I-Hyperbaric Therapy Oxygen

I-Hyperbaric Therapy (HBOT)

I-Science Behind Hyperbaric Medicine

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I-Hyperbaric Therapy Oxygen, obeye aziwe njengo I-HBOT, iyindlela yokwelapha ehambisa 100% oksijini ohlelweni lwamaphaphu lwesiguli ngenkathi zingaphakathi kwegumbi elinengcindezi. Isiguli siphefumula umoya-mpilo emazingeni amakhulu kakhulu kuno-21% otholakala endaweni ejwayelekile yolwandle.

I-Hyperbaric Therapy isekelwe emithethweni emibili eyisisekelo ye-physics.

"UMthetho kaHenry"Kusho ukuthi inani legesi elalichithwa emanzini lilingana nokucindezela kwegesi ngaphezu kwe-liquid, uma kungenjalo isenzo samakhemikhali senzeke.

"Umthetho kaBoyle"Kusho ukuthi ekushiseni okuvamile, ivolumu kanye nokucindezela kwegesi kuyahluka.

Lokhu kusho ukuthi igesi izocindezela ngokulingana nenani lengcindezi elenziwe kuyo. Kusetshenziswa le mithetho Ukwelashwa Kwe-oksijeni kuvumela i-oxygen eyengeziwe ukulethwa ezicutshini nasezithombeni.

Lokhu kwanda kwengcindezi ngokwengxenye yomoya-mpilo ezingeni lamaselula kungasheshisa izinqubo zokuphulukisa futhi kusize ekululameni kusuka ezinkomba eziningi.

Imiphumela emibi ayitholakali futhi ayivamile ukuhlala isikhathi eside kakhulu. IHyperbaric Medicine ayilona ikhambi lezinkomba eziningi kepha ikhombisile ukukhulisa amandla omzimba, isiza iziguli ezinezinkinga ezisukela emanxebeni angalapheki kuya ekukhubazekeni okuyinkimbinkimbi nokukhubazeka kwemizwa.

I-Hyperbaric Therapy

Izitifiketi.

I-Modular inezitifiketi ezilandelayo.

I-Hyperbaric Chamber

Umlando we-Hyperbaric Therapy Therapy

Lokhu ukwelashwa okungase kulandelwe emuva kwe-1600.

Ku-1662, i-Hyperbaric Chamber yokuqala yakhiwa futhi yaqhutshwa umfundisi waseBrithani ogama lakhe linguHenshaw. Wakha isakhiwo esinesihloko esithi, i-Domicilium, esasisetshenziselwa ukwelapha izimo ezihlukahlukene.

Ku-1878, uPaul Bert, isazi sezinto eziphilayo saseFrance, wathola ukuxhumana phakathi kokucindezeleka nokugula kwamatrogen emzimbeni. UBert kamuva wabona ukuthi ubuhlungu bungase buqiniswe ngokuvuselelwa.

Umqondo wokwelapha iziguli ngaphansi kwezimo ezicindezelekile waqhutshwa udokotela wezihlinza waseFrance uFuntaine, kamuva owazakhela igumbi lokusebenza elinyathelisiwe e-1879. I-Fontaine ithole ukuthi i-nitrous oxide engatholakali yayine-potency enkulu ngaphansi kwengcindezi, ngaphezu kweziguli zakhe ezine-oxygenation ezithuthukisiwe.

Ekuqaleni kuka-1900 uDkt. Orville Cunningham, uprofesa we-anesthesia, waphawula ukuthi abantu abanezifo zenhliziyo ezithile baphuthuka kangcono uma behlala eduze kwezinga elwandle kunelabo abahlala ezindaweni eziphakeme.

Waphatha umuntu osebenza naye owayenomkhuhlane futhi wayeseduze nokufa ngenxa yokuvinjelwa kwamaphaphu. Ukuphumelela kwakhe okumangalisayo kwaholela ekubeni athuthukise lokho okwakwaziwa ngokuthi "Isibhedlela se-Steel Ball" esiseduze nolwandle lwaseLake Erie. Isakhiwo sesithandathu sesakhiwo sakhiwe ku-1928 futhi sasinezinyawo ze-64 ububanzi. Isibhedlela singafinyelela ku-3 atmospheres ngokuphelele (44.1 PSI). Ngeshwa, ngenxa yesimo sezimali esicindezelekile somnotho, sakhiwe kabusha ngesikhathi ku-1942 ngezinsimbi.

