Umehluko phakathi kwe-CPAP, i-APAP, ne-BiPAP njenge-Sneapnea Therapies

-Delile

• Yini i-APAP?
• Yini i-CPAP?
• Yini i-BiPAP?
• Imiphumela emibi engaba khona ye-APAP, i-CPAP, ne-BiPAP
• Imuphi umshini okulungele wena?
• Ezinye izindlela zokwelashwa kwe-apnea yokulala
• Izinguquko zendlela yokuphila
• Ukushintsha inqubo yakho yasebusuku
• Ukuhlinzwa
• Ukudla okudlela endlini

I-apnea yokulala iyiqembu lezinkinga zokulala ezidala ukuyeka ukuphefumula ngesikhathi sokulala kwakho. Uhlobo oluvame kakhulu ukuvimbela ukuphefumula kokulala (OSA), okwenzeka ngenxa yokucinana kwemisipha yomphimbo.

I-apnea yokulala emaphakathi ivela enkingeni yesiginali yobuchopho evimbela ukuphefumula okufanele. I-Complex sleep apnea syndrome ayivamile kangako, futhi kusho ukuthi unenhlanganisela ye-apnea yokulala evimbela futhi ephakathi.

Lezi zinkinga zokulala zingasongela impilo uma zingalashwa.

Uma uthola ukuxilongwa kwe-apnea yokulala, udokotela wakho angancoma imishini yokuphefumula ukukusiza uthole i-oxygen ebalulekile okungenzeka ukuthi ulahlekile ebusuku.

Le mishini ixhunywe kumaski oyigqoka emakhaleni nasemlonyeni. Banikeza ingcindezi yokusiza imisipha yakho ikhululeke ukuze ukwazi ukuphefumula. Lokhu kubizwa ngokuthi yi-positive airway pressure (PAP) therapy.

Kunezinhlobo ezintathu eziyinhloko zemishini esetshenziswayo ekwelapheni i-apnea yokulala: i-APAP, i-CPAP, ne-BiPAP.

Lapha, siphula ukufana nokwehluka phakathi kohlobo ngalunye ukuze ukwazi ukusebenza nodokotela wakho ukusiza ukukhetha ukwelashwa okungcono kakhulu kokulala nokuphefumula.

Yini i-APAP?

Umshini we-airway adjustable auto-adjustable (APAP) waziwa kakhulu ngokukwazi kwawo ukunikela ngamazinga okucindezela ahlukene phakathi kokulala kwakho, ngokuya ngokuthi uhogela kanjani.

Isebenza ebangeni lamaphoyinti okucindezela ama-4 kuye kwangama-20, anganikeza ukuguquguquka kokukusiza ukuthi uthole ibanga lakho lokucindezela elifanele.

Imishini ye-APAP isebenza kahle kakhulu uma udinga ingcindezi eyengeziwe ngokuya ngemijikelezo yokulala ejulile, ukusetshenziswa kwezidakamizwa, noma izikhundla zokulala eziphazamisa ukugeleza komoya, njengokulala esiswini sakho.

Yini i-CPAP?

Iyunithi eqhubekayo ye-airway pressure (CPAP) iyimishini ebekiwe kunazo zonke yokuphefumula kokulala.

Njengoba igama liphakamisa, i-CPAP isebenza ngokuletha isilinganiso sokucindezela esingaguquguquki sokuphefumula kanye nokuphefumula. Ngokungafani ne-APAP, eguqula ingcindezi ngokususelwa ekuphefumuleni kwakho, i-CPAP inikeza isilinganiso esisodwa sengcindezi ubusuku bonke.

Ngenkathi izinga eliqhubekayo lokucindezela lingasiza, le ndlela ingaholela ekuphefumuleni.

Kwesinye isikhathi ingcindezi isengalethwa ngenkathi uzama ukukhipha, ikwenze uzizwe sengathi uyakhinka. Enye indlela yokulungisa lokhu ukwehlisa izinga lengcindezi. Uma lokhu kusasiza, udokotela wakho angancoma noma umshini we-APAP noma we-BiPAP.

Yini i-BiPAP?

Ukucindezela okufanayo nokungena akuphumeleli kuwo wonke amacala okuphefumula okulala. Yilapho umshini we-bi-level positive airway pressure (BiPAP) ungasiza khona. I-BiPAP isebenza ngokuletha amazinga eengcindezi ahlukene okuhogela umoya nokuphefumula.

Imishini ye-BiPAP inezindawo ezinengcindezi ephansi efana ne-APAP ne-CPAP, kepha inikela ngokugeleza okuphezulu kwengcindezi kwama-25. Ngakho-ke, lo mshini ungcono kakhulu uma udinga amabanga aphakathi nendawo nengcindezi ephezulu. I-BiPAP ivame ukunconyelwa i-apnea yokulala kanye nesifo sika-Parkinson kanye ne-ALS.

Imiphumela emibi engaba khona ye-APAP, i-CPAP, ne-BiPAP

Omunye wemiphumela emibi kakhulu yemishini ye-PAP ukuthi kungenza kube nzima ukulala nokulala.

Njenge-apnea yokulala uqobo, ukuqwasha njalo kungakhuphula ubungozi bezimo ze-metabolic, kanye nesifo senhliziyo nokuphazamiseka kwemizwelo.

