Racararrakin membrane mai iska

Extracorporeal membrane oxygenation (ECMO) magani ne wanda yake amfani da famfo don zagaya jini ta huhun wucin gadi baya cikin jini na jariri mai rashin lafiya. Wannan tsarin yana bada tallafi na zuciya da huhu a wajen jikin jariri. Yana iya taimakawa tallafawa yaro wanda ke jiran zuciya ko huhu.

ME YA SA AKA YI AMFANI DA ECMO?

Ana amfani da ECMO a cikin jarirai waɗanda ba su da lafiya saboda matsalar numfashi ko matsalolin zuciya. Dalilin ECMO shine a samar da isashshen oxygen ga jariri yayin ba da lokaci don huhu da zuciya su huta ko su warke.

Mafi yawan yanayin da zasu buƙaci ECMO sune:

• Hanyar diaphragmatic hernia (CDH)
• Launin haihuwa na zuciya
• Ciwon fata na Meconium (MAS)
• Ciwon huhu mai tsanani
• Matsaloli masu tsananin iska
• Hawan jini mai tsanani a jijiyoyin huhu (PPHN)

Hakanan za'a iya amfani dashi yayin lokacin murmurewa bayan tiyata zuciya.

YAYA AKE HADA JIKI A ECMO?

Farawa ECMO yana buƙatar babban ƙungiyar masu kulawa don daidaita jaririn, da kuma saiti mai kyau da share fage na ECMO famfon ruwa da jini. Ana yin aikin tiyata don haɗa famfo na ECMO ga jariri ta hanyar catheters waɗanda ake sakawa cikin manyan jijiyoyin jini a cikin wuyan jaririn ko makwancinsa.

MENE NE HADARI NA ECMO?

Saboda jariran da aka ɗauka don ECMO sun riga sun kamu da rashin lafiya, suna cikin haɗarin matsaloli na dogon lokaci, gami da mutuwa. Da zarar an sanya jariri akan ECMO, ƙarin haɗarin sun haɗa da:

• Zuban jini
• Tsarin jini
• Kamuwa da cuta
• Matsalar jini

Ba da daɗewa ba, famfo na iya samun matsalolin inji (fashewar bututu, dakatar da famfo), wanda zai cutar da jariri.

Koyaya, yawancin jariran da suke buƙatar ECMO zasu iya mutuwa idan ba ayi amfani dashi ba.

ECMO; Zuciya-huhu kewaye - jarirai; Kewaya - jarirai; Haihuwar hypoxia - ECMO; PPHN - ECMO; Burin Meconium - ECMO; MAS - ECMO

• ECMO

Ahlfeld SK. Cututtukan numfashi. A cikin: Kliegman RM, St. Geme JW, Schor NF, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi 122.

Patroniti N, Grasselli G, Pesenti A. racarin tallafi na musayar gas. A cikin: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Littafin rubutu na Murray da Nadel na Magungunan numfashi. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 103.

Stork EK. Far don gazawar zuciya a cikin sabon jariri. A cikin: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff da Martin's Neonatal-Perinatal Medicine. 11th ed. Philadelphia, PA; Elsevier; 2020: babi na 70.