हाइपर माने सामान्य से ऊपर (ज्यादा )और बारिक बोले तो वायुदाब (प्रेशर )से सम्बंधित वायुमंडलीय दाब को मिलीबार में अभिव्यक्त किया जाता है।
हाइपरबारिक मेडिसिन का मतलब हुआ बढे हुए ऑक्सीजन दाब (दाबित ऑक्सीजन )द्वारा चिकित्सा। जिसमें मरीज़ को एक ऐसे कक्ष में रखा जा सकता है जिसमें उसे ऑक्सीजन सामान्य वायु दाब से दो या तीन गुना दाब पर मुहैया करवाई जाती है। ऐसा होने पर बढ़े हुए दाब पर शरीर के हर ऊतक को ऑक्सीजन पहुँचती है जो चंद ग्रोथ फेक्टर्स के निर्माण को प्रेरित करती है जादुई स्टेम सेल्स का निर्माण भी करवा सकती है ऐसे में मधुमेह जैसे रोगों में लाइलाज हो चुके आसानी से न भरे जा सकने वाले जख्मों को भी भरने के मौके पैदा हो जाते हैं ,एम्पुटेशन को टाला जा सकता है। किसी धमनी में किसी भी वजह से एयर एम्बोलस (एयर बबिल)फंस जाने पर दाबित ऑक्सीजन उसे हटाने में सहायक सिद्ध हुई है अन्यान्य रोगों का समाधान बनती है बढ़े हुए दाब पर दी गई ऑक्सीजन चिकित्सा। पढ़िए एक विरल अनूठा समाधान ऑक्सीजन चिकत्सा पर :
Oxygen therapy breathes new life into woman lying in
coma
Mumbai: When Sonabai Morasker boards a bus for Shippur village near Kolhapur on April
25,she will leave without the
memory of four days she spent in a state of unconsciousnessor comain a city hospital.A widow
who manages her tiny
farm back home,Morasker did not wake up after the effects of the anaesthesia wore off
following an open heart surgery
to replace a leaky mitral valve in February first week.
An MRI scan showed the culpritair bubbles,or air embolism,in her brain.With Morasker
showing
no signs of
improvement even after four days,doctors at L H Hiranandani Hospital in Powai placed her in
an oxygen chamber.And
in
what could pass off for the script of a Bollywood blockbuster,within 15 minutes of receiving
oxygen therapy,the 42-year-
old woman opened her eyes and wanted to know where she was.
When TOI met Morasker in her rented room in Kharghar last week,she had no recollection of
the drama that unfolded
on
February 2.I remember the operation theatres bright lights before closing my eyes.The next
thing was I opened my eyes
in a similar room, she said.
Sonabai has no memory of four days after her heart surgery
Its rare that air bubbles dont damage brain,say doctors
Sonabai Morasker,who has survived an air bubble in her brain,has no recollection of the four
days after her heart
surgery in February.
Immediately after she came around,the doctor asked her if she recognized me.She said,This
is
my Prakash, her son-in-
law Prakash Kesarkar revealed.
Hiranandani Hospital doctors are amazed at Moraskers complete recovery.Her neurological
examination after a month
of discharge showed that she hasnt suffered any brain damage, said Dr Vaishnav
Manmath,who specializes in
hyperbaric oxygen therapy.It is rare that air bubbles detected in a persons do not cause any
damage.
Morasker suffers from rheumatic heart disease,a condition in which the heart gets damaged
due to a bacterial infection
in childhood.She couldnt walk even a few steps without getting breathless.The sarpanch gave
us a letter and
recommended that we come to Hiranandani Hospital for free treatment, said
Prakash.Accordingly,Morasker underwent
a valve replacement at the Powai hospital on February 2.The next morning,the ICU nurses
informed her family that she
hadnt woken up after the surgery.We were shattered as we waited for doctors to go through a
series of tests and
treatment, Prakash said.According to doctors,air bubbles can occur due to a number of
reasonsfrom being strapped to
a heart-lung machine to fixing of an intravenous line.Cardiologist Dr Ameya Amonkar
said,There is no way of pinning
down a reason for air bubbles.As hyperbaric oxygen is the best treatment it,we immediately
recommended her for it.
