Izindaba

Njengesitho esibalulekile sezinzwa, indlebe yomuntu isekela ikhono lethu lokuzwa nokuxhumana. Lapho kukhula ukukhubazeka kokuzwa, akugcini nje ngokulimaza ukusebenza kokuzwa nokukhuluma, kodwa futhi kunomthelela omkhulu empilweni yomzimba neyengqondo kanye nokuzibandakanya komphakathi.

Eminyakeni yamuva nje, izinga lokulahlekelwa ukuzwa ngokuzumayo (i-SSNHL) liye landa kancane kancane, okubonakala sengathi kuthinta iziguli ezisencane. Isivumelwano sochwepheshe bomhlaba wonke siqinisekisa ukuthi kanye nokwelashwa ngemithi, iziguli ezine-SSNHL kufanele ziqale ukwelashwa nge-hyperbaric oxygen (HBOT) ngokushesha okukhulu. Ubufakazi obuningi bezokwelapha bubonisa ukuthi ukwelashwa okuphelele okuhlanganisa i-HBOT kuphakamisa kakhulu izinga lokuphendula kanye nezinga lokuphulukiswa kwe-SSNHL.

I-HBOT ithuthukisa ukusebenza kahle kwe-aerobic metabolism, ithuthukisa ukujikeleza kwegazi endlebeni, futhi isheshise ukululama kokusebenza kwe-cochlea kanye ne-vestibular nerve. Iphinde ifinyeze isikhathi sesifo futhi inciphise imiphumela emibi yemithi, ithole ukuqashelwa kwayo njengenye yezindlela zokwelapha ezisebenza kahle kakhulu ze-SSNHL ezisekelwe ebufakazini.

Umhlahlandlela Wokusebenza Kwezokwelapha wase-US ka-2019 ngokulahlekelwa Ukuzwa Okungazelelwe ugcizelela ukubaluleka kokungenelela kwe-HBOT kusenesikhathi ngezincomo ezimbili ezibalulekile:

1. Uma isetshenziswa njengokwelashwa kokuqala, i-HBOT kufanele ihlanganiswe nama-glucocorticoids futhi iqalwe zingakapheli amasonto ama-2 kusukela kuqale i-SSNHL.

2. Uma kusetshenziswa njengokwelapha ngokusindisa impilo, odokotela bangase banikeze ama-HBOT kanye nama-glucocorticoids njengendlela yokutakula zingakapheli inyanga eyodwa kusukela kuqale izimpawu.

Ngakho-ke iziguli ezine-SSNHL zelulekwa kakhulu ukuthi zingaphuthelwa yi-HBOT kusenesikhathi. Ngisho nakulabo abanesikhathi eside sesifo, i-HBOT isalokhu iyindlela yokungenelela ewusizo engaletha izinzuzo zokwelapha ezinenjongo, ezivame ukungalindelekile.

Kuyini Ukulahlekelwa Yizindlebe Okungazelelwe?

I-SSNHL ingahlasela noma ngabe ingakanani iminyaka futhi ivela ezinhlotsheni ezahlukene zezimbangela. I-Vasospasm ebangelwa ukukhathala, ukuchayeka emsindweni kanye nezinye izinto ezibangela ukucindezeleka; ukuphakama kwe-viscosity yegazi ngenxa ye-hyperlipidemia, i-hyperglycemia kanye nezimo ezihlobene nayo; i-inner ear ischemia kanye ne-hypoxia; kanye nokutheleleka ngamagciwane konke kungaholela ekunciphiseni ukuzwa ngokuzumayo. Abantu abadala asebekhulile abanomfutho wegazi ophakeme, isifo sikashukela kanye nezinye izimo ezingamahlalakhona nabo babhekene nengozi enkulu.

Phakathi kwabantu abasebasha nasebekhulile, ukucindezeleka okungapheli, ukucindezeleka ngokomzwelo kanye nokusebenza ngokweqile kungaphazamisa ukulawulwa kwezinzwa futhi kubangele ukulahlekelwa ukuzwa ngokuzumayo. Amacala amakhulu avame ukuhambisana ne-tinnitus, i-vertigo, isicanucanu, ukuhlanza kanye nomuzwa wokugcwala kwendlebe.

Kungani i-HBOT Isebenza ku-SSNHL?

✓ Ikhuphula ngokushesha amazinga e-oxygen emithanjeni yegazi, yandisa ibanga lokusabalala komoya-mpilo ezindongeni ze-capillary, futhi yandisa ingcindezi engaphelele yomoya-mpilo endlebeni yangaphakathi kanye nase-endolymph - ibuyisela emuva i-hypoxia yezicubu futhi ibuyisele ukusebenza okuvamile kweseli.
✓ Ngokuxazulula i-hypoxia yendawo, i-HBOT ibangela ukuvaleka kwemithambo yegazi okuncane, inciphisa ukungena kwe-capillary futhi inciphise ukuvuza koketshezi, ngaleyo ndlela inciphise ukuvuvukala kwendlebe yangaphakathi okubangelwa ukushoda komoya-mpilo.
✓ Ithuthukisa i-hemorheology futhi yehlisa i-hematocrit, okunciphisa ukujiya kwegazi, kuthuthukisa ukujikeleza kwegazi endlebeni yangaphakathi kanye nokusetshenziswa kwezicubu, futhi isekela ukuvuselelwa kokusebenza kwamaseli ezinwele ezizwayo kanye neziphetho zemizwa.

Imibuzo Evame Ukubuzwa Mayelana ne-HBOT ye-SSNHL

Q Kungani iseshini ejwayelekile ye-HBOT ithatha imizuzu engama-60 yokuhogela umoya-mpilo?

