Icyo Perflubron ari cyo: Ibikoresho, Urutonde rw'imiti, Ingaruka zayo n'ibindi

Perflubron ni uruvange rw'amazi rwa fluorocarbone rukorerwa mu buryo bwa gihanga rwakoreweho ubushakashatsi cyane cyane mu bijyanye n'ubuhumekero, nubwo bitakunze kuboneka nk'umuti usanzwe wo kunywa. Uru ruvange rwasobanuwe rukora neza mu kunoza itangwa rya ogisijeni mu muhogo kandi rufite imitungo idasanzwe ituma rukoreshwa mu bihe bimwe na bimwe by'ubuvuzi.

Kumenya neza perflubron birashobora kugufasha gufata ibyemezo bifitiye akamaro niba muganga wawe yigeze kuvuga kuri ubu buryo bwo kuvura. Reka dusuzume icyo uru ruvange ari cyo, uko rukora, n'icyo ugomba kumenya ku bijyanye n'ibikoresho byarwo bishoboka n'ingaruka zabyo.

Perflubron ni iki?

Perflubron ni amazi asobanutse, adafite ibara akomoka mu muryango w'ibinyabutabire byitwa perfluorocarbones. Ibi ni imiti ikorerwa mu buryo bwa gihanga ishobora gushonga ogisijeni nyinshi na karubone diyokiside, bituma bikoreshwa neza mu bijyanye n'ubuvuzi.

Uru ruvange rwakozwe mbere na mbere kugirango rukoreshwe mu guhumeka mu mazi, aho rukoreshwa mu kuzuza igice cy'umuhogo n'amazi aho gukoresha umwuka gusa. Ibi bifasha kunoza guhanahana ogisijeni ku bantu bafite ibibazo bikomeye byo guhumeka. Nubwo atari umuti usanzwe wo kunywa wabona muri farumasi yawe, abashakashatsi bakoze ubushakashatsi ku bushobozi bwarwo bwo gukoreshwa mu buryo butandukanye bw'ubuvuzi.

Tekereza perflubron nk'igikoresho cy'ubuvuzi cyihariye kuruta umuti usanzwe. Yagenewe ibihe byihariye aho imiti isanzwe itashobora guhaza.

Perflubron ikoreshwa mu iki?

Perflubron ikoreshwa cyane cyane mu bihe by'ubuvuzi bukomeye ku barwayi bafite ibibazo bikomeye byo guhumeka. Igikoresho cy'ingenzi ni guhumeka mu mazi, aho bifasha abantu imitima yabo itagikora neza kubera imvune cyangwa indwara.

Uyu muti wagiye wigwaho mu kuvura indwara zitandukanye zifata umwuka. Muri zo harimo indwara ya acute respiratory distress syndrome (ARDS), aho ibihaha bibyimba cyane ntibishobore gutanga umwuka uhagije mu mubiri. Wagiye kandi wigwaho mu kuvura umusonga ukaze n'izindi mvune zo mu bihaha.

Abashakashatsi bamwe bagiye bagerageza kureba uko wakoreshwa mu bindi bintu, harimo no kuba umuti ukoreshwa mu gukora ishusho mu byuma by'ubuvuzi. Ariko, ubu buryo bwo kubukoresha buracyari mu igerageza kandi ntibukoreshwa cyane mu buvuzi busanzwe.

Perflubron ikora ite?

Perflubron ikora ikoresha ubushobozi bwayo bwihariye bwo gutwara umwuka wa oxygène na dioxyde de carbone. Iyo ikoreshejwe mu guhumeka mu buryo bw'amazi, yuzura utwenge duto two mu bihaha (twitwa alveoli) kandi igafasha kohereza umwuka wa oxygène neza kurusha uko byakorwa n'umwuka gusa.

Uyu muti ufatwa nk'ubuvuzi bwihariye kurusha umuti woroshye cyangwa ukaze mu buryo busanzwe. Imikorere yawo iva ku bintu byawo by'umubiri kurusha imikorere ya chimique mu mubiri wawe.

