Therapy ea Hyperbaric Therapy - HBOT Therapy-Hyperbaric Therapy

/Therapy ea Hyperbaric Therapy - HBOT Therapy-Hyperbaric Therapy
Therapy ea Hyperbaric Therapy - HBOT Therapy-Hyperbaric Therapy2018-01-21T06:10:26+00:00
Phekolo ea Oxygen ea Hyperbaric

Hyperbaric Oxygen Therapy (HBOT)

The Science Behind Hyperbaric Medicine

Phekolo ea Oxygen ea Hyperbaric, eo hape e tsejoang e le HBOT, ke phekolo ea meriana e fanang ka eona 100% oksijene ho tsamaiso ea mokuli ea pulmona ha ba ntse ba le ka kamoreng ea khatello. Mokuli o phefumoloha oksijene maemong a maholo haholo ho feta 21% e fumanoang sepakapakeng se tloaelehileng sa boemo ba leoatle.

Therapy ea Hyperbaric e itšetlehile ka melao e 'meli ea motheo ea fisiks.

"Molao oa Henry"E bolela hore tekanyo ea khase e qhibilihisitsoeng ka metsi e lekane le khatello ea khase ka holim'a metsi, hafeela ho se na lik'hemik'hale tse hlahang.

"Molao oa Boyle"E bolela hore ha mocheso o lula o le mocheso, khatello ea mokelikeli le khaseho ea khase e fapane ka tsela e fapaneng.

Sena se bolela hore khase e tla imeloa ka tsela e lekanang le tekanyo ea khatello ea eona. Ho sebelisa melao ena Oxygen Therapy e lumella oksijene e eketsehileng hore e fetisetsoe lithong le lithong.

Keketseho ena ea khatello ea karolo ea oksijene ka lisele tsa cellular e ka potlakisa mekhoa ea phekolo 'me ea thusa ho hlaphoheloa ho tloha mefuteng e mengata.

Litla-morao li fokolloa 'me ha li fumane nako e telele haholo. Hyperbaric Meriana hase pheko bakeng sa matšoao a mangata empa e bontsitse ho eketsa bokhoni ba ho itšireletsa mafung, ho thusa bakuli ba nang le mathata a bakoang ke maqeba a sa foleng ho isa bokooa bo boima le bokooa ba kelello.

Therapy Hyperbaric
Chamber of Hyperbaric

Histori ea Therapy ea Hyperbaric

Kalafo ena ea bongaka e ka lateloang ho 1600.

Ho 1662, ea pele Chamber of Hyperbaric e ile ea hahoa ebile ea sebelisoa ke moruti oa Brithani ea bitsoang Henshaw. O ile a haha ​​mohaho o bitsoang, Domicilium, o neng o sebelisetsoa ho tšoara maemo a sa tšoaneng.

Ka 1878, Paul Bert, setsebi sa phekolo ea mafu a Fora, o fumane hore ho na le kamano pakeng tsa ho kula ho tlōla le li-bubble tsa nitrogen 'meleng. Hamorao Bert o ile a hlokomela hore bohloko bona bo ka ntlafatsoa ka ho tsosolosoa.

Khopolo ea ho phekola bakuli tlas'a maemo a khatello e ile ea tsoela pele ke ngaka e buoang ea Fora Fontaine, eo hamorao a ileng a haha ​​kamore ea ho sebetsa e tsamaeang ka mofuthu ka 1879. Fontaine o fumane hore ho halefa ha nitrous oxide ho na le matla a mangata a tlas'a khatello, ho phaella ho bakuli ba hae ba ntlafetseng oksijene.

Nakong ea pele ea 1900 Dr. Orville Cunningham, moprofesa oa lefu la boithaopo, o ile a hlokomela hore batho ba nang le mafu a pelo a ntlafala ha ba phela haufi le leoatle ho feta ba phelang libakeng tse phahameng.

