Izuba ryo mu mpeshyi rirabyina hejuru yumuraba, rihamagarira benshi gushakisha ahantu h'amazi binyuze mu kwibira. Nubwo kwibira bitanga umunezero mwinshi no gutangaza, bizana kandi ingaruka zishobora guteza ubuzima - cyane cyane indwara ya decompression, bakunze kwita "indwara ya decompression."
Gusobanukirwa Indwara yo Kwiheba
Indwara ya decompression, ikunze kwitwa indwara yabatwara, indwara yo kwiyuzuzamo, cyangwa barotrauma, ibaho mugihe uyitwaye azamutse vuba cyane avuye ahantu h’umuvuduko mwinshi. Mugihe cyo kwibira, imyuka, cyane cyane azote, ishonga mumyanya yumubiri bitewe numuvuduko mwinshi. Iyo abadive bazamutse vuba cyane, kugabanuka kwumuvuduko byihuse bituma iyo myuka yashonze ikora ibibyimba, bigatuma umuvuduko wamaraso ugabanuka no kwangirika kwinyama. Iyi miterere irashobora kugaragara mubimenyetso bitandukanye, bigira ingaruka kumitsi ya musculoskeletal kandi bishobora gutera ingorane zikomeye.
Imibare ijyanye n'indwara ya decompression iteye ubwoba: umubare w'abapfa ushobora kugera kuri 11%, mu gihe umubare w'abafite ubumuga ushobora kugera kuri 43%, ushimangira imiterere ikomeye y'iki kibazo. Ntabwo abashitsi bafite ibyago gusa, ahubwo abatwara umwuga utari abanyamwuga, abarobyi, ibyuma byo hejuru cyane, abantu bafite umubyibuho ukabije, hamwe nabafite hejuru yimyaka 40 bafite ibibazo byumutima nimiyoboro y'amaraso nabo barashobora kwandura indwara ya decompression.
Ibimenyetso byo Kurwara Indwara
Ibimenyetso byindwara ya decompression mubisanzwe bigaragara nkububabare mumaboko cyangwa amaguru. Barashobora gutandukana muburemere, bagashyira mubikorwa nka:
Ubwitonzi: Kubabara uruhu, ibibyimba byahinduwe, hamwe n'ububabare buke mumitsi, amagufwa, cyangwa ingingo.
Guciriritse: Ububabare bukabije mumitsi, amagufwa, hamwe ningingo, hamwe nibimenyetso bimwe na bimwe byubwonko na gastrointestinal.
Birakabije: Ihungabana rya sisitemu yo hagati, kunanirwa gutembera, no kudakora neza mu myanya y'ubuhumekero, bishobora gutera kwangirika burundu cyangwa no gupfa.
Ubushakashatsi bwerekana ko kwangirika kwa sisitemu y’imyakura, iy'ubuhumekero, no gutembera bingana na 5-25% by’indwara zikomeye ziterwa na decompression, mu gihe ibikomere byoroheje cyangwa bitagereranywa muri rusange bigira ingaruka ku ruhu na lymphatique, bingana na 7.5-95%.
Uruhare rwa Hyperbaric Oxygene yo kuvura
Hyperbaric ogisijeni (HBO) ivura nubuvuzi bwashyizweho kandi bunoze bwo kuvura indwara ya decompression. Gutabara bigira akamaro cyane iyo bikozwe mugihe cyicyiciro cyibibazo, hamwe nibisubizo bifitanye isano nuburemere bwibimenyetso.
Uburyo bwibikorwa
Ubuvuzi bwa HBO bukora mukwongera umuvuduko wibidukikije kumurwayi, biganisha ku ngaruka zikomeye zikurikira:
Kugabanuka kw'ibibyimba bya gazi: Umuvuduko wiyongereye ugabanya ingano ya azote mu mubiri, mugihe umuvuduko mwinshi wihutisha ikwirakwizwa rya azote iva mu bituba ikinjira mu maraso no mu mazi.
Guhinduranya Oxygene Yongerewe: Mugihe cyo kuvura, abarwayi bahumeka ogisijeni, isimbuza azote mu myuka ya gaze, ikorohereza kwinjiza no gukoresha ogisijeni vuba.
Kuzenguruka neza: Udusimba duto duto dushobora kugenda tugana ku mitsi mito y'amaraso, bikagabanya agace ka infarction kandi bikongera umuvuduko w'amaraso.
Kurinda Tissue: Ubuvuzi bugabanya umuvuduko wimitsi kandi bigabanya amahirwe yo kwangirika kwa selile.
Gukosora Hypoxia: Ubuvuzi bwa HBO buzamura umuvuduko wigice cya ogisijeni hamwe na ogisijeni yamaraso, bikosora byihuse hypoxia.
Umwanzuro
Mu gusoza, hyperbaric ogisijene ivura ihagaze nkigikoresho cyingenzi cyo kurwanya indwara ya decompression, itanga inyungu zihuse kandi zishobora kurokora ubuzima. Hamwe no kurushaho kumenya ingaruka zijyanye no kwibira hamwe nuburyo bwiza bwo kuvura HBO, abatwara ibinyabuzima ndetse n’abashobora kurwara barashobora gufata ibyemezo byuzuye kugirango barinde ubuzima bwabo.
Igihe cyo kohereza: Kanama-27-2024