The role of hyperbaric oxygen in the treatment of intestinal obstruction
Intestinal obstruction refers to the obstruction of the contents in the intestines. It is a common acute disease. If handled improperly there will be the risk of death. The mortality rate is about 5%-10%.
Paralytic intestinal obstruction and adhesive intestinal obstruction are common complications after major abdominal surgery. Clinically, gastrointestinal decompression, drugs or surgery are generally used. As a safe and non-invasive treatment, hyperbaric oxygen technology has been continuously applied to the prevention and treatment of postoperative intestinal obstruction.
Mechanism of hyperbaric oxygen treatment of paralytic intestinal obstruction
In the state of hyperbaric oxygen, the volume of gas in the intestinal obstruction cavity reduces, the pressure in the cavity relieves, restores the intestinal tract to normal, then improves the blood supply of the intestinal wall, thereby accelerating the absorption of gas.
Hyperbaric oxygen can rapidly increase the partial pressure of oxygen in the blood and intestinal wall tissues and improve oxygen supply.
The intestinal wall vasoconstriction can reduce vascular exudation, reduce edema, and accelerate the recovery of intestinal peristalsis.
Hyperbaric oxygen also helps prevent and control secondary infections in the diseased bowel.
Related research
Among the 133 cases of abdominal surgery patients who were observed preventive use of hyperbaric oxygen therapy, only 3 patients developed paralytic intestinal obstruction and adhesive intestinal obstruction. After comprehensive treatment such as hyperbaric oxygen chambers, the symptoms gradually disappeared. In another group of 199 patients who did not use hyperbaric oxygen therapy for abdominal surgery, 9 patients had postoperative paralytic intestinal obstruction and adhesive intestinal obstruction, and 2 of them underwent adhesion lysis due to conservative ineffectiveness. Patients who were given preventive hyperbaric oxygen therapy had significantly shorter hospital stays after surgery than patients who were not initially given hyperbaric oxygen therapy.
Another retrospective study found that the total effective rates of patients with postoperative paralytic intestinal obstruction and adhesive intestinal obstruction after receiving hyperbaric oxygen therapy were 92% and 85%, respectively.
Studies have shown that hyperbaric oxygen therapy has the potential to prevent postoperative paralytic intestinal obstruction and secondary adhesion, and it has a good therapeutic effect for patients with early postoperative recurrent adhesive intestinal obstruction to relieve adhesion. Patients who received hyperbaric oxygen therapy as the treatment of early recurrence of intestinal obstruction had a significantly shorter hospital stay than patients with conservative treatments. It can minimize the suffering and burden of patients, reduce medical expenses, and help improve their quality of life.
The role of hyperbaric oxygen in the treatment of cerebral hemorrhage
Cerebral hemorrhage is an acute cerebrovascular disease, which is more common in middle-aged and elderly people, and has the characteristics of high incidence and high disability. Under the influence of various factors, the incidence of cerebral hemorrhage is increasing year by year, which not only affects the normal life of patients, but even endangers the lives of patients.
High-risk groups
Elderly people who over the age of 50, with the increase of age, the cardiovascular and cerebrovascular function declines, then it is easy to cause many diseases.
People with underlying diseases such as hypertension, diabetes, hyperlipidemia, etc.
People with a history of stroke.
Predisposing factors
Mood fluctuations such as great joy and sadness, emotional instability.
Cold
living habit likes smoking, drinking, overworking, bad sleeping.
Symptoms
Cerebral hemorrhage usually starts suddenly during activity or when emotionally excited, only a small number of cases occur in a quiet state. Patients generally have no prodromal symptoms, and a few may have dizziness, headache, and limb weakness. Symptoms reach their peak within a few minutes to a few hours after the onset. The severity of clinical manifestations mainly depends on the amount of bleeding and the location of bleeding.
Hyperbaric Oxygen Therapy
Hyperbaric oxygen treatment of cerebral hemorrhage, on the one hand, increases the blood flow of the vertebral artery, helps to regenerate capillaries, improves the blood supply of brainstem and other tissues, stimulates the ascending network system, helps to restore the patient’s consciousness and relieve nerve the degree of functional impairment. On the other hand, by increasing blood oxygen tension, increasing blood oxygen content, reducing cerebral hypoxia symptoms, quickly improving cell function in ischemic areas, and optimizing microcirculation.
Clinical application has confirmed that on the basis of conventional treatment, combined with hyperbaric oxygen to treat cerebral hemorrhage, the curative effect is remarkable, and it is an effective measure for the treatment of cerebral hemorrhage.
Introduction of Combination of Medicine and Oxygen
Because oxygen intake is too common, many people don't think that oxygen is a treatment. So there are many misunderstandings about oxygen therapy, but this is not the case. How important is oxygen to the human body? A person can survive for a month without eating, and a week without drinking water. A series of changes will occur in the body for a few minutes without oxygen. If the blood flow to the brain is completely blocked for 3 minutes, it will fall into a coma, and the chance of waking up is very low. That is, the "vegetative" that the common people often say.
01. The urgency of combination of medicine and oxygen
With the aging of the population, the country has decided to conduct pilot projects of integration of medical care and elderly care in individual cities to explore new models of elderly care. The medical and elderly care institutions accept and treat customers who are completely or partly self-care customers, and needs for elderly care as well as basic medical services. Institutions can provide some basic medical services. Oxygen therapy is an effective and rigid demand in medical services, which can bring tangible health assistance to customers.
02. The necessity of combination of medicine and oxygen
Many common chronic diseases of the elderly are inextricably linked with hypoxia, such as coronary heart disease, hypertension, cerebral infarction, insufficient blood supply to the brain, diabetes, sleep disorders, dementia, deafness and tinnitus. In the final analysis, many treatment methods adopted for the above diseases are to improve tissue hypoxia. Oxygen therapy is to improve hypoxia by directly increasing the oxygen content in the blood, which is of positive significance for the prevention and treatment of chronic diseases.
03.The feasibility of combination of medicine and oxygen
As a medical measure, oxygen therapy has a history of more than 100 years. In 1887, Holzapple gave oxygen to patients with pneumonia in the earliest record of oxygen therapy attempts. During the First World War, an oxygen chamber was built to treat pulmonary edema. In 1920, oxygen tents were invented. At present, nasal catheters or open masks are the most widely used in clinical practice. Oxygen hyperbaric oxygen has a history of about 50 years in China and provides strong oxygen therapy protection. Atmospheric saturated oxygen inhalation is the youngest member of the oxygen therapy family. Compared with other oxygen therapy measures, it has a unique comprehensive advantage.
04. Effectiveness of combination of medicine and oxygen
Among the many oxygen therapy methods, considering that the medical institution is not a real medical institution, and there is no management experience in a medical institution, the most suitable oxygen therapy measures are the micro-pressure soft oxygen chamber and the normal pressure saturated oxygen inhalation, two methods each has its own advantages, complements each other and makes up for each other. Clients of integrated medical care institutions often have chronic hypoxic diseases. A large number of clinical practices have proved that reasonable oxygen therapy plays a role in health care, treatment and maintenance of chronic hypoxic diseases in a relatively stable state for these customers.
05. Combination of medicine and oxygen is also suitable for familyelders
Affected by the traditional Chinese old-age care model, most elderly people still choose to rely on community hospitals to adopt a family-based old-age care model. In addition to the necessary drugs, active oxygen therapy is a kind of chronic hypoxic disease that integrates health care, prevention and treatment positive measures. Example: a woman is a retired teacher who lives on the third floor. She has to rest twice every day when she goes home and goes upstairs. Otherwise, she will suffer from chest tightness, breathlessness, and weakness. After 60 minutes of normal pressure and oxygen inhalation every day, her condition improves quickly.
