1. Taw qhia
Kev raug mob kis las yog muaj nyob rau hauv kev ncaws pob ncaws pob thiab kev sib tw, sib txawv ntawm cov pob txha me me thiab kev sib kis mus rau cov pob txha loj, cov kua muag pob txha, thiab cov nqaij mos puas. Lub hom phiaj tseem ceeb ntawm kev kho mob kis las yog txhawb kev kho cov nqaij mos, txo qhov mob, txo qhov mob, thiab pab cov neeg ncaws pob rov qab mus rau kev cob qhia thiab kev sib tw kom nyab xeeb. Nyob rau hauv xyoo tas los no, hyperbaric oxygen therapy (HBOT) nrog hyperbaric chambers tau dhau los ua kev kho mob siv dav hauv cov tshuaj kis las. Los ntawm kev siv lub cev muaj zog ntawm siab - siab oxygen, HBOT pab txhim kho cov txheej txheem kho mob ntawm cov kis las kis las. Kab lus no tshawb txog cov hauv paus ntsiab lus ntawm kev ua haujlwm, hom kev raug mob uas siv tau, cov txiaj ntsig kho mob, thiab cov kev xav txog kev nyab xeeb tseem ceeb ntawm cov chav hyperbaric hauv kev tswj kev raug mob kis las.
2. Cov Ntsiab Cai Ua Haujlwm ntawm Hyperbaric Chamber hauv Kev Kho Mob Kev Ua Si
Lub chav tsev hyperbaric yog lub kaw lus uas muab ib puag ncig nrog oxygen siab siab dua atmospheric siab (feem ntau yog 1.5-3.0 atmospheres absolute, ATA). Kev kho mob ntawm kev raug mob kis las yog ua tiav los ntawm cov txheej txheem hauv qab no:
2.1 Txhim kho Oxygen xa mus rau cov ntaub so ntswg Ischemic
Thaum muaj kev raug mob kis las, yam xws li cov ntaub so ntswg puas, edema, thiab cov hlab ntshav tsis zoo feem ntau ua rau cov ntaub so ntswg hauv zos hypoxia. Nyob rau hauv cov xwm txheej hyperbaric, solubility ntawm oxygen nyob rau hauv cov ntshav plasma yog nce ntxiv (ntau tshaj cov pa oxygen- nqa lub peev xwm ntawm hemoglobin). Qhov no tso cai rau cov pa oxygen mus rau qhov tob thiab dav mus rau hauv cov ntaub so ntswg hypoxic, nrog rau cov nqaij ntshiv, cov leeg, ligaments, thiab cov pob txha, muab cov pa oxygen txaus rau cell metabolism thiab kho.
2.2 Txo qhov mob thiab edema
Kev mob o thiab edema yog cov lus teb pathological tom qab kis las kis las. Hyperbaric oxygen tuaj yeem cuam tshuam kev tsim cov pro- cov kab mob inflammatory (xws li interleukin -6 thiab qog necrosis factor- ) thiab txo cov permeability ntawm cov phab ntsa capillary, yog li txo cov exudation ntawm cov kua thiab cov protein nyob rau hauv qhov chaw interstitial. Qhov no pab txo qhov o thiab mob hauv zos, tsim kom muaj ib puag ncig zoo rau kev kho cov ntaub so ntswg.
2.3 Txhawb nqa Angiogenesis thiab Tissue Regeneration
Cov pa oxygen yog qhov tseem ceeb hauv kev loj hlob thiab kev sib txawv ntawm cov hlwb endothelial thiab fibroblasts. Hyperbaric oxygen tuaj yeem txhawb nqa cov synthesis ntawm vascular endothelial kev loj hlob yam (VEGF) thiab fibroblast loj hlob zoo (FGF), txhawb kev tsim cov hlab ntsha tshiab (angiogenesis) hauv cov ntaub so ntswg puas. Nyob rau tib lub sijhawm, nws ua rau kom muaj kev loj hlob ntawm fibroblasts, uas yog lub luag haujlwm rau kev sib txuas ntawm collagen- cov khoom tseem ceeb ntawm cov leeg, ligaments, thiab caws pliav - yog li txhim kho cov ntaub so ntswg thiab txhim kho lub zog ntawm cov ntaub so ntswg kho.
2.4 Inhibiting Anaerobic Bacterial Growth (rau cov mob raug mob)
Rau cov kis las raug mob nyuaj los ntawm kev kis kab mob (xws li qhib pob txha los yog lacerations), hyperbaric oxygen tuaj yeem tsim cov pa oxygen- nplua nuj ib puag ncig uas cuam tshuam kev loj hlob thiab kev loj hlob ntawm cov kab mob anaerobic (xws li Clostridium tetani). Nws kuj tseem txhim khu kev ua haujlwm ntawm leukocytes, txhim kho lub cev muaj peev xwm tiv thaiv kab mob.
