​UNDERSTANDING HYPERBARIC OXYGEN THERAPY: SECHRIST'S COMPREHENSIVE GUIDE

Hyperbaric Oxygen Therapy (HBOT) inzira yekurapa iyo murwere akavharwa zvachose mukamuri yekumanikidza kufema 100% yakachena okisijeni (O2) pane yakakura kupfuura imwe yemhepo. Mhepo ine inenge 21% oksijeni, uye inenge 78% nitrogen. Mu hyperbaric oxygen therapy (HBOT), iyo okisijeni muzana inofema nemurwere ingangoita kana 100%, inopeta kashanu kupfuura mumhepo. Kudzvinyirirwa kweokisijeni inofema nemurwere mu hyperbaric oxygen chamber inowanzopfuura 1.5 nguva (uye inogona kuva yakawanda se3 nguva) yakakura kudarika mhepo yemhepo. HBOT inokwanisa kuburitsa okisijeni yakapetwa ka15 pane iri mumhepo pakumanikidzwa kwakaringana.

Hyperoxygenation: HBOT inonyungudutsa okisijeni yakawedzera muplasma yeropa, iyo inobva yaendeswa kumatumbu. Kufema okisijeni yakachena paviri kusvika katatu kumanikidzwa kwakajairwa kunopa 10-15 nguva yakawandisa mumuviri yakanyungudika okisijeni kumatishu. Izvi zvinogona kuwedzera iyo okisijeni yetishu mumatishu akakanganiswa kusvika kune yakakura-kupfuura-yakajairika kukosha. Hyperoxygenation yakaratidzwa kuti iite kuumbwa kwemapillari matsva mune ischemic kana maronda asina kusvibiswa. Nokudaro, inobatsira mukurapa ischemic based compromised maronda, flaps uye grafts. Inobatsirawo mune zvimwe zvirwere nekubvumira basa rewhite cell (leukocytic) kuti ritangezve basa. Mechanical Effect yeKuwedzera Kudzvinyirira: Chero gasi riri mumuviri richadzikira muhuwandu sezvo kumanikidza pairi kunowedzera. Nekuwedzera katatu mukumanikidzwa, bubble rakavharirwa mumuviri rinoderedzwa nezvikamu zviviri muzvitatu. Nokudaro, kuderedzwa kwehuwandu hwegasi kunogadzirisa embolism yemhepo uye decompression chirwere apo kuongororwa kurapwa kunoitwa panguva yakakodzera. Vasoconstriction: High-pressure okisijeni inokonzera kutsikirira kwetsinga dzeropa mumatishu akajairwa pasina kugadzira hypoxia. Izvo hazvikonzeri kuvharwa mune yaimbove yakanyimwa okisijeni tishu. Iyo vasoconstriction inoderedza edema iyo inobatsira mukurapa kwekutsva, kupwanya kukuvara, compartment syndromes uye mamwe acute traumatic ischemias. Kunyangwe kuyerera kweropa kunokonzeresa edema kwakadzikira, kuendeswa kweokisijeni kumatumbu kunochengetwa kuburikidza neiyo hyperoxygenation effect. Antimicrobial Activity: HBOT inhibits alpha toxin production sezvinoonekwa muanaerobic infections zvakadai se clostridium perfringens (gas gangrene). Chinonyanya kukonzera gas gangrene ndeye clostridium perfringens; zvisinei, kune zvipenyu zvakawanda zvinogadzira gasi (aerobic uye anaerobic) zvinoda kubviswa kwekuvhiya pakutanga. Iyo zvakare inosimudzira chena sero kuuraya chiitiko chinopa yakanakisa adjuvant kune IV inorwisa mabhakitiriya uye emunharaunda maronda ekuchengetedza. Mass Action yeGasi: Kufashama kwemuviri nechero gasi rimwe chete kunowanzo "kugeza" vamwe. Chiito ichi chinoitika nekukurumidza pasi pekumanikidzwa kupfuura pasi pemamiriro akajairwa, uye chinoita HBOT kurapa kunoratidzwa kwechirwere chekuora mwoyo. Kuderedza Kukuvara Kwekudzokororwa: Kutevera nguva yeischemic, kukuvadzwa kusina kunanga kunoitika, iyo inopindirana nekushandiswa kusina kukodzera kwe leukocytes. HBOT inodzivirira kuita kwakadaro. Kuomerera kwemasero machena eropa kumadziro ecapillary kwakaderedzwa zvakanyanya, nokudaro kuderedza "hapana kuyerera" chiitiko. Ichi ndicho chikonzero kurapwa kweHBOT kunoratidzwa muchepfu yecarbon monoxide uye kunoonekwa sekurapa kwesarudzo.

