Sei Kushanda Kunobatsira Kunoshandiswa Mu Breathing Devices?
Kana iwe uri kurarama muUnited States uye uri pakati pezera remakore makumi matatu nemakumi manomwe, unogona kunge uri mumwe wevanhu 26 kubva kune 100 vane chirwere chekurara. Nhamba dzehope dzinobatanidza kukanganisa kufema kwave kuri kuwedzera kubva muna 2000 sezvo kuneta kunowedzera nyaya. Kurara kwepabhesi kunoitika apo inofamba nemhepo inoputsika; kudzivirira kupema.
Kana iwe usina zvirwere zvepapu, unogona kufema mukati nekunze usingabatsiri. Zvisinei, kana iwe uine uremu, zvinoita kuti kana iwe uchifema kunze, nzvimbo yako yepamusoro ichaputsika. Izvi zvinogona kuita kuti zviitike kuti mhepo inenge isina kuvhara zvakare kana iwe uchifema uye une chikamu chepnea (kupera kwenguva pfupi kwekupema). Pane hutachiona hunoshandiswa hunoshandisa kupikisa kwakanaka (kumanikidza kuenda kumapapu) kuti ubatsire nekufema. Mienzaniso inosanganisira: CPAP, BiPAP, uye EPAP
Iwe unofanirwa kuziva kuti patinenge tichikurukura kurapwa kwekudzivirira kuberekwa kwepabonde, chinhu chakanakisisa chaunogona kuita kuti urope chirwere chako chekurara ndechokurasikirwa (kunze kwekuti iwe usati wanyarara usingafambidzwi nekuderedza).
Migumisiro Yokurara Apnea
- kurara masikati nekutya
- kukanganisika kugona kubata
- kusagadzikana kwemagetsi - muviri wako hausi kuparara kana kunwa mishonga kazhinji
- chirwere chemoyo
- rufu
Kunopedzera Chinhu Chakanaka Chekuendesa Kwemhepo
EPAP inotsanangurwa iyo inomiririra "kupera mhepo zvakanaka." Iyi nzira yekufema inopfurikidza inoshanda chete kumanikidzwa kwakanaka apo uri kubudisa simba.
Izvi zvinofungidzirwa kushanda nekuda kwekutenda kuti kuparara kwemhepo uye kukonzera kupererwa kwepnea kunowanzoitika kana uri kufema.
Chimwe chigadziri chinoshandisa EPAP kuti chirarame nehope apnea chinonzi Provent. Iyi teknolojia inonzi inozivikanwa sePAPAP . Maererano nemugadziri, Provent anoshandisa nzira imwe yevheji inowanikwa pamusoro pemhino usiku.
Ivhavha inovhurwa kana iwe uchinge wanyura, asi chikamu chinopfigira panguva yekudzima kwezuva uchimanikidzira kufema kwako kubva kunze kuburikidza nemakomba maduku, zvichiita kuti uwedzere kunetseka mumhepo. Provent haina kushandisa mvura kana magetsi emagetsi. Izvo zvinoshandiswa zvakare. Muiti wacho anotaura kuti ichi chinhu chakanaka, uye kuti zvidzidzo zvavo zvakaratidza kukuteerera kukuru ne EPAP pane zvinowanzoonekwa kuvanhu vari kushandisa CPAP kuti vararame nehope yepamusoro.
Kusiyana pakati pe EPAP, IPAP, CPAP & BiPAP
CPAP, inoramba ichienderera mberi, inonyanya kushandisa nzira dzokurapa kurara kwepabonde. NeCAPAP, kukurudzirwa kwakanaka kunoshandiswa nemashini nguva dzose mumhepo yose yekufuridzirwa uye yekupera kwezvikamu. BiPAP (bilevel rakamanikidzwa) rinoshandisa kuoma kwakanaka mukati maviri mapato, asi kwete sekumhanya kunoramba kuripo. EPAP yakasiyana nedzimwe nzira mbiri dzakapfuura dzokufema kunopfurikidza nekuti haiburitsi dambudziko rakanaka panguva yekufemerwa chikamu chekupema. Iyo inongobatsira chete kukurudzira kwakanaka apo iwe uri kuneta. IPAP, inspiratory positive pressure, inongoreva chete kukumanikidza kana iwe uchifema mukati. Ventilators (mhepo yekusimbisa mhepo yekufema) uye BiPAP vanoshandisa zvose IPAP uye EPAP.
Sources:
American Academy Yokurara Mushonga. (2014). Kuwedzera kuwanda kwekurara kwepabonde muU.S. kunotyisidzira hutano hwevanhu.
Provent Hope Apnea Therapy. NezveProvent Therapy. http://www.proventtherapy.com/
Rosenthal L, Massie CA, Dolan DC, Loomas B, Kram J, Hart RW. A multiticenter, inotarisira kudzidza inoverengeka yepaPAP chipfumi muhutano hwekudzivirira kuberekwa kwekurara kwekubata: kushanda zvakanaka uye mazuva makumi matatu ekunamatira. J Clini Kurara Med. 2009 Dec 15; 5 (6): 532-7.
Yaremchuk, KL & Wardrop, PA (2010). Kurara Mishonga. http://www.ebrary.com (Kubhadhara Kunodiwa)