Ubushakashatsi buherutse gukorwa bwerekanye ingaruka ziterwa na hyperbaric ogisijeni ivura imikorere yumutima yabantu bahura na COVID ndende, bivuga ibibazo bitandukanye byubuzima bikomeza cyangwa bigaruka nyuma yo kwandura SARS-CoV-2.
Ibi bibazo birashobora kuba birimo injyana yumutima idasanzwe hamwe nubwiyongere bwikibazo cyo gukora nabi k'umutima.Abashakashatsi basanze guhumeka cyane, umwuka mwiza wa ogisijeni ushobora gufasha mu kunoza imitsi yumutima ku barwayi ba COVID ndende.
Ubushakashatsi bwari buyobowe na Porofeseri Marina Leitman wo mu Ishuri ry’Ubuvuzi rya Sackler muri kaminuza ya Tel Aviv n’ikigo nderabuzima cya Shamir muri Isiraheli.Nubwo ibyavuye mu bushakashatsi byatanzwe mu nama yo muri Gicurasi 2023 yakiriwe n’umuryango w’ibihugu by’i Burayi byita ku ndwara z’umutima, ntibarasuzumwa n’urungano.
COVID ndende nibibazo byumutima
COVID ndende, nayo yitwa syndrome ya nyuma ya COVID, yibasira abantu bagera kuri 10-20% bafite COVID-19.Mugihe abantu benshi bakira burundu virusi, COVID ndende irashobora gupimwa mugihe ibimenyetso bikomeje byibuze amezi atatu nyuma yo gutangira ibimenyetso bya COVID-19.
Ibimenyetso bya COVID ndende bikubiyemo ibibazo bitandukanye byubuzima, harimo guhumeka nabi, ingorane zo kumenya (byitwa igihu cyubwonko), kwiheba, nibibazo byinshi byumutima.Abantu bafite COVID ndende bafite ibyago byinshi byo kwandura indwara z'umutima, kunanirwa k'umutima, nibindi bihe bifitanye isano.
Ndetse n'abantu batigeze bagira ibibazo byumutima byabanje cyangwa ibyago byinshi byo kurwara umutima nimiyoboro y'amaraso bahuye nibi bimenyetso, nkuko bigaragazwa n'ubushakashatsi bwakozwe mu 2022.
Uburyo bwo kwiga
Dr. Leitman na bagenzi be bashakishije abarwayi 60 bari bafite ibimenyetso birebire bya COVID-19, ndetse na nyuma y’indwara zoroheje cyangwa zoroheje, zimara nibura amezi atatu.Muri iryo tsinda harimo abantu bari mu bitaro ndetse n'abantu batari mu bitaro.
Kugira ngo bakore ubushakashatsi bwabo, abashakashatsi bagabanije abitabiriye amatsinda abiri: umwe yakira hyperbaric ogisijeni ivura (HBOT) undi ahabwa uburyo bwigana (sham).Umukoro wakozwe ku bushake, hamwe n'umubare ungana w'amasomo muri buri tsinda.Mugihe cyibyumweru umunani, buri muntu yakoresheje amasomo atanu buri cyumweru.
Itsinda rya HBOT ryakiriye ogisijeni 100% ku muvuduko w’ikirere 2 mu minota 90, hamwe n’ikiruhuko gito buri minota 20.Ku rundi ruhande, itsinda rya sham ryakiriye 21% ogisijeni ku muvuduko w’ikirere 1 mu gihe kimwe ariko nta kiruhuko.
Byongeye kandi, abitabiriye amahugurwa bose bakoze echocardiography, ikizamini cyo gusuzuma imikorere yumutima, mbere yicyiciro cya mbere cya HBOT nicyumweru 1 kugeza kuri 3 nyuma yicyiciro giheruka.
Mu ntangiriro y’ubushakashatsi, 29 kuri 60 bitabiriye amahugurwa bari bafite impuzandengo y’isi yose (GLS) ifite agaciro ka -17.8%.Muri bo, 16 boherejwe mu itsinda rya HBOT, mu gihe 13 basigaye bari mu itsinda rya sham.
Ibyavuye mu bushakashatsi
Nyuma yo kuvurwa, itsinda ryabatabazi ryagize ubwiyongere bugaragara muri GLS ugereranije, bagera kuri -20.2%.Mu buryo nk'ubwo, itsinda rya sham naryo ryiyongereyeho impuzandengo ya GLS, yageze -19.1%.Nyamara, ibipimo byabanje byerekanaga itandukaniro rinini ugereranije no gupima kwambere mugitangira ubushakashatsi.
Muganga Leitman yavuze ko hafi kimwe cya kabiri cy’abarwayi ba COVID barebare bafite imikorere mibi yumutima mugitangira ubushakashatsi, nkuko byagaragajwe na GLS.Nubwo bimeze bityo ariko, abitabiriye ubushakashatsi bose bagaragaje igice gisanzwe cyo gusohora, kikaba ari igipimo gisanzwe gikoreshwa mugusuzuma ubushobozi bwumutima hamwe nubushobozi bwo kuruhuka mugihe cyo kuvoma amaraso.
Muganga Leitman yanzuye avuga ko igice cyo gusohora cyonyine kitumva bihagije kugirango hamenyekane abarwayi ba COVID ndende bashobora kugabanya imikorere yumutima.
Gukoresha imiti ya ogisijeni bishobora kugira inyungu.
Ku bwa Dr. Morgan, ibyavuye mu bushakashatsi byerekana ko hari inzira nziza yo kuvura ogisijeni ya hyperbaric.
Icyakora, atanga inama yo kwitonda, avuga ko kuvura hyperbaric ogisijeni atari byo byemewe na bose kandi bisaba ko hakorwa iperereza ryiyongera.Byongeye kandi, hari impungenge zijyanye no kwiyongera kwa arththmias hashingiwe kubushakashatsi bumwe.
Dr. Leitman na bagenzi be banzuye ko kuvura hyperbaric okisijene bishobora kugirira akamaro abarwayi bafite COVID ndende.Yagaragaje ko hakenewe ubushakashatsi bwinshi kugira ngo hamenyekane abarwayi bazagirira akamaro kanini, ariko bishobora kuba ingirakamaro ku barwayi bose ba COVID igihe kirekire kugira ngo bakore isuzuma ry’imiterere ndende ku isi kandi batekereze ku buvuzi bwa ogisijeni hyperbaric niba imikorere y’umutima yabo idahwitse.
Dr. Leitman agaragaza kandi ko yizeye ko ubundi bushakashatsi bushobora gutanga ibisubizo by'igihe kirekire kandi bugafasha inzobere mu buvuzi mu kumenya umubare mwiza w'amasomo yo kuvura ogisijeni ya hyperbaric.
Igihe cyo kohereza: Kanama-05-2023