Extracorporeal membrane oxygenation (ECMO)

Mukushanda kwe extracorporeal membrane oxygenation (ECMO), ropa rinotumirwa kunze kwenyama kuenda kuchina chepfungwa nemwoyo. Muchina wacho unobvisa carbon dioxide uye unotumira ropa rakaguta oksijeni kudzokera mumuviri. Ropa rinoyerera kubva kurutivi rwerudyi rwemwoyo kuenda kuchina chepfungwa nemwoyo. Zvino rinopisa zvakare uye rinotumirwa kudzokera mumuviri.

ECMO inogona kushandiswa kubatsira vanhu vane zvirwere zvinokonzera kukundikana kwemoyo kana mapapu. Inogona zvakare kushandiswa kune vanhu vari kumirira kana kupora kubva pakudyara kwemoyo kana mapapu. Dzimwe nguva inoshandiswa kana mamwe matanho ekutsigira hupenyu asina kubudirira. ECMO hairapi kana kurapa zvirwere. Asi inogona kupa rubatsiro rwekanguva pfupi kana muviri usingakwanisi kupa tishu oksijeni yakakwana nekuyerera kweropa. Zvimwe zvirwere zvemoyo izvo ECMO inogona kushandiswa mazviri zvinosanganisira: Zvinetso kubva pakudyara kwemoyo. Kurwisa kwemoyo, kunonziwo acute myocardial infarction. Chirwere chetsandanyama yemoyo, chinonziwo cardiomyopathy. Moyo usingakwanisi kubomba ropa rakakwana, unonzi cardiogenic shock. Kupisa kwemuviri, kunonzi hypothermia. Sepsis. Kuchema nekutsamwa kwetsandanyama yemoyo, kunonzi myocarditis. Zvimwe zvirwere zvemapapu izvo ECMO inogona kushandiswa mazviri zvinosanganisira: Acute respiratory distress syndrome (ARDS). Ropa rakaoma rinodzivirira uye rinomisa kuyerera kweropa ku artery iri mumapapu, rinonzi pulmonary embolism. COVID-19. Mwana asati aberekwa achifema zvinhu zvakasviba mudumbu, rinonzi meconium aspiration. Hantavirus pulmonary syndrome. Kuderera kweropa mumapapu, kunonzi pulmonary hypertension. Hole iri mutsandanyama iri pakati pechidzitiro nechidumbu, rinonzi congenital diaphragmatic hernia. Chimfine, chinonziwo flu. Pneumonia. Kukundikana kwemapapu. Kurwara kwakasimba kweallergic kunonzi anaphylaxis. Trauma.

Matambudziko anogona kuitika eECMO anosanganisira: Kuyerera kweropa. Mvere dzeropa. Hosha yekugwamba ropa, inonzi coagulopathy. Hutachiona. Kurasikirwa nekugara kweropa mumaoko, tsoka kana makumbo, kunonzi limb ischemia. Kuita seizure. Kutambura nekurova kweropa.

ECMO inoshandiswa kana paine chikonzero chekutsigirwa kweupenyu mushure mekuvhiyiwa kana panguva yerwere rakakomba. ECMO inogona kubatsira mwoyo wako kana mapapu ako kuti upore. Munyanzvi wehutano ndiye anoona kana zvingabatsira. Kana uchida ECMO, vanachiremba vako, kusanganisira vanachiremba vakadzidziswa vezvinhu zvinofema, vanokugadzirira.

Munachiremba wenyu anoisa chubhu duku, inotsvedza, inonzi cannula, mumutsinga kuti adhonze ropa. Chubhu yechipiri inoenda mumutsinga kana kuti artery kudzosera ropa rakanyanya kupisa rine oksijeni kumumuviri wako. Unopihwa mishonga yakawanda, kusanganisira mishonga inorara, kuti ugare wakasununguka panguva yeECMO. Zvichienderana nechirwere chako, ECMO inogona kushandiswa kwemazuva mashoma kusvika mavhiki mashoma. Timu yako yekurapa inokurukura newe kana kuti nemhuri yako nezvaungatarisira.