Chithandizo cha okosijeni wa hyperbaric chimathandiza kuti odwala omwe ali ndi matenda a sitiroko azigwira ntchito bwino pozindikira matenda a mitsempha - kusanthula kobwerera m'mbuyo

Chiyambi:

Kafukufuku wakale wasonyeza kuti chithandizo cha okosijeni cha hyperbaric (HBOT) chingawongolere magwiridwe antchito a thupi ndi kukumbukira odwala omwe adwala sitiroko omwe ali ndi vuto la matenda osachiritsika.

Cholinga:

Cholinga cha kafukufukuyu ndikuwunika momwe HBOT imakhudzira thanzi la anthu omwe ali ndi matenda a sitiroko omwe ali ndi vuto la matenda a sitiroko omwe ali ndi vuto la matenda a sitiroko omwe ali ndi vuto la matenda a sitiroko. Mtundu, mtundu, ndi malo a sitiroko adafufuzidwa ngati njira zina zosinthira.

Njira:

Kusanthula kobwerera m'mbuyo kunachitika kwa odwala omwe adalandira chithandizo cha HBOT chifukwa cha sitiroko yosatha (> miyezi 3) pakati pa 2008-2018. Ophunzirawo adalandira chithandizo m'chipinda chokhala ndi malo ambiri chokhala ndi ma protocol otsatirawa: magawo 40 mpaka 60 a tsiku ndi tsiku, masiku 5 pa sabata, gawo lililonse linaphatikizapo mphindi 90 za 100% oxygen pa 2 ATA ndi mabuleki a mpweya a mphindi 5 mphindi 20 zilizonse. Kusintha kwakukulu kwachipatala (CSI) kunatanthauzidwa ngati > 0.5 standard deviation (SD).

Zotsatira:

Kafukufukuyu adaphatikizapo odwala 162 (amuna 75.3%) omwe ali ndi zaka zapakati pa 60.75±12.91. Mwa iwo, 77(47.53%) adadwala sitiroko ya m'mimba, sitiroko 87(53.7%) idapezeka kumanzere kwa dziko lapansi ndipo 121 adadwala sitiroko ya ischemic (74.6%).
HBOT inachititsa kuti pakhale kuwonjezeka kwakukulu m'magawo onse a ntchito ya ubongo (p < 0.05), ndipo 86% ya anthu omwe anakhudzidwa ndi sitiroko anapeza CSI. Panalibe kusiyana kwakukulu pakati pa kugwidwa ndi sitiroko pambuyo pa HBOT ndi kugwidwa ndi sitiroko pansi pa ubongo (p > 0.05). Kugwidwa ndi magazi kunakula kwambiri pa liwiro la kukonza chidziwitso pambuyo pa HBOT (p < 0.05). Kugwidwa ndi sitiroko kumanzere kwa ubongo kunali ndi kuwonjezeka kwakukulu mu gawo la ubongo (p < 0.05). M'magawo onse a ubongo, ntchito yoyambira ya ubongo inali chizindikiro chachikulu cha CSI (p < 0.05), pomwe mtundu wa sitiroko, malo ndi mbali sizinali zizindikiro zazikulu.

Mapeto:

HBOT imapangitsa kuti pakhale kusintha kwakukulu m'magawo onse a ubongo ngakhale kumapeto kwa nthawi yayitali. Kusankha odwala a HBOT pambuyo pa sitiroko kuyenera kutengera kusanthula kwa magwiridwe antchito ndi ziwerengero zoyambira za ubongo m'malo mwa mtundu wa sitiroko, malo kapena mbali ya chotupacho.