Ingabe ngezinye izikhathi uzizwa uphelelwa umoya? Noma ingabe othile emndenini wakho, mhlawumbe ubaba, uhogela kakhulu ebusuku elele, futhi uzizwe sengathi uyacinana isikhashana? Namuhla sizokhuluma ngomshini okhethekile osetshenziswa odokotela ezimweni ezinjalo. Lowo ubizwa ngokuthi i-BiPAP. Kungenzeka ukuthi uke wezwa leli gama esibhedlela. Ake sibone ukuthi liyini nokuthi lisebenza kanjani.
Kuyini i-BiPAP ngamagama alula?
Kalula nje, i-BiPAP ingumshini okusiza ukuphefumula. Igama layo eliphelele yi-Bilevel Positive Airway Pressure. Kodwa akekho osho lelo gama elide, libizwa ngokuthi i-BiPAP ngamafuphi. Uma ukwazi ukuphefumula wedwa, kodwa ungakwazi ukuthola umoya-mpilo owanele emzimbeni wakho, noma uma ungakwazi ukukhipha i-carbon dioxide eyanele emzimbeni wakho, udokotela wakho angase anqume ukusebenzisa lo mshini.
Inzuzo enkulu yalokhu ukuthi kuyindlela 'engahlaseli' . Okusho ukuthi, ayixhunyiwe epayipini emphinjeni wakho njengomuntu osegumbini lokunakekelwa okujulile (ICU). Kunalokho, ikhipha umoya ngemaski efanela ubuso bakho . Ngakho-ke, iphephile kakhulu.
Cabanga ngakho, "Ukucindezela Komoya Okuhle" kusho ukuthi lo mshini ufaka umoya ekhaleni lakho, emlonyeni, kanye nase-trachea ngengcindezi ephezulu kancane kunokuvamile. Leyo ngcindezi ephezulu igcina indlela yakho yokuphefumula ivulekile, futhi iyasiza kakhulu ngokungena nokuphuma komoya emaphashini akho.
Igama elithi "bilevel" lisho ukuthi lokhu kusebenza emazingeni amabili okucindezela .
1. Uma uphefumula (Uphefumula): Umoya unikezwa ngomfutho ophezulu. Lokhu kubizwa ngokwezokwelapha ngokuthi i-Inhalation Positive Airway Pressure `(IPAP)`.
2. Uma ukhipha umoya: Umoya unikezwa ngomfutho ophansi. Lokhu kubizwa ngokuthi i-Exhalation Positive Airway Pressure `(EPAP)`.
La mazinga amabili okucindezela akwenza uzizwe ukhululekile kakhulu kokubili uma uphefumula futhi ukhipha umoya. Lo mshini wenzelwe ukulungisa ngokuzenzakalelayo ingcindezi ngokwendlela ophefumula ngayo.
Kukuziphi izimo lapho kudingeka khona umshini we-BiPAP?
Umshini we-BiPAP usetshenziswa ezimweni eziphuthumayo kanye nasezimweni ezingamahlalakhona. Abanye abantu basebenzisa lo mshini ngisho nasekhaya. Ake sibheke izimo ezivame kakhulu osetshenziselwa zona.
| Isimo sezokwelapha | Incazelo elula |
|---|---|
| Ukwehluleka Kwenhliziyo | Ukunciphisa ingcindezi emaphashini ngenxa yokusebenza kwenhliziyo okubuthakathaka nokwenza ukuphefumula kube lula. |
| I-COPD (Isifo Esingapheli Sokuvimbela Amaphaphu) | Lesi yisifo samaphaphu esihlala isikhathi eside. Sisetshenziselwa ukunciphisa ubunzima bokuphefumula ngesikhathi sokwanda kwesifo. |
| Ukuphefumula komoya ngesikhathi sokulala | Njengokwelashwa kwezimo ezinjengokuvinjelwa komoya noma ukuyeka ukuphefumula okwesikhashana ngesikhathi sokulala. |
| Ukwehluleka Kokuphefumula Okuphezulu | Lokhu kusho ukuthi izinga le-carbon dioxide egazini liyakhuphuka futhi alikwazi ukukhishwa kahle emzimbeni uma ukhipha umoya. I-BiPAP iyasiza kulokhu. |
Uyini umehluko phakathi kwe-BiPAP ne-CPAP?
Kungenzeka ukuthi uke wezwa negama elithi CPAP. Nakuba zombili ziyimishini ekusiza ukuphefumula, kunomehluko omncane phakathi kwazo zombili.
- I-CPAP (Ukucindezela Komoya Okuqhubekayo Okuhle): Lo mshini uqhubeka nokuletha ingcindezi efanayo . Lokhu kusho ukuthi kungakhathaliseki ukuthi uphefumula noma uphuma, uthola ingcindezi efanayo. Imishini ye-CPAP inconywa kubantu abaningi abane-sleep apnea.
- I-BiPAP (Bilevel Positive Airway Pressure): Njengoba sishilo ngaphambili, lokhu kunikeza amazinga amabili okucindezela . Kunikeza ukucindezeleka okuphezulu uma uphefumula kanye nokucindezeleka okuphansi uma uphefumula.
Kwabanye abantu abakuthola kunzima ukujwayela umshini we-CPAP, udokotela angase atuse umshini we-BiPAP.
Ukwelashwa kwe-BiPAP kusebenza kanjani?
Kunomehluko omncane phakathi kwendlela onikezwa ngayo lokhu esibhedlela nendlela okusetshenziswa ngayo ekhaya.
Uma usesibhedlela noma e-ETU...
Uma ungeniswa e-Emergency Treatment Unit (ETU) esimweni esiphuthumayo, udokotela noma umhlengikazi nguyena ozokuxhumanisa.
