Ukugwinya Kwemoya Kungase Kuholele Ekuhlotsheni, Ukuqhaqhaza, nokuvimbela
Ukucindezela okuqhubekayo kwe-airway (CPAP) kuyindlela ephumelelayo yokuphulukisa i-apnea yokuvimbela ukulala , kodwa ayikho ngaphandle kwemiphumela yaso emibi. Esinye sezikhalazo ezivame kakhulu ukusetshenziswa kwayo yigesi ehlobene ne-CPAP, kuhlanganise nomoya odlulayo ongena esiswini futhi uholela ekugqibeni kwegazi, ukugcoba, ukufiphaza nokuvimbela ngemuva kokusetshenziswa.
Yini ebangela imiphumela emibi ye-CPAP gas?
Ingabe kukhona izindlela zokwelapha eziphumelelayo ukuze ugweme ukutholakala kwalo? Hlola ezinye zezimpawu ezihlobene negesi le-CPAP nokuthi yini engenziwa ngayo ukuze unciphise umoya ukugwinya.
Yini eyenza i-CPAP Gas noma i-Air ikhiphe ku-Occur?
Ukugwinya umoya kungenye yezimpawu ezivame kakhulu ezihambisana ne-CPAP yokwelashwa kwe-apnea yokulala. Iholela ekubhubhiseni, igesi engadingeki ebangela ukuqhuma nokuqhuma, nokungahambi kahle. Le moya esiswini ngezinye izikhathi ibizwa ngokuthi i-aerophagia, okusho ukuthi "ukugwinya umoya" noma "ukudla emoyeni." Yini eyenza le moya igxumeke?
I-CPAP isebenza ngokunikeza ukugeleza okuqhubekayo emoyeni okugcina i-airway engenhla ivule futhi ivimbele ukuwa kwayo ngesikhathi sokulala. Uma ibekezelela, iphumelela kakhulu ekuvimbeleni i-apnea yokulala, isimo esibonakala ngokuwa ngokuphindaphindiwe kwe-palate nelulwimi oluphansi emphinjeni oholela ezingeni le-oksijeni wehla nokuvusa. Lokhu kuthuthwa komoya kungabangela inkinga, noma kunjalo, ikakhulukazi uma umoya ukhulu kakhulu futhi uya lapho ungafunwa khona.
Uma ucabangela ithubhu egijima kusukela endlebeni yekhaleni lakho kuya emaphashini akho, ukugeleza komoya okucindezelayo kwe-CPAP kugcina leli tube livulekile. Izosusa izicubu ezithambile eceleni, ikakhulukazi endaweni yesineke , ulimi, kanye nomphimbo ophezulu. Ingxenye engezansi yendiza yomoya ixhaswa izakhiwo ze-bony ne-cartilage futhi ihlanganisa i-trachea, eholela ku-bronchi namaphaphu.
Ngakwesokudla eduze kokungena ku-trachea kungukuvula okuholela esophagus nesisu. Ngakho-ke, uma umoya owedlulele uqondiswa phansi ngaphansi kwesisu, isisu singagcwalisa umoya futhi lokhu kungabangela ukwanda okukhulu.
Uma ingahlotshaniswa nokusetshenziswa kwe-CPAP therapy, i-aerophagia ingabangelwa ezinye izenzakalo. Kuvame ukuhlotshaniswa nanoma yiluphi uhlobo lokudla, ikakhulukazi uma othile edla ngokushesha kakhulu. Ngokuvamile i-Aerophagia ibangelwa ukuphuza utshwala obuthiwe njenge-soda pop noma iziphuzo ezinomlilo eziqukethe i-carbon dioxide. Kungenzeka futhi uma uhlafuna i-gum noma ngisho nalapho ugwaya. Kunezimo ezingavamile ezingase zihlotshaniswe ne-aerophagia, njengokuziphatha okukhathazayo kulabo abanokulimala kwengqondo kusukela ekuzalweni.
