Hyperbaric oxygen therapy yog dab tsi?
Hyperbaric Oxygen Therapy (HBOT) yog ib qho kev kho mob uas ib tug neeg tau muab tso rau hauv ib chav uas lawv tau txais 100 feem pua ntawm cov pa oxygen ntawm lub siab ntau dua li qhov qub atmospheric siab.
Cov kev ntxhov siab ntau dua no txhais tau hais tias cov pa oxygen tswj tau raug xa mus los ntawm tus lej ntau dua 100 feem pua; Qhov no qhia txog qhov sib txheeb siab ntawm cov pa roj hauv lub chamber. Raws li kev sib piv, huab cua peb ib txwm ua pa yog nyob ib ncig ntawm 21 feem pua oxygen. Hyperbaric oxygen therapy txhawb nqa cov qe ntshav liab kom nqa oxygen ntxiv. Cov ntshav oxygen-saturated no ces perfuses cov ntaub so ntswg thiab txhawb kev kho thiab txhim kho kev ncig.
Hyperbaric Oxygen Therapy: Nws Ua Haujlwm Li Cas
Nrog HBOT, lub cev tau txais oxygen ntau dua li qub. Qhov no ua rau kom cov pa oxygen ntau ntxiv hauv cov ntshav uas nqa ib ncig ntawm lub cev thiab xa mus rau cov ntaub so ntswg thiab lub cev. Kev muaj cov pa oxygen ntau dua yuav pab lub cev kho cov chaw uas tau raug puas tsuaj los ntawm cov ntshav qis thiab tuaj yeem txhawb lub cev kom loj hlob cov hlab ntsha tshiab.
Dab tsi yog hyperbaric oxygen therapy siv los kho?
HBOT yog thawj zaug tsim los ua kev kho mob rau decompression mob nyob rau hauv scuba divers thiab tseem yog siv raws li kev kho mob xwm txheej ceev rau cov teeb meem no rau cov neeg uas ua hauj lwm nyob rau hauv compressed cua tunnels los yog divers. Kev mob decompression yog ib yam mob uas muaj neeg coob coob nce los ntawm qhov siab ntawm lub hiav txwv ntxaum mus rau qhov qub atmospheric siab sai heev. Qhov kev poob siab no tso cai rau cov nitrogen yaj hauv cov ntshav thiab cov ntaub so ntswg los tsim cov npuas me me, uas ua rau mob hnyav thiab ua pa nyuaj thiab tuaj yeem ua rau muaj qhov tshwm sim loj heev yog tias tsis kho. Kev mob decompression yog kev kho mob xwm txheej ceev.
HBOT tam sim no siv rau ntau yam kev mob, thiab kev tshawb fawb rau cov ntawv thov muaj peev xwm txuas ntxiv mus.
HBOT muaj qee qhov kev siv tseeb thiab kev tshawb fawb soj ntsuam zoo txhawb nws siv los kho ntau yam mob. Nws kuj tseem muaj qee qhov kev thov rau qhov kev tshawb fawb tseem tsis tau lees paub, lossis qhov twg tam sim no tsis muaj pov thawj txaus txaus los lees txais los ntawm cov tshuaj niaj hnub. Qhov no txhais tau hais tias kev siv HBOT tuaj yeem sib txawv ntawm ib cheeb tsam mus rau lwm qhov thiab los ntawm ib lub chaw saib xyuas kev noj qab haus huv mus rau lwm qhov. Nws kuj txhais tau tias cov tuam txhab pov hwm kev noj qab haus huv tuaj yeem them HBOT rau qee yam tab sis tsis yog lwm tus - txawm tias HBOT muaj nyob thiab tau txais kev siv rau cov xwm txheej ntawd.
Hauv kev kho mob xwm txheej ceev, HBOT yog thawj kab kev kho mob rau kev mob nkeeg thiab feem ntau siv rau cov mob hnyav ntawm cov pa roj carbon monoxide lom. Hauv qhov chaw kho mob hnyav lossis subacute, HBOT tau siv los kho cov qhov txhab mob ntev, tshwj xeeb yog mob ntshav qab zib ko taw, thiab tsis kho qhov phais lossis cov tawv nqaij grafts, thiab muaj cov ntaub ntawv zoo heev.
Tam sim no, cov ntaub ntawv pov thawj kho mob txhawb nqa kev siv HBOT rau:
- Decompression mob - 'qhov khoov': Thawj qhov kev siv ntawm HBOT yog rau cov neeg ua hauj lwm thiab cov neeg ua hauj lwm nyob rau hauv ib puag ncig siab uas yuav ua rau decompression mob. Recompression txo cov npuas nitrogen ua rau cov mob decompression, perfuses cov ntaub so ntswg nrog oxygen thiab txhawb kev noj qab haus huv pauv cov pa roj hauv lub cev.
