Oxygenation-ka xuubka 'Extracorporeal'

Oxygenation-ka xuubka 'Extracorporeal membrane' (ECMO) waa daaweyn u adeegsata mashiinka inuu dhiigga ku wareejiyo sambabada samayska ah ee farsamada gacanta ee cunugga aadka u jiran. Nidaamkani wuxuu bixiyaa taageero wadnaha-sambabada ah oo ka baxsan jidhka ilmaha. Waxay kaa caawin kartaa taageerida cunug sugaya wadnaha ama sambabka lagu beero.

MAXAA LOO ISTICMAALAA ECMO?

ECMO waxaa loo isticmaalaa dhallaanka jiran ee u xanuunsan neefsashada ama dhibaatooyinka wadnaha. Ujeedada ECMO waa in la siiyo cunuga oksijiin ku filan iyadoo waqti loo siinayo sambabada iyo wadnaha inay nastaan ​​ama bogsadaan.

Xaaladaha ugu caansan ee u baahan kara ECMO waa:

• Cudurka 'diaphragmatic hernia' (CDH)
• Ciladaha dhalashada wadnaha
• Cudurka 'Meconium aspiration syndrome' (MAS)
• Oof wareen daran
• Dhibaatooyinka daadinta hawada ee daran
• Cadaadis dhiig oo daran oo ku dhaca xididdada sambabaha (PPHN)

Waxaa sidoo kale loo isticmaali karaa inta lagu jiro mudada soo kabashada qalliinka wadnaha kadib.

SIDEE CARUURTA LOOGU SAMEEyaa ECMO?

Bilaabidda ECMO waxay u baahan tahay koox ballaaran oo daryeel-bixiyeyaal ah si ay u xasiliyaan ilmaha, iyo sidoo kale u-dejin taxaddar leh iyo ka-hortagga mashiinka ECMO oo leh dheecaan iyo dhiig. Qalliin ayaa loo sameeyaa si loogu dhejiyo mashiinka ECMO ilmaha iyada oo loo marayo tuubbooyin la galiyo xididdada dhiigga ee waaweyn ee qoorta ama gumaarka ilmaha.

WAA MAXAY HALISTA ECMO?

Sababtoo ah carruurta loo tixgeliyo ECMO horeyba aad ayey u jiran yihiin, waxay halis sare ugu jiraan dhibaatooyinka muddada-dheer, oo ay ku jiraan dhimashada. Marka ilmaha la dul dhigo ECMO, khataraha dheeraadka ah waxaa ka mid ah:

• Dhiigbax
• Samaynta xinjirowga dhiigga
• Caabuq
• Dhibaatooyinka dhiig ku shubista

Marar dhif ah, mashiinku wuxuu yeelan karaa cilado farsamo (tuubbo tuubbo, bamka istaaga), oo waxyeello u geysan kara ilmaha.

Si kastaba ha noqotee, carruurta badankood ee u baahan ECMO waxay u badan tahay inay dhintaan haddii aan la isticmaalin.

ECMO; Wadnaha-sanbabada - dhallaanka; Dhaaf - dhallaanka; Dhalmada hypoxia - ECMO; PPHN - ECMO; Himilada Meconium - ECMO; MAS - ECMO

• ECMO

Ahlfeld SK. Ciladaha neef mareenka. Gudaha: Kliegman RM, St. Geme JW, Schor NF, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 122.

Patroniti N, Grasselli G, Pesenti A. Taageerada dheeraadka ah ee isdhaafsiga gaaska. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 103.

Duufaan EK. Daaweynta qalfoofka wadnaha oo shaqeynaya. Gudaha: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff iyo Martin ee Neonatal-Perinatal Medicine. 11aad. Philadelphia, PA; Elsevier; 2020: cutubka 70.