Amazi akora ahantu hatandukanye mu bihaha hashobora kugabanya umubyimbire no kunoza guhanahana umwuka. Bifasha cyane iyo ibihaha byangiritse cyangwa byuzuye amazi, kuko bishobora gufasha gukuramo imyanda no gutanga umwuka wa oxygène neza mu maraso.

Nkwiriye gufata Perflubron nte?

Perflubron ntisanzwe ifatwa mu kanwa nk'umuti usanzwe. Ahubwo, itangwa hakoreshejwe ibikoresho by'ubuvuzi byihariye mu bitaro, akenshi hakoreshejwe uburyo bwo guhumeka bwa mekaniki.

Niba urimo guhabwa ubuvuzi bwa perflubron, bizatangwa n'abantu b'inzobere mu by'ubuvuzi bakugenzura neza mu gihe cyose cy'ubuvuzi. Ibi bisaba ibikoresho byihariye n'ubumenyi bwihariye buboneka gusa mu bitaro byita ku barwayi barembye cyangwa mu bigo byihariye byita ku guhumeka.

Nta mabwiriza asanzwe yo gufata uyu muti mu rugo, kuko ntugurishwa ngo umuntu awifashishe ku giti cye. Ubuvuzi ubwo aribwo bwose bukoresha perflubron bukorwa abaganga babigize umwuga babigiranye ubushishozi mu bitaro.

Nzamara Igihe Kingana Gite Nkorera Perflubron?

Igihe cyo kuvurwa na perflubron giterwa n'uburwayi bwawe bwihariye n'uburyo umubiri wawe wemera uwo muti. Ubuvuzi busanzwe bumara amasaha make cyangwa iminsi myinshi, ariko ibyo byose bigenwa n'ikipe yawe y'abaganga.

Abaganga bawe bazakomeza gukurikiranira hafi imyuka yawe, urugero rwa ogisijeni, n'ubuzima bwawe muri rusange mu gihe cyose uvurwa. Bazahindura igihe cyo kuvurwa bitewe n'uko ibihaha byawe bikora n'uko ubuzima bwawe burushaho kumera neza.

Intego ni ukukoresha perflubron igihe gito gishoboka kugira ngo ifashe ibihaha byawe gukira no gukora neza. Iyo imyuka yawe imeze neza bihagije, ikipe yawe y'abaganga izaguhindurira buhoro buhoro ukoreshe uburyo busanzwe bwo guhumeka.

Ni Ibihe Bikorwa Bigaragara Biterwa na Perflubron?

Ibikorwa bisanzwe bigaragara biterwa no kuvurwa na perflubron birimo guhinduka by'agateganyo mu buryo bwo guhumeka no kuribwa guto mu nzira z'imyuka. Abantu bamwe bashobora kugira inkorora cyangwa kutumva neza umubiri wabo ukimenyera uwo muti w'amazi.

Dore bimwe mu bikorwa ushobora guhura nabyo mu gihe uvurwa:

• Guhererekana kw'imyuka by'agateganyo
• Kuribwa guto mu muhogo cyangwa mu nzira z'imyuka
• Ibihe byo gukorora
• Guhinduka kw'urugero rwa ogisijeni (bikurikiranwa hafi)
• Kuzura amazi by'agateganyo mu bihaha

Ingorane zikomeye ariko zitabaho kenshi zirimo kugorana gukuramo amazi mu bihaha cyangwa ibikorwa bitunguranye ku muti. Ikipe yawe y'abaganga izabikurikiranira hafi kandi ifate ingamba ako kanya niba hari ibikorwa bikomeye bibaye.

Kubera ko perflubron ikoreshwa mu bihe bikomeye byo kwitabara, ibikorwa byose bigaragara bigereranywa n'inyungu zishoboka zo kunoza imyuka yawe no gutanga ogisijeni.

Ninde Utagomba Gukoresha Perflubron?

