什么是鼻CPAP疗法?

鼻连续阳性气道压力(CPAP)治疗是一种非外科治疗,可通过鼻子向肺部稳定流动。鼻CPAP对于那些有阻塞性睡眠呼吸暂停的人来说是一种常见治疗方法,这种睡眠障碍会破坏正常的呼吸并中断深度睡眠。它还可以帮助婴儿更容易呼吸欠发达的婴儿。

具有阻塞性睡眠呼吸暂停的所有年龄段的个体通常会为鼻CPAP治疗提供良好的候选者。睡眠呼吸暂停是一种破坏睡眠的慢性疾病。呼吸中经常停顿实际上阻止了空气流向肺部。每次停顿后,人体的自然防御能力开始再次开始呼吸,将个人拉出深度睡眠阶段。

气道中的一些障碍物通常会呼吸中。喉咙肌肉放松过多,无法允许正常呼吸,可以阻止空气的流动。大舌或扁桃体也可能会产生阻塞。阻塞的气道会导致个人嗅探,窒息或喘气。在这一点上,问题往往会纠正自身并呼吸恢复,只是在片刻之后再次被阻止。

暂停之间的纠正期通常是如此简短,以至于个人不记得他们。这就是为什么在许多情况下,睡眠呼吸暂停未被发现。但是,症状可能包括:

  • snoring loudly (though not everyone who snores has sleep apnea)
  • gasping or choking during sleep
  • feeling irritable, depressed, grumpy, or impatient during the day
  • 在看电视,阅读甚至工作时,在帽子下睡着了
  • 忘记事情
  • 频繁或难以忍受的头痛
  • 早上干嘴或喉咙痛

尽管睡眠呼吸暂停似乎最多可能是一种刺激,但这种疾病可能会威胁生命。没有治疗,睡眠呼吸暂停会增加:

  • 心脏病发作
  • 中风
  • irregular heartbeat
  • high blood pressure
  • other related conditions

幸运的是,治疗总是成功地降低这些风险和恢复声音睡眠。

If you see your doctor and receive a sleep apnea diagnosis, your doctor may send you home with a nasal CPAP device.

People with mild sleep apnea may find relief through simple lifestyle changes, such as avoiding alcohol, losing weight, and using nasal sprays or allergy medications. Others breathe more easily with a custom-made mouthpiece or oral appliance that adjusts the position of the lower jaw and tongue to help keep airways open during sleep.

Individuals with moderate to severe obstructive sleep apnea, however, often require a breathing device called a nasal CPAP machine. This device blows air into your nose through a nose mask, helping to keep the airway open while you sleep. A small machine, called an air compressor, is placed on a bedside table and connected to a tube and mask that fits over your nose. This machine delivers a steady flow of air through the tube and mask, exerting just enough pressure to keep muscles and tissues from collapsing and blocking the airway.

Your doctor or nurse will help you choose the mask that best fits over your nose, and then will adjust the settings on the CPAP machine to the pressure required for your condition. If you don’t notice improvements after a week or so, check back with your doctor, as they may need to adjust the pressure settings.

定期使用机器后,大多数患者报告了巨大的好处,包括以下内容:

  • improved sleep
  • less anxiety and better overall mood
  • 改善的集中和记忆力
  • 提高生产率

Though most people get used to using the CPAP machine over time, others experience problems. These may include the following:

流鼻子,耳痛或眼睛酸痛

These may be due to an ill-fitting mask. An improved fitting can correct this. A heated humidifier attached to the machine may also help.

Sore or Inflamed Skin

这通常也是一个不合适的面具或太重或不适当缓冲的结果。

Claustrophobic Sensation of Feeling Closed-In

Different types of masks with straps that cover less of your face may help.

Uncomfortable Sensations with Forced Air

The “ramp” feature on the machine allows you to start with lower air pressure, which can help you better tolerate this sensation. If this doesn’t help, other machines (called BiPAPs) that automatically adjust pressure while you’re sleeping may help.

Dry Mouth

如果几周后这个问题不会消失,请向您的医生询问覆盖鼻子和嘴巴的CPAP设备。

In most cases, working with your doctor to make adjustments to your device will result in a solution that will feel more comfortable.