Uma ngabe kunqunywe ukucindezela okuqhubekayo kwe-airway (CPAP) ukuphatha i-obnetive obstructive sleep apnea , ungase uzibuze ukuthi yimiphi imiphumela emibi ehlobene nokusetshenziswa kwayo. Ngenhlanhla, ukwelashwa kwe-CPAP kuphephile. Izikhalazo ezivame kakhulu zihlobene nokungahambi kahle kwesikhombimsebenzisi noma ukucindezela emoyeni. Thola ukuthi yini engahambi kahle uma usebenzisa i-CPAP yokwelashwa ukuxazulula ukudlala nokuphefumula.
Ama-Skin Skin noma ama-Rashes kusuka ku-CPAP
I-mask yakho ye-CPAP ingashiya amanothi esikhumbeni sakho uma ingahambisani kahle. Kungenzeka lokhu kungabangela izilonda noma izilonda, ikakhulukazi eceleni kwebhuloho lempumulo yakho. Abantu abanesikhumba esibucayi nabo bangase bahlakulele ukushisa noma ukucasula isikhumba, ikakhulukazi ngamaski aqukethe i-latex. Ama-mask liners, i-barrier creams, ukukhulula imaski, noma imaski ehlelwe kangcono inganciphisa lezi zimpawu.
Ukuhamba Kwemoya kusuka ku-CPAP Masks
Kokude, ukuvuza kungumkhononda ovame kakhulu ohambisana nokusetshenziswa kwe-CPAP. Uma i-mask ingahambelani ngokuphelele, umoya ungase ubalekele emaphethelweni. Kungaba nzima nakakhulu uma ushintsha isikhundla ebusuku. Isisindo esikhulu, njengalezo ezimboza impumulo nomlomo, zijwayele ukuvuza. Lokhu kuvuza kungahle kube mnandi futhi kuphazamise umlingani wakho wombhede. Ukuvuza kungaphinde kukwehlise ukwelashwa kwakho ngokunciphisa ukucindezelwa okuhanjisiwe. Ukuvuza kunganciphisa ngokusebenzisa imaski yomzimba noma umqubu womsizi .
Uma unenkinga ye- mask yakho ye- CPAP , izilungiselelo ezicindezelayo ezingezansi zingasiza ngezikhathi ezithile. Uma kunomshini omkhulu womoya, umoya ophuthumayo ubalekela emaphethelweni e-mask noma ngaphandle komlomo. Xoxa ngalokhu nodokotela wakho ngaphambi kokushintsha izilungiselelo.
Dry in the Nose noma Umlomo kusuka CPAP
Ukushisa komlomo noma umlomo wakho kuvame ukuhamba nokuvuza.
Lokhu kungaholela ezithombeni ze-noseblees noma ngisho nokulimaza emazinsini akho namazinyo. Ukusebenzisa i-humidifier evuthayo kanye nesibhubhe esivuthayo kungasiza ukwenza i-CPAP yakho ikhululeke ngokwengeziwe. Uma umlomo wakho uvuleka, umoya ungaphumelela futhi ungaholela emlonyeni noma olimini olumile. Ukusebenzisa i- chinstrap noma i-mask full-face ehlanganisa kokubili impumulo nomlomo kungalungisa lokhu. Uma imphunga yakho isomile, i-over-the-counter nasal saline spray ingasiza.
Ukungakhululeki Ukuphefumula
Lapho uqala ukusebenzisa ukwelashwa kwe-CPAP, kunenkathi yokulungiswa eyenzekayo. Kungase kungabi nomuzwa wokuphefumula ngaphandle kokucindezela. Nakuba kulula ukuphefumula, ungase uthole kunzima ukuphefumula. Lokhu kungathuthuka ngokuhamba kwesikhathi, kodwa kungase futhi kuvuse ukubola. Kwezinye izimo, ukunyuka kwesisindo sokuqala esincane noma isici sokuvumela ukuphefumula kulula kungaba usizo. Kungadingeka ukunciphisa izingcindezi jikelele. Ezimweni ezingavamile, ukwelashwa kwezinga elibili-lapho kusetshenziselwa ukuphefumula khona, futhi ingcindezi ephansi isetshenziselwa ukuphefumula-kungadingeka.
Ukushayela emoyeni noma i-Aerophagia esuka ku-CPAP
Abantu abaningi babhekana nokugwinya emoyeni, okuthiwa i-aerophagia (ngokwezwi nezwi "ukudla emoyeni"). Uma uvuka futhi isisu sakho sigcwele umoya, lokhu kungenzeka ngenxa ye-aerophagia.