O ile a tšoara mosebetsi-'moho le eena ea neng a tšoeroe ke lefu la fefu 'me a le haufi le lefu ka lebaka la thibelo ea matšoafo. Katleho ea hae e matla e ile ea etsa hore a hlahise se neng se tsejoa e le "Hospital Hospital" se neng se le lebōpong la Letša la Erie. Mohaho oa lipale tse tšeletseng o ile oa hahoa 1928 'me o ne o le bophara ba 64. Sepetlele se ka fihla 3 atmospheres feletseng (44.1 PSI). Ka bomalimabe, ka lebaka la maemo a lichelete a tepeletseng a moruo, e ile ea tsosolosoa nakong ea 1942 bakeng sa lihlahisoa.

Hamorao Hyperbaric Chambers e ile ea ntlafatsoa ke masole a 1940 ho tšoara batho ba nang le phihlelo ba leoatleng ba neng ba tšoeroe ke lefu la ho tepella maikutlo.

Li-1950, lingaka li ile tsa qala ho sebelisa Hyperbaric Medicine ha ho buuoa ka pelo le matšoafo, e leng se ileng sa etsa hore e sebelisoe ke chefo ea carbon monoxide 1960. Ho tloha ka nako eo, liteko tsa litsi tsa litsi tsa 10,000 le lipatlisiso tsa liketsahalo li phethiloe bakeng sa mefuta e meng e mengata ea bophelo bo botle 'me liphello tse ngata li tlaleha katleho e atlehileng.

The UHMS e hlalosa Phekolo ea Oxygen ea Hyperbaric (HBOT) e le ho kenella moo motho a phefumolohang haufi le 100% oksijene intermittently ha a le ka kamoreng ea hyperbaric e hateletsoeng ho feta khatello ea metsi a leoatle (1 atmosphere e feletseng, kapa ATA).

Bakeng sa merero ea bongaka, khatello e tlameha ho lekana kapa e feta 1.4 ATA ha e ntse e phefumoloha haufi le 100% oksijene.

United States Pharmacopoeia (USP) le Compressed Gas Association (CGA) Sekolo sa A se tobetsa khalase ea bongaka ea oksijene hore e se ka tlase ho 99.0% ka molumo, 'me Mokhatlo oa Sechaba oa Tšireletso oa Mollo o bolela boemo ba USP ea bongaka ba oksijene.

Maemong a mang, e emela mokhoa o ka sehloohong oa phekolo ea meriana empa ho ba bang ho na le mehato ea ho buoa kapa ea phekolo ea meriana.

Kalafo e ka etsoa ho sa tsotellehe Monoplace Hyperbaric Oxygen Therapy Chamber kapa Multiplace Hyperbaric Oxygen Therapy Chamber.

Monoplace Hyperbaric Oxygen Therapy Chambers ho lula mokuli a le mong; kamore eohle e hatelloa ka haufi le 100% oksijene, 'me mokuli o phefumoloha khalase ea oksijene ka ho toba.

Multiplace Hyperbaric Oxygen Therapy Chambers tšoara batho ba babeli kapa ba fetang (bakuli, bahlokomeli, le / kapa basebetsi ba ts'ehetso).

Multiplace Chambers ba khatelloa ke moea o hatelitsoeng ha bakuli ba hema haufi le 100% oksijene ka mask, li-head hood, kapa li-tubot ending.

Ho ea ka tlhaloso ea UHMS le boikemisetso ba The Centers bakeng sa Medicare le Medicaid Services (CMS) le likarolo tse ling tsa mokhatlo oa boraro, phefumoloho ea bongaka ea XMUMX% oksijene ho 100 moeeng oa khatello kapa ho pepesa likarolo tse arohaneng tsa 'mele ho 1% oksijene ha e thehe Hyperbaric therapy.

Mokuli oa Hyperbaric o tlameha ho amohela oksijene ka ho phunyeletsa ka kamoreng ea khatello. Boitsebiso bo teng hona joale bo bontša hore khatello e lokela ho ba 1.4 ATA kapa ho feta.

HBOT

U hloka thuso ho khetha Khetho ea Hao e Phethahetseng?

Botsa setsebi!
Chamber of Hyperbaric

Hona joale ho na le lipontšo tse amohelehang tsa 14 USA.

