Kungekudala, i-oksijeni ekhonkxiweyo iye yatsala ingqalelo kwezinye iimveliso ezithembisa ukuphucula impilo kunye namandla, ngakumbi eColorado. Iingcali zeCU Anschutz zichaza ukuba bathini abavelisi.
Kwiminyaka emithathu, ioksijini enkonkxiweyo yayiphantse yafumaneka njengeoksijini yokwenene. Ukonyuka kwemfuno eqhutywa ngubhubhani we-COVID-19, "iTanki likaShark" kunye nemiboniso evela kwi-"The Simpsons" ikhokelele ekunyukeni kwenani leetoti ezincinci ze-aluminium kwiishelufa zevenkile ukusuka kwiikhemesti ukuya kwizikhululo zegesi.
I-Boost Oxygen ingaphezulu kwe-90% yemarike ye-oksijini yebhotile, kwaye intengiso ikhula ngokuthe ngcembe emva kokuphumelela umboniso weshishini "Shark Tank" ngo-2019.
Nangona iilebhile zichaza ukuba iimveliso azivunywanga nguLawulo lokuTya kunye neDrugs kwaye zisetyenziselwa ukuzonwabisa kuphela, izithembiso zentengiso ziphucula impilo, ukuphuculwa kwentsebenzo yezemidlalo kunye noncedo ngokunyuka kokuphakama, phakathi kwezinye izinto.
Olu chungechunge luphonononga iindlela zempilo zangoku kusetyenziswa ilensi yesayensi yeengcali zeCU Anschutz.
I-Colorado, kunye noluntu olukhulu lokuzonwabisa lwangaphandle kunye neendawo zokudlala eziphakamileyo, iye yaba yimarike ekujoliswe kuyo kwiitanki ze-oksijini eziphathekayo. Kodwa ngaba zazisa?
"Izifundo ezimbalwa ziye zahlola izibonelelo zexesha elifutshane lokuncedisa i-oksijeni," kusho uLindsay Forbes, MD, umlingani kwiCandelo lePulmonary and Critical Care Medicine kwiYunivesithi yaseColorado School of Medicine. “Asinazo iinkcukacha zaneleyo,” utshilo uForbes, ozakungena kweli sebe kweyeKhala.
Oku kungenxa yokuba i-oksijeni yomyalelo, elawulwa yi-FDA, iyadingeka kwizicwangciso zonyango ixesha elide. Kukho isizathu sokuba iziswe ngolu hlobo.
"Xa ukhupha i-oksijini, ihamba isuka kwindlela yokuphefumula iye egazini kwaye ifakwe yi-hemoglobin," kusho uBen Honigman, MD, unjingalwazi ophuma kwiyeza likaxakeka. IHemoglobin ke isasaza ezi molekyuli zeoksijini kuwo wonke umzimba, inkqubo esebenzayo neqhubekayo.
Ngokutsho kweForbes, ukuba abantu banemiphunga enempilo, imizimba yabo inokugcina ngokufanelekileyo amanqanaba aqhelekileyo oksijini egazini labo. "Akukho bungqina obaneleyo bokuba ukongeza ioksijini eninzi kumanqanaba aqhelekileyo eoksijini kunceda umzimba ngokwasemzimbeni."
Ngokutsho kweForbes, xa abasebenzi bezempilo bebonelela ngeoksijini kwizigulana ezinamaqondo aphantsi oksijini, ngokuqhelekileyo kuthatha imizuzu emibini ukuya kwemithathu ukuhanjiswa kweoksijini okuqhubekayo ukubona utshintsho kumanqanaba e-oksijini yesigulana. Ke andinakulindela ukuba ukufunxa nje kube kanye okanye kubini kwi-canister ukunika ioksijini eyaneleyo egazini eliqukuqela emiphungeni ukuze ngokwenene libe nentsingiselo.”