3. Siv tau hom kev ua kis las raug mob
Hyperbaric chamber therapy yog dav siv nyob rau hauv kev kho mob ntawm ntau yam mob thiab mob kis las kis las, suav nrog tab sis tsis txwv rau:
3.1 Mob Ncauj Ncauj Ncauj Mob
Qhov no suav nrog cov pob qij txha (piv txwv li, pob taws pob taws, pob taws hauv caug), kab mob (piv txwv li, hamstring strains, calf muscle strains), contusions, thiab bruises. HBOT tuaj yeem txo qhov edema thiab mob sai sai rau theem mob (24-72 teev tom qab raug mob) thiab txo lub sijhawm rov qab los.
3.2 Cov leeg thiab ligament raug mob
Kev mob ntsws ntev (xws li, tennis luj tshib, Achilles tendinitis), cov kua muag kua muag, thiab kev raug mob ligament (xws li, anterior cruciate ligament kua muag) muaj nyob rau hauv ntev - lub sij hawm siab - kis las. Hyperbaric oxygen txhawb kev kho cov leeg puas thiab ligament fibers, txhim kho cov ntaub so ntswg elasticity thiab lub zog, thiab txo qhov kev pheej hmoo ntawm re- raug mob.
3.3 Cov pob txha thiab pob qij txha
Fractures (tshwj xeeb tshaj yog ncua kev koom ua ke lossis nonunion fractures), kev ntxhov siab tawg, thiab tom qab- mob caj dab. HBOT txhim kho cov pa oxygen rau cov pob txha cov ntaub so ntswg, accelerates osteoblast proliferation thiab pob txha mineralization, thiab txhawb kev puas tsuaj pob txha. Rau kev ntxhov siab fractures uas muaj nyob rau hauv kev ua kis las (xws li, marathon runners), nws tuaj yeem txo qhov mob thiab ua kom rov zoo.
3.4 Tom qab-Kev phais kho dua tshiab
Tom qab kev kho mob ntawm kev raug mob hnyav (piv txwv li, ligament reconstruction, tendon kho, pob txha sab hauv fixation), hyperbaric oxygen therapy yuav txo tau postoperative edema thiab o, txhawb lub qhov txhab kho, thiab ua kom lub cev rov qab muaj nuj nqi, pab ncaws pob pib rehabilitation ua ntej.
3.5 Kev mob ntev thiab kev raug mob ntau dhau
Rau kev raug mob ntau dhau los ntawm qhov ntev - lub sijhawm rov ua dua (piv txwv li, plantar fasciitis, shin splints), HBOT tuaj yeem txhim kho cov ntaub so ntswg hauv zos, txo qhov mob ntev, thiab txo qhov mob tsis tu ncua.
4. Qhov zoo ntawm Hyperbaric Chamber Therapy hauv Kev Kho Mob Kev Ua Si
4.1 Accelerated Recovery ceev
Los ntawm kev ua kom zoo dua cov pa oxygen thiab txhawb kev kho cov ntaub so ntswg, hyperbaric oxygen therapy tuaj yeem pab txo lub sijhawm rov qab los ntawm kev raug mob kis las. Piv txwv li, qee qhov kev soj ntsuam pom tau hais tias lub sijhawm rov qab los ntawm pob taws pob taws raug kho nrog HBOT tuaj yeem luv dua piv nrog cov kev kho mob ib txwm muaj, uas tuaj yeem pab cov neeg ncaws pob rov qab mus rau qhov chaw raws sijhawm.
4.2 Txhim Kho Kho Kom Zoo
HBOT tuaj yeem txhawb kev tsim cov collagen fibers uas paub tab thiab cov hlab ntsha tshiab, uas tuaj yeem pab txhim kho kev ncaj ncees thiab kev ua haujlwm ntawm cov ntaub so ntswg kho (cov leeg, ligaments, pob txha) thiab tuaj yeem txo qhov kev pheej hmoo ntawm rov- raug mob. Qhov no yog qhov tseem ceeb rau cov neeg ncaws pob uas xav tau kev cob qhia tsis tu ncua thiab qib kev sib tw.
Hyperbaric oxygen therapy yog ib qho uas tsis yog -kev kho lub cev uas tsis tas yuav muaj kev phais lossis tshuaj. Piv nrog rau kev kho tshuaj, nws yuav zam tsis tau cov kev mob tshwm sim ntawm cov tshuaj tiv thaiv - cov tshuaj tiv thaiv kab mob (xws li, mob plab hnyuv) thiab tshuaj hormonal (xws li, txo kev tiv thaiv). Cov kev mob tshwm sim tseem ceeb (piv txwv li, pob ntseg barotrauma, myopia ib ntus) feem ntau yog mob me thiab thim rov qab thaum tswj hwm los ntawm cov neeg ua haujlwm.
