Ukwelashwa Nge-Hyperbaric Oxygen (HBOT) kuyindlela yokwelapha lapho umuntu ephefumula khona umoya-mpilo ohlanzekile endaweni enengcindezi ephakeme kunomoya-mpilo. Ngokuvamile, isiguli singena endaweni eyenzelwe ngokukhethekileIgumbi Lomoya-mpilo Eliyi-Hyperbaric, lapho ingcindezi ibekwe phakathi kuka-1.5-3.0 ATA, iphakeme kakhulu kunengcindezi engaphelele yomoya-mpilo ngaphansi kwezimo ezivamile zemvelo. Kulesi simo sokucindezeleka okuphezulu, umoya-mpilo awuthuthwa nje kuphela nge-hemoglobin emangqamuzaneni abomvu egazi kodwa futhi ungena ku-plasma ngobuningi obukhulu ngesimo "somoya-mpilo oncibilikisiwe ngokomzimba," okuvumela izicubu zomzimba ukuthi zithole ukuhlinzekwa komoya-mpilo okuphezulu kunangaphansi kwezimo zokuphefumula ezivamile. Lokhu kubizwa ngokuthi "ukwelashwa komoya-mpilo we-hyperbaric wendabuko."
Ngesikhathi ukwelashwa komoya-mpilo okuphansi noma i-hyperbaric oxygen therapy kwaqala ukuvela ngo-1990. Ekuqaleni kwekhulu lama-21, amanye amadivayisi okwelashwa komoya-mpilo okuphansi kwe-hyperbaric oxygen therapy ngengcindezi1.3 ATA noma 4 Psizavunyelwa yi-US FDA ngezimo ezithile ezifana nokugula okuphezulu kanye nokululama kwempilo. Abasubathi abaningi be-NBA kanye ne-NFL bamukele ukwelashwa komoya-mpilo okuncane ukuze kuncishiswe ukukhathala okubangelwa ukuzivivinya futhi kusheshiswe ukululama ngokomzimba. Ngawo-2010, ukwelashwa komoya-mpilo okuncane kakhulu kwasetshenziswa kancane kancane emikhakheni efana nokulwa nokuguga kanye nokuphila kahle.
Kuyini Ukwelashwa Komoya-mpilo Okuncane Kwe-Hyperbaric (MHBOT)?
Ukwelashwa Nge-Oxygen Encane Kakhulu (i-MHBOT), njengoba igama lisho, kubhekisela ohlotsheni lokuvezwa okunamandla aphansi lapho abantu bephefumula khona umoya-mpilo ngokugxila okuphezulu (okuvame ukunikezwa nge-oxygen mask) ngaphansi kokucindezeleka kwegumbi okungaphansi kuka-1.5 ATA noma u-7 psi, ngokuvamile kusukela ku-1.3 - 1.5 ATA. Indawo yokucindezela ephephile ivumela abasebenzisi ukuthi bazizwele umoya-mpilo ophakeme bebodwa. Ngokuphambene nalokho, Ukwelashwa Nge-Oxygen Ephakeme Kakhulu Kwezokwelapha ngokuvamile kwenziwa ku-2.0 ATA noma ngisho no-3.0 ATA emakamelweni aqinile, anqunywe futhi aqashwe odokotela. Kunomehluko omkhulu phakathi kokwelashwa nge-oxygen ephansi kakhulu kanye nokwelashwa nge-oxygen ephansi kakhulu ngokwesilinganiso sokucindezela kanye nohlaka lokulawula.
Yiziphi izinzuzo zomzimba ezingaba khona kanye nezindlela zokwelapha umoya-mpilo ophansi we-hyperbaric (mHBOT)?
"Ngokufana nokwelashwa nge-oxygen ye-hyperbaric yezokwelapha, ukwelashwa nge-oxygen ye-hyperbaric emnene kwandisa i-oxygen encibilikisiwe ngokucindezela kanye nokucebisa i-oxygen, kwandisa i-gradient yokusabalala kwe-oxygen, futhi kuthuthukisa ukugeleza kwegazi okuncane kanye nokucindezeleka kwe-oxygen kwezicubu. Izifundo zemitholampilo zibonise ukuthi ngaphansi kwezimo zokucindezela okungu-1.5 ATA kanye nokuhlushwa kwe-oxygen okungu-25-30%, abantu abathintekayo babonise umsebenzi othuthukisiwe wesistimu yezinzwa ze-parasympathetic kanye nokwanda kwenani lamaseli e-natural killer (NK), ngaphandle kokuphakama kwezimpawu zokucindezeleka kwe-oxidative. Lokhu kusikisela ukuthi umthamo we-oxygen ophansi" ungakhuthaza ukuqapha komzimba kanye nokubuyiselwa kokucindezeleka ngaphakathi kwefasitela lokwelapha eliphephile.