Abavelisi abaninzi bemivalo yeoksijini kunye neesilinda zeoksijini zongeza ioyile enevumba elimnandi njengepeppermint, iorenji okanye ieucalyptus kwioksijini. I-Pulmonologists ngokubanzi incoma ukuba kungabikho mntu uphefumla ioyile, echaza ukuvuvukala okunokubakho kunye nokusabela komzimba. Kubantu abaneemeko ezithile zemiphunga, ezifana nesifo sesifuba okanye isifo esingapheliyo semiphunga, ukongeza ioyile kunokubangela ukugqabhuka okanye iimpawu.
Nangona iitanki zeoksijini ngokuqhelekileyo zingenabungozi kubantu abaphilileyo (jonga i-sidebar), i-Forbes kunye ne-Honigman bacebisa ukuba kungabikho mntu uzisebenzisela ukunyanga ngenxa yaso nasiphi na isizathu sonyango. Bathi ukunyuka kwentengiso ngexesha lobhubhane bacebisa ukuba abanye abantu bazisebenzisa ukunyanga i-COVID-19, umahluko onokuba yingozi onokulibazisa unyango olubalulekileyo.
Olunye uqwalaselo olubalulekileyo, utshilo u-Honigman, kukuba ioksijini iyakhawuleza. Nje ukuba uyikhulule, iyanyamalala. Akukho vimba okanye iakhawunti yokonga ioksijini emzimbeni.
Ngokutsho kukaHonigman, kwisifundo esithile apho amanqanaba e-oksijeni kwizifundo eziphilileyo alinganiswa kusetyenziswa i-pulse oximeters, amanqanaba e-oksijeni yezifundo azinzile kwinqanaba eliphezulu emva kwemizuzu emithathu ngelixa izifundo ziqhubeka zifumana i-oksijini, kwaye emva kokuba ukunikezelwa kwe-oksijeni kumisiwe, inqanaba le-oksijeni libuyile. kumanqanaba okudibanisa kwangaphambili malunga nemizuzu emine.
Ke abadlali bebhasikithi abaqeqeshiweyo banokufumana inzuzo ngokuqhubeka nokuphefumla ioksijini phakathi kwemidlalo, utshilo uHonigman. Ngokufutshane kwandisa amanqanaba oksijini kwimisipha ye-hypoxic.
Kodwa abatyibilizi abasoloko bempompa igesi eitankini, okanye bade baye “kwimivalo yeoksijini” (iindawo ezidumileyo kwiidolophu ezisezintabeni okanye izixeko ezingcoliseke kakhulu ezibonelela ngeoksijini, ngokufuthi ngecannula, kangangemizuzu eli-10 ukuya kwengama-30 ngexesha), abayi kuphucula ukusebenza kwabo ebudeni bawo wonke umgama. usuku. Ukusebenza kwi-ski slopes. , ekubeni ioksijini ichitha ixesha elide ngaphambi kokuqaliswa kokuqala.
UForbes uphinde waphinda ukubaluleka kwenkqubo yokuhanjiswa, ephawula ukuba i-oxygen canister ayifuni imaski yonyango evala impumlo nomlomo. Ke ngoko, ibango lokuba inkonkxa "yi-95% yeoksijini ecocekileyo" bubuxoki, utshilo.
"Kwimeko yesibhedlele, sine-oksijini yenqanaba lezonyango kwaye siyi-titrate kumanqanaba ahlukeneyo ukunika abantu izixa ezahlukeneyo ze-oksijini kuxhomekeke kwindlela abayifumana ngayo."Umzekelo, nge-nasal cannula, umntu unokufumana i-95% ye-oxygen. Ayifumaneki. ”
UForbes uthi umoya wegumbi, oqulethe i-oksijini eyi-21%, uxuba neoksijini emiselweyo kuba umoya wegumbi isigulane esiwuphefumlayo nawo uyavuza ukujikeleza i-cannula yeempumlo, unciphisa inqanaba le-oksijini efunyenweyo.
