Kungenzeka ukuthi uke wabona othile emndenini wakho noma umuntu omaziyo egqoke imaski esibhedlela, ikakhulukazi egumbini lokunakekela abagula kakhulu (ICU). Uma kunzima ukuphefumula, odokotela basebenzisa lolu hlobo lwemishini. Namuhla sizokhuluma ngomshini okhethekile osetshenziswa ezikhathini ezinjengalezi futhi osiza kakhulu ekuphefumuleni. Lowo umshini we-BiPAP . Ake sibheke ukuthi uyini, usebenza kanjani, nokuthi yiziphi izinzuzo zawo.
Kuyini i-BiPAP? Masiyiqonde kalula.
I-BiPAP imele i-'Bilevel Positive Airway Pressure'. Nakuba igama lingase lizwakale liyinkimbinkimbi, empeleni lilula kakhulu. Liwumshini okusiza ukuphefumula. Cabanga ukuthi ungaphefumula wedwa, kodwa umzimba wakho awutholi umoya-mpilo owanele noma i-carbon dioxide oyikhiqizayo ayiphumi kahle. Yilapho odokotela besebenzisa khona umshini we-BiPAP.
Lokhu kuhilela ukunikeza umoya ngengcindezi ethile ngemaski efanela ubuso bakho. Lokhu sikubiza ngokuthi "umoya ongenawo umoya ongcolile". Okusho ukuthi, kuyindlela esiza ngaphandle ngaphandle kokufaka imishini emzimbeni, njenge-"Invasive mechanical ventilation", eyenziwa ngepayipi elidlula emphinjeni.
Igama elithi 'bilevel' lisho ukuthi lo mshini ukhipha umoya emazingeni amabili okucindezela .
1. Ukuphefumula: Uma uphefumula, umoya unikezwa ngomfutho ophezulu. Lokhu kubizwa ngokuthi `(Inhalation Positive Airway Pressure - IPAP)`. Lokhu kuvumela umoya ukuthi ungene emaphashini kalula.
2. Ukukhipha umoya: Uma ukhipha umoya, umoya ukhishwa ngomfutho ophansi. Lokhu kubizwa ngokuthi "Ukukhipha umoya omuhle - EPAP". Yingakho ungezwa bunzima ekukhipheni umoya.
La mazinga amabili okucindezela angasethwa ngumshini ngesikhathi esithile, noma ungawasetha ukuthi ashintshe ngokuzenzakalelayo ngokusekelwe endleleni ophefumula ngayo.
Uyini umehluko phakathi kwe-BiPAP ne-CPAP?
Omunye umshini ofika engqondweni uma ukhuluma nge-BiPAP yi-CPAP. Nakuba womabili asiza ngokuphefumula, kunomehluko omncane endleleni asebenza ngayo.
Kalula nje, umshini we-CPAP uletha ingcindezi efanayo kokubili uma uphefumula futhi ukhipha umoya. Umshini we-BiPAP uletha ingcindezi ephezulu uma uphefumula futhi wehlisa ingcindezi uma ukhipha umoya.
Imishini ye-CPAP ivame ukusetshenziswa kakhulu ekwelapheni i-sleep apnea. Kodwa-ke, uma abanye abantu benobunzima bokuzivumelanisa ne-CPAP, noma uma benezinye izimo zezokwelapha, udokotela wabo angase atuse umshini we-BiPAP.
Lo mehluko ungaqondwa ngokucacile kusukela kuthebula elingezansi.
| Isici | Umshini we-BiPAP | Umshini we-CPAP |
|---|---|---|
| Ukucindezela Komoya | Amazinga amabili okucindezela (ahlukene ukuze kuphefumeke futhi kukhishwe umoya) | Ukucindezela okufanayo okuqhubekayo |
| Ukusetshenziswa Okuyinhloko | I-COPD, ukwehluleka kwenhliziyo, iziguli ezinesifo sokuphefumula esingapheli ezingakwazi ukubekezelela i-CPAP | Kwabaningi abagulayo abane-Sleep Apnea |
Udinga nini umshini we-BiPAP?
Imishini ye-BiPAP isetshenziswa ezimweni eziphuthumayo kanye nokuphatha izimo ezingamahlalakhona. Nazi ezinye zezindlela eziyinhloko zokusebenzisa lo mshini:
- Ukwehluleka kwenhliziyo: Uma ukusebenza kwenhliziyo kuncipha, kungathinta amaphaphu futhi kubangele ubunzima bokuphefumula.
- I-COPD (Isifo samaphaphu esingamahlalakhona): Lesi yisifo samaphaphu sesikhathi eside. I-BiPAP isetshenziselwa ukusiza ekuphefumuleni ngesikhathi sokubhebhetheka kwalesi sifo.
- Ukuphefumula okubangelwa ukungasebenzi kahle kokulala: Kweziguli ezingasabeli noma ezingakwazi ukubekezelela i-CPAP.
- Ukwehluleka kokuphefumula okubangelwa yi-hypercapnic: Kalula nje, lesi yisimo lapho izinga le-carbon dioxide egazini liphezulu kakhulu ukuba lingakhishwa kahle emzimbeni. Kulesi simo, i-BiPAP iyasiza ekukhipheni i-carbon dioxide.
