Indwara ya stroke, indwara ikomeye irangwa no kugabanuka gutunguranye kw'amaraso mu bwonko bitewe n'indwara yo kuva amaraso cyangwa inshinge, ni yo mpamvu ya kabiri itera impfu ku isi yose, ikaba n'impamvu ya gatatu itera ubumuga. Ibyiciro bibiri by'ingenzi bya stroke ni inshinge ya stroke (ifite 68%) na inshinge ya stroke (32%). Nubwo indwara zayo zitandukanye mu ntangiriro, byombi bituma amaraso agabanuka ndetse n'indwara yo mu bwonko ikomeza kwiyongera mu gihe cy'impinja n'igihe kirekire.
Indwara ya Ischemic Stroke
Ischemic stroke (AIS) igaragazwa no kuziba k'umutsi w'amaraso mu buryo butunguranye, bigatera kwangirika k'amaraso mu gace kagize ikibazo. Mu gihe cy'ubukana, iyi mimerere y'ibanze ya hypoxia itera urujya n'uruza rw'uburozi, stress ya oxidative, no gukora kwa microglia, bigatera urupfu rw'imitsi. Mu gihe cy'ubukana, kurekurwa kwa cytokines, chemokines, na matrix metalloproteinases (MMPs) bishobora kugira uruhare mu kubyimba kw'ubwonko. Ikigaragara ni uko urugero rwinshi rwa MMP rwongera ubushobozi bwo kwinjira kw'umuyoboro w'amaraso n'ubwonko (BBB), bigatuma leukocyte yimuka mu gace kari mu maraso, bigatuma ibikorwa byo kubyimba byiyongera.
Uburyo bwo kuvura indwara ya Ischemic Stroke bugezweho
Uburyo bw'ibanze bwo kuvura indwara ya AIS burimo guterwa thrombolysis na thrombectomy. Gutera thrombolysis mu mitsi bishobora gufasha abarwayi mu masaha 4.5, aho kuvurwa hakiri kare bibagiraho ingaruka nziza. Ugereranije no guterwa thrombolysis, guterwa thrombolysis mu buryo bwa mechanical bifite uburyo bwagutse bwo kuvura. Byongeye kandi, uburyo bwo kuvura thrombolysis butari ubw'imiti, budakoresha imiti nk'ubu.ubuvuzi bwa ogisijeni, acupuncture, no gukangura amashanyarazi biri kugenda birushaho gukururwa nk'uburyo bw'inyongera ku buryo busanzwe.
Ingingo z'ibanze zo kuvura ogisijeni ikabije (HBOT)
Ku gipimo cy'umuvuduko w'inyanja (1 ATA = 101.3 kPa), umwuka duhumeka ugizwe na ogisijeni ingana na 21%. Mu miterere y'umubiri, igipimo cya ogisijeni ivanze mu maraso ni gito cyane, ni hafi 0.29 mL (0.3%) kuri 100 mL y'amaraso. Mu miterere ya hyperbaric, guhumeka ogisijeni ingana na 100% byongera urugero rwa ogisijeni ivanze mu maraso cyane - kugeza kuri 3.26% kuri 1.5 ATA na 5.6% kuri 2.5 ATA. Kubwibyo, HBOT igamije kongera iki gice cya ogisijeni ivanze, neza.kongera ubwinshi bwa ogisijeni mu turemangingo mu bice bya ischemic. Iyo umuvuduko mwinshi, ogisijeni ikwirakwira mu turemangingo dufite ubushyuhe bwinshi, ikagera ku ntera ndende ugereranije n'umuvuduko usanzwe wo mu kirere.
Kugeza ubu, HBOT imaze gukoreshwa cyane mu ndwara zo mu bwonko ziterwa n'imitsi yo mu bwonko iterwa n'amaraso n'imitsi yo kuva amaraso. Ubushakashatsi bwerekana ko HBOT itanga ingaruka zo kurinda ubwonko binyuze mu buryo bwinshi bugoye bwa molekile, biokemike, na hemodynamic, harimo:
1. Kongera umuvuduko w'umwuka wa ogisijeni mu mitsi, bigatuma ogisijeni igera mu bwonko neza.
2. Gutuza BBB, bigabanya kubyimba mu bwonko.
3. Kongera ubushobozi bw'ubwonkogutembera neza kw'amaraso mu buryo buciriritse, kunoza imikorere y'ubwonko n'ingufu mu gukora neza mu gihe bikomeza kugira homeostasis ya ion mu turemangingo.
4. Kugenzura uburyo amaraso yo mu bwonko atembera mu bwonko kugira ngo bigabanye umuvuduko w'amaraso mu bwonko no kugabanya kubyimba k'ubwonko.
5. Kugabanya ububabare bw'ubwonko nyuma yo gucika intege.
6. Guhagarika apoptosis na necrosisnyuma yo gucika intege mu bwonko.
7. Kugabanya stress ya oxidative no gukumira imvune zo kongera gusohora amaraso, ni ingenzi mu ndwara zo mu bwonko.
8. Ubushakashatsi bwerekana ko HBOT ishobora kugabanya spasm y'imitsi nyuma yo kuva amaraso mu gice cya subarachnoid (SAH).
9. Ibimenyetso bishyigikira kandi akamaro ka HBOT mu guteza imbere imikorere y'imitsi no gutera angiogenesis.
Umwanzuro
Ubuvuzi bwa ogisijeni ikabije butanga uburyo bwiza bwo kuvura indwara yo mu bwonko. Mu gihe dukomeje gusesengura ingorane zo gukira indwara yo mu bwonko, iperereza rirambuye rizakenerwa kugira ngo tunoze uburyo bwo gusobanukirwa igihe, urugero, n'uburyo HBOT ikoreshwa.
Muri make, mu gihe dusuzuma ibyiza byo kuvura umwuka wa ogisijeni ukabije mu gihe cy’indwara yo gucika kw’imitsi, biragaragara ko gukoresha ubu buryo bushobora guhindura uburyo dukoresha mu kuvura indwara yo gucika kw’imitsi, bigatanga icyizere ku bagizweho ingaruka n’iyi ndwara ihindura ubuzima.
Niba ushishikajwe no gusuzuma uburyo bwo kuvura umwuka wa ogisijeni ukoresheje hyperbaric nk'uburyo bushoboka bwo kuvura indwara zo mu bwonko, turagutumiye gusura urubuga rwacu kugira ngo umenye byinshi ku byumba byacu bigezweho bya ogisijeni ukoresheje hyperbaric. Hamwe n'uburyo butandukanye bwagenewe gukoreshwa mu rugo no mu buryo bw'umwuga, MACY-PAN itanga ibisubizo bitanga uburyo bwiza kandi bwihariye bwo kuvura umwuka wa ogisijeni kugira ngo bigufashe mu rugendo rwawe rw'ubuzima no gukira.
Menya ibicuruzwa byacu n'uburyo bishobora kuzamura imibereho myiza yawe kuriwww.hbotmacypan.com.
Igihe cyo kohereza: Gashyantare 18-2025