- Cov pa roj carbon monoxide lom.
- Cov qhov txhab tsis zoo, xws li ceg lossis ko taw rwj hauv cov neeg mob ntshav qab zib: Txhim kho oxygen perfusion - cov pa oxygen nkag mus rau cov ntaub so ntswg puas thiab txheej ntawm daim tawv nqaij, cov rog subcutaneous, thiab cov leeg - txhawb kev kho. HBOT tuaj yeem kho qhov txhab zoo txawm tias qhov chaw kawg - thaum txhua yam ua tsis tiav, thiab feem ntau ua tiav hauv kev kho qhov txhab tsis zoo.
- Txhawb cov tawv nqaij grafts lossis phais flaps: Txhim kho cov pa oxygen ntws mus rau grafts thiab daim tawv nqaij flaps txhawb kev kho. Cov ntaub so ntswg uas muaj cov ntshav khiav zoo thiab cov pa oxygen ntau dua yuav nyob zoo.
- Radiation kub hnyiab: HBOT tuaj yeem siv tau zoo los kho cov neeg uas muaj kev puas tsuaj rau ntawm daim tawv nqaij thiab cov ntaub so ntswg los ntawm hluav taws xob, xws li cov uas raug hluav taws xob kho mob qog noj ntshav.
- Gangrene lossis necrosis: Txo cov ntshav ntws mus rau qee qhov chaw ntawm lub cev tuaj yeem ua rau cov ntaub so ntswg tuag. Cov ntaub so ntswg zoo pib rot thiab tej zaum yuav tsum tau phais tshem tawm los yog txiav. Qhov no hu ua necrosis thiab muaj ntau dua rau cov neeg mob ntshav qab zib lossis kab mob plawv. Txawm hais tias nws feem ntau cuam tshuam rau sab nraud xws li peb cov ntiv taw, ntiv tes thiab cov ceg qis, qhov chaw ntawm lub cev lossis cov ntaub so ntswg tob tuaj yeem ua rau necrotic.
- Anaemia: HBOT tsis yog kev kho mob mus sij hawm ntev rau kev mob ntshav qab zib ntev, tab sis tuaj yeem siv los ua kev kho mob theem mob nrog rau kev kho mob.
Hyperbaric Oxygen Therapy Benefits
HBOT tso cai ntau dua li cov pa oxygen hauv lub cev. Hauv txoj kev xav, txhua yam kev mob lossis kev tsis sib haum xeeb uas tshwm sim los ntawm kev txo cov ntshav khiav, lossis uas tuaj yeem txhim kho los ntawm cov pa oxygen zoo tuaj yeem kho tau qee yam nrog HBOT. Qhov no txhais tau hais tias cov ntawv thov muaj peev xwm tau nthuav dav heev, thiab kev tshawb fawb txuas ntxiv yuav nthuav dav cov pov thawj hauv qab siv HBOT rau kev kho mob ntau dua.
Lub sijhawm thiab zaus ntawm HBOT ntu tuaj yeem txwv tsis pub, tab sis nws muaj qee qhov txiaj ntsig zoo: nws muaj pov thawj zoo heev tom qab nws pom zoo siv thiab tsis muaj kev cuam tshuam, tsis tshua muaj kev pheej hmoo thiab tsis mob. Tsis tas li ntawd, nws txoj kev siv feem ntau yog qhov zoo dua rau lwm txoj hauv kev; qhov twg tsis muaj dab tsi ntxiv tau kho tus mob ntshav qab zib ceg rwj lossis necrotic ntiv taw, lwm txoj hauv kev yuav yog radical phais debridement lossis amputation.
Yuav ua li cas kom tau txais kev kho mob hyperbaric oxygen?
Koj yuav tsum mus rau HBOT ntau npaum li cas nyob ntawm qhov xav tau kev kho mob thiab kev soj ntsuam tas li ntawm tus neeg teb rau kev kho mob. Cov teeb meem mob hnyav xws li cov pa roj carbon monoxide lom tuaj yeem kho tau sai, qhov kev kho mob rau cov qhov txhab tsis zoo, piv txwv li, yuav siv sijhawm ntev dua kev kho mob rau ob peb teev txhua zaus.