Ubuvuzi bwa Perflubron ntibwemerera buri wese, kandi abaganga bawe bazasuzuma neza niba bikwiye kubera uko umeze. Abantu bafite indwara zimwe na zimwe z'umutima cyangwa abadafite umutekano bashobora kutaba abakandida beza kuri ubu buvuzi.

Ibintu byinshi bishobora gutuma ubuvuzi bwa perflubron butakwemerera:

• Kunanirwa gukomeye k'umutima cyangwa kutagira umutekano ku mutima
• Ubwo bwoko bw'indwara z'ibihaha butazungukira mu guhumeka mu mazi
• Ubwoko bw'uburwayi bwo kwanga ibintu bya fluorocarbon
• Ibyiciro aho gukuraho amazi bishobora kugora
• Gusama (umutekano nturasobanuka)

Itsinda ryawe ry'ubuvuzi rizanatekereza ku buzima bwawe muri rusange niba ufite imbaraga zihagije zo kwihanganira ubu buvuzi bukomeye. Icyemezo gihora kigizwe no gupima inyungu zishoboka n'ibibazo mu gihe cyawe cyihariye.

Amazina ya Perflubron

Perflubron izwi cyane ku izina ryayo rya chimique kuruta amazina yihariye y'ubwoko, kuko ntiboneka cyane nk'umuti ugurishwa. Mu bushakashatsi no mu bigo by'ubuvuzi byihariye, bishobora kwitwa kode zitandukanye z'ubushakashatsi cyangwa amazina y'ibigo.

Uwo muti rimwe na rimwe witwa izina rya chimique cyangwa akitwa mu nyandiko z'ubuvuzi n'amazina y'ubushakashatsi. Niba uri kwakira ubuvuzi burimo perflubron, itsinda ryawe ry'ubuvuzi rizasobanura neza uburyo bwo gukoresha uwo muti.

Bitandukanye n'imiti isanzwe, perflubron ntabwo igurishwa mu mazina y'ubwoko bw'abaguzi kuko ikoreshwa gusa mu bigo by'ubuvuzi byihariye bikurikiranwa n'inzobere.

Uburyo bwo gusimbuza Perflubron

Hariho ubundi buryo bwo kuvura ibibazo bikomeye byo guhumeka, bitewe n'uko umeze. Guhumeka bisanzwe bya mekaniki biracyari uburyo busanzwe bwo gufasha guhumeka ku barwayi barembye.

Izindi nzira zo kuvura abaganga bawe bashobora gutekereza zirimo:

• Kuvuza guhumeka kenshi
• Kuvuza umwuka wa membrane extracorporeal (ECMO)
• Kuvura umwuka wa nitric oxide
• Kuvura umwanya w'imbere
• Gukoresha umwuka uhumeka (CPAP)

Ihitamo ryo kuvura riterwa n'uburwayi bwawe bwihariye, uko ibibazo byawe byo guhumeka bikomeye, n'uko witwara neza ku buryo butandukanye. Itsinda ryawe ry'abaganga rizakorana nawe kugirango ribone uburyo bwo kuvura bukwiye ubuzima bwawe.

Ese Perflubron iruta kuvuza gakondo?

Perflubron itanga ibyiza bidasanzwe ugereranije no kuvuza gakondo mu bihe byihariye, ariko ntibiba ngombwa ko biba byiza kuri buri wese. Uburyo bikora biterwa n'uburwayi bwawe bwihariye n'uko ibihaha byawe byitwara ku buryo butandukanye.

Perflubron irashobora gufasha cyane iyo kuvuza gakondo bitatanga umwuka uhagije cyangwa iyo ibihaha byawe byangiritse cyane. Rimwe na rimwe irashobora kugera ahantu mu bihaha kuvuza gushingiye ku mwuka kudashobora kugera neza.

Ariko, kuvuza gakondo biracyari uburyo bwo kuvura busanzwe bwo kuvura ibibazo byinshi byo guhumeka kuko bwashyizweho neza, bukoreshwa cyane, kandi bufitiye akamaro abarwayi benshi. Perflubron ikunze gutekerezwa iyo uburyo bwo kuvura busanzwe butagikora neza.

Ibibazo bikunze kubazwa kuri Perflubron

Ese Perflubron iratekanye gukoreshwa igihe kirekire?

Perflubron ntabwo igenewe gukoreshwa igihe kirekire kandi ikunze gukoreshwa mu gihe gito mu bihe by'ubuvuzi bukomeye. Umutekano wo gukoresha igihe kirekire nturashyirwaho, kandi yagenewe kuba uburyo bw'agateganyo bwo gufasha ibihaha byawe gukira.

Itsinda ryawe ry'abaganga rizakurikirana neza mugihe cyo kuvurwa kandi rikwimurire mu kuvura gakondo vuba bishoboka ubuzima bwawe bukozwe neza. Intego ni ukoresha perflubron igihe gito gishoboka kugirango ugere ku nyungu zivura.

Ninkora iki niba ngize ibibazo mugihe mvurwa na Perflubron?

Niba uri kuvurwa na perflubron, uzaba uri mu kigo cy'ubuvuzi aho buri gihe uhabwa ubugenzuzi, bityo ibibazo byose bizahita bimenyekana kandi bikemurwe ako kanya n'ikipe yawe y'ubuzima. Ntugomba guhangayika kubijyanye no kwikemurira ibibazo wenyine.

Abaganga bazaba bareba ibimenyetso byawe by'ingenzi, uburyo bwawe bwo guhumeka, n'urwego rwa ogisijeni buri gihe. Batojwe kumenya no gusubiza vuba kandi neza ibibazo byose.

Ntegerezanyije iki mugihe cyo gukira nyuma yo kuvurwa na Perflubron?

Gukira nyuma yo kuvurwa na perflubron mubisanzwe bikubiyemo guhinduka buhoro buhoro ugasubira mu guhumeka bisanzwe uko ibihaha byawe bigenda bikira. Iyi nzira icungwa neza n'ikipe yawe y'ubuvuzi kugirango byemeze ko guhumeka kwawe kuguma guhamye.

Urashobora kugira inkorora cyangwa kuribwa mu muhogo igihe amazi akurwa mu bihaha byawe, ariko ibi ni ibisanzwe kandi by'igihe gito. Abaganga bawe bazagenzura iterambere ryawe kandi bahindure uburyo bwawe bw'ubuvuzi uko bikwiye mugihe cyo gukira.

Ni ryari kuvurwa na Perflubron bishobora guhagarara?

Ubuvuzi bwa perflubron bushobora guhagarara igihe imikorere y'ibihaha byawe yongereye bihagije kugirango urinde urwego rwa ogisijeni ruhagije hamwe no guhumeka bisanzwe. Iyi myanzuro ifatwa buri gihe n'ikipe yawe y'ubuvuzi ishingiye ku buzima bwawe bwihariye no gusubiza ubuvuzi.

Igihe kiratandukanye kuri buri muntu, ariko abaganga mubisanzwe bareba iterambere ry'urwego rwa ogisijeni, kugabanya umubyimbire mu bihaha, no guhamya muri rusange mbere yo guhindukira uburyo busanzwe bwo guhumeka.

Ese hari ingaruka zirambye nyuma yo kuvurwa na Perflubron?

Abantu benshi ntibagira ingaruka zirambye zo kuvurwa na perflubron, kuko iyi mvange yateguwe kugirango ikurwe mu bihaha rwose. Ariko, abaganga bawe bazagukorera ubugenzuzi kugirango barebe ingaruka zishoboka mugihe cyo gukira.

Icyo gikorwa nyuma yo kuvurwa kigamije gufasha ibihaha byawe gukomeza gukira no gusubira mu buryo bisanzwe bikora. Ubuvuzi bukurikira buzaba bwateguwe hakurikijwe uko ubuzima bwawe buhagaze n'indwara yari yatumye ukeneye kuvurwa na perflubron.