HBOT yakaratidza kuti inoshanda kune akawanda mamiriro ekurapa, uye semhedzisiro iyo Undersea neHyperbaric Medicine Society, imwe yevakuru masangano ekutsvagisa, yakabvumidza zvinotevera zviratidzo: Mhepo kana Gasi Embolism Carbon Monoxide Poisoning Carbon Monoxide Poisoning Yakaomeswa neCyanide Poisoning Clostridal Myositis uye Myonecrosis (Gas Gangrene) Crush Injury, Compartment Syndrome, uye mamwe Acute Traumatic Ischemias Decompression Chirwere Kuwedzeredzwa Kwekuporesa Mumaronda Akasarudzwa Dambudziko; Arterial Insufficiencies; Pakati Retinal Artery Occlusion Yakanyanya Anemia Intracranial Abscess Necrotizing Soft Tissue Infections Refractory osteomyelitis Kunonoka Radiation Kukuvara (Soft Tissue uye Bony Necrosis) Yakakanganiswa Ganda Grafts & Flaps Acute Thermal Burn Injury Uye zvakare, Medicare yekuvhara tsidzo ichadzosera muUS kune anotevera mamiriro: Diabetic maronda epazasi migumo muvarwere vanosangana neanotevera maitiro matatu: Murwere ane chirwere chechirwere cheshuga I kana chechipiri uye ane ronda repazasi rinokonzerwa nechirwere cheshuga; Murwere ane ronda rinotsanangurwa seWagner giredhi III kana kupfuura; uye Murwere akundikana nzira yakakwana yerapi yemaronda.

Kana kurapwa kuchiitwa mukati mezviratidzo zvinogamuchirwa zvakabudiswa neUndersea & Hyperbaric Medicine Society uye sezvinoonekwa neHealth Care Financing Administration, kurapa kunowanzodzorerwa. Sezvese masevhisi ekurapa anopihwa, vamwe vakazvimirira uye vese vanochengetedzwa vanochengeta vanoda pre-mvumo.

Zvakafanana nemaitiro ese ekurapa, HBOT haishandiswe kune zvirwere uko pasina humbowo hwekiriniki hwekuti inoshanda. Pave paine zvirevo zvekuti HBOT inogona kubatsira nematambudziko akaita sekuchembera ganda kana kurebesa hupenyu hwakajairika. Izvo hazvina kunyorwa kana kugamuchirwa munharaunda yakakura yekurapa.

Netsanangudzo, hyperbaric oxygen therapy inopihwa murwere mukamuri yakamanikidzwa. Iyo hyperbaric chamber isimbi, aruminiyamu kana kamuri yepurasitiki yakajeka umo mweya unogona kudzvanywa kune kudzvanywa kwakakura kudarika gungwa. Iko kune marudzi maviri emakamuri, monoplace uye multiplace. Monoplace Chambers: A monoplace chamber igadziriro inogara murwere mumwechete panguva. Murwere anorara pamubhedha unotsvedzerera mukamuri. Kazhinji kamuri inomanikidzwa ne100% oksijeni. Murwere anogamuchira 100% okisijeni nekufema okisijeni mukati mekamuri. Mask kana hood haidiwi. Monoplace makamuri ane simba rekumanikidzwa kusvika ku3 ATA. Zvimwe kunze kwechirwere chedecompression uye gasi embolism, iyo UHMS protocol ye hyperbaric therapy haidi yakakura kupfuura 3 ATA yekumanikidza kurapwa. Varwere vanorwara zvakanyanya vanoda midziyo yekutsigira hupenyu inogona kurapwa muSechrist monoplace. (Vamwe vagadziri vemonoplace havapi zvese zvekutsigira hupenyu). Ruzhinji rwevarwere vane hyperbaric vanorapwa mukamuri yemonoplace. Multiplace Chambers: A multiplace chamber igadziriro inogona kugarisa vanhu vaviri kana kupfuura. Varwere vanogona kufamba kana kufambiswa nemavhiri (vakagara kana kurara pasi) kupinda mukamuri ine nzvimbo dzakawanda, zvichienderana nehukuru. Kazhinji, murindiri anenge ari mukati nevarwere. Iwo makamuri anomanikidzwa nemhepo yakamanikidzwa kuburikidza neyakazvitsaurira yekugovera system. 100% okisijeni inounzwa kumurwere kuburikidza nemasiki kana musangano wehood. Multiplace makamuri ane simba rekumanikidzwa kusvika ku6 ATA. Kudzvinyirirwa kwepamusoro kunogona kudiwa mukurapa decompression chirwere uye air embolism kesi.

