Makina owonjezera a oxygenation

Extracorporeal membrane oxygenation (ECMO) ndi chithandizo chomwe chimagwiritsa ntchito pampu kufalitsa magazi kudzera m'mapapu opangira kubwerera kumagazi a mwana wodwala kwambiri. Njirayi imapereka chithandizo chodutsa mtima ndi mapapo kunja kwa thupi la mwana. Zingathandize kuthandizira mwana yemwe akuyembekezera kumuika mtima kapena mapapo.

N'CHIFUKWA CHIYANI NTCHITO YA ECMO?

ECMO imagwiritsidwa ntchito kwa makanda omwe akudwala chifukwa cha kupuma kapena mavuto amtima. Cholinga cha ECMO ndikupereka mpweya wokwanira kwa mwana ndikupatsa nthawi kuti mapapo ndi mtima zipumule kapena kuchira.

Zomwe zimakonda kwambiri zomwe zingafune ECMO ndi:

• Mphuno yobadwa nayo (CDH)
• Zolephera zakubadwa za mtima
• Matenda a Meconium aspiration (MAS)
• Chibayo chachikulu
• Mavuto owopsa otulutsa mpweya
• Kuthamanga kwambiri kwa magazi m'mitsempha ya m'mapapo (PPHN)

Itha kugwiritsidwanso ntchito panthawi yochira mutachita opaleshoni yamtima.

KODI MWANA AMAYikidwa BWANJI PA ECMO?

Kuyambitsa ECMO kumafunikira gulu lalikulu la osamalira kuti likhazikitse mwanayo, komanso kukhazikitsa mosamala komanso kuyambitsa mpope wa ECMO ndimadzi ndi magazi. Kuchita opaleshoni kumayikidwa kuphatikizira mpope wa ECMO kwa mwanayo kudzera mu catheters zomwe zimayikidwa m'mitsempha yayikulu m'mitsempha kapena kubuula kwa mwana.

ZOOPSA ZA ECMO NDI ZIYANI?

Chifukwa ana omwe amawerengedwa kuti ndi a ECMO adwala kale, ali pachiwopsezo chachikulu cha mavuto azaka zambiri, kuphatikizapo kufa. Mwana atayikidwa pa ECMO, zoopsa zina ndizo:

• Magazi
• Mapangidwe a magazi
• Matenda
• Mavuto a magazi

Nthawi zambiri, mpope umatha kukhala ndi mavuto pamakina (kuphulika kwa ma chubu, ma pump pump), zomwe zitha kuvulaza mwana.

Komabe, makanda ambiri omwe amafunikira ECMO amatha kufa ngati sangawagwiritse ntchito.

ECMO; Kudutsa pamtima ndi m'mapapo - makanda; Kulambalala - makanda; Neonatal hypoxia - ECMO; PPHN - ECMO; Kukhumba kwa Meconium - ECMO; MAS - ECMO

• ECMO

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Patroniti N, Grasselli G, Pesenti A. Thandizo lowonjezera pakusinthana ndi gasi. Mu: Broaddus VC, Mason RJ, Ernst JD, et al, olemba. Murray ndi Nadel's Bookbook of Respiratory Medicine. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2016: chap 103.

Dokowe EK. Therapy yolephera kwamtima mwa ana obadwa kumene. Mu: Martin RJ, Fanaroff AA, Walsh MC, olemba., Eds. Fanaroff ndi Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA; Zowonjezera; 2020: chap 70.