Kafukufuku waposachedwa adawona zotsatira za hyperbaric oxygen therapy pa ntchito yamtima ya anthu omwe ali ndi COVID-XNUMX, zomwe zikutanthauza zovuta zosiyanasiyana zaumoyo zomwe zimapitilira kapena kuyambiranso pambuyo pa matenda a SARS-CoV-2.
Mavutowa angaphatikizepo kugunda kwa mtima kwachilendo komanso chiopsezo chowonjezereka cha matenda amtima.Ofufuzawo adapeza kuti kutulutsa mpweya wabwino kwambiri, woyengedwa bwino kungathandize kukonza kugunda kwamtima kwa odwala aatali a COVID.
Kafukufukuyu adatsogozedwa ndi Pulofesa Marina Leitman wochokera ku Sackler School of Medicine ku Tel Aviv University ndi Shamir Medical Center ku Israel.Ngakhale kuti zomwe anapezazo zinaperekedwa pamsonkhano wa May 2023 wochitidwa ndi European Society of Cardiology, iwo sanaunikenso ndi anzawo.
COVID yayitali komanso nkhawa zapamtima
Long COVID, yomwe imatchedwanso post-COVID syndrome, imakhudza pafupifupi 10-20% ya anthu omwe adakhala ndi COVID-19.Ngakhale anthu ambiri achira ku kachilomboka, COVID-19 imatha kupezeka ngati zizindikiro zikupitilira kwa miyezi itatu kuyambira pomwe zizindikiro za COVID-19 zayamba.
Zizindikiro za COVID yayitali zimaphatikizapo zovuta zosiyanasiyana zaumoyo, kuphatikiza kupuma movutikira, zovuta zamalingaliro (zomwe zimatchedwa chifunga muubongo), kukhumudwa, komanso zovuta zambiri zamtima.Anthu omwe ali ndi COVID yayitali ali pachiwopsezo chotenga matenda amtima, kulephera kwa mtima, ndi zina zofananira.
Ngakhale anthu omwe analibe vuto lililonse lamtima m'mbuyomu kapena omwe ali pachiwopsezo chachikulu chodwala matenda amtima adakumana ndi zizindikiro izi, malinga ndi kafukufuku yemwe adachitika mu 2022.
Njira zophunzirira
Dr. Leitman ndi anzawo adalembera odwala 60 omwe anali ndi zizindikiro zazitali za COVID-19, ngakhale atakhala ndi milandu yocheperako, yomwe imatha miyezi itatu.Gululi linaphatikizapo anthu ogonekedwa m’zipatala komanso amene sanali m’chipatala.
Kuti achite kafukufuku wawo, ofufuzawo adagawa ophunzirawo m'magulu awiri: wina akulandira hyperbaric oxygen therapy (HBOT) ndipo winayo akulandira njira yofananira (sham).Ntchitoyi inkachitika mwachisawawa, ndi chiwerengero chofanana cha maphunziro pagulu lililonse.M’kati mwa milungu isanu ndi itatu, munthu aliyense anali ndi magawo asanu pamlungu.
Gulu la HBOT linalandira mpweya wa 100% pamtunda wa 2 atmospheres kwa mphindi 90, ndikupuma pang'ono mphindi 20 zilizonse.Kumbali inayi, gulu la sham linalandira 21% mpweya pa kupanikizika kwa mpweya wa 1 kwa nthawi yomweyi koma popanda kupuma.
Kuonjezera apo, onse omwe adatenga nawo mbali adayesedwa ndi echocardiography, kuyesa kuyesa ntchito ya mtima, musanayambe gawo loyamba la HBOT ndi 1 mpaka masabata a 3 pambuyo pa gawo lomaliza.
Kumayambiriro kwa kafukufukuyu, 29 mwa omwe adatenga nawo gawo 60 anali ndi mtengo wapakatikati wapadziko lonse lapansi wautali wautali (GLS) wa -17.8%.Mwa iwo, 16 anatumizidwa ku gulu la HBOT, pamene 13 otsalawo anali m’gulu lachinyengo.
Zotsatira za kafukufuku
Pambuyo polandira chithandizo, gulu lothandizira lidawona kuwonjezeka kwakukulu kwa GLS, kufika -20,2%.Mofananamo, gulu la sham linalinso ndi kuwonjezeka kwa GLS pafupifupi, yomwe inafika -19.1%.Komabe, muyeso wakale wokhawo unasonyeza kusiyana kwakukulu poyerekeza ndi kuyesa koyambirira kumayambiriro kwa phunzirolo.
Dr. Leitman adawona kuti pafupifupi theka la odwala aatali a COVID anali ndi vuto la mtima kumayambiriro kwa kafukufukuyu, malinga ndi GLS.Komabe, onse omwe adatenga nawo gawo mu kafukufukuyu adawonetsa kachigawo kakang'ono ka ejection, komwe ndi muyeso womwe umagwiritsidwa ntchito poyesa kugunda kwa mtima ndi kumasuka kwa mtima pakupopa magazi.
Dr. Leitman adatsimikiza kuti gawo la ejection lokha silimamva bwino kuti lizindikire odwala aatali a COVID omwe mwina achepetsa kugwira ntchito kwa mtima.
Kugwiritsa ntchito mankhwala okosijeni kungakhale ndi phindu.
Malinga ndi Dr. Morgan, zomwe apeza pa kafukufukuyu zikuwonetsa njira yabwino ndi hyperbaric oxygen therapy.
Komabe, akulangiza kusamala, ponena kuti hyperbaric oxygen therapy si mankhwala ovomerezeka padziko lonse ndipo amafuna kufufuza kwina.Kuonjezera apo, pali nkhawa zokhudzana ndi kuwonjezeka kwa arrhythmias kutengera kafukufuku wina.
Dr. Leitman ndi anzawo adatsimikiza kuti chithandizo cha okosijeni cha hyperbaric chingakhale chopindulitsa kwa odwala omwe ali ndi COVID yayitali.Akuwonetsa kuti kafukufuku wochulukirapo ndi wofunikira kuti adziwe odwala omwe angapindule kwambiri, koma zitha kukhala zopindulitsa kwa odwala onse aatali a COVID kuti ayesetse kupsinjika kwapadziko lonse lapansi ndikuganizira za hyperbaric oxygen therapy ngati mtima wawo wasokonekera.
Dr. Leitman akuwonetsanso chiyembekezo chakuti maphunziro owonjezera angapereke zotsatira za nthawi yaitali ndikuthandizira akatswiri a zaumoyo kuti adziwe chiwerengero chokwanira cha magawo a hyperbaric oxygen therapy.
Nthawi yotumiza: Aug-05-2023