He kare ā-tinana nui te mamae o te uaua, he tohu whakatūpato ki te pūnaha io, e tohu ana i te hiahia kia tiakina mai i ngā kino pea mai i ngā whakaoho matū, wera, miihini rānei. Heoi, ka taea e te mamae pathological te huri hei tohu o te mate, ina koa ka puta wawe, ka huri rānei hei mamae mau tonu—he āhuatanga ahurei ka arahi ki te mamae wā poto, roa rānei mō ngā marama, tae noa ki ngā tau. He tino nui te horapa o te mamae mau tonu i roto i te taupori whānui.
Kua whakamāramahia e ngā tuhinga hou ngā hua pai o te whakaora hāora hyperbaric (HBOT) ki ngā momo mamae mau tonu, tae atu ki te fibromyalgia syndrome, te complex regional pain syndrome, te myofascial pain syndrome, te mamae e pā ana ki ngā mate toto peripheral, me ngā ānini. Ka taea te whakamahi i te whakaora hāora hyperbaric mō ngā tūroro e pāngia ana e te mamae kāore e aro ki ētahi atu maimoatanga, e whakaatu ana i tōna tūranga nui i roto i te whakahaere mamae.
Te Mate Fibromyalgia
Ko te tohu o te mate fibromyalgia ko te mamae whānui me te ngawari i ngā pūwāhi tinana motuhake, e mōhiotia ana ko ngā pūwāhi ngawari. Kāore anō kia mārama te pathophysiology tuturu o te fibromyalgia; heoi, he maha ngā take pea kua whakaarohia, tae atu ki ngā ngoikoretanga o te uaua, ngā raruraru moe, te ngoikore o te tinana, me ngā huringa neuroendocrine.
Ko ngā huringa pirau o ngā uaua o ngā tūroro fibromyalgia ka puta mai i te hekenga o te rere o te toto me te hypoxia ā-rohe. Ina ngoikore te rere o te toto, ka whakaitihia e te ischemia ngā taumata adenosine triphosphate (ATP) me te whakanui ake i ngā kukū waikawa lactic. Mā te rongoā hāora hyperbaric ka pai ake te tuku hāora ki ngā kiko, ka ārai pea i te kino o te kiko i puta mai i te ischemia mā te whakaheke i ngā taumata waikawa lactic me te āwhina ki te pupuri i ngā kukū ATP. I tēnei whakaaro, e whakaponohia ana ko te HBOT tewhakaiti i te mamae i ngā wāhi ngawari mā te whakakore i te hypoxia ā-rohe i roto i te kiko uaua.
Te Mate Mamae Rohe Matatini (CRPS)
Ko te tohu o te mate mamae ā-rohe matatini ko te mamae, te pupuhi, me te ngoikore o te pūnaha autonomic i muri i te whara o te kiko ngohengohe, o te io rānei, he maha ngā wā ka haere tahi me ngā huringa o te tae kiri me te pāmahana. Kua whakaatuhia e te rongoā hāora hyperbaric he tumanako ki te whakaiti i te mamae me te pupuhi o te ringaringa me te whakarei ake i te nekenekehanga o te ringaringa. Ko ngā hua pai o te HBOT i roto i te CRPS e pā ana ki tōna kaha ki te whakaiti i te pupuhi i puta mai i te vasoconstriction hāora-nui,whakaoho i te mahi a te osteoblast kua pehia, me te whakaiti i te hanganga o te kiko muka.
Te Mate Mamae Myofascial
Ko te mate mamae myofascial e tohuhia ana e ngā pūwāhi whakaoho me/ranei ngā pūwāhi whakaoho e uru ana ki ngā āhuatanga autonomic me ngā ngoikoretanga mahi e pā ana. Kei roto i ngā here uaua kua pūmau ngā pūwāhi whakaoho, ā, mā te pēhi noa i ēnei pūwāhi ka puta he mamae ngawari ki te wāhi e pāngia ana, me te mamae e tukuna ana mai i tawhiti.
