Ongororo ichangoburwa yakaongorora mhedzisiro ye hyperbaric okisijeni kurapa pane yemoyo basa revanhu vane hurefu hweCOVID, iyo inoreva dzakasiyana nyaya dzehutano dzinoramba dziripo kana kudzoka mushure mekutapukirwa neSARS-CoV-2.
Matambudziko aya anogona kusanganisira kutadza kuita zvemoyo zvisina kujairika uye njodzi yakawedzera yekusashanda zvakanaka kwemoyo.Vatsvagiri vakawana kuti kufemesa yakamanikidzwa zvakanyanya, yakachena okisijeni inogona kubatsira mukuvandudza mabatiro emwoyo muvarwere veCOVID refu.
Chidzidzo ichi chakatungamirwa naProfessor Marina Leitman kubva kuSackler Chikoro cheMishonga paTel Aviv University uye Shamir Medical Center muIsrael.Kunyange zvazvo zvakawanikwa zvakaratidzwa pamusangano muna May 2023 wakaitwa neEuropean Society of Cardiology, havasati vaongororwa nevezera ravo.
Yakareba COVID uye kunetseka kwemoyo
Yakareba COVID, iyo inonzi zvakare post-COVID syndrome, inobata vangangoita gumi-20% yevanhu vanga vaine COVID-19.Nepo vanhu vazhinji vachipora zvizere kubva kuhutachiona, refu COVID inogona kuongororwa kana zviratidzo zvikaramba kwenguva ingangoita mwedzi mitatu mushure mekutanga kwezviratidzo zveCOVID-19.
Zviratidzo zvehurefu hweCOVID zvinosanganisira nyaya dzehutano dzakasiyana siyana, kusanganisira kupfupika kwekufema, matambudziko ekuziva (anonzi mhute yehuropi), kushushikana, uye matambudziko mazhinji emwoyo.Vanhu vane COVID refu vari panjodzi yakawedzera yekuva nechirwere chemoyo, kutadza kwemoyo, uye mamwe mamiriro ane hukama.
Kunyangwe vanhu vaive vasina matambudziko emoyo apfuura kana njodzi yakakura yechirwere chemoyo vakasangana nezviratidzo izvi, sezvakaratidzwa neongororo yakaitwa muna 2022.
Nzira dzechidzidzo
Dr. Leitman nevamwe vake vakatsvaga varwere makumi matanhatu vanga vaine zviratidzo zvenguva refu zveCCIDID-60, kunyangwe mushure menyaya dzakapfava kusvika pakati nepakati, dzinogara kweinenge mwedzi mitatu.Boka racho raisanganisira vose vari muchipatara nevasiri muchipatara.
Kuti vaite chidzidzo chavo, vatsvakurudzi vakaparadzanisa vatori vechikamu mumapoka maviri: imwe inogamuchira hyperbaric oxygen therapy (HBOT) uye imwe ichigamuchira maitiro akafananidzirwa (sham).Basa racho rakaitwa zvisina tsarukano, nenhamba yakaenzana yezvidzidzo muboka rimwe nerimwe.Mukati memavhiki masere, munhu mumwe nomumwe aidzidza kashanu pavhiki.
Boka reHBOT rakagamuchira 100% okisijeni pakumanikidzwa kwe2 atmospheres kwemaminitsi makumi mapfumbamwe, nekuzorora kwenguva pfupi maminitsi makumi maviri.Kune rumwe rutivi, boka re sham rakagamuchira 21% okisijeni pakumanikidzwa kwemhepo ye1 kwenguva imwe chete asi pasina kuputika.
Uyezve, vatori vechikamu vose vakawana echocardiography, muedzo wekuongorora basa remwoyo, pamberi pekutanga kweHBOT musangano uye 1 kusvika kumavhiki e3 mushure mechikamu chekupedzisira.
Pakutanga kwechidzidzo, makumi maviri nevapfumbamwe kubva pavatori vechikamu makumi matanhatu vaive neavhareji yepasi rose longitudinal strain (GLS) kukosha kwe -17.8%.Pakati pavo, 16 vakagoverwa kuboka reHBOT, nepo 13 vakasara vaiva muboka rekunyepedzera.
Zvakabuda muzvidzidzo
Mushure mekurapwa, boka rekupindira rakaona kuwedzera kunoshamisa kweavhareji GLS, kusvika -20.2%.Saizvozvo, boka re sham rakavewo nekuwedzera kweavhareji GLS, iyo yakasvika -19.1%.Zvisinei, chiyero chekare chete chakaratidza kusiyana kukuru kana kuenzaniswa nechiyero chekutanga pakutanga kwekudzidza.
Dr. Leitman vakacherekedza kuti ingangoita hafu yevarwere vakareba veCOVID vaive vakanganisa kushanda kwemoyo pakutanga kwechidzidzo, sezvakaratidzwa neGLS.Zvakadaro, vese vatori vechikamu muchidzidzo vakaratidza chikamu chakajairwa ejection, chinova chiyero chakajairwa chinoshandiswa kuongorora kudhonzwa kwemoyo uye kugona kuzorora panguva yekupomba ropa.
Dr. Leitman vakagumisa kuti chikamu che ejection chega hachina kugadzikana zvakakwana kuona varwere veCOVID refu vanogona kunge vakaderedza kushanda kwemoyo.
Kushandiswa kweokisijeni kurapwa kunogona kuve nemabhenefiti.
Maererano naDr. Morgan, zvakawanikwa zvekudzidza zvinoratidza maitiro akanaka ane hyperbaric oxygen therapy.
Zvisinei, anorayira kuchenjerera, achitaura kuti hyperbaric oxygen therapy haisi mishonga inogamuchirwa pasi rose uye inoda kumwe kuongorora.Pamusoro pezvo, pane kushushikana pamusoro pekugona kuwedzera kwearrhythmias zvichibva pane imwe tsvagiridzo.
Dr. Leitman nevamwe vake vakagumisa kuti hyperbaric oxygen therapy inogona kubatsira kune varwere vane COVID refu.Anokurudzira kuti kutsvagisa kwakawanda kunodiwa kuona kuti ndevapi varwere vanganyanya kubatsirwa, asi zvinogona kubatsira kune vese varwere vakareba veCOVID kuti vaongororwe yepasirese longitudinal strain uye vafunge nezve hyperbaric oxygen therapy kana basa remoyo ravo rikakanganiswa.
Dr. Leitman anotaurawo tariro yokuti zvimwe zvidzidzo zvinogona kupa migumisiro yenguva refu uye kubatsira vashandi vehutano mukugadzirisa nhamba yakakwana ye hyperbaric oxygen therapy sessions.
Nguva yekutumira: Aug-05-2023