Kwabaningi, ukulala kungaba umthombo wokukhathazeka. Uma wake watshelwa ukuthi ukuphefumula kwakho kuyayeka ngokuzumayo ebusuku bese uqala kabusha ngokuphefumula, kungenzeka ukuthi ubhekene ne -sleep apnea . Kungenzeka ukuthi usuvele ujwayelene nomshini we-CPAP ovame ukusetshenziswa ukuphatha lokhu. Nokho, namuhla sizoxoxa ngenye indlela ethuthukisiwe, "ehlakaniphile": umshini we-ASV. Nakuba igama lingase libe lisha kuwe, lingaba yisisombululo esifanele sezinselele ezithile eziyinkimbinkimbi zokuphefumula ubuthongo.
Uyini umshini we-ASV?
Kalula nje, i-ASV ( Adaptive-Servo Ventilation ) iyithuluzi elikhethekile elisetshenziselwa ukwelapha ubunzima bokuphefumula ngesikhathi sokulala. Njengomshini we-CPAP, idinga ukuthi ugqoke imaski exhunywe ngepayipi kudivayisi. Isebenza ngokuletha umoya ocindezelwe ukuze ugcine izindlela zakho zokuphefumula zivulekile.
Nokho, nansi umehluko: i-ASV iyithuluzi 'elihlakaniphile' ngempela. Ayigcini nje ngokusunduza umoya ngesivinini esingaguquki. Kunalokho, isebenzisa izinzwa ezakhelwe ngaphakathi ukuqapha iphethini yakho yokuphefumula ehlukile ngesikhathi sangempela. Ithola ukuthi uphefumula kanjani, ukuthi uphefumula nini, nokuthi uphefumula ngokushesha kangakanani. Bese ikhipha ingcindezi kuphela lapho idingeka khona nalapho idingeka khona. Empeleni, ingumshini oguquguqukayo ohambisana nezidingo zomzimba wakho.
I-ASV ihluke kanjani ku-CPAP?
Nakuba yomibili imishini ihlose ukukusiza uphefumule kangcono, indlela esebenza ngayo ihlukile kakhulu. Sicela ubheke ithebula elingezansi ukuze uqonde lo mehluko obalulekile.
| Isici | I-CPAP (Ukucindezeleka Komoya Okuhle Okuqhubekayo) | I-ASV (Umoya Oguquguqukayo-Osetshenziswayo) |
|---|---|---|
| Ukulethwa Komfutho Womoya | Inikeza ingcindezi engaguquki, engaguquki enqunywe udokotela wakho. | Ilungisa ingcindezi ngendlela eguquguqukayo (ingcindezi eguquguqukayo) ngokusekelwe emjikelezweni wakho wokuphefumula. |
| Ukusebenza kahle | Kugcina indlela yokuphefumula ivulekile ngokuphoqa umoya ukuthi ungene; kumele uphefumulele ngaphandle ubhekene nokucindezeleka okuqhubekayo. | Iqapha ukuphefumula futhi inikeza ukwesekwa kuphela uma ukuphefumula kuyeka noma kuba kuncane. |
| Ukusetshenziswa Okuyinhloko | Ngokuyinhloko ngenxa ye-Obstructive Sleep Apnea (OSA) ebangelwa ukuvaleka komoya. | Ngokuyinhloko nge-Central Sleep Apnea (CSA) kanye nezinye izimo eziyinkimbinkimbi ze-sleep apnea. |
Kuyini i-Central Sleep Apnea (CSA) futhi i-ASV isiza kanjani?
Kunezinhlobo ezimbili ze-sleep apnea. Eyokuqala yi-'Obstructive Sleep Apnea' (OSA), lapho imisipha emphinjeni ikhululeka khona futhi ivimbe indlela yokuphefumula. Lolu uhlobo oluvame kakhulu.
Nokho, i-`Central Sleep Apnea` (CSA) ihlukile. Inkinga ayikho emaphashini noma emphinjeni wakho—isebuchosheni bakho! Ukuphefumula kwethu kulawulwa izimpawu ezithunyelwa ebuchosheni. Ku-CSA, ubuchopho buyehluleka ukuthumela isignali efanele emzimbeni ukuze uphefumule, okubangela ukuphumula kokuphefumula ngesikhathi sokulala.
Izimbangela ezingaba khona ze-CSA:
- Izimo zenhliziyo : Ikakhulukazi i-Congestive Heart Failure noma i-Atrial Fibrillation .