Izimpawu ze-Air Ukuhlunga
Lapho umoya ocindezelayo ovela ku-CPAP ungena ngesisu ngendlela engafanele, kuholela ezikhaleni ezimbalwa ezivamile. Lokhu kufaka:
- Ukubhoboza noma ukubamba
- Ukuhlukanisa (flatus noma flatulence)
- Isisu esiphelele noma esilula (ukubhubhisa)
- Ukuvuthwa komoya (okuvamile)
- Ubuhlungu besisu
Lezi zimpawu zingase zibe ezincane futhi zibekezeleleke. Iningi labantu lingabona ukukhululeka ehoreni lokuqala losuku ngokudlula igesi. Noma kunjalo, kungase kube nzima kakhulu futhi kuphazamise. Into enenhlanhla ukuthi kukhona ingozi encane yokulimala okungunaphakade emzimbeni wakho.
Noma kunjalo, kungaba nesifiso sokufuna izindlela zokwenza lokhu kube nzima kakhulu ngokunciphisa kokubili ukuvama kanye nezinga lokugwinya emoyeni.
Ukwelashwa Ukunciphisa I-CPAP Gas
Kunezindlela zokwehlisa igesi le-CPAP kuye ngokuthi yini ebangela imbangela. Izindaba ezinhle ukuthi izimo eziphazamisayo ezihlobene negesi le-CPAP zinganqotshwa futhi ukuphumelela kokwelapha kungakujabulela. Cabanga ngalokhu okukhethwa kukho:
Lungisa izilungiselelo zokucindezela
Esinye sezimbangela ezivame kakhulu zegesi le-CPAP yukuthi ukubekwa komshini komshini kuphezulu kakhulu. Uma ingcindezi ingasethiwe njengengxenye yocwaningo lokufunda, uma idivaysi inika kuphela ukucindezelwa okuqinile, noma uma ulahlekelwe okungenani amaphesenti ayishumi esisindo somzimba wakho, lokhu kungenzeka.
Ngokunciphisa ukucindezela, noma ukubeka uhla lwezingcindezi ezihlanganisa ukubeka okuphansi nge-AutoCPAP, ukugwinya emoyeni kungathuthuka kakhulu. Kwezinye izimo, kungase kudingeke ukuthi ushintshele ekwelapheni kwe-bilevel , uhlobo lwedivayisi olwehlisa ukucindezela ngesikhathi sokukhipha umoya futhi lokho kuzokwenza kube lula ukuphefumula ngokumelene nokugeleza komoya.
Lungisa Indawo Yakho Yokulala
Esinye isici esibalulekile ukulala kwakho. Uma ulala emhlane wakho, kungaba usizo ukulala ekuthambekeni. Lokhu kuzovimbela i- "kink" engxenyeni engase iholele ekuvumela kalula ukuhamba emoyeni ngaphakathi esiswini. Abantu abaningi bakuthola kuwusizo ukulala nekhanda phezulu ekhoneni lika-30 kuya kwangu-40 degrees. Lokhu kungafezwa ngokulala emcongeni wedanga . Umcengezi ungabekwa phezulu noma ngaphansi kwe-mattress, kuye ngokuklama kwawo. Kumele futhi uqiniseke ukuthi isitoreji semithwalo asishukumiseli ikhanda lakho phambili. Kuyiqiniso ngempela ngekhanda lakho, intamo, amahlombe, nomzimba ophezulu ukusekelwa ngokugcwele endaweni yokungathathi hlangothi.
Abanye abantu bakhetha umbhede olungiswayo, kodwa lokhu kungabiza, ngokuvamile kubiza izinkulungwane zamaRandi. Enye inketho kungaba ukuphakamisa umbhede wonke. Ngokusetshenziswa kwezincwadi (njengezincwadi ezindala zocingo) noma ngisho namabhuloki e-cinder, ungafaka izinyawo ezimbili ezinhlokweni zombhede wakho. Ngakho-ke, wonke umbhede uzogcinwa esihlalweni. Lokhu kuvame ukubekezelela kahle umlingani wombhede uma unayo, futhi kunengozi enkulu yokuphuma embhedeni ngendlela efanele.
