Umahluko phakathi kwe-CPAP, i-APAP, kunye ne-BiPAP njengee-Therap apnea Therapies

Umxholo

• Yintoni iAPAP?
• Yintoni i-CPAP?
• Yintoni iBiPAP?
• Iziphumo ebezingalindelekanga ezinokubakho zeAPAP, CPAP, kunye neBiPAP
• Nguwuphi umatshini olungele wena?
• Olunye unyango lwe-apnea yokulala
• Utshintsho kwindlela yokuphila
• Ukutshintsha ixesha lakho lobusuku
• Ugqirha
• Yise kude

I-apnea yokulala liqela leengxaki zokulala ezibangela ukuphefumla rhoqo xa ulele. Uhlobo oluqhelekileyo kukuphefumula kokulala okuthintelayo (OSA), okwenzeka ngenxa yokuxinana kwemisipha yomqala.

I-apnea yokulala esembindini ivela kwimiba yomqondiso wobuchopho ethintela ukuphefumla okufanelekileyo. I-Complex sleep apnea syndrome ayiqhelekanga, kwaye ithetha ukuba unokudibanisa i-apnea yokulala ephazamisayo.

Ezi ngxaki zokulala zisongela ubomi ukuba ziyekwe zinganyangwa.

Ukuba une-apnea diagnostic diagnostic, ugqirha wakho unokucebisa oomatshini bokuphefumla ukukunceda ufumane i-oksijini ebalulekileyo onokuthi ulahleke ebusuku.

Aba matshini banamathele kwimaski oyinxiba ngaphezulu kwempumlo nomlomo. Banikezela uxinzelelo lokunceda izihlunu zakho zikhululeke ukuze ukwazi ukuphefumla. Oku kubizwa ngokuba lonyango oluqinisekileyo lonyango (PAP).

Kukho iintlobo ezintathu eziphambili zoomatshini ezisetyenziselwa unyango lwe-apnea yokulala: APAP, CPAP, kunye neBiPAP.

Apha, siphula ukufana kunye nokwahlukana phakathi kohlobo ngalunye ukuze usebenze nodokotela wakho ukukunceda ukhethe unyango olungcono lwe-apnea yokulala.

Yintoni iAPAP?

Uxinzelelo oluhlengahlengiswayo oluzenzekelayo (APAP) umatshini waziwa kakhulu ngokukwazi kwakhe ukubonelela ngoxinzelelo lwamaqondo ohlukeneyo kubuthongo bakho, ngokusekwe kwindlela ophefumla ngayo.

Isebenza kuluhlu lweendawo ezi-4 ukuya kwezi-20 zoxinzelelo, ezinokubonelela ngokuguquguquka ukukunceda ufumane uluhlu lwakho loxinzelelo.

Oomatshini be-APAP basebenza kakuhle xa ufuna uxinzelelo olongezelelekileyo ngokusekwe kubunzulu bokulala, ukusetyenziswa kwezidambisi, okanye indawo yokulala ephazamisa ukuhamba komoya, njengokulala esiswini sakho.

Yintoni i-CPAP?

Icandelo eliqhubekayo lokunyanzeliswa komoya (CPAP) iyona mshini omiselweyo kakhulu kwi-apnea yokulala.

Njengoko igama libonisa, i-CPAP isebenza ngokunikezela ngenqanaba lokunyanzelwa koxinzelelo kunye nokuphefumla. Ngokungafani ne-APAP, eguqula uxinzelelo ngokusekwe kwi-inhalation yakho, i-CPAP ihambisa inqanaba elinye loxinzelelo ubusuku bonke.

Ngelixa izinga eliqhubekayo loxinzelelo lunokunceda, le ndlela inokukhokelela ekuphefumleni okungathandekiyo.

Ngamanye amaxesha uxinzelelo lusenokuhanjiswa ngelixa uzama ukukhupha, kukwenza uzive ngathi uyaminxa. Enye indlela yokulungisa oku kukuthoba izinga loxinzelelo. Ukuba oku akuncedi, ugqirha unokucebisa nokuba yeyiphi iAPAP okanye umatshini weBiPAP.

Yintoni iBiPAP?

Uxinzelelo olufanayo ngaphakathi nangaphandle akusebenzi kuwo onke amatyala okuphefumla xa ulele. Yilapho umatshini we-bi-level positive airway pressure (BiPAP) unokunceda. I-BiPAP isebenza ngokuhambisa amaqondo oxinzelelo ahlukeneyo okuphefumla nokuphefumla.

Oomatshini be-BiPAP baneendawo eziphantsi zoxinzelelo lweendawo njengeAPAP kunye ne-CPAP, kodwa banikezela ngoxinzelelo oluphezulu lokuhamba koxinzelelo lwama-25. Yiloo nto, lo matshini ulunge kakhulu ukuba ufuna iindawo eziphakathi ukuya koxinzelelo oluphezulu. I-BiPAP ihlala icetyiswa ukuba i-apnea yokulala kunye nesifo sika-Parkinson kunye ne-ALS.

Iziphumo ebezingalindelekanga ezinokubakho zeAPAP, CPAP, kunye neBiPAP

Esinye seziphumo ebezingalindelekanga eziqhelekileyo koomatshini bePAP kukuba banokwenza ukuba kube nzima ukuwa nokulala.

Njenge-apnea yokulala ngokwayo, ukulala ngokukhawuleza kunokunyusa umngcipheko weemeko ze-metabolic, kunye nesifo sentliziyo kunye nokuphazamiseka kwemood.

