Ukwelashwa okuhle kwengcindezi yomoya

Ukwelashwa okuhle kwe-airway pressure (PAP) kusebenzisa umshini ukupompa umoya ngaphansi kwengcindezi ungene emoyeni wamaphaphu. Lokhu kusiza ukugcina i-windpipe ivulekile ngesikhathi sokulala. Umoya ophoqelelwe olethwa yi-CPAP (pressure positive airway pressure) uvimbela iziqephu zokuwa komoya ezivimbela ukuphefumula kwabantu abanezinkinga zokuphefumula zokulala nezinye izinkinga zokuphefumula.

HO KUFANELE USEBENZISE IPHEPHA

I-PAP ingaphatha ngempumelelo abantu abaningi abane-apnea yokulala yokuvimbela. Kuphephile futhi kusebenza kahle kubantu bayo yonke iminyaka, kufaka phakathi izingane. Uma une-apnea yokulala emnene futhi ungazizwa ulele kakhulu emini, ungahle ungayidingi.

Ngemuva kokusebenzisa i-PAP njalo, ungaqaphela:

• Ukuhlushwa okungcono nenkumbulo
• Ukuzizwa uqaphile futhi ngingalali kangako emini
• Ukulala okuthuthukisiwe komlingani wakho wokulala
• Ukukhiqiza kakhulu emsebenzini
• Ukukhathazeka okuncane nokucindezeleka kanye nomoya ongcono
• Amaphethini wokulala ajwayelekile
• Ukucindezela kwegazi okuphansi (kubantu abane-high blood pressure)

Umhlinzeki wakho wezokunakekelwa kwempilo uzokunquma uhlobo lomshini wePAP oqonde inkinga yakho:

• Ukucindezela okuqhubekayo komoya (CPAP) kunikeza ingcindezi emnene futhi engaguquki yomoya ku-airway yakho ukuze uyigcine ivulekile.
• Ukucindezela ngokuzenzakalela (okulungisekayo) kwengcindezi yomoya (APAP) kushintsha ingcindezi ubusuku bonke, ngokuya ngamaphethini akho okuphefumula.
• I-Bilevel positive airway pressure (i-BiPAP noma i-BIPAP) inengcindezi ephezulu uma uphefumula futhi yehlisa ingcindezi uma uphefumula.

I-BiPAP iyasiza ezinganeni nakubantu abadala abane:

• Izindiza eziwa lapho zilele, okwenza kube nzima ukuphefumula ngokukhululeka
• Ukwehla kokushintshana komoya emaphashini
• Ubuthakathaka bemisipha obenza kube nzima ukuphefumula, ngenxa yezimo ezinjenge-muscular dystrophy

I-PAP noma i-BiPAP nayo ingasetshenziswa ngabantu abane:

• Ukwehluleka kokuphefumula
• Ukuphefumula kokulala okuphakathi
• I-COPD
• Ukwehluleka kwenhliziyo

INDLELA IPHEPHA ESEBENZA NGAYO

Lapho usebenzisa ukusethwa kwe-PAP:

• Ugqoka imaski emakhaleni akho noma ekhaleni nasemlonyeni ngenkathi ulele.
• Isifihla-buso sixhunywe ngepayipi emshinini omncane ohlala eceleni kombhede wakho.
• Umshini upompa umoya ngaphansi kwengcindezi nge-hose ne-mask futhi ungene emoyeni wakho ngenkathi ulele. Lokhu kusiza ukugcina indlela yakho yomoya ivulekile.

Ungaqala ukusebenzisa i-PAP ngenkathi usesikhungweni sokulala ebusuku. Eminye imishini emisha (ukuzilungisa ngokwakho noma i-auto-PAP), ingahle isethelwe wena bese inikezwa nje ukuthi ulale nayo ekhaya, ngaphandle kwesidingo sokuhlolwa ukulungisa izingcindezi.

