Ngā Pūrongo - Te Whakaora Hāora Hyperbaric mō te Ngaronga Whakarongo Ohorere

Hei okana rongo nui, ko te taringa te pou here mō te whakarongo me te kōrero. Ina pāngia te rongo e te ngoikore o te whakarongo, ehara i te mea ka kino noa te mahi whakarongo me te kōrero, engari he pānga nui anō hoki ki te hauora tinana me te hinengaro me te whai wāhi ki te hapori.

I ngā tau tata nei, kua piki haere tonu te maha o ngā mate whakarongo ohorere (SSNHL), me te ia o te hunga taitamariki. E whakaū ana te whakaaro whānui a ngā tohunga o te ao, me tīmata wawe tonu te rongoā i ngā tūroro e pangia ana e te SSNHL, arā, te rongoā hāora hyperbaric (HBOT). He nui ngā taunakitanga haumanu e whakaatu ana ko te maimoatanga whānui e whakauru ana i te HBOT ka whakapiki ake i te tere urupare me te tere whakaora o te SSNHL.

Ka whakanuia e te HBOT te pākia o te tinana, ka whakarei ake i te tohanga toto o roto o te taringa, ā, ka tere ake te whakaora mahi o te cochlea me te io vestibular. Ka whakapotohia hoki te roa o te mate, ka whakaitihia hoki ngā pānga kino o te rongoā, ā, ka mōhiotia ko tētahi o ngā maimoatanga tino whai hua mō te SSNHL.

E whakaatu ana te Aratohu Mahi Haumanu o te US mō te Ngaronga Whakarongo ohorere i te uara o te wawaotanga HBOT wawe me ngā taunakitanga matua e rua:

1. Mēnā ka whakamahia hei rongoā tīmatanga, me whakakotahi te HBOT me ngā glucocorticoids, ā, me tīmata i roto i ngā wiki e 2 o te tīmatanga o te SSNHL.

2. Ina whakamahia hei whakaora, ka taea e ngā tākuta te tuku i te HBOT me ngā glucocorticoids hei whiringa whakaora i roto i te kotahi marama o te tīmatanga o ngā tohu.

Nō reira, e tino tohutohuhia ana ngā tūroro e pāngia ana e te SSNHL kia kaua e mahue te wā mō te HBOT wawe. Ahakoa mō te hunga he roa ake te roa o te mate, he wawaotanga whai hua tonu te HBOT, ā, ka taea te whakaputa i ngā painga rongoā whai tikanga, ā, he maha ngā wā kāore i te tumanakohia.

He aha te Ngaronga Whakarongo Ohorere?

Ka pā te SSNHL i ngā tau katoa, ā, he maha ngā take e puta mai ana. Ko te vasospasm e puta mai ana i te ngenge, te haruru me ētahi atu ahotea; te matotoru o te toto mai i te hyperlipidemia, te hyperglycemia me ngā āhuatanga e pā ana; te ischemia taringa o roto me te hypoxia; me ngā mate huaketo ka arahi katoa ki te hekenga ohorere o te rongo. Ko ngā kaumātua e pangia ana e te toto toto tiketike, te mate huka me ētahi atu āhuatanga mau tonu he nui ake te mōrearea.

I roto i te hunga rangatahi me te hunga pakeke, ka taea e te ahotea mau tonu, te mamae o te kare ā-roto me te mahi nui te whakararuraru i te whakahaere o te pūnaha io me te whakaoho i te ngaronga o te rongo ohorere. He maha ngā wā ka haere tahi te tinnitus, te pororaru, te whakapairuaki, te ruaki me te kare o te taringa e kī ana.

He aha te take e mahi ai te HBOT mō te SSNHL?

✓ Ka tere te whakanui ake i ngā taumata hāora o ngā uaua, ka roa ake te tawhiti tohatoha hāora puta noa i ngā pakitara o ngā uaua toto, ā, ka whakanui ake i te pēhanga wāhanga hāora i roto i te perilymph me te endolymph o te taringa o roto - ka huri i te hypoxia o te kiko me te whakahoki mai i te mahi noa o te pūtau.
✓ Mā te whakatau i te hypoxia ā-rohe, ka puta te whakawhāiti ngawari o ngā oko toto i te HBOT, ka whakaiti i te urunga o ngā capillaries me te turuturu wai, ā, ka whakamama i te pupuhi o roto o te taringa i puta mai i te korenga o te hāora.
✓ Ka whakapai ake i te rere toto, ka whakaiti i te hematocrit, ka whakaiti i te matotoru o te toto, ka arotau i te tohanga toto o roto o te taringa me te pākia o te kiko, ā, ka tautoko i te whakaora mahi o ngā pūtau makawe whakarongo me ngā pito io.

Ngā Pātai Auau mō te HBOT mō te SSNHL

Q He aha i 60 meneti ai te manawa hāora mō tētahi wā HBOT paerewa?