Izicubu zabantu zihlukaniswe ngamaqembu amahlanu ngokusekelwe ku-kinetics yazo yokugcwala komoya-mpilo. Izinto ezimpunga zobuchopho ziqeda umjikelezo owodwa wokugcwala njalo ngemizuzu eyi-10, futhi zifinyelela ukugcwala okuphelele ngemva kwemijikelezo eyisithupha elandelanayo - okulingana ncamashi nemizuzu engama-60.

Q Ngizobona nini intuthuko evela ku-HBOT?

Iningi leziguli liqala ukuzwa kangcono futhi likhululeke ekucindezelekeni, ekugcwaleni kwezindlebe kanye nasesithukuthezini ngemva kwesonto elilodwa lokwelashwa. Kwabanye, izinzuzo ziqala ukubonakala ngemva kweseshini yesi-8 kuya kweyesi-9. Ukuthuthuka okukhulu kokuzwa kuvame ukufinyelelwa zingakapheli izinsuku ezingama-20 kuya kwezingama-30 ze-HBOT eqhubekayo.

Q Iyiphi inkambo ye-HBOT enconyiwe ye-SSNHL?

1. Uhlelo olujwayelekile: Ngokuvamile izifundo zokwelapha ezi-2 kuya kwezi-3, kanye nezifundo eziyi-10 ngesifundo ngasinye. Ngemva kokuba izimpawu seziphelile, kuyelulekwa ukuthi kuthathwe ingxenye eyengeziwe yesifundo esisodwa esigcwele ukuze kuhlanganiswe imiphumela.

2. Ngokulahlekelwa ukuzwa okukhulu: izifundo ezi-1-2 zokulahlekelwa okuncane; izifundo ezi-3-4 zokulahlekelwa okuphakathi; izifundo ezi-5-6 zokulahlekelwa okukhulu.

3. Ukwelashwa okukhuphula isondlo: Ukuphinda izifundo ezimbili njalo ezinyangeni ezi-3 kuya kwezi-6 ngemuva kokwelashwa kokuqala kusekela izinzuzo eziqhubekayo. Ngaphandle kwalokho, izifundo ezimbili zokuvimbela zingathathwa inyanga eyodwa ngaphambi kwezinkathi zonyaka zezinga eliphezulu, okungcono kakhulu ngesikhathi sokushintsha kwekwindla kuya ebusika noma entwasahlobo kuya ehlobo.

Q Kufanele imiswe nini i-HBOT?

1. Ukwelashwa kungase kumiswe uma kungekho ukuthuthuka okubonakalayo ngemuva kwezikhathi ezingu-40. Ucwaningo luphawula ukuthi uhlelo lwezikhathi ezingu-40 lufinyelela cishe kabili ukusebenza kahle kwenkambo yezikhathi ezingu-20.

2. I-audiometry yethoni emsulwa kufanele yenziwe masonto onke ngesikhathi sokwelashwa. Ukuyekiswa kucatshangelwa kuphela ngemva kokuhlolwa okubili kuya kokuthathu okulandelanayo okuqinisekisa ukuthi akukho ntuthuko ebalulekile.

3. Abanye odokotela batusa ukuthi iziguli ezithuthuke kancane ngemva kwezifundo ezi-3 kuya kwezi-4 zime kancane izinsuku ezi-7-10, bese ziqala ukwelashwa. Kulabo abanemiphumela engemihle, izifundo ezi-5 kuya kwezi-6 noma ngaphezulu eziqhubekayo zivame ukufaneleka.

Q Yiziphi izici ezithinta imiphumela ye-HBOT?

1. Ukusebenza kahle kuphezulu kakhulu ekulahlekelweni kokuzwa okumsulwa kwe-sensorineural, okuphakathi kokulahlekelwa kokuzwa okuxubile, futhi okuncane kakhulu ekulahlekelweni kokuzwa okuhambisana nokulawula.

2. Iziguli ezisencane ezinezinkinga zempilo ezimbalwa eziyisisekelo zithola imiphumela emihle kakhulu.

3. I-vertigo ehambisanayo ihlotshaniswa nokululama kokuzwa okuhamba kancane.

4. Umfutho wegazi ophakeme, i-arteriosclerosis noma isifo sikashukela kubikezela isibikezelo esibi kakhulu.

5. Ubunzima bokuqala bokulahlekelwa ukuzwa buhambisana nokululama kancane futhi kungaphelele.

Finyelela i-HBOT Yebanga Lobungcweti Nge-MACY-PAN Hyperbaric Chambers

Ezigulini ezilandela ukwelashwa kwe-hyperbaric oxygen okuqhubekayo nokulula kwe-SSNHL nezinye izinkomba zezempilo,Amakamelo e-oxygen e-MACY-PAN hyperbariculethe ikhambi eliphephile, elithembekile, neligxile esigulini.

Yakhiwe ngokulawula ukucindezela okunembile kanye nezinhlelo zokulethwa komoya-mpilo ezithuthukisiwe, amakamelo e-MACY-PAN aklanyelwe ukuhambisana nezinqubo ze-HBOT zezokwelapha, enikeza amazinga okucindezela okwelapha azinzile ukusekela ukufuthwa komoya-mpilo endlebeni yangaphakathi, ukulungiswa kwezicubu kanye nokululama kwemizwa. Ifanele ukunakekelwa kwesikhathi eside, i-MACY-PAN inikeza izinhlelo ze-hyperbaric ezisebenziseka kalula nezihambisana nekhaya ezisiza iziguli ukuthi zihlale zisemzileni wazo wokwelapha futhi zisebenzele imiphumela engcono yokuzwa.

Isikhathi sokuthunyelwe: Juni-30-2026

Ukwelashwa Nge-Oxygen Engazelelwe Kokulahlekelwa Ukuzwa Kwezinzwa