Ka taea e te whara uaua te arahi ki te whara o te uaua i te whara nui, ka pakaru te reticulum sarcoplasmic me te tukunga o te konupūmā ā-roto. Ko te kohikohinga o te konupūmā ka whakatairanga i te whakahekenga tonu o te uaua, ka arahi ki te ischemia mā te pēhanga o ngā oko toto ā-rohe me te pikinga o te hiahia pākia. Ko tēnei korenga o te hāora me ngā matūkai ka tere te whakaiti i ngā taumata ATP ā-rohe, ā, ka mutu, ka mau tonu te huringa kino o te mamae. Kua rangahaua te rongoā hāora hyperbaric i roto i te horopaki o te ischemia ā-rohe, ā, kua pūrongohia e ngā tūroro e whiwhi ana i te HBOT te pikinga nui o ngā paepae mamae me te hekenga o ngā kaute mamae Visual Analog Scale (VAS). Ko tēnei whakapainga e pā ana ki te pikinga o te whakamahinga hāora i roto i te kiko uaua, ka pakaru pai te huringa kino o te whakahekenga ATP me te mamae i puta mai i te hypoxic.
Te mamae i roto i ngā mate toto ā-taha
Ko ngā mate toto ā-taha e pā ana ki ngā āhuatanga ischemic e pā ana ki ngā peka, inā koa ngā waewae. Ko te mamae okiokinga he tohu i te mate toto ā-taha kino, e puta ana ina tino heke te rere o te toto okiokinga ki ngā peka. Ko te rongoā hāora hyperbaric he maimoatanga noa mō ngā patunga mau tonu i roto i ngā tūroro e pāngia ana e te mate toto ā-taha. Ahakoa te whakapai ake i te whakaora patunga, ka whakamamae hoki te HBOT i te mamae o ngā peka. Ko ngā painga e whakaarohia ana o te HBOT ko te whakaiti i te hypoxia me te edema, te whakaiti i te kohikohinga o ngā peptides proinflammatory, me te whakanui ake i te hononga o ngā endorphins ki ngā pae receptor. Mā te whakapai ake i ngā āhuatanga taketake, ka taea e te HBOT te āwhina ki te whakaiti i te mamae e pā ana ki te mate toto ā-taha.
Ngā mamae o te upoko
Ko te ānini, inā koa ko te migraines, e tautuhia ana ko te mamae wā poto e pā ana ki te taha kotahi o te māhunga, me te whakapairuaki, te ruaki, me ngā raruraru tirohanga. Ko te auau ā-tau o te migraines he tata ki te 18% i roto i ngā wāhine, 6% i roto i ngā tāne, me te 4% i roto i ngā tamariki. E whakaatu ana ngā rangahau ka taea e te hāora te whakamamae i te ānini mā te whakaiti i te rere o te toto roro. He pai ake te whakaora hāora hyperbaric i te whakaora hāora normobaric ki te whakanui ake i ngā taumata hāora toto uaua me te whakapūngao nui i te toto. Nō reira, e kiia ana he pai ake te HBOT i te whakaora hāora paerewa ki te rongoā i te migraines.
Ngā mamae o te upoko
He mamae nui te āhua o te upoko o te kanohi kotahi, ā, he maha ngā wā ka haere tahi te mamae o te upoko me te werohanga o te kamo, te roimata, te ihu pupuhi, te rhinorrhea, te werawera ā-rohe, me te pupuhi o te kamo.Ko te manawa hāora e mōhiotia ana i tēnei wā hei tikanga rongoā tere mō te ānini pōkaikaha.Kua whakaatuhia e ngā pūrongo rangahau he pai te rongoā hāora hyperbaric mō ngā tūroro kāore e aro ki ngā maimoatanga rongoā, ka whakaiti i te auau o ngā mamae o muri mai. Nō reira, he whai hua te HBOT ehara i te mea mō te whakahaere i ngā whakaekenga ohorere anake engari mō te aukati hoki i ngā putanga mai o ngā ānini tautau ā muri ake nei.
Whakamutunga
Hei whakarāpopototanga, e whakaatu ana te rongoā hāora hyperbaric i te kaha nui ki te whakamamae i ngā momo mamae uaua, tae atu ki ngā āhuatanga pēnei i te fibromyalgia syndrome, te complex regional pain syndrome, te myofascial pain syndrome, te mamae e pā ana ki te mate vascular peripheral, me te ānini. Mā te aro ki te hypoxia ā-rohe me te whakatairanga i te tuku hāora ki ngā kiko uaua, ka whakaratohia e te HBOT he huarahi kē atu mō ngā tūroro e pāngia ana e te mamae mau tonu e ātete ana ki ngā tikanga maimoatanga tuku iho. I a ngā rangahau tonu e tūhura ana i te whānuitanga o te whai huatanga o te rongoā hāora hyperbaric, he wawaotanga whai hua tēnei i roto i te whakahaere mamae me te tiaki tūroro.
Wā tuku: 11 Paenga-whāwhā 2025
