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How Positive Airway Therapy works? – Which type of People requires PAP treatment?

In the “Positive airway pressure” therapy, a device is used to force pressurized air in the air passages of the lungs, which assists in keeping the airways open throughout sleep time in the night. The pressurized air transported by “continuous positive airway pressure” device stops instances of airway fall down, which obstruct the respiring process in patients of “obstructive sleep apnea” and several other issues related to respiring.

Positive air pressure device is capable of effectively treating majority of OSA patients. PAP is a safer option and functions quite fine for all age groups of people together with children. The people having mild sleep apnea and have no drowsiness feelings throughout the daytime, possibly will not require PAP. However, the people who use it will find out the following:

ü The high blood pressure will lower down
ü Improved sleep
ü Improved moodiness and decreased depression and anxiety
ü Show more productivity at workplace
ü Betterment in the sleep of your bed associate
ü Feel better attentiveness and daytime drowsiness will be minimized
ü Enhanced memory and focus


The sleep therapist will recommend you the kind of “positive airway pressure” device, which addresses your symptoms:-
ü CPAP device offers a stable and temperate air pressure in order to keep the airways open.
ü APAP (auto-titrating positive airway pressure) device, which is adjustable and alters pressure during the whole night period depending on the models of breathing.


ü Bi-level PAP (Bilevel positive airway pressure) device provides you elevated pressure while inhaling and lesser pressure while exhaling.


Bil-level PAP is handy for grown-ups and kids who are suffering from:-
ü Weakness in the muscles, which is making hard to respire because of medical state known as “muscular dystrophy”
ü Reduction in the swapping over of the air in the lungs
ü Collapsing of the air passages during sleep, which makes it difficult to respire without restraint

Bi-level PAP or simply PAP can also be utilized by sufferers facing the following:-
ü Failure of the heart
ü COPD
ü CSA of central sleep apnea
ü Failure in the respiration

Functioning of the Positive Airway Pressure Device Therapy
While making use of a positive airway pressure therapy:-
ü The patient requires putting on a mask over the nose and mouth during sleep.
ü The mask is linked to an undersized device with the help of hosepipe, which rests on the bedside table.
ü The PAP device pushes air with pressure via hosepipe that passes through the mask and the air passages during your sleep. All this function assists in keeping the air passages open


Any sleep apnea sufferer can begin using the positive airway pressure device in the sleep lab for the whole nighttime.
ü The supplier will assist the patient in choosing the correct fitting mask.
ü The sleep lab team will regulate the settings of the PAP device during your sleep.
ü The PAP settings will be regulated depending on the harshness of your apnea.

After going through the positive airway pressure therapy, your symptoms will start improving, otherwise, your PAP device settings are required to change. You will be able to change the setting while you are at home by the instructions he taught you, otherwise you can have it modified by visiting the sleep lab.

Getting acquainted with the PAP device
Initially, it could be quite hard to sleep properly with your new PAP device. You will get acquainted with your PAP with the passage of time gradually.
In this situation, you can be inclined not using the device for the complete nighttime. However, you will be able to get along with the machine more swiftly if you continue to use it the whole night anyhow.


While you are in the process of getting acquainted with the machine, you possibly will feel like:-
ü Bleeding of the nose
ü Upper part of the respiratory infectivity
ü Dry or sour mouth
ü Stuffed or runny nose
ü Sores or reddishness on the upper part of the nose
ü Irritation in the eyes
ü Uneasiness in the chest muscles that diminishes by its own after some time
ü Getting caught up in claustrophobia


Majority of the above issues can be curbed or assisted:- 
ü Seek help from the supplier about utilizing cushioned and lightweight mask. There are a number of masks that can be utilized inner side or around the nostrils.
ü Your mask has not to be extra loose or extra tight. Make certain that it is fitting perfectly and not leaking air.
ü In order to overcome stuffy nose issue, you can make use of nasal sprays
ü To get assistance in nasal areas and dry skin issue, make use of a humidifier
ü Take special care in keeping your PAP device tidy and hygienic.
ü To restrict noise, you can put your device beneath the bed.
ü Inform the supplier if your device is making noise, however, majority of devices are silent.
The supplier of your device can decrease the air pressure and then again raise it at slow rate. However, there are number of devices that are able to adjust their pressure by their own.

Substitute names of PAP device
Obstructive sleep apnea – CPAP, OSA – CPAP, Non invasive ventilation, NIPPVV, Non invasive positive pressure ventilation, nCPAP, APAP, Auto titrating positive airway pressure, BiPAP, Bi-Level PAP, Bi-level positive airway pressure, CPAP, Continuous positive airway pressure.


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