  1. Embolism ea moea kapa ea Gas
  2. Chefo ea Monoxide ea Chefo
  3. Clostridial Myositis le Myonecrosis (Sekhahla sa Gas)
  4. Hlakola ho Hlakola, Syndrome ea Likarolo le Tse Ling Tse Amanang le Tlhaho ea Ischemias
  5. Boloetse ba ho Nyahama
  6. Ho haelloa ke ho ba le bothata
  7. Anemia e matla
  8. Absotrating Abscess
  9. Matšoao a Necrotizing Soft Tissue
  10. Osteomyelitis (Refractory)
  11. Ho Hlaseloa ke Meriana ea Meriana (Soft Tissue le Bony Necrosis)
  12. Lihlahisoa tse entsoeng ka mekhoa le li-Flaps
  13. Ho Futhumatsa ka ho Feteletseng hoa Kotsi
  14. Kutloisiso ea Idiopathic Sudden Sensorineural Ho lahleha

Hase sebaka sa Hyperbaric?

Oxyjene e ka sehloohong, kapa Topox, e tsamaisoa ka kamoreng e nyenyane e behiloeng holimo le ho hatelloa ka oksijene. Mokuli ha a phefumolohe oksijene, leha e le hore karolo e setseng ea 'mele e hatelloa. Ka lebaka leo, mokuli a ke ke a rua molemo ka bongata ba liphello tse ntle tsa Hyperbaric Medicine, tse tsamaisoang kapa tse hlahang boemong bo tebileng ho feta oksijene ea sethopo e ka kenella (sheba Hyperbaric Physics le Physiology karolo e ka tlase). Topox e itšetlehile ka khopolo ea hore oksijene e fapana ka mahlaseli ka botebo ba microns ea 30-50. [4] Mokhoa ona ha o sebetse DCS, khase e nang le khase (AGE), kapa carbon monoxide (CO) chefo.

Le Topox e etsa hore ho be le phapang ea khatello pakeng tsa mochine le sepakapaka se bulehileng ho hatella mochine. E le ho etsa hore qetello e se ke ea hatelloa ka mochine o hatelletsoeng, khofu ea lebokose le tlameha ho lumellana ka thata haholo hohle, kahoo e bōpa ho etela lipapali tsa marang-rang joaloka phello. Topox ha e koahetsoe ke inshorense, ebile ha e lumelloe ke koranta ea Ts'oaetso ea lefu la tsoekere bakeng sa phekolo ea lisosa tsa maoto.

Mofuta o mong oa kamore ke sebaka se khabisitsoeng se nang le mekhabiso e bonolo. Lijana tsena tse bonolo li ka hatelloa ho 1.2-1.5 atmospheres absolute (ATA). Li amoheloa ke FDA feela bakeng sa ho phekoloa holimo ho kula. Tse ngata tsa Mefuta e Phahameng e Phahameng Mekotla ea mafu e ntse e rekisoa ka phoso e le "Likamore tse Ntle tsa Hyperbaric" bakeng sa litlhahiso tse sa amohelehang tse hlahang.

Hort of Chamber HBOT
Khothalletsa hore u bala Hyperbaric Oxygen Chamber

Filosofi le Physiology ea meriana ea li-hyperbaric

Fisiks ka mor'a Hyperbaric Oxygen Therapy (HBOT) e ka hare ho melao e loketseng ea khase.

Ho sebelisoa ha molao oa Boyle (p1 v1 = p2 v2) ho bonahala likarolong tse ngata tsa Hyperbaric Medicine. Hona ho ka ba molemo ka liketsahalo tse hlahisang maikutlo tse kang decompression sickness (DCS) kapa li-arterial gas (AGE). Ha khatello e eketseha, molumo oa li-bubble o fokotseha. Hona ho boetse hoa bohlokoa ka ho tlatsana ha kamore; haeba mokuli a mo phefumoloha, mokelikeli oa khase o kenngoe matšoafong o feta 'me o ka baka pneumothorax.

Molao oa Charles ([p1 v1] / T1 = [p2 v2] / T2) e hlalosa ho eketseha ha mocheso ha sekepe se hatelloa 'me se fokotsa mocheso o nang le khatello ea maikutlo. Sena ke sa bohlokoa ho hopola ha u tšoara bana kapa bakuli ba kulang haholo kapa ba pota-potiloe.

