumleni. Ngumatshini weBiPAP lowo. Makhe sijonge ukuba uyintoni, usebenza njani, kwaye zithini izibonelelo zawo.
Yintoni iBiPAP? Masiyiqonde ngokulula.
I-BiPAP imele i-'Bilevel Positive Airway Pressure'. Nangona eli gama lisenokuvakala liyinkimbinkimbi, lilula kakhulu. Ngumatshini okuncedayo ukuphefumla. Khawuthelekelele ukuba unokuphefumla wedwa, kodwa umzimba wakho awufumani ioksijini eyaneleyo okanye i-carbon dioxide eveliswa yiyo ayiphumi kakuhle. Kulapho oogqirha basebenzisa khona umatshini we-BiPAP.
Oku kuquka ukunika umoya ngoxinzelelo oluthile ngemaski ehambelana nobuso bakho. Oku sikubiza ngokuba yi-"Non-invasive ventilation". Oko kukuthi, yindlela enceda ngaphandle ngaphandle kokufaka izixhobo emzimbeni, njenge-"Invasive mechanical ventilation", eyenziwa ngetyhubhu edlula emqaleni.
Igama elithi 'bilevel' lithetha ukuba lo matshini ukhupha umoya kumanqanaba amabini oxinzelelo .
1. Ukuphefumla: Xa uphefumla, umoya unikwa ngoxinzelelo oluphezulu. Oku kubizwa ngokuba yi-`(Inhalation Positive Airway Pressure - IPAP)`. Oku kuvumela umoya ukuba ungene emiphungeni ngokulula.
2. Ukukhupha umoya: Xa ukhupha umoya, umoya uphuma ngoxinzelelo oluphantsi. Oku kubizwa ngokuba yi-"Exhaletion Positive Airway Pressure - EPAP". Yingakho ungaziboni bunzima bokukhupha umoya.
La manqanaba mabini oxinzelelo anokumiselwa ngumatshini ngexesha elithile, okanye ungawamisela ukuba atshintshe ngokuzenzekelayo ngokusekelwe kwindlela ophefumla ngayo.
Yintoni umahluko phakathi kweBiPAP kunye neCPAP?
Omnye umatshini oza engqondweni xa uthetha ngeBiPAP yiCPAP. Nangona zombini zinceda ekuphefumleni, kukho umahluko omncinci kwindlela ezisebenza ngayo.
Ngamafutshane, umatshini we-CPAP unika uxinzelelo olufanayo xa uphefumla naxa ukhupha umoya. Umatshini we-BiPAP unika uxinzelelo oluphezulu xa uphefumla kwaye unciphisa uxinzelelo xa ukhupha umoya.
Iimashini zeCPAP zisetyenziswa kakhulu ukunyanga i-sleep apnea. Nangona kunjalo, ukuba abanye abantu banengxaki yokuziqhelanisa neCPAP, okanye ukuba banezinye iingxaki zempilo, ugqirha wabo unokucebisa umatshini weBiPAP.
Lo mahluko ungaqondwa ngokucacileyo kwitheyibhile engezantsi.
| Uphawu | Umatshini weBiPAP | Umatshini we-CPAP |
|---|---|---|
| Uxinzelelo Lomoya | Amanqanaba amabini oxinzelelo (ahlukileyo okuphefumla nokuphefumla) | Uxinzelelo olufanayo oluqhubekayo |
| Ukusetyenziswa Okuphambili | I-COPD, ukusilela kwentliziyo, izigulane ezingakwaziyo ukunyamezela i-CPAP | Kwabaninzi abantu abane-Sleep Apnea |
Ufuneka nini umatshini weBiPAP?
Oomatshini beBiPAP basetyenziswa kwiimeko ezingxamisekileyo kunye nokulawula iimeko ezingapheliyo. Nazi ezinye zeendlela eziphambili zokusetyenziswa kwalo matshini:
- Ukungasebenzi kakuhle kwentliziyo: Xa ukusebenza kwentliziyo kubuthathaka, oku kunokuchaphazela imiphunga kwaye kubangele ubunzima bokuphefumla.
- I-COPD (Isifo semiphunga esinganyangekiyo): Esi sisifo semiphunga esihlala ixesha elide. I-BiPAP isetyenziselwa ukunceda ekuphefumleni ngexesha lokwanda kwesi sifo.
- I-obstructive and central sleep apnea: Kubantu abangaphenduliyo okanye abangakwaziyo ukunyamezela i-CPAP.
- Ukungaphumeleli kokuphefumla okunamandla kakhulu: Ngamafutshane, le yimeko apho inqanaba lekhabhoni diokside egazini liphezulu kakhulu ukuba lingakhutshwa ngokufanelekileyo emzimbeni. Kwimeko enjalo, iBiPAP inceda ekukhupheni ikhabhoni diokside.
Inikwa njani unyango lweBiPAP?
Indlela osebenzisa ngayo umatshini weBiPAP iyahluka kancinci kuxhomekeke ekubeni usesibhedlele okanye usekhaya.
