Ukwelashwa kwe-BiPAP ye-COPD: Ongakulindela

-Delile

• Ngabe iBiPAP isiza kanjani nge-COPD?
• Ingabe ikhona imiphumela engemihle?
• Ingabe i-BiPAP ingadala noma yiziphi izinkinga?
• Uyini umehluko phakathi kwezindlela zokwelapha ze-CPAP ne-BiPAP?
• Ingabe zikhona ezinye izindlela zokwelapha ezitholakalayo?
• Imithi
• Yikuphi ukwelashwa okufanelekile kuwe?

Kuyini ukwelashwa kweBiPAP?

Ukwelashwa kwe-Bilevel positive airway pressure (BiPAP) kuvame ukusetshenziselwa ukwelashwa kwesifo esingapheliyo se-pulmonary disease (COPD). I-COPD yisikhathi sesambulela sezifo zamaphaphu nezokuphefumula ezenza ukuphefumula kube nzima.

Ekuqaleni, le ndlela yokwelapha yayitholakala kuphela njengokwelashwa kweziguli ezibhedlela. Manje, kungenziwa ekhaya.

Imishini yanamuhla ye-BiPAP ingamadivayisi wethebulethi afakwe i-tubing kanye nemask. Umane ubeke imaski phezu kwekhala lakho kanye / noma umlomo ukuthola amazinga amabili omoya ocindezelweyo. Izinga elilodwa lengcindezi lilethwa lapho uhogela, futhi ingcindezi ephansi ilethwa lapho uphuma.

Imishini ye-BiPAP ivame ukufaka isibali sikhathi sokuphefumula “esihlakaniphile” esivumelana namaphethini akho okuphefumula. Isetha kabusha kabusha ngokuzenzakalela ileveli yomoya ocindezelweyo lapho kudingeka ukusiza ukugcina izinga lakho lokuphefumula lilitshe.

Lokhu kwelashwa uhlobo lokuphefumula okungavumelekile (i-NIV). Lokho kungenxa yokuthi ukwelashwa kwe-BiPAP akudingi inqubo yokuhlinzwa, efana ne-intubation noma i-tracheotomy.

Qhubeka ufunde ukuze ufunde ukuthi le therapy isiza kanjani ukuphatha i-COPD nokuthi iqhathanisa kanjani nezinye izindlela zokwelashwa.

Ngabe iBiPAP isiza kanjani nge-COPD?

Uma une-COPD, ukuphefumula kwakho kungenzeka kusetshenzelwe. Ukuphefumula nokuphefumula yizimpawu ezivamile ze-COPD, futhi lezi zimpawu zingaba zimbi njengoba isimo siqhubeka.

Ukwelashwa kwe-BiPAP kuhlose lezi zindlela zokuphefumula ezingasebenzi. Ngokuba nengcindezelo yomoya yangokwezifiso lapho uhogela kanye nengcindezi yesibili yangokwezifiso uma ukhipha, umshini uyakwazi ukunikeza impumuzo kumaphaphu akho asebenze ngokweqile kanye nasemisipheni yodonga lwesifuba.

Lokhu kwelashwa ekuqaleni kwakusetshenziselwa ukwelapha ukuphefumula kokulala, futhi ngesizathu esihle. Uma ulele, umzimba wakho uthembele ohlelweni lwakho oluphakathi lwezinzwa ukuhola inqubo yokuphefumula. Uma uphumule endaweni eyehlisiwe, uthola ukumelana okwengeziwe lapho uphefumula.

Ngokuya ngezidingo zakho ngazinye, ukwelashwa kwe-BiPAP kungenzeka lapho uphapheme noma ulele. Ukusetshenziswa kwasemini kungakhawulela ukuxhumana komphakathi, phakathi kwezinye izinto, kepha kungadingeka ezimweni ezithile.

Ngokuvamile, uzosebenzisa umshini we-BiPAP ebusuku ukusiza ukugcina izindlela zakho zomoya zivulekile ngenkathi ulele. Lokhu kusiza ukushintshaniswa komoya-mpilo nesikhutha, okwenza kube lula kuwe ukuphefumula.

Kubantu abane-COPD, lokhu kusho ukuphefumula okusebenza kancane ebusuku. Ingcindezi esemoyeni wakho ikhuthaza ukugeleza okungaguquguquki komoya-mpilo. Lokhu kuvumela amaphaphu akho ukuthi ahambise kahle umoya-mpilo emzimbeni wakho futhi asuse okweqile isikhutha.

Ucwaningo luye lwabonisa ukuthi kubantu abane-COPD namazinga aphezulu e-carbon dioxide, ukusetshenziswa kwe-BiPAP njalo ebusuku kungathuthukisa izinga lempilo nokuphefumula, futhi kukhulise ukusinda kwesikhathi eside.

Ingabe ikhona imiphumela engemihle?

Imiphumela emibi kakhulu yokwelashwa kwe-BiPAP ifaka:

• ikhala elomile
• ukuminyana kwamakhala
• umkhuhlane
• ukungakhululeki okuvamile
• i-claustrophobia

Uma imaski yakho ikhululekile, ungahle ubhekane nokuvuza komoya kwemaski. Lokhu kungagcina umshini ugcine ingcindezi enqunyiwe. Uma lokhu kwenzeka, kungathinta ukuphefumula kwakho.