I-Heartburn yekheli
Kuyinto evamile ukuthi imbangela ye-aerophagia ne-CPAP igesi ifinyelele ekubhebhethekeni kwesisu noma isifo se-reflux se-gastroesophageal (GERD). Ukushisa, ikakhulukazi uma kwenzeka ebusuku, kungenza ukuba umoya ugwinye.
Ingxenyana engezansi ye-esophagus ineendandatho ye-muscular ebizwa ngokuthi i-sphincter esezansi ephansi. Leli ring livala isisu kusukela esiswini. Lokhu kuvimbela okuqukethwe kwesisu, kuhlanganise nesisu se-asidi, kusukela ekukhuphukeni kuze kube yindawo. Noma kunjalo, kubantu abaneGERD noma i-heartburn, i-sphincter iba buthakathaka. Awuyikuvala isisindo futhi kufanele. Lokhu kuvumela i-reflux ye-asidi yesisu ibe yindawo, kodwa futhi ingavumela umoya ukungena esiswini ngokusebenzisa i-CPAP.
Abanye abantu bazothola ukusetshenziswa kwemithi ye-GERD ukuze kube usizo ekuvinjeni igesi le-CPAP, kufaka phakathi izinketho ezingaphezu kwe-counter ezifana ne:
- I-Omeprazole (Prilosec)
- I-Esomeprazole (Nexium)
- I-Cimetidine (i-Tagamet)
- I-Ranitidine (i-Zantac)
- I-calcium carbonate (i-Tums)
Kungaba kubalulekile ukukhuluma nodokotela wakho uma lokhu kudingwa ukusetshenziswa kwesikhathi eside.
Izinketho ezingaphezu kwe-Counter Counter
Ukhetho olwengeziwe lwezokwelapha lungase lusetshenziswe kweGesi-X (ithengiswe phezu kwe-counter ngaphansi kwegama elijwayelekile lomsindo wesimanje). Lokhu kunganikeza ukukhululeka, kepha uma inani lomoya ligwedla liphawuleka, kungenzeka ukuthi alanele.
Yize kungase kube okungajabulisayo, ukukhululeka okukhulu kungase kube ukumane nje udlulise igesi ngaphandle ngokwemvelo ngokusebenzisa ugping noma ukuhamba.
Ingabe Mask wakho Udlala Indima?
Okokugcina, abantu bavame ukubuza ukuthi uhlobo lwe- mask ye- CPAP linomthelela ekudambiseni amandla okugwinya emoyeni. Isibonelo, uma i-mask iphezu kwekhaleni uma kuqhathaniswa nokumboza impumulo nomlomo, ingabe lokhu kwenza umehluko?
Impendulo emfushane ayikho. Kungakhathaliseki ukuthi umoya ocindezelayo uhanjiswa emakhaleni noma emlonyeni, ekugcineni ufika endimeni efanayo ngemuva komphimbo. Inkinga ihlezi ngaphesheya kwendiza futhi hhayi ekhaleni noma emlonyeni lapho umaski ungasetshenziswa ngokuhlukile. Ngakho-ke, ngeke kube nokwenza umehluko omkhulu owukhetha ukuwusebenzisa.
Izwi elivela
Kungase kungakhululekile ukuzwa ukugwinya emoyeni okwedlulele, ikakhulukazi ngokusetshenziswa kwezilungiselelo ze-CPAP ezingenakulungiswa. Ungathuli ngokuthula! Kunconywa ukuyeka ngokushesha ukusetshenziswa komshini wakho we-CPAP. Finyelela kumhlinzeki wakho wemishini ye-CPAP ukuze uthole ukucindezelwa kwehle. Kungenzeka ukuthi uzodinga ukufaka udokotela wakho wokulala mayelana nanoma yikuphi ukuguqulwa kwesimo, njengoba lokhu kuyishintsho lomuthi. Ngenhlanhla, ngezingcingo ezimbalwa, ungathola ithrekhi efanele. Yeka impumuzo.
Umthombo:
Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." Elsevier , edition 6, 2017.