Zuva rezhizha rinotamba pamafungu, richikurudzira vazhinji kuti vaongorore nzvimbo dziri pasi pemvura kuburikidza nekudhibha. Kunyange zvazvo kudhibha kuchipa mufaro mukuru uye mafambiro, kunouyawo nenjodzi dzehutano - kunyanya, decompression sick, inowanzonzi "decompression sick."
Kunzwisisa Kurwara Kwekudzikira Kwepfungwa
Kurwara kwekudzikira kweropa, kunowanzozivikanwa sechirwere chemudhairi, chirwere chekuzara kweropa, kana kuti barotrauma, kunoitika kana mudhairi achikwira nekukurumidza kubva munzvimbo dzine kumanikidzwa kwakanyanya. Munguva yekudhairi, magasi, kunyanya nitrogen, anonyungudika munyama dzemuviri nekumanikidzwa kwakawedzerwa. Kana mudhairi achikwira nekukurumidza, kudzikira kwekumanikidzwa kunobvumira magasi aya akanyungudika kugadzira mabhuru, zvichikonzera kudzikira kwekufamba kweropa uye kukuvara kwenyama. Dambudziko iri rinogona kuoneka nezviratidzo zvakasiyana-siyana, zvichikanganisa hurongwa hwemapfupa nemapfupa uye zvinogona kukonzera matambudziko akakomba.
Nhamba dzechirwere che decompression dzinotyisa: huwandu hwevanhu vanofa hunogona kusvika 11%, nepo huwandu hwevanhu vakaremara hunogona kusvika 43%, zvichiratidza kuti chirwere ichi chakakomba. Havasi ivo chete vari munjodzi yekunyura mumvura, asi vanhu vasiri nyanzvi, vabati vehove, vanofamba nendege munzvimbo dzakakwirira, vanhu vakafuta, uye avo vane makore anopfuura 40 vane matambudziko emwoyo vanogonawo kubatwa nechirwere che decompression.
Zviratidzo zveKurwara neKuora Mwoyo
Zviratidzo zvechirwere che decompression zvinowanzoonekwa sekurwadziwa mumaoko kana makumbo. Zvinogona kusiyana pakuoma kwazvo, zvichinzi:
Zvishoma: Ganda rinokwenya, mavanga ane mavanga, uye kurwadziwa kudiki mutsandanyama, mapfupa, kana majoini.
Pakati nepakati: Kurwadziwa kwakanyanya mutsandanyama, mapfupa, uye majoini, pamwe chete nezvimwe zviratidzo zvetsinga dzemudumbu uye zvemudumbu.
Zvakakomba: Kusagadzikana kwetsinga dzemuviri, kutadza kufamba kweropa, uye kutadza kufema zvakanaka, izvo zvinogona kukonzera kukuvara zvachose kana kutofa.
Ongororo inoratidza kuti kukuvara kwetsinga, kufema, uye kufamba kweropa kunokonzera 5-25% yezvirwere zvakakomba zvekusagadzikana kwesimba, nepo maronda mashoma kusvika pakati nepakati anowanzo kanganisa ganda ne lymphatic system, zvichiita 7.5-95%.
Basa reHyperbaric Oxygen Therapy
Kurapa neokisijeni yakakurisa (HBO) inzira yekurapa yakajairwa uye inoshanda yekuderedza kushushikana kwepfungwa. Kurapa uku kunonyanya kushanda kana kuchiitwa panguva yechirwere ichi, mhedzisiro yacho inoenderana nekuoma kwezviratidzo.
Maitiro Ekuita
Kurapa kweHBO kunoshanda nekuwedzera kumanikidzwa kwezvakatipoteredza kwakakomberedza murwere, izvo zvinotungamira kune zvinotevera zvakakosha:
Kuderera kweMapundu eGas: Kuwedzera kwekumanikidzwa kunoderedza huwandu hwemapundu enitrogen mumuviri, nepo kumanikidzwa kwakanyanya kuchikurumidzisa kupararira kwenitrogen kubva mumapundu kuenda kuropa rakapoteredza uye mvura yemuviri.
Kuwedzerwa Kwekutsinhana Kweokisijeni: Panguva yekurapwa, varwere vanofema okisijeni, iyo inotsiva nitrogen iri mumagasi anoputika, zvichiita kuti okisijeni ikwanise kutorwa nekukurumidza uye kushandiswa kwayo.
Kuyerera Kweropa Kwakavandudzwa: Mafuro madiki anogona kufamba achienda kumidziyo midiki yeropa, zvichideredza nzvimbo yekufa kwechirwere uye kuwedzera kuyerera kweropa.
Kudzivirira Zvinyama: Kurapa uku kunoderedza kumanikidzwa kwenyama uye kunoderedza mukana wekukuvara kwemasero.
Kugadziriswa kweHypoxia: Kurapa kweHBO kunowedzera kumanikidzwa kweokisijeni neokisijeni muropa, zvichiita kuti hypoxia yemudumbu igadziriswe nekukurumidza.
Mhedziso
Mukupedzisa, kurapwa neokisijeni ine hyperbaric kunoshanda senzira yakakosha yekudzivirira kurwara kwe decompression, zvichipa mabhenefiti ekukurumidza uye anogona kuponesa hupenyu. Nekuwedzera kweruzivo nezvenjodzi dzinobatanidzwa nekunyura uye kushanda kwekurapa kweHBO, vanonyura mumvura nevanogona kurwara vanogona kuita sarudzo dzakagadzirwa neruzivo kuti vadzivirire hutano hwavo.
Nguva yekutumira: Nyamavhuvhu-27-2024