Ka whakapai ake te rongoā hāora hyperbaric i ngā mahi hinengaro-pūnaha o ngā tūroro whai muri i te whiu - he tātaritanga whakamuri

Papamuri:

Kua whakaatuhia e ngā rangahau o mua ka taea e te rongoā hāora hyperbaric (HBOT) te whakapai ake i ngā mahi nekeneke me te mahara o ngā tūroro whai muri i te whiu i te wāhanga mau tonu.

Whāinga:

Ko te whāinga o tēnei rangahau he aromatawai i ngā pānga o te HBOT ki ngā mahi hinengaro whānui o ngā tūroro whai muri i te whiu i te wāhanga mau tonu. I tirotirohia te āhua, te momo me te wāhi o te whiu hei whakarerekētanga pea.

Ngā Tikanga:

I whakahaerehia he tātaritanga whakamuri ki ngā tūroro i rongoatia ki te HBOT mō te whiu mau tonu (>3 marama) i waenga i te tau 2008-2018. I rongoatia ngā kaiuru i roto i tētahi rūma hyperbaric maha-wāhi me ngā tikanga e whai ake nei: 40 ki te 60 wā i ia rā, 5 rā i te wiki, i roto i ia wā he 90 meneti o te 100% hāora i te 2 ATA me ngā parai hau 5 meneti i ia 20 meneti. Ko ngā whakapainga nui haumanu (CSI) i tautuhia ko te > 0.5 paerewa rerekētanga (SD).

Ngā Hua:

I whakaurua ki te rangahau he 162 ngā tūroro (75.3% ngā tāne) me te tau toharite o te 60.75±12.91. O rātou, 77 (47.53%) i pāngia e ngā whiu cortical, 87 (53.7%) i pāngia e ngā whiu ischemic (74.6%), ā, 121 i pāngia e ngā whiu ischemic (74.6%).
I puta he pikinga nui i roto i ngā wāhanga mahi hinengaro katoa i te HBOT (p < 0.05), me te 86% o ngā tāngata i pāngia e te whiu i whiwhi i te CSI. Kāore he rerekētanga nui i muri i te HBOT o ngā whiu cortical ki te whakataurite ki ngā whiu sub-cortical (p > 0.05). He nui ake te whakapainga o te tere tukatuka mōhiohio i muri i te HBOT i ngā whiu toto (p < 0.05). He nui ake te pikinga o te rohe nekeneke i ngā whiu o te taha maui (p < 0.05). I roto i ngā wāhanga hinengaro katoa, ko te mahi hinengaro taketake he tohu nui mō te CSI (p < 0.05), engari ko te momo whiu, te tauwāhi me te taha kāore i te tohu nui.

Ngā Whakatau:

Ka puta he whakapainga nui mai i te HBOT i ngā wāhanga hinengaro katoa, ahakoa i te wāhanga roa o te mate. Ko te kōwhiringa o ngā tūroro whai muri i te whiu mō te HBOT me ahu mai i te tātaritanga mahi me ngā kaute hinengaro taketake, kaua ki te momo whiu, te wāhi, te taha rānei o te whara.