Hyperbaric Oxygen Far - HBOT Far- Hyperbaric Far

/Hyperbaric Oxygen Far - HBOT Far- Hyperbaric Far
Hyperbaric Oxygen Far - HBOT Far- Hyperbaric Far2018-01-21T06:10:26+00:00
Hyperbaric Oxygen Far

Hyperbaric Oxygen Far (HBOT)

Kimiyya Bayan Bayanan Magunguna

Hyperbaric Oxygen Far, wanda aka sani da ita HBOT, likita ce da ke bayar 100% oxygen ga tsarin marasa lafiya na marasa lafiya yayin da suke a cikin jam'iyya mai matsin lamba. Mai haƙuri yana numfashi oxygen a matakan da ya fi 21% wanda aka samuwa a yanayin yanayi mai kyau.

Hyperbaric Far farfado ne akan ka'idoji guda biyu na ilimin lissafi.

"Dokar Henry"In ji cewa yawan gas da aka rushe a cikin ruwa yana da daidai da nauyin gas a sama da ruwa, idan babu wani abu mai sinadaran da ya faru.

"Dokar Boyle"In ji cewa a yawan zafin jiki, ƙara da matsa lamba na gas sun kasance daidai.

Wannan yana nufin iskar gas za ta matsawa zuwa matsakaicin yawan matsa lamba da aka yi a kanta. Amfani da waɗannan ka'idoji Oxygen Far ya ba da damar samun oxygen sama zuwa kyallen takalma da gabobin.

Wannan karuwa na matsin lamba na oxygen a matakin wayar salula zai iya hanzarta hanyoyin da aka warkar da kuma taimakawa wajen dawo da su daga alamun da yawa.

Hanyoyin da ke ciki suna da kadan kuma yana da wuya a ƙarshe. Magungunan Hyperbaric ba magani ba ne ga mafi yawan alamomi amma ya nuna cewa ya kara yawan kayan aiki, taimaka wa marasa lafiya da matsalolin da ke faruwa daga raunuka marasa galihu da rashin ciwo da nakasa.

Hyperbaric Far
Hyperbaric Chamber

Hyperbaric Oxygen Far History

Wannan magani wanda za'a iya dawowa zuwa 1600.

A 1662, na farko Hyperbaric Chamber an gina shi da kuma sarrafa shi da wani malamin Birtaniya mai suna Henshaw. Ya gina wani tsari mai suna "Domicilium", wanda aka yi amfani dasu don biyan yanayi daban-daban.

A 1878, Paul Bert, masanin ilimin lissafin Faransa, ya gano hanyar haɗi tsakanin cututtukan cututtuka da nitrogen a cikin jiki. Bert daga baya gano cewa za a iya ciwo zafi tare da recompression.

Manufar kula da marasa lafiya a ƙarƙashin yanayin matsa lamba ta ci gaba da Faransanci mai fannin Faransanci, wanda daga bisani ya gina wani sakin aiki a cikin 1879. Fontaine ta gano cewa mai hadarin nitrous oxide yana da matsala mafi girma a karkashin matsa lamba, banda ga marasa lafiya da suka inganta aikin oxygenation.

A cikin farkon 1900 Dokta Orville Cunningham, farfesa a fannin rigakafi, ya lura cewa mutanen da ke da cututtuka na zuciya sun inganta mafi alhẽri yayin da suke zaune kusa da teku fiye da waɗanda suke rayuwa a mafi girma.

Ya bi da abokin aikin da yake fama da ciwon mura kuma yana kusa da mutuwa saboda ƙuntatawa na wucin gadi. Sakamakonsa na nasara ya jagoranci shi wajen bunkasa abin da aka sani da "Ƙarin Bikin Ƙara" wanda yake a bakin tekun Erie. An gina tsari na shida a 1928 kuma 64 ƙafafu ne a diamita. Asibiti zai iya isa 3 cikakkiyar yanayi (44.1 PSI). Abin baƙin cikin shine, saboda matsalar tattalin arzikin da aka raunana, an ƙaddara shi a lokacin 1942 don raguwa.

Daga bisani sojojin sun fara yin amfani da Hyperbaric Chambers a cikin 1940 don magance magunguna mai zurfi da ke fama da rashin lafiya.

A cikin 1950, likitoci sun fara yin amfani da magani na Hyperbaric a lokacin da ke cikin zuciya da na huhu, wanda ya haifar da amfani da guba na monoxide a cikin 1960. Tun daga wannan lokacin, an kammala jarrabawar gwajin gwaji na 10,000 da nazarin binciken don yawancin aikace-aikace na kiwon lafiya da yawancin sakamakon binciken da suka yi nasara.

UHMS ya bayyana Hyperbaric Oxygen Far (HBOT) a matsayin wani saƙo wanda mutum yana motsawa a kusa da 100% oxygen a yayin da yake cikin cikin gidan hyperbaric da ke matsawa fiye da matakin karfin teku (1 yanayi cikakke, ko ATA).