Ukuvikela ukuvuza komoya kungenzeki, kubalulekile ukuthi uthenge imaski elungiselelwe kahle emlonyeni wakho, ekhaleni, noma kokubili. Ngemuva kokufaka imaski, gijimisa iminwe yakho emaphethelweni ukuze uqiniseke ukuthi "ivaliwe" futhi ifakwa ebusweni bakho.

Ingabe i-BiPAP ingadala noma yiziphi izinkinga?

Izinkinga ezivela ku-BiPAP azivamile, kepha i-BiPAP akuyona indlela efanele yokwelashwa yabo bonke abantu abanezinkinga zokuphefumula. Izinkinga eziphathelene kakhulu zihlobene nokwanda komsebenzi wamaphaphu noma ukulimala. Khuluma nodokotela wakho ngezingozi nezinzuzo ongazithola ngosizo lwe-BiPAP. Bangakusiza ukuthi ulinganise izinketho zakho futhi unikeze ngokuholwa okuqhubekayo.

Uyini umehluko phakathi kwezindlela zokwelapha ze-CPAP ne-BiPAP?

Ukucindezela okuqhubekayo kokuhamba emoyeni (CPAP) kungenye indlela ye-NIV. Njenge-BiPAP, i-CPAP ixosha umoya ocindezelekile kusuka kudivayisi yetafula.

Umehluko omkhulu ukuthi i-CPAP ihambisa kuphela ileveli eyodwa yengcindezi yomoya esethiwe. Ingcindezi efanayo eqhubekayo ihanjiswa ngesikhathi sokuhogela kanye nokuphefumula. Lokhu kungenza ukukhipha umoya kube nzima kakhulu kwabanye abantu.

Umfutho womoya wobunye ungakusiza ukugcina imigwaqo yakho yomoya ivulekile. Kodwa kutholakale ukuthi akusizuzisi kubantu abane-COPD ngaphandle kokuthi futhi bane-apnea yokulala evimbela.

Imishini ye-BiPAP inikeza amazinga amabili ahlukene omfutho womoya, okwenza ukuphefumula kube lula kakhulu kunomshini we-CPAP. Ngalesi sizathu, i-BiPAP incanyelwa abantu abane-COPD. Kunciphisa umsebenzi owenzayo ukuphefumula, okubalulekile kubantu abane-COPD abasebenzisa amandla amaningi okuphefumula.

I-CPAP inemiphumela emibi efanayo neBiPAP.

I-BiPAP ingasetshenziswa futhi ukwelapha ukuphefumula kokulala, ikakhulukazi uma i-CPAP ingasizanga.

Ingabe zikhona ezinye izindlela zokwelapha ezitholakalayo?

Yize abanye abacwaningi bencome i-BiPAP njengokwelapha okungcono kakhulu kwe-COPD, akuyona inketho yakho kuphela.

Uma usuvele uluqedile uhlu lwakho lwezinguquko ezingaba khona zokuphila - futhi wakha lo mkhuba ukube ububhema - uhlelo lwakho lwezokwelapha olusha lungafaka inhlanganisela yemithi kanye nezindlela zokwelapha zomoya-mpilo. Ukuhlinzwa kwenziwa kuphela njengendawo yokugcina.

Imithi

Ngokuya ngezidingo zakho, udokotela wakho angancoma i-bronchodilator esebenza okwesikhashana noma esebenza isikhathi eside noma zombili. Ama-bronchodilators asiza ukukhulula imisipha ngaphakathi kwezindlela zakho zomoya. Lokhu kuvumela izindlela zakho zomoya ukuthi zivuleke kangcono, okwenza ukuphefumula kube lula.

Lo muthi ulawulwa ngomshini we-nebulizer noma nge-inhaler. Le mishini ivumela umuthi ukuthi ungene ngqo emaphashini akho.

Ezimweni ezimbi kakhulu, udokotela wakho angaphinde anikeze i-steroid emuncwe ukugcwalisa i-bronchodilator yakho. Ama-steroid angasiza ekunciphiseni ukuvuvukala ezindleleni zakho zomoya.

Yikuphi ukwelashwa okufanelekile kuwe?

Sebenza nodokotela wakho ukuthola uhlelo lokwelashwa olungcono kakhulu kuwe. Izimpawu zakho zizosiza udokotela wakho anqume ngemithi yokwelashwa futhi enze izincomo ezenziwe zaba ngezakho.

Abantu abaningi abane-COPD bavame ukuthola ukuthi ukulala akujabulisi. Kulezi zimo, i-BiPAP ingaba yindlela okufanele uhambe ngayo. Udokotela wakho futhi angancoma inhlanganisela yemithi nokwelashwa komoya-mpilo.

Lapho uhlola izinketho zakho, cela udokotela wakho:

• Yikuphi ukwelashwa okungcono kakhulu kimi?
• Ingabe zikhona ezinye izindlela?
• Ngabe kuzodingeka ngisebenzise lokhu nsuku zonke, ngezikhathi ezithile? Ingabe isixazululo sesikhashana noma esihlala njalo?
• Yiziphi izinhlobo zokushintsha kwempilo engingazenza ukuthuthukisa izimpawu zami?
• Ngabe umshuwalense noma i-Medicare izokumboza lokhu?

Ekugcineni, ukwelashwa okukhethayo kuzoya ngomphumela umsebenzi wakho wamaphaphu onawo kuwe nokuthi iziphi izindlela ezizothola kangcono umoya owudingayo emaphashini akho.