Ukwelashwa nge-oxygen ye-hyperbaric kuthuthukisa imisebenzi yokuqonda izinzwa yeziguli ezinesifo sohlangothi - ukuhlaziywa kokubuyela emuva

Ingemuva:

Izifundo zangaphambilini zikhombisile ukuthi ukwelashwa nge-hyperbaric oxygen therapy (HBOT) kungathuthukisa ukusebenza kwemisipha kanye nenkumbulo yeziguli ezinesifo sohlangothi ezisesimweni esingamahlalakhona.

Inhloso:

Inhloso yalolu cwaningo ukuhlola imiphumela ye-HBOT emisebenzini yokuqonda iyonke yeziguli ezinesifo sohlangothi ngemuva kwesifo sohlangothi esigabeni esingamahlalakhona. Uhlobo, uhlobo kanye nendawo yesifo sohlangothi kuhlolwe njengezinto ezingaba khona zokuguqula isimo.

Izindlela:

Ukuhlaziywa kokubuyela emuva kwenziwe ezigulini ezelashwe nge-HBOT ngenxa yesifo sohlangothi esingapheli (>izinyanga ezi-3) phakathi kuka-2008-2018. Abahlanganyeli belashwe ekamelweni le-hyperbaric elinezindawo eziningi ngezindlela ezilandelayo: izikhathi ezingu-40 kuya kwezingu-60 zansuku zonke, izinsuku ezi-5 ngesonto, iseshini ngayinye yayihlanganisa imizuzu engama-90 ye-oxygen engu-100% ku-2 ATA kanye namabhuleki omoya amaminithi ama-5 njalo ngemizuzu engama-20. Ukuthuthuka okubalulekile emtholampilo (i-CSI) kwachazwa njengokuphambuka okujwayelekile okungu-> 0.5 (SD).

Imiphumela:

Ucwaningo luhlanganise iziguli ezingu-162 (abesilisa abangu-75.3%) abaneminyaka ephakathi kuka-60.75±12.91. Kubo, abangu-77(47.53%) babene-cortical stroke, abangu-87(53.7%) babene-hemisphere kwesobunxele kanti abangu-121 bahlushwa i-ischemic stroke (74.6%).
I-HBOT ibangele ukwanda okukhulu kuzo zonke izizinda zomsebenzi wokuqonda (p < 0.05), kanye nama-86% ezisulu zesifo sohlangothi ezithola i-CSI. Kwakungekho mehluko obalulekile ngemuva kwe-HBOT wesifo sohlangothi uma kuqhathaniswa nesifo sohlangothi esingaphansi kwe-cortical (p > 0.05). Isifo sohlangothi oluphuma igazi sibe nokuthuthuka okuphezulu kakhulu esivinini sokucubungula ulwazi ngemuva kwe-HBOT (p < 0.05). Isifo sohlangothi olungakwesokunxele sibe nokwanda okuphezulu kusizinda se-motor (p < 0.05). Kuzo zonke izizinda zokuqonda, umsebenzi oyisisekelo wokuqonda wawuyisibikezeli esibalulekile se-CSI (p < 0.05), kuyilapho uhlobo lohlangothi, indawo kanye nohlangothi kwakungezona izibikezeli ezibalulekile.

Iziphetho:

I-HBOT ibangela ukuthuthuka okukhulu kuzo zonke izizinda zokuqonda ngisho nasesigabeni sokugcina esingamahlalakhona. Ukukhethwa kweziguli zangemva kokuhlaselwa yisifo sohlangothi ze-HBOT kufanele kusekelwe ekuhlaziyweni kokusebenza kanye namaphuzu okuqonda ayisisekelo kunokuba kusekelwe ohlotsheni lokuhlaselwa yisifo sohlangothi, indawo noma uhlangothi lwesilonda.