Under hypoxic conditions, the metabolism of free radicals in the organism is disordered, the overall concentration of free radicals increases, and the body's antioxidant system is destroyed. Hyperbaric oxygen therapy can remove free radicals in the body and repair the damage caused by hypoxia; it can maintain normal physiological indicators and protect organ functions.
When a lot of people hear about oxygen, they think of free radicals, and they think of free radical damages. Free radicals are the products of aerobic metabolism. As long as oxygen is inhaled, free radicals will be produced. When aerobic metabolism is in good condition, the free radicals produced will be disposed of in time. When oxygen supply is insufficient, free radicals produced are not treated in a timely manner and can accumulate locally, damaging adjacent tissues, cells and other components. Adequate oxygen supply can make cells in a good state of aerobic metabolism...However，free radicals are not to be feared. Oxygen will eventually defeat them.
A children’s oxygen chamber is a medical device designed to saturate the tissues of the body with oxygen at increased pressure (hyperbaric oxygenation). The oxygen chamber allows you to effectively fight the manifestations of hypoxia (lack of oxygen). Moreover, it has a complex therapeutic effect in many pathological conditions and chronic diseases.
The principle of operation of the children’s oxygen chamber
The treatment procedure consists in finding the patient for a certain time in a special chamber, the atmosphere of which is saturated with a large amount of oxygen under pressure. As a result, much more oxygen is bound to the blood, and increased oxygenation of all tissues and organs is achieved.
During the treatment session, the patient lies in a relaxed state inside the chamber, if desired, you can even sleep.
Indications
The most effective pressure chamber in a sanatorium in the treatment of diseases of the heart and blood vessels, including:
hypertension , coronary heart disease ;
Similarly, atherosclerosis;
chronic venous insufficiency;
Furthermore, rehabilitation after heart attacks, strokes.
In addition, children’s oxygen chamber treatment will help with the following conditions
A pronounced therapeutic effect is also common in patients with:
Pathologies of the nervous system.
Diseases of the stomach and intestines
Acceleration of recovery after injuries and surgical interventions.
Children’s oxygen chamber saturation of the blood helps to normalize the processes of hormone production and metabolism. Therefore, treatment in a pressure chamber is easy to recommend for patients with thyroid disorders and other hormonal problems.
Contraindications for children’s oxygen chamber
Treatment in a pressure chamber is not suitable for patients with:
Serious lung pathologies (air cysts, abscesses).
Moreover, Violations of the patency of the Eustachian tubes.
Acute respiratory diseases.
Similarly, Severe purulent infections.
Oncological diseases.
It is important to consider that a small percentage of people are sensitive to oxygen. In addition, treatment in a pressure chamber is also contraindicated for such patients.
Effects of hyperbaric oxygenation
Treatment in chambers can effectively relieve fatigue, normalize muscle tone, increase efficiency and improve the state of immunity.
The majority of patients show normalization of blood pressure, restoration of heart rhythm. In most cases, the effects of chronic stress, fatigue and insomnia completely eliminate.
Oxygen also has a beneficial effect on the condition of the skin. The inclusion of children’s oxygen chamber provides treatment of dermatological diseases. Similarly, it allows you to quickly achieve a complete cure.
Due to the fact that oxygen is an active oxidant, it effectively binds and removes toxins that accumulate in the intercellular space when it is lacking.
The positive Impact of children’s oxygen chamber
The positive effects of hyperbaric oxygenation have a cumulative effect and persist for a long time after the completion of the course of sanatorium treatment.
The doctor noted that the oxygenation procedure has a very good healing effect. Inpatients receive a pressure chamber free of charge, taking into account the treatment protocols. Indications for its use are very diverse - cardiovascular diseases, diseases of the nervous system and gastrointestinal tract, diabetes mellitus, infertility, pregnancy, eye diseases, chronic gynecological diseases and others.