According to Dr Manmath,as oxygen was being delivered under pressure,the air bubbles in
Moraskers brain got
dissolved into the blood plasma.
The medical world,however,is a bit skeptical.If the woman has no brain damage even after
bubbles stopped blood flow
to her brain for four days,it means that she is plain lucky, said a doctor from Nair Hospital who
didnt want to be
identified.
Dr Sangeeta Rawat,who heads the neurological department of KEM Hospital in Parel,said,It
seems like a mystery.How
was it that there was no brain damage despite there being no blood supply for so long She felt
the coma was perhaps
induced by some metabolic reason such as lack of some electrolytes rather than air
bubbles.Sonabai is blissfully
unaware of all the medical nuances.Shes happy that she can now walk fast and climb stairs
without having to stop.
MIND MATTERS
Coma is a prolonged state of unconsciousness in which a person is unresponsive to his or her
environment.The
patient looks like he / she is sleeping,but fails to wake up.It can be temporary or permanent
depending on the injury to
the brain On February 2,Sonabai Morasker (43) is admitted to a Powai hospital for a mitral
heart valve replacement
surgery She doesnt gain consciousness after the anaesthesia effect wears off Doctors then
run
a series of
tests,including an MRI,and find that an air bubble (air embolism) in her brain is the cause of her
unconsciousness She
is given oxygen therapy Hyperbaric medicine (known as hyperbaric oxygen therapy [HBOT]) is
the medical use of oxygen
at a level higher than atmospheric pressure When a patient is placed in HBOT,it enhances the
bodys natural healing
process by inhalation of 100% oxygen in a total body chamber
Case Of The Racing Legend
In December 2013,former Formula 1 driver Michael Schumacher suffers severe brain injuries
after striking a rock while
skiing.The German racer has been in a medically induced coma at Grenoble University
Hospital where he is being
treated since January
हाइपरबारिक मेडिसिन का मतलब हुआ बढे हुए ऑक्सीजन दाब (दाबित ऑक्सीजन )द्वारा चिकित्सा। जिसमें मरीज़ को एक ऐसे कक्ष में रखा जा सकता है जिसमें उसे ऑक्सीजन सामान्य वायु दाब से दो या तीन गुना दाब पर मुहैया करवाई जाती है। ऐसा होने पर बढ़े हुए दाब पर शरीर के हर ऊतक को ऑक्सीजन पहुँचती है जो चंद ग्रोथ फेक्टर्स के निर्माण को प्रेरित करती है जादुई स्टेम सेल्स का निर्माण भी करवा सकती है ऐसे में मधुमेह जैसे रोगों में लाइलाज हो चुके आसानी से न भरे जा सकने वाले जख्मों को भी भरने के मौके पैदा हो जाते हैं ,एम्पुटेशन को टाला जा सकता है। किसी धमनी में किसी भी वजह से एयर एम्बोलस (एयर बबिल)फंस जाने पर दाबित ऑक्सीजन उसे हटाने में सहायक सिद्ध हुई है अन्यान्य रोगों का समाधान बनती है बढ़े हुए दाब पर दी गई ऑक्सीजन चिकित्सा। पढ़िए एक विरल अनूठा समाधान ऑक्सीजन चिकत्सा पर :
Oxygen therapy breathes new life into woman lying in
coma
Mumbai: When Sonabai Morasker boards a bus for Shippur village near Kolhapur on April
25,she will leave without the
memory of four days she spent in a state of unconsciousnessor comain a city hospital.A widow
who manages her tiny
farm back home,Morasker did not wake up after the effects of the anaesthesia wore off
following an open heart surgery
to replace a leaky mitral valve in February first week.
An MRI scan showed the culpritair bubbles,or air embolism,in her brain.With Morasker
showing
no signs of
improvement even after four days,doctors at L H Hiranandani Hospital in Powai placed her in
an oxygen chamber.And
in
what could pass off for the script of a Bollywood blockbuster,within 15 minutes of receiving
oxygen therapy,the 42-year-
old woman opened her eyes and wanted to know where she was.
When TOI met Morasker in her rented room in Kharghar last week,she had no recollection of
the drama that unfolded
on
February 2.I remember the operation theatres bright lights before closing my eyes.The next
thing was I opened my eyes
in a similar room, she said.
