Kodi Cardiopulmonary Bypass kapena Heart Lung Bypass?
Kodi Cardiopulmonary Bypass Machine (CBM) Ndi Chiyani?
Makina oyendetsa magetsi (CBM) amadziwikanso kuti makina oyenda pamtima. Ndilo chipangizo chomwe chimapereka ntchito yopereka magazi (ndi oxygen) ku thupi pamene mtima waimitsidwa kuti uchitidwe opaleshoni.
Kawirikawiri, makinawa amagwiritsidwa ntchito kupanga njira zoyenera kuti mtima uime.
Odwala ali pa mpope pokhapokha ngati pamafunika kuimitsa mtima kuti umenyedwe, opaleshoni yamtima yotseguka kapena ndondomeko m'mapapo, ndikuyambiranso mtima.
N'chifukwa Chiyani Kusowa kwa Cardiopulmonary Bypass Kumagwiritsidwa Ntchito?
Kuima mtima popanda kuvulaza wodwala, magazi okosijeni ayenera kupitiliza kufalikira kupyolera mu thupi pamene opaleshoni popanda kuima. Mpweya wodutsa mpweya umapanga ntchito ya mtima, kupopera magazi kudzera mu thupi, ndi kuonetsetsa kuti ziwalo za thupi zimapeza mpweya umene amafunikira. Makinawo amaphatikizapo mpweya ku magazi pamene akugwira ntchito yotulutsa mtima, m'malo mwa mapapu.
CBM imagwiritsidwa ntchito pa zifukwa zikuluzikulu ziwiri. Chifukwa chodziwika kwambiri ndi chakuti mtima ukhoza kuimitsidwa chifukwa cha opaleshoni. Opaleshoni zina za mtima sizikanatheka kuchita ndi mtima ukugunda, monga opaleshoni ikanati ichitike pa "cholinga chenicheni" kapena pangakhale kutaya kwakukulu kwa magazi.
Chitsanzo chabwino cha izi ndi njira yowonjezera mtima - mtima wa wodwalayo uyenera kuchotsedwa mu thupi kuti mtima woperekedwa ukhoze kuikidwa mkati. Popanda mpope kubwezeretsa mtima, kupsa mtima sikungatheke.
N'chimodzimodzinso ndi opaleshoni ina yamapapo, payenera kukhala njira yowonjezera magazi pamene mapapo sangathe.
Njira yoperekera m'mapapo imakhala njira ina yothetsera magazi pamene mapapu sangathe, koma mtima ukhoza kupitilira nthawiyo.
Kwa odwala ena, kupopera sikugwiritsidwa ntchito pochita opaleshoni, koma kuthandiza kusunga wodwalayo ali ndi moyo pamene akuvutika ndi mtima umene ungakhale moyo watha. Nthawi zina, mtima wodwala wodwalayo ukhoza kuikidwa pa mpope kuti umuthandize wodwalayo mpaka mutengapo mtima .
Kodi Kanyama ka Cardiopulmonary Overpass Akugwira Ntchito Motani?
Dokotalayu akugwiritsira ntchito matope apadera ku chotengera chachikulu cha magazi (monga kuyamba lalikulu IV) chomwe chimalola magazi osijeni-omwe achotsedwa kuