Kudzidzisa Zvekurapa ECMO Kudzidzisa Kuboorwa Kwetsinga dzeMukadzi neVein neUltrasound

✅ 1:1 Kuderedza nhengo dzemuviri dzemunhu mukuru kunoenderana nemaitiro ekuvhiya kwekiriniki. Nzvimbo dzese dzetsinga dzeropa, kudzika kweropa, uye hukama hwenzvimbo zvinoenderana zvizere nemuviri wemunhu mukuru. Varapi vanochengetedza nzvimbo imwechete yeruoko, kutonga kwehupamhi hweropa, uye pfungwa dzekuisa nhengo senzira yekuvhiya chaiyo yeECMO, zvichiita kuti pave nekubatana pakati pekudzidziswa nekuvhiya kwekiriniki.

✅ Pombi inotenderera inotevedzera kufamba kwetsinga dzeropa chaiyo. Pombi inotenderera inofambisa kufamba kwemvura mukati mepombi kuti ifananidze kufamba kweropa uye kufamba kweropa mutsinga. Vadzidzi vanogona kunzwa kurova kweropa panguva yekubata nekurova, zvichiita kuti ropa ridzore kubatwa kweropa.

✅ Ganda repachidya risina kujeka rinotevedzera kuboorwa kwemaziso. Rutivi rwechidya haruoneki, tsinga dzeropa hadzionekwe zvakananga. Vadzidzi vanofanirwa kushandisa zviratidzo zvemuviri uye kurova kwemoyo kuti vawane tsinga dzeropa, vachikwanisa kuburitsa tsinga dzeropa dzakaita sedzakajairwa, zvichinyatsodzidzisa kugona kwakarurama kwekuisa tsinga.

✅ Kucheka mapedhi ekuboorwa kunotsiviwa. Mari yekudzidzira kwenguva refu. Nzvimbo yekuboorwa kwefemu inongozvimirira yoga, inoraswa. Mushure mekuboorwa kakawanda, zvinhu zvinokuvadzwa, chinhu chemunzvimbo chete ndicho chinoda kutsiviwa panzvimbo pemuchina wese, zvichideredza zvakanyanya mari yekudzidzisa muzvipatara nenzvimbo dzekudzidzisa vanhu vanokurumidzira.

✅ Kuratidzwa kweropa kwakazara mumuviri wemunhu kuti udzidze nzira. Mitsipa yeropa mikuru yechipfuva neyedumbu inoonekwa + modhi yemoyo inoratidza nzira yakazara yeropa yeECMO arteriovenous extracorporeal bypass, zviri nyore kuti vadzidzisi vatsanangure pfungwa dzese dzeropa rekurapa kweECMO.

✅ Mamiriro ezvinhu akasiyana-siyana anoshanda

1. Zvipatara zvikuru, madhipatimendi ekukurumidzira uye eICU: Kudzidziswa kwakajairika kweECMO emergency cannulation kwevanachiremba vanorwara zvakanyanya;
2. Yunivhesiti dzezvekurapa, makoreji ekurapa akakosha: Kudzidzisa hunyanzvi hwekuboorwa kwetsinga dzeropa kunze kwemuviri;
3. Nzvimbo dzekuongorora hunyanzvi hwekukurumidzira: Kuongororwa kwehunyanzvi kweECMO puncture operation;
4. Nzvimbo dzekudzidzisa vanhu nezvenjodzi vasati vapinda muchipatara: Kudzidzira kununura vanhu vanobatwa nechirwere cheECMO.

✅ Hurefu hwakatetepa hwekuchengetedza nekutakura zviri nyore. Huremu hwacho hudiki uye hwakareruka, huri nyore kufamba pakati pemawadhi, makirasi ekudzidzira nenzvimbo dzemisangano yenjodzi, hwakakodzera kudzidziswa kwepakati uye kudzidzira kwekukurumidzira kunofamba.