Molao oa Henry o bolela hore bokahohle ba khase bo qhibilihisitsoeng ka metsi bo lekanang le khatello e itseng ea khase e ka holim'a metsi. Ka ho eketsa khatello ea sepakapaka kamoreng eo, oksijene e eketsehileng e ka qhibiliha ka lero la mali ho feta kamoo ho ka bonngoeng khatello ea metsi.

Ngaka e tlameha ho bala hore na oksijene mokuli o amohela eng. E le ho tiisa chelete ena, li-atmospheres e feletseng (ATA) li sebelisoa. Sena se ka baloa ho tloha ka peresente ea oksijene ka motsoako oa khase (hangata 100% ka Phekolo ea Oxygen; 21% haeba e sebelisa moea) mme e atolosoa ke khatello. Khatello e hlalosoa maotong a metsi a leoatle, e leng khatello ea maikutlo ha motho a theohela holimo joalo ha a le metsing a leoatle. Ho teba le khatello li ka lekanyetsoa ka litsela tse ngata. Liphetoho tse ling tse tloaelehileng ke marang-rang a 1 = Maoto a 33 a metsi a leoatle = Metsi a 10 a metsi a leoatle = lik'hilograma tse 14.7 ka boima ba lisenthimithara (psi) = 1.01 bar.

Terminology ea Hyperbaric Therapy (HBOT)

Hyperbaric oksijene therapy e hlalosa motho ho hema 100 lekholong oksijene khatellong e kholo ho feta lebōpong la leoatle bakeng sa nako e behiloeng-hangata 60 ho metsotso ea 90.

Khatello ea Moea - Moea oo re o hemang o entsoe ka 20.9 lekholong ea oksijene, karolo ea 79 ea nitrogen, le karolo ea 0.1 lekholong ea likhase. Moea o tloaelehileng o hatella hobane o na le boima 'me boima bona bo hulisoa bohareng ba lefatše. Khatello e nang le phihlelo e hlalosoa e le khatello ea sepakapaka. Khatello ea sepakapakeng seemong ba leoatle ke lik'hilograma tse 14.7 ka li-inch square (psi).

Khatello ea Hydrostatic - Ha u ntse u hloella ka holim'a leoatle, khatello ea sepakapaka e fokotseha hobane bokahohle ba moea bo ka holim'a hau bo lekanngoa. Haeba u phalla ka tlase ho leoatle, ho etsahala se fapaneng (khatello e eketseha) hobane metsi a na le boima bo fetang moea. Ka hona, e tebileng e theohela tlas'a metsi khatello e kholo. Khatello ena e bitsoa khatello ea hydrostatic.

Atmospheres Absolute (ATA) - ATA e bua ka khatello ea khatello ea 'nete ho sa tsotellehe sebaka. Ka tsela ena, botebo bo tebileng bo ka fihlella hore na bo ka holimo kapa ka tlase ho leoatle.

Ho na le mantsoe a fapa-fapaneng bakeng sa khatello ea tekanyo. HBO ea phekolo e sebelisa khatello e kholo ho feta e fumanoang fatše leoatleng, e leng khatello ea hyperbaric. Mantsoe kapa likarolo tse sebelisetsoang ho bontša khatello ea hyperbaric li kenyelletsa limilimithara kapa lisenthimithara tse mercury (mmHg, inHg), lik'hilograma ka li-inch (cm) ka bophara, maoto kapa metres ea metsi a leoatle (fsw, msw), le atmospheres e feletseng (ATA).

Sebaka se le seng se feletseng, kapa 1 ATA, ke khatello ea sepakapaka e sebelisoang leoatleng, kapa 14.7 psi. Sepakapaka se seholo, kapa 2 ATA, se na le khatello ea sepakapaka ka makhetlo a mabeli. Haeba ngaka e laela hora e le 'ngoe ea phekolo ea HBOT ka 2 ATA, mokuli o hema 100 lekholong ea oksijene ka hora e le' ngoe ha ka makhetlo a mabeli khatello ea sepakapaka e le boemong ba leoatle.

Lipotso tsa Hyperbaric : Lipatlisiso tsa Hyperbaric : Boitsebiso ba Hyperbaric

Therapy Hyperbaric

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