Unyango lwe-BiPAP lweCOPD: Yintoni Ongayilindela

Umxholo

• I-BiPAP inceda njani ngeCOPD?
• Ngaba zikhona iziphumo ebezingalindelekanga?
• Ngaba iBiPAP inokubangela naziphi na iingxaki?
• Uthini umahluko phakathi kwe-CPAP kunye ne-BiPAP yonyango?
• Ngaba zikho ezinye iindlela zonyango ezikhoyo?
• Amayeza
• Loluphi unyango olulungele wena?

Yintoni unyango lwe-BiPAP?

Unyango lwe-Bilevel oluqinisekileyo loxinzelelo lomoya (BiPAP) luhlala lusetyenziswa kunyango lwesifo se-pulmonary esingapheliyo (COPD). I-COPD ligama leambrela lemiphunga kunye nezifo zokuphefumla ezenza ukuphefumla kube nzima.

Ekuqaleni, unyango lwalufumaneka kuphela njengonyango lwezibhedlele. Ngoku, inokwenziwa ekhaya.

Oomatshini banamhlanje be-BiPAP zizixhobo zeetafile ezifakwe kwishubhu kunye nemaski. Umane ubeke imaski phezu kwempumlo yakho kunye / okanye umlomo ukuze ufumane amanqanaba amabini omoya oxinzelelweyo. Inqanaba elinye loxinzelelo lihanjiswa xa uphefumla, kwaye uxinzelelo olusezantsi luhanjiswa xa ukhupha.

Oomatshini be-BiPAP bahlala bebonisa "ukuphefumla" okuphefumla okuhambelana neendlela zakho zokuphefumla. Ibeka ngokuzenzekelayo inqanaba lomoya oxinzelelweyo xa kufuneka ukunceda ukugcina inqanaba lokuphefumla lijolise kwithagethi.

Olu nyango luhlobo lomoya ongafunekiyo (NIV). Kungenxa yokuba unyango lwe-BiPAP aludingi nkqubo yotyando, enje nge-intubation okanye i-tracheotomy.

Qhubeka ufunda ukuze ufunde ukuba olu nyango lunceda njani ukulawula i-COPD kunye nendlela ethelekiswa nolunye unyango.

I-BiPAP inceda njani ngeCOPD?

Ukuba unayo i-COPD, ukuphefumla kwakho kuya kusebenza. Ukuphefumla okufutshane kunye nokuvutha ziimpawu eziqhelekileyo zeCOPD, kwaye ezi mpawu zinokuba mandundu njengoko imeko iqhubeka.

Unyango lwe-BiPAP lujolise kwezi ndlela zokuphefumla zingasebenzi. Ngokuba noxinzelelo lomoya oqhelekileyo xa uphefumla kunye noxinzelelo lwesibini lomoya xa uphuma, umatshini uyakwazi ukubonelela ngemiphunga yakho esebenze kakhulu kunye nezihlunu zodonga lwesifuba.

Olu nyango lwalusetyenziswa ekuqaleni ukunyanga i-apnea yokulala, kwaye kunesizathu esivakalayo. Xa ulele, umzimba wakho uxhomekeke kwinkqubo yakho ye-nervous central ukukhokela inkqubo yokuphefumla. Ukuba uphumla kwindawo ehleliyo, ufumana uxhathiso ngakumbi xa uphefumla.

Ngokuxhomekeke kwiimfuno zakho, unyango lwe-BiPAP lunokwenzeka xa uvukile okanye ulele. Ukusetyenziswa kwexesha lasemini kunokuthintela unxibelelwano lwasentlalweni, phakathi kwezinye izinto, kodwa kunokuba yimfuneko kwiimeko ezithile.

Ngokwesiqhelo, uya kusebenzisa umatshini we-BiPAP ebusuku ukunceda ukugcina iindlela zakho zomoya zivulekile ngelixa ulele. Oku kunceda ukutshintshiselana ngeoksijini nekhabhon diokside, yenza kubelula kuwe ukuphefumla.

Kubantu abane-COPD, oku kuthetha ukuphefumla okungaphantsi kobusuku. Uxinzelelo kwindlela yakho yomoya lukhuthaza ukuhamba okungagungqiyo kweoksijini. Oku kuvumela imiphunga yakho ukuba ihambise ngokufanelekileyo ioksijini emzimbeni wakho kwaye isuse ikharbon diokside engaphezulu.

Uphando lubonakalisile ukuba kubantu abane-COPD kunye namanqanaba aphezulu e-carbon dioxide, ukusetyenziswa rhoqo kwe-BiPAP ebusuku kunokuphucula umgangatho wobomi kunye nokuphefumla, kunye nokunyusa ukusinda kwexesha elide.

Ngaba zikhona iziphumo ebezingalindelekanga?

Iziphumo eziqhelekileyo ezichaphazelekayo zonyango lwe-BiPAP zibandakanya:

• impumlo eyomileyo
• ukuxinana kwempumlo
• umqala
• ukungakhululeki ngokubanzi
• icaustrophobia

Ukuba imaski yakho ikhululekile, unokufumana ukuvuvukala komoya. Oku kungagcina umatshini ekugcinweni koxinzelelo olumiselweyo. Ukuba oku kuyenzeka, kunokuchaphazela ukuphefumla kwakho.

