ʻO BiPAP Therapy no COPD: He aha e manaʻo ai

Anter

• Pehea e kōkua ai ʻo BiPAP me COPD?
• Aia kekahi hopena?
• Hiki iā BiPAP ke hana i kekahi pilikia?
• He aha ka ʻokoʻa ma waena o nā hoʻoponopono ʻo CPAP a me BiPAP?
• Loaʻa i nā hoʻoponopono ʻē aʻe?
• Laau Lapaʻau
• ʻO ka lāʻau hea kūpono iā ʻoe?

He aha ka lāʻau lapaʻau BiPAP?

Hoʻohana pinepine ʻia ʻo Bilevel pressure airway pressure (BiPAP) i ka mālama ʻana i ka maʻi pulmonary obstructive maʻi (COPD). ʻO COPD kahi manawa hoʻomalu no ka maʻi a me nā maʻi hanu e paʻakikī i ka hanu ʻana.

I ka manawa mua, loaʻa wale ka lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau i loko o ka poʻe maʻi. I kēia manawa, hiki ke hana ʻia ma ka home.

ʻO nā mīkini BiPAP o kēia manawa he mau papa tabletop i hoʻokau ʻia me ka tubing a me ka mask. Kau wale ʻoe i ka pale maka ma luna o kou ihu a me / a waha paha e loaʻa i ʻelua mau pae o ka ea kaomi. Hāʻawi ʻia kahi pae kaomi ke hanu ʻoe, a hāʻawi ʻia kahi kaomi haʻahaʻa ke hemo ʻoe.

Hōʻike pinepine nā mīkini BiPAP i kahi timer hanu "akamai" e hoʻopili i kāu ʻano hanu. Hoʻonohonoho hou ia i ka pae o ka ea kaomi ke pono ʻia e kōkua i ka mālama ʻana i kou hanu pae i ka pahu hopu.

ʻO kēia ʻano hana he ʻano ventilation noninvasive (NIV). ʻO ia no ka mea ʻaʻole koi ka lāʻau BiPAP i kahi kaʻina hana, e like me ka intubation a i ʻole tracheotomy.

E hoʻomau i ka heluhelu ʻana e aʻo pehea e kōkua ai kēia hoʻomaʻamaʻa iā COPD a pehea e hoʻohālikelike ai i nā koho lapaʻau ʻē aʻe.

Pehea e kōkua ai ʻo BiPAP me COPD?

Inā he COPD kāu, hana paha kāu hanu. ʻO ka hanu a me ke kaniʻuhū he mau hōʻailona maʻamau ia o COPD, a hiki ke hōʻino ʻia kēia mau ʻōuli ke holo nei ke ʻano.

Pahuhopu ʻo BiPAP therapy i kēia mau ʻano hanu hana pono ʻole. Ma ka loaʻa ʻana o kahi kaomi ea maʻamau no ka wā e hanu ai ʻoe a me ka lua o ka ʻea maʻamau i ka wā e hanu ai, hiki i ka mīkini ke hāʻawi i ke kōkua i kāu mau māmā i hana nui ʻia a me nā mākala paia o ka umauma.

Hoʻohana mua ʻia kēia lapaʻau e mālama ai i ka ʻokena, a no ke kumu kūpono. Ke hiamoe ʻoe, hilinaʻi kou kino i kāu ʻōnaehana kikowaena e alakaʻi i ke kaʻina hanu. Inā ʻoe e hoʻomaha ana i kahi noho i koli ʻia, ʻike ʻoe i ke kūpaʻa hou ke hanu.

Kaukaʻi ʻia i kāu mau pono ponoʻī, hiki ke hana i ka lāʻau BiPAP ke ala ʻoe a hiamoe paha. Hiki i ka hoʻohana ʻana i ke ao ke kaupalena i ka pilina kanaka, a me nā mea ʻē aʻe, akā pono paha i kekahi mau hanana.

ʻO ka maʻamau, e hoʻohana ʻoe i kahi mīkini BiPAP i ka pō e kōkua i ka wehe ʻana i kou mau kahawai i kou hiamoe ʻana. Kōkua kēia i ka hoʻololi ʻana o ka oxygen me carbon dioxide, e maʻalahi ai iā ʻoe e hanu.

No ka poʻe me COPD, ʻo ia hoʻi ka emi o ka hanu hana i ka pō. Paipai ka pika i kou ala i kahi kahe mau o ka oxygen. ʻAe kēia i kou mau māmā e lawe pono i ka oxygen i kou kino a hemo i ka carbon dioxide nui.

Ua hōʻike ʻia ka noiʻi no ka poʻe i loaʻa ka COPD a me ke kiʻekiʻe o ke kalapona kalapona kiʻekiʻe, hiki i ka hoʻohana ʻana o ka BiPAP i ka pō ke hoʻomaikaʻi i ka maikaʻi o ke ola a me ka hanu ʻole, a hoʻonui i ke ola lōʻihi.

Aia kekahi hopena?

ʻO nā hopena ʻaoʻao maʻamau o BiPAP therapy me:

• ihu maloʻo
• paheʻe ihu
• rhinitis
• hōʻoluʻolu laulā
• claustrophobia

Inā hemo kou pale maka, ʻike paha ʻoe i kahi leak ea mask. Hiki i kēia ke mālama i ka mīkini mai ka mālama ʻana i ka kaomi i kuhikuhi ʻia. Inā kū kēia, hiki ke hoʻopili i kou hanu ʻana.

I mea e pale ʻole ai i kahi leʻale ea, he mea nui e kūʻai aku i kahi pale maka i kūpono i kou waha, ihu, a i ʻole ʻelua paha. Ma hope o kou kau ʻana i ka pale maka, e holo i kou mau manamana lima ma luna o nā kihi e hōʻoia ai ua "sila" ʻia a paʻa i kou alo.