Muaj qee qhov xwm txheej uas txhais tau tias HBOT yuav tsum tau xa nrog ceev faj. Koj tus kws kho mob xa mus yuav tsum txiav txim siab seb HBOT puas yog txoj kev kho mob rau koj, thiab cov kws kho mob tshwj xeeb hauv HBOT yuav ua tag nrho cov kev ntsuam xyuas ua ntej kom paub tseeb tias tsis muaj teeb meem lossis kev txhawj xeeb ua ntej pib kho.
Ua ntej HBOT
Ib puag ncig oxygen siab txhawb kev sib txuas thiab hluav taws kub uas pib nyob rau hauv qhov chaw muaj pa oxygen siab yuav ua rau muaj kev sib kis ntau dua nyob rau lub sijhawm luv dua li ntawm ib puag ncig oxygen concentration. Yog li kev ceev faj yuav tsum tau ua kom ntseeg tau tias tsis muaj lub caij nyoog ntawm lub txim taws lossis nplaim taws hauv thaj chaw kho mob. Txhua yam hlau yuav tsum tsis txhob muab coj mus rau hauv HBOT chamber - qhov no suav nrog cov cuab yeej siv lub mloog pob ntseg, tsom iav nrog cov thav duab hlau, thiab cov hniav hniav nrog cov hlau. Cov neeg mob HBOT yuav raug hais kom hnav ris tsho hauv tsev kho mob lossis pajamas kom tsis muaj kev pheej hmoo ntawm cov hlau uas ua rau muaj teeb meem. Cov khoom siv tawv nqaij uas muaj roj lossis cov khoom siv paraffin yog cov nplaim taws thiab yog li yuav tsum tsis txhob siv ua ntej tau txais HBOT.
Ua ntej koj muaj kev kho mob hyperbaric oxygen, koj tus kws kho mob yuav qhia rau koj paub tias yuav ua li cas los ntawm koj txoj kev kho mob, lub sijhawm thiab cov txiaj ntsig xav tau. Tus kws saib xyuas neeg mob tuaj yeem coj koj cov ntshav siab thiab lwm yam kev soj ntsuam ua ntej koj nkag mus rau hauv chav tsev. Yog tias koj muaj ntshav qab zib, koj cov ntshav qab zib yuav raug kuaj.
Nws yog ib lub tswv yim zoo los siv chav dej ua ntej koj nkag mus rau hauv lub chamber kom txo tau qhov cuam tshuam rau kev kho mob tom qab. Qee qhov chaw ntau chav muaj chav dej ntiag tug hauv lawv. Koj tus kws saib xyuas neeg mob yuav tsum tuaj yeem qhia koj tias yuav ua li cas yog tias koj xav siv chav dej thaum koj tab tom kho.
Thaum HBOT
Raws li lub siab nyob rau hauv lub chamber nce, tib neeg feem ntau hnov siab nyob rau hauv lawv lub pob ntseg. Qhov no feem ntau tuaj yeem txhim kho tau los ntawm kev tuav koj lub qhov ntswg thiab sim tshuab tawm los ntawm nws - txoj kev uas tib neeg yuav raug qhia kom tswj hwm qhov kev xav ntawm pob ntseg hloov pauv thaum lub davhlau.
Thaum kho, koj yuav tau so. Hauv ntau qhov chaw HBOT chamber koj tuaj yeem nqa mus rau hauv phau ntawv lossis ntawv xov xwm thiab qee chav txawm muaj TV lossis DVD players kom cov neeg mob lom zem rau kev kho mob ntev.
Txawm hais tias koj nyob hauv ntau qhov chaw lossis mono-chamber, yuav muaj cov kws tshaj lij ntawm tes los saib xyuas koj thiab daws txhua qhov kev txhawj xeeb.
Tom qab HBOT
Cov neeg feem ntau tsis xav txawv tshwj xeeb tom qab HBOT. Qhov tshwm sim tseem ceeb uas tuaj yeem nyob rau lub sijhawm luv luv tom qab kev kho mob yog qhov kev xav ntawm 'popping' hauv pob ntseg; tib yam kev xav ntau tus neeg tau ntsib hauv lub dav hlau. Feem ntau koj tsis tas yuav nyob twj ywm rau kev kho mob tam sim ntawd ntev npaum li koj hnov zoo. Yog tias koj mob ntshav qab zib, koj cov ntshav qab zib yuav raug kuaj tom qab kev sib kho.
Hom Hyperbaric Oxygen Chambers
Hyperbaric oxygen chambers tau muab faib ua ob pawg dav: mono-qhov chaw, thiab ntau qhov chaw.
