Kwabanye abantu, ukulala kuyinto ephazamisayo kakhulu futhi eyethusayo. Ngesikhathi sokulala, ukuphefumula kuyayeka ngokuzumayo, bese kuthi ngemva kwesikhashana, baphinde baphefumule kakhulu. Lesi simo sisibiza ngokuthi ' i-sleep apnea '. Kungenzeka ukuthi uke wezwa ngomshini we-CPAP osetshenziswa njengokwelapha lokhu. Kodwa namuhla sizokhuluma ngomshini osebenza ngendlela ehlukile kancane, futhi ngendlela 'ehlakaniphile' kakhulu. Lowo umshini we-ASV. Leli gama lingase libe lisha kuwe, kodwa lingaba yisisombululo esihle kakhulu sezinkinga zokuphefumula eziyinkimbinkimbi zokulala.
Uyini umshini we-ASV?
Kalula nje, i-ASV ( i-Adaptive-servo ventilation ) umshini okhethekile osetshenziselwa ukwelapha izinkinga zokuphefumula ngesikhathi sokulala. Njengomshini we-CPAP, lo mshini udinga ukuthi ulale ugqoke imaski exhunywe epayipini. Usebenza ngokuletha umoya ocindezelwe ukuze ugcine umoya wakho uvulekile.
Kodwa nansi into. Umshini we-ASV uwumshini 'ohlakaniphe kakhulu'. Awugcini nje ngokupompa umoya njalo. Kunalokho, usebenzisa izinzwa ezikhethekile ukukala njalo iphethini yakho yokuphefumula. Umshini uyaqonda konke kusukela endleleni ophefumula ngayo, ukuthi uyeka nini ukuphefumula, nokuthi uphefumula ngokushesha kangakanani. Bese, uletha kuphela ingcindezi oyidingayo ngaleso sikhathi, njengoba kudingeka. Lokhu kusho ukuthi uwumshini oguquguqukayo ovumelana nomzimba wakho.
Ihluke kanjani i-ASV ku-CPAP?
Nakuba inhloso eyisisekelo yale mishini yomibili ifana, indlela esebenza ngayo ihluke kakhulu. Ukuze uqonde lo mehluko, bheka ithebula elingezansi.
| Isici | Umshini we-CPAP (Ukucindezela Komoya Okuqhubekayo Okuhle) | Umshini wokungenisa umoya we-ASV (Adaptive-servo ventilation) |
|---|---|---|
| Indlela yokunikeza umfutho womoya | Udokotela uzoqhubeka nokunikeza ingcindezi efanayo njalo njengoba eshilo. | Kuye ngokuthi uphefumula kanjani, ingcindezi ishintshwa ibe yinani elidingekayo ngesikhathi esifanele (ingcindezi eguquguqukayo). |
| Ukusebenza kahle | Indlela yokuphefumula ivuleka ngenkani. Ngisho nalapho ukhipha umoya, kufanele usebenze ngokumelene nalokhu kucindezela. | Ukuphefumula kuyaqashwa futhi ingcindezi isetshenziswa kuphela uma ukuphefumula kuyeka noma kuba kuncane. Ukungenelela kuncane kakhulu ngesikhathi sokuphefumula okuvamile. |
| Kusetshenziswa kakhulu | Ngokuvamile kubizwa ngokuthi i-'Obstructive Sleep Apnea (OSA)' (isimo esibangelwa ukuvaleka kwendlela yokuphefumula). | Ngokuyinhloko yesimo esibizwa ngokuthi i-'Central Sleep Apnea (CSA)' kanye nezinye izimo eziyinkimbinkimbi ze-sleep apnea. |
Kuyini i-Central Sleep Apnea (CSA)? I-ASV ingasiza kanjani?
Kunezinhlobo ezimbili ze-sleep apnea. Eyodwa yi-"Obstructive Sleep Apnea (OSA)," ebangelwa yimisipha yomphimbo efinyela futhi ivale indlela yokuphefumula. Yilona uhlobo oluvame kakhulu.
Kodwa i-'Central Sleep Apnea (CSA)' ihlukile. Kulesi simo, akukho nkinga emaphashini noma emphinjeni wakho. Inkinga isebuchosheni bakho! Ukuphefumula kwethu kulawulwa yimiyalezo evela ebuchosheni. Ku-CSA, ubuchopho abuthumeli umlayezo emzimbeni ukuze uphefumule kahle. Ngakho-ke, ukuphefumula kuyama isikhashana ngesikhathi sokulala.
