Kurara kwako Apnea Chimiro Chechipiri Chinokurudzira Zvakakunakira Iwe
Kana iwe uine chirwere chokurara , iwe wakangodaro wakataurirwa kune imwe yezvingaita zvirongwa zvekurapa. Iyo yakanyanya kufanana (uye inoshanda) chirwere ichi chinopfuurira zvakanaka mhepo yekumanikidza (CPAP). Iwe unogonawo kuva nechido chekuziva musiyano pakati pezvinhu zviviri zvakadai sekurapa: CPAP uye BiPAP (kana bilevel) therapy. Mukuwedzera, chii chinonzi ASV therapy?
Tsvaga mamwe mashoko pamusoro pemhando idzi dzechipatara uye izvo zvingave zvakanaka kwauri.
Chii chinonzi CPAP Therapy for Apnea yokurara?
Kurapa kwakakwana kwekudzivirira kupona kwepabonde ndiko kushandiswa kwemashini inopa rubatsiro kuchengetedza nzira yako yakavhurika paunenge wakarara. Izvi zvinogona kuitwa kuburikidza nekuenderera mberi kwakanaka kwemhepo inokonzerwa (CPAP) iyo inogara ichiyerera yemhepo inoputika mumhepo inogoverwa kuburikidza nechiso chemasikati .
Ko CPAP inoshanda sei kubata chirwere chekurara uye chii chinodiwa? Mamiriro ekumanikidzwa kwemhepo iyi inowanzogadziriswa nachiremba anobva pane zvaunoda. Izvi zvinogona kuongororwa sechikamu chekudzidzira kurara kana kunogona kufungidzirwa zvichienderana nematambudziko ako, zvakadai sekuita kwako uye kukura. Kubudirira kunomirira kumira kunofanirwa kudzivirira zvose zvepnea uye kunyorera uye kunofanira kuderedza apnea-hypopnea index (AHI) iri pasi pe5, pamwe nekuvandudza zvimwe zviratidzo zvine chokuita nekurara kwepabonde.
Chirwere chechirwere chinonzi AutoCPAP, kana APAP, umo marongerwo ematambudziko anopiwa nechokushandisa. Kana kupikisa mumugwagwa wepamusoro (pamwero wekanyoro kaviri kana kuti nheyo yerurimi mumutsipa) kunoonekwa, kumanikidzirwa kunopiwa kuchazvigadzirisa mukati mezvakatarisirwa.
Chii chinonzi BiPAP kana Bilevel Therapy for Sleep Apnea?
Kurapa kwakadaro kunonzi bilevel, kana BiPAP , asi yakasiyana nenzira dzinokosha.
BiPAP inotsanangurwa inoshandiswa nemuiti weRipironics yeB bilevel yakanaka yevhiriji. (Inonzi VPAP nemumwe muumbi mukuru, ResMed.) I "bilevel" chikamu chinoreva kuti pane zviri zviviri zvipingamupinyi, izvo mishonga inokwanisa kushandura pakati.
Izvi zvinokubvumira kufema mukati nekumanikidzika kwepamusoro uye kufema kunze kwekumanikidza kuderera. Izvi zvingabatsira avo vari kutambura kuti vaonekwe neCPAP. Inogona kuvandudza mweya kumedza (inonzi aerophagia). Inogonawo kubatsira ne claustrophobia. Bilevel inogona kudiwa kana zvipingamupinyi zvakakwirira kuti dzivandudzire nyaradzo, kunyanya paPAP kushushikana kunenge masendimita 15 emvura kushandiswa kana kupfuura.
Kunze kubva pane mavara kana kuti mavara akasiyana, kubva kunze, mishonga haifaniri kutarisa zvakasiyana neCAPAP. Icho chinoda kuti chibato chakafanana uye chinosangana nemasikisi chinoshandiswa muCAPAP therapy. Inogona kunyanya kubudirira mumamiriro ezvinhu akasarudzwa, akadai seaakatsanangurwa pamusoro apa, zvakadaro.
Ndinoda CPAP kana BiPAP Kuti Ndiratidze Kurara Kwangu kweApnea?