Ukuthintela ukuvuza komoya kungenzeki, kubalulekile ukuba uthenge imaski efanelekileyo emlonyeni wakho, empumlweni, okanye zombini. Emva kokuba ubeke imaski kuyo, sebenzisa iminwe yakho emaphethelweni ukuze uqiniseke ukuba "itywiniwe" kwaye ilungiswe ebusweni bakho.

Ngaba iBiPAP inokubangela naziphi na iingxaki?

Iingxaki ezivela kwi-BiPAP zinqabile, kodwa i-BiPAP ayilulo unyango olufanelekileyo kubo bonke abantu abaneengxaki zokuphefumla. Ezona ngxaki zinxulumene nokunxulumana nomsebenzi wemiphunga okanye ukwenzakala. Thetha nogqirha wakho malunga nomngcipheko kunye nezibonelelo onokuthi ube nazo ngonyango lwe-BiPAP. Banokukunceda ulinganise ukhetho lwakho kwaye banikeze isikhokelo esongezelelweyo.

Uthini umahluko phakathi kwe-CPAP kunye ne-BiPAP yonyango?

Uxinzelelo oluqhubekayo lokuhamba komoya (CPAP) lolunye uhlobo lwe-NIV. Njengoko i-BiPAP, i-CPAP ikhupha umoya oxinzelelekileyo kwisixhobo setafile.

Umahluko ophambili kukuba i-CPAP ihambisa kuphela inqanaba elinye loxinzelelo lomoya osetwe kwangaphambili. Uxinzelelo olufanayo oluqhubekayo luhanjiswa ngexesha lokuphefumla kunye nokuphefumla. Oku kunokwenza ukukhupha kube nzima ngakumbi kwabanye abantu.

Uxinzelelo lomoya olunye lunokunceda ukugcina iindlela zakho zomoya zivulekile. Kodwa kufunyaniswe ukuba akuloncedo kubantu abaneCOPD ngaphandle kokuba banesiphene sokulala esingavaliyo.

Oomatshini be-BiPAP banikezela ngamanqanaba ohlukeneyo oxinzelelo lomoya, enza ukuba ukuphefumla kube lula kunokuba kunjalo ngomatshini we-CPAP. Ngesi sizathu, i-BiPAP ikhethwa kubantu abane-COPD. Iyanciphisa umsebenzi owenzayo wokuphefumla, obalulekileyo kubantu abane-COPD abachitha amandla amaninzi okuphefumla.

I-CPAP ineempembelelo ezifanayo njenge-BiPAP.

I-BiPAP ingasetyenziselwa ukunyanga i-apnea yokulala, ngakumbi xa i-CPAP ingakhange iluncedo.

Ngaba zikho ezinye iindlela zonyango ezikhoyo?

Nangona abanye abaphandi bencoma i-BiPAP njengonyango olungcono lweCOPD, ayisiyiyo kuphela into onokukhetha kuyo.

Ukuba sele uluphelisile uluhlu lwakho lweendlela ezinokuthi zitshintshe kwindlela ophila ngayo - kwaye wakukhaba umkhwa ukuba uyatshaya - isicwangciso sakho sonyango esihlaziyiweyo sinokubandakanya indibaniselwano yamayeza kunye nonyango lweoksijini. Ugqirha lwenziwa kuphela njengendawo yokugqibela.

Amayeza

Ngokuxhomekeke kwiimfuno zakho, ugqirha wakho unokuncoma isenzo esifutshane okanye i-bronchodilator ende okanye zombini. Iibronchodilators zinceda ukuphumla kwezihlunu ngaphakathi kwindlela yakho yomoya. Oku kuvumela indlela yakho yomoya ukuba ivule ngcono, yenza ukuphefumla kube lula.

Olu nyango lwenziwa ngomatshini we-nebulizer okanye nge-inhaler. Ezi zixhobo zivumela iyeza ukuba liye ngqo kwimiphunga yakho.

Kwiimeko ezinzima, ugqirha wakho unokumisela i-inhaled steroid ukuze uzalise i-bronchodilator yakho. I-Steroids inokunceda ukunciphisa ukudumba kwiindlela zakho zomoya.

Loluphi unyango olulungele wena?

Sebenza nogqirha wakho ukufumana esona sicwangciso sonyango silungileyo kuwe. Iimpawu zakho ziya kukunceda ugqirha wakho athathe isigqibo kunyango kwaye enze iingcebiso ezizezakho.

Abantu abaninzi abaneCOPD bahlala befumanisa ukuba ukulala akuhambi kakuhle. Kule meko, i-BiPAP ingaba yindlela yokuhamba. Ugqirha wakho unokucebisa ngokudibanisa amayeza kunye nonyango lweoksijini.

Xa ujonga ukhetho lwakho, cela ugqirha wakho:

• Loluphi olona nyango lubalaseleyo kum?
• Ngaba zikhona ezinye iindlela?
• Ngaba kuya kufuneka ndiyisebenzise yonke imihla, ngamaxesha athile? Ngaba sisisombululo sethutyana okanye esisigxina?
• Zeziphi iintlobo zotshintsho kwindlela endinokuzenza ukuphucula iimpawu zam?
• Ngaba i-inshurensi okanye iyeza liza kukugubungela oku?

Ekugqibeleni, unyango olukhethileyo luya kuxhomekeka kwisiphumo somsebenzi wemiphunga yakho kuwe kwaye zeziphi iindlela eziza kufumana umoya owufunayo kwimiphunga yakho.