- Imithi ethile: Amaphilisi okudambisa ubuhlungu asekelwe kuma-opioid.
- Ubudala: Ingozi iyanda kubantu abangaphezu kweminyaka engama-60.
- Izimo ze-neurological : Njengokushaywa yisifo sohlangothi.
- Ukuphakama Okuphezulu: Ukuhlala noma ukuhamba ezindaweni eziphakeme (ngaphezu kwamamitha angu-8,500), okungabangela amazinga aphansi e-oxygen egazini (i-hypoxia).
Uma une-CSA, i-CPAP ejwayelekile ingase ingasebenzi ngoba indlela yakho yokuphefumula ayivaliwe. Umshini we-ASV wenzelwe ngqo lezi zimo. Lapho nje uzwa ukuthi ukuphefumula kwakho kumisiwe ngenxa yokuthi ubuchopho abukwazi ukunikeza izimpawu, i-ASV iyasebenza ukuze inikeze ukwesekwa okudingekayo.
Izinzuzo Nezingozi ze-ASV
Izinzuzo:
- Isebenza Kakhulu: Ingenye yezindlela zokwelapha eziphumelela kakhulu ze-Central Sleep Apnea.
- Induduzo: Ngenxa yokuthi ayicindezeli ingcindezi engaguquki, abasebenzisi abaningi bayithola ikhululekile kune-CPAP. Izwakala ingokwemvelo njengoba ingakuphoqi ukuthi ukhiphe umoya ngokumelene nokumelana okungaguquki.
- Okwenziwe Ngokwezifiso: Kuvumelana nezindlela zomzimba wakho zokuphefumula ezihlukile.
Isexwayiso Esibalulekile Sokuphepha:
Kubaluleke Kakhulu: Uma unesifo sokuhluleka kwenhliziyo okubangelwa yi -Congestive Heart Failure , izifundo zikhombisile ukuthi ukusebenzisa umshini we-ASV kungaba nezingozi ezithile. Ngakho-ke, uma unalesi simo, kufanele uthintane nodokotela wakho noma udokotela wenhliziyo ngaphambi kokuqala ukwelashwa kwe-ASV futhi ulandele isiqondiso sabo ngokuqinile.
Imibuzo kudokotela wakho ngaphambi kokuqala ukwelashwa
Uma udokotela wakho ekubhalela umshini we-ASV, xoxa ngala maphuzu ukuqinisekisa ukuthi uzizwa uqiniseka futhi unolwazi:
- "Ngingakwazi yini ukufinyelela idatha yokulala kulo mshini, futhi yiziphi izitayela ezibalulekile okufanele ngizibheke?"
- "Ingabe kukhona izilungiselelo ezithile zokucindezela engidinga ukuzazi?"
- "Ungangichazela ukuthi ukulungiswa okusekelwe ku-sensor kusebenza kanjani kimi?"
- "Uma ngike ngasebenzisa i-CPAP ngaphambili, umuzwa wokuphefumula nge-ASV uzohluka kanjani?"
Khumbula, ungalokothi unqikaze ukubuza imibuzo. Ukuqonda uhlelo lwakho lokwelashwa kubalulekile empilweni yakho kanye nenduduzo yakho.
Izinto Ezibalulekile Okufanele Uzicabangele
- Umshini we-ASV uyithuluzi elihlakaniphile elisetshenziselwa ukwelapha ukuphefumula okuphazamisekile ebuthongweni, ikakhulukazi i-Central Sleep Apnea (CSA) .
- Ngokungafani ne-CPAP ejwayelekile, ayicindezeli umoya njalo; ivumelana nesigqi sakho sokuphefumula, ingenelela kuphela uma kudingeka.
- Abasebenzisi abaningi bathola ukuthi i-ASV ivumelana nezimo ikhululekile kakhulu kunokwelashwa kwe-CPAP kwendabuko.
- Okubalulekile: Uma une- Congestive Heart Failure , kufanele uthintane nodokotela wakho ngaphambi kokusebenzisa umshini we-ASV.
- I-ASV ayilungele wonke umuntu. Udokotela wakho uzonquma ukwelashwa okungcono kakhulu kuwe ngokusekelwe ezifundweni zokulala zezokwelapha. Landela njalo izincomo zikadokotela wakho ukuze uphephe futhi uphile kahle.