E rima ngā rōpū o ngā kiko tangata e ai ki te tere o te kukū o te hāora. Ka oti i te mea hina roro te kotahi huringa kukū i ia 10 meneti, ā, ka eke ki te kukū katoa i muri i ngā huringa e 6 karapīpiti - he rite tonu ki te 60 meneti.

Q Āhea ahau ka kite i te whakapainga mai i te HBOT?

Ka tīmata te nuinga o ngā tūroro ki te rongo pai ake me te whakamāmā i te tinnitus, te kī o te taringa me te pororaru i muri i te wiki kotahi o te maimoatanga. Mō ētahi, ka puta tuatahi ngā hua i muri i te wāhanga 8 ki te 9. Ko te whakapainga o te whakarongo tino pai ka tutuki i roto i ngā rā 20 ki te 30 o te HBOT tonu.

Q He aha te akoranga HBOT e taunakitia ana mō te SSNHL?

1. Te tikanga paerewaKo te tikanga, e 2 ki te 3 ngā akoranga maimoatanga, me te 10 ngā wā mō ia akoranga. Kia memeha haere ngā tohu, ka tūtohutia kia tāpirihia he haurua ki te kotahi akoranga katoa hei whakakotahi i ngā hua.

2. Mā te kaha o te ngaronga o te rongo1-2 akoranga mō te ngaronga ngawari; 3-4 akoranga mō te ngaronga ngawari; 5-6 akoranga mō te ngaronga nui.

3. Te rongoā whakapakari tiakiMā te whakahoki i ngā akoranga e rua i ia 3 ki te 6 marama i muri i te maimoatanga tuatahi ka tautoko i ngā painga pumau. Tērā atu rānei, ka taea te tango i ngā akoranga ārai e rua i te marama i mua i ngā wā tino pāngia o te tau, ko te mea pai ko te wā whakawhiti mai i te ngahuru ki te hotoke, mai i te kōanga ki te raumati rānei.

Q Āhea me whakamutu te HBOT?

1. Tērā pea ka mutu te maimoatanga mēnā kāore he whakapainga haumanu e kitea ana i muri i te 40 wā. E ai ki ngā rangahau, ko te whai huatanga o te maimoatanga 40-wā ka tata ki te rua ngā wā i nui ake i te whai huatanga o te maimoatanga 20-wā.

2. Me mahi te ine oro pure-tone ia wiki i te wā e rongoatia ana. Ka whakaarohia te whakamutu i te oro ina oti ngā whakamātautau e 2 ki te 3 te whakaū i te korenga o te ahunga whakamua.

3. E taunaki ana ētahi tākuta kia okioki ngā tūroro kāore i tino pai te āhua o te mate i muri i te 3 ki te 4 akoranga mō ngā rā 7-10, kātahi ka tīmata anō te maimoatanga. Mō te hunga kāore i tino pai ngā hua, he maha ngā wā ka tika kia 5 ki te 6, neke atu rānei, ngā akoranga tonu.

Q He aha ngā āhuatanga e pā ana ki ngā putanga HBOT?

1. He tino whai hua te rongoā mō te ngaronga o te rongo pūmau, he taurite te whai huatanga mō te ngaronga o te rongo whakauru, ā, he iti ake te kaha mō te ngaronga o te rongo kawe hiko.

2. Ko ngā tūroro taitamariki me te iti ake o ngā āhuatanga hauora e whakatutuki ana i ngā hua pai rawa atu.

3. E hono ana te pororaru ngātahi ki te puhoi o te whakaoranga o te whakarongo.

4. Ko te toto toto tiketike, te arteriosclerosis, te mate huka rānei, e tohu ana i te kino o te oranga tonutanga.

5. Ko te kaha ake o te ngaronga o te turi i te tīmatanga e pā ana ki te puhoi ake me te kore e tino ora.

Whakauru atu ki te HBOT Tohu Ngaio me ngā Rūma Hyperbaric MACY-PAN

Mō ngā tūroro e whai ana i te rongoā hāora hyperbaric auau, watea hoki mō te SSNHL me ētahi atu tohu hauora,Ngā rūma hāora hyperbaric MACY-PANte whakarato i tētahi otinga haumaru, pono, e aro ana ki te tūroro.

He mea hanga ngā rūma MACY-PAN me te whakahaere pēhanga tika me ngā pūnaha tuku hāora kua arotauhia, ā, kua hangaia kia rite ki ngā tikanga HBOT haumanu, kia tukuna ai ngā taumata pēhanga rongoā pumau hei tautoko i te tuku hāora ki roto i te taringa, te whakatika kiko me te whakaora io. He pai mō te tiaki roa, ka tukuna e MACY-PAN ngā pūnaha hyperbaric ngāwari ki te whakamahi, hototahi ki te kāinga, hei āwhina i ngā tūroro kia noho tonu ki te huarahi tika me tā rātou rongoā me te mahi ki ngā putanga whakarongo pai ake.

Wā tuku: Pipiri-30-2026