Yiziphi izinzuzo ezingaba khona zokwelashwa komoya-mpilo okungenamandla (mHBOT) uma kuqhathaniswaEzokwelaphaukwelashwa komoya-mpilo okwandayo (i-HBOT)?
Ukubekezelelana: Ukuphefumula umoya-mpilo emakamelweni anengcindezi ephansi ngokuvamile kunikeza ukuhambisana okungcono kokucindezela kwendlebe kanye nenduduzo iyonke, ngezingozi eziphansi ngokombono zokuba yingozi emoyeni kanye ne-barotrauma.
Izimo zokusetshenziswa: Ukwelashwa nge-hyperbaric oxygen therapy kuye kwasetshenziswa ezimpawini ezifana nokugula kokucindezeleka, ubuthi be-CO, kanye namanxeba okunzima ukuwaphola, ngokuvamile asetshenziswa ku-2.0 ATA kuya ku-3.0 ATA; ukwelashwa nge-hyperbaric oxygen therapy okuncane kusewukuvezwa komfutho ophansi, kanye nobufakazi obunqwabelanayo, futhi izinkomba zakhona akufanele zibhekwe njengezilingana nezokwelashwa nge-hyperbaric oxygen therapy yezokwelapha.
Umehluko wemithetho: Ngenxa yezizathu zokuphepha,Igumbi le-hyperbaric eliqinilengokuvamile isetshenziselwa ukwelashwa kwe-hyperbaric oxygen, kuyilaphoIgumbi le-oxygen eliphathekayo le-hyperbaricingasetshenziswa kokubili ukwelashwa komoya-mpilo okuthambile kwe-hyperbaric. Kodwa-ke, amakamelo omoya-mpilo athambile athambile e-hyperbaric avunyiwe e-US yi-FDA ahloselwe kakhulu ukwelashwa okumnene kwe-HBOT kwesifo sezintaba esibi (i-AMS); ukusetshenziswa kwezokwelapha okungeyona i-AMS kusadinga ukucatshangelwa ngokucophelela kanye nezimangalo ezihambisanayo.
Kunjani okuhlangenwe nakho lapho welashwa ekamelweni le-oxygen elinomoya-mpilo ophansi?
Njengamakamelo e-oxygen e-hyperbaric yezokwelapha, ekamelweni le-oxygen e-hyperbaric encane, iziguli zingase zizwe zigcwele izindlebe noma ziqhuma ekuqaleni nasekupheleni kokwelashwa, noma ngesikhathi sokucindezeleka nokucindezeleka, okufana nalokho okuzwakalayo ngesikhathi sokusuka nokufika kwendiza. Lokhu ngokuvamile kungadambisa ngokugwinya noma ukwenza i-Valsalva Maneuver. Ngesikhathi seseshini yokwelapha i-oxygen e-hyperbaric encane, iziguli ngokuvamile zilele zithule futhi zingaphumula ngokukhululeka. Abantu abambalwa bangase babe nobuhlungu bekhanda obufushane noma ukungakhululeki kwe-sinus, okuvame ukuguqulwa.
Yiziphi izinyathelo zokuphepha okufanele zithathwe ngaphambi kokungena ekamelweni elincane le-hyperbaric oxygen (Mukwelashwa kwe-HBOT)?
Ukwelashwa nge-oxygen ephansi ye-hyperbaric kungasebenza njengendlela yokuguqula umzimba "ephansi, encike esikhathini", efanele abantu abafuna ukucebisa umoya-mpilo nokululama kancane. Kodwa-ke, ngaphambi kokungena ekamelweni, izinto ezivuthayo kanye nezimonyo ezisekelwe kumafutha kumele zisuswe. Labo abafuna ukwelashwa kwezimo ezithile zezokwelapha kufanele balandele izinkomba ze-HBOT zezokwelapha futhi baphathwe ezikhungweni zezokwelapha ezihambisanayo. Abantu abane-sinusitis, izinkinga ze-eardrum, izifo zokuphefumula zakamuva, noma izifo zamaphaphu ezingalawulwa kufanele baqale bahlolwe ingozi.
Isikhathi sokuthunyelwe: Septhemba-02-2025