Unyango loxinzelelo lomoya

Unyango oluqinisekileyo lomoya (PAP) usebenzisa umatshini ukupompa umoya phantsi koxinzelelo kwindlela yomoya yemiphunga. Oku kunceda ukugcina i-windpipe ivulekile ngexesha lokulala. Umoya onyanzelekileyo ohanjiswa yi-CPAP (uxinzelelo oluqinisekileyo lokuhamba ngomoya) uthintela iziqendu zokuwa kwomoya okuvimba ukuphefumla kubantu abane-apnea yokulala engavaliyo kunye nezinye iingxaki zokuphefumla.

KUFUNEKA USEBENZISE IPHEPHA

I-PAP inokunyanga ngempumelelo uninzi lwabantu abane-apnea yokulala ethintelayo. Kukhuselekile kwaye kusebenza kakuhle kubantu bayo yonke iminyaka, kubandakanya nabantwana. Ukuba ulala kancinci kwaye awaziva ulele kakhulu emini, awungekhe ufune.

Emva kokusebenzisa iPAP rhoqo, ungaqaphela:

• Uxinzelelo olungcono kunye nenkumbulo
• Ukuziva uphaphile ngakumbi kwaye ulele ngokwaneleyo emini
• Ukuphucula ubuthongo kwiqabane lakho lokulala
• Ukuvelisa ngakumbi emsebenzini
• Ukuxhalaba okuncinci kunye noxinzelelo kunye nemood engcono
• Iipateni zokulala eziqhelekileyo
• Uxinzelelo lwegazi olusezantsi (kubantu abanoxinzelelo lwegazi oluphezulu)

Umboneleli wakho wezempilo uya kukuyalela uhlobo lomatshini wePAP ojolise kwingxaki yakho:

• Uxinzelelo oluqinisekileyo lokuhamba komoya (CPAP) lubonelela ngoxinzelelo olunobunono kunye nozinzo lomoya kwindlela yakho yomoya ukuyigcina ivulekile.
• Ukuzenzekelayo (ukuhlengahlengisa) uxinzelelo lwomoya oqinisekileyo (APAP) utshintsha uxinzelelo ubusuku bonke, ngokusekwe kwiipateni zakho zokuphefumla.
• Uxinzelelo lwe-Bilevel lomoya (i-BiPAP okanye i-BIPAP) inoxinzelelo oluphezulu xa uphefumla kwaye uxinzelelo olusezantsi xa uphefumlela ngaphandle.

I-BiPAP iluncedo kubantwana nakubantu abadala abane:

• Iindlela zomoya eziwayo xa ulele, zisenza nzima ukuphefumla ngokukhululekileyo
• Ukuncipha komoya otshintshisanayo emiphungeni
• Ubuthathaka bemisipha obenza kube nzima ukuphefumla, ngenxa yeemeko ezinjenge-muscular dystrophy

I-PAP okanye i-BiPAP inokusetyenziswa ngabantu:

• Ukusilela kokuphefumla
• I-apnea yokulala ephakathi
• ICOPD
• Ukumelwa yintliziyo

INDLELA ESEBENZA NGAYO IPAP

Xa usebenzisa useto lwePAP:

• Unxiba imaski empumlweni okanye empumlweni nasemlonyeni xa ulele.
• Imaski idityaniswe ngombhobho kumatshini omncinci ohleli ecaleni kwebhedi yakho.
• Umatshini upompa umoya phantsi koxinzelelo ngokusebenzisa ithumbu kunye nemaski nakwindlela yakho yomoya ngelixa ulele. Oku kunceda ukugcina indlela yakho yomoya ivulekile.

Ungaqala ukusebenzisa iPAP ngelixa ukwindawo yokulala ebusuku. Oomatshini abatsha (ukuzilungisa ngokwakho okanye i-auto-PAP), banokuseta kwaye banikwe ukuba ulale nabo ekhaya, ngaphandle kwesidingo sovavanyo lokutshintsha uxinzelelo.

