Ubuhlungu bemisipha buwumuzwa obalulekile womzimba osebenza njengesixwayiso ohlelweni lwezinzwa, okubonisa isidingo sokuvikelwa ekulimaleni okungenzeka okuvela ezintweni ezibangelwa amakhemikhali, ukushisa, noma imishini. Kodwa-ke, ubuhlungu obubangelwa yizifo bungaba uphawu lwesifo, ikakhulukazi uma bubonakala ngokushesha noma buguquka bube ubuhlungu obungapheli—into eyingqayizivele engaholela ekungakhululeki okuvamile noma okuqhubekayo izinyanga noma ngisho neminyaka. Ubuhlungu obungapheli buvame kakhulu kubantu abaningi.
Izincwadi zakamuva zikhanyise ngemiphumela emihle yokwelashwa nge-hyperbaric oxygen (HBOT) ezimweni ezahlukahlukene zobuhlungu obungapheli, okuhlanganisa i-fibromyalgia syndrome, i-complex regional pain syndrome, i-myofascial pain syndrome, ubuhlungu obuhlobene nezifo zemithambo yegazi, kanye nekhanda elibuhlungu. Ukwelashwa nge-hyperbaric oxygen kungasetshenziswa ezigulini ezizwa ubuhlungu ezingaphenduli kwezinye izindlela zokwelapha, okugqamisa indima yalo ebalulekile ekuphatheni ubuhlungu.
I-Fibromyalgia Syndrome
I-Fibromyalgia syndrome ibonakala ngobuhlungu nobuhlungu obusabalele ezindaweni ezithile zomzimba, ezaziwa ngokuthi izindawo ezithambile. I-pathophysiology eqondile ye-fibromyalgia ayikacaci; noma kunjalo, kunezimbangela eziningana ezingaba khona eziye zaphakanyiswa, okuhlanganisa ukukhubazeka kwemisipha, ukuphazamiseka kokulala, ukungasebenzi kahle komzimba, kanye noshintsho lwe-neuroendocrine.
Izinguquko eziwohlokayo emisipheni yeziguli ezine-fibromyalgia zibangelwa ukwehla kokugeleza kwegazi kanye ne-hypoxia yendawo. Lapho ukujikeleza kwegazi kuphazamiseka, ischemia elandelayo yehlisa amazinga e-adenosine triphosphate (ATP) futhi yandisa amazinga e-lactic acid. Ukwelashwa nge-hyperbaric oxygen kusiza ukulethwa kwe-oxygen ezicutshini okuthuthukisiwe, okungenzeka kuvimbele ukulimala kwezicubu okubangelwa yi-ischemia ngokunciphisa amazinga e-lactic acid nokusiza ukugcina amazinga e-ATP. Kulokhu, kukholelwa ukuthi i-HBOTukunciphisa ubuhlungu ezindaweni ezithambile ngokuqeda i-hypoxia yendawo ngaphakathi kwezicubu zemisipha.
I-Complex Regional Pain Syndrome (CRPS)
I-complex regional pain syndrome ibonakala ngobuhlungu, ukuvuvukala, kanye nokungasebenzi kahle kwe-autonomic ngemuva kokulimala kwezicubu ezithambile noma imizwa, okuvame ukuhambisana nezinguquko kumbala wesikhumba kanye nokushisa. Ukwelashwa nge-hyperbaric oxygen kuye kwabonisa ithemba ekunciphiseni ubuhlungu kanye nokuvuvukala kwesandla ngenkathi kuthuthukiswa ukuhamba kwesandla. Imiphumela emihle ye-HBOT ku-CRPS ibangelwa ikhono layo lokunciphisa ukuvuvukala okubangelwa ukuvaleka kwemithambo yegazi okunomoya-mpilo ophezulu,kukhuthaza umsebenzi we-osteoblast ocindezelwe, futhi kunciphise ukwakheka kwezicubu ezine-fibrous.
Isifo Sobuhlungu Be-Myofascial
I-Myofascial pain syndrome ibonakala ngamaphuzu abangela ukunyakaza kanye/noma amaphuzu abangelwa ukunyakaza ahilela izimo ezizimele kanye nokukhubazeka kokusebenza okuhambisanayo. Amaphuzu abangela ukunyakaza atholakala ngaphakathi kwemigqa eqinile yezicubu zemisipha, futhi ukucindezela okulula kula maphuzu kungabangela ubuhlungu obuthambile endaweni ethintekile kanye nobuhlungu obudluliselwe kude.
Ukulimala okukhulu noma ukuhlukumezeka okuncane okuphindaphindiwe kungaholela ekulimaleni kwemisipha, okuholela ekuqhekekeni kwe-sarcoplasmic reticulum kanye nokukhululwa kwe-calcium yangaphakathi kweseli. Ukuqongelela kwe-calcium kukhuthaza ukugoqeka kwemisipha okuqhubekayo, okuholela ekushayweni yi-ischemia ngokucindezelwa kwemithambo yegazi yendawo kanye nokwanda kwesidingo se-metabolic. Lokhu kuntuleka komoya-mpilo kanye nezakhamzimba kunciphisa ngokushesha amazinga e-ATP endawo, ekugcineni kuqhubekisele phambili umjikelezo omubi wobuhlungu. Ukwelashwa komoya-mpilo we-hyperbaric kuye kwafundwa ngomongo we-ischemia yendawo, futhi iziguli ezithola i-HBOT zibike ukwanda okukhulu kwemingcele yobuhlungu kanye nokwehla kwamaphuzu obuhlungu e-Visual Analog Scale (VAS). Lokhu kuthuthuka kubangelwa ukwanda kokusetshenziswa komoya-mpilo ngaphakathi kwezicubu zemisipha, okuphula ngempumelelo umjikelezo omubi wokuncipha kanye nobuhlungu obubangelwa yi-ATP engenawo umoya-mpilo.