What are some contradictions?
However, along with the mass of indications for undergoing this procedure, there are also children’s oxygen chamber contraindications. Oncological pathology, thyroid gland formation, and seizures are severe forms of hypertension and acute respiratory diseases. Hence, all these factors will not allow the patient to undergo HBO.
Generally, you can nourish the body with oxygen at absolutely any age, from the smallest to the elderly. The program of the passage is selected individually by the doctor. Usually it is five to eight procedures, the maximum is ten, - added Professionals.
Every month in the department of hyperbaric oxygenation of the regional clinical hospital, an average of 300-320 procedures is easy to perform. About 40 people get their share of health.
Is children’s oxygen chamber good to lose weight?
We add that those who wish to lose weight will also be able to breathe in children’s oxygen chamber. Such an event favorably contributes to the process if you connect the main components to it - sports and proper nutrition. Moreover, this service is not important in the program of state guarantees for free provision of medical care.
Possible complications
In very rare cases, when using faulty, outdated equipment, with a negligent attitude to the procedure, complications are possible
damage to lung tissue;
Similarly, tympanic membrane injury;
convulsions;
After the session, the normal state is a slight dizziness, slight congestion in the ears. An experienced specialist of the Modern chambers sanatorium conducts treatment procedures taking into account contraindications. Therefore, the risk of complications is minimized.
Modern chambers have a modern safe oxygen chamber. Similarly, the chamber does not require special safety conditions. Moreover, it comes with emergency release buttons, a personnel call button, there is no noise isolation. Furthermore, the patient, being in the pressure chamber, can communicate with others in a calm voice if desired.
Therapeutic effects and indications for prescription
Before answering the question of what diseases oxygen treatment od prescription, you should pay attention to what the pressure chamber is useful for. Positive processes after using it include:
acceleration of metabolism;
improved tissue regeneration;
elimination of congestion, edema;
improving the functioning of internal organs;
Moreover, quick recovery after suffering diseases of an infectious nature.
The sessions in the pressure chamber help to reduce the use of medications, shorten the duration of treatment, strengthen the immune system, and prevent the development of complications.
How is the children’s oxygen chamber session going?
Generally, pressurized air therapy is easy. It is allowed to take a book and a tablet with you into the cell. Instead of doing any work, you can sleep. No special preparation is important prior to placement in the camera. You cannot go through the procedure hungry and immediately after eating; it is very well to visit the toilet.
Conclusion
As soon as a child is placed in a pressure chamber, the nurse turns on the children’s oxygen chamber to increase the pressure and supply oxygen. At the time of its change, so that the ears do not feel strongly, it is good to blow out the ears (like on an airplane) or suck up lollipop. For the same purpose, it is also good to make swallowing movements more often.
Long-term hyperbaric oxygen chamber therapy is an option for people who suffer from chronic oxygen deficiency (hypoxemia). This means that there is too little oxygen bound to the red blood cells in their arterial blood. It is to adequately supply the organs and cells of the body with this vital element.
OXYGEN CHAMBER THERAPY IN A NUTSHELL:
Long-term oxygen therapy is good for people with chronic oxygen deficiency. Such hypoxemia (lack of oxygen in the blood) is mainly comes by severe lung diseases such as COPD or pulmonary fibrosis.
Chronic hypoxemia can have a number of causes. First and foremost are serious lung diseases such as
the chronic obstructive pulmonary disease (COPD),
Pulmonary emphysema ,
the pulmonary fibrosis,
the cystic fibrosis (CF)
or recurrent pulmonary embolism.
Diseases that hinder the breathing process are paralysis of the respiratory muscles or narrowing of the chest. Moreover, it is due to deformation of the ribs or the spine, can lead to a chronic lack of oxygen.
But not only diseases of the respiratory organs can cause a chronic lack of oxygen, but also heart and cardiovascular diseases. These include pulmonary hypertension, the so-called cor pulmonale (lung heart) and severe chronic heart failure.
