CPAP yekurara apnea: Chii icho?

CPAP, kana Sipap Jargon (Kuenderera mberi kwakanaka Airway Pressurs, nguva dzose yekuwedzera mhepo yekumanikidza kana nguva dzose yakanaka Airway Pressurs, SDTP) chii? Iyi inzira yemvomhu rekunze mhepo, inozivikanwa zvakanyanya kurapwa kwehope apnea syndrome. Izvo zvinoshandiswawo kurapa mhando dzakasiyana siyana dzekufema kutadza kuburikidza nekusungwa uye kusasangana kwekuvhara.

Chishandiso chekushandisa iyi nzira inokosha yemhepo pombi yakabatana kune yakakosha chiremba kumeso mask iyo inofukidza mhino kana muromo nemhino.

Kurara nehutano. Chii chinonzi cpap kurapwa? Maitiro ekusarudza iyo CPAP kifaa uye usatadza kukanganisa?

Kutenda kuCPAP  zvishandiso,   zvinokwanisika kurapa apnea, izvo zvinokonzerwa nematambudziko chero neipi yekufema turakiti, iyo inosanganisira, semuenzaniso, kuwanda kwematehwe emukanda.

Mashini eCPAP ekurapa kwekunzwa uye kurara apnea

Kurara apnea chirwere chakajairika uye chine ngozi. Izvo zvakaringana zviri muchokwadi chekuti munhu anomira kufema kwemasekondi anopfuura gumi panguva yekurara. Dzimwe nguva apnea anogara anenge 20-30 masekondi, asi munzvimbo dzepamberi, nhamba iyi inogona kuwedzera kusvika pamaminitsi maviri.

Apnea inowanzoitika kazhinji zvekuti inotora kusvika hafu yenguva iyo murwere anoshandisa akarara. Nekuda kweizvozvo, kunaka kwekurara kwakanyanya kuremara, uye murwere anonzwa kurara uye akaneta masikati. Apnea zvakare ine ngozi nekuti inotungamira mukuwedzera kweropa. Nekuda kweizvi, zvinogona kutariswa chikonzero chezvirwere zvakasiyana-siyana zvemwoyo, semuenzaniso, kurwiswa kwemoyo.

Mhando dzekurara Apnea

Kune maviri marudzi makuru eApnea - pakati uye anovhiringidza. Iyo yekutanga mhando inowanzobatanidzwa nematambudziko mune iyo nzira yekufema. Zvinowanzowanikwa muvana vadiki (kazhinji kazhinji mune vana vasati vasvika).

Kuvhiringidza kurara apnea kunowanzo kubata vakuru. Izvo zvinoitika nekuda kwekudzikiswa kwemhepo dzemhepo, pamwe nekuzorora kwakanyanya kweiyo pharossngeal tsandanyama.

Kutenda kuCPAP  zvishandiso,   zvinokwanisika kurapa apnea, izvo zvinokonzerwa nematambudziko chero neipi yekufema turakiti, iyo inosanganisira, semuenzaniso, kuwanda kwematehwe emukanda.

Midziyo yeCPAP iri padiki uye haina kutora nzvimbo yakawanda. Muchokwadi, ivo vane compact compressors. Nheyo yavo yekuvhiya ndeyekuti ivo vanopomha mhepo pasi pekumanikidzwa mu turakiti remurwere.

Kune izvi, hoses dzakasarudzika dzakasarudzika dzinoshandiswa. Nekuda kweizvi, mhepo dzinenge dzisave pedyo nehope, uye mukana wekusungwa kwekufema hazvisi zvisipo.

Zvinofadza, mashini eCPAP anopfuura kungova ma commsors. Ivo vane mabasa akasiyana siyana, kusanganisira kuongorora kuverenga kwemurwere ane chekuita nemidziyo. Iyo yakawanikwa data inoshandiswa nachiremba kuti gadzirise zvigadziriso zveCPAP muchina uye sarudza yakakodzera kurapwa zano.