• Umboneleli wakho uya kukunceda ukhethe imaski ekufaneleyo.
• Baya kulungelelanisa useto kumatshini ngelixa uleleyo.
• Useto luya kuhlengahlengiswa ngokusekwe kubukrakra bokuphefumla kwakho.

Ukuba iimpawu zakho aziphucuki emva konyango lwe-PAP, useto kumatshini lunokufuna ukutshintsha. Umboneleli wakho unokukufundisa indlela yokulungisa useto ekhaya. Okanye, unokufuna ukuya kwiziko lokulala ukuze uhlengahlengiswe.

UKUSETYENZISWA KOMATSHINI

Ingathatha ixesha ukuba uqhele ukusebenzisa useto lwePAP. Iintsuku ezimbalwa zokuqala zihlala zinzima kwaye awungekhe ulale kakuhle.

Ukuba unengxaki, unokuhendeka ukuba ungasebenzisi umatshini ubusuku bonke. Kodwa uya kuyisebenzisa ngokukhawuleza ukuba usebenzisa umatshini ubusuku bonke.

Xa usebenzisa ukuseta okokuqala, unokufumana:

• Imvakalelo yokuvalwa kwi (claustrophobia)
• Ukungonwabi kwezihlunu zesifuba, okuhlala kuhamba emva kwethutyana
• Ukucaphuka kwamehlo
• Ubomvu kunye nezilonda ngaphezulu kwebhulorho yempumlo
• Impumlo egijimayo okanye egxunyekwe phezulu
• Umlomo obuhlungu okanye owomileyo
• Iimpumlo
• Usulelo oluphezulu lokuphefumla

Uninzi lwezi ngxaki lunokuncedwa okanye luthintelwe.

• Buza umboneleli wakho malunga nokusebenzisa isigqumathelo esinobunzima kwaye sinamathele. Ezinye iimaski zisetyenziswa kuphela ngaphakathi okanye ngaphakathi kwempumlo.
• Qinisekisa ukuba imaski ingena ngokuchanekileyo ukuze ingavuzi umoya. Akufuneki ibengqindilili okanye ivuleke kakhulu.
• Zama izitshizi zamanzi zetyuwa zamanzi ngeempumlo ezixineneyo.
• Sebenzisa i-humidifier ukunceda ulusu olomileyo okanye iipaseji zempumlo.
• Gcina izixhobo zakho zicocekile.
• Beka umatshini wakho phantsi kwebhedi yakho ukunciphisa ingxolo.
• Oomatshini abaninzi bathule, kodwa ukuba uqaphela izandi ezenza kube nzima ukulala, xelela umboneleli wakho.

Umboneleli wakho angalunciphisa uxinzelelo kumatshini kwaye emva koko anyuse kwakhona ngesantya esincinci. Abanye oomatshini abatsha banokuziqhelanisa noxinzelelo olufanelekileyo.

Uxinzelelo oluqhubekayo oluqinisekileyo lomoya; I-CPAP; Uxinzelelo lwe-Bilevel oluqinisekileyo lomoya; BiPAP; Ukuzenzekelayo ngokuzenzekelayo uxinzelelo lomoya; IAPAP; NCPAP; Umoya ongenayo ungenelelayo I-NIPPV; Ukungenisa umoya okungafunekiyo; NIV; I-OSA-CPAP; I-apnea yokulala ethintelayo-i-CPAP

• I-CPAP yempumlo

Freedman N. Unyango oluchanekileyo lonyango loxinzelelo lomoya wokuthintela ukungalali kakuhle. Ku: Kryger M, Roth T, Dement WC, ii-eds. Imigaqo kunye nokuziqhelanisa neyeza lokulala. Umhla wesi-6. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 115.

UKimoff RJ. Ukuphefumla kokulala okuthintelayo. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, ii-eds. Incwadi kaMurray kunye neNadel yeyeza lokuphefumla. Umhla wesi-6.IPhiladelphia, PA: Elsevier Saunders; 2016: isahl 88.

UShangold L, uJacobowitz O. CPAP, APAP, kunye neBiPAP. Ku: UFriedman M, uJacobowitz O, ii-eds. Ukulala Ukuphefumla kunye Ukurhona. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; 2020: isahl 8.