Mune mamwe mamiriro ezvinhu, zvingave zvakakosha kushandisa imwe nzira yekuenderera mberi inoenderana nekuenderera mberi kwemafambiro emhepo (CPAP) inonzi bilevel positive airway pressure (BiPAP). Chii chinonzi BiPAP therapy uye iyo inowanzoshandiswa sei? Dzidza kuti BAPP inoshandiswa sei kubata kuponeswa kwekurara kwemahope uye kubatana kwepabonde yekurara nekuendesa zvipingamupinyi zviviri zvinoshandiswa kuburikidza nechiso chemasikati.
Chii chinonzi BiPAP kana Bilevel Therapy?
Zvizhinji zvezvikamu zvemuchina weBiPAP zvakafanana nemutengo we CPAP . Semuenzaniso, inoramba ichishanda mask mashizha uye tubing zvakabatana nechokushandisa. Chinokosha chinosiyanisa chimiro cheBiPAP ndechokuti mhepo yakamanikidzwa inoendeswa kune dzimwe mbiri dzakasiyana. Iko kukurudzirwa kwakanaka kwemafambiro emhepo (IPAP) yakakwirira uye inotsigira kufema sezvo inotorwa mukati. Kusiyana naizvozvo, iyo inopedza simba inofambisa mhepo inokonzerwa nemhepo (EPAP) inomanikidzwa pasi iyo inokubvumira kunyatsofema kunze. Izvi zvinomanikidzwa zvinotarisana nemuongorori wakapiwa nereredzi yako yekurara uye zvimwe zvakadai sekufema kwako.
Kunze kwezvinhu izvi zvakasarudzwa, pane zvimwe zvishoma zvinoshandiswa zviripo. Bilevel ST inosanganisira nguva yakapihwa yekufema kana kufema kunomira. Izvi zvinowanzoputika mukati mekurara kwepabonde. Mukuwedzera, servo-ventilation yemotokari kana inogadziriswa (ASV) inosanganisira zvirongwa zvepamusoro zvinoshandisa nguva, urefu, uye ivhu remhepo inoponeswa.
Apo BiPAP Therapy Inoshandiswa Kurapa Apnea Treatment
BiPAP inzira yekufema iyo inowanzoshandiswa kuronga kuputika kwepabonde , chirwere chinowanikwa munzvimbo yekushandiswa kweopioid, congestive moyo kusakundikana, uye kutanga kushungurudzika. Inogonawo kushandiswa mune zvakanyanya kuvhiringidza kuberekwa kwepabonde, kunyanya kana zviitiko zvakasanganiswa zvepnea zviripo, zvichiratidza chikamu chepakati rekushaya apnea.
Inogona kushandiswa kurapa vanhu vasingakwanisi kutsungirira kuramba kwakanaka kwemafambisi emhepo (CPAP), kunyanya avo vanonyunyuta kuti zvakaoma kufema kunze kwezvinetso. Izvi zvinowanzoitika pazvipingamupinyi zvakakwirira apo izvi zvinotarisirwa kuchengetedza mhepo inovhurika. Kunyange zvazvo chikumbaridzo ichi chichisiyana, chinowanzodiwa pamatambudziko anopfuura 15 masentimita emvura (CWP). Inogona kubatsira kuvandudza kutenderwa kune avo vari kurwisana neCPAP therapy.
Mukuwedzera, iyo isiri nzira isina kusimbisa yekutsigira iyo inogona kushandiswa muzvipatara vanhu vari mumhepo yekufema asi vasingatsvaki kuiswa pavheti. Zvinogona kubatsira kune vane neuromuscular weak, sezvingaitika kune amyotrophic lateral sclerosis (ALS).
Mazita Akasiyana: BiPAP Yakasiyana Sei neVPAP Therapy?
Kune humwe hukanganiswa pamusoro pezwi rokuti BiPAP pacharo, kunyanya kuti rakasiyana sei nebhuku. Izvi ndizvo chaizvoizvo chinhu chimwe chete. Mazita emutambo wacho achasiyana zvishoma nezvakaitwa nemugadziri.
Imwe yevashandi vezvikwata izvi, Respironics, yakanyoresa BiPAP sezita rekutengeserana kwekombiyuta inowanzonzi bilevel.
Mumwewo makwikwi makuru, ResMed, anodana maitiro akafanana VPAP.
ResMed ikozvino inotengesa chinhu chinonzi AirCurve iyo inofadza bhidhiyo.
Kunyangwe mazita angave akasiyana, mazano ezvinyorwa akafanana.
Nzira Yokusarudza Sei: Ndinoda CPAP kana BiPAP?
Muzviitiko zvakawanda zvekudzivirira kubata kwepabonde, CPAP ndoga inokwana sechirapa. Mune zviitiko zvakaoma zvikuru zvinorondedzerwa pamusoro apa, kana kana zvakaoma kushivirira CPAP, BiPAP inogona kuva yakakosha inoshandiswa. Vanhu vazhinji vanotanga kurapa naCPAP uye kana zvichidiwa kudzidza zvinyorwa kunogona kuitwa kuti uone kumira kunodiwa kuti zviite zvakakwana kuBlevelvel therapy.
Izvo zvinofanira kuonekwa kuti BiPAP inodhura kupfuura inonzi CPAP machine.
Inogona kuve yakabhadharwa kaviri kana katatu mari yeCAPAP. Mifananidzo yeAVV inogona kudhura zvinodarika madhora 4,000.
Shoko Rinobva
Kana iwe uchida kuziva kana BiPAP ingadai yakava kurapa kwakakodzera kwauri, unogona kutanga nokutaura nehope yako yehope . Mushure mekuongororwa kwezvipingamupinyi zvako uye, sezvinoda, kusarudza kusarudzwa, kurapa kwakakodzera kunogona kupiwa kuti ugadzirise mamiriro ako. Ichi ndicho chisarudzo chakanaka chakaitwa mukukurukurirana nachiremba wako uyo achange achitsanangura kurapa.
Sources:
Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." Elsevier , 6th edition, 2017.
Reeves-Hoche, MK et al . "Kuenderera mberi kunopesana nemhepo yakawanda inokonzerwa nemhepo inokonzerwa nehupombwe hwekudzivirira kubata." Am J Respir Crit Care Med 1995; 151: 443.