Matsayin Bi-Level Rashin Haɗakar Airway Mai Ruwa A Cikin CPAP
Kwanan iska mai kyau na iska (BiPAP) wani nau'i ne na iska mai ban sha'awa wanda ke taimakawa wajen dakatar da hanzarin iska daga cikin huhu ta hanyar samar da iska mai iska ta hanyar kyan gani. Jirgin iska yana motsawa ta hanyar inji, wanda ya ba da shi zuwa mask fuska ta hanyar dogon lokaci, filastik yana shafewa.
Fahimtar BiPAP
BiPAP wani na'urar ne wanda ke samar da iska mai kwakwalwa daga na'urar kwamfutar hannu, ta hanyar rufe fuska don tallafawa numfashi.
A wasu hanyoyi, yana kama da CPAP, amma tare da BiPAP, likita ya tsara takamaiman matsalolin da ke canzawa: An yi amfani da matsa lamba mai karfi a numfashi (ana kira motsi mai iska mai iska, ko IPAP) kuma ana amfani da ƙananan ƙwayar lokacin numfashi ( da ake kira tashin iska mai kyau, ko EPAP).
Yadda BiPAP Taimaka tare da COPD
Mutanen da ke tare da COPD suna da matsala da numfashi, wanda ya fi muni da dare. Da dare, tsofaffin tsofaffin ƙwayoyin cuta a cikin mutane tare da COPD na iya rushewa, yana kara yawan haɗarin iska da ke faruwa da cutar. Lokacin da wannan ya faru, zai iya zama da wahala ga marasa lafiya su ci gaba da dakatar da kullun don su ci gaba da kasancewa a yanayin jinin su, kuma a lokaci guda suna kiyaye matakan carbon dioxide a jinin su (kauce wa hypercapnia .) BiPAP zai iya taimakawa ta wannan ta hanyar yadawa kullum matsawa iska ta hanyar mask wanda ya rage aikin da dole ne a yi domin isasshen iskar gas da iskar oxygen da carbon dioxide ya faru a cikin alveoli .
An yi tunanin cewa BiPAP zai iya taimakawa ta hanyar barin tsohuwar tsokoki na jiki don shakatawa na tsawon lokaci da dare.
BiPAP da CPAP
Ga marasa lafiya COPD, BiPAP ita ce hanyar da aka fi dacewa akan magani a kan CPAP (ci gaba da matsa lamba ta iska) saboda yana da sauƙi ga marasa lafiya su shawo kan matsa lamba.
Zai iya zama da wahala ga kowa ya kori matsa lamba (wannan shine dalilin da ake amfani da BiPAP a wasu lokuta maimakon CPAP don barcin barci), amma wannan yana da wuyar gaske tare da COPD, inda exhalation ya fi matsala fiye da inhalation. BiPAP kuma yana ba da izini don daidaitawa a lokaci, wanda yana taimakawa ga waɗanda ke tare da COPD wanda aka soke raguwa.
Lokacin Ana Amfani da COPD
Akwai hanyoyi da yawa waɗanda za'a iya amfani da BiPAP ga mutane tare da COPD. Wadannan sun haɗa da:
- Tare da rashin ciwo na numfashi na cututtuka (numfashi na numfashi na numfashi na biyu wanda ainihin alama shine riƙe da carbon dioxide) a matsayin madadin samun iska.
- Ga mutanen dake da dyspnea matsakaici da matsananci (numfashi na rashin ƙarfi na numfashi), tachypnea (numfashi amma rashin haske), ƙara yawan carbon dioxide cikin jini (hypercapnia) da jini pH na 7.25 zuwa 7.35 .
Amfanin BiPAP
Yin amfani da BiPAP, lokacin da aka nuna, na iya rage yawan adadin abubuwan COPD da wasu ke fuskanta, kuma zai iya rage yawan buƙata na iska (goyon baya na respirator). BiPAP kuma zai iya haifar da bambanci a rayuwar rai kuma an samo shi don rage haɗarin mutuwa daga cutar.
Tsaro da kuma matsalolin
Yin amfani da iska mai ban sha'awa a COPD har yanzu yana cikin farkon matakan da aka kimantawa a hanyoyi da yawa, kuma ainihin aikinsa ga marasa lafiya da COPD har yanzu ana ƙaddara.
Yayinda yake iya taimaka wa mutane da cutar, ba zai taimaka wa kowa ba. A halin yanzu, kada a yi amfani da shi a cikin mutanen da basu da lafiya, kamar wadanda suke da karfin jini ko kuma cututtuka masu tsanani. Magunguna da mai tsanani acidosis (ƙananan jini PH) da waɗanda ke da ƙananan zuciya (tachycardia) musamman, sun bayyana ba su da kyau tare da wannan magani.
> Sources:
> Ankaergaard, K., Tonnesen, P., Laursen, L. et al. Gidajen Cutar marasa lafiya (NIV) Jiyya ga marasa lafiya na COPD tare da Tarihin NIV-bi da bi da bi; a Randomized, Sarrafawa, Nazarin Tsarin Mulki. BMC Magunguna Pulmonary . 2016. 16 (1): 32.
> Duiverman, M., Windisch, W., Storre, J., da P. Wijkstra. Ayyukan NIV a cikin Halin Cikakken COPD COPD Bayan Bayanai mai Girma: Muhimmancin Zaɓin Tsai. Ci gaba da warkewa a cikin cututtuka na numfashi . 2016. 10 (2): 149-57.
> Gay, P. Nocturnal Ventilatory Support a COPD. Na zamani.
> Ko, B., Ahn, S., Lim, K. et al. Ƙararruwar Lalaci na Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ciki A Cikin Kwayar cuta mai Rigakawa Mai Ruwa Tare Da Raunin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Harkokin Cutar Hut. Magunin ciki da gaggawa . 2015. 10 (7): 855-60.