Ubuhlungu Ezifweni Zemithambo Yegazi Engaphazamisi
Izifo zemithambo yegazi ezungeze imithambo yegazi zivame ukubhekisela ezimweni ze-ischemic ezithinta izitho zomzimba, ikakhulukazi imilenze. Ubuhlungu bokuphumula bubonisa isifo esibi semithambo yegazi ezungeze imithambo yegazi, esenzeka lapho ukugeleza kwegazi okuphumule kuya ezitho zomzimba kuncipha kakhulu. Ukwelashwa nge-oksijini e-hyperbaric kuyindlela evamile yokwelapha amanxeba angapheli ezigulini ezinesifo semithambo yegazi ezungeze imithambo yegazi. Ngenkathi kuthuthukiswa ukuphulukiswa kwamanxeba, i-HBOT iphinde inciphise ubuhlungu bezitho zomzimba. Izinzuzo ezicatshangelwayo ze-HBOT zifaka phakathi ukunciphisa i-hypoxia kanye nokuvuvukala, ukunciphisa ukuqongelela kwama-peptide abangela ukuvuvukala, kanye nokwandisa ukuzwela kwama-endorphin ezindaweni zama-receptor. Ngokuthuthukisa izimo eziyisisekelo, i-HBOT ingasiza ekunciphiseni ubuhlungu obuhambisana nesifo semithambo yegazi ezungeze imithambo yegazi.
Ubuhlungu bekhanda
Ikhanda elibuhlungu, ikakhulukazi i-migraines, lichazwa njengobuhlungu obungavamile obuvame ukuthinta uhlangothi olulodwa lwekhanda, oluvame ukuhambisana nesicanucanu, ukuhlanza, kanye nokuphazamiseka kokubona. Ukusabalala kwaminyaka yonke kwe-migraines cishe kungama-18% kwabesifazane, ama-6% kwabesilisa, kanye nama-4% ezinganeni. Izifundo zibonisa ukuthi i-oxygen inganciphisa ikhanda ngokunciphisa ukugeleza kwegazi ebuchosheni. Ukwelashwa nge-oxygen e-hyperbaric kusebenza kakhulu kunokwelashwa nge-oxygen e-normobaric ekuphakamiseni amazinga e-oxygen egazini lemithambo yegazi kanye nokubanga ukuminyana okukhulu kwemithambo yegazi. Ngakho-ke, i-HBOT ibhekwa njengesebenza kangcono kunokwelashwa nge-oxygen ejwayelekile ekwelapheni i-migraines.
Ubuhlungu Bekhanda Beqembu
Njengoba ibonakala ngobuhlungu obukhulu kakhulu obuzungeze iso elilodwa, izinhlungu zekhanda ezihlangene zivame ukuhambisana nokujova i-conjunctival, ukudabuka, ukuminyana kwamakhala, i-rhinorrhea, ukujuluka kwendawo, kanye nokuvuvukala kwamehlo.Ukuhogela umoya-mpilo okwamanje kubhekwa njengendlela yokwelapha ebukhali yekhanda elibuhlungu elihlangene.Imibiko yocwaningo ikhombisile ukuthi ukwelashwa nge-hyperbaric oxygen therapy kuwusizo ezigulini ezingasabeli ekwelashweni ngemithi, kunciphisa ukuvama kweziqephu zobuhlungu ezilandelayo. Ngenxa yalokho, i-HBOT ayisebenzi nje kuphela ekuphatheni ukuhlaselwa okukhulu kodwa futhi nasekuvimbeleni ukwenzeka kwezinkinga zekhanda zeqembu esikhathini esizayo.
Isiphetho
Ngamafuphi, ukwelashwa nge-hyperbaric oxygen therapy kukhombisa amandla amakhulu ekunciphiseni izinhlobo ezahlukene zobuhlungu bemisipha, okuhlanganisa izimo ezifana ne-fibromyalgia syndrome, i-complex regional pain syndrome, i-myofascial pain syndrome, ubuhlungu obuhlobene nesifo semithambo yegazi, kanye nekhanda elibuhlungu. Ngokubhekana ne-localized hypoxia kanye nokukhuthaza ukulethwa kwe-oxygen ezicutshini zemisipha, i-HBOT inikeza enye indlela esebenzayo yeziguli ezihlushwa ubuhlungu obungapheli obumelana nezindlela zokwelapha ezivamile. Njengoba ucwaningo luqhubeka nokuhlola ububanzi bokusebenza kahle kwe-hyperbaric oxygen therapy, kumi njengokungenelela okuthembisayo ekuphathweni kobuhlungu kanye nokunakekelwa kweziguli.
Isikhathi sokuthunyelwe: Ephreli-11-2025