Nzira yekuderedza CPAP-Yakabatana ne Air Inowedzera Maitiro Akashata

Air Swallowing May Ngatungamirire kuBelching, Farting, uye Bloating

Kuenderera mberi kwakanaka kwemhepo inokonzerwa nemhepo (CPAP) inobatsira zvikuru kurapa kuvhiringidza kupererwa kwemahope , asi haisi kunze kwemigumisiro yaro. Chimwe chekunyunyuta kunowanzoitwa nekushandisa kwayo iCAPAP-inokonzerwa negasi, kusanganisira mhepo yakanyanyisa inopinda mudumbu uye inotungamirira kuwedzerwa kwekubvongodza, kubata, kubhururuka , uye kuvhara mushure mekushandisa.

Chii chinokonzera CPAP gas madhara?

Pane nzira dzakanaka dzokurapa here kuti urege kuitika? Tsvaga zvimwe zvezviratidzo zvine chokuita neCPAP gesi uye chii chingaitwa pamusoro payo kuderedza mweya kumira.

Chii Chinokonzera CPAP Gas kana Kuti Kutengesa Kwemhepo Kuti Kuitike?

Mhepo inomedza ndeimwe yezviratidzo zvinowanzobatanidzwa neCPAP therapy yekurara kwepnea. Inotungamirira kubhudziro, gasi risingadiki rinokonzera burping uye kupera, uye kusagadzikana. Iyi mhepo mudumbu dzimwe nguva inonzi aerophagia, iyo inoreva kuti "mweya inomedza" kana "kudya kwemhepo." Chii chinokonzera mhepo ino ichimedza kuitika?

CPAP inoshanda kuburikidza nekupa kuenderera kwemweya kunogara kunofamba mhepo yepamusoro yakazaruka uye kunodzivirira kuputsika kwayo panguva yokurara. Kana ikarambidzwa, inobatsira chaizvo pakudzivirira kubata apnea, chirwere chinoratidzwa nekudengenyeka kwemavara ane ruvara uye rurimi mumutsipa unotungamirira kumadonhoji emvura yakadzika uye kumutswa. Izvi zvinogona kuoma, kunyange zvakadaro, kunyanya kana mhepo ichidarika uye inopinda uko isingadiwi.

Kana iwe uchifungidzira pikiti inomhanya ichibva kumucheto wemhino dzako kusvika kumapapu ako, kubuda kwemhepo kunomanikidzwa kweCPAP kunochengetedza iyi tube inogadzirika. Ichasveta zvinyoro zvinyoro zvishoma, kunyanya munharaunda yekanyoro , rurimi, uye kumusoro. Chikamu chezasi chemigwagwa chinotsigirwa nezvivako zvebony uye cartilage uye zvinosanganisira trachea, inotungamirira kubronchi nemapapu.

Kurudyi pedyo nechokuenda kune chetrachea ndiyo mukova unotungamirira kumeso uye mudumbu. Nokudaro, kana mweya wakawandisa uchitsauswa pasi pasi, dumbu rinogona kuzadza nemhepo uye izvi zvinogona kutungamirira kuwedzera kukura.

Kana isingabatanidzwi nekushandiswa kwePCAP therapy, aerophagia inogona kukonzerwa nezvimwe zviitiko. Inowanzobatanidzwa nemhando ipi zvayo yekudya, kunyanya kana mumwe munhu adya nekukurumidza. Aerophagia inowanzoguma nekunwa zvinwiwa zvinokonzerwa nekodha kana sodzzy zvinokonzera carbon dioxide. Inogonawo kuitika kana ichichera gum kana kunyange paunenge uchisvuta. Pane zvinhu zvisingashamisi zvingave zvakabatanidzwa neaerophagia, zvakadai sokunyanya kuzvidya mwoyo kune avo vane kuora kweuropi kubva pakuberekwa.

Zviratidzo Zvekudzingisa Air

Apo mhepo yakamanikidzwa inobva kuCPAP inopinda nenzira isiri mudumbu, inotungamirira kune zvichemo zvishoma zvinowanzoitika. Izvi zvinosanganisira:

Zviratidzo izvi zvingangove zviduku uye zvinonzwisisika. Vanhu vazhinji vanogona kuona zororo muawa yekutanga yezuva kuburikidza nekupfuura gasi. Zvisinei, rinogonawo kuva rakanyanya uye rinotambudza. Chinhu chakanaka ndechokuti kune ngozi shoma yekukuvara zvachose mumuviri wako.

Kunyange zvakadaro, inogona kuva inofadza kutsvaga nzira dzekuita izvi zvisingatambudziki nekuderedza nguva dzose uye dhigirii yemhepo inomedza.

Mishonga yekuderedza CPAP Gas

Kune nzira dzekudzikisa GAPAP gasi zvichienderana neicho chinokonzera chikonzero. Mashoko akanaka ndeokuti matambudziko anokonzerwa neCPAP gas anogona kuwaniswa uye kubudirira kwerapi kunogona kufara. Funga izvi zvingasarudzwa:

Chimwe chezvinhu zvinowanzokonzera CPAP gasi ndechokuti kuiswa kwemhepo kwemashandi kunongodarika. Kana kudzvinyirirwa kusina kuiswa sechikamu chekudzidzira kudzidza, kana chigadzirwa ichi chinopa chete chigadziro chakasimba, kana kana wakarashika zvinenge gumi kubva muzana zvehutano hwako, izvi zvinowanzoitika.