Sonabai has no memory of four days after her heart surgery
Its rare that air bubbles dont damage brain,say doctors
Sonabai Morasker,who has survived an air bubble in her brain,has no recollection of the four
days after her heart
surgery in February.
Immediately after she came around,the doctor asked her if she recognized me.She said,This
is
my Prakash, her son-in-
law Prakash Kesarkar revealed.
Hiranandani Hospital doctors are amazed at Moraskers complete recovery.Her neurological
examination after a month
of discharge showed that she hasnt suffered any brain damage, said Dr Vaishnav
Manmath,who specializes in
hyperbaric oxygen therapy.It is rare that air bubbles detected in a persons do not cause any
damage.
Morasker suffers from rheumatic heart disease,a condition in which the heart gets damaged
due to a bacterial infection
in childhood.She couldnt walk even a few steps without getting breathless.The sarpanch gave
us a letter and
recommended that we come to Hiranandani Hospital for free treatment, said
Prakash.Accordingly,Morasker underwent
a valve replacement at the Powai hospital on February 2.The next morning,the ICU nurses
informed her family that she
hadnt woken up after the surgery.We were shattered as we waited for doctors to go through a
series of tests and
treatment, Prakash said.According to doctors,air bubbles can occur due to a number of
reasonsfrom being strapped to
a heart-lung machine to fixing of an intravenous line.Cardiologist Dr Ameya Amonkar
said,There is no way of pinning
down a reason for air bubbles.As hyperbaric oxygen is the best treatment it,we immediately
recommended her for it.
According to Dr Manmath,as oxygen was being delivered under pressure,the air bubbles in
Moraskers brain got
dissolved into the blood plasma.
The medical world,however,is a bit skeptical.If the woman has no brain damage even after
bubbles stopped blood flow
to her brain for four days,it means that she is plain lucky, said a doctor from Nair Hospital who
didnt want to be
identified.
Dr Sangeeta Rawat,who heads the neurological department of KEM Hospital in Parel,said,It
seems like a mystery.How
was it that there was no brain damage despite there being no blood supply for so long She felt
the coma was perhaps
induced by some metabolic reason such as lack of some electrolytes rather than air
bubbles.Sonabai is blissfully
unaware of all the medical nuances.Shes happy that she can now walk fast and climb stairs
without having to stop.
MIND MATTERS
Coma is a prolonged state of unconsciousness in which a person is unresponsive to his or her
environment.The
patient looks like he / she is sleeping,but fails to wake up.It can be temporary or permanent
depending on the injury to
the brain On February 2,Sonabai Morasker (43) is admitted to a Powai hospital for a mitral
heart valve replacement
surgery She doesnt gain consciousness after the anaesthesia effect wears off Doctors then
run
a series of
tests,including an MRI,and find that an air bubble (air embolism) in her brain is the cause of her
unconsciousness She
is given oxygen therapy Hyperbaric medicine (known as hyperbaric oxygen therapy [HBOT]) is
the medical use of oxygen
at a level higher than atmospheric pressure When a patient is placed in HBOT,it enhances the
bodys natural healing
process by inhalation of 100% oxygen in a total body chamber
Case Of The Racing Legend
In December 2013,former Formula 1 driver Michael Schumacher suffers severe brain injuries
after striking a rock while
skiing.The German racer has been in a medically induced coma at Grenoble University
Hospital where he is being
treated since January
Hyperbaric oxygen therapy
Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room. Hyperbaric
oxygen therapy is a well-established treatment for decompression sickness, a hazard of scuba
diving. Other conditions treated with hyperbaric oxygen therapy include serious infections,
bubbles of air in your blood vessels, and wounds that won't heal as a result of diabetes or
radiation injury.
In a hyperbaric oxygen therapy room, the air pressure is raised up to three times higher than
normal air pressure. Under these conditions, your lungs can gather up to three times more
oxygen than would be possible breathing pure oxygen at normal air pressure.
Your blood carries this oxygen throughout your body, stimulating the release of substances
called growth factors and stem cells, which promote healing.