I-Hyperbaric Chambers yakhiwa kamuva ngamasosha e-1940 ukuphatha abathandekayo basolwandle abahluphekile abagula ngenxa yokugula ngokweqile.

Esikhathini se-1950, odokotela baqala ukusebenzisa iMithi Ye-Hyperbaric ngesikhathi sokuhlinzwa kwenhliziyo nesiphunga, okwaholela ekusetshenzisweni kwayo kwe-carbon monoxide ubuthi ku-1960. Kusukela ngaleso sikhathi, ukuhlolwa kwe-10,000 emitholampilo nokucwaninga kwamacala sekuphelile ngezinhlelo zokusebenza eziningi ezihlobene nempilo kanye nemiphumela eminingi ebika ukuphumelela okuphumelelayo.

Izitifiketi.

I-Modular inezitifiketi ezilandelayo.

I-UHMS ichaza I-Hyperbaric Therapy Oxygen (I-HBOT) njengendlela yokungenelela lapho umuntu ephefumula eduze ne-100% oksijeni ngokwemvelo ngenkathi engaphakathi kwegumbi le-hyperbaric elicindezelwe kakhulu kunomshini wezinga elingaphansi kolwandle (i-1 atmosphere ngokuphelele, noma i-ATA).

Ngezinhloso zomtholampilo, ingcindezi kufanele ilingane noma idlule i-1.4 ATA ngenkathi iphefumula eduze kwe-100% oksijeni.

I-United States Pharmacopoeia (USP) neCompressed Gas Association (CGA) I-Grade A ichaza izinga lobuchwepheshe be-orogen ukuze lingabi ngaphansi kwe-99.0% ngevolumu, kanti iNational Fire Protection Association ichaza izinga lobuchwepheshe be-USP ye-oxygen.

Kwezinye izimo limelela indlela yokwelapha eyinhloko kanti kwabanye kuhambisana nokungenelela kokuhlinzwa noma kwe-pharmacologic.

Ukwelashwa kungenziwa ku-Monoplace Hyperbaric Oxygen Therapy Chamber noma Multiplace Hyperbaric Oxygen Therapy Chamber.

I-Monoplace Hyperbaric I-Oxygen Therapy Chambers uhlala nesiguli esisodwa; ikamelo lonke licindezelwa cishe ne-100% oxygen, futhi isiguli siphefumula ngokuqondile i-oxygen chamber.

Hlanganisa ama-Chambers we-Hyperbaric Orapy Therapy ubambe abantu ababili noma ngaphezulu (iziguli, izibukeli, kanye / noma abasebenzi basekela).

I-Multiplace Chambers icindezelwa umoya ocindezelekile ngenkathi iziguli ziphefumula eduze kwe-100% oksijini ngezimaski, ama-head hood, noma amashubhu okugcina.

Ngokusho kwencazelo ye-UHMS nokuzimisela kwama-Centres for Medicare kanye neMedicaid Services (CMS) kanye nezinye izithuthi zomphakathi, ukuphefumulela ebangeni lwezokwelapha 100% oksijini emkhathini we-1 wokucindezela noma ukubeka izingxenye ezizimele zomzimba ku-100% oksijeni engenzi I-hyperbaric therapy oksijini.

Isiguli se-Hyperbaric kumele sithole umoya we-oksijini ngokufaka inhalation ngaphakathi kwekamelo elicindezelweyo. Ukwaziswa kwamanje kubonisa ukuthi ukucindezela kufanele kube ku-1.4 ATA noma ngaphezulu.

I-HBOT

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I-Hyperbaric Chamber

Kukhona okwamanje izinkomba ezivunyelwe ze-14 e-USA.

  1. Ukubumbana Kwemoya NamaGesi
  2. I-Carbon Monoxide Poisoning
  3. I-Clostridial Myositis ne-Myonecrosis (i-Gas Gangrene)
  4. Crush Injury, Compartment Syndrome kanye nezinye Ischemias Traumatic Traumatic Acute
  5. Ukugula kokunciphisa
  6. Ukuntuleka kokuguqula
  7. I-Anemia ekhulu
  8. I-Absolute Intracranial
  9. Izifo ezithathelwanayo ze-Necrotizing Soft Tissue
  10. Osteomyelitis (Refractory)
  11. Ukulimala Kwemisebe Yomlilo Okulindelekile (Amashukela Asoft neBony Necrosis)
  12. Ama-Grafts ahlanganisiwe nama-Flaps
  13. Ukulimala Okushisa Okushisayo Okumangalisayo
  14. Ukuzwa kwe-Idiopathic okungahle kwenzeke ngokungahle kwenzeke 

Izitifiketi.