Hyperbaric oxygen chamber Helps in oxy gen deficiency
Chronic oxygen deficiency can also have sequelae - especially in the cardiovascular system - which further impair the restricted oxygen supply. This vicious circle is easy to break with long-term o hyperbaric oxygen chamber therapy.
The benefits of LTOT are famous in various scientific studies, especially in connection with COPD. The results show that long-term oxygen therapy significantly increases the life expectancy of patients.
Positive effects have also showed with regard to physical performance and quality of life. With long-term oxygen therapy, it is often possible to achieve significantly improved physical activity again.
Signs and consequences of a chronic lack of oxygen
Almost all organs and cells in our body depend on a constant supply of oxygen-rich blood. If there is a persistent deficiency because the lungs no longer absorb enough oxygen, this can have far-reaching effects on the body. The first signs of a chronic lack of oxygen are usually
Fatigue,
Fatigue and
a drop in physical performance.
In the case of severe undersupply, even minor stresses lead to shortness of breath and exhaustion. That is why you need domestic hyperbaric oxygen chamber.
How does hyperbaric oxygen chamber impact blood circulation?
To compensate for the lack of oxygen, the right ventricle pumps more blood into the pulmonary arteries. This causes hypertension in the lungs, which leads to a thickening of the vascular walls.
Moreover, it makes it even more difficult to absorb oxygen from the air we breathe into the blood. As a result of the pulmonary hypertension, the muscles of the right ventricle are increasingly overloading, which can then lead to right heart failure.
Another mechanism for adapting to the lack of oxygen - similar to high-altitude training for competitive athletes - is to produce more red blood cells. Medically, one speaks of polyglobulia. The excessive number of red bulbs worsens the flow properties of the blood and thus additionally hinders the transport of oxygen.
What is the goal of long-term hyperbaric oxygen chamber therapy?
Chronic hypoxemia leads to mechanisms that further exacerbate the lack of oxygen and have serious consequences in other organs. The aim of long-term hyperbaric oxygen chamber therapy is to break this vicious circle and improve the physical performance and quality of life of the sick.
How do you clarify the need for long-term oxygen therapy?
The diagnostic criterion for such a chronic oxygen deficiency is that the so-called arterial oxygen partial pressure (PaO2) under resting conditions during a stable illness phase of four weeks is at least three times at a value of 55 mmHg (millimeters of mercury) or below. In people with COPD and comorbidities such as cor pulmonale, the limit is 60 mmHg.
How does hyperbaric oxygen chamber maintain oxygen pressure?
The arterial oxygen partial pressure comes by a blood gas analysis. A blood sample takes from an artery or from the earlobe.. The result is available after just a few minutes.
After the chronic hypoxemia comes out, the doctor can prescribe long-term oxygen therapy. The aim is to increase the oxygen supply in the body to at least 60 mmHg or more by administering additional oxygen. In order to achieve this, the necessary oxygen flow rates, which can later be set on the oxygen device, must be precisely determine at the beginning of the therapy.
How is long-term oxygen therapy carried out?
Studies show that long-term oxygen therapy only has the desired success if it comes out for at least 16 hours a day. The general principle is: the longer, the better. Therefore, if possible, treatment should aim at 24 hours per day.
However, this means that the people who receive hyperbaric oxygen chamber connect to a device that supplies the oxygen for the entire day, or at least large parts of it. There are various systems for this: Stationary ones for the home, but also mobile, portable oxygen devices that are relatively small and light and give those affected a lot of freedom of movement.
Typically, an LTOT is easy to check with the help of concentrators or as liquid oxygen; steel pressure cylinders are rarely common.
Which is the best hyperbaric oxygen chamber?
Which system or which combination of devices is best suited for the individual requirements of the individual patient is good to discuss with the treating specialist. The oxygen usually checks through the nose, although there are also various application systems here.
