Unyango lwe-Oxygen Hyperbaric

I-Hyperbaric Treatment Oxygen (HBOT)

Inzululwazi Yenza I-Hyperbaric Medicine

Unyango lwe-Oxygen Hyperbaric, kwaziwa njenge HBOT, unyango lwezokwelapha olunikelayo 100% oksijini kwinkqubo yesigulane yesigulane ngelixa besesigxininini. Isigulane siphefumula i-oksijeni kumanqanaba amakhulu kunokuba i-21% efunyenwe kwinqanaba elwandle eliqhelekileyo.

I-Hyperbaric Therapy isekelwe kwimithetho emibini engundoqo ye-physics.

"UMthetho kaHenry"Ichaza ukuba inani legesi echithwe kumanzi lilingana noxinzelelo lwegesi ngaphaya komlambo, ngaphandle kokuba akukho nzekayo eyenziwa ngamakhemikhali.

"UMthetho kaBoyle"Ithi ukufudumala rhoqo, umthamo kunye noxinzelelo lwegesi ayinani.

Oku kuthetha ukuba i-gas iya kugxininisa ngokulinganayo nomlinganiselo woxinzelelo osebenza kuyo. Ukusebenzisa le mithetho I-Oxygen Treatment ivumela i-oxygen engaphezulu ukuba ihanjiswe kwiisculi kunye namalungu.

Olu kunyuka koxinzelelo oluthile lwe-oksijini kumgangatho wamaselula lunokukhawulezisa iinkqubo zokuphilisa kwaye luncedisa ekubuyiseleni kwiinkalo ezininzi.

Imiphumo emibi ayifanele kwaye ayidluli ixesha elide. I-Hyperbaric Medicine ayilona unyango lwezibonakaliso ezininzi kodwa ibonakalise ukwandisa amandla omzimba, ukunceda izigulane ezineengxaki ezivela kwiilonda ezingapheliyo ukuya kwiimeko ezikhubazekayo kunye nokukhubazeka kwegazi.

Unyango lweHroperbaric
Chamber of Hyperbaric

Imbali ye-Oxygen yonyango

Olu unyango lwezokwelapha oluya kulandelwa kwi-1600.

Kwi-1662, yokuqala Chamber of Hyperbaric lakhiwa kwaye yaqhutywa ngumfundisi waseBrithani ogama linguHenshaw. Wakha isakhiwo esibizwa ngokuba yi-Domicilium, esasetyenziselwa ukunyanga kwiimeko ezahlukeneyo.

Ku-1878, uPaul Bert, umfuyo wezilwanyana waseFransi, wafumanisa ukudibanisa phakathi kokugula okuxinzelelekileyo kunye ne-nitrogen bubbles emzimbeni. Emva koko uBert wafumanisa ukuba intlungu leyo ingayilungiswa ngokuphindaphinda.

Iingcamango zokuphatha izigulane phantsi kweemeko ezixinzelelekileyo zaqhutyelwa nguvulindlela waseFransi u-Fontaine, owathi kamva wakha igumbi lokusebenzela elincinci kwi-1879. I-Fontaine yabona ukuba inhaled oxide ene-nitrous yayinamandla amakhulu phantsi koxinzelelo, ngaphezu kwezigulane zakhe eziphuculweyo zomoya.

Ekuqaleni kwe-1900 uDkt. Orville Cunningham, uprofesa we-anesthesia, waqaphela ukuba abantu abanezifo zentliziyo baphucule bhetele xa behlala eduze kwinqanaba elwandle kunabo bahlala kwiindawo eziphakamileyo.

Wayephatha umlingane owayenomkhuhlane kwaye wayekufutshane nokufa ngenxa yokunciphisa imiphunga. Ukuphumelela kwakhe kwenyusa ukuba ahlakulele into eyayibizwa ngokuba yi "Hospital Ball Hospital" esekelwe elunxwemeni lweLake Erie. Isakhiwo sesithandathu sebali sasakhiwe kwi-1928 kwaye sasingu-64 inyawo ububanzi. Isibhedlele sinokufikelela kwi-3 atmospheres ngokupheleleyo (44.1 PSI). Ngelishwa, ngenxa yoxinzelelo lwezezimali lwezoqoqosho, lwakhiwa ngokutsha ngexesha le-1942.