Vanhu vane maitiro anowanzovhiringidzika ekudzivirira apnea yokurara kazhinji vanotanga kurapwa neCAPAP kana AutoCPAP. Inofanira kuonekwa kuti bilevel, kana kuti BiPAP, inowanzoshandiswa kurapa kubata kwepnea yakakura .
Ichi chiitiko chinoratidzirwa nekufema pasina kupesana kwemhepo uye inoonekwa sechikamu chekudzidzira kurara. Zvinogona kuitika kakawanda kune vanhu vane mwoyo wakakundikana, chirwere chepfungwa, kana kune avo vanogara vachishandisa zvinorwadza zvinorwadza zvinodhaka. Iyo dzimwe nguva inogona kukonzerwa neCPAP pachayo, asi izvi hazviwanzopfuuri mberi kwemwedzi miviri yekutanga yekushandiswa.
Ikopa yeBiPAP inogona kugadzirirwa kubhadharisa maitiro aya mukufema kuburikidza nekukanda mune kumwe kufema sezvinodiwa. Zvimwe zvigadzirwa zvakanyanyisa, zvakasiyana-siyana nemhepo inoendeswa kunobhadhara kupemha uye neuromuscular disorders inobata kufema zvakare.
Matambudziko aya anosanganisira chirwere chisingaperi chinoparadza zvirwere (COPD), amyotrophic lateral sclerosis (ALS), nezvimwe zvinetso.
Kune Pane Zvimwe Michina kana Kusarudza Options?
Kunze kweCAPAP uye BiPAP, pane mamwe maitiro emichina inogona kurongedzwa nehope yako nyanzvi . Mishonga yakawanda, kazhinji neine chirevo chekutanga "Auto," ine chinhu chinotsvaga chinobvumira zvinetso zvekushandiswa. Zvigadzirwa zvemotokari zvinogona kuva zvose zve CPAP kana bilevel vari. Chigadzirwa chacho chinokwanisa kupindura kunokanganisa kunokanganisa mumhepo uye kunogona kukonzera kudzvinyirira sezvinodiwa usiku. Izvi zvingava zvinobatsira kana kupererwa kwepnea kunowedzera nekuda kwekuchinja muhope yepamusoro (zvakadai sokurara pamusana) kana nekuda kweAIDS kurara zvichiita kuti zviitiko zviwedzere.
Iko kunewo mhando yebeledvel iyo inogona kutumira kufema kunopedzisira (kunowanzoti Bhulivel ST). Izvi zvinogona kuvimbisa kuti nhamba shoma yekufema muminiti inoitika. Izvi zvingave zvakakosha mukatikati yekurara apnea.
Chii Chinonzi Therapy ASV?
Pakupedzisira, pane imwe mhando yakaoma inonzi auto kana adapable servo ventilation (ASV) ine zvimwe zvakanyanya kuita kuti urambe uchifema muhope. Inogona kusiyanisa mhepo yemhepo inoendeswa pamwe nekufambisa apo mapapu anokonzerwa uye akasvibiswa, pakati pezvimwe zvirongwa. Izvi zvinowanzochengeterwa vanhu vanoda ruzivo rwakawanda rwemhepo nekuda kwehutachiona hwehutachiona, hwemwoyo, kana hwemapapu.
Shoko Rinobva
Iwe unoronga sei izvi kunze? Nenzira, iwe haufaniri! Hope yako yekurara inofanirwa kukwanisa kuita sarudzo yakakodzera yerapi yako yekurapa inobva pamigumisiro yekubata kwako kuverenga uye kuongorora kwako mumakiriniki. Kurukura zvaunosarudza paunoshanyira uye uve pedyo kana iwe uchinge uine matambudziko pamwe nekurapa kwako kubata. Kubva pamashoko ekushandiswa, kana kuchinja mushonga wako kuchidiwa, izvi zvinogona kugadzirirwa paunowanikwa mukutsvaga nguva dzose. Iko pane dzimwe nguva kudiwa kugadzirisa chidzidzo chekudzidza umo maitiro aya akasiyana anogona kuongororwa nenzira yakarongeka.
> Kwakabva:
> Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." Elsevier , 6th edition, 2017.