Nokugadzirisa kukanganiswa, kana kuisa zvinetso zvakawanda zvinosanganisira nzvimbo yakaderera neAccCPAP, mhepo inomedza inogona kuwedzera zvikuru. Mune zvimwe zviitiko, zvingave zvakadii kutenderera kune bilevel therapy , rudzi rwechigadzirwa runodonha mhirizhonga panguva yekudzimara uye izvo zvichaita kuti zvive nyore kufema kunze kwehupenyu hwemhepo.

Chimwe chinhu chinonyanya kukosha ndehokurara kwako. Kana iwe ukavata pamusana wako, zvinogona kubatsira kubatsira kurara pachitsika. Izvi zvinodzivirira "kink" muhutano inogona kuitungamirira kuti nyore nyore kubvumira kubuda kwemhepo mukati mudumbu. Vanhu vazhinji vanoona zvichibatsira kurara nemusoro kumusoro pamakona anenge 30 kusvika ku40 degrees. Izvi zvinogona kuitika kuburikidza nehope pamutsipa wechiri . Mhete inogona kuiswa kumusoro kana pasi pematidziro, zvichienderana nekugadzira kwayo. Iwe unofanirwawo kuva nechokwadi chekuti mutsara wemapiro hausi kungofambisa musoro wako mberi. Ichokwadi pamusoro pemusoro wako, mutsipa, mapepa, uye muviri wepamusoro uri kunyatsotsigirwa zvakakwana mune zvematongerwe enyika.

Vamwe vanhu vanosarudza bheji rinogadziriswa, asi izvi zvinogona kudhura, kazhinji zvinodhura zviuru zvemadhora. Imwe nzira ingadai iri yekusimudza mubhedha sese. Nekushandiswa kwemabhuku (akadai semabhuku ekare efoni) kana kunyange cinder blocks, unogona kusimudza tsoka mbiri pamusoro wechipfuva chako. Nokudaro, mubhedha wose uchachengetwa patsika. Izvi zvinowanzonyatsorambidzwa nemubhedha wevabereki kana iwe uine imwe, uye pane ngozi shomanana yokuderera kunze kwevheche panguva yakakodzera.

Izvi zvinowanzojairika pamusana pemhosva yeaerophagia uye CPAP gas inobatanidza nekusava nemwoyo kana kushaya gastroesophageal reflux chirwere (GERD). Kushungurudza, kunyanya kana zvichiitika usiku, kunogona kuwedzera mhepo kumira.

Chikamu chepasi chesophagus ine ring ringisimwa inonzi the lower esophageal sphincter. Iri rin'i rinovhara nheyo kubva mudumbu. Izvi zvinodzivirira zviri mukati memudumbu, kusanganisira mudumbu asidi, kubva pakupinda kusvika mudenga. Zvisinei, kune vanhu vane GERD kana kuora mwoyo, sphincter inowedzera simba. Icho hachivharidziri kubva panopa uye pamwe chete. Izvi zvinobvumira reflux yemudumbu weAidha muchidimbu, asi inogonawo kubvumira mweya kupinda mudumbu nekushandiswa kweCPAP.

Vamwe vanhu vachawana kushandiswa kwemishonga yeGERD kuti ibatsire pakudzivirira gasi rePAPAP, kusanganisira pamusoro pe-counter-options zvakadai se:

Zvinogona kunge zvakakosha kutaura nachiremba wako kana izvi zvichidikanwa kwenguva refu.

Imwe nzira yekurapa inogona kunge iri kushandiswa kweGesi-X (inotengeswa kupfuura-the-counter pasi pezita rinowanzoitwa simethicone). Izvi zvinogona kupa zororo, asi kana uwandu hwemhepo huchimedza hunokosha, hungave husingakwanisi.

Kunyange zvazvo zvingave zvisina kunaka, zororo guru rinogona kunge riri kungopfuudza gasi kunze kwepanyika kuburikidza nekuburping kana kupera.

Pakupedzisira, vanhu vanowanzobvunza kana rudzi rwe CPAP mask runobatsira pakuipisa mweya kumedza. Semuenzaniso, kana maskiti ari pamusoro pemhino paanoenzanisa nekuvhara mumhino nemuromo, izvi zvinopesana here?

Mhinduro shoma ndeye. Pasinei nokuti mhepo yakamanikidzwa iri kuendeswa kuburikidza nemhino kana muromo, inozopedzisira yauya kune imwe ndima iri kumashure kwehuro. Dambudziko rinogara mberi mumugwagwa uye kwete pamhino kana mumuromo apo masikisi ingashandiswa zvakasiyana. Nokudaro, hazvizogoni kuisa mutsauko wakakura uyo unosarudza kusarudza kushandisa.

Shoko Rinobva

Inogona kunge isinganyatsogoni kuwana mweya wakanyanyisa kumedza, kunyanya nekushandiswa kwePCAP zvirongwa izvo zvisingagadziri. Usatambura mukunyarara! Zvinokurudzirwa kumira pakarepo kushandiswa kwepombi yako CPAP. Dzokera kune wako CPAP equipment provider kuitira kuti kudzvinyirirwa kuderedze. Zvichida iwe unodawo kuisa chiremba wako wekurara pamusoro pemamiriro ose ekushandura, sezvo ichi chiri chirevo chinoshandurwa. Nenzira yakanaka, nefoni shomanana, iwe unogona kusvika pane nzira yakarurama. Iko kusunungurwa.

Kunobva:

Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." Elsevier , 6th edition, 2017.