Ukugwinya kwe-Air kungaba uphawu lwezingcindezi ze-CPAP eziphakeme kakhulu. Esikhundleni sokusekela umoya ongenhla, umoya okhudlwana ungangena esiswini nge-esophagus. Ngenxa yalokho, ukubhoboza, ukuphuma, nokubhuqa kungaba izinkinga. Izingcindezi ezincishisiwe zingasiza ekunciphiseni lokhu. Ezinye zokwelapha ze-aerophagia ezifana nokusetshenziswa kwemithi yokuphuza noma ukuguqulwa kwe-GERD, imilenze yokulala yokulala, kanye nokwelashwa kwezinga eliphansi kungase kube usizo.
Ukuthuthukisa i-Central Sleep Apnea
Abanye abantu bazoqala ukuzwa i- apnea yokulala ephakathi , lapho ukuphefumula okuphefumula kwenzeka njengempendulo ku-CPAP therapy. Uma i-apneas ephakathi ayizange ilandele ubuningi bokuphazamiseka kwakho kokuphefumula ngaphambi kokuqala i-CPAP, kodwa manje iqhaza ezenzakalweni ezingaphezu kwezingu-5 ngehora, ingase ibhekane ne-apnea eyinkimbinkimbi yokulala.
Lokhu ngezinye izikhathi kuxazulula ngesikhathi. Kungadinga ushintsho ku-ASV ukwelashwa. Kwezinye izimo, kungancishiswa ngokumane nje wehlise ukucindezela kwe-CPAP.
Izinkinga zokukhula kombuso kubantwana abasebenzisa i-CPAP
Izingane ezisisebenzisa i-CPAP kufanele zihlolwe ukuze zingahlaziyi izinkinga zokukhula eziphakathi kwazo ezihambisana nomfutho we-mask ngaphesheya kwekhaleni. Izitayela ze-Mask ezintsha, ezifaka umquba we-nasal, zinganciphisa le ngozi.
Izinguquko Ezithinta Ukucindezela kwe-CPAP Okudingayo
Ngezinye izikhathi kubalulekile ukunciphisa izingcindezi zomshini we-CPAP uma izimbangela zakho zobungozi zokuphefumula kwe-apnea zishintshile. Isisindo esiningi ngokweqile ngenye yezinto eziyinhloko zokufaka ingozi yokulala ne-apnea. Uma ungalahlekelwa okungenani amaphesenti angu-10 wesisindo somzimba wakho ngokudla nokuzivocavoca, ungadinga ukucindezela okuphansi kwe-CPAP. Uma uqala ukuba nezinkinga ngokugwinya emoyeni, ukufihla imfucuza, noma ubunzima bokuphefumula ngaphandle kokucindezelwa, lokhu kungenzeka kube usizo.
Uma une-allergies yemvelo, ukwelashwa okwenziwe kahle ngemithi noma izipucu zamasalini kunganciphisa wena izidingo zokucindezela ngokuthuthukisa ukuhamba kwamanzi ngendwangu yomzimba. Futhi, izinguquko zokuhlinzwa- ezihlanganisa i-tonsillectomy, septoplasty yama-nasal, ne-palate elula noma ukuhlinzwa ulimi-kungashintsha izidingo zakho zokwelashwa kwe-CPAP.
Ukusetshenziswa kwezidakamizwa kungathinta ingozi yokuphefumula ukuphefumula. Uma ubhema , ukudlala futhi ukulala ne-apnea kungalapha. Utshwala usebenzisa isikhathi sokulala kungabangela ukuphumula kwemisipha futhi kubangele ukulala ne-apnea. Imithi, kuhlanganisa imisipha yokuphumula kanye ne-benzodiazepines, ingase ibe nzima kakhulu ukulala kwe-apnea. Uma unqanda ukusetshenziswa kwanoma iyiphi yalezi zinto, ingozi yakho yokulala i-apnea ingase iyancipha futhi ukucindezeleka kwakho kudinga kungancishiswa.
Izwi elivela
Uma uhlangabezana nanoma yimuphi wale miphumela emibi noma umsolwa ungadinga ukunciphisa ukucindezela kwakho kwe-CPAP, khuluma nochwepheshe wakho wokulala noma umhlinzeki wezinsiza mayelana nezixazululo ezitholakalayo kuwe. Ngemuva kokubuyekeza kwedatha yakho ye-CPAP, kungenziwa ukuzimisela ukuthi kungcono kanjani ukushintsha izilungiselelo zakho zokucindezela noma wenze ezinye izinguquko. Njengoba lokhu kuyindlela yokwelashwa enqunyiwe enezinguquko eziningi okufanele uzicabangele, ungenzi lezi zinguquko ngokwakho. Ngenhlanhla, kungenziwa izinguquko ekuthuthukiseni isipiliyoni nge-CPAP therapy nokunciphisa imiphumela emibi.
> Umthombo:
> I-Kryger MH, i-Roth T, i-Dement WC. Izimiso Nemikhuba Yokulala Imithi . Philadelphia, PA: Elsevier; 2017.