Chii Chinonzi Cardiopulmonary Bypass kana Heart Lung Bypass?
Chii Chinonzi Cardiopulmonary Bypass Machine (CBM)?
Imwe cardiopulmonary bypass machine (CBM) inowanzozivikanwa seyemwoyo-mapapiro emakina. Icho chigadzirwa chinoita basa rekupa ropa (uye okisijeni) kumuviri kana mwoyo wakamira nokuda kwekuvhiya.
Muzviitiko zvakawanda, mishoni inoshandiswa kuita maitiro akaoma anoda kuti moyo udzime.
Varwere vari pamapombi chete chero bedzi zvinotora kuvhara mwoyo kubva pakurova, kushanda kwakakwana kwepfungwa yepamwoyo kana chirongwa pamapapu, uye kutangazve mwoyo.
Nei Chikafu cheCardiopulmonary Bypass Chishandiswa?
Kuti umise moyo usina kukuvadza murwere, ropa rinogadziridzwa rinofanira kuramba richipararira mumuviri panguva yekuvhiyiwa pasina kumira. Iyo cardiopulmonary inpass pump inoita basa remwoyo, kuputira ropa kuburikidza nemuviri, uye kuve nechokwadi kuti maviri emuviri anowana oksijeni yavanoda. Michina yacho inowedzera okisijeni kuropa apo inotora chiito chekuputika kwomwoyo, kutora basa remapapu.
ICBC inoshandiswa nekuda kwezvikonzero zviviri. Chikonzero chinowanzoitika ndeyekuti mwoyo unogona kumiswa kwekuvhiyiwa. Mamwe mapepa emwoyo haaikwanisi kuita nemoyo uchirova, sezvo kuvhiyirwa kwaizoitwa pa "chinangwa chinokurumidza" kana kuchange kuchiine kurashikirwa kweropa.
Muenzaniso mukuru weiyi ndiko kuchinja mwoyo kwemwoyo - mwoyo wevarwere unofanira kubviswa pamuviri kuitira kuti mwoyo unopa unogona kuiswa mukati. Pasina pombi kunotsiva chiito chemoyo, kushandiswa kwemoyo hakuzogoneki.
Izvo zvakafanana nezvimwe mapurisa emapapu, panofanira kunge kune nzira yekugadzirisa ropa apo mapapu asingagoni.
Chirongwa chekufambisa mapapu chinoda nzira yakasiyana yekugadzirisa ropa apo mapapu asingakwanise, asi mwoyo unogona kuramba uchirova munguva yekuita.
Kune vamwe varwere, iyo pombi haishandisirwi nekuvhiyiwa, asi kubatsira kuchengetedza murwere ari mupenyu apo vari kushaya mwoyo kusakwanisa kungava upenyu huguma. Mune dzimwe nguva zvisingawanzoitiki, kukanganisa kwemwoyo murwere kunogona kuiswa pamapombi kuti itsigire murwere kusvikira mwoyo wekugadzira unowanikwa.
Ko Cardiopulmonary Bypass Inoshanda Sei?
Chiremba anovhiya hutano hwakakosha kune rimwe ropa remudziyo (sezvinotanga mukana mukuru IV) unobvumira kuti oxygen-yakazara ropa ibude mumuviri uye inofamba ichienda kumhepo inoputira. Ikoko, iyo mhepo inokonzera ropa uye inoidzorera kumutumbi kuburikidza nechechi yechipiri chekubata, iyo inowanikwawo mumuviri. Kufuridzirwa kwemagetsi nguva dzose kunoputira ropa re okisijeni kuburikidza nemuviri, zvakafanana nemoyo unoita.
Kuiswa kwemashubhu kunotsanangurwa nechinangwa chechiremba. Iyo michina inofanira kuiswa kure nenzvimbo yekuvhiya kuitira kuti irege kupindira nebasa rechiremba, asi yakachengetwa mumudziyo wehomwe yakakura zvakakwana kuti ugone kubata tubing uye kushamiswa kwepombi. Iyo miviri miviri inotsigira kuti ropa rinobuda mumuviri risati rasvika pamwoyo uye rinodzokera kumuviri mushure memoyo, ichipa chiremba chiremba uye nzvimbo isina ropa kushanda.
Bhuku rechitatu rinowanikwawo pedyo pedyo kana zvakananga mumoyo, asi harina kubatana neCPM. Inoshandiswa kupedza mwoyo ne cardioplegia, potassium solution inomisa mwoyo. Kamwe apo cardioplegia inoshanda, CBM inotanga uye inotora mwoyo nemapapu.
Ndiani Anotanga Cardiopulmonary Bypass Machine?
Munhu anomhanya kadhidiopulmonary inpass pump anonzi perfusionist. Perfusionists anowanzova nedhigirii yezvidzidzo mune imwe nhepfenyuro yakabatana, ezvo tevera mamwe maviri emakore ekudzidzisa kudzidziswa semunhu anokanganisa. Vamwe vanokanganisa vanotora muongorori kuti vave vakavhenekera kliniki perfusionist, iyo yakafanana nechiremba ari bhokisi rinopupurirwa mune unyanzvi.
Ngozi dzeCardiopulmonary Bypass
Ngozi dzekuva pamwoyo nemapapu zvinoputika zvinosanganisa ropa, kubuda ropa mushure mekuvhiyiwa, kukuvadzwa kwepurojekiti kune mutsara, kupora kwakakomba uye kupera kwemapapu uye / kana mwoyo unoshanda. Izvi zvinotapukira zvishoma nezvishoma pane pombi uye yakawedzerwa nepamu refu nguva.
Kuti Uwane Mamwe Mashoko: Human Heart & Heart Surgery
Shoko Rinobva:
Chero nzira ipi inoda kuti kushandiswa kwema cardiopulmonary bypass machine ndiyo chirwere chikuru uye inofanira kutorwa zvakanyanyisa. Kunyange zvazvo njodzi dzinobatanidza nemitemo iyi inogona kuve yakakosha, kuvhiyiwa uku kunogonawo kuva kuponesa upenyu kana hupenyu hunokurudzira.
Kana zvichibvira, zvakakosha kutora nguva yekukurukura nezvengozi nemubairo wehutungamiri pamwe chete nemamwe nzira yekuvhiya usati wasarudza.
> Sources:
> Cardiopulmonary Bypass. Cincinnati Children's Hospital. Yakasvika muna April, 2009.
> Nengozi Dambudziko rePulmonary Complications Kuvhiya Kwemapfupa neCardiopulmonary Bypass. Yakasvika May, 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3775118/
> Ndeipi Mwoyo Mune Mwoyo Wakakwana? Perfusion.com. Yakasvika muna April, 2009. http://www.perfusion.com/cgi-bin/absolutenm/templates/articledisplay.asp?articleid=1550
> Zvaunotarisira Pamwoyo Panovhiya. National Heart, Lung uye Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/hs/hs_during.html