Inikezwa kanjani i-BiPAP therapy?
Indlela osebenzisa ngayo umshini we-BiPAP iyahlukahluka kancane kuye ngokuthi usesibhedlela noma usekhaya.
Esibhedlela
Esibhedlela, umhlengikazi noma udokotela uzokuxhumanisa nalokhu.
- Okokuqala, bavula umshini we-BiPAP bese belungisa amazinga okucindezela ukuze avumelane nesimo sakho. Lokhu kubizwa ngokuthi `(titration)`.
- Bese ukhetha imaski efanela ubuso bakho kahle bese uyiqinisa kancane kancane. Le mask ingaba yileyo emboza impumulo kuphela, noma leyo emboza impumulo nomlomo.
Uma usebenzisa ekhaya
Uma udokotela wakho ekuncomele umshini we-BiPAP ukuze uwusebenzise ekhaya, kufanele ulandele lezi zinyathelo.
- Okokuqala, beka umshini endaweni eqinile bese uhlola ukuthi isihlungi sihlanzekile. Uma kudingeka, engeza amanzi ku-humidifier bese uxhuma ipayipi emshinini kanye nemaski. Udokotela wakho noma umhlinzeki wemishini yezokwelapha uzochaza ukuthi angakwenza kanjani lokhu kuwe.
- Okulandelayo, hlala uqonde, faka imaski ebusweni bakho, bese ulungisa kancane kancane indawo ukuze kungaphumi moya.
- Manje vula umshini, ulale embhedeni, bese uphinda ufake imaski uma kudingeka.
Yiziphi izinzuzo nezingozi ze-BiPAP?
Njenganoma yiluphi uhlobo lokwelashwa, i-BiPAP inezinzuzo kanye nezingozi ezithile.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| - Njengoba kungekho mishini efakwa emzimbeni (engahlaseli), ingozi yokutheleleka iphansi. | - Lokhu akukwazi ukusetshenziswa uma isiguli singaphefumuli sodwa. |
| - Kusiza iziguli ezisuswa endaweni yokusekela impilo ukuthi zifunde ukuphefumula futhi. | - Kungase kuzwakale kungakhululekile ekuqaleni. Abanye abantu bangase bazizwe benolaka ngenxa yemaski. |
| - Inketho enhle kulabo abanenkinga yokujwayela i-CPAP. | - Akuvamile ukuthi ukucindezeleka okukhulu kungabangela umonakalo emaphashini (imishini eminingi inezici zokuphepha). |
| - Umfutho wegazi ophansi (i-hypotension). | |
| - Kukhona ingozi yokuthi ukudla neziphuzo zingene emaphashini bese kubanga i-pneumonia (i-aspiration pneumonia). |
Ngingenza kanjani ukuthi ukusetshenziswa kwe-BiPAP kube lula?
Kuthatha isikhathi ukujwayela umshini we-BiPAP, kodwa uma ulandela le miyalelo, kuzoba lula kakhulu kuwe.
- Khetha imaski efanele: Khetha imaski efanela ubuso bakho ngqo, kuye ngokuthi ulala kanjani. Cela iseluleko kudokotela wakho ngalokhu.
- Jwayela ukugqoka imaski: Ngaphambi kokulala, gqoka imaski isikhashana emini ngaphandle kokuvula umshini. Ngemuva kwalokho kuzoba lula ukujwayela umuzwa.
- Sebenzisa njalo: Uma uyisebenzisela i-sleep apnea, yisebenzise njalo ebusuku. Uma uhlala usuku olulodwa bese uqhubeka usuku olulodwa ungenayo, kuzoba nzima ukujwayela futhi imiphumela izoba mincane.
- Sebenzisa isici esithi 'Ramp': Uma umshini wakho unalesi sici, sivule. Lokhu kuzokunikeza ingcindezi ephansi uze ulale, bese kukhula ngokuzenzakalelayo kube yingcindezi emisiwe ngemva kokulala.
Uma unomuzwa wokuthi i-COPD yakho noma i-sleep apnea ayilawulwa ngokwanele ngale ndlela yokwelashwa, qiniseka ukuthi ukhuluma nodokotela wakho . Uzohlola isimo sakho futhi anqume inketho yokwelashwa engcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-BiPAP ingumshini okusiza ukuphefumula, hhayi umshini wokusekela impilo ophefumula ngokuphelele.
- Lokhu kuhlukile ku-CPAP ngoba kunikeza amazinga amabili okucindezela lapho uphefumula kanye nalapho ukhipha umoya.
- Ivame ukusetshenziswa kwe-COPD, isifo senhliziyo, kanye nezinye izimo zokuphefumula ezibangelwa ubuthongo.
- Kungathatha isikhathi ukujwayela umshini kanye nemaski, ngakho-ke kubaluleke kakhulu ukukhetha imaski efanele bese uyisebenzisa njalo.
- Uma unenkinga noma unezinkinga, xhumana nodokotela wakho ngaso sonke isikhathi.
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