Ilanga lasehlobo liyadansa phezu kwamagagasi, libize abaningi ukuba bahlole izindawo ezingaphansi kwamanzi ngokuntywila. Nakuba ukuntywila kunikeza injabulo enkulu kanye nokuzijabulisa, kuza nezingozi zempilo ezingaba khona—okuphawuleka kakhulu, isifo sokucindezeleka, esivame ukubizwa ngokuthi “isifo sokucindezeleka.”
Ukuqonda Isifo Sokuwohloka Kokucindezeleka
Isifo sokucindezeleka, esivame ukwaziwa ngokuthi isifo sombhukudi, isifo sokugcwala, noma i-barotrauma, senzeka lapho umbhukudi ekhuphuka ngokushesha kakhulu evela ezindaweni ezinomfutho ophezulu. Ngesikhathi sokuntywila, amagesi, ikakhulukazi i-nitrogen, ancibilika ezicutshini zomzimba ngaphansi kwengcindezi eyengeziwe. Lapho ababhukudi bekhuphuka ngokushesha kakhulu, ukwehla okusheshayo kwengcindezi kuvumela la magesi ancibilikile ukuthi akhe amabhamuza, okuholela ekunciphiseni ukujikeleza kwegazi kanye nomonakalo wezicubu. Lesi simo singabonakala ngezimpawu ezahlukahlukene, ezithinta uhlelo lwemisipha futhi ezingase ziholele ezinkingeni ezinkulu.
Izibalo eziphathelene nesifo sokucindezeleka ziyashaqisa: izinga lokufa lingafinyelela ku-11%, kanti izinga lokukhubazeka lingafinyelela ku-43%, okugcizelela ubunjalo balesi simo. Akukhona nje kuphela ukuthi ababhukudi basengozini, kodwa ababhukudi abangebona ochwepheshe, abadobi, abagibela izindiza ezindaweni eziphakeme, abantu abakhuluphele, kanye nalabo abangaphezu kweminyaka engu-40 abanezinkinga zenhliziyo nabo basengozini yokuthola isifo sokucindezeleka.
Izimpawu Zokugula Kokucindezeleka
Izimpawu zesifo sokucindezeleka zivame ukubonakala njengobuhlungu ezingalweni noma emilenzeni. Zingahluka ngobukhulu, zihlukaniswe kanje:
Okuthambile: Isikhumba esilumayo, amabala anamabala, kanye nobuhlungu obuncane emisipheni, emathanjeni, noma emalungeni.
Okumaphakathi: Ubuhlungu obukhulu emisipheni, emathanjeni, nasemalungeni, kanye nezinye izimpawu zemizwa kanye nezokugaywa kwesisu.
Okubi kakhulu: Ukuphazamiseka kwesistimu yezinzwa ephakathi, ukwehluleka kokujikeleza kwegazi, kanye nokungasebenzi kahle kokuphefumula, okungaholela ekulimaleni okungapheli noma ngisho nasekufeni.
Ucwaningo lubonisa ukuthi umonakalo wesimiso sezinzwa, sokuphefumula, kanye nesokujikeleza kwegazi ubangela cishe u-5-25% wezimo ezinzima zokuphelelwa amandla, kuyilapho izilonda ezincane kuya kweziphakathi zivame ukuthinta isikhumba kanye nesistimu ye-lymphatic, cishe u-7.5-95%.
Indima Yokwelashwa Kwe-Hyperbaric Oxygen
Ukwelashwa nge-hyperbaric oxygen (HBO) kuyindlela yokwelapha eqinisekisiwe nephumelelayo yokwelapha ukugula kokucindezeleka. Lokhu kungenelela kusebenza kakhulu uma kunikezwa ngesikhathi sesigaba esibucayi salesi simo, umphumela uhlobene kakhulu nobunzima bezimpawu.
Indlela Yokusebenza
Ukwelashwa kwe-HBO kusebenza ngokwandisa ingcindezi yemvelo ezungeze isiguli, okuholela emiphumeleni elandelayo ebalulekile:
Ukuncishiswa Kwama-Gas Bubbles: Ukucindezela okwandisiwe kunciphisa umthamo wama-bubbles e-nitrogen emzimbeni, kuyilapho ukucindezela okuphezulu kusheshisa ukusabalala kwe-nitrogen kusuka kuma-bubbles iye egazini elizungezile kanye noketshezi lwezicubu.
Ukushintshaniswa Komoya-mpilo Okuthuthukisiwe: Ngesikhathi sokwelashwa, iziguli ziphefumula umoya-mpilo, othatha indawo ye-nitrogen emabhamuzeni egesi, okwenza kube lula ukumuncwa nokusetshenziswa komoya-mpilo ngokushesha.
Ukujikeleza kwegazi Okuthuthukisiwe: Amabhamuza amancane angahamba aye emithanjeni yegazi emincane, anciphise indawo yokuhlaselwa yisifo sohlangothi futhi athuthukise ukugeleza kwegazi.
Ukuvikelwa Kwezicubu: Ukwelashwa kunciphisa ingcindezi ezicutshini futhi kunciphisa amathuba okulimala kwamangqamuzana.
Ukulungiswa kwe-Hypoxia: Ukwelashwa kwe-HBO kuphakamisa ingcindezi engaphelele yomoya-mpilo kanye nokuqukethwe komoya-mpilo egazini, kulungisa ngokushesha i-hypoxia yezicubu.
Isiphetho
Ekuphetheni, ukwelashwa nge-hyperbaric oxygen therapy kuyisithuluzi esibalulekile ekulweni nesifo sokunciphisa ukucindezeleka, okuhlinzeka ngezinzuzo ezisheshayo nezingase zisindise impilo. Ngokwazi okwengeziwe ngezingozi ezihlobene nokucwila kanye nokusebenza kahle kokwelashwa nge-HBO, abacwila emanzini kanye nalabo abangase babe nesifo bangenza izinqumo ezinolwazi zokuvikela impilo yabo.
Isikhathi sokuthunyelwe: Agasti-27-2024