Iindaba

Njengelungu elibalulekileyo leemvakalelo, indlebe yomntu ixhasa ubuchule bethu bokuva nokunxibelelana. Xa kuvela ukuphazamiseka kokuva, akonakalisa nje kuphela ukusebenza kokuva nokuthetha, kodwa kukwachaphazela kakhulu impilo yomzimba neyengqondo kunye nokubandakanyeka koluntu.

Kwiminyaka yakutshanje, ukuxhaphaka kokulahlekelwa kukuva ngesiquphe (i-SSNHL) kuye kwanda kancinci, kwaye oku kucacile kubantu abancinci abagulayo. Isivumelwano seengcali zehlabathi siqinisekisa ukuba kunye ne-pharmacotherapy, izigulane ezine-SSNHL kufuneka ziqale unyango lwe-hyperbaric oxygen (i-HBOT) kwangoko. Ubungqina obuninzi bezonyango bubonisa ukuba unyango olupheleleyo oludibanisa i-HBOT luphakamisa kakhulu izinga lokuphendula kunye nezinga lokunyanga le-SSNHL.

Ukulahlekelwa Kukuva Ngesiquphe Kwee-Sensorineural

I-HBOT ikhuthaza imetabolism ye-aerobic, iphucula ukujikeleza kwegazi endlebeni, kwaye ikhawulezisa ukubuyiselwa kokusebenza kwe-cochlea kunye ne-vestibular nerve. Ikwanciphisa ixesha lesifo kwaye inciphise iziphumo ezibi zamayeza, ifumana ukuqatshelwa njengolunye lonyango olusebenzayo olusekelwe kubungqina be-SSNHL.

Isikhokelo se-US Clinical Practice Guideline sowama-2019 malunga nokulahlekelwa kukuva ngesiquphe sigxininisa ukubaluleka kokungenelela kwe-HBOT kwangoko ngeengcebiso ezimbini ezibalulekileyo:

1. Xa isetyenziswa njengonyango lokuqala, i-HBOT kufuneka idityaniswe ne-glucocorticoids kwaye iqaliswe kwiiveki ezi-2 emva kokuqala kwe-SSNHL.

2. Xa isetyenziswa njengonyango lokusindisa, oogqirha banokunika i-HBOT kunye ne-glucocorticoids njengokhetho lokuhlangula kwinyanga e-1 emva kokuba iimpawu ziqalile.

Ngoko ke, izigulane ezine-SSNHL ziyacetyiswa ngamandla ukuba zingaphoswa lixesha lokuqalisa i-HBOT kwangethuba. Kwanabo banesifo esingapheliyo, i-HBOT iseyindlela efanelekileyo yokungenelela enokubonelela ngeengenelo zonyango ezinokuba luncedo, ezihlala zingalindelekanga.

Ukulahlekelwa Kukuva Ngesiquphe Kwee-Sensorineural2

Yintoni Ukulahlekelwa Kukuva Ngesiquphe Kweendlebe?

I-SSNHL inokuhlasela nakweyiphi na iminyaka kwaye ivela kwiintlobo ngeentlobo zezizathu. I-Vasospasm ebangelwa kukudinwa, ukuchatshazelwa yingxolo kunye nezinye izinto ezibangela uxinzelelo; i-viscosity ephezulu yegazi ngenxa ye-hyperlipidemia, i-hyperglycemia kunye neemeko ezinxulumene noko; i-inner ear ischemia kunye ne-hypoxia; kunye nosulelo lwentsholongwane konke oku kunokukhokelela ekuwohlokeni kokuva ngequbuliso. Abantu abadala abadala abane-hypertension engaphantsi, isifo seswekile kunye nezinye izifo ezingapheliyo nabo bajongene nomngcipheko ophezulu.