Hyperbaric oxygen therapy yog ib qho uas tsis yog -kev kho lub cev uas tsis tas yuav muaj kev phais lossis tshuaj. Piv nrog rau kev kho tshuaj, nws zam cov kev phiv los ntawm kev tiv thaiv - cov tshuaj tiv thaiv kab mob (piv txwv li, mob plab hnyuv) thiab tshuaj hormonal (piv txwv li, txo kev tiv thaiv). Cov kev mob tshwm sim tseem ceeb (piv txwv li, pob ntseg barotrauma, myopia) yog qhov mob me thiab thim rov qab thaum ua haujlwm los ntawm cov neeg ua haujlwm tshaj lij.
4.4 Ntxiv rau Kev Kho Kom Zoo
HBOT tsis hloov cov kev kho mob ib txwm muaj (piv txwv li, so, daim ntawv thov dej khov, kho lub cev, phais) tab sis ua raws li txoj kev pabcuam. Nws tuaj yeem ua haujlwm sib koom ua ke nrog cov kev kho mob ib txwm siv los txhim kho cov txiaj ntsig kho mob, tshwj xeeb tshaj yog rau kev raug mob ntev uas nyuaj rau kev tswj hwm nrog cov txheej txheem ib leeg.
5. Kev txiav txim siab tseem ceeb rau Hyperbaric Chamber Therapy
5.1 Kev Ua Haujlwm Zoo thiab Kev Saib Xyuas
Hyperbaric chamber therapy yuav tsum tau ua nyob rau hauv ib tug kws kho mob lub tsev kho mob nyob rau hauv cov kev taw qhia ntawm tej kws kho mob. Lub siab, oxygen concentration, thiab lub sijhawm kho yuav tsum tau ua tus kheej raws li hom, qhov hnyav, thiab theem ntawm qhov raug mob, nrog rau cov neeg ncaws pob lub cev. Thaum kho, cov cim tseem ceeb (xws li ntshav siab, lub plawv dhia) yuav tsum tau saib xyuas kom muaj kev nyab xeeb.
5.2 Xaiv Lub Sijhawm Kho Mob
Rau kev raug mob kis mob hnyav, nws raug nquahu kom pib HBOT hauv 24-72 teev tom qab raug mob kom ua kom muaj txiaj ntsig zoo ntawm kev txo qhov mob thiab edema. Rau kev raug mob ntev los yog tom qab- kev phais kho dua tshiab, kev kho mob tuaj yeem pib ua raws li kev kho mob ntawm qhov raug mob.
5.3 Contraindications rau kev kho mob
HBOT tsis haum rau txhua tus neeg ncaws pob. Contraindications muaj xws li mob hnyav obstructive pulmonary kab mob, pneumothorax, tsis kho mob siab, qaug dab peg, thiab cev xeeb tub (tshwj xeeb tshaj yog nyob rau hauv thawj peb lub hlis twg). Ua ntej kev kho mob, kev kuaj xyuas lub cev yuav tsum tau ua kom tsis suav nrog contraindications.
5.4 Kev sib xyaw ua ke nrog Kev Kho Kom Zoo Dua
Hyperbaric oxygen therapy yuav tsum tau ua ke nrog kev cob qhia txog kev kho mob (piv txwv li, ntau yam kev cob qhia, kev cob qhia lub zog) los txhawb kev rov ua haujlwm ntawm ceg ceg. HBOT ib leeg tsis tuaj yeem hloov lub luag haujlwm ntawm kev cob qhia kev kho mob hauv kev rov ua kom lub cev muaj zog.
6. Cov lus xaus
Hyperbaric chamber therapy yog ib txoj kev kho lub cev zoo tshaj plaws uas muaj cov txiaj ntsig zoo hauv kev txhawb nqa kev kho mob ntawm cov kis las kis las, txhim kho cov txiaj ntsig zoo, thiab pab txo lub sijhawm rov qab los. Los ntawm kev txhim kho cov pa oxygen, txo qhov mob, thiab txhawb kev tsim cov ntaub so ntswg, nws muab ib qho kev xaiv zoo ntxiv rau kev kho mob kis las ncaws pob thiab kev kho neeg ncaws pob. Txawm li cas los xij, daim ntawv thov kev kho mob hyperbaric chamber yuav tsum ua raws li cov qauv kev tshaj lij, nrog rau lub sijhawm kho kom tsim nyog thiab cov phiaj xwm xaiv, thiab ua ke nrog cov kev kho mob thiab kev cob qhia kev kho mob kom zoo rau nws txoj kev kho mob. Nrog rau kev txhim kho txuas ntxiv ntawm cov tshuaj kis las, kev kho mob hyperbaric oxygen yuav tsum ua lub luag haujlwm tseem ceeb hauv kev tiv thaiv cov neeg ncaws pob kev noj qab haus huv thiab txhawb nqa kev ua kis las.