Eminye imiphumela emibi ifaka phakathi:

• ikhala eligobayo noma isiminyaminya samakhala
• izifo zesinus
• umlomo owomile
• izimbotshana zamazinyo
• umoya onukayo
• ukucasuka kwesikhumba kusuka kumaski
• imizwa yokuqunjelwa nesicanucanu evela kumfutho womoya esiswini sakho
• amagciwane nokutheleleka okulandelayo kusuka ekungahlanzeni iyunithi kahle

Ukwelashwa okuhle kwengcindezi yomoya kungenzeka kungafaneleki uma unanoma iyiphi yalezi zimo ezilandelayo:

• isifo se-lungous lung
• ukuvuza koketshezi lwe-cerebrospinal
• ukopha kaningi
• i-pneumothorax (ukuwa kwamaphaphu)

Imuphi umshini okulungele wena?

I-CPAP imvamisa umugqa wokuqala wokwelashwa kwesizukulwane sokugeleza kokuphefumula kokulala.

Kodwa-ke, uma ufuna ukuthi umshini ulungise ngokuzenzakalela ingcindezi ngokususelwa ekuhogelweni okungafani kokulala, i-APAP ingaba yindlela engcono. I-BiPAP isebenza kahle kakhulu uma unezinye izimo zezempilo eziqinisekisa isidingo sezindawo zokucindezela eziphakeme ukukusiza uphefumule ebuthongweni bakho.

Ukutholakala komshuwalense kuyahlukahluka, izinkampani eziningi ezihlanganisa imishini ye-CPAP kuqala. Lokhu kungenxa yokuthi i-CPAP ibiza kancane futhi isasebenza kubantu abaningi.

Uma i-CPAP ingahlangabezani nezidingo zakho, umshwalense wakho ungahlanganisa omunye wemishini emibili. I-BiPAP iyona ndlela ebiza kakhulu ngenxa yezici zayo eziyinkimbinkimbi.

Ezinye izindlela zokwelashwa kwe-apnea yokulala

Ngisho noma usebenzisa i-CPAP noma omunye umshini, kungadingeka ukuthi usebenzise eminye imikhuba yokusiza ukwelapha ukuphefumula kokulala. Kwezinye izimo, kudingeka ukwelashwa okuthe xaxa.

Izinguquko zendlela yokuphila

Ngaphezu kokusebenzisa umshini wePAP, udokotela angancoma lezi zinguquko zendlela yokuphila elandelayo:

• ukuncipha komzimba
• ukuzivocavoca umzimba njalo
• ukuyeka ukubhema, okungaba nzima, kepha udokotela angakha uhlelo olukusebenzelayo
• ukunciphisa utshwala noma ukugwema ukuphuza ngokuphelele
• usebenzisa ama-decongestants uma unesiminyaminya esivela kaningi kusuka ku-allergies

Ukushintsha inqubo yakho yasebusuku

Njengoba ukwelashwa kwe-PAP kubeka ubungozi bokuphazamisa ukulala kwakho, kubalulekile ukulawula ezinye izinto ezingakwenza kube nzima ukulala ebusuku. Cabanga ngalokhu:

• ukususa izinto zikagesi egumbini lakho lokulala
• ukufunda, ukuzindla, noma ukwenza eminye imisebenzi ethule ihora ngaphambi kokulala
• ukugeza okufudumele ngaphambi kokulala
• ukufaka i-humidifier ekamelweni lakho ukuze kube lula ukuphefumula
• ukulala ngomhlane noma ohlangothini (hhayi esiswini sakho)

Ukuhlinzwa

Uma zonke izindlela zokwelapha nezindlela zokuphila zehluleka ukwenza noma yimuphi umthelela omkhulu, ungacabanga ukuhlinzwa. Inhloso ephelele yokuhlinzwa ukusiza ukuvula imigwaqo yakho yomoya ukuze unganciki emishinini yengcindezi yokuphefumula ebusuku.

Ngokuya ngesizathu esiyinhloko se-apnea yakho yokulala, ukuhlinzwa kungahle kube ngesimo se:

• ukuncipha kwezicubu kusuka phezulu komphimbo
• ukususwa kwezicubu
• izimila ezifakwayo zolwanga
• ukubeka umhlathi kabusha
• ukugqugquzela izinzwa ukulawula ukunyakaza kolimi
• tracheostomy, esetshenziswa kuphela ezimeni ezinzima futhi ifaka phakathi ukwakhiwa kwendiza entsha yomoya emphinjeni

Ukudla okudlela endlini

I-APAP, i-CPAP, ne-BiPAP yizo zonke izinhlobo zama-generator agelezayo angabekelwa ukwelashwa kwe-apnea yokulala. Ngamunye unezinhloso ezifanayo, kepha i-APAP noma i-BiPAP ingasetshenziswa uma umshini we-CPAP ovamile ungasebenzi.

Ngaphandle kokwelapha okwanele kwengcindezi yomoya, kubalulekile ukulandela izeluleko zikadokotela wakho kunoma yiziphi izinguquko ezinconywayo zokuphila. I-apnea yokulala ingaba yingozi empilweni, ngakho-ke ukuyelapha manje kungathuthukisa kakhulu umbono wakho ngenkathi futhi kuthuthukisa ikhwalithi yakho yonke yokuphila.