I-membrane eyongezelelweyo yeoksijini yomoya

I-membrane eyongezelelweyo yeoksijini yomoya (ECMO) lunyango olusebenzisa impompo ukuhambisa igazi ngemiphunga yokufakelwa ibuyele kwigazi lomntwana ogula kakhulu. Le nkqubo ibonelela ngenkxaso yokudlula kwentliziyo nemiphunga ngaphandle komzimba wosana. Inokukunceda ukuxhasa umntwana olindele ukufakelwa kwentliziyo okanye kwemiphunga.

KUTHENI UKUSETYENZISWA ECMO?

I-ECMO isetyenziswa kwiintsana ezigulayo ngenxa yokuphefumla okanye iingxaki zentliziyo. Injongo ye-ECMO kukubonelela ngeoksijini eyaneleyo emntwaneni ngelixa ivumela ixesha lokuba imiphunga nentliziyo ziphumle okanye ziphilise.

Iimeko eziqhelekileyo ezinokufuna i-ECMO zi:

• I-hernia yokuzalwa ye-diaphragmatic (CDH)
• Iziphene zokuzalwa kwentliziyo
• Isifo seMeconium aspiration syndrome (MAS)
• Inyumoniya enamandla
• Iingxaki ezivuzayo zomoya
• Uxinzelelo lwegazi oluphezulu kwimithambo yemiphunga (PPHN)

Ingasetyenziselwa ngexesha lokubuyisela emva kokuhlinzwa kwentliziyo.

UMNTWANA UFAKWA NJANI KWI-ECMO?

Ukuqala kwe-ECMO kufuna iqela elikhulu labanonopheli ukuzinzisa umntwana, kunye nokuseta ngononophelo kunye nokukhuthaza impompo ye-ECMO ngamanzi kunye negazi. Utyando luyenziwa ukuze uncamathisele impompo ye-ECMO emntwaneni ngokusebenzisa iicatheters ezibekwe kwimithambo yegazi enkulu entanyeni yomntwana okanye emgodini.

ZIYIPHI IINGOZI ZE-ECMO?

Ngenxa yokuba iintsana eziqwalaselwe i-ECMO sele zigula kakhulu, zisengozini enkulu yeengxaki zexesha elide, kubandakanya nokufa. Nje ukuba umntwana abekwe kwi-ECMO, ezinye iingozi zibandakanya:

• Ukopha
• Ukubumba kwegazi
• Usulelo
• Iingxaki zotofelo-gazi

Rhoqo, impompo inokuba neengxaki zoomatshini (ukuphuka kwetyhubhu, ukumisa impompo), okunokonzakalisa umntwana.

Nangona kunjalo, uninzi lweentsana ezifuna i-ECMO zinokufa ukuba bezingasetyenziswanga.

ECMO; Ukudlula kwentliziyo-kwemiphunga - iintsana; Dlula - iintsana; Neonatal hypoxia - ECMO; I-PPHN-ECMO; Iminqweno yeMeconium - ECMO; I-MAS-ECMO

• ECMO

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