Kunze kwechirwere chedecompression uye arterial gas embolism, kurapwa kwakajairika kunosvika maawa maviri kureba. Mishonga inopihwa kune-murwere kana kunze-murwere. Mune zvimwe zviitiko zvakanyanya, marapirwo anogona kuitwa maawa masere kusvika gumi nemaviri ega ega.

Mhinduro yekiriniki yemurwere nezvimwe zvinhu zvinowanzoraira kuwanda kwekurapa kunodiwa. Emergency kesi, senge carbon monoxide poisoning, arterial gas embolism kana decompression disease, ingangoda kurapwa kumwe chete kana kaviri. Maronda asingapore angada kurapwa kwakawanda se20 kusvika ku30.

Kazhinji, murwere haazonzwi zvakasiyana. Zvisinei, mune dzimwe nzvimbo dzokurapwa, murwere anganzwa kunzwa kuzara munzeve, kwakafanana nokunzwa kunoitika mundege. Izvi zvinokonzerwa ne eardrum inopindura kumanikidziro anochinja. Asati arapwa, murwere achadzidziswa nzira shomanana dziri nyore kuti "ajekese" nzeve dzake kuti arege kunetseka.

Murwere anofanira kupfeka 100% nguo dzekotoni panguva yekurapwa. Zvinhu zvemunhu hazvibvumidzwe mu hyperbaric chamber. Kuti uwane rumwe ruzivo ona izvo zvekusaunza mu hyperbaric chamber link.

The most common side-effects are not serious, those include: Claustrophobia Ear popping Temporary myopia Lung problems in rare cases, the lungs have become irritated by the oxygen, and the patient develops a dry cough that is resolved once the treatment is stopped. In extremely small number of cases, some patients have developed non-life threatening issues. Overall, HBOT is a safe procedure.

Vese vangangove hyperbaric chamber varwere vanofanirwa kuve netsamba kubva kuna chiremba anotumira kuitira kuti vagamuchire hyperbaric kurapwa.

Kuti HBOT ifukidzwe pasi pechirongwa cheMedare muUnited States, chiremba anofanira kunge achigara achipinda panguva yose yekurapa.

Mitemo yekurapa inotangwa nachiremba anoenda. Nguva dzekurapa dzakachengeteka, dhigirii uye miganho yekumanikidza zvakatemerwa hyperbaric okisijeni kuratidzwa uye izvi zvinogumira zvinoumba hwaro hwese maprotocol ekurapa. Paanenge achiwana kurapwa, murwere ari kurwara zvakanyanya anogona kupihwa mechanical ventilation, IV therapy uye invasive uye isingasviki physiological monitoring.

Geza kamuri zvichienderana nerudzi rwemhosva dziri kurapwa uye sekurairwa nevashandi vekurapa. Geza kamuri uye yese gurney, machira uye metiresi nzvimbo neyakatenderwa mushonga wekuuraya utachiona kana munyoro wekugeza ndiro. Dzvanya APA KUTI Uwane rondedzero yakadzama yeZVINHU ZVINOGIDZWA ZVINOTAURA ZVINOTAURWA