Muva nje, i-oxygen ekheniwe idonse ukunaka kweminye imikhiqizo ethembisa ukuthuthukisa impilo namandla, ikakhulukazi e-Colorado. Ochwepheshe be-CU Anschutz bayachaza ukuthi bathini abakhiqizi.
Phakathi neminyaka emithathu, umoya-mpilo osemathinini wawucishe utholakale njengowomoya-mpilo wangempela. Ukwenyuka kwesidingo esigqugquzelwa ubhubhane lwe-COVID-19, amadili e-“Shark Tank” nezigcawu ezivela ku-“The Simpsons” kuholele ekwendeni kwenani lamathini amancane e-aluminium emashalofini ezitolo ukusuka emakhemisi kuya eziteshini zikaphethiloli.
I-Boost Oxygen inezimakethe ezingaphezu kuka-90% zemakethe ye-oxygen esemabhodleleni, ukuthengiswa kukhuphuka kancane ngemva kokuwina umbukiso wangempela webhizinisi "Shark Tank" ngo-2019.
Nakuba amalebula esho ukuthi imikhiqizo ayigunyazwanga i-Food and Drug Administration futhi ngeyokuzijabulisa kuphela, ukukhangisa kuthembisa impilo ethuthukisiwe, ukusebenza okuthuthukisiwe kwezemidlalo kanye nosizo lokujwayela ukuphakama, phakathi kwezinye izinto.
Uchungechunge luhlola izitayela zezempilo zamanje ngelensi yesayensi yochwepheshe be-CU Anschutz.
I-Colorado, nomphakathi wayo omkhulu wezokungcebeleka wangaphandle kanye nezindawo zokudlala eziphakeme, isiphenduke imakethe okuhloswe ngayo amathangi omoya-mpilo aphathwayo. Kodwa bayilethile?
"Izifundo ezimbalwa ziye zahlola izinzuzo ze-oksijeni yesikhashana esifushane," kusho uLindsay Forbes, MD, umlingani we-Division of Pulmonary and Critical Care Medicine e-University of Colorado School of Medicine. “Asinayo imininingwane eyanele,” kusho uForbes ozongena kulo mnyango ngoJulayi.
Lokhu kungenxa yokuthi umoya-mpilo kadokotela, olawulwa yi-FDA, uyadingeka kuzilungiselelo zezokwelapha isikhathi eside. Kunesizathu sokuthi ilethwe ngale ndlela.
"Lapho udonsa umoya-mpilo, uhamba usuka emgudwini wokuphefumula uye egazini futhi uthathwa yi-hemoglobin," kusho uBen Honigman, MD, uprofesa ophumayo wezokwelapha eziphuthumayo. I-Hemoglobin ibe isihambisa la ma-molecule e-oksijini kuwo wonke umzimba, inqubo ephumelelayo neqhubekayo.
Ngokusho kweForbes, uma abantu benamaphaphu anempilo, imizimba yabo ingakwazi ukugcina amazinga ajwayelekile omoya-mpilo egazini labo. "Abukho ubufakazi obanele bokuthi ukwengeza umoya-mpilo owengeziwe emazingeni omoya-mpilo ajwayelekile kusiza umzimba ngokwempilo."
NgokukaForbes, lapho abasebenzi bezempilo benikeza umoya-mpilo ezigulini ezinamazinga komoyampilo aphansi, ngokuvamile kuthatha imizuzu emibili kuya kwemithathu yokulethwa komoyampilo okuqhubekayo ukubona ushintsho kumazinga komoyampilo esiguli. Ngakho-ke bengingeke ngilindele ukuthi ukudonsa okukodwa noma okubili okuvela ebhodleleni kunikeze umoya-mpilo owanele egazini eligeleza emaphashini ukuze kube nomphumela ozuzisayo ngempela.”
Abakhiqizi abaningi bemigoqo ye-oxygen namasilinda omoya-mpilo bangeza amafutha abalulekile anephunga elimnandi njenge-peppermint, i-orange noma i-eucalyptus emoyeni. Izazi zePulmonologists zincoma ukuthi kungabikho muntu ohogela amafutha, esho ukuvuvukala okungenzeka kanye nokungezwani komzimba. Kubantu abanezimo ezithile zamaphaphu, njengesifuba somoya noma isifo samaphaphu esingamahlalakhona, ukwengeza uwoyela kungase kubangele ukuqubuka noma izimpawu.
Nakuba amathangi omoya-mpilo ngokuvamile engenabungozi kubantu abanempilo enhle (bheka ibha eseceleni), iForbes ne-Honigman batusa ukuthi kungabikho muntu owasebenzisela ukuzelapha nganoma yisiphi isizathu. Bathi ukukhuphuka kokuthengisa ngesikhathi sodlame kuphakamisa ukuthi abanye abantu bayabasebenzisa ukwelapha i-COVID-19, okuhlukile okungaba yingozi okungabambezela ukunakekelwa kwezempilo okubucayi.
Okunye okucatshangelwayo okubalulekile, kusho u-Honigman, ukuthi umoya-mpilo uyadlula. Uma nje uyikhumula, iyanyamalala. Ayikho indawo yokugcina amanzi noma i-akhawunti yokonga umoya-mpilo emzimbeni."
Ngokusho kuka-Honigman, ocwaningweni olulodwa lapho amazinga e-oksijini ezifundweni ezinempilo alinganiswa kusetshenziswa i-pulse oximeters, amazinga e-oksijini ezifundo azinza ezingeni eliphakeme kancane ngemva kwemizuzu emithathu ngenkathi izifundo ziqhubeka nokuthola umoya-mpilo, futhi ngemva kokumiswa kokunikezwa komoya-mpilo, izinga le-oksijeni libuyile. emazingeni angaphambi kokwengeza cishe imizuzu emine.
