Abantu abaningi abane- cystic fibrosis (CF) nezinye izimo zezokwelapha basebenzisa ama-vest-oscillation (HFCWO) odongeni lwe-high-frequency wall oscillation (i-HFCWO), okunye okubizwa ngokuthi yizinhlelo zokugudluza izindiza, njengengxenye yesimiso sabo somsebenzi wansuku zonke.
Uma ucabangela ukusebenzisa imithi yokwelashwa, ngokungangabazeki unemibuzo oyothola ukuthi uphendule ngaphambi kokuthi unqume ukuthi ngabe i-HFCWO ikulungele wena noma ingane yakho.
Lesi sihloko sibheka eminye yemibuzo evame ukubuzwa kakhulu (i-FAQ's) ebuzwe ngalezi zinhlelo.
Yini eyenziwa yi-HFCWO Vests?
Izindwangu ze-HFCWO zibukeka zifana namagebhu okuphila emidlalo. Zenziwe ngezinto ezilula, eziguquguqukayo ezifana nezinto ezisetshenziselwa i-blood pressure cuffs. Isigqoko sine-holes enkulu noma emibili ye-plastic hoses ehlanganiswe nayo ehlangene nomshini omncane. Imikhiqizo emibili eyaziwayo yalezi zivivinyo ihlanganisa:
- I-System Vest, eyenziwe yi-Hill-Rom
- I-SmartVest, eyenziwe yi-Electromed
Uhlobo olusha lwesici se-vest esakhelwe amamojula amancane angenawo ama-oscillating avumela inkululeko yokunyakaza ukuhamba ngaphandle kwezigxobo zokuvimbela noma ama-generator anzima:
- I-AffloVest - eyenziwa yi-International Biophysics Corporation
I-HFCWO Vests isebenza kanjani?
Imigomo ye-HFCWO yokwelashwa ifana nayo nayiphi enye indlela yokwenza imigwaqo yezindiza - ukuphula u-mucus nokusiza ukuyiyisa emoyeni ongenhla, lapho ingaqhutshwa ngaphandle noma isuswe ngokunyuka.
Umshini oxhunywe ku-vest kuyinto i-compressor yomoya eyenza ukuqhuma kwomoya ukuba iphoqe ngokushesha futhi ihlukumeze i-vest cishe izikhathi ezingu-25 ngomzuzwana. Lokhu kudala ukucindezela komnene nokudlidliza esifubeni, okwenza izinto ezintathu:
- Uqhekeza i-mucus, okwenza kube mncane
- Idala "ukukhwehlela okuncane" emaphashini, okusiza ukusunduza i-mucus ngaphandle
- Yenza i-cilia ihambele ngokushesha, ibasize ukuba baphathe umcibisholo okhululekile emoyeni ongenhla
Ubani Ongasebenzisa I-HFCWO Vests?
Asikho isidingo seminyaka eyisilinganiso sokusebenza kwe-HFCWO. Ngokuvamile, uma isisindo somntwana esifubeni sikhulu ngokwanele ukuba i-vest ivumelane kahle, angakwazi ukuqala ukusebenzisa i-vesti.
Izindleko Ziningi Kangakanani?
Lezi zinhlelo zingabiza noma zilukhuni ukuthola. Amamodeli amasha we-vest angabiza phakathi kuka-$ 15,000 no-$ 20,000, futhi angeke ahlanganiswe njalo nomshuwalense. Isibonelo, izinkampani eziningi zomshuwalense zidinga izindlela ezithile okufanele zihlangabezane nazo ngaphambi kokuba zivumelane ukukhokhela i-vest. Isibonelo, abanye bomshuwalense bangase bafune imibhalo yezifo zokuphefumula ezivamile noma ubufakazi bokuthi amanye amathekisthi okuhambisa imvume yomoya ayenziwe ngokulinganiselwe noma engekho impumelelo.
Yiziphi Izinzuzo Nezimozo ze-HFCWO Vest Therapy?
Kwabanye, i-vest inikeza okunye okunye noma okungeziwe ku- physiotherapy ye-chest manual (CPT), kodwa akuyona leyo ndlela engcono kakhulu kuwo wonke umuntu. Isinqumo sokusebenzisa ukwelashwa kwe-HFCWO noma cha isinqumo esekelwe ezithandweni zakho kanye nezincomo zodokotela (bheka ishadi ngezansi).
| Izinzuzo | Ukungalungi |
| Ukwelashwa kungenziwa ngaphandle kosizo. | Amamodeli amasha we-vest angabiza phakathi kuka-$ 15,000 no-$ 20,000, futhi angeke ahlanganiswe njalo nomshuwalense. |
| Akudingi ikhono, ngakho yonke imithi yokwelashwa iyokwenziwa ngokufanele. | Kudinga ukufinyelela kagesi. |
| Inkululeko yokwenza ezinye izinto ngenkathi ukwelashwa, ngoba akukho sikhundla esikhethekile noma amasu okuphefumula adingekayo. | Kumelwe ulethe imishini nawe lapho uhamba. I-compressor inesisindo esiphakathi kwamakhilogremu angu-10 no-30, kuye ngokuthi imodeli. |
| Uphatha yonke i-lobes yamaphaphu ngesikhathi esisodwa, ngakho isikhathi sokwelapha sifushane kune-CPT yombhalo. |
Ungayitholaphi futhi Uthola i-HFCWO Vest?
Izindwangu ze-HFCWO zitholakala kuphela nge-odokotela. Uma ucabangela ukusebenzisa i-vest, khuluma nodokotela wakho noma ithimba lesikhungo sezokwelashwa kwe-CF .
> Imithombo:
> Amamaki, i-JH "Amadivaysi E-Clearway Clearance ku-Cystic Fibrosis". Ukuhlolwa kokuphefumula kwezingane. 2007; 8: 17-23.
> I-Cystic Fibrosis Foundation. I-High-Frequency Chest Wall Oscillation (i-Vest).