Mono-chambers tsuas yog haum rau ib tus neeg thiab feem ntau nqa tau. Lawv zoo li lub raj kaw loj txaus los tuav tus neeg pw, yog li tag nrho lub cev raug rau tib lub siab thiab oxygen concentration. Muaj cov vaj huam sib luag meej kom koj tuaj yeem pom thiab cov neeg ua haujlwm kho mob tuaj yeem saib xyuas koj thaum koj kho. Qee lub tsev kho mob muaj kev kho mob hauv tsev, nqa thiab teeb tsa ib qho chaw nqa tau yooj yim HBOT chamber hauv koj lub tsev. Tus nqi ntawm qhov no feem ntau yog siab dua li mus koom ib lub chaw.
Multi-chambers tuaj yeem haum ntau tus neeg, uas txhais tau hais tias ntau tshaj ib tus neeg tuaj yeem kho hauv chav tsev ib zaug. Nws kuj txhais tau hais tias cov neeg ua haujlwm kho mob tuaj yeem koom nrog cov neeg mob tau txais HBOT yam tsis muaj kev so hauv lawv txoj kev kho mob. Qhov no feem ntau pom zoo rau cov tib neeg uas yuav xav tau kev pab kho mob sai sai lossis tsis tu ncua yam tsis muaj kev txo qis hauv kev ntxhov siab nyob ib puag ncig lawv. Tag nrho lub chamber raug thawb thiab cov neeg tau txais kev kho mob hnav lub ntsej muag oxygen lossis hoods.
Txhua tus neeg ua haujlwm saib xyuas kev noj qab haus huv tuaj koom rau cov neeg mob hauv chav tsev kuj raug rau ib puag ncig muaj kev kub ntxhov, yog li kev ntsuas kev pheej hmoo ua haujlwm raug tsim rau cov neeg ua haujlwm kho mob ua haujlwm siab.
Kev pheej hmoo ntawm Hyperbaric Oxygen Therapy
Muaj qee qhov kev pheej hmoo txaus ntshai nrog HBOT thiab cov txiaj ntsig tau npaj yuav tsum tau ntsuas qhov ua rau muaj kev puas tsuaj. Cov kev mob tshwm sim uas cuam tshuam nrog HBOT feem ntau yog luv luv thiab cov teeb meem tsis tshua muaj. HBOT feem ntau suav hais tias muaj kev nyab xeeb heev.
- Kev puas tsuaj rau pob ntseg lossis pob ntseg nruab nrab tshwm sim los ntawm kev hloov hauv siab.
- Mob sinus - tshwj xeeb tshaj yog tias koj nquag mob sinus thaum koj tau khaub thuas los yog congestion.
- Hloov tsis pom kev - lub sij hawm luv luv tshwm sim los ntawm lub siab.
- Kev puas tsuaj rau lub ntsws - qhov no yog qhov tsawg heev tab sis yuav tsum tau xav txog thaum npaj kev kho mob rau cov neeg uas muaj keeb kwm mob ntsws los yog kev puas tsuaj.
- Cov ntshav qab zib tsis ruaj khov hauv cov neeg mob ntshav qab zib.
Muaj ib txwm muaj kev paub txog cov kws kho mob saib xyuas HBOT cov rooj sib tham, npaj txhij los daws txhua yam kev txhawj xeeb lossis teeb meem.
Oxygen nws tus kheej tsis yog flammable tab sis txhawb combustion, yog li cov chaw muab HBOT yuav tsum tau ceev faj ntxiv kom tsis txhob muaj kev pheej hmoo ntawm hluav taws. Qhov no feem ntau suav nrog kev txwv cov khoom ntiag tug thiab khaub ncaws uas koj tuaj yeem nqa nrog koj mus rau hauv chav tsev.
Contraindications: Leej twg yuav tsum tsis txhob raug HBOT?
Qhov tsuas yog contraindication rau HBOT yog tam sim no pneumothorax - ib qho mob uas muaj huab cua nyob rau hauv lub hauv siab kab noj hniav sab nraum lub ntsws.
Qee yam mob thiab qee yam tshuaj tuaj yeem cuam tshuam los ntawm HBOT yog li koj yuav tsum muaj keeb kwm kho mob tag nrho los ntawm HBOT cov kws kho mob tshwj xeeb ua ntej kev kho mob.
Yog tias koj cev xeeb tub lossis cev xeeb tub, koj yuav tsum tham txog qhov no nrog koj tus kws kho mob ua ntej kev kho mob tshiab. Kev xeeb tub feem ntau tsis txhais hais tias koj tsis tuaj yeem muaj HBOT.
Yog tias koj tsis zoo nyob rau hnub koj kho, koj yuav tsum tham txog koj cov tsos mob nrog cov neeg ua haujlwm nyob ntawd.