I-COVID-19: Ukusetyenziswa kweHyperbaric Oxygen Therapy (HBOT) kuNyango lwaMatyala aMandundu

Ubhubhani we-COVID-19 ubangele impembelelo enkulu kwezoqoqosho kwihlabathi liphela kwaye kukhokelele ekuphazamisekeni kobomi "obuqhelekileyo". Amazwe kwihlabathi liphela ayasilwa ukufumana izisombululo kwesi sifo ezibandakanya ukomeleza amajoni omzimba kunye nokuphuhlisa amayeza okugonya ukulwa nobhubhane. Kulo mongo, ukusetyenziswa kwe-Hyperbaric Oxygen Therapy (HBOT) kunokubonakala kubambe isithembiso sonyango ezinzima iimeko ze-COVID-19. I-HBOT ibandakanya ukuhambisa ioksijini kwizicubu zomzimba kuxinzelelo oluphezulu kunoxinzelelo lwe-atmospheric ngethemba lokunciphisa ukuvuvukala kunye nokuvuselelwa kweeseli ngaloo ndlela kuphuculwe amajoni omzimba. 

Ubhubhani we-COVID-19 ukhuphe ubomi ngaphandle kwezixhobo phantse kwihlabathi liphela. Izazinzulu kunye nabaphandi kwihlabathi liphela bakugqatso oluchasene nexesha lokuphuhlisa unyango lwesi sifo esichaphazele izigidi kwaye sibangele ukulaliswa esibhedlele kunye nokufa kwamawakawaka abantu, ngakumbi abo bangaphezulu kweminyaka engama-70 kwaye banezigulo ezifana nesifo seswekile, isifuba kunye nentliziyo. isifo. Inani lamayeza okulwa ne-COVID-19 azanyiwe ukunqanda ukuphindaphindeka kwentsholongwane kunye nokutshintsha kwendlela yokuphila njengokunxiba imaski kunye nokugcina umgama phakathi koluntu ukuthintela ukusasazeka koluntu. Kutshanje, inani leentlobo ezahlukeneyo zezitofu zokugonya ^(1-3) zivunyiwe kugunyaziso losetyenziso olungxamisekileyo ngoorhulumente kumazwe ahlukeneyo abaya kuthi ngethemba bancede ekuphuhliseni nasekuboneleleni ngokhuseleko kwi-COVID-19 ixesha elide. Umbono emva koku kukuqinisa amajoni omzimba ukunceda umzimba ukulwa nosulelo. I-Hyperbaric Oxygen Therapy (HBOT) nayo inokujongwa njengonyango olunokubakho unyango lwe ezinzima iimeko ze-COVID-19, ngakumbi ezo zifuna ukulaliswa esibhedlele.  

I-HBOT ibandakanya ukuhambisa i-100% i-oksijini kwizicubu zomzimba kwiingcinezelo eziphezulu (eziphezulu kunoxinzelelo lwe-atmospheric). Le meko ye-hyperoxic ibangela ukuhambisa izixa eziphezulu zeoksijini kwiiseli zomzimba ngaloo ndlela ziphucula imvuselelo yazo kunye nokuphila. I-HBOT iye yaxelwa phantse kwiinkulungwane ezine ezedlulileyo, nangona kunjalo, ayizange iphunyezwe njengonyango oluchanekileyo ngenxa yokungabikho kobungqina besayensi. Nangona kunjalo, idatha yokuqala yamva nje evela kulingo lweklinikhi icebisa uphuculo olubalulekileyo malunga nokugula kunye nokufa ezinzima iimeko zezigulana ze-COVID-19 xa zinyangwa nge-100% yeoksijini kuxinzelelo oluphezulu lomoya. Ulingo oluncinci lweziko elinye olwenziwe e-USA kwizigulana ezingama-20 ze-COVID-19 kunye nama-60 olawulo oluhambelanayo olusebenzisa i-HBOT lunike iziphumo ezikhuthazayo malunga nokusweleka kwezigulana kunye nemfuneko ye-ventilator. ⁽⁴⁾. Olunye ulingo olulawulwa ngokungenamkhethe lucwangciswe ukuphanda iziphumo zonyango lwe-normobaric oxygen (NBOT) ngokuchasene ne-hyperbaric oxygen therapy (HBOT) kwiimeko ezinzima ze-hypoxic COVID-19 izigulana. ⁽⁵⁾. I-advanteji ye-HBOT yeyokuba bubuchule obungangeneleliyo obuneendleko ezifanelekileyo xa kuthelekiswa nezinye iirejimeni zonyango. Nangona kunjalo, kufuneka kuthathelwe ingqalelo ukuba kufuneka kulawulwe ngabasebenzi abaqeqeshiweyo kwaye kufuneka ukuba iqhutywe ekhaya phantsi kweemeko ze-normobaric usebenzisa iisilinda ze-oksijini ezicocekileyo ezikhoyo kwiimarike. 

Ngelixa i-HBOT ithembisa ukuba lungenelelo olusemngciphekweni ophantsi kunyango lwamatyala amabi e-COVID-19, iya kufuna inani elikhulu lolingo lwekliniki olulawulwa ngokungenamkhethe kunye nenani elikhulu lezigulana ezikhokelela kwisiphumo esiqinisekileyo esinamandla, ngaphambi kokuba unyango lube nonyango. ivunywe ngaphandle kwentandabuzo efanelekileyo. 

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Ucaphulo 

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