Ezinye iziphumo ebezingalindelekanga zibandakanya:

• impumlo esihambisayo okanye ukuxinana kwempumlo
• usulelo lwesono
• umlomo owomileyo
• imingxunya yamazinyo
• umoya onukayo
• ukucaphuka kolusu kwimaski
• iimvakalelo zokuqunjelwa kunye nokucaphuka koxinzelelo lomoya esiswini sakho
• iintsholongwane kunye nosulelo olulandelayo ngokungacoci iyunithi ngokufanelekileyo

Unyango oluchanekileyo loxinzelelo lomoya alunakulunga ukuba unayo nayiphi na kwezi meko zilandelayo:

• isifo semiphunga
• Ukuvuza kwamanzi kwi-cerebrospinal
• iimpumlo zeempumlo rhoqo
• i-pneumothorax (umphunga owileyo)

Nguwuphi umatshini olungele wena?

I-CPAP ngokuqhelekileyo iyimigca yokuqala yonyango lokuvelisa unyango lwe-apnea yokulala.

Nangona kunjalo, ukuba ufuna ukuba umatshini azitshintshe ngokuzenzekelayo uxinzelelo ngokusekwe kukulala okungafaniyo, i-APAP inokuba lukhetho olungcono. I-BiPAP isebenza kakuhle xa unezinye iimeko zempilo eziqinisekisa ukuba kukho imfuno yoxinzelelo oluphezulu ukukunceda uphefumle ebuthongweni bakho.

Ukufakwa kweinshurensi kuyahluka, uninzi lweenkampani ezigubungela oomatshini beCPAP kuqala. Kungenxa yokuba i-CPAP ibiza imali encinci kwaye isasebenza kubantu abaninzi.

Ukuba i-CPAP ayihlangabezani neemfuno zakho, i-inshurensi yakho inokugubungela omnye waba matshini babini. I-BiPAP lolona khetho lubiza kakhulu ngenxa yeempawu zalo ezinzima.

Olunye unyango lwe-apnea yokulala

Nangona usebenzisa i-CPAP okanye omnye umatshini, unokufuna ukufumana ezinye iindlela zokunceda ukuphatha i-apnea yokulala. Kwezinye iimeko, unyango oluninzi ngakumbi luyafuneka.

Utshintsho kwindlela yokuphila

Ukongeza ekusebenziseni umatshini wePAP, ugqirha unokucebisa ngezi ndlela zilandelayo zendlela yokuphila:

• ukuhla ukusinda
• ukwenza umthambo rhoqo
• ukuyeka ukutshaya, ekunokuba nzima, kodwa ugqirha unokwenza isicwangciso esikusebenzelayo
• ukunciphisa utywala okanye ukunqanda ukusela kwaphela
• usebenzisa i-decongestants ukuba unengxaki yokuxinana kwempumlo kwi-allergies

Ukutshintsha ixesha lakho lobusuku

Kuba unyango lwe-PAP lubeka umngcipheko wokuphazanyiswa bubuthongo bakho, kubalulekile ukulawula ezinye izinto ezinokwenza kube nzima ukulala ebusuku. Cinga ngoku:

• ukususa izixhobo zombane kwigumbi lakho lokulala
• ukufunda, ukucamngca, okanye ukwenza eminye imisebenzi ethe cwaka iyure ngaphambi kokulala
• ukuhlamba ngamanzi ashushu ngaphambi kokulala
• ukufaka i-humidifier kwigumbi lakho lokulala ukuze kube lula ukuphefumla
• ukulala ngasemva okanye kwicala (hayi isisu sakho)

Ugqirha

Ukuba lonke unyango kunye notshintsho kwindlela yokuphila lusilela ukwenza naliphi na ifuthe elibalulekileyo, unokucinga ngotyando. Injongo iyonke yotyando kukunceda uvule iindlela zakho zomoya ukuze ungaxhomekeki koomatshini boxinzelelo lokuphefumla ebusuku.

Ngokuxhomekeke kwisizathu esibangela ukuphefumula kwakho kokulala, utyando lunokuza ngohlobo lwe:

• ukuncipha kwethishu ukusuka phezulu emqaleni
• ukususwa kwezicubu
• ukufakelwa kwenkalakahla ethambileyo
• ukubeka umhlathi kwakhona
• ukukhuthaza imithambo-luvo ukulawula ukuhamba kolwimi
• i-tracheostomy, esetyenziswa kuphela kwiimeko ezinzima kwaye ibandakanya ukwenziwa kwendlela entsha yomoya emqaleni

Yise kude

I-APAP, i-CPAP, kunye ne-BiPAP zonke iintlobo zezixhobo zokuhamba ezinokumiselwa unyango lwe-apnea yokulala. Ngamnye unenjongo ezifanayo, kodwa i-APAP okanye i-BiPAP ingasetyenziselwa ukuba umatshini oqhelekileyo we-CPAP awusebenzi.

Ngaphandle kwonyango olululo loxinzelelo lomoya, kubalulekile ukuba ulandele iingcebiso zikagqirha wakho kulo naluphi na utshintsho lwendlela yokuphila olucetyiswayo. I-apnea yokulala ingaba yingozi ebomini, ngoko ukunyanga ngoku kunokuphucula indlela ojonga ngayo ngelixa uphucula umgangatho wobomi.