Muri iki gihe, abantu batabarika ku isi barwaye kudasinzira - indwara yo gusinzira akenshi idahabwa agaciro. Uburyo bwibanze bwo kudasinzira biragoye, kandi ibitera biratandukanye. Mu myaka yashize, umubare wubushakashatsi wiyongereye watangiye gushakisha ubushobozi bwaUbwiza 1.5 ata hyperbaric chambre yo kugurishamugutezimbere ibitotsi byiza. Iyi ngingo izasesengura uburyo bwo kunoza ibimenyetso byo kudasinzira binyuze murihyperbaric ogisijeni icyumba 1.5 ATAduhereye kubintu bitatu byingenzi: uburyo, intego yabaturage, hamwe nibitekerezo byo kuvura.
Mechanism: Nigute Hyperbaric Oxygene ivura iteza ibitotsi?
1. Kongera ubwonko bwa Oxygene Cerebral Metabolism na Microcirculation
Ihame ryo kuvura ogisijeni ya hyperbaric (HBOT) iri mu guhumeka ogisijeni hafi 100% munsi y’umuvuduko ukabije muriUrwego-rwohejuru rukomeye hyperbaric chamber 1.5 ATA. Ubu buryo bwongera cyane umuvuduko wigice cya ogisijeni, bityo bikazamura urugero rwa ogisijeni yashonze mumaraso. Ubushakashatsi bwerekanye ko kwiyongera kwa ogisijeni bifasha kuzamura ogisijeni yo mu bwonko kandi bigashyigikira metabolism.
Mugihe habaye ibitotsi, kugabanuka kwubwonko bwa ogisijeni metabolisme hamwe na mikorobe idahagije irashobora kwirengagizwa kubintu bitera. Mubyukuri, kongera okisijeni ya tissue birashobora guteza imbere gusana imitsi no kugabanya ibisubizo byumuriro, bityo bikongerera igihe cyo gusinzira cyane (gusinzira buhoro-buhoro).
2. Kugenga imiyoboro ya Neurotransmitter no gusana ibyangiritse
Ubushakashatsi ku mavuriro bwerekanye ko hyperbaric oxygene ivura (HBOT) ishobora kuba uburyo bwo kuvura kugira ngo urusheho gusinzira neza mu bitotsi bimwe na bimwe biterwa no gukomeretsa ubwonko, indwara zifata ubwonko, cyangwa indwara zifata ubwonko. Kurugero, mubarwayi barwaye indwara ya Parkinson, HBOT hamwe nubuvuzi busanzwe byagaragaye ko bizamura ibipimo nkibipimo byerekana ibitotsi bya Pittsburgh (PSQI).
Byongeye kandi, isuzuma rihoraho kuri abarwayi ba nyuma yubwonko bafite ikibazo cyo kudasinzira byerekana ko HBOT ishobora gukora kuri neurotrophique-inflammation-oxidative stress axis, bityo bigafasha kuzamura ibitotsi.
3. Kugabanya umuriro no guteza imbere imyanda ya metabolike
Sisitemu ya glymphatike yubwonko ishinzwe gukuraho imyanda ya metabolike kandi ikora cyane mugihe cyo gusinzira. Ubushakashatsi bumwe bwerekana ko HBOT ishobora kongera iyi nzira mugutezimbere ubwonko bwubwonko no kongera ibikorwa bya mito-iyambere, bityo igashyigikira ibitotsi byubaka.
Muri make, uburyo bwavuzwe haruguru bwerekana ko kuvura hyperbaric okisijene ivura bishobora kuba igikoresho cyiza cyo kunoza ubwoko bumwe na bumwe bwo kudasinzira. Nyamara, ni ngombwa gushimangira ko imyanya yubushakashatsi iriho HBOT cyane nkubuvuzi bufatika cyangwa bwiyongera, aho kuba umurongo wambere cyangwa ubuvuzi bukoreshwa hose kubusinzira.
Ni ayahe matsinda akwiranye no gusuzuma Hyperbaric Oxygene ivura indwara yo kudasinzira?
Ubushakashatsi bw’ubuvuzi bwerekanye ko abantu bose bafite ikibazo cyo kudasinzira atari abakandida bakwiriye kuvura hyperbaric ogisijeni (HBOT). Amatsinda akurikira arashobora kuba meza, nubwo isuzuma ryitondewe riracyakenewe:
1. Abantu bafite ibibazo bya Neurologiya:
Abafite ikibazo cyo gusinzira icyiciro cya kabiri mubihe nko gukomeretsa ubwonko (TBI), gukomeretsa ubwonko bworoheje (mTBI), ibikurikira nyuma yubwonko, cyangwa indwara ya Parkinson. Ubushakashatsi bwerekana ko aba bantu bakunze kwerekana ubwonko bwa ogisijeni yo mu bwonko bwangiritse cyangwa imikorere mibi ya neurotrophique, aho HBOT ishobora kuba imiti ifasha.
2. Abantu bafite ikibazo cyo kudasinzira mubihe bidasanzwe-Uburebure cyangwa Hypoxic Imiterere:
Ikigeragezo cyateganijwe cyatangaje ko amasomo y'iminsi 10 ya HBOT yazamuye cyane amanota ya PSQI (Pittsburgh Sleep Quality Index) na ISI (Insomnia Severity Index) amanota mu barwayi badasinzira karande baba mu turere twinshi.
3. Abantu bafite umunaniro udashira, bakeneye gukira, cyangwa kugabanya Oxygene:
Ibi birimo abantu bafite umunaniro muremure, ububabare budashira, gukira nyuma yo kubagwa, cyangwa ubusumbane bwa neuroendocrine. Ibigo bimwe byubuzima bwiza nabyo bishyira mubantu nkabakandida babishoboye kuri HBOT.
Muri icyo gihe, ni ngombwa gusobanura abantu bagomba gukoresha HBOT bitonze kandi bisaba gusuzuma buri kibazo:
1. Koresha witonze:
Abantu bafite itangazamakuru rikabije rya otitis, ibibazo bya eardrum, indwara zikomeye zifata ibihaha, kutabasha kwihanganira ibidukikije byatewe n’igitutu, cyangwa igicuri gikabije kitagenzuwe bashobora guhura n’uburozi bwa sisitemu yo hagati ya ogisijeni yo mu bwoko bwa ogisijeni baramutse bavuwe na hyperbaric ogisijeni.
2. Isuzuma ry'imanza-ku-rubanza:
Abantu badasinzira gusa ni psychologique cyangwa imyitwarire (urugero, kudasinzira kwambere) kandi birashobora kunozwa gusa no kuruhuka neza kuburiri, nta mpamvu ifatika, bagomba kubanza kubona imiti isanzwe ya Cognitive Behavioral Therapy yo kudasinzira (CBT-I) mbere yo gusuzuma HBOT.
Igishushanyo mbonera cyo kuvura no gutekereza
1. Kuvura inshuro hamwe nigihe
Ukurikije ubuvanganzo bwa none, kubantu runaka, HBOT yo kunoza ibitotsi isanzwe itangwa rimwe kumunsi cyangwa undi munsi muminsi 4-6. Kurugero, mubushakashatsi kubyerekeranye no kudasinzira cyane, amasomo yiminsi 10 yakoreshejwe.
Abashinzwe ubuvuzi bwa hyperbaric babigize umwuga batanga igishushanyo mbonera cy '"amasomo y'ibanze + yo kubungabunga": amasomo amara iminota 60-90, inshuro 3-5 mu cyumweru mu byumweru 4-6, hamwe no guhindura inshuro zakozwe zishingiye ku kunoza ibitotsi.