I-Modular inezitifiketi ezilandelayo.

Yini engeyona i-Hyperbaric Chamber?

I-oksijeni ye-topical, noma i-Topox, ihlinzekwa ngekamelo elincane elibekwa phezu komkhawulo futhi licindezelwa umoya-mpilo. Isiguli asiphefumuli i-oksijeni, futhi okunye okusele komzimba akucindezeli. Ngakho-ke, isiguli asikwazi ukuzuza emiphumeleni eminingi emihle ye-Hyperbaric Medicine, esebenzayo noma eyenzeka ezingeni elijulile kune-oksijeni ye-topical ingena ngaphakathi (bheka i-Hyperbaric Physics ne-Physiology section ngezansi). I-Topox isekelwe ukuthi umqondo wokuthi i-oksijeni ihlukana ngezicubu ngamamitha amancane we-30-50. [4] Le ndlela ayiphathi i-DCS, i-arterial gas emboli (AGE), noma i-carbon monoxide (CO) enobuthi.

Njengoba i-Topox idala ukuhlukaniswa kwengcindezi kumele kuvele phakathi komshini nomoya ovulekile ukucindezela umshini. Ukuze ugcine umkhawulo wokukhishwa ngaphandle komshini ocindezelweyo, inkomishi yebhokisi kufanele ifane ngokuqinile kakhulu emkhawulweni, ngaleyo ndlela idale i-tourniquet njengomphumela. I-Topox ayihlanganiswa yomshuwalense, futhi ayivunyelwe yilo magazini i-Diabetes Care yokwelapha izilonda ezinyaweni.

Olunye uhlobo lwekamelo yi-Child Hyperbaric Chamber ephathekayo. Le mikhumbi ethambile ingacindezelwa ibe yi-1.2-1.5 atmospheres absolute (ATA). Zivunyelwe kuphela yi-FDA ekwelashweni kokugula okuphezulu. Eziningi zalezi zikhwama ze-High Altitude Illness zidayiswa ngokungeyikho njenge- “Mild Hyperbaric Chambers” ngezinkomba ezingavunyelwe zelebula.

I-hyperbaric Chamber HBOT

Izitifiketi.

I-Modular inezitifiketi ezilandelayo.

Igumbi le-oksijeni yama-Hyperbaric

I-physics ne-Physiology ye-hyperbaric imithi

I-physics ngemuva kwe-Hyperbaric Therapy (HBOT) iphakathi kwemithetho efanele yegesi.

Ukusetshenziswa komthetho kaBoyle (p1 v1 = p2 v2) kubonakala ezicini eziningi ze-Hyperbaric Medicine. Lokhu kungaba usizo ngezimo ezibonakalayo ezinjengokugula ngokucindezeleka (DCS) noma i-arterial gas emboli (AGE). Njengoba ingcindezi yanda, ivolumu ye-bubbles eyancipha iyancipha. Lokhu kubalulekile futhi ngokuncintisana kwamakamelo; uma isiguli siphethe umoya, ivolumu yegesi eboshelwe emaphashini ngokweqile futhi ingabangela i-pneumothorax.

Umthetho kaCharles ([p1 v1] / T1 = [p2 v2] / T2) uchaza ukuthi izinga lokushisa liyakhula lapho umkhumbi ucindezelwa futhi wehla ekushiseni ngokucindezeleka. Lokhu kubalulekile ukukhumbula lapho ukwelapha izingane noma iziguli ezigula kakhulu noma ezifakiwe.

Umthetho kaHenry uthi inani legesi elichithwe kuketshezi lilingana nengcindezi engxenyeni yegesi etholakala ebusweni bolu ketshezi. Ngokwandisa ingcindezi yasemkhathini ekamelweni, umoya-mpilo omningi ungancibilika ungene ku-plasma kunokuba ubonwe ekucindezelekeni komhlaba.