Ngakho-ke abadlali be-basketball abaqeqeshiwe bangathola inzuzo ngokuqhubeka nokuphefumula umoya-mpilo phakathi kwemidlalo, kusho u-Honigman. Yandisa kafushane amazinga oksijini emisipha ye-hypoxic.
Kodwa abashushuluzi abavame ukumpompa igesi emathangini, noma baye ngisho “nasemigoqeni yomoya-mpilo” (izikhungo ezidumile emadolobheni asezintabeni noma emadolobheni angcoliswe kakhulu anikezela komoyampilo, ngokuvamile nge-cannula, imizuzu eyi-10 kuya kwengama-30 ngesikhathi), ngeke bathuthukise ukusebenza kwabo phakathi nalo lonke ibanga. usuku. Ukusebenza emithambekeni ye-ski. , njengoba umoya-mpilo uphela kudala ngaphambi kokwethulwa kokuqala.
I-Forbes iphinde yagcizelela ukubaluleka kwesistimu yokulethwa, yaphawula ukuthi i-oxygen canister ayizi ne-mask yezokwelapha evala ikhala nomlomo. Ngakho-ke, isimangalo sokuthi ikani "i-oxygen ehlanzekile engu-95%" ingamanga, esho.
"Ezindaweni zasesibhedlela, sine-oksijini yezinga lezokwelapha futhi siyayigxilisa emazingeni ahlukene ukuze sinikeze abantu amanani ahlukene omoya-mpilo kuye ngokuthi bawuthola kanjani. "Isibonelo, nge-cannula yamakhala, othile kungenzeka ukuthi empeleni uthola u-95%. akutholakali. ”
I-Forbes ithi umoya wegumbi, oqukethe umoya-mpilo ongu-21%, uhlangana nomoya-mpilo onqunyiwe ngenxa yokuthi umoya wegumbi isiguli esiwuphefumulayo nawo uvuza eduze kwe-cannula yamakhala, wehlise izinga lomoya-mpilo owamukelwe.
Amalebula emathangi komoya-mpilo ekheniwe nawo athi asiza ukuxazulula izinkinga ezihlobene nokuphakama kokuphakama: kuwebhusayithi yayo, i-Boost Oxygen empeleni ibala iColorado namaRockies njengezindawo zokuphatha umoya-mpilo ethini.
Ukuphakama kokuphakama, ukwehla komfutho womoya, okusiza ukuthutha umoya-mpilo usuka emkhathini uye emaphashini, kusho u-Honigman. “Umzimba wakho awuwumumbi kahle umoya-mpilo njengoba wenza ezingeni lolwandle.”
Amazinga e-oxygen aphansi angabangela ukugula kwe-altitude, ikakhulukazi ezivakashini eziya eColorado. "Cishe amaphesenti angu-20 kuya kwangu-25 abantu abahamba besuka olwandle baye ezindaweni eziphakeme bathola i-acute mountain sickness (AMS)," kusho u-Honigmann. Ngaphambi kokuthatha umhlalaphansi, ubesebenza eSikhungweni Sokucwaninga Kwase-High Altitude e-University of Colorado Anschutz Medical Campus, lapho esaqhubeka khona nokucwaninga.
Ibhodlela elingu-5 litre le-Boost Oxygen libiza cishe u-$10 futhi linganikeza ukuhogela okungafika kwe-100 ka-95% komoyampilo ohlanzekile ngomzuzwana owodwa.
Yize izakhamizi zaseDenver zingazweli, cishe amaphesenti ayi-8 kuya kwayi-10 abantu nawo athola i-AMS ngenkathi ehambela emadolobheni asezingeni eliphezulu, esho. Izimpawu ezibangelwa umoya ophansi wegazi (ikhanda elibuhlungu, isicanucanu, ukukhathala, ukulala kanzima) ngokuvamile zivela phakathi namahora angu-12 kuya kwangu-24 futhi zingase zenze abantu bafune usizo endaweni yokuphefumula umoya-mpilo, kusho u-Honigman.
"Empeleni kusiza ukunciphisa lezi zimpawu. Uzizwa ungcono uma uphefumula umoya-mpilo, futhi isikhathi esifushane ngemva kwalokho," kusho u-Honigman. Ngakho-ke uma unezimpawu ezithambile futhi uqala ukuzizwa ungcono, cishe kuzodala umuzwa wenhlalakahle.
Kepha kubantu abaningi, izimpawu ziyabuya, okwenza ukuthi abanye babuyele endaweni yomoya-mpilo ukuze bathole impumuzo eyengeziwe, kusho uHonigman. Njengoba abantu abangaphezu kuka-90% bejwayela ezindaweni eziphakeme phakathi kwamahora angu-24-48, lesi sinyathelo singase singasebenzi. Abanye ososayensi bakholelwa ukuthi umoya-mpilo owengeziwe uzobambezela lokhu kujwayela kwemvelo, kusho yena.
“Umbono wami siqu uwukuthi kuwumphumela we-placebo, ongahlangene nakancane nesayensi yokusebenza komzimba,” kuvuma uHonigman.
“Ukuthola umoya-mpilo owengeziwe kuzwakala kumnandi futhi kungokwemvelo, kodwa angicabangi ukuthi isayensi iyakusekela,” kusho yena. “Kunobufakazi bangempela bokuthi uma ucabanga ukuthi okuthile kuzokusiza, empeleni kungase kukwenze uzizwe ungcono.”
Igunyazwe yiKhomishini Yezemfundo Ephakeme. Zonke izimpawu zokuhweba ziyimpahla ebhalisiwe yeNyuvesi. Isetshenziswa ngemvume kuphela.
Isikhathi sokuthumela: May-18-2024