Iyi nzira inogona zvakare kushandiswa kubata mamwe mamiriro. Izvi zvinosanganisira, semuenzaniso, copd, iyo inovhiringidzwa kwemapapu. Midziyo inobvumira kuvandudza kufema kwemurwere. Zvishandiso zveCPAP zvinogona kushandiswa kwete chete panguva yekuwedzera, asiwo panguva dzakajairika kana nzira yechirwere yakanyanya.

Iyo nguva yekushandiswa kweiyo CPAP muchina zvinoenderana nekuti chirwere chakakura sei. Mune zvimwe zviitiko, zvinodikanwa kuti ushande muhupenyu hwese. Kusagadzikana kudiki panguva yekurara hakuna matanho nekudzora kutyisidzira kwerufu. Izvo zvinofanirwawo kucherechedzwa kuti kushandiswa kwemidziyo yeCPAAN yakatemwa chete mushure mekuongororwa kwakakosha kwemamiriro emurwere.

Nhoroondo yeCPAP

Iyo CPAP nzira yakagadzirwa kumashure mune iyo 80s. Yokupedzisira yezana. Kuwanikwa kwakaitwa muAustralia. Mushure mekutsvagisisa, zvakazoitika kuti nzira yeCPAP inobatsira zvinobatsira kurapa kusafema kwekufema panguva yekurara. Izvo zviri pachena zviri muchokwadi kuti kudzvanywa kunodiwa kunopihwa kune iyo yekufema turakiti. Izvi zvinobatsira kudzivirira tishu kubva pakuvhara muhuro. Dunhu rakavharwa rine chisimbiso rine mhosva yekumanikidzwa. Mhepo inopinda patsvina yekufema kuburikidza ne hose uye kuburikidza neyekukosha mask.

Inofanira kutakurwa mupfungwa kuti kurapa kwechiCPAP kusave nemhedzisiro yekuwedzera. Naizvozvo, kushandiswa kweiyo CPAP Machine inofanirwa kuenderera kwenguva yakareba. Zvikasadaro, murwere achasangana nedambudziko rekufema.

Zviratidzo uye zvinokanganisa

CPAP kuronga kunowanzo kuve kwakarairwa nekuda kwehusiku snoring. Nekudaro, inofanira kutakurwa mupfungwa kuti chiremba anoteerera kune zvakawanda zvinhu.

Kunyangwe kurapwa kunoonekwa kwakachengeteka zvakakwana, kunofanira kutakurwa mupfungwa kuti haina kutenderwa:

• Sinusitis;
• kutadza kwemoyo;
• hypotension;
• kazhinji kubuda ropa;
• Zvirwere zvinotapukira chemeso;
• pneumotrax uye zvichingodaro.

Kana iwe uine chero yezvirwere izvi kana zvinetso zvehutano, kurapa kweCPAP kunogona kukuvadza. Neichi chikonzero, vanachiremba vanoedza kuti vasazvinambe kuvanhu vakadaro. Mune ino kesi, dzimwe nzira dzekurapa dzakasarudzwa.

ZVINOKOSHA ZVINOKOSHA zveCPAP Kurapa

Zvimiro zvehondo kurwisa snoring capap kurapa kune yakanaka mhedzisiro nekuda kwekugona kugadzirisa zvishandiso zvoga kune mumwe nemumwe murwere. Zvakadaro, mamwe manzwiro asina kugadzikana anogona kuoneka. Zvakaita se:

• Kutsamwiswa kweganda pane pfungwa dzekusangana neiyo mask;
• Kunzwa kwekuoma mune yekufema system;
• Nyoro anrunyori nemhino nemhino;
• Kusingafadzi kunzwa panguva yekufemerwa (kunoonekwa kubva kuenderera mberi kweokisijeni);
• Malfunctions yeiyo Carsiac system mukati memazuva ekutanga ekushandiswa (Tachycardia, inoshanda arrhythmia).

