Nocturnal Oxygen Kushandisa Usingaiti Kugadzirisa Kuvhara Kunopisa, Kurara
Oxygen therapy dzimwe nguva inoshandiswa kubata chirwere chekurara , kunyanya apo kunetseka kwechirwere kunotanga kukwidziridzwa. Zvisinei, mune dzimwe nzvimbo, kushandiswa kweokisijeni kunogona kuita zvakanyanya kukuvadza kupfuura kunaka. Kushandiswa kweoksijeni kunofanirwa kushandiswa kurapwa kwemaitiro ekurara nehope here? Ndezvipi zvingaita kuti chirwere chemaperembudzi chidimbu chekushandisa kwayo? Dzidza pamusoro pebasa rei oksijeni muhope yepamusoro uye kana iwe uchida iyo kukubata iwe chirwere kana kuti zvimwe zvingaita sekuenderera mberi kwakanaka kwemaitiro epamhepo (CPAP) therapy inogona kushanda zviri nani.
Kushandiswa kweOxygen muApnea Yokurara
Vadzidzisi vehope vanowanzotarisana nevarwere vanotumidzwa kuti vadzidze kurara kuti vaongorore uye vabata chirwere chokurara chepabonde. Vanachiremba vachitaura, kunze kwechido chokudzivirira varwere vavo, vanogona kupa mhepo yakakwana yekushandiswa kweusiku huri kumirira kutumirwa nekuedzwa. Izvi zvinopihwa kuburikidza nemapurasitiki epurasitiki anonzi nasal cannula , kazhinji pamutengo wemamiriyoni akawanda paminiti. Ichi chirwere chakakodzera here kana kuti chinobatsira?
Nheyo yacho inoratidzika seyakanaka: Oxygen mizinga yeropa rinodarika usiku (kureva, hypoxemia ) nekuda kwekudzokorora kupfurikidza mukufema kunonzi apnea, saka tichapa huwandu hwemhepo yakakonzera kuti zvinhu zvidzokere kune zvakarongeka. Kazhinji kamuedzo wekurota oximetry inorongwa nehuwandu hweakisijeni uye huwandu hwemhepo inotaridzirwa husiku huno ne sensor yakaiswa pamunwe. Kana mizinga ye okisijeni iri pasi pemakore makumi mapfumbamwe nemakumi mana nemakumi mashanu emaminitsi mashanu eusiku, munhu ane hutano anonzi ane usiku hunopisa.
Uyu muedzo unogona kukodzera munhu kuti ashandise okisijeni, asi zvinobatsira here?
Zvinosuruvarisa, kunyange zvazvo nhamba ye okisijeni inogona kumira, zvimwe zviitiko zvinokonzerwa neapnea (zvakadai secarbon dioxide kuchengetedza uye kumutswa kunotungamirira kuhope dzakaparadzana) hazviiti. Kurara kwepabhesi kakawanda kunokonzerwa nekuputsika kwemasumbu epamusoro pemhepo .
Kana huroti hukanyatsopera kana huvharwa zvachose, hazvina basa kuti okisijeni inowanikwa sei kuburikidza neanal cannula, iyi oxygen haigoni kusvika kumapapu. Zvinosuruvarisa, okisijeni haigone kusvika kwainofanira kuenda, uye haizobatsiri zvakakwana. Kune dzimwe mamiriro ezvinhu umo chirwere chacho chinogona kukanganisa, uye chingatove chakaipa.
Nei Oxygen Isingashandisi
Kushandisa kuwedzera oxygen kune vanhu vane chirwere chekurara nechokuita nekufema kunobatsira. Nhamba ye okisijeni yakaenzana ichavandudza zvechokwadi. Zvisinei, mhinduro pamapea-hypopnea index (AHI) uye urefu hwezviitiko zvepneic hazvibviri. Kuwedzerwa kwekurara kwezuva masikati , kunyunyuta kunokosha mukuputika kwehope, hazvivandudzi. Izvi zvinokonzerwa nekutsungirira kwekurara kwekurara kusingaderedzwi nekushandiswa kweokisijeni. Kushandiswa kwomweyajeni kunogona kupa pfungwa dzenhema yekudzivirirwa apo mamiriro uye shamwari dzayo zviratidzo zvinoramba zvisina kukodzera kurapwa.
Uyezve, mazinga e carbon dioxide panguva yeusiku nemasikati anogona kukura apo oxygen inoshandiswa usiku humwe. Oxygen inoshandisa yoga hainatsiri mazinga ekudarika carbon dioxide iyo inogona kuwedzera panguva yokurara, uye izvi zvinogona kuva nengozi.
Ngozi yeOxygen Shandisa neAleep Apnea neCOPD
Pane mamiriro ezvinhu apo kushandiswa kwemhepo yakakosha kubata chirwere chekurara chinogona kunge chaine ngozi.
Apo chirwere chisingaperi chinoparadza zvirwere (COPD) , chakadai se emphysema , chinowanikwa bedzi, okisijeni yakaratidzwa kuti inobatsira. Zvisinei, kana zvikaitika nekudzivirira kuparara kwemahope, pane mifananidzo yakasiyana inobuda.
Muchiyi chinonzi "overlap syndrome," kushandiswa kwemhepo yezuva usiku pasina kuponeswa kwekudzivirira kwemhepo kunogona kukonzera kufema kunopera usiku hwose. Izvi zvingaguma kune zvikwangwani zvakadai semusoro wemangwanani kana kuvhiringidzika. Nokudaro, zvinokosha kuti kuenderera mberi kwakanaka kwemafambiro emhepo (CPAP) kana bilevel therapy inoshandiswa kugadzirisa kuvhiringidzika, pamwe nekuwedzera kweokisijeni kunopindirwa muhutano sezvinodiwa kupa mimwe miitiro.
Nokudaro, zvinokosha kuti vanhu vane COPD vawane chidzidzo chehope kana pane kusafungirwa kwekurara kwepabhesi vachiita kuti vanyunyuke. Uye, zvakajeka, okisijeni yoga haisi kurapa kwakakwana kune avo vanofungidzirwa kuti vane chirwere chokurara.
Oxygen therapy inogona kuwedzerwa kuCPAP kana bilevel therapy kana majini oksijeni anoramba ari pasi usiku hwose, pasinei nekurapa kwakakwana kwemaitiro ekurara apnea. Izvi zvinoratidza kuti mapapu haakwanisi kukwana zvakakwana okisijeni yakakwana, kunyange kana iyo yepamusoro yemhepo ichichengetwa yakazaruka.
Kana iwe uine hanya nezvekufema kwako panguva yehope, taura nebhodhi-unyanzvi hwekurara unyanzvi uye uwane kurapa kwaunoda.
Sources:
Ndarama, A et al . "Izvozvo zvinokonzerwa nekusingaperi kwezuva rinokonzera okisijeni pahutachiona hwekurara." Ndiri Rev Rev Respir Dis 1986; 134: 925.
Masa, JF et al . "Noninvasive positive ventilation uye kwete oxygen inogona kuvhiringidza kuperevedza kweventilatory kuvarwere vane chirwere chepachifu chezvirwere." Chef 1997; 112: 207.