Ingaruka zo kwica bagiteri zo kuvura umwuka wa ogisijeni ukabije mu bikomere byahiye

Intangiriro

Inkomere zo gutwika zikunze kugaragara mu bihe byihutirwa kandi akenshi ziba inzira y’ubwiyongere bw’indwara zandurira mu ndwara. Inkomere zirenga 450.000 zo gutwika ziba buri mwaka bigatuma abantu bagera ku 3.400 bapfa muri Leta Zunze Ubumwe za Amerika. Ubusanzwe muri Indoneziya hagaragaye impanuka zo gutwika ari 0.7% mu 2013. Abarenga kimwe cya kabiri cyazo Dukurikije ubushakashatsi butandukanye ku ikoreshwa ry’abarwayi bavuwe indwara zandurira mu mikorobe, zimwe muri zo zikaba zari zirwanya imiti imwe n’imwe. Gukoresha imiti igabanya ubukana bw’indwara.ubuvuzi bwa ogisijeni ikabije(HBOT) yo kuvura ubushye ifite ingaruka nziza nyinshi zirimo kuvura indwara zandurira mu mikorobe, ndetse no kwihutisha gukira kw'ibikomere. Kubwibyo, ubu bushakashatsi bugamije kwerekana akamaro ka HBOT mu kubuza mikorobe gukura.

Uburyo

Ubu ni ubushakashatsi bwakorewe ku nkwavu hakoreshejwe igishushanyo mbonera cy’itsinda ry’abagenzuzi nyuma yo gupima. Inkwavu 38 zatwitswe ku rwego rwa kabiri ku rutugu hakoreshejwe icyuma cyakoreshejwe mu cyuma cyashyushye mbere y’iminota 3. Imiterere ya bagiteri yafashwe ku munsi wa 5 n’uwa 10 nyuma yo gutwikwa. Ingero zagabanyijwemo amatsinda abiri, HBOT n’igenzura. Isesengura ry’imibare ryakozwe hakoreshejwe uburyo bwa Mann-Whitney U.

Ibisubizo

Bagiteri za gram-negative ni zo zakunze kugaragara cyane muri ayo matsinda yombi. Citrobacter freundi ni yo bagiteri za gram-negative zikunze kugaragara cyane (34%) zabonetse mu mikorere y’amatsinda yombi.

Bitandukanye n'itsinda ryagenzuwe, nta mikurire ya bagiteri yabonetse mu bisubizo by'itsinda rya HBOT, (0%) ugereranije na (58%). Igabanuka rikomeye ry'ubwiyongere bwa bagiteri ryagaragaye mu itsinda rya HBOT (69%) ugereranije n'itsinda ryagenzuwe (5%). Igipimo cya bagiteri cyahagaze mu nkwavu 6 (31%) mu itsinda rya HBOT n'inkwavu 7 (37%) mu itsinda ryagenzuwe. Muri rusange, ukwiyongera kwa bagiteri kwari kuke cyane mu itsinda ryagenzuwe rya HBOT ugereranije n'itsinda ryagenzuwe (p < 0.001).

Umwanzuro

Gutanga HBOT bishobora kugabanya cyane ukwiyongera kwa bagiteri mu bikomere byo gutwika.