Kafukufuku waposachedwapa adafufuza zotsatira za mankhwala a hyperbaric oxygen pa ntchito ya mtima ya anthu omwe ali ndi COVID yayitali, zomwe zikutanthauza mavuto osiyanasiyana azaumoyo omwe amapitilira kapena kubwereranso pambuyo pa matenda a SARS-CoV-2.
Mavutowa angaphatikizepo kugunda kwa mtima kosazolowereka komanso chiopsezo chowonjezeka cha matenda a mtima ndi mitsempha yamagazi. Ofufuzawa adapeza kuti kupuma mpweya woipa kwambiri komanso wopatsa mphamvu kungathandize kukonza kulimba kwa mtima mwa odwala omwe ali ndi COVID kwa nthawi yayitali.
Kafukufukuyu anatsogoleredwa ndi Pulofesa Marina Leitman wochokera ku Sackler School of Medicine ku Tel Aviv University ndi Shamir Medical Center ku Israel. Ngakhale kuti zomwe zapezekazi zinaperekedwa pamsonkhano womwe unachitikira mu Meyi 2023 ndi European Society of Cardiology, sizinawunikidwebe ndi anzawo.
COVID yayitali ndi nkhawa za mtima
COVID ya Long, yomwe imatchedwanso kuti post-COVID syndrome, imakhudza pafupifupi 10-20% ya anthu omwe adadwalapo COVID-19. Ngakhale anthu ambiri akuchira kwathunthu ku kachilomboka, COVID ya Long imatha kupezeka ngati zizindikiro zikupitirira kwa miyezi itatu kuchokera pamene zizindikiro za COVID-19 zayamba.
Zizindikiro za COVID yayitali zimaphatikizapo mavuto osiyanasiyana azaumoyo, kuphatikizapo kupuma movutikira, mavuto ozindikira (omwe amatchedwa chifunga cha ubongo), kuvutika maganizo, ndi mavuto ambiri a mtima ndi mitsempha yamagazi. Anthu omwe ali ndi COVID yayitali ali pachiwopsezo chachikulu chotenga matenda a mtima, kulephera kwa mtima, ndi matenda ena ofanana nawo.
Ngakhale anthu omwe analibe vuto lililonse la mtima kapena omwe anali pachiwopsezo chachikulu cha matenda a mtima adakumanapo ndi zizindikirozi, monga momwe kafukufuku wopangidwa mu 2022 adasonyezera.
Njira za phunziroli
Dokotala Leitman ndi anzake adalemba odwala 60 omwe anali ndi zizindikiro za COVID-19 kwa nthawi yayitali, ngakhale atadwala pang'ono mpaka pang'ono, zomwe zidatenga miyezi itatu. Gululi linaphatikizapo anthu omwe anali m'chipatala komanso omwe sanali m'chipatala.
Kuti achite kafukufuku wawo, ofufuzawo adagawa ophunzirawo m'magulu awiri: limodzi likulandira chithandizo cha okosijeni wa hyperbaric (HBOT) ndipo lina likulandira njira yoyeserera (yonyenga). Ntchitoyi idachitika mwachisawawa, ndi chiwerengero chofanana cha anthu omwe adatenga nawo mbali mu gulu lililonse. Pa milungu isanu ndi itatu, munthu aliyense adapatsidwa magawo asanu pa sabata.
Gulu la HBOT linalandira mpweya wa 100% pa mphamvu ya mpweya wa mlengalenga 2 kwa mphindi 90, ndi kupuma kwakanthawi mphindi 20 zilizonse. Kumbali ina, gulu lachinyengo linalandira mpweya wa 21% pa mphamvu ya mpweya wa mlengalenga 1 kwa nthawi yomweyo koma popanda kupuma kulikonse.
Kuphatikiza apo, ophunzira onse adayesedwa kuti awone momwe mtima umagwirira ntchito, asanayambe gawo loyamba la HBOT komanso milungu imodzi mpaka itatu pambuyo pa gawo lomaliza.
Kumayambiriro kwa kafukufukuyu, anthu 29 mwa anthu 60 omwe adatenga nawo mbali anali ndi vuto la kuchuluka kwa shuga m'magazi (GLS) la -17.8%. Pakati pawo, 16 adapatsidwa gulu la HBOT, pomwe ena 13 anali m'gulu la anthu onyenga.
Zotsatira za kafukufukuyu
Pambuyo polandira chithandizo, gulu lothandizira linapeza kuwonjezeka kwakukulu kwa GLS yapakati, kufika pa -20.2%. Mofananamo, gulu lachinyengo linapezanso kuwonjezeka kwa GLS yapakati, yomwe inafika pa -19.1%. Komabe, muyeso wakale wokha ndi womwe unawonetsa kusiyana kwakukulu poyerekeza ndi muyeso woyamba pachiyambi cha kafukufukuyu.
Dr. Leitman adawona kuti pafupifupi theka la odwala omwe adadwala COVID kwa nthawi yayitali anali ndi vuto la mtima kumayambiriro kwa kafukufukuyu, monga momwe GLS idanenera. Komabe, onse omwe adachita nawo kafukufukuyu adawonetsa gawo loyenera la kutulutsa magazi, lomwe ndi muyeso wokhazikika womwe umagwiritsidwa ntchito poyesa kufupika kwa mtima ndi kupumula panthawi yopompa magazi.
Dr. Leitman adatsimikiza kuti gawo lokhalo lotulutsa magazi silili lokwanira kuzindikira odwala a COVID omwe angakhale ndi vuto la mtima.
Kugwiritsa ntchito mankhwala a oxygen kungakhale ndi ubwino.
Malinga ndi Dr. Morgan, zomwe zapezeka mu kafukufukuyu zikusonyeza kuti pali njira yabwino yogwiritsira ntchito mankhwala a hyperbaric oxygen therapy.
Komabe, akulangiza kuti pakhale kusamala, ponena kuti chithandizo cha okosijeni wa hyperbaric si chithandizo chovomerezeka padziko lonse ndipo chimafuna kufufuza kwina. Kuphatikiza apo, pali nkhawa yokhudza kuwonjezeka kwa arrhythmias kutengera kafukufuku wina.
Dr. Leitman ndi anzake adatsimikiza kuti chithandizo cha okosijeni wa hyperbaric chingakhale chopindulitsa kwa odwala omwe ali ndi COVID yayitali. Iye akuwonetsa kuti kafukufuku wowonjezereka ukufunika kuti adziwe odwala omwe angapindule kwambiri, koma zingakhale zothandiza kwa odwala onse a COVID yayitali kuti ayesedwe kuchuluka kwa kupsinjika kwa nthawi yayitali padziko lonse lapansi ndikuganizira chithandizo cha okosijeni wa hyperbaric ngati mtima wawo walephera kugwira ntchito.
Dr. Leitman akuwonetsanso chiyembekezo kuti maphunziro ena angapereke zotsatira za nthawi yayitali ndikuthandizira akatswiri azaumoyo kudziwa kuchuluka kwa nthawi yoyenera yogwiritsira ntchito mankhwala a hyperbaric oxygen.
Nthawi yotumizira: Ogasiti-05-2023