Nekudaro, zvinyorwa zvekurapa zvine hunyanzvi zviri kuvandudza nguva dzese:

• Kuti udzivise kutsamwa, iwe unofanirwa kutora mask yehukuru hwakakodzera, yakagadzirwa neiyo hypoallergenic zvinyorwa. Inogona kutengwa pazvitoro zvakakosha zvinotengesa zvekurapa zvekurapa.
• Iyo yazvino yeCPAP tekinoroji yakashongedzwa neye humidifier kudzivirira yakaoma mhepoways.
• Zvishandiso zvemazuva ano zvakashongedzerwa nepfungwa dzinoratidza iyo muzana yekumanikidzwa kweokisijeni. Ivo vanodzora kuyerera kwayo, kuti kuyerera kwaro kunotanga chete kana iwe uchipinzwa. Kana murwere aine apnea. Izvi zvinokutendera kuti uderedze kusagadzikana uchishandisa zvishandiso.
• Mukana wekugadziriswa kwemunhu uye kugadzirisa panguva yekushandisa kunobvisa kuitika kwematambudziko emwoyo.

Kutanga kurapwa

Usati watanga kushandisa michina yekurapa, iwe unofanirwa kubvunza zvechokwadi nachiremba wemurwere. Chiremba - Somnologist ichadzidza dambudziko kubva kumakona akasiyana uye kunyora chirongwa chakazara chekurapa kuri kuuya nekushandiswa kwemidziyo. Zvakare, chiremba achachengeta pakugadziriswa kwakaringana kwechishandiso mukati memadziro echiratidzo chekurapa.

Nekuda kweizvi, iye achasiya murwere muchipatara usiku. Kana murwere avete, iyo polysomnograph nerubatsiro rwezvakavakirwa zvakanyanya-mu sensors inotarisa zviratidzo zvikuru zvekufema kwemunhu. Achadzidza zvakadzama basa reiyo rese rekufema system, pulse yemurwere, chinzvimbo chake muhope, chiremba anogadzirisa midziyo uye akaisa kudzvanywa kunodiwa nenzira iyo murwere hazvizonzwa kurwadziwa panguva yekushandisa kwayo.

Iyo mhepo yekumanikidza nzira inokutendera kuti ubvise zviratidzo zvikuru zveOsas:

• Snoring nekuda kwekunyepedzera kweiyo nyoro nyoro yekuvhara musuwo weTrachea uye kupindirana neyakajairwa inhalation.
• Hypertension.
• Kugara uchineta.
• Kuderedza kutaurwa kwekutarisirwa.
• Kuderera mukusangana kunoitika nekurara kwekurara (kusvetuka).

Nguva yekurapwa

Mushure mekutora zvese zvinodiwa uye kugadzirisa michina, murwere anogona kuramba achirapwa kumba kwemwedzi yakati wandei. Iyo inonyanya kufarirwa kwenguva yekuita kwekurapa inotarwa neyekuenda chiremba - zvese zvinoenderana nekuoma kwerwara rerurwere.

Mushure mekuzorora kwenguva pfupi, kurapwa kunotangazve. Zvishandiso zveCPAP kurapa chinhu chinotakurika chishandiso chinogona kuiswa nyore nyore padyo nemubhedha wemurwere kana patafura yemubhedha.

Nehurombo, iyi kurapa hakugone kupa mhedzisiro isingachinjiki kana kuti ingangoita kwenguva refu. Varwere vane mafomu akanyanya echirwere vanosungirwa kuti vafambe kuburikidza nehupenyu hwavo hwese. Iyo yekuwedzera mhedzisiro yekurapa idiki uye inopera mukati memazuva mashoma mushure mekunge chishandiso chakamiswa. Ndokusaka zvichidikanwa kuti udzore michina kwazvo.