Phakathi kwabantu abancinci nabakwiminyaka ephakathi, uxinzelelo olungapheliyo, uxinzelelo lweemvakalelo kunye nokusebenza kakhulu kunokuphazamisa ulawulo lwemithambo-luvo kwaye kubangele ukulahlekelwa kukuva ngequbuliso. Amatyala aqatha adla ngokuhamba ne-tinnitus, i-vertigo, isicaphucaphu, ukuhlanza kunye nokuziva ugcwele indlebe.

Ukulahlekelwa Kukuva Ngesiquphe Kweenzwa3

Kutheni i-HBOT isebenza kwi-SSNHL?

✓ Inyusa ngokukhawuleza amanqanaba eoksijini yemithambo yegazi, yandisa umgama wokusasazwa koomoya-mpilo kwiindonga zee-capillary, kwaye yonyusa uxinzelelo lweoksijini oluncinci kwi-perilymph nakwi-endolymph yendlebe yangaphakathi - ibuyisela ukungabikho koxilongo kwizicubu kwaye ibuyisele ukusebenza okuqhelekileyo kweeseli.
✓ Ngokusombulula i-hypoxia yendawo, i-HBOT ibangela ukuxinana kwemithambo yegazi okuncinci, inciphisa ukungena kwe-capillary kwaye inciphise ukuvuza kolwelo, ngaloo ndlela inciphisa ukudumba kwendlebe yangaphakathi okubangelwa kukungabikho kweoksijini.
✓ Iphucula i-hemorheology kwaye yehlisa i-hematocrit, enciphisa i-viscosity yegazi, iphucula i-microcirculation yendlebe yangaphakathi kunye ne-metabolism yezicubu, kwaye ixhasa ukubuyiselwa kokusebenza kweeseli zeenwele ezivayo kunye neziphelo zemithambo-luvo.

Imibuzo Ebuzwa Rhoqo Malunga ne-HBOT ye-SSNHL

Q Kutheni iseshoni eqhelekileyo ye-HBOT ithatha imizuzu engama-60 yokuphefumla ioksijini?

Izicubu zomntu zahlulwe zangamaqela amahlanu ngokusekelwe kwi-kinetics yazo ye-oxygen saturation. I-Cerebral grey matter igqiba umjikelo omnye we-saturation rhoqo emva kwemizuzu eli-10, kwaye ifikelela kwi-saturation epheleleyo emva kwemijikelo emi-6 elandelelanayo - ilingana ngqo nemizuzu engama-60.

Q Ndiza kuyibona nini inkqubela phambili evela kwi-HBOT?

Uninzi lwezigulana luqala ukufumana isiqabu sokuva ngcono kunye nokukhululeka kwi-tinnitus, ukugcwala kwendlebe kunye ne-vertigo emva kweveki enye yonyango. Kwabanye, iingenelo ziqala ukubonakala emva kweseshoni yesi-8 ukuya kweyesi-9. Uphuculo oluphezulu lokuva ludla ngokufikelelwa kwiintsuku ezingama-20 ukuya kwezingama-30 ze-HBOT efanayo.

Q Yeyiphi ikhosi ye-HBOT ecetyiswayo kwi-SSNHL?

1. Inkqubo eqhelekileyo: Ngokwesiqhelo iikhosi zonyango ezi-2 ukuya kwezi-3, kunye neeseshoni ezili-10 kwikhosi nganye. Emva kokuba iimpawu ziphelile, kuyacetyiswa ukuba uchithe isiqingatha esongezelelweyo kwikhosi enye epheleleyo ukuze kuhlanganiswe iziphumo.

2. Ngobunzima bokulahlekelwa kukuvaIikhosi ezi-1-2 zokulahlekelwa kancinci; Iikhosi ezi-3-4 zokulahlekelwa okuphakathi; Iikhosi ezi-5-6 zokulahlekelwa okukhulu.

3. Unyango lokuxhasa ulondolozo: Ukuphinda iikhosi ezi-2 rhoqo emva kweenyanga ezi-3 ukuya kwezi-6 emva konyango lokuqala kuxhasa iingenelo ezihlala ixesha elide. Kungenjalo, iikhosi ezi-2 zokuthintela zingathathwa inyanga enye ngaphambi kwexesha lonyaka leziganeko ezixhaphakileyo, kungcono ngexesha lokutshintsha kwekwindla ukuya ebusika okanye entwasahlobo ukuya ehlotyeni.

Q I-HBOT kufuneka iyekwe nini?

1. Unyango lunokumiswa ukuba akukho phuculo lwezonyango olubonakalayo emva kweeseshoni ezingama-40. Uphando lubonisa ukuba inkqubo yeeseshoni ezingama-40 ifikelela phantse kabini ekusebenzeni kwekhosi yeeseshoni ezingama-20.

2. I-audiometry yethoni emsulwa kufuneka yenziwe veki nganye ngexesha lonyango. Ukuyeka kuqwalaselwa kuphela emva kokuba iimvavanyo ezi-2 ukuya kwezi-3 ezilandelelanayo ziqinisekisa ukuba akukho nkqubela ibalulekileyo.

3. Abanye oogqirha bacebisa ukuba izigulane ezingakhange ziphucuke kakhulu emva kwezifundo ezi-3 ukuya kwezi-4 ziyeke kancinci kangangeentsuku ezi-7-10, emva koko ziqhubeke nonyango. Kwabo baneziphumo ezingezizo ezilungileyo, izifundo ezi-5 ukuya kwezi-6 nangaphezulu zihlala zifanelekile.

Q Zeziphi izinto ezichaphazela iziphumo ze-HBOT?

1. Ukusebenza kakuhle kuphezulu kakhulu kwilahleko yokuva ye-sensorineural, kuphakathi kwilahleko yokuva exutyiweyo, kwaye akubonakali kangako kwilahleko yokuva eqhubayo.

2. Izigulane ezincinci ezineengxaki zempilo ezimbalwa zifumana iziphumo ezilungileyo.

3. I-vertigo eyenzeka ngaxeshanye inxulunyaniswa nokuphola kancinci kokuva.

4. Uxinzelelo lwegazi oluphezulu, i-arteriosclerosis okanye isifo seswekile zixela kwangaphambili ukuba isifo sinokuba sibi kakhulu.

5. Ubunzima bokuqala bokulahlekelwa kukuva buhambelana nokuphola kancinci nangokungapheleli.

Ukulahlekelwa Kukuva Ngesiquphe Kweenzwa4

Fikelela kwi-HBOT yeBanga loBugcisa nge-MACY-PAN Hyperbaric Chambers

Kwizigulane ezilandela unyango lwe-hyperbaric oxygen oluhambelanayo nolulula lwe-SSNHL kunye nezinye iimpawu zempilo,Amagumbi eoksijini e-MACY-PAN anamandlaunikezele ngesisombululo esikhuselekileyo, esithembekileyo, nesigxile kwisigulane.

Iigumbi ze-MACY-PAN, ezicwangciswe ngolawulo loxinzelelo oluchanekileyo kunye neenkqubo zokuhambisa ioksijini eziphuculweyo, zenzelwe ukuhambelana neenkqubo zeklinikhi ze-HBOT, zibonelela ngamanqanaba oxinzelelo oluzinzileyo lonyango ukuxhasa i-oxygenation yendlebe yangaphakathi, ukulungiswa kwezicubu kunye nokubuyiselwa kwemithambo-luvo. Ifanelekile ukugcinwa ixesha elide, i-MACY-PAN inikezela ngeenkqubo ze-hyperbaric ezisebenziseka lula nezihambelana nekhaya ezinceda izigulane zihlale zisemgceni ngonyango lwazo kwaye zisebenzele iziphumo ezingcono zokuva.

Ixesha leposi: Juni-30-2026

Unyango lwe-oksijini ye-Hyperbaric yokulahlekelwa kukuva ngequbuliso