Chithandizo cha okosijeni cha hyperbaric chimapangitsa kuti ntchito za neurocognitive za odwala omwe amwalira pambuyo pa sitiroko - kuwunika kobwerera

Mbiri:

Kafukufuku wam'mbuyomu awonetsa kuti hyperbaric oxygen therapy (HBOT) imatha kupititsa patsogolo ntchito zamagalimoto ndikukumbukira odwala omwe amwalira pambuyo pa sitiroko.

Cholinga:

Cholinga cha phunziroli ndikuwunika zotsatira za HBOT pazochitika zonse zachidziwitso za odwala omwe akudwala pambuyo pa sitiroko mu gawo losatha.Chikhalidwe, mtundu ndi malo a sitiroko adafufuzidwa momwe zingathere kusintha.

Njira:

Kuwunika kobwerezabwereza kunachitika kwa odwala omwe amathandizidwa ndi HBOT chifukwa cha sitiroko yosatha (> miyezi 3) pakati pa 2008-2018.Ophunzira adachitidwa mu chipinda cha hyperbaric chokhala ndi malo ambiri omwe ali ndi ndondomeko zotsatirazi: 40 kwa 60 magawo a tsiku ndi tsiku, masiku a 5 pa sabata, gawo lililonse linaphatikizapo 90 min ya 100% oxygen pa 2 ATA ndi 5 min air brakes mphindi iliyonse ya 20.Kusintha kwakukulu kwachipatala (CSI) kumatanthauzidwa ngati> 0.5 standard deviation (SD).

Zotsatira:

Phunziroli linaphatikizapo odwala 162 (75.3% amuna) omwe ali ndi zaka zapakati pa 60.75 ± 12.91.Mwa iwo, 77 (47.53%) anali ndi zikwapu za cortical, 87 (53.7%) zikwapu zinali kumanzere hemisphere ndipo 121 anadwala sitiroko ischemic (74.6%).
HBOT inachititsa kuwonjezeka kwakukulu m'madera onse a chidziwitso (p <0.05), ndi 86% ya ozunzidwa ndi stroke akwaniritsa CSI.Panalibe kusiyana kwakukulu pambuyo pa HBOT ya zikwapu za cortical poyerekeza ndi mikwingwirima ya sub-cortical (p> 0.05).Mikwingwirima ya hemorrhagic inali ndi kusintha kwakukulu kwambiri pakuwongolera zidziwitso pambuyo pa HBOT (p <0.05).Mikwingwirima yakumanzere ya hemisphere inali ndi chiwonjezeko chokwera pamagawo amagalimoto (p <0.05).M'madera onse a chidziwitso, ntchito yachidziwitso yoyambira inali yolosera kwambiri ya CSI (p <0.05), pamene mtundu wa sitiroko, malo ndi mbali sizinali zowonetseratu.

Mapeto:

HBOT imapangitsa kusintha kwakukulu m'magawo onse azidziwitso ngakhale kumapeto kwanthawi yayitali.Kusankhidwa kwa odwala pambuyo pa sitiroko kwa HBOT kuyenera kutengera kusanthula kwa magwiridwe antchito ndi zidziwitso zoyambira m'malo mwa mtundu wa sitiroko, malo kapena mbali ya zilonda.