Kurapa kweokisijeni ine hyperbaric kunovandudza mashandiro epfungwa evarwere vane chirwere chestroke - ongororo yekuongorora kumashure

Kumashure:

Ongororo dzakapfuura dzakaratidza kuti hyperbaric oxygen therapy (HBOT) inogona kuvandudza mashandiro emuviri uye kurangarira varwere vane chirwere chestroke vari muchikamu chechirwere chinogara kwenguva refu.

Chinangwa:

Chinangwa chechidzidzo ichi ndechekuongorora migumisiro yeHBOT pamabasa ekuziva evarwere vane chirwere chestroke vari muchikamu chechirwere chisingaperi. Hunhu, mhando nenzvimbo yestroke zvakaongororwa senzira dzinogona kugadziriswa.

Maitiro:

Ongororo yekudzokera shure yakaitwa pavarwere vakarapwa neHBOT nekuda kwechirwere chestroke chisingaperi (>mwedzi mitatu) pakati pa2008-2018. Vatori vechikamu vakarapwa mukamuri ine nzvimbo dzakawanda ine hyperbaric nemaitiro anotevera: zvidzidzo zvezuva nezuva makumi mana kusvika makumi matanhatu, mazuva mashanu pasvondo, chidzidzo chega chega chaisanganisira maminitsi makumi mapfumbamwe e100% oxygen pa2 ATA nemabhureki emhepo mashanu pamaminitsi makumi maviri ega ega. Kuvandudzwa kwakakosha mukurapa (CSI) kwakatsanangurwa se > 0.5 standard deviation (SD).

Mhedzisiro:

Chidzidzo ichi chaisanganisira varwere 162 (75.3% yevarume) vane makore anosvika 60.75±12.91. Pavari, 77(47.53%) vaiva nechirwere chemwoyo, 87(53.7%) vaiva nechirwere chemwoyo chakakombama, uye 121 vaiva nechirwere chemwoyo chakakombama (74.6%).
HBOT yakakonzera kuwedzera kukuru munzvimbo dzese dzekushanda kwepfungwa (p < 0.05), ne86% yevakabatwa nestroke vachiwana CSI. Pakanga pasina mutsauko wakakosha mushure meHBOT wekurohwa kwemoyo zvichienzaniswa nekurohwa kwemuviri kudiki (p > 0.05). Kurohwa kweropa kwakava nekuvandudzika kwakanyanya mukumhanya kwekugadzirisa ruzivo mushure meHBOT (p < 0.05). Kurohwa kwechikamu chekuruboshwe kwaive nekuwedzera kwakanyanya munzvimbo yekufamba kwemuviri (p < 0.05). Munzvimbo dzese dzepfungwa, basa rekutanga rekuziva raive chiratidzo chakakosha cheCSI (p < 0.05), nepo rudzi rwestroke, nzvimbo uye divi zvaive zvisiri zviratidzo zvakakosha.

Mhedziso:

HBOT inokurudzira kuvandudzika kukuru muzvikamu zvese zvepfungwa kunyangwe padanho rekupedzisira rechirwere chisingaperi. Kusarudzwa kwevarwere vane HBOT mushure mekurohwa kunofanirwa kubva pakuongorora mashandiro uye mamakisi ekutanga epfungwa pane mhando yekurohwa, nzvimbo kana divi rekukuvara.