Umtholampilo kumele akwazi ukubala ukuthi ingakanani umoya okwelashwa isiguli. Ukuze kulungiswe le mali, i-atmospheres ngokuphelele (ATA) isetshenziswa. Lokhu kungabalwa kusukela kumaphesenti oksijini engxenyeni yegesi (ngokuvamile i-100% ku-Oxygen Therapy; i-21% uma isebenzisa umoya) futhi yanda ngokucindezelwa. Ucindezelo luboniswa ezinyaweni zamanzi olwandle, okuyinto ingcindezi ebhekana nayo uma umuntu ehla kulokho ukujula ngenkathi emanzini olwandle. Ukujula nokucindezela kungalinganiswa ngezindlela eziningi. Okunye ukuguqulwa okuvamile yi-1 emkhathini = Amamitha angu-33 wamanzi olwandle = Amamitha angu-10 wamanzi olwandle = amakhilogremu angu-14.7 ngamasentimitha ayisithupha (psi) = i-1.01 ibha.

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I-terminology ye-Hyperbaric Therapy (HBOT)

I-Hyperbaric therapy ye-oxygen ichaza umuntu ukuphefumula amaphesenti angu-100 oksijini ekucindezelekeni okukhulu kunolwandle olulinganiselwe isikhathi esinqunyiwe-ngokuvamile i-60 kumaminithi we-90.

Ingcindezi Yasemkhathini - Umoya esiwuphefumulayo wakhiwe ngamaphesenti angama-20.9 oksijini, amaphesenti angama-79 e-nitrogen, namaphesenti ayi-0.1 amagesi angenalutho. Umoya ojwayelekile unengcindezi ngoba unesisindo futhi lesi sisindo sidonswa sibheke maphakathi namandla adonsela phansi. Ingcindezi etholakalayo ivezwa njengengcindezi yasemkhathini. Ingcindezi yasemkhathini olwandle ingamakhilogremu angu-14.7 nge-intshi ngayinye eyisikwele (psi).

Ingcindezi Ye-Hydrostatic - Njengoba ukhuphuka ngaphezu kogu lolwandle, ingcindezi yasemkhathini iyancipha ngoba inani lomoya ongaphezu kwakho likala kancane. Uma ucwila ngaphansi kwezinga lolwandle, kwenzeka okuphambene (ingcindezi iyanda) ngoba amanzi anesisindo esikhulu kunomoya. Ngakho-ke, lapho kujula kwehlela ngaphansi kwamanzi ingcindezi iba nkulu. Le ngcindezi ibizwa ngokuthi ingcindezi ye-hydrostatic.

I-Atmospheres Absolute (ATA) - I-ATA isho ingcindezi yokulinganisa eyiqiniso kungakhathalekile ukuthi ikuphi. Ngale ndlela, ukujula okujwayelekile kungafinyelelwa ukuthi ngabe kungaphezulu noma ngaphansi kwezinga lolwandle.

Kunezinhlobo ezehlukene zokucindezela ukulinganisa. I-HBO yokwelashwa isebenzisa ingcindezi enkulu kunaleyo etholakala emhlabeni emanzini olwandle, okubizwa ngokuthi ukucindezelwa kwe-hyperbaric. Amagama noma amayunithi asetshenziselwa ukuveza ukucindezela kwe-hyperbaric kufaka ama-millimeters noma amasentimitha angu-mercury (mmHg, inHg), amakhilogremu angu-inch square (psi), amamitha noma amamitha wamanzi olwandle (fsw, msw), nama-atmospheres ngokuphelele (ATA).

Isimo esisodwa esiphelele, noma i-1 ATA, ingcindezi yesilinganiso esiphezulu esetshenziswa olwandle, noma i-14.7 psi. Umkhathi omabili, noma i-2 ATA, iphindwe kabili ingcindezi yasemkhathini eyenziwa olwandle. Uma udokotela ebeka ihora elilodwa lokwelapha kwe-HBOT ku-2 ATA, isiguli siphefumula i-100 amaphesenti oksijini ngehora elilodwa kanti ngezikhathi ezimbili ingcindezi yomkhathi elwandle.

Imibuzo ye-Hyperbaric: Ukuseshwa kwe-Hyperbaric : Ulwazi lwe-Hyperbaric

I-Hyperbaric Therapy

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