• Umhlinzeki wakho uzosiza ukukhetha imaski ekulingana kahle kakhulu.
• Bazolungisa izilungiselelo emshinini ngenkathi ulele.
• Amasethingi azolungiswa ngokuya ngobunzima be-apnea yakho yokulala.

Uma izimpawu zakho zingathuthuki ngemuva kokuthola ukwelashwa kwe-PAP, izilungiselelo ezisemshinini zingadinga ukushintshwa. Umhlinzeki wakho angakufundisa ukuthi ungazilungisa kanjani izilungiselelo ekhaya. Noma, kungadingeka ukuthi uye esikhungweni sokulala ukuze ulungiswe.

UKUJWAYELEKA EMSEBENZINI

Kungathatha isikhathi ukujwayela ukusebenzisa ukusethwa kwe-PAP. Ubusuku bokuqala obuningi buvame ukuba nzima kakhulu futhi ungahle ungalali kahle.

Uma unezinkinga, ungahle ulingeke ukuthi ungasebenzisi umshini ubusuku bonke. Kepha uzojwayela ngokushesha okukhulu uma usebenzisa umshini ubusuku bonke.

Lapho usebenzisa ukusetha okokuqala, ungahle ube:

• Umuzwa wokuvalelwa ku- (claustrophobia)
• Ukungakhululeki kwemisipha yesifuba, okuvame ukuphela ngemuva kwesikhashana
• Ukucasuka kweso
• Ububomvu nezilonda ngaphezulu kwebhuloho lekhala lakho
• Impumulo egijimayo noma egxishiwe
• Umlomo obuhlungu noma owomile
• Ukopha ngamakhala
• Izifo eziphezulu zokuphefumula

Eziningi zalezi zinkinga zingasizwa noma zivinjelwe.

• Buza umhlinzeki wakho mayelana nokusebenzisa imaski engasindi futhi ehlanganisiwe. Amanye amamaski asetshenziswa kuphela ezungeze noma ngaphakathi kwamakhala.
• Qinisekisa ukuthi imaski ingena kahle ukuze ingavuzi umoya. Akufanele icindezeleke kakhulu noma ivuleke kakhulu.
• Zama izifutho zamanzi anosawoti acinene ngamakhala agcwele.
• Sebenzisa i-humidifier ukusiza ngesikhumba esomile noma ngamaphaseji emakhaleni.
• Gcina imishini yakho ihlanzekile.
• Beka umshini wakho ngaphansi kombhede wakho ukuze unciphise umsindo.
• Imishini eminingi ithule, kepha uma ubona imisindo eyenza kube nzima ukulala, tshela umhlinzeki wakho.

Umhlinzeki wakho angehlisa ingcindezi emshinini bese eyengeza futhi ngokuhamba kancane. Eminye imishini emisha iyakwazi ukuzivumelanisa nengcindezi efanele.

Ukucindezela okuqhubekayo okuhle komoya; I-CPAP; Ukucindezelwa okuhle kwe-Bilevel; I-BiPAP; Ukucindezela ngokuzenzakalela ingcindezi yomoya; I-APAP; I-nCPAP; Umoya ongenayo ingcindezi omuhle; I-NIPPV; Ukuphefumula okungangenisi umoya; I-NIV; I-OSA - CPAP; I-apnea yokulala evimbela - i-CPAP

• I-Nasal CPAP

Ukwelashwa kwengcindezi yomoya opholile we-Freedman N. Ku: Kryger M, Roth T, Dement WC, ama-eds. Izimiso Nokwenza Kwendlela Yokulala. Umhlaka 6. IPhiladelphia, PA: Elsevier; I-2017: isahluko 115.

UKimoff RJ. I-apnea yokulala evimbela. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6.IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 88.

UShangold L, Jacobowitz O. CPAP, APAP, kanye neBiPAP. Ku: Friedman M, Jacobowitz O, ama-eds. Lala Umoya Wokulala Ne-Snoring. Okwesibili. IPhiladelphia, PA: Elsevier; 2020: isahluko 8.