The use of hyperbaric oxygen therapy in the complex treatment of postpartum iron deficiency anemia
https://doi.org/10.51922/1818-426X.2023.2.31
Abstract
Iron deficiency is the most common cause of postpartum anemia due to food habits, insufficient maternal iron reserves at the beginning of pregnancy, increased iron requirements associated with pregnancy, and blood loss during childbirth. As a non-drug treatment the use of hyperbaric oxygen therapy (HBO) is proposed. The main essence of the action of HBO is reduced to a rapid increase in oxygen tension in tissues due to an increase in the amount of dissolved oxygen in the blood, an increase in its diffusion rate between the blood and the hypoxic tissue site. Non-specific adaptive reactions developing during the use of HBO provide a wide range of therapeutic effects. At the same time, along with the beneficial effect, hyperoxia can also have a toxic effect, the clinic of which depends on the duration of exposure, individual sensitivity to oxygen, on the influence of concomitant factors: temperature environment, physical activity, density of the gas mixture. The implementation of the compensatory capabilities of HBO is promising only with timely optimal use of the method.
About the Authors
V. N. Sidorenko
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
S. I. Savina
УЗ «5-я Городская клиническая больница»
Belarus
Belarus
T. M. Oleshkevich
УЗ «5-я Городская клиническая больница»
Belarus
Belarus
A. V. Gordievich
УО «Белорусский государственный медицинский университет»
Belarus
Belarus
References
1. Pathophysiology of the blood system: studies. manual / E. V. Leonova, A. V. Chanturia, F. I. Vismont; BSMU, Kaf. pathologist. physiology. – Minsk: BSMU, 2009. – 128 p.
2. Protopopova, T. A. Iron deficiency anemia and pregnancy // Russian Medical Journal. – 2012. –№ 20(17) – P. 862.
3. Normal physiology. 4th ed. / N. A. Aghajanyan, N. A. Barbarash, A. F. Belov, A. I. Kubarko, V. A. Pereverzev [et al.] / V. M. Smirnova. – Center “Academy”, 2012. – Р. 480.
4. Hematology: The latest reference book / K. M. Abdulkadyrov. – M.: Eksmo Publishing House; St. Petersburg: Sova Publishing House, 2004.– Р. 982.
5. Bova, A. A., Valuevich V. V., Rudoy A. S. Iron deficiency anemia: diagnosis, treatment, prevention // Military medicine. – 2017. – № 3. – P. 4–10.
6. Mikhailova, O. I., Mirzabekova D. D., Tyutyunnik V. L., Kan N. E. Therapy of iron deficiency anemia in the postpartum period // Pharmacology & Pharmacotherapy. – 2022. – № 3. – P. 60–63.
7. Omotayo, M. O., Abioye A. I., Kuyebi M., Eke A. C. Prenatal anemia and postpartum hemorrhage risk: a systematic review and metaanalysis // J. Obstet. Gynaecol. Res. – 2021. – № 47(8). – Р. 2565–2576.
8. Breymann, C., Honegger C., Hösli I., Surbek D. Diagnosis and treatment of iron-deficiency anaemia in pregnancy and post-partum // Arch. Gynecol. Obstet. – 2017. – № 296(6). – P. 1229–1234.
9. Ortega, M. A., Fraile-Martinez O., García-Montero C., Callejón-Peláez E., Sáez M. A., Álvarez-Mon M. A., García-Honduvilla N., Monserrat J., Álvarez-Mon M., Bujan J., Canals M. L. A General Overview on the Hyperbaric Oxygen Therapy: Applications, Mecha nisms and Translational Opportunities // Medicina (Kaunas). – 2021. – № 57(9). – Р. 864.
10. Leach, R. M., Rees P. J., Wilmshurst P. ABC of Oxygen: Hyperbaric Oxygen Therapy // BMJ. – 1998. – P. 1140–1143.
11. Amir, H., Shai E. The Hyperoxic-hypoxic Paradox // Biomo-lecules. – 2020. – № 10. – Р. 958.
12. Thom, S. R. Hyperbaric Oxygen: Its Mechanisms and Efficacy // Plast. Reconstr. Surg. – 2011. – Р. 131–141.
13. Camporesi, E. M., Bosco G. Mechanisms of Action of Hyperbaric Oxygen Therapy // Undersea Hyperb. Med. – 2014. – Р. 247–252.
14. Kirby, J. P. Hyperbaric Oxygen Therapy Emergencies // Mol. Med. – 2019. – Р. 180–183.
15. Van Meter, K. W. The Effect of Hyperbaric Oxygen on Severe Anemia // Undersea Hyperb. Med. – 2012. – Р. 937–942.
16. Chen, W., Liang X., Nong Z., Li Y., Pan X., Chen C., Huang L. The Multiple Applications and Possible Mechanisms of the Hyper baric Oxygenation Therapy // Med. Chem. – 2019. – Р. 459–471.
17. Heyboer, M., Sharma D., Santiago W., McCulloch N. Hyperbaric Oxygen Therapy: Side Effects Defined and Quantified // Adv. Wound Care. – 2017. – Р. 210–224.
18. Mcmonnies, C. W. Hyperbaric Oxygen Therapy and the Possibility of Ocular Complications or Contraindications // Clin. Exp. Optom. – 2015. – Р. 122–125.
19. Gawdi, R., Cooper J. S. Hyperbaric Contraindications // StatPearls Publishing. – 2020.
20. DuBose, K. J., Cooper J. S. Hyperbaric Patient Selection // StatPearls Publishing. – 2018.
21. Stevens, S. L., Narr A. J., Claus P. L., Millman M. P., Steinkraus L. W., Shields R. C., Buchta W. G., Haddon R., Wang Z., Murad M. H. The Incidence of Hypoglycemia during HBO2 Therapy: A Retrospective Review // Undersea Hyperb. Med. – 2015. – Р. 191–196.
22. Weaver, L. K., Churchill S. Pulmonary Edema Associated with Hyperbaric Oxygen Therapy // Chest. – 2001. – Р. 1407–1409.
23. Prophylaxis of intrauterine growth retardation by hyperbaric oxygenation in the early terms of pregnancy // B. A. Shostak. – Minsk, 2003.
24. WHO recommendations on antenatal care for a positive pregnancy experience, 2017.
25. Medical supervision and medical care for women in obstetrics and gynecology: clinical protocol, 2018.
Review
For citations:
Sidorenko V.N., Savina S.I., Oleshkevich T.M., Gordievich A.V. The use of hyperbaric oxygen therapy in the complex treatment of postpartum iron deficiency anemia. Medical Journal. 2023;(2):31-36. (In Russ.) https://doi.org/10.51922/1818-426X.2023.2.31
Views:
4
Email this article 