Hyperbaric Oxygen Therapy

Hyperbaric Oxygen Therapy (HBOT)

The Science Behind Hyperbaric Medicine

Certification.

Iyo Modular ine zvinotevera zvitupa.

Hyperbaric Oxygen Therapy, inozivikanwawo se HBOT, chirwere chinoponesa 100% oksijeni kune yemurwere pulmonary system ivo vari mukati meakamanikidzwa kamuri. Murwere ari kufema okisijeni pamatanho akakurisa kupfuura iwo 21% ayo anowanikwa pane yakajairika mwero wegungwa.

Hyperbaric Therapy inobva pamitemo miviri inokosha yefizikiki.

"Mutemo waHenry"Inotaura kuti uwandu hwegesi hwakanyungudutswa mumvura hunofanana nekudzvinyirira kwegasi pamusoro pemvura, kunze kwekuti pasina chikemikari chinoitika.

"Mutemo waBoyle"Inotaura kuti pakushambidzika nguva dzose, ivhu uye kuwedzera kwegesi zvakasiyana.

Izvi zvinoreva kuti gasi rinozomanikidza zvinoenderana nehuremu hwekumanikidza kunoitwa pairi. Kushandisa mitemo iyi Oxygen Therapy inobvumira kuti okisijeni yakawanda iendeswe kumatissue nenhengo.

Uku kuwedzera kwesimba rekumanikidza kweoksijeni padanho remaseru kunogona kumhanyisa maitiro ekuporesa uye kubatsira mukudzoka kubva kune zvakawanda zvinoratidza.

Mhedzisiro mhedzisiro ishoma uye kashoma kugara kwenguva refu. Hyperbaric Medicine haisi mushonga wezviratidzo zvakawanda asi yakaratidza kuwedzera kugona kwemuviri, kubatsira varwere vane matambudziko kubva pamaronda asingagumi kusvika kuhurema hwakaomarara uye kukanganisika kwemitsipa.

Hyperbaric Therapy

Certification.

Iyo Modular ine zvinotevera zvitupa.

Hyperbaric Chamber

Hyperbaric Oxygen Therapy History

Ichi kurapwa kunogona kuteverwa kumashure kwe1600's.

Muna 1662, yekutanga Hyperbaric Chamber yakavakwa uye inoshandiswa nemufundisi weBritish anonzi Henshaw. Akavaka chivako chine musoro unoti, Domicilium, icho chaishandiswa kurapa zvirwere zvakasiyana-siyana.

Mune 1878, Paul Bert, chiremba wezvechirwere cheFrance, akawana kubatana pakati pekuderedza chirwere uye nitrogen bubbles mumuviri. Bert akazoona kuti kurwadziwa kwaigona kugadziriswa nekudzorerwa.

Pfungwa yekurapa varwere pasi pemamiriro ekudzvinyirirwa yakapfuurirwa nechiremba wechiremba wechiFrench Fontaine, uyo akazovaka gorozi rinoshandiswa rekufambisa kushambadzira mu1879. Fontaine akawana kuti inhaled nitrous oxide yakanga ine simba guru pasi pekumanikidzwa, kuwedzera kune varwere vake vakagadzirisa oksijeni.

Mukutanga kwe1900 yaDr. Orville Cunningham, purofesa weanesthesia, akaona kuti vanhu vane zvirwere zvemwoyo zvakanyanya zviri nani pavakagara pedyo nechepamusoro pegungwa pane avo vanogara munzvimbo dzakakwirira.

Akabata mumwe waaishanda naye uyo akanga achitambura nefivha uye akanga ava pedo nekufa nekuda kwekudziviswa kwemapapu. Kubudirira kwake kunofadza kwakamuita kuti atange izvo zvaizivikanwa se "Steel Ball Hospital" iri pamhenderekedzo yeLake Erie. Iyo nhanhatu nenyaya yakagadzirirwa mu 1928 uye yaiva 64 mamita akaenzana. Chipatara chinogona kusvika 3 atmospheres absolute (44.1 PSI). Zvinosuruvarisa, pamusana pehupfumi hwehupfumi hwehupfumi, hwakagadziriswa munguva ye1942 yezviputi.

