Hyperbaric ogisijene ivura itezimbere imikorere ya neurocognitive abarwayi ba post-stroke - isesengura ryisubiramo

Amavu n'amavuko:

Ubushakashatsi bwibanze bwerekanye ko hyperbaric ogisijene ivura (HBOT) ishobora kunoza imikorere ya moteri no kwibuka abarwayi ba nyuma yubwonko mu cyiciro cya karande.

Intego:

Intego yubu bushakashatsi nugusuzuma ingaruka za HBOT kumikorere rusange yubwenge yabarwayi ba nyuma yubwonko mugihe cyigihe kirekire.Imiterere, ubwoko hamwe n’aho inkoni yakorewe iperereza hashoboka kubahindura.

Uburyo:

Isesengura ryisubiramo ryakozwe ku barwayi bavuwe na HBOT kubera indwara idakira (> amezi 3) hagati ya 2008-2018.Abitabiriye amahugurwa bavuriwe mu cyumba kinini cya hyperbaric hamwe na protocole ikurikira: amasomo 40 kugeza kuri 60 ya buri munsi, iminsi 5 mu cyumweru, buri somo ryarimo min 90 ya 100% ya ogisijeni kuri 2 ATA hamwe na feri 5 min buri minota 20.Iterambere ryingenzi mubuvuzi (CSI) ryasobanuwe nk> 0.5 gutandukana bisanzwe (SD).

Ibisubizo:

Ubushakashatsi bwarimo abarwayi 162 (abagabo 75.3%) bafite hagati yimyaka 60,75 ± 12.91.Muri bo, 77 (47.53%) bafite ubwonko bwa cortical, 87 (53.7%) inkoni ziherereye mu gice cy’ibumoso naho 121 barwara indwara y’indwara (74,6%).
HBOT yatumye ubwiyongere bugaragara mubikorwa byose byubwenge (p <0.05), hamwe 86% by abahuye nubwonko bagera kuri CSI.Nta tandukaniro rikomeye ryabaye nyuma ya HBOT ya cortical stroke ugereranije na sub-cortical stroke (p> 0.05).Indwara ya Hemorrhagic yagize iterambere ryinshi muburyo bwo gutunganya amakuru nyuma ya HBOT (p <0.05).Ibumoso bwibice byibumoso bwiyongereye cyane murwego rwa moteri (p <0.05).Muri domeni zose zimenyekanisha, ibikorwa byibanze byubwenge byari ibintu byahanuye CSI (p <0.05), mugihe ubwoko bwubwonko, ahantu hamwe kuruhande ntabwo byari bihanuye.

Umwanzuro:

HBOT itera iterambere ryinshi mubice byose byubwenge ndetse no mubihe byanyuma.Guhitamo abarwayi nyuma yubwonko bwa HBOT bigomba gushingira kubisesengura ryimikorere n amanota yibanze ya cognitive aho kuba ubwoko bwubwonko, ahantu cyangwa kuruhande rwibisebe.