Ulwelwesi lwe-extracorporeal oxygenation

I-extracorporeal membrane oxygenation (ECMO) ukwelashwa okusebenzisa ipompo ukusabalalisa igazi ngamaphaphu okufakelwa abuyele egazini lengane egula kakhulu. Lolu hlelo luhlinzeka ngosizo lwe-heart-lung bypass ngaphandle komzimba wengane. Kungasiza ukusekela ingane elinde ukufakelwa inhliziyo noma amaphaphu.

KUNGANI Kusetshenziswa i-ECMO?

I-ECMO isetshenziswa ezinganeni ezigulayo ngenxa yokuphefumula noma izinkinga zenhliziyo. Inhloso ye-ECMO ukuhlinzeka nge-oxygen eyanele enganeni ngenkathi ivumela isikhathi samaphaphu nenhliziyo ukuphumula noma ukuphola.

Izimo ezivame kakhulu ezingadinga i-ECMO yilezi:

• I-hernia ezalwa ngokweqile (CDH)
• Ukukhubazeka kokuzalwa kwenhliziyo
• I-Meconium aspiration syndrome (MAS)
• I-pneumonia enamandla
• Izinkinga ezinkulu zokuvuza komoya
• Umfutho wegazi ophakeme kakhulu emithanjeni yamaphaphu (PPHN)

Ingasetshenziswa futhi ngesikhathi sokululama ngemuva kokuhlinzwa kwenhliziyo.

UMNTWANA UFAKWA KANJANI KU-ECMO?

Ukuqala i-ECMO kudinga iqembu elikhulu labanakekeli ukuzinzisa ingane, kanye nokusetha ngokucophelela nokuncoma iphampu ye-ECMO ngoketshezi nangegazi. Kuhlinzwa kwenziwa ukunamathisela ipompo ye-ECMO enganeni ngama-catheters afakwa emithanjeni emikhulu yegazi entanyeni noma emgodini wengane.

YINI IZINGOZI ZE-ECMO?

Ngoba izingane ezicatshangelwa i-ECMO sezivele zigula kakhulu, zisengozini enkulu yezinkinga zesikhathi eside, kubandakanya nokufa. Uma ingane ibekwe ku-ECMO, izingozi ezingeziwe zifaka:

• Ukopha
• Ukwakheka kwegazi
• Ukutheleleka
• Izinkinga zokumpontshelwa

Imvamisa, ipompo ingaba nezinkinga zemishini (ukugqashuka kwamashubhu, ukumiswa kwepompo), okungalimaza ingane.

Kodwa-ke, iningi lezingane ezidinga i-ECMO kungenzeka zife uma zingasetshenziswanga.

ECMO; Ukudlula kwenhliziyo-amaphaphu - izinsana; I-Bypass - izinsana; Neonatal hypoxia - ECMO; I-PPHN - ECMO; Isifiso seMeconium - ECMO; MAS - ECMO

• ECMO

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Patroniti N, Grasselli G, Pesenti A.Ukwesekwa okwengeziwe kokushintshaniswa kwegesi. Ku: Broaddus VC, Mason RJ, Ernst JD, et al, abakwa-eds. Incwadi kaMurray neNadel Yemithi Yokuphefumula. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 103.

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