Esibhedlele
Esibhedlele, umongikazi okanye ugqirha uza kukudibanisa nale nto.
- Okokuqala, bavula umatshini weBiPAP baze balungise amanqanaba oxinzelelo ukuze ahambelane nemeko yakho. Oku kubizwa ngokuba yi-`(titration)`.
- Emva koko, ukhetha imaski efanela ubuso bakho kakuhle uze uyiqinise kancinci. Le mask ingaba yileyo igubungela impumlo kuphela, okanye leyo igubungela impumlo nomlomo.
Ukuba usebenzisa ekhaya
Ukuba ugqirha wakho ukucebisile umatshini weBiPAP ukuba uwusebenzise ekhaya, kufuneka ulandele la manyathelo.
- Okokuqala, beka umatshini kwindawo ezinzileyo kwaye ujonge ukuba isihluzo sicocekile. Ukuba kuyimfuneko, yongeza amanzi kwi-humidifier kwaye uqhagamshele ityhubhu kumatshini nakwimaski. Ugqirha wakho okanye umthengisi wezixhobo zonyango uya kukuchazela indlela yokwenza ezi zinto.
- Okulandelayo, hlala uthe nkqo, beka imaski ebusweni bakho, uze ulungise kancinci indawo ohlala kuyo ukuze kungabikho moya uphumayo.
- Ngoku vula umatshini, ulale ebhedini, uze uphinde ufake imaski ukuba kuyimfuneko.
Ziziphi iingenelo kunye neengozi zeBiPAP?
Njengalo naluphi na unyango lwezonyango, i-BiPAP ineenzuzo kunye neengozi ezithile.
| Iinzuzo | Iingozi kunye neengxaki |
|---|---|
| - Ekubeni kungekho zixhobo zifakwayo emzimbeni (ezingenazo izithintelo), umngcipheko wosulelo uphantsi. | - Oku akunakusetyenziswa xa isigulana singaphefumli sodwa. |
| - Inceda izigulane ezisuswayo kwisixhobo sokuxhasa ubomi ukuba zifunde ukuphefumla kwakhona. | - Kusenokuvakala kungathandeki ekuqaleni. Abanye abantu banokuziva becinezelekile ngenxa yemaski. |
| - Ukhetho olufanelekileyo kwabo banengxaki yokuqhelana ne-CPAP. | - Amaxesha amaninzi, uxinzelelo olugqithisileyo lunokubangela umonakalo emiphungeni (uninzi lweematshini luneempawu zokhuseleko). |
| - Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi). | |
| - Kukho umngcipheko wokuba ukutya neziselo zingene emiphungeni zize zibangele i-pneumonia (i-aspiration pneumonia). |
Ndingenza njani ukuba iBiPAP isebenziseke lula?
Kuthatha ixesha ukuqhela umatshini weBiPAP, kodwa ukuba ulandela le miyalelo, kuya kuba lula kakhulu kuwe.
- Khetha imaski efanelekileyo: Khetha imaski efanela ubuso bakho ngqo, kuxhomekeke kwindlela olala ngayo. Cela ingcebiso kugqirha wakho ngale nto.
- Ziqhelise ukunxiba imaski: Ngaphambi kokuba ulale, nxiba imaski okwethutyana emini ungavuli umatshini. Emva koko kuya kuba lula ukuqhelana nemvakalelo.
- Sebenzisa rhoqo: Ukuba uyisebenzisela i-sleep apnea, yisebenzise yonke imihla. Ukuba uyayisebenzisa usuku olunye uze uye kwenye, kuya kuba nzima ukuqhela, kwaye iziphumo ziya kuba zincinci.
- Sebenzisa uphawu lwe-'Ramp': Ukuba umatshini wakho unalo olu phawu, luvule. Oku kuya kukunika uxinzelelo oluphantsi ude ulale, uze unyuke ngokuzenzekelayo uye kuxinzelelo olumiselweyo emva kokuba ulele.
Ukuba uvakalelwa kukuba i-COPD okanye i-sleep apnea yakho ayilawulwa ngokwaneleyo ngolu nyango, qiniseka ukuba uthetha nogqirha wakho . Uza kuvavanya imeko yakho aze akhethe eyona ndlela ilungileyo yonyango kuwe.
Umyalezo Wokuya Ekhaya
- I-BiPAP ngumatshini okuncedayo ukuphefumla, kungekhona umatshini wokuxhasa ubomi ophefumla ngokupheleleyo.
- Oku kwahlukile kwi-CPAP kuba kunika amanqanaba amabini oxinzelelo xa uphefumla naxa ukhupha umoya.
- Isetyenziswa kakhulu kwi-COPD, isifo sentliziyo, kunye nezinye iimeko ze-apnea yokulala.
- Kungathatha ixesha ukuqhela umatshini kunye nemaski, ngoko ke kubaluleke kakhulu ukukhetha imaski efanelekileyo kwaye uyisebenzise rhoqo.
- Ukuba kukho naluphi na uvakalelo okanye iingxaki, soloko uqhagamshelana nogqirha wakho.
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