Kusarudza Iyo Yakakodzera Hardware

Kune matatu marudzi emhando dzemazuva ano cPAP kurapa michina. Zvishandiso ndezvekuti:

• Standard. Oksijeni inovapihwa nguva dzose, zvisinei neyekufema wekufema.
• BIPAN IS APASTUSI ISHURE YEMAHARA IYO YEMUFANANIDZO YEMAHARA YAKADZIDZWA PAMWE MUNYAYA YEMADZIMA UYE KUDYA PAMWE PAMUSORO PAMUSORO PAKATI PAKATI PAKATI.
• Auto - CPAP, mune iyo mhepo inopinda chete apo maitiro ekufema anomira, nokudaro achibatsira murwere kufema.

Pamusoro pemabasa akakosha ekugadzirisa mhepo yekupa mhepo (muBapss uye auto - CPAPS), kune zvimwe zvimwe zvimwe zvinhu zvinoita kuti zvishandiso zvigadzikane sezvinobvira. Izvo:

• SmartFlex - otomatiki kumanikidza mutemo kune chero chikamu chekufema.
• Kupisa. Inodikanwa panguva yekuvhuvhu uye nguva yechando.
• Humidifier. Inodzivirira kuoma kweiyo mucous membrane.
• Isina-standard midziyo saizi. Mhando dzekutaurirana dziripo dzinobvumidza iwe kuti ufambe kutenderedza pasina matambudziko.

Zvaunoda kuti urege kutarisa usati watenga chishandiso

Zvichienderana neruzivo rwuri pamusoro, mhinduro kumubvunzo wekumisa kusveta uye kurara zvine njodzi apnea kwakajeka: Bvunza chiremba uye nenzira kwayo kuti isimbise chishandiso cheCPAP kurapwa kweCPAP. Haufanire kutora bvunzo pane imwe modhi yechishandiso, uye kutenga imwe ine njodzi nekuda kwekuonekwa kwekusafadza kunzwa.

Iyi nzira inovimbisa murwere kushandiswa kwakanyanya kushandiswa kwemidziyo panguva yekurapwa. Mukuwedzera, kutenga chishandiso mushure mekugadziriswa kwemunhu uye preliminary diagnostics yeApnea ichakuchengetedza kubva kune imwe mari yekuwedzera uye iwe uchave uchikwanisa kumisa snoring.

Uye zvakanyanya kukosha, zvichabatsira kusabvisa kusungwa kweusiku hwekufema, kuitika kweArrhythmias, marara uye kurwiswa kwemoyo. Iko hakuna kudikanwa kwekutenga chishandiso, kutarisa chete pakushambadzira kwayo kana kuverenga zvakarairwa iwe pachako - izvi zvakaipa.

CPAP mutengo uye accessories

Kazhinji inodhura kuti utore yako CPAP muchina pane yekubhadhara kubva kukiriniki yekurara - ndiri kushandisa muchina weCPAP kwemakore maviri, ndakaverengerwa nekiriniki yakazvimirira ye $ 250 paTrimester, nepo mutengo wese wemuchina, Brand nyowani, yaisazodarika $ 2000 ... Mune mamwe mazwi, ndakanga ndiri nani kutenga yangu muchina wangu pane kurenda kubva kwavari.

Mushure memakore maviri aya, ndakaenda kuMandibular Kufambira Mberi Splint ye $ 1000 yeiyo yekutanga makore gumi apfuura, uye ini handisati ndadzokera kuCPAP kubvira ipapo.

Nekudaro, kuwana yako wega CPAP kurapa kwemuchina pane zvakachipa pane kuriritira kunze, uye mutengo wakaderera se $ 400 muchina weCPAP Sezvo kuve kwakanyanya kusununguka inzvimbo yeCPAP yemusoro wemari inodhura zvishoma $ 100 - inogara iri zano rakanaka kuva neruoko, sezvazvakaita

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