Extracorporeal membrane oxygenation

Extracorporeal membrane oxygenation (ECMO) mushonga unoshandisa pombi kutenderera ropa kuburikidza nemapapu ekugadzira achidzokera muropa remwana anorwara zvikuru. Iyi sisitimu inopa moyo-mapapu kupfuudza rutsigiro kunze kwemuviri wemwana. Zvinogona kubatsira kutsigira mwana uyo akamirira moyo kana mapapu kuisirwa.

NEI ECMO ICHISHANDISWA?

ECMO inoshandiswa muvacheche vanorwara nekuda kwekufema kana matambudziko emwoyo. Chinangwa cheECMO ndechekupa yakakwana oxygen kumwana uchitendera nguva yemapapu nemoyo yekuzorora kana kupora.

Mamiriro akajairika angangoda ECMO ndeaya:

• Kuberekwa diaphragmatic hernia (CDH)
• Kuremara kwekuzvarwa kwemoyo
• Meconium aspiration chirwere (MAS)
• Pneumonia yakaoma
• Matambudziko akakomba ekudonha kwemhepo
• Yakakwira yakakwira BP muropa retsinga dzemapapu (PPHN)

Inogona zvakare kushandiswa panguva yekudzoreredza mushure mekuvhiyiwa kwemoyo.

Mucheche ANOGADZIRWA SEI PAEECMO?

Kutanga ECMO inoda timu hombe yevanochengeta kuti igadzikise mwana, pamwe nekumisikidza nekuchengetera kwepombi yeECMO ine fluid uye neropa. Kuvhiya kunoitwa kuti ubatanidze iyo ECMO pombi kumwana kuburikidza nemakateti ayo anoiswa mumidziyo mikuru yeropa mumutsipa wemwana kana kugomera.

CHII CHINANGWA CHEEECMO?

Nekuti vacheche vanofungidzirwa nezveECMO vatove vanorwara zvakanyanya, vari panjodzi huru kumatambudziko enguva refu, kusanganisira kufa. Kana mwana achinge aiswa paECMO, dzimwe njodzi dzinosanganisira:

• Kubuda ropa
• Ropa kugadzirwa
• Utachiona
• Zvinetso zvekuwedzera ropa

Kazhinji, iyo pombi inogona kuve nematambudziko emuchina (maburi epombi, pombi inomira), izvo zvinogona kukuvadza mwana.

Zvisinei, vana vazhinji vanoda ECMO vangangofa kana ikasashandiswa.

ECMO; Mwoyo-mapapu anopfuura - vacheche; Kupfuura - vacheche; Neonatal hypoxia - ECMO; PPHN - ECMO; Meconium kushuvira - ECMO; MAS - ECMO

• ECMO

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Patroniti N, Grasselli G, Pesenti A. Tsigiro yekuwedzera yekutsinhana kwegesi. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 103.

Dhudzi EK. Therapy ye cardiorespiratory kutadza mune neonate. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA; Elsevier; 2020: chits. 70.