Why it's done
Your body's tissues need an adequate supply of oxygen to function. When tissue is injured, it
requires even more oxygen to survive. Hyperbaric oxygen therapy increases the amount of
oxygen your blood can carry. An increase in blood oxygen temporarily restores normal levels of
blood gases and tissue function to promote healing and fight infection.
Hyperbaric oxygen therapy is used to treat a wide assortment of medical conditions, and
different medical institutions use this treatment in a variety of ways. Your doctor may suggest
hyperbaric oxygen therapy if you have one of the following conditions:
- Bubbles of air in your blood vessels (arterial gas embolism)
- Decompression sickness
- Carbon monoxide poisoning
- A wound that won't heal
- A crushing injury
- Gangrene
- Skin or bone infection that causes tissue death
- Radiation injuries
- Burns
- Skin grafts or skin flaps at risk of tissue death
- Severe anemia
Although more research regarding hyperbaric oxygen therapy is under way, currently there's
insufficient scientific evidence to support claims that hyperbaric oxygen therapy can effectively
treat the following conditions:
- Allergies
- Arthritis
- Autism
- Cancer
- Cerebral palsy
- Chronic fatigue syndrome
- Cirrhosis
- Fibromyalgia
- Gastrointestinal ulcers
- Stroke
Risks
Hyperbaric oxygen therapy is generally a safe procedure, and complications are rare. But, as with any medical procedure, it does carry some risk.
Potential complications include:
- Temporary nearsightedness (myopia) caused by increased blood oxygen levels
- Middle ear and inner ear injuries, including leaking fluid and eardrum rupture, due to increased air pressure
- Organ damage caused by air pressure changes (barotrauma)
- Seizures as a result of too much oxygen (oxygen toxicity) in your central nervous system
How you prepare
Pure oxygen can cause fire if there is a source of ignition, such as a spark or flame, and
adequate fuel. Because of this, you can't take any items into the hyperbaric oxygen therapy
room that could ignite a fire, such as lighters or battery powered devices. In addition, to limit
sources of excess fuel, you may need to remove hair and wound-care products that are
petroleum-based and potentially flammable. Ask a member of your health care team for
specific instructions prior to your first hyperbaric oxygen therapy session.
What you can expect
During hyperbaric oxygen therapy
Hyperbaric oxygen therapy typically is performed as an outpatient procedure and does not
require hospitalization. If you're already hospitalized and require hyperbaric oxygen therapy,
you'll remain in the hospital during a hyperbaric oxygen therapy session. Alternately, you may
be transported to and from the hospital to a hyperbaric oxygen therapy session if the
procedure
is performed at an outside facility.
Depending on the type of medical institution you go to and the reason you require treatment,
you may receive hyperbaric oxygen therapy in one of two settings:
- A unit designed for one person. In an individual (monoplace) unit, you lie down on a padded table that slides into a clear plastic tube about 7 feet long.
During hyperbaric oxygen therapy, the air pressure in the room is approximately two to three
times normal air pressure. The increased air pressure will create a temporary feeling of
fullness
in your ears — similar to what you might feel in an airplane or at a high elevation — that can be
relieved by yawning.
A therapy session may last from one to two hours. Members of your health care team monitor
you and the therapy unit throughout your treatment.
After hyperbaric oxygen therapy
You may feel lightheaded following your treatment. Typically, this feeling goes away within a
few
minutes and doesn't limit normal activities.
- A room designed to accommodate several people. In a multiperson hyperbaric oxygen
- room — which usually looks like a hospital waiting room inside — you may sit or lie down. A
- lightweight, clear hood may be placed over your head to deliver the oxygen to you, or you
- may wear a mask over your face to receive the oxygen.
Results
To be effective, hyperbaric oxygen therapy requires more than one session. The number of
hyperbaric oxygen therapy sessions you require depends on your medical condition. Some
conditions, such as carbon monoxide poisoning, can be treated in as few as three visits.
Others, such as nonhealing wounds, may require 25 to 30 treatments.
Hyperbaric oxygen therapy alone can often effectively treat decompression sickness, arterial
gas embolism and severe carbon monoxide poisoning.
To effectively treat other conditions, hyperbaric oxygen therapy is used as part of a
comprehensive treatment plan and administered in conjunction with additional therapies and
medications that fit your individual needs.
सुंदर जानकारी !
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