Izinto ezingabangela i-CSA:
- Isifo senhliziyo : Ikakhulukazi izimo ezifana ne-'Congestive Heart Failure' noma i- 'Atrial Fibrillation (Afib)'.
- Eminye imithi: Imithi ye-opioid esetshenziswa njengeziqeda ubuhlungu .
- Ubudala: Le ngozi iphezulu kubantu abangaphezu kweminyaka engama-60 ubudala.
- Izifo zesimiso sezinzwa : Izimo ezifana nesifo sohlangothi.
- Ukuhlala ezindaweni eziphakeme: Ukuhlala noma ukuhamba ezindaweni eziphakeme ngaphezu kwamamitha angu-8,500 ngaphezu kolwandle kungabangela amazinga aphansi omoya-mpilo egazini (`Hypoxia`).
Umshini we-CPAP ungase ungasebenzi kumuntu one-CSA, ngoba inkinga akuyona indlela yokuphefumula evinjiwe. Umshini we-ASV wenzelwe ngqo lolu hlobo lwesimo. Lapho ukuphefumula kuphela ngaphandle komyalezo ovela ebuchosheni, i-ASV iyakubona futhi inikeze ingcindezi edingekayo ukusiza ukuphefumula.
Yiziphi izinzuzo nezingozi zomshini we-ASV?
Izinzuzo ezithile:
- Isebenza kahle kakhulu: Lokhu kuyindlela yokwelapha ephumelela kakhulu yesifo i-'Central Sleep Apnea'.
- Kukhululekile: Ngenxa yokuthi akukho umfutho womoya oqhubekayo, lokhu kulula kubantu abaningi ukukusebenzisa kune-CPAP. Kuzwakala kungokwemvelo kubantu abaningi ngoba akudingeki bacindezeleke kakhulu lapho bekhipha umoya.
- Ukwenza ngokwezifiso: Lokhu kuyindlela yokwelapha eqondene ngqo nomzimba wakho.
Izingozi ezikhethekile okufanele uziqaphele:
Kubaluleke kakhulu: Uma unesifo senhliziyo esibizwa ngokuthi `Congestive Heart Failure` , ezinye izifundo zibonise ukuthi kungase kube nezingozi ezithile ezihlobene nokusebenzisa umshini we-ASV. Ngakho-ke, uma unesifo esinjalo, kufanele nakanjani uxoxe ngaso nodokotela wakho ngaphambi kokusebenzisa umshini we-ASV futhi wenze isinqumo ngokusekelwe kuphela eselulekweni sakhe.
Izinto okudingeka uzazi kudokotela wakho ngaphambi kokusebenzisa lo mshini
Uma udokotela wakho ekuncoma umshini we-ASV, buza le mibuzo bese uxazulula noma yiziphi izinkinga ongase ube nazo ngaphambi kokuwuqala.
- "Dokotela, ngingayibona yini idatha yami yokuphefumula kulo mshini? Yini engidinga ukuyazi kuwo?"
- "Ingabe kukhona okukhethekile okufanele ngikwazi mayelana nezilungiselelo zokucindezela kulokhu?"
- "Ungachaza kancane ngendlela izinzwa ezisebenza ngayo?"
- "Uma ngike ngasebenzisa i-CPAP ngaphambili, ingabe kuzozwakala kuhlukile uma ngisebenzisa lena?"
Khumbula, ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo. Kubaluleke kakhulu ukuthi uqonde kahle ukwelashwa kwakho.
Umlayezo Wokuya Nawe Ekhaya
- Umshini we-ASV uyithuluzi 'elihlakaniphile' elelapha izinkinga zokuphefumula ngesikhathi sokulala, ikakhulukazi isimo esithi 'Central Sleep Apnea (CSA) '.
- Ayipompi umoya njalo njengomshini we-CPAP. Kunalokho, ivumelana nephethini yakho yokuphefumula futhi iyasiza kuphela uma kudingeka.
- Ngenxa yalokhu, abanye abantu bakuthola kulula ukuyisebenzisa kune-CPAP.
- Kubaluleke kakhulu: Uma unesifo senhliziyo esifana ne- Congestive Heart Failure , qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokusebenzisa umshini we-ASV.
- Lokhu akuyona indlela yokwelapha eyodwa efanelana nazo zonke. Udokotela wakho uzonquma indlela yokwelapha engcono kakhulu kuwe ngemuva kokuhlolwa kwezokwelapha. Kubaluleke kakhulu ukulandela imiyalelo yakhe.
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