2 research outputs found
Π‘Π»ΡΡΠ°ΠΉ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ Ρ ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π΄ΡΡ Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΊΠΈ Ρ Π²ΡΠΎΠΆΠ΄Π΅Π½Π½ΡΠΌ ΠΊΠΈΡΠΎΡΠΊΠΎΠ»ΠΈΠΎΠ·ΠΎΠΌ
A clinical case of a female patient of 44 years old with chronic respiratory failure (CRF) and alveolar hypoventilation caused by congenital kyphoscoliosis is described in this article. Noninvasive ventilation was initiated using bilevel positive air pressure (BiPAP) with the controlled minimal respiratory rate (the ST mode). The respiratory support was preformed around-the-clock with short breaks for eating and taking hygienic procedures; later, the respiratory support was administered at nighttime only combined with low-flow oxygen 3 to 4 L followed by the decrease of the oxygen flow to 2 L. Such treatment allowed active lifestyle including travelling and teaching. The patient was followed-up for 4 years. Nighttime oxygenation disorders are typical in severe kyphoscoliosis and precede the development of CRF at daytime. Noninvasive respiratory support can improve pulmonary ventilation during night sleep and gas exchange at waking time. Unfortunately, respiratory support is used very rarely in patients with stable CRF, as some physicians consider this treatment only in critical and terminal conditions.ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΠΈ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΊΠΈ Ρ Π²Π΅Π΄ΡΡΠΈΠΌ Π³ΠΈΠΏΠ΅ΡΠΊΠ°ΠΏΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ ΡΠΈΠΏΠΎΠΌ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ (ΠΠ), ΡΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΉ Π² ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ΅ Π²ΡΠΎΠΆΠ΄Π΅Π½Π½ΠΎΠ³ΠΎ ΠΊΠΈΡΠΎΡΠΊΠΎΠ»ΠΈΠΎΠ·Π°. ΠΡΠΎΠ΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΠΎΠ²Π°Π½Π° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΡ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ Π½Π°Π΄ ΡΡΠΆΠ΅Π»ΠΎΠΉ ΠΠ ΠΏΡΠΈ ΠΏΠΎΠΌΠΎΡΠΈ Π°ΠΏΠΏΠ°ΡΠ°ΡΠ° ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎΠΉ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠΊΠΈ Π½Π° ΡΠΎΠ½Π΅ ΠΌΠ°Π»ΠΎΠΏΠΎΡΠΎΡΠ½ΠΎΠΉ ΠΎΠΊΡΠΈΠ³Π΅Π½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