Hiki iā BiPAP ke hana i kekahi pilikia?

Kākaʻikahi nā pilikia mai BiPAP, akā ʻaʻole kūpono ka BiPAP no nā poʻe āpau me nā pilikia hanu. ʻO nā mea e pili ana i nā pilikia e pili ana i ka hoʻomāhuahua ʻana o ka hana a i ʻole ka ʻeha. E kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pono āu e loaʻa ai me BiPAP therapy. Hiki iā lākou ke kōkua iā ʻoe e kaupaona i kāu mau koho a hāʻawi i ke alakaʻi hou aʻe.

He aha ka ʻokoʻa ma waena o nā hoʻoponopono ʻo CPAP a me BiPAP?

ʻO ke kaomi ʻana o ke alaloa maikaʻi mau (CPAP) kekahi ʻano o ka NIV. E like me BiPAP, kipaku ka CPAP i ka ea i kaomi ʻia mai ka papa hana papa.

ʻO ka ʻokoʻa nui ka hāʻawi ʻana o CPAP i hoʻokahi pae wale o ke kaomi o ke ea i hoʻopaʻa ʻia. Hāʻawi ʻia ke kaomi hoʻomau like i ka manawa o ka inhalation a me ka exhalation. Hiki i kēia ke lilo i mea paʻakikī i ka exhaling no kekahi poʻe.

Hiki i ke kaomi ʻekahi kū hoʻokahi ke kōkua i ka wehe ʻana o kāu mau kahawai. Akā ʻike ʻia ʻaʻole maikaʻi ia no ka poʻe me COPD ke ʻole a loaʻa iā lākou kahi apnea hiamoe ālai.

Hāʻawi nā mīkini BiPAP i ʻelua mau pae ʻokoʻa o ke ea, ka mea e maʻalahi ai ka hanu ʻana ma mua o ka mīkini CPAP. No kēia kumu, ʻoi aku ka makemake o BiPAP no nā poʻe me COPD. Hoʻoemi ia i ka hana e hanu ai, ka mea nui i ka poʻe me COPD e hoʻolilo i ka hanu nui i ka hanu.

Loaʻa nā hopena ʻaoʻao like ka CPAP me BiPAP.

Hiki nō ke hoʻohana i ka BiPAP e mālama ai i ka apnea, keu hoʻi inā ʻaʻole kōkua ʻo CPAP.

Loaʻa i nā hoʻoponopono ʻē aʻe?

ʻOiai ua mahalo kekahi mau kānaka noiʻi iā BiPAP ma ke ʻano he ʻoi loa o ka therapy no COPD, ʻaʻole ia ʻo kāu koho wale nō.

Inā ua luhi ʻoe i kāu papa inoa o nā loli nohona kūpono - a kiki i ka maʻamau inā ʻoe he mea puhipaka - hiki i kāu papa hana hoʻoponopono hou ke hoʻohui pū me kahi hui o nā lāʻau a me nā kauka oxygen. Hana wale ʻia ke ʻoki kino ma ke ʻano he koho hope loa.

Laau Lapaʻau

Kaukaʻi ʻia i kāu mau pono, hiki i kāu kauka ke koi aku i kahi hana pōkole a i ʻole he bronchodilator hana lōʻihi a i ʻole ʻelua paha. Kōkua nā Bronchodilators i ka hoʻomaha ʻana i nā mākala ma loko o kou mau kahawai. Hāʻawi kēia i kāu mau ala ea e ʻoi aku ka maikaʻi, e maʻalahi ai ka hanu ʻana.

Lawe ʻia kēia lāʻau i loko o ka mīkini nebulizer a i ʻole ka inhaler. ʻAe kēia mau hāmeʻa e hele pololei i ka lāʻau i loko o kou mau māmā.

I nā hihia koʻikoʻi, hiki i kāu kauka ke kuhikuhi i kahi steroid i inhaled e hoʻopiha ai i kāu bronchodilator. Hiki i nā Steroids ke kōkua i ka hoʻohaʻahaʻa i ka hoʻowahāwahā i kāu mau kahawai.

ʻO ka lāʻau hea kūpono iā ʻoe?

E hana pū me kāu kauka e ʻike i kahi hoʻolālā lapaʻau maikaʻi loa nāu. E kōkua kāu mau hōʻailona pilikino i kāu kauka e hoʻoholo i nā therapies a hana i nā ʻōlelo pilikino.

ʻIke pinepine ka poʻe me COPD i ka hōʻoluʻolu ʻole o ka hiamoe. I kēia mau hihia, ʻo BiPAP ke ala e hele ai. Hiki paha i kāu kauka ke koi aku i kahi hui o nā lāʻau lapaʻau a me nā therapies oxygen.

Ke ʻimi nei i kāu koho, e nīnau i kāu kauka:

• He aha ka hoʻomaʻamaʻa maikaʻi loa naʻu?
• Aia kekahi mau koho ʻē aʻe?
• E pono paha wau e hoʻohana i kēia i kēlā me kēia lā? He hopena wā a paʻa paha ia?
• He aha nā ʻano loli e hiki iaʻu ke hana e hoʻomaikaʻi i kaʻu mau ʻōuli?
• E uhi paha ka ʻinikua a Medicare paha i kēia?

ʻO ka mea hope loa, ʻo ka hoʻōla āu e koho ai e hilinaʻi ia i ka hopena o kāu hana ma luna ou a me nā ʻano hana e loaʻa pono ai ka ea e pono ai i kāu mau māmā.