2. Umutekano no kwirinda
l Mbere yo kuvurwa, suzuma kumva, sinus, imikorere yumutima nu mutima, n'amateka ya epilepsy.
l Mugihe cyo kuvura, genzura ugutwi na sinus bitatewe nimpinduka zumuvuduko, hanyuma ukore tympanic membrane ihumeka nkuko bikenewe.
Irinde kuzana ibintu byaka, kwisiga, parufe, cyangwa ibikoresho bikoreshwa na batiri ahantu hafunze ogisijeni nyinshi.
l Umwanya muremure cyangwa mwinshi-mwinshi birashobora kongera ibyago byuburozi bwa ogisijeni, impinduka ziboneka, cyangwa barotrauma yumutima. Nubwo bidasanzwe, izi ngaruka zisaba kugenzurwa nabaganga.
3. Kugenzura imikorere no Guhindura
Gushiraho ibipimo fatizo byibitotsi, nka PSQI, ISI, kubyuka nijoro, hamwe nubuziranenge bwibitotsi.
Suzuma ibi bipimo buri byumweru 1-2 mugihe cyo kuvura. Niba iterambere ari rito, suzuma ikibazo cyo gusinzira kibana (urugero, OSA, kudasinzira neza, ibintu bya psychologiya) hanyuma uhindure gahunda yo kuvura ukurikije.
l Niba ingaruka mbi zibaye (urugero, kubabara ugutwi, kuzunguruka, kutabona neza), hagarika ubuvuzi kandi usuzume umuganga.
4. Guhuza Imibereho
HBOT ntabwo ari "ubuvuzi bwihariye." Ingeso yimibereho yabantu bafite ikibazo cyo kudasinzira cyangwa abandi bahabwa HBOT irashobora kugira ingaruka kumiti. Kubwibyo, abarwayi bagomba gukomeza kugira isuku nziza yo gusinzira, gukurikiza gahunda isanzwe ya buri munsi, no kugabanya gufata ibintu bitera imbaraga nka cafeyine cyangwa inzoga nijoro kugirango bifashe gucunga amaganya no guhangayika.
Gusa muguhuza imashini yubukorikori hamwe nimyitwarire yimyitwarire irashobora kunoza neza ibitotsi.
Dore icyongereza cyahinduwe neza mu nyandiko yawe:
Umwanzuro
Muri make, hyperbaric ogisijene ivura (HBOT) ifite ubushobozi bwo kunoza ibitotsi kubantu bafite ikibazo cyubwonko bukabije bwubwonko, imiterere ya hypoxic, cyangwa deficits ya neurotrophique. Uburyo bwabwo bufite ishingiro mubuhanga, kandi ubushakashatsi bwibanze bushigikira uruhare rwarwo rwo kuvura. Ariko, HBOT ntabwo ari "umuti rusange" wo kudasinzira, kandi ni ngombwa kumenya ko:
Ubuvuzi bwa Hyperbaric ogisijeni (HBOT) ntabwo bufatwa nk'umurongo wa mbere cyangwa usanzwe usabwa kuvura indwara nyinshi zo kudasinzira cyane cyane imitekerereze cyangwa imyitwarire muri kamere.
Nubwo inshuro nyinshi zo kuvura hamwe nigihe cyamasomo byaganiriweho mbere, haracyari ubwumvikane buke bujyanye nubunini bwingirakamaro, igihe cyingaruka, cyangwa inshuro nziza yo kuvura.
Ibitaro byinshi, amavuriro yigenga, hamwe n’ibigo nderabuzima bifite ibikoreshomacy pan hbot, ibyo abarwayi badasinzira bashobora guhura nabyo.Murugo-koresha ibyumba bya hyperbariczirahari kandi, ariko ikiguzi cyazo, umutekano, kugerwaho, hamwe nuburyo bukwiye kubarwayi kugiti cyabo bigomba gusuzumwa numuganga ubishoboye buri kibazo.
Igihe cyo kohereza: Ukwakira-22-2025