Iileyibhile kwiitanki ze-oksijini ezinkonkxiweyo zikwabanga ukuba zinceda ukusombulula iingxaki ezinxulumene nokuphakama: kwiwebhusayithi yayo, iBoost Oxygen idwelisa iColorado kunye neRockies njengeendawo zokuphatha ioksijini enkonkxiweyo.
Ukuphakama kokuphakama, ukuthoba uxinzelelo lomoya, olunceda ukuthutha i-oksijini ukusuka emoyeni ukuya kwimiphunga, utshilo u-Honigman. "Umzimba wakho awufunxa ioksijini ngokufanelekileyo njengoko usenza kwinqanaba lolwandle."
Amanqanaba asezantsi eoksijini anokubangela ukugula okuphezulu, ngakumbi kwiindwendwe eziya eColorado. "Malunga ne-20 ukuya kwi-25 ipesenti yabantu abahamba ukusuka kwinqanaba lolwandle ukuya kwiindawo eziphakamileyo bafumana ukugula kweentaba (AMS)," kusho uHonigmann. Ngaphambi kokuthatha umhlala-phantsi, wasebenza kwiZiko loPhando oluPhakamileyo kwiYunivesithi yaseColorado Anschutz Medical Campus, apho aqhubeka khona ukwenza uphando.
Ibhotile ye-5-litre ye-Boost Oxygen ixabisa malunga ne-$ 10 kwaye inokubonelela nge-inhalations ye-100 ye-95% ye-oksijeni ecocekileyo ngomzuzwana omnye.
Ngelixa abahlali baseDenver bexhathisa ngakumbi, malunga ne-8 ukuya kwi-10 yeepesenti yabantu nabo bafumana isivumelwano se-AMS ngelixa besiya kwiidolophu eziphakamileyo, utshilo. Iimpawu ezibangelwa yi-oksijeni yegazi ephantsi (intloko, isicaphucaphu, ukukhathala, ingxaki yokulala) ngokuqhelekileyo ibonakala kwiiyure ze-12 ukuya kwii-24 kwaye inokubangela ukuba abantu bafune uncedo kwi-oxygen bar, utshilo u-Honigman.
"Ngokwenene kunceda ukunciphisa ezi zimpawu. Uziva ungcono xa uphefumula i-oksijini, kwaye ixesha elifutshane emva koko," kusho uHonigman. Ke ukuba uneempawu ezibuthathaka kwaye uqala ukuziva ngcono, oko kuya kwenza uzive usempilweni.
Kodwa kubantu abaninzi, iimpawu ziyabuya, nto leyo ebangela ukuba abanye babuyele kwi-oxygen bar ukuze bafumane isiqabu ngakumbi, utshilo u-Honigman. Kuba ngaphezu kwe-90% yabantu baqhelana nokuphakama okuphezulu kwiiyure ezingama-24-48, eli nyathelo linokuthi lichasene. Ezinye izazinzulu zikholelwa ukuba ioksijini eyongezelelweyo iya kulibazisa oku kuziqhelanisa kwendalo, utshilo.
UHonigman uvuma ngelithi: “Uluvo lwam lobuqu lwelokuba yimpembelelo ye-placebo, engenanto yakwenza nomzimba womntu.
“Ukufumana ioksijini eyongezelelekileyo kuvakala kumnandi kwaye kuyindalo, kodwa andiqondi ukuba inzululwazi iyakuxhasa,” utshilo. "Kukho ubungqina bokwenyani bokuba ukuba ucinga ukuba kukho into eza kukunceda, inokukwenza uzive ubhetele."
Ivunywe yiKomishoni yeMfundo ePhakamileyo. Zonke iimpawu zokuthengisa ziyipropathi ebhalisiweyo yeYunivesithi. Isetyenziswa kuphela ngemvume.
Ixesha lokuposa: May-18-2024