I tūhuratia e tētahi rangahau tata nei ngā pānga o te rongoā hāora hyperbaric ki te mahi a te ngākau o te hunga e pāngia ana e te COVID mō te wā roa, e pā ana ki ngā raruraru hauora maha e mau tonu ana, e puta anō rānei i muri i te pangia e te SARS-CoV-2.
Kei roto i ēnei raruraru ko ngā manawataki o te ngākau rerekē me te pikinga ake o te mōrearea o te ngoikore o te pūnaha toto. I kitea e ngā kairangahau ko te hongi i te hāora parakore me te pēhanga nui ka āwhina i te whakapai ake i te pupuhi o te ngākau i roto i ngā tūroro COVID roa.
Nā Ahorangi Marina Leitman o te Kura Rongoā o Sackler i Te Whare Wānanga o Tel Aviv me te Pokapū Hauora o Shamir i Iharaira te rangahau i ārahi. Ahakoa i whakaaturia ngā kitenga i tētahi huihuinga i te marama o Mei 2023 i manaakihia e te Rōpū Rongoā o te Karaipiture Pākehā, kāore anō kia arotakehia e ngā hoa mahi.
Ngā āwangawanga roa mō te COVID me te ngākau
Ko te COVID roa, e kiia ana ko te mate muri-COVID, ka pā ki te 10-20% o te hunga kua pangia e te COVID-19. Ahakoa ka ora katoa te nuinga o te tangata i te huaketo, ka taea te tautuhi i te COVID roa ina mau tonu ngā tohu mō te toru marama pea i muri i te tīmatanga o ngā tohu COVID-19.
Ko ngā tohu o te COVID roa e pā ana ki ngā raruraru hauora maha, tae atu ki te poto o te manawa, ngā uauatanga hinengaro (e kiia nei ko te kohu roro), te pouri, me ngā raruraru maha o te pūnaha manawa. Ko te hunga whai COVID roa he nui ake te mōrearea ki te whakawhanake i te mate ngakau, te ngoikore o te ngakau, me ētahi atu āhuatanga e pā ana.
Ahakoa ko te hunga kāore i pāngia e ngā mate manawa, kāore rānei i pāngia e te mate manawa, kua pāngia rātou e ēnei tohu, e ai ki tētahi rangahau i mahia i te tau 2022.
Ngā tikanga o te rangahau
I kimihia e Tākuta Leitman me āna hoa mahi he 60 ngā tūroro e pāngia ana e ngā tohu roa o te COVID-19, ahakoa he ngawari ki te āhua ngoikore ngā mate, ā, e toru marama te roa. I roto i te rōpū ko ngā tāngata i te hōhipera me ngā tāngata kāore i te hōhipera.
Hei whakahaere i tā rātou rangahau, i wehea e ngā kairangahau ngā kaiuru kia rua ngā rōpū: ko tētahi e whiwhi ana i te rongoā hāora hyperbaric (HBOT) me tētahi e whiwhi ana i te tikanga whakaari (rūpahu). I mahia matapōkeretia te mahi, me te taurite o ngā kaupapa i roto i ia rōpū. I roto i ngā wiki e waru, e rima ngā wā i whakahaerehia ai ia tangata i ia wiki.
I whiwhi te rōpū HBOT i te 100% hāora i te pēhanga o te 2 hauhautanga mō te 90 meneti, me ngā wā okioki poto i ia 20 meneti. I tētahi atu taha, i whiwhi te rōpū rūpahu i te 21% hāora i te pēhanga o te 1 hauhautanga mō te roanga kotahi engari kāore he wā okioki.
Hei tāpiri, i whai wāhi ngā kaiuru katoa ki te echocardiography, he whakamātautau hei aromatawai i te mahi a te ngākau, i mua i te wāhanga HBOT tuatahi me te 1 ki te 3 wiki i muri i te wāhanga whakamutunga.
I te tīmatanga o te rangahau, 29 o ngā kaiuru 60 he -17.8% te toharite o te taumahatanga roa ā-ao (GLS). I roto i a rātou, 16 i tohaina ki te rōpū HBOT, ko ngā toenga 13 i roto i te rōpū rūpahu.
Ngā hua o te rangahau
I muri i te otinga o ngā maimoatanga, i kite te rōpū wawaotanga i te pikinga nui o te GLS toharite, tae atu ki te -20.2%. Waihoki, i kite anō te rōpū rūpahu i te pikinga o te GLS toharite, tae atu ki te -19.1%. Heoi, ko te inenga o mua anake i whakaatu i te rerekētanga nui ki te inenga tuatahi i te tīmatanga o te rangahau.
I kitea e Tākuta Leitman tata ki te haurua o ngā tūroro COVID roa kua ngoikore te mahi a te ngākau i te tīmatanga o te rangahau, e ai ki te GLS. Ahakoa rā, i whakaatuhia e ngā kaiuru katoa i roto i te rangahau he haurua ejection fraction noa, he ine paerewa e whakamahia ana hei aromatawai i te kaha o te ngākau ki te whakaheke me te whakangā i te wā e pupuhi ana te toto.
I whakatau a Tākuta Leitman, kāore te wāhanga ejection anake i te tino tairongo ki te tautuhi i ngā tūroro COVID roa kua ngoikore pea te mahi a te ngākau.
Tērā pea ka whai hua te whakamahinga o te whakaora hāora.
E ai ki a Tākuta Morgan, e whakaatu ana ngā kitenga o te rangahau i tētahi ia ahunga pai mō te whakaora hāora hyperbaric.
Heoi, e kī ana ia kia tūpato, me te kī ehara te rongoā hāora hyperbaric i te rongoā e whakaaetia whānuitia ana, ā, me rangahau anō. Hei tāpiri, kei te āwangawanga pea mō te pikinga ake o ngā arrhythmias i runga i ētahi rangahau.
I whakatau a Tākuta Leitman me āna hoa mahi he pai te whakaora hāora hyperbaric mō ngā tūroro e roa ana te mate COVID. E kī ana ia me nui ake ngā rangahau hei tautuhi ko wai ngā tūroro ka tino whai hua, engari he pai pea mō ngā tūroro COVID roa katoa kia aromatawaihia te taumahatanga roa o te ao, ā, whakaarohia te whakaora hāora hyperbaric mēnā kua ngoikore te mahi a ō rātou ngākau.
E whakapuaki ana hoki a Tākuta Leitman i te tumanako ka taea e ngā rangahau anō te whakarato hua mō te wā roa, me te āwhina i ngā tohunga hauora ki te whakatau i te maha o ngā wā whakaora hāora hyperbaric.
Wā tuku: Akuhata-05-2023