高壓氧治療大幅減輕糖尿病足部潰瘍及其併發症:
糖尿病一直高居先進國家十大死亡疾病之列,
糖尿病的併發症有：腦中風、冠狀動脈狹窄、眼底血管病變、腎功能衰竭與足部缺血性潰瘍等
高壓氧治療問題傷口的機轉:
1.提升組織含氧量，解除缺氧和水腫引起之惡性循環。
2.因此改善血液循環，纖維母細胞有足夠的營養和氧氣產生大量膠原蛋白，加速傷口之癒合。
3.促進原生幹細胞由骨髓轉移到缺氧的部位，提升血管和組織再生的能力。
4.供應吞噬性白血球進行殺菌時所需15 倍的耗氧量，製造大量過氧游離基，執行殺菌的功能。
5.足夠的氧氣可斷絕厭氧性細菌滋長的機會，快速裂解其能溶解肌肉損傷心臟血管及神經系統等之二十餘種毒素。
6.幫助抗生素到達感染的患部，有效執行殺菌的工作。
7.增加惰性細菌體內氧化還原之活性，提升抗生素殺菌時之著力點。
8.抑制有害的發炎反應，降低細菌分泌內毒素引起之敗血性休克和多重器官的衰竭。
https://www.houstonmethodist.org/newsroom/houston-methodist-sugar-land-hospital-offers-advanced-treatment-for-nonhealing-wounds/
HOUSTON METHODIST SUGAR LAND HOSPITAL OFFERS ADVANCED TREATMENT FOR NONHEALING WOUNDS
SUGAR LAND - July 2, 2018
Media Contact:Kaelyn Bujnoch, 281.274.8085
For people living with diabetes, even the smallest scrape can lead to potentially dangerous circumstances. High blood sugar can damage nerves, which may cause numbness in the feet and legs, and lead to a narrowing and hardening of blood vessels, which can result in less oxygen being circulated throughout the body to aid in healing.
If you have a wound that doesn’t heal properly, early treatment can help you get back on your feet. The Houston Methodist Wound Care Program at Sugar Land uses a multidisciplinary approach for treating wounds that won’t heal.
DIABETIC FOOT WOUNDS
Timothy Oppermann, M.D., board-certified general surgeon with Houston Methodist Surgical Associates at Sugar Land, encourages patients to take a proactive approach.
“Diabetes accounts for about 60 percent of lower limb amputations not related to injury in adults, clearly illustrating the importance for diabetic patients to closely monitor their health and take quick action to provide the proper care to even the smallest wound, particularly in the feet,” Oppermann said.
Warning signs of a chronic, nonhealing wound include:
Persistent pain in the area around the wound
Discoloration of the wound’s edges
Increased drainage from the wound site
Redness or swelling around or spreading away from the wound
HYPERBARIC OXYGEN THERAPY
The program’s doctors and nurses are certified in wound care medicine, and work with patients and their primary care physician to monitor, manage and treat wounds with the most advanced treatments available, including compression wraps, antimicrobial dressings, bioengineered skin substitutes and hyperbaric oxygen therapy (HBOT).
Michael Yaakovian, M.D., board-certified general surgeon with Houston Methodist Surgical Associates at Sugar Land, treats patients with diabetic foot problems and other nonhealing wounds. “Hyperbaric therapy supplies oxygen under pressure that supersaturates the red blood cells and plasma with oxygen, so when blood is supplied to the area of the wound, these supercharged blood cells help repair the wound and kill the infection, leading to the generation of new blood vessels and tissue growth,” Yaakovian explained.
FIVE SELF-CARE TIPS
For people with diabetes, managing wounds to prevent complications requires care and diligence. Take good care of your feet with the following tips.
Inspect and wash feet daily. With poor sensation, wounds could go unnoticed.
Keep wounds clean and dry to reduce risk of infection.
File your toe nails. Clipping may increase the risk for skin injury.
Wear proper-fitting shoes and socks at all times.
Control your blood sugar, blood pressure and cholesterol to slow down the progression of diabetic complications.
SEE A WOUND SPECIALIST
If a wound does not show signs of healing, it should be evaluated by a wound specialist. To schedule an appointment with Timothy Oppermann, M.D. or Michael Yaakovian, M.D., call 281.275.0860. Visit houstonmethodist.org/wound-sl to learn more about our services.
Visit our Facebook page at fb.com/methodistsugarland for the latest news, events and information.
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在一次罕見的中風使她的視力幾乎喪失後，一位藝術家重新獲得了視野。高壓氧療法是關鍵。
Legally blind Northstate woman regains her vision through oxygen therapy
by Julia Avery
Saturday, March 7th 2020
AA
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REDDING, Calif. — A Northstate artist regained her vision after nearly lost her eyesight from a rare stroke. Hyperbaric Oxygen Therapy was the key.
Dr. Julie Hamilton with Mercy Medical Center's Wound, Healing, and Hyperbaric Center said the therapy works, but it is time-sensitive.
“So Darcy came in late Thursday afternoon. Dr. Bowen had called us and said, ‘I have a patient that needs your help, there’s no other option and I’m really worried. She’s got a Central Retinal Artery Occlusion and like any kind of stroke, which is basically what that diagnosis is, just minutes and seconds matter,” said Hamilton.
A third of Darcy Wilson's vision was blocked in her right eye. Her Ophthalmologist sent her to Mercy to try the hyperbaric chamber.
"The reason hyperbaric oxygen therapy works is what you’re doing, is trying to drive oxygen to a part of the body where there isn’t any," said Hamilton. "If you do that overtime at 100 percent concentration and the added pressure, your body actually forms new blood vessels”
Wilson said she was scared to get into the chamber at first, but she's an artist and losing her vision isn't an option.
“Doing paintings, painting with my grandchildren is so important and such an important part of my life," said Wilson.
She lives in Weaverville, but was willing to make the drive and get over her fears of the chamber.
“Obviously in a situation like this there’s no question, no matter what her fears were, she was going to go in that chamber.”
After nine 90 minute treatments, she regained her vision.
“I just can’t say enough how grateful I am to all of them for helping me get my vision back," said Wilson. "It was amazing going through the treatment, terrifying but amazing, amazing their dedication to their work”
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