- Okokuqala, umshini we-BiPAP uyavulwa bese amazinga okucindezela alungiswa ukuze avumelane nesimo sakho. Lokhu kubizwa nangokuthi i-titration.
- Bese ukhetha imaski efanela ubuso bakho bese uyiqinisa. Amanye amamaski amboza ikhala kuphela, kanti amanye amboza ikhala nomlomo. Ilungiswa kahle ukuze ingabhajwa noma ibambeke.
Uma uyisebenzisa ekhaya...
Uma unikezwe i-BiPAP ukuze uyisebenzise ekhaya ngenxa yesimo esifana ne-Sleep Apnea, kuzodingeka uyilungise wena.
- Beka umshini endaweni eqinile bese uhlola ukuthi isihlungi sihlanzekile. Uma kukhona umshini wokufutha, sigcwalise ngamanzi ahlanzekile afike ezingeni elifanele.
- Xhuma amapayipi emshinini bese ufaka imaski kahle. Udokotela wakho noma umhlinzeki wemishini yezokwelapha uzokuchazela konke lokhu ngokucacile.
- Bese, ngenkathi uhleli , faka imaski ebusweni bakho bese uyilungisa kahle.
- Vula umshini, ulale, bese ulala. Uma kudingeka, lungisa imaski kancane.
Into ebaluleke kakhulu ukuthi, ungazami ukushintsha izilungiselelo zokucindezela udokotela wakho akunike zona. Uma unenkinga, khuluma nodokotela wakho ngakho.
Yiziphi izinzuzo nezingozi zalokhu?
Njenganoma yiluphi uhlobo lokwelashwa, ukwelashwa kwe-BiPAP kungaba nezinzuzo kanye nezingozi.
| Izinzuzo | Izingozi |
|---|---|
| Ayihlaseli: Akukho payipi elifakwa emphinjeni, ngakho-ke ingozi yokutheleleka iphansi. | Ukungakhululeki: Abanye abantu bakuthola kunzima ukugqoka imaski. |
| Usizo lokunciphisa ukusekelwa kokuphila: Lokhu kungasetshenziswa ukususa kancane kancane isiguli kumshini wokuphefumula. | Ukwesaba Ukwesaba Ukucindezeleka: Abanye abantu bangase bazizwe bebanjwe yimaski. |
| Okunye Okungcono Esikhundleni se-CPAP: I-BiPAP iyindlela engcono kulabo abanenkinga nge-CPAP. | Umfutho wegazi ophakeme: Kwezinye izimo, umfutho wegazi ungehla. |
| I-Aspiration Pneumonia: Kunengozi encane kakhulu yokuthi ukudla noma uketshezi kungene emaphashini bese kubangela ukutheleleka. |
Okubalulekile: Ukuze usebenzise umshini we-BiPAP, kumele ukwazi ukuphefumula wedwa. Kukusiza kuphela ukuphefumula. Awukwazi ukusetshenziswa ngumuntu oyekile ngokuphelele ukuphefumula.
Yini engingayenza ukuze ngijwayele umshini we-BiPAP?
Kujwayelekile ukuthi lo mshini nemaski kuzizwe kungajwayelekile futhi kungakhululekile ekuqaleni. Kodwa ungajwayela kancane kancane. Nazi ezinye izeluleko ezilula ongazisiza.
- Khetha imaski efanele wena: Kunezinhlobo eziningi ezahlukene zemaski emakethe. Buza udokotela wakho ngengcono kakhulu kuwe, ngokusekelwe esitayeleni sakho sokulala kanye nesimo sobuso.
- Jwayela ukugqoka imaski: Gqoka imaski isikhashana emini, ngaphandle kokuvula umshini. Njengalapho ubuka i-TV noma ufunda incwadi. Khona-ke kuzoba lula ukujwayela umuzwa.
- Yisebenzise nsuku zonke: Ikakhulukazi uma unenkinga yokuphefumula uma ulele, yisebenzise njalo ebusuku ngaphandle kokweqa usuku. Uma weqa usuku, kuzoba nzima ukujwayela futhi imiphumela izoba mincane.
- Sebenzisa isici esithi "Ramp": Uma umshini wakho unalesi sici, sivule. Sizokunika ingcindezi ephansi uze ulale, bese sikhulisa kancane kancane ingcindezi iye ezingeni olifunayo uma usukwenzile lokho. Lokhu kuzokwenza kube lula kakhulu ukulala.
Uma uzwa noma yikuphi ukungakhululeki, njengesikhumba esomile noma ikhala elicijile, khuluma nodokotela wakho. Kungenzeka ukulungisa i-humidifier emshinini noma usebenzise enye indlela.
Umlayezo Wokuya Nawe Ekhaya
- I-BiPAP ingumshini okusiza ukuphefumula, kodwa ongakuphefumuleli. Ngakho-ke, kufanele ukwazi ukuphefumula wedwa ukuze uwusebenzise.
- Lokhu kunamazinga amabili okucindezela (i-Bi-level). Uthola ukucindezeleka okuphezulu uma uphefumula futhi ukucindezela okuphansi uma uphefumula. Umshini we-CPAP unengcindezi eyodwa kuphela.
- I-BiPAP isetshenziselwa ukwenza ukuphefumula kube lula ezimweni ezifana ne-COPD, i-Sleep Apnea, kanye nezinye izifo zenhliziyo.
- Kungase kube nzima ukujwayela imaski ekuqaleni, kodwa ngokubekezela nangokuqhubeka nokusebenzisa, ukungakhululeki kuzophela.
- Uma unenkinga mayelana nezilungiselelo noma ukusetshenziswa komshini wakho we-BiPAP, khuluma nodokotela wakho ngakho ngokukhululekile.
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