Hyperbaric Chambers yakazogadziridzwa neuto mumauto e1940 kuti vabate vanhu vakadzika-vegungwa vane chirwere chekuora mwoyo.

Mune 1950, vanachiremba vakatanga kushandisa Hyperbaric Medicine panguva yekuvhiyiwa kwemoyo nemapapu, izvo zvakatungamirira kushandiswa kwayo kwecarbon monoxide chepfu mu 1960's. Kubva ipapo, pamusoro peCNLX miedzo yekliniki uye zvidzidzo zvekwakave zvakapedzwa kune mamwe mabasa akawanda ane chokuita nehutano nehuwandu hwemigumisiro yehupfumi inoburitsa kubudirira.

Certification.

Iyo Modular ine zvinotevera zvitupa.

IHMS inotsanangura Hyperbaric Oxygen Therapy (HBOT) sekupindira umo munhu anofema pedyo ne100% oksijeni intermittently mukati memukati yemahara inomanikidzirwa kusvika kune yepamusoro pemvura yakasimba (1 atmosphere absolute, kana ATA).

Nechinangwa chemakliniki, kuoma kunofanira kuenzana kana kudarika 1.4 ATA apo kufema pedyo ne100% oksijeni.

IUnited States Pharmacopoeia (USP) uye Compressed Gas Association (CGA) Bhuku A rinotsanangura mabhiiji ekorojeni kuti isati iri pasi pe99.0% nehuwandu, uye National Fire Protection Association inotsanangura USP grade grade oxygen.

Mune mamwe mamiriro ezvinhu inomiririra yekutanga kurapwa kwemaitiro asi kune vamwe iyo inogadziriswa pakushandura kana kupindira mune zvem pharmacologic.

Kurapa kunogona kuitwa mune imwe Monoplace Hyperbaric Oxygen Therapy Chamber kana Multiplace Hyperbaric Oxygen Therapy Chamber.

Monoplace Hyperbaric Oxygen Therapy Chambers kunogara murwere mumwe chete; iyo yose kamuri inomanikidzirwa pedyo ne100% oksijeni, uye murwere anofuridzira chipinda chemukati oxygen zvakananga.

Multiplace Hyperbaric Oxygen Therapy Chambers kubata vaviri kana kupfuura vanhu (varwere, vanocherechedza, uye / kana vashandi vekutsigira).

Multiplace Chambers inomanikidzirwa nemhepo yakamanikidzwa apo varwere vanofema pedyo ne100% okisijeni kuburikidza nemasikisi, misoro yemusoro, kana endotracheal tubes.

Maererano neHMS tsanangudzo uye kusarudza kweCenter for Medicare neMedicaid Services (CMS) uye zvimwe zvevatakuri vebato rechitatu, kuwedzera kufema kwehutano 100% oksijeni pa1 mumhepo yekumanikidzwa kana kuisa zvikamu zvakasara zvemuviri ku100% okisijeni hazviiti Hyperbaric oxygen therapy.

Murwere weHyperbaric anofanira kugamuchira oksijeni kuburikidza nekuputika mukati memukamuri yakamanikidzwa. Nhasi ruzivo runoratidza kuti kushungurudza kunofanira kunge kuri 1.4 ATA kana kupfuura.

HBOT

Unoda rubatsiro kusarudza Yenyu Yakakwana?

Bvunza Nyanzvi!
Hyperbaric Chamber

Iko kune ikozvino 14 zvinoratidzwa zviratidzo muU.SA.

  1. Mhepo kana Gasi Kunyunyuta
  2. Carbon Monoxide Poisoning
  3. Clostridial Myositis uye Myonecrosis (Gas Gangrene)
  4. Crush Injury, Compartment Syndrome uye Other Acute Traumatic Ischemias
  5. Kudzvinyirira Kurwara
  6. Kugadziriswa kusina kukwana
  7. Anemia yakanyanya
  8. Absolute Intracranial
  9. Necrotizing Soft Tissue Infections
  10. Osteomyelitis (Refractory)
  11. Delayed Radiation Injury (Soft Tissue naBony Necrosis)
  12. Kugadziriswa Grafts uye Flaps
  13. Kupisa kwakanyanya Kunopisa Kukuvadza
  14. Idiopathic Sudden Sensorineural Kunzwa Kurasikirwa 

Certification.

Iyo Modular ine zvinotevera zvitupa.

Chii chisisiri Hyperbaric Chamber?

Nyaya yepamusoro ye okisijeni, kana Topox, inotungamirirwa kuburikidza nekamuri duku rinowanikwa pamusoro pemagumo uye rinomanikidzwa neoksijeni. Murwere haafumisi oksijeni, uyewo zvakasara zvemuviri zvinomanikidzirwa. Nokudaro, murwere haagoni kubatsirwa nehuwandu hwezvakanaka zveHyperbaric Medicine, iyo inogadziriswa kana kuti inoitika pane imwe yakadzika kupfuura inopisikiyamu inopinda inopinda (ona Hyperbaric Physics uye Physiology chikamu chiri pasi apa). Topox inobva pamusoro wekuti oxygen inopararira kuburikidza nemateu paakadzama 30-50 microns. [4] Iyi nzira haina kubata DCS, arterial gas inonzi (AGE), kana carbon monoxide (CO) chepfu.

NeTopox yakagadziriswa kusiyanisa kunetseka kunofanira kusikwa pakati pemichina uye yakazaruka mhepo kuti inomanikidza mishonga. Kuti uchengetedze mhedzisiro kubva pakusundirwa kunze kwemichina yakamanikidzwa, mukombe webhokisi unofanirwa kuenzana zvakasimba kumativi ose, nokudaro uchigadzira tourniquet semigumisiro. Topox haisi yakafukidzwa nenishuwarenzi, uye haibvumirwi nepepanhau reSaabetes Care kuitira kurapwa kwezvakarukwa.

Iyo imwe mhando yekamuri ndiyo inotakurika Nyoro Hyperbaric Chamber. Iyi midziyo yakapfava inogona kumanikidzwa kusvika 1.2-1.5 atmospheres absolute (ATA). Ivo vanongotenderwa neDFA yekurapwa kwekukwirira chirwere. Mazhinji emabhegi eHigh Altitude Illness ari kutengeswa zvisirizvo se "Mild Hyperbaric Chambers" yezviratidzo zvisina kubvumidzwa zvisiri-mabhii.

Hyperbaric Chamber HBOT

Certification.

Iyo Modular ine zvinotevera zvitupa.

Hyperbaric Oxygen Chamber

Physics uye Physiology ye hyperbaric mishonga

Firiksi iri shure kweHyperbaric Oxygen Therapy (HBOT) iri mukati memitemo yakanaka yegesi.

Kushandisa mutemo waBoyle (p1 v1 = p2 v2) kunoonekwa mune zvakawanda zveHyperbaric Medicine. Izvi zvinogona kubatsira kune embolic phenomena dzakadai se decompression urwere (DCS) kana arterial gas inonzi (AGE). Sezvo kuwedzera kuri kuwedzerwa, ivhu rayo pamusoro pemabhuru rinoderera. Izvi zvinovawo zvinokosha nekodzero yekodzero; kana murwere achimubata kufema, iyo yakawanda yegesi yakavharirwa mumapapu pamusoro pekuwedzera uye inogona kukonzera pneumothorax.

Mutemo weCharles ([p1 v1] / T1 = [p2 v2] / T2) inotsanangura kuwedzera kwekushisa kana mudziyo uchidzvinyirirwa uye kuderera kwekushisa nekudzvinyirira. Izvi zvakakosha kuyeuka kana kurapa vana kana varwere vanorwara zvikuru kana kuti vanoridzirwa.

Mutemo waHenry unoti huwandu hwemweya wakanyungudutswa mukati memvura hwakaenzana nekumanikidza kwakasarudzika kwegesi kunoitwa pamusoro pemvura. Nekuwedzera kumanikidza kwemuchadenga mukamuri, yakawanda okisijeni inogona kunyungudika muplasma kupfuura yaizoonekwa pakumanikidza kwepamusoro.

Chiremba anofanira kukwanisa kuverenga kuti oksijeni murwere ari kugamuchira zvakadini. Kuti uenzanise chiyero ichi, atmospheres absolute (ATA) inoshandiswa. Izvi zvinogona kuverengerwa kubva muzana ye okisijeni mumusanganisi wegesi (kazhinji 100% muOxygen Therapy; 21% kana achishandisa mhepo) uye yakawedzerwa nekumanikidza. Mhirizhonga inoratidzwa mumakumbo emvura yegungwa, iyo inosangana nayo kana mumwe achiburukira kune iyo yakadzika ari mumvura yegungwa. Kudzika uye kumanikidza kunogona kuyerwa nenzira dzakawanda. Zvimwe zvinowanzoshandurwa zvakafanana 1 mumhepo = 33 mamita emvura yegungwa = 10 mamita emvura yegungwa = 14.7 mapaundi pahafu inch (psi) = 1.01 bar.

Certification.

Iyo Modular ine zvinotevera zvitupa.

Hyperbaric Oxygen Therapy (HBOT) Terminology

Hyperbaric oksijeni therapy inotsanangura munhu kufema 100 muzana oksijeni mukudzvinyirira kukuru kupfuura gungwa kusvika kune imwe nguva yakatarwa-kazhinji 60 kusvika ku90 maminitsi.

Kushushikana Kwemuchadenga - Mhepo yatinofema inoumbwa ne20.9 muzana okisijeni, 79 muzana nitrogen, uye 0.1 muzana magasi emvura. Mhepo yakajairika ine kumanikidza nekuti ine huremu uye huremu uhwu hunodhonzwa wakanangana nepakati pesimba remagetsi. Iko kumanikidza kunoitika kunoratidzwa sekumanikidza kwemhepo. Kumanikidzwa kwedenga padenga regungwa kuri 14.7 mapaundi pasikweya inch (psi).

Hydrostatic Pressure - Paunenge uchikwira pamusoro pegungwa, kumanikidza kwemhepo kunodzikira nekuti huwandu hwemhepo pamusoro pako hunorema zvishoma. Kana iwe ukasvetuka pazasi pegungwa, zvinopesana zvinoitika (kumanikidza kunowedzera) nekuti mvura ine huremu hwakakura kupfuura mweya. Nekudaro, iyo yakadzika inodzika pasi pemvura inowedzera kumanikidza. Iko kumanikidzwa kunodaidzwa kuti hydrostatic pressure.

Atmospheres Absolute (ATA) - ATA inoreva gauge yekumanikidza ichokwadi zvisinei nenzvimbo. Nenzira iyi, hudzamu hwakaenzana hunogona kusvikwa kana iri pamusoro kana pasi pegungwa.

Pane mitemo yakasiyana-siyana yekuyera kuomeswa. HBO chirwere chinoshandisa simba guru pane iro rakawanikwa pasi pano pagungwa, iro rinonzi hyperbaric pressure. Izwi kana zvigadziriswa zvinoshandiswa kuratidza hutsinye hwemvura zvinosanganisira mamita mamita kana masendimita e mercury (mmHg, inHg), mapaundi pamasendimita masere (psi), tsoka kana mamita emvura yegungwa (fsw, msw), uye atmospheres absolute (ATA).

Imwe mhepo yakakwana, kana 1 ATA, ndiyo inowanikwa mumhepo yakamanikidzwa inowanikwa pagungwa, kana 14.7 psi. Mhepo miviri yakazara, kana 2 ATA, inowedzera kaviri kudengenyeka kwepasi kunowanikwa pagungwa. Kana chiremba anorayira awa imwe yeHBOT kurapwa pa2 ATA, murwere anopfuudza 100 muzana oksijeni kweawa rimwe chete paanenge kaviri kutengesa kwepanyika pagungwa.

Hyperbaric mibvunzo: Hyperbaric tsvaga : Hyperbaric Information

Hyperbaric Therapy

Unoda rubatsiro kusarudza Yenyu Yakakwana?

Bvunza Nyanzvi!

Isu tine Unyanzvi kumirira Kubatsira Iwe!

Iva nechokwadi chokuti iwe unonyatsopinda Zita rako, Nhamba yeNhare, uye Imeyili Itaiti uye tichapindura nokukurumidza sezvinobvira. Ndatenda!

  • Iyi munda ndeyekugadzirisa zvinangwa uye inofanira kusara isina kuchinjwa.