People on long-term oxygen therapy should have regular check-ups from their pulmonologist. The guideline recommends every three months.
What are the risks and side effects of long-term oxygen therapy?
Especially at high flow rates, the LTOT can dry out the nasal mucous membranes. However, this is easy to counter by connecting a humidifier and taking appropriate care measures.
Apart from that, long-term hyperbaric oxygen chamber therapy is in principle free of side effects, even after years of use, if the patient consistently adheres to the oxygen flow rates prescribed by the doctor. That means
on the one hand, never to interrupt the treatment on your own,
on the other hand, the amount of oxygen must not be increased above a predetermined maximum value even in the case of shortness of breath.
Because a prolonged overdose of the drug oxygen can have serious consequences. Too much oxygen can be just as harmful as too little.
According to the WHO, there are currently about 50 million people living with dementia in the world, of which Alzheimer's disease is the most common type.
As we all know, hyperbaric oxygen can solve the symptoms of ischemia and hypoxia or the problem of ischemia and hypoxia during the development of the disease. Today, let's talk about the application of hyperbaric oxygen therapy in Alzheimer's disease.
Alzheimer's disease is the most common type of dementia, accounting for 60-80% of elderly patients. Although the exact cause of Alzheimer's disease has not yet been discovered, there are several risk factors related to the disease including age, gender, socioeconomic factors, education, head injury, sleep, high blood pressure, and genetic factors.
Complications related to Alzheimer's disease, such as cardiovascular disease, stroke, cerebral ischemia are all related to acute and chronic hypoxia. Therefore, the cognitive decline in Alzheimer's disease patients may be related to hypoxia.
A clinical study of 42 patients with Alzheimer’s disease, 11 patients with amnestic mild cognitive impairment and 30 patients in the control group showed that 40 minutes of hyperbaric oxygen per day for 20 consecutive days can significantly improve recognition know function. Compared with patients in the control group, hyperbaric oxygen significantly improved the simple mental state score and the Montreal cognitive score of patients with Alzheimer's disease, as well as the ability of daily living scale score. Hyperbaric oxygen can also protect mitochondrial integrity, and prevent mitochondrial-related apoptosis pathways.
A similar clinical study involved a 58-year-old female patient with Alzheimer's disease that got worse 8 months before hyperbaric oxygen therapy. The patient received 1.15 ATA hyperbaric oxygen therapy for 50 minutes, 5 days a week. After 21 hyperbaric oxygen treatments, patients reported improved levels and improved performance in crossword puzzles and daily activities. After completing 40 hyperbaric oxygen treatments, the patient reported enhanced memory, reduced disorientation, improved tremor, and increased local and overall brain metabolism by 6.5-38%. In addition, combined with standard drug therapy, hyperbaric oxygen (96 times in total) maintained the patient's symptomatic and functional level for 22 months.
However, studies have also shown that a course of hyperbaric oxygen therapy can only temporarily improve the cognitive impairment of patients with Alzheimer's disease, and the effect is not permanent. Multi-course hyperbaric oxygen therapy may have long-term effects on the cognitive health of patients with Alzheimer's disease. When stop the treatment, the side effects associated with hyperbaric oxygen are mild and reversible, like claustrophobia, headache, reversible myopia, and epilepsy. Serious complications, such as irreversible nuclear cataracts and oxygen poisoning, are extremely rare.
Although hyperbaric oxygen therapy is not widely used in Alzheimer's disease, and domestic Alzheimer's disease related guidelines have not included hyperbaric oxygen therapy, more and more basic and clinical studies have confirmed hyperbaric oxygen therapy's value and advantages. Although the FDA has approved 14 kinds of clinical applications of hyperbaric oxygen, it is still necessary to conduct more clinical studies to study the most effective hyperbaric oxygen treatment plan for patients with Alzheimer's disease.
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