Incazelo

I-Home Non-invasive ventilation (NIV) ene-bi-level positive airway pressure (BiPAP) ijwayele ukusetshenziselwa ukwelapha iziguli ezilaliswe esibhedlela ezine-acute hypercapnic breathing failure (AHRF) okulandela ukubhebhetheka okunamandla kwesifo esingamahlalakhona sokuvimbela amaphaphu (AECOPD).

Ukuqaliswa Kwasekhaya Kokuphefumula Okungapheli Okungavamisi Ezigulini Ezine-COPD Njengoba Kuphephile Kodwa Kushibhile Kunokuqaliswa Kwangaphakathi Esibhedlela.Ukuqaliswa kwasekhaya kwe-Chronic Noninvasive Ventilation (NIV) ezigulini ezineisifo samaphaphu esingamahlalakhona(I-COPD) enokuhluleka kokuphefumula okungapheli (CHRF) kuboniswe ukuthi iphephile njengokuqalwa esibhedlela, futhi yehlisa izindleko ezingaphezu kwama-50%.

Isicelo

Ukuphefumula Okufushane, iningi labo kungenxa yenhliziyo noma izimo zamaphaphu.Inhliziyo namaphaphu akho kuhileleke ekuhambiseni umoya-mpilo ezicutshini zakho nokukhipha i-carbon dioxide, futhi izinkinga ngenye yalezi zinqubo zithinta ukuphefumula kwakho.

I-Lung Parenchyma, ingxenye ye-iphaphuabathintekayo ekudluliselweni kwegesi - thei-alveoli,imigudu ye-alveolarfuthii-bronchioles yokuphefumula.Kodwa-ke, abanye ababhali bafaka ezinye izakhiwo nezicubu ngaphakathi kwencazelo.Kukhona ukuphelelwa umoya lapho uphumule futhi kubhebhethekiswa ukuzikhandla kanye nokukhwehlela okomile.

Inzuzo

Imodi ye-CPAP, isiguli siphefumula ngokuzenzakalelayo okuqinile, futhi umshini wokuphefumula unikeza ingcindezi efanayo kuzo zombili izigaba eziphefumulayo nezokuphelelwa umoya ukuze usize isiguli sivule indlela yokuphefumula.

Imodi ye-S, i-ventilator iqalwa isiguli.IPAP kanye ne-EPAP zihlinzekwa, futhi iziguli zilawula izinga lokuphefumula kanye nesilinganiso se-I/E kanyeekhuthazayoisikhathi ngokuzenzakalelayo.

Imodi ye-T, Ukuphefumula okubuthakathaka okuzenzakalelayo noma ukungakwazi ukuqalisa ukungeniswa komoya okuzenzakalelayo.Ukulawula okuphelele kokuphefumula kweklayenti nokulawula kwe-IPAP, i-EPAP, i-BPM, nesikhathi esikhuthazayo.

Imodi ye-S/T, Uma izinga lokuphefumula lingaphansi kwe-BPM eyisipele, imodi ye-S iyasebenza.Uma izinga lokuphefumula lingaphezu kwe-BPM eyisipele, imodi ye-T iyasebenza.

Ubuchwepheshe bokuqinisekisa umthamo we-VAT, bungalinganisa ngokuzenzakalelayo futhi bunikeze ingcindezi eqhubekayo ngokuqapha ukushintsha komthamo wamagagasi eziguli, futhi kuqinisekise ngokuzenzakalelayo umthamo wonyaka weziguli, ukuze kuhlangatshezwane ngokuphumelelayo nokwelashwa kokungena komoya okungewona okuhlaselayo kwabasebenzisi bomthamo ophansi wamagagasi.

I-PC, isetshenziselwa ikakhulukazi iziguli ezinezinga eliphezulu lokuphefumula, umthamo ophansi we-tidal kanye ne-hypoxemia.

Imininingwane