Ua ʻimi kahi noiʻi hou i nā hopena o ka hyperbaric oxygen therapy ma ka puʻuwai o ka poʻe e loaʻa ana i ka COVID lōʻihi, e pili ana i nā pilikia olakino e hoʻomau a hoʻi hou ma hope o ka maʻi SARS-CoV-2.
Hiki i kēia mau pilikia ke komo i ka puʻuwai puʻuwai maʻamau a me ka piʻi nui ʻana o ka maʻi cardiovascular.Ua ʻike nā mea noiʻi ʻo ka hoʻoulu ʻana i ke kaomi nui, ka oxygen maʻemaʻe hiki ke kōkua i ka hoʻomaikaʻi ʻana i nā ʻokiʻoki o ka naʻau i nā maʻi maʻi COVID lōʻihi.
Ua alakaʻi ʻia ke aʻo ʻana e Professor Marina Leitman mai ke kula ʻo Sackler School of Medicine ma Tel Aviv University a me Shamir Medical Center ma ʻIseraʻela.ʻOiai ua hōʻike ʻia nā ʻike i kahi hālāwai kūkā ma Mei 2023 i mālama ʻia e ka European Society of Cardiology, ʻaʻole lākou i hoʻopaʻa ʻia i ka loiloi hoa.
ʻO nā pilikia COVID a me ka puʻuwai lōʻihi
ʻO Long COVID, ka mea i kapa ʻia ʻo post-COVID syndrome, pili i ka 10-20% o nā poʻe i loaʻa iā COVID-19.ʻOiai ʻo ka hapa nui o ka poʻe e ola hou mai ka maʻi maʻi, hiki ke ʻike ʻia ka lōʻihi o ka COVID ke hoʻomau nā hōʻailona no ka liʻiliʻi o ʻekolu mahina ma hope o ka hoʻomaka mua ʻana o nā hōʻailona COVID-19.
Hoʻopili nā hōʻailona o ka lōʻihi COVID i nā pilikia olakino, me ka pōkole o ka hanu, nā pilikia cognitive (i kapa ʻia ʻo ka noe lolo), ke kaumaha, a me nā hoʻopiʻi cardiovascular he nui.ʻO ka poʻe me ka lōʻihi o ka COVID ke piʻi aʻe ka pilikia o ka hoʻomohala ʻana i ka maʻi puʻuwai, ka puʻuwai puʻuwai, a me nā kūlana pili ʻē aʻe.
ʻO ka poʻe i loaʻa ʻole nā pilikia o ka naʻau ma mua a i ʻole ka nui o ka maʻi cardiovascular i ʻike i kēia mau hōʻailona, e like me ka hōʻike ʻana i kahi noiʻi i hana ʻia ma 2022.
Nā ʻano o ka haʻawina
Ua hoʻopaʻa ʻo Kauka Leitman a me kāna mau hoa i nā maʻi maʻi he 60 e ʻike nei i nā hōʻailona lōʻihi o COVID-19, ʻoiai ma hope o nā hihia maʻalahi a maʻalahi, e mau ana no ʻekolu mahina.ʻO ka hui pū kekahi i hoʻopaʻa ʻia i ka hale maʻi a me ka poʻe i hoʻokipa ʻole ʻia.
No ka hana ʻana i kā lākou aʻo ʻana, ua hoʻokaʻawale nā mea noiʻi i nā hui i ʻelua pūʻulu: hoʻokahi e loaʻa ana i ka hyperbaric oxygen therapy (HBOT) a ʻo kekahi e loaʻa i kahi kaʻina hana simulated (sham).Hana ʻia ka haʻawina me ka helu like o nā kumuhana i kēlā me kēia hui.I loko o nā pule he ʻewalu, ʻelima mau kau i kēlā me kēia pule i kēlā me kēia kanaka.
Ua loaʻa i ka hui HBOT ka 100% oxygen ma ke kaomi o 2 atmospheres no 90 mau minuke, me nā manawa pōkole i kēlā me kēia 20 mau minuke.Ma ka ʻaoʻao ʻē aʻe, ua loaʻa i ka hui sham he 21% oxygen ma ke kaomi o ka lewa 1 no ka lōʻihi like akā ʻaʻole hoʻomaha.
Eia hou, ua komo nā mea a pau i ka echocardiography, kahi ho'āʻo e nānā i ka hana naʻau, ma mua o ka hālāwai HBOT mua a me 1 a 3 mau pule ma hope o ke kau hope.
I ka hoʻomaka ʻana o ke aʻo ʻana, ua loaʻa i ka 29 o ka 60 nā mea komo i ka awelika o ka honua longitudinal strain (GLS) waiwai o -17.8%.Ma waena o lākou, ua hoʻonoho ʻia ʻo 16 i ka hui HBOT, a ʻo ke koena he 13 i ka hui hoʻopunipuni.
Nā hopena o ka haʻawina
Ma hope o ke kau ʻana i nā lāʻau lapaʻau, ua ʻike ka pūʻulu hana i ka piʻi nui o ka GLS awelika, a hiki i -20.2%.Pēlā nō, ua hoʻonui pū ka hui sham i ka awelika GLS, a hiki i -19.1%.Eia naʻe, ʻo ke ana mua wale nō i hōʻike i kahi ʻokoʻa nui i hoʻohālikelike ʻia me ke ana mua i ka hoʻomaka ʻana o ke aʻo ʻana.
Ua ʻike ʻo Kauka Leitman ma kahi kokoke i ka hapalua o nā maʻi maʻi COVID lōʻihi i hoʻopilikia i ka hana naʻau i ka hoʻomaka ʻana o ke aʻo ʻana, e like me ka GLS.Akā naʻe, ua hōʻike ka poʻe a pau i komo i ke aʻo ʻana i kahi hakina ejection maʻamau, ʻo ia ke ana maʻamau i hoʻohana ʻia no ka loiloi ʻana i ka hiki ʻana o ka puʻuwai a me ka hoʻomaha ʻana i ka wā o ke kahe koko.
Ua hoʻoholo ʻo Kauka Leitman ʻaʻole i maʻalahi ka ʻāpana ejection wale nō e ʻike i nā maʻi maʻi COVID lōʻihi i hōʻemi paha i ka hana naʻau.
Hiki i ka hoʻohana ʻana i ka oxygen therapy ke loaʻa nā pōmaikaʻi.
Wahi a Dr. Morgan, ʻo nā ʻike o ka noiʻi e hōʻike ana i kahi ʻano maikaʻi me ka hyperbaric oxygen therapy.
Eia nō naʻe, ʻōlelo ʻo ia e makaʻala, me ka ʻōlelo ʻana ʻaʻole ʻo ka hyperbaric oxygen therapy i ʻae ʻia i ke ao holoʻokoʻa a koi i ka hoʻokolokolo hou.Eia kekahi, aia nā hopohopo e pili ana i ka piʻi ʻana o ka arrhythmias ma muli o kekahi noiʻi.
Ua hoʻoholo ʻo Kauka Leitman a me kāna mau hoa e hiki i ka hyperbaric oxygen therapy ke lilo i mea maikaʻi no nā maʻi me COVID lōʻihi.Manaʻo ʻo ia e pono ka noiʻi hou aku e ʻike i nā mea maʻi e pōmaikaʻi nui loa, akā pono paha ia no nā mea maʻi COVID lōʻihi e hoʻopaʻa i kahi loiloi o ka honua longitudinal strain a noʻonoʻo i ka hyperbaric oxygen therapy inā pilikia ko lākou puʻuwai.
Ua hōʻike pū ʻo Kauka Leitman i ka manaʻolana e hiki i nā haʻawina hou ke hāʻawi i nā hopena lōʻihi a kōkua i nā limahana mālama ola i ka hoʻoholo ʻana i ka helu kūpono o nā kau ʻana o ka hyperbaric oxygen therapy.
Ka manawa hoʻouna: ʻAukake-05-2023