Don dalilai na asibiti, matsa lamba dole ne ya daidaita ko wuce 1.4 ATA yayin da yake numfashi kusa da 100% oxygen.

Pharmacopoeia na Amurka (USP) da Ƙungiyar Gas ta CAF (CGA) Saka ba da izinin maganin oxygen ba a kasa da 99.0% ta hanyar girma, kuma Ƙungiyar Tsaro ta Kasa ta ƙaddamar da tsarin oxygen na USP.

A wasu lokuta ya wakilci tsarin kulawa na farko da yake a cikin wasu wasu ƙira ne ga ƙwayoyin magungunan ko ƙwayar magunguna.

Ana iya gudanar da jiyya a cikin wani ɗaki na Hyperbaric Oxygen Threat Chamber ko Multicale Hyperbaric Oxygen Farrapy Chamber.

Haɗin Hyperbaric Oxygen Therapy Chambers sauke wani haƙuri; An gama dukkanin jam'iyya tare da kusa da 100% oxygen, kuma mai yin numfashi yana numfasa iska a jikinsa na kai tsaye.

Sanya Hyperbaric Oxygen Therapy Chambers riƙe mutane biyu ko fiye (marasa lafiya, masu kallo, da / ko ma'aikatan tallafi).

Ƙara yawan ɗakuna suna matsawa tare da iska mai kwakwalwa yayin da marasa lafiya ke numfasawa a kusa da 100% oxygen ta hanyar masks, hoods, ko tubes endotracheal.

Bisa ga bayanin UHMS da ƙaddamar da Cibiyoyin Kula da Magunguna da Medicaid (CMS) da sauran masu ɗaukar shinge na uku, numfashin rashin lafiya na 100% oxygen a 1 yanayi na matsa lamba ko kuma bude wasu ɓangarori na jiki zuwa 100% oxygen ba Hyperbaric oxygen far.

Dole ne mai haɗakarwa ta Hyperbaric ya karbi oxygen ta hanyar inhalation a cikin ɗakin majalisa. Bayanai na yau da kullum sun nuna cewa matsawa ya kamata ya zama 1.4 ATA ko mafi girma.

HBOT

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Hyperbaric Chamber

A halin yanzu akwai alamomin da aka amince da su na 14 a Amurka.

  1. Air ko Gas Embolism
  2. Carbon Monoxide Nama
  3. Clostridial Myositis da Myonecrosis (Gas Gangrene)
  4. Raunin Crush, Ciwon Ƙasar da Sauran Harkokin Cikin Gida Ischemias
  5. Magance ƙwaƙwalwa
  6. Gudanar da Laifi
  7. Matucin haɗari
  8. Intracranial Abscess
  9. Ƙinƙarar ƙwayoyin cuta
  10. Osteomyelitis (Refractory)
  11. Raunin Rawanin Rawanin Laifi (Soft Tissue and Bony Necrosis)
  12. Abubuwan da aka ƙaddara da haɓaka
  13. Raunin ƙanshin zafi mai tsanani
  14. Idiopathic Sannu-sannu Harsashin Jiran Rushewa

Mene ne ba Chamber Hyperbaric?

Maganin oxygen, ko Topox, ana gudanar da shi ta hanyar karamin ɗakin da aka sanya a kan wani tsananan kuma yana matsawa da oxygen. Mai haƙuri ba ya numfasa iskar oxygen, kuma ba a rage sauran jikin. Saboda haka, mai haƙuri ba zai iya amfana daga mafi yawan ire-iren lafiyar Hyperbaric Medicine, wanda ke da mahimmanci ko ya faru a matakin da ya fi zurfin oxygen iya shiga (duba Hyperbaric Physics da Physiology sashe a kasa). Topox yana dogara ne akan manufar cewa oxygen ya yada ta hanyar nama a zurfin 30-50 microns. [4] Wannan hanyar ba ta bi da DCS ba, mai kwakwalwa na gas (AGE), ko kuma carbon monoxide (CO) guba.

Tare da Topox ya tsara bambancin matsalolin dole ne a halicci tsakanin na'ura da kuma yanayi na budewa don matsawa da inji. Domin kiyaye matsananciyar fitarwa daga na'ura mai kwakwalwa, maƙalar akwatin za ta dace sosai a kusa da iyakar, ta hanyar samar da kayan taɗi kamar sakamako. Topox ba a rufe shi ta inshora, kuma jaridar Diabetes Care ba ta amince da shi don maganin ulcers.

Sauran nau'in jam'iyya ne mai ɗakin murya mai suna Mild Hyperbaric Chamber. Wadannan tasoshin ƙafa za a iya matsawa zuwa 1.2-1.5 cikakkiyar yanayi (ATA). FDA ne kawai ya yarda da su don magance rashin lafiya. Yawancin wadannan akwatunan rashin lafiya na High Altitude ana sayar da su ne daidai ba a matsayin "Mild Hyperbaric Chambers" don alamun ba da alamar nunawa ba.

Hyperbaric Chamber HBOT
Hyperbaric Oxygen Chamber

Physics da Physiology na hyperbaric magani

Harkokin kimiyyar lissafi a baya Hyperbaric Oxygen Far (HBOT) ya kasance cikin ka'idojin iskar gas.

Aiwatar da Dokar Boyle (p1 v1 = p2 v2) ana gani a bangarori da dama na Medicine Hyperbaric. Wannan zai iya zama da amfani tare da abubuwan ban sha'awa irin su cututtukan lalacewa (DCS) ko kuma gas mai zurfi (AGE). Yayin da karfin ya karu, ƙarar da aka yi game da ƙwayoyin zazzage. Wannan kuma ya zama mahimmanci tare da rikici na jam'iyya; idan mai haƙuri yana da numfashi, ƙarar gas din da aka kama a cikin huhu yana fadada kuma zai iya haifar da pneumothorax.

Dokar Charles ([p1 v1] / T1 = [p2 v2] / T2) yayi bayani akan yawan karuwar yawan tayin lokacin da jirgin ya matsa kuma rage yawan zafin jiki da depressurization. Wannan yana da mahimmanci a tuna lokacin da ake zalunta yara ko marasa lafiya marasa lafiya ko kuma wadanda suke cikin damuwa.

Dokar Henry ta ce yawan gas da aka rushe a cikin ruwa yana daidaita da matsa lamba na iskar gas da aka yi a kan ruwa. Ta hanyar kara matsa lamba a cikin jam'iyya, za'a iya rage yawan oxygen a cikin plasma fiye da yadda za'a gani a matsa lamba.

Dole ne likita ya iya lissafin adadin oxygen da mai karɓa yake karbar. Don yin daidaituwa da wannan adadin, ana amfani da cikakkiyar yanayin (ATA). Ana iya lissafta wannan daga yawan adadin oxygen a cikin cakudaccen gas (yawanci 100% a Maganin Oxygen; 21% idan amfani da iska) kuma ya karu ta hanyar matsa lamba. Ana nuna matsa lamba a cikin ƙafafun ruwan teku, wanda shine matsa lamba idan mutum yana sauka zuwa zurfin yayin da yake cikin teku. Za'a iya aunawa da kuma matsa lamba a hanyoyi da dama. Wasu sauye-sauye su ne 1 yanayi = 33 ƙafa na ruwan teku = 10 mita na ruwa ruwa = 14.7 fam na square inch (psi) = 1.01 bar.

Hyperbaric Oxygen Far (HBOT) Terminology

Maganin hawan oxygen Hyperbaric yana kwatanta mutumin da yake numfashi 100 bisa dari na oxygen a matsin da ya fi girma a matakin teku don yawan lokaci-yawanci 60 zuwa 90 minti.

Jigilar iska - Jirgin da muke numfashi yana dauke da 20.9 kashi oxygen, 79 bisa dari nitrogen, da kuma 0.1 kashi dari na gas. Jirgin na yau da kullum yana aiki da matsin lamba saboda yana da nauyin nauyi kuma an jawo wannan nauyin zuwa tsakiya na nauyi. An bayyana matsalolin da aka gani a matsayin matsin lamba. Matsanancin yanayi a matakin teku shine 14.7 fam na murabba'in inch (psi).

Matsalar haɓaka - Kamar yadda kake hawa a saman teku, numfashin iska yana ragewa saboda yawan iska a sama da ku yayi nauyi. Idan ka nutse ƙarƙashin ƙasa na teku, ƙananan na faruwa (ƙin ƙara yana ƙaruwa) saboda ruwa yana da nauyin nauyi fiye da iska. Saboda haka, zurfi yana saukowa ƙarƙashin ruwa yafi girma. Wannan matsin ne ake kira tasirin hydrostatic.

Atmospheres Absolute (ATA) - ATA tana nufin matsa lamba na gaskiya wanda ba gaskiya bane. Wannan hanya, za a iya isa zurfin zurfin ko isa a saman ko a kasa.

Akwai kalmomi daban-daban don auna matsa lamba. Hanyar HBO tana amfani da matsin da ya fi girma akan abin da aka samo a kasa a saman teku, wanda ake kira hyperbaric matsa lamba. Hanyoyin ko raka'a da aka yi amfani da su don nuna jujjuyawar murya sun haɗa da millimeters ko inci na mercury (mmHg, inHg), fam na murabba'in mita (psi), ƙafa ko mita na ruwa na ruwa (fsw, msw), da kuma yanayi cikakke (ATA).

Ɗayaccen yanayi cikakke, ko 1 ATA, shine matsakaicin matsanancin yanayi da aka yi a teku, ko 14.7 psi. Biyu yanayi cikakke, ko 2 ATA, sau biyu ne da matsanancin yanayi a cikin teku. Idan likita ya rubuta sa'a daya na HBOT a 2 ATA, mai yin haƙuri yana numfashi 100 kashi oxygen oxygen na sa'a daya yayin da sau biyu yanayin matsa lamba a teku.

Tambayoyi Hyperbaric : Binciken Hyperbaric : Bayanan Hyperbaric

Hyperbaric Far

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