IiChambers ze-Hyperbaric zaqulunqwa kamva emkhosini kwi-1940 yokuphatha abantu abaninzi baselwandle abanokugula ngenxa yokugula.

Kwi-1950, oogqirha baqala ukusebenzisa iMicrosoft Hyperbaric ngexesha lokuhlinzwa kwentliziyo kunye nemiphunga, okwabangela ukuba kusetyenziswe ukutyhefuza kwe-carbon monoxide kwi-1960. Ukususela ngoko, ngaphezu kweemvavanyo zeclini ze-10,000 kunye nezifundo zecala ziye zagqitywa ngezinye izicelo ezininzi ezinxulumene nempilo kunye nesininzi seziphumo zokubika ingxelo ephumelelayo.

UHMS ichaza Unyango lwe-Oxygen Hyperbaric (HBOT) njengongenelelo apho umntu ephefumula kufuphi ne-100% oksijeni ngokukhawuleza ngelixa ngaphakathi kwinqanaba le-hyperbaric elinyanzeliswayo kunomlinganiselo wokuncincika kolwandle (i-1 emoyeni, okanye i-ATA).

Ngeenjongo zeklinikhi, uxinzelelo kufuneka lulingane okanye lugqithise i-1.4 ATA ngelixa iphefumula kufuphi ne-100% oksijini.

I-United States i-Pharmacopoeia (i-USP) kunye ne-Compressed Gas Association (CGA) iBakala A ichaza i-oxygen ibakala ye-oxygen ukuba ingabi ngaphantsi kwe-99.0% ngokuvakala, kwaye uMbutho weSizwe woKhusela uMlilo uchaza i-USP ibakala le-oxygen.

Kweemeko ezithile kubonisa indlela yokwenza unyango oluphambili ngelixa kwabanye kukho ukulungelelaniswa kokungenelela okanye ukunyanzeliswa kwe-pharmacologic.

Unyango lunokwenziwa kwi-Monoplace Hyperbaric Treatment Chamber okanye kwi-Multiplace Hyperbaric Oxygen Treatment Chamber.

I-Monoplace Hyperbaric I-Oxygen Treatment Chambers uhlala nesigulane esinye; lonke igumbi linyanzeliswe kunye ne-100% oksijeni, kwaye isigulane siphefumula i-oxygen chamber ngokukodwa ngqo.

I-Multiplace Hyperbaric I-Oxygen Treatment Chambers ubambe abantu ababini okanye ngaphezulu (izigulane, ababonisi, kunye / okanye abasebenzi abancedisayo).

I-Multiplace Chambers igxininiswe ngomoya oxinyiweyo ngelixa izigulana ziphefumula nge-100% oksijini ngeemaski, ii-head hood, okanye i-tubotracheal tubes.

Ngokutsho kwencazelo ye-UHMS kunye nokuzimisela kwamaziko e-Medicare kunye neeNkonzo zeMedicaid (CMS) kunye nabanye abathwali bezithathu, ukuphefumla ibanga le-100% oksijini kwi-1 emoyeni yoxinzelelo okanye ukuveza iinxalenye ezizimele zomzimba kwi-100% i-oxygen ayiyi Unyango lwe-oksijeni yonyango.

Isigulana se-Hyperbaric kufuneka sifumane i-oksijini ngokufuthwa ngaphakathi kwegumbi lokunyamezela. Ulwazi olukhoyo lubonisa ukuba ukunyanzeliswa kufuneka ku-1.4 ATA okanye ngaphezulu.

HBOT

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Chamber of Hyperbaric

Kukho izikhokelo ezivunyiweyo ze-14 e-USA.

  1. Ukugqithiswa komoya okanye iGesi
  2. I-Carbon Monoxide Poisoning
  3. I-Clostridial Myositis kunye ne-Myonecrosis (i-Gas Gangrene)
  4. Ukuchoboza ukulimala, i-Compartment Syndrome kunye nezinye ii-Ischemias ezibuhlungu
  5. Ukuguquka kokugula
  6. Ukungasebenzi
  7. IAnemia
  8. Intracranial Abscess
  9. Izifo ezithintekayo zeNecrotizing Soft Tissue
  10. Osteomyelitis (Refractory)
  11. Ukuxakeka kweMitha yokuLawulwa kweMitha (i-Soft Tissue kunye neBony Necrosis)
  12. Iingxoxo zeComputer kunye neFlaps
  13. Ukutshatyalaliswa kobuGwenxa obushushu
  14. Idiopathic Ngokukhawuleza Ukuvalela Ukulahlekelwa

Yintoni engekho iChrobarbar Chamber?

I-oksijeni ye-topical, okanye i-Topox, ilawulwa ngeklasi elincinci elibekwe ngaphaya komgca kwaye lucindezelwe nge-oxygen. Isigulane asiphefumli i-oksijeni, kwaye akukho ntsalela yomzimba onxinzelelweyo. Ngenxa yoko, isiguli asinakuzuza kwiimpembelelo ezininzi ze-Hyperbaric Medicine, ezisekhompyutheni okanye ezenzeka kwinqanaba elincinci kune-oksijeni ye-oxygen engenako ukungena (jonga i-Hyperbaric Physics ne-Physiology kwicandelo elingezantsi). I-Topox isekelwe kwingcamango yokuba i-oksijeni iyahlukana ngama-tishu kwi-micron i-30-50. [4] Le ndlela ayiphathi i-DCS, i-gaster emboli (AGE), okanye i-carbon monoxide (CO) yetyhefu.

Nge-Topox idibanisa ukuhlukana koxinzelelo kufuneka kwenziwe phakathi komatshini kunye nomoya ovulekileyo ukunyanzelisa umatshini. Ukuze ugcine umgca ungagxothwa ngaphandle komshini ogxininisiweyo, ibhobho yebhokisi kufuneka ifanelane ngokugqithiseleyo ekupheleni komda, ngaloo ndlela idale i-tourniquet njengefuthe. I-Topox ayinakutyhulwa yinshuwalense, kwaye ayivunyelwe liphepha leNtsholongwane kaGawulayo ukuze unyango lwezilonda zesilonda.

Olunye uhlobo lwegumbi lugumbi oluphathekayo lwe-Hyperbaric Chamber. Ezi zixhobo ezithambileyo zinokunyanzeliswa kwi-1.2-1.5 atmospheres ngokupheleleyo (ATA). Zivunywa kuphela yi-FDA ukuze unyango lwezinga lokugula. Uninzi lwezi zikhwama eziphakamileyo ze-TB zidayiswa ngokungenakutyala njenge- "Cild Hyperbaric Chambers" zengcaciso ezingenakuvunyelwa.

I-Hyperbaric Chamber HBOT
I-Oxygen Chamber ye-Hyperbaric

I-Physics kunye nePhysics ye-hyperbaric medicine

I-physics emva kwe-Hyperbaric Treatment Oxygen (HBOT) iphakathi kwemithetho efanelekileyo yegesi.

Ukusetyenziswa komthetho kaBoyle (p1 v1 = p2 v2) kubonakala kwiinkalo ezininzi ze-Hyperbaric Medicine. Oku kunokuba luncedo ngeziganeko ezinjenge-decompression illness (DCS) okanye i-gas generic emboli (AGE). Njengoko uxinzelelo lwandisiwe, umthamo we-bubbles uyancipha. Oku kubalulekile ngokukrexeza kwekamelo; ukuba isigulane siphethe umoya, umthamo wegesi ufihliwe emiphakeni ngaphezu kokunyuka kwaye kunokubangela i-pneumothorax.

Umthetho kaCharles ([p1 v1] / T1 = [p2 v2] / T2) ichaza ukuba izinga lokushisa liyakhula xa isitya sinyanzeliswa kwaye sinciphisa izinga lokushisa nokuxinezeleka. Oku kubalulekile ukukhumbuza xa unyanga abantwana okanye izigulane ezigula kakhulu okanye zikhutshwe.

Umthetho kaHenry uthi umlinganiselo wegesi ogqityiweyo kumanzi ulingana noxinzelelo oluthile lwegesi eqhutywe phezu kombane. Ngokunyusa uxinzelelo lwangaphakathi ekamelweni, i-oksijeni engaphezulu ichithwa kwi-plasma kunokuba ibonwe kwingcinezelo yomhlaba.

Ugqirha kufuneka akwazi ukubala ukuba ingakanani i-oksijeni isiguli esifumanayo. Ukuze kulungiswe le mali, i-atmospheres iphelele (ATA) isetyenziswa. Oku kungabalwa ukusuka kwipesenti ye-oksijini kumxube wegesi (ngokuqhelekileyo i-100% kwi-Oxygen Treatment; i-21% xa usebenzisa umoya) kwaye wanda ngexinzelelo. Uxinzelelo lubonakaliswe ezinyaweni zamanzi olwandle, olo luxinzelelo olunzima xa umntu ehla kuloo bunzulu xa esemanzini olwandle. Ubunzulu noxinzelelo bunokulinganiswa ngeendlela ezininzi. Olunye uguquko oluqhelekileyo yi-1 emoyeni = I-33 iinyawo zamanzi olwandle = Amanitha angama-10 wamanzi olwandle = ii-14.7 iipounds ngeeksikhilomitha nganye (psi) = i-1.01 ibha.

I-Hyperbaric Treatment Oxygen (HBOT) Isigama

I-hyperbaric ye-oksijeni yonyango ichaza umntu ukuphefumla i-100 ipesenti ye-oksijeni kwingcinezelo ephezulu kunezinga elwandle elithile eliqhelekileyo-ngokuqhelekileyo i-60 ukuya kwi-90 imizuzu.

Uxinzelelo lwe-Atmospheric - Umoya esiphefumlayo wenziwe nge-20.9 yeeprojeni yomoya, i-79 iipesenti ze-nitrogen, kwaye i-0.1 iphesenti igesi. Umoya oqhelekileyo unengcinezelo ngenxa yokuba unesisindo kwaye lo bunzima bunyuselwa kwisibilini somhlaba. Uxinzelelo olunzima lubonakaliswe njengengcinezelo yemozulu. Uxinzelelo lwe-atmospheric kwinqanaba lolwandle yi-14.7 iipounds ngamasentimitha ayi-square (psi).

Uxinzelelo lwe-Hydrostatic - Njengoko ukhuphuka ngaphezu kwezinga elwandle, utyinzelelo lwangaphakathi luyancipha ngenxa yokuba ubuninzi bomoya ngaphezu kwakho bunzima. Ukuba uhamba ngezantsi kwinqanaba lolwandle, kwenzeka okuchasene (ukunyuka kwengcinezelo) ngenxa yokuba amanzi anomlinganiselo omkhulu kunomoya. Ngaloo ndlela, unzulu uhla phantsi kwamanzi enkulu ingcinezelo. Olu xinzelelo lubizwa ngokuba yi-hydrostatic pressure.

I-Atmospheres Absolute (ATA) - I-ATA ibhekisela kwisigxina soxinzelelo oluyinyani naluphi na indawo. Ngale ndlela, ubunzulu obuqhelekileyo buya kufumaneka ukuba lubekwe ngaphantsi okanye ngaphantsi kwezinga lezilwandle.

Kukho imimiselo eyahlukeneyo yokuxinzelela uxinzelelo. Ulwaphulo lwe-HBO lusebenzisa uxinzelelo olungaphezulu kunokuba lufunyenwe kumgangatho womhlaba olwandle, olubizwa ngokuba yingcinezelo ye-hyperbaric. Imigangatho okanye iiyunithi ezisetyenziselwa ukubonisa uxinzelelo lwe-hyperbaric ziquka i-millimeters okanye intshi ye-mercury (mmHg, inHg), iipounds nge-intshi ye square (psi), iinyawo okanye iimitha zamanzi olwandle (fsw, msw), kunye ne-atmospheres ngokupheleleyo (ATA).

Enye imimoya epheleleyo, okanye i-1 ATA, ingumlinganiselo wentsholongwane yomhlaba osebenza elwandle, okanye i-14.7 psi. I-atmospheric emibini, okanye i-2 ATA, iphindwe kabini ngxinzelelo lwangaphakathi elwandle. Ukuba ugqirha ubeka iyure enye ye-HBOT unyango kwi-2 ATA, isigulana siphefumula i-100 pesenti ye-oxygen ngelixa elinye ngelixa liphindwe kabini ingcinezelo yemoya elwandle.

Imibuzo ye-Hyperbaric : Uphando lwe-Hyperbaric : Ulwazi lwe-Hyperbaric

Unyango lweHroperbaric

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