Extracorporeal akpụkpọ ahụ oxygenation

Extracorporeal akpụkpọ ahụ oxygenation (ECMO) bụ ọgwụgwọ na-eji mgbapụta iji kesaa ọbara site na ngụgụ keakamere azụ n'ime ọbara nke nwa na-arịa ọrịa. Usoro ihe a na-enye nkwado obi-akpa n'akụkụ mpụga nke ahụ nwa ahụ. O nwere ike inyere aka ịkwado nwatakịrị na-echere obi ma ọ bụ ume ume.

GYN B IS Ejiri ECMO?

A na-eji ECMO na ụmụ ọhụrụ ndị na-arịa ọrịa n'ihi nsogbu iku ume ma ọ bụ nke obi. Ebumnuche nke ECMO bụ iji nye nwa ọhụrụ oxygen zuru oke mgbe ikwe ka oge maka ngụgụ na obi izu ike ma ọ bụ gwọọ.

Ọnọdụ ndị kachasị nwere ike ịchọ ECMO bụ:

• Ọrịa diaphragmatic hernia (CDH)
• Mmebi iwu nke obi
• Ọrịa mmiri Meconium (MAS)
• Oké oyi baa
• Nsogbu ikuku siri ike
• Ọbara mgbali elu dị na akwara ume nke ngụgụ (PPHN)

A pụkwara iji ya n'oge oge mgbake mgbe ịwachara obi.

Kedụ ka esi etinye nwatakịrị na ECMO?

Malite ECMO chọrọ nnukwu ndị na-ahụ maka nlekọta iji mee ka nwa ahụ kwụsie ike, yana nhazi nke ọma na mbido nke mgbapụta ECMO nwere mmiri na ọbara. A na-awa ahụ iji tinye mgbapụta ECMO na nwa ahụ site na catheters a na-etinye n'ime nnukwu arịa ọbara n'olu nwa ma ọ bụ akwa.

G AREN ARE B THE ize ndụ nke ECMO?

Ebe obu na umuaka aturu anya ECMO adighi aria oria, ha no na nsogbu di ogologo, tinyere onwu. Ozugbo etinyere nwatakịrị ahụ na ECMO, nsogbu ndị ọzọ gụnyere:

• Ọbara ọgbụgba
• Ọkpụkpụ ọbara
• Ofufe Ọrịa
• Nsogbu mmịnye ọbara

Obere oge, mgbapụta ahụ nwere ike ịnwe nsogbu n'ibu (ọkpọkọ ọkpọkọ, mgbapụta na-akwụsị), nke nwere ike imerụ nwatakịrị ahụ.

Agbanyeghị, imirikiti ụmụntakịrị chọrọ ECMO nwere ike ịnwụ ma ọ bụrụ na ejighị ya.

ECMO; Obi-ngabiga uzo - umuaka; Uzo - umuaka; Neonatal hypoxia - ECMO; PPHN - ECMO; Ọchịchọ Meconium - ECMO; MAS - ECMO

• ECMO

Ahlfeld SK. Usoro iku ume iku ume. Na: Kliegman RM, St. Geme JW, Schor NF, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 122.

Patroniti N, Grasselli G, Pesenti A. Nkwado Extracorporeal nke mgbanwe gas. Na: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Akwụkwọ ọgụgụ Murray na Nadel nke Medicine Respiratory. Nke isii. Philadelphia, PA: Elsevier Saunders; 2016: isi nke 103.

Stork EK. Agwọ maka ọrịa obi na neonate. Na: Martin RJ, Fanaroff AA, Walsh MC, ụmụ. Fanaroff na Martin nke Neonatal-Perinatal Medicine. Nke 11. Philadelphia, PA; Onye ozo; 2020: isi 70.