I-Airflow ecindezelekile ivula i-Airway futhi ikhulula izimpawu, imiphumela
Uma utshelwe ukuthi udinga ukusebenzisa umshini oqhubekayo wokucindezela umoya we-airway (CPAP) ukuphatha i-apnea yakho yokulala, ungase uzibuze ukuthi umshini we-CPAP usebenza kanjani.
Lapha, uzofunda ukuthi la madivaysi anciphisa kanjani i-snoring ne- sleep apnea ngomoya ocindezelayo nokuthi yiziphi izinto ezikhethekile ezingadingeka uma une-apnea yokulala ephakathi.
Invention
Imishini ye-CPAP isetshenziselwe ukwelashwa kwe-apnea yokulala kusukela ngo-1981.
UColin Colin Sullivan waqala ukubona ukuthi inzuzo engaba khona yomoya oqhubekayo, ovuthwa umoya owenziwe ngomoya we-vacuum cleaner wakhe. I-apnea yokulala ngaphambili yayidinga i- tracheostomy ukuxazulula, ngokudlula ukuwa komphimbo.
Manje, nge-mask ehlanganisiwe, i-tubing, nomshini ongabangela ukucindezela emoyeni, lesi sifo sixazululwe. Kwakungokutholakala okuphawulekayo - futhi omunye wahlangana nokungabaza kokuqala. Kungathatha iminyaka engu-5 ngaphambi kokuba amadivayisi atholakale kabanzi ngokuthengisa.
Indlela i-CPAP isebenza ngayo
Imishini yamanje ye-CPAP isebenza ngokusekelwe ezimisweni ezifanayo njengamadivaysi okuqala akhiwa uDkt. Sullivan. Izingcindezi manje zenziwe ngamamori amancane, aqinile. Noma kunjalo, umoya wendawo (hhayi oksijeni) uthathwa ngokusebenzisa isihlungi futhi ucindezelekile ngokuvumelana nezilungiselelo ezibekwe ochwepheshe bakho bokulala. Amashini asetshenziselwa ukuletha ingcindezi esuka kumamitha angu-4 amanzi (CWP) kuze kufike ku-25 CWP.
Le moya ivame ukudluliswa nge-humidifier evuthayo futhi ithunyelwe nge-tubing kwisixhumi esibonakalayo se-mask.
Ukugeleza okuqhubekayo kwomoya ocindezelayo kudala umkhumbi ohamba phambili emoyeni ophezulu . Abanye baye bakuchaza njengengqamuzana yokuphefumula (emoyeni) egcina umphimbo ungawi. Lokhu kuvimbela i-palate elithambile, uvula, nolimi kusukela ekushintsheni ukuya emoyeni.
Iyanciphisa ukudlidliza okudala umsindo wokumisa. Kungase kukhululeke ukuvuvukala ngaphakathi kwempumu bese kukhishwa umcibisholo ovela emoyeni. Ngokwesekela umoya womoya, ukuphefumula kuvamile futhi ikhwalithi yokulala kuthuthuka njengokuxazulula ukulala okuhlukanisiwe. Amazinga e-oksijeni angagcinwa. Imiphumela ebuhlungu yokuphefumula i-apnea yokulala ingasuswa.
Imishini ye-AutoCPAP ihluka kancane ukuthi ingabona ukuwa kwe-airway ngokulinganisa ukumelana futhi isabele ngokwandisa ingcindezi njengoba kudingeke ebusuku ukuze kuxazululwe i-apnea yokulala. Lawa madivaysi azohlola futhi ukucindezelwa okuphansi futhi ahlele phansi uma kungenzeka.
Izimpawu Nezinhlekelele
Abanye bakhathazeke ngokubaluleka ngemiphumela yokwelashwa kwe-CPAP ebonakalayo noma "engokwemvelo". Ngenhlanhla, kunemiphumela emibi emangalisayo.
Izinkinga ezivame kakhulu ezihambisana nokusetshenziswa kwe-CPAP ziwumlomo omile nomoya wokugwinya ( aerophagia ). Amaphaphu awakwazi ukuphuma (izingcindezi ezisetshenzisiwe ziphansi kakhulu). Akububi kakhulu i-asthma noma i-COPD. Esikhundleni sokubangela isifo , ukwelashwa empeleni kunciphisa ingozi yokuba nomunye. Izono nezisindlebe zangaphakathi azithinteki kakhulu ukwelashwa nakuba imibiko yenkinga iphakamisa ukuthi kungenzeka ukuthi amanani amancane okucindezela aphinde ahanjiswe kuwo wonke ama-tissu ebusweni.
Kunobunye ubufakazi bokuthi umaski oqinile noma ovimbela ngokweqile ungathinta ukukhula kobuso obuphakathi ezinganeni, kodwa lokhu kungabhekwa ukuze kugweme lezi mphumela. Njengoba kunikezwe izinzuzo zokwelashwa, imiphumela emibi ayincane futhi inqotshwa kalula.
Ukucabangela Ukwelashwa Kwe-Central Sleep Apnea
Kubalulekile ukubukeza icala elikhethekile lesimo esihlobene. I-apnea yokulala yase-Central ichazwa ngokuyeka ukuphefumula okubonakala ngokungabi nokuzama ukuphefumula, kunokuba ukuwa komoya. Ngokuvamile kuvame ukulimala, ukuhlukunyezwa kwenhliziyo ye-congestive (CHF), nokusetshenziswa kwemithi ye-narcotic noma i-opioid.
Kungase futhi kwenzeke ekuphenduleni ukwelashwa kwe-CPAP ngokwayo, esimweni esibizwa ngokuthi i- apnea yokulala eyinkimbinkimbi .
E-central apnea yokulala, ngezinye izikhathi kuyadingeka ukucabangela ezinye izindlela zokwelapha. Ikakhulukazi, ngezinye izikhathi ukwelashwa nge-bilevel kudingekile. I-Bilevel inikeza izingcindezi ezimbili, okumele uphefumule futhi ingcindezi ephansi yokuphefumula. I-Bilevel ST ingahle ikhawule ngokuphefumula okwesikhashana ukukhokhela izikhala zokuphefumula. Lemodi ehleliwe ingakwazi ukuthelela amaphaphu ukuqinisekisa inombolo encane yokuphefumula eyenzekayo. Ngaphezu kwalokho, ukwelashwa okungcono kakhulu okubizwa ngokuthi i-adaptive (noma auto) ye-servo-ventilation (ASV) ingasetshenziswa. Lokhu kuvumela ukulawula izinga lokuphefumula, ivolumu, isikhathi sokuhambisa umoya ohambwayo, nezinye izinto eziguquguqukayo kulabo abaye baphefumula kakhulu.
Ngenhlanhla, awudingi ukwazi okuningi mayelana nokuthi umshini wakho usebenza kanjani. Ochwepheshe abafanelekayo, abaqeqeshelwe ukulala ebhodini bazokwazi ukuhlola impilo yakho, ubuyekeze isifundo sakho sokulala futhi ukhethe ukwelashwa okulungile ukuthuthukisa isimo sakho.
> Imithombo:
> Sullivan CE, uBerthon-Jones M, Issa FG, u-Eves L. "Ukuguqulwa kwe-apnea yokulala yokuvimbela ukulala ngokucindezela okuqhubekayo kwe-airway okusetshenziselwa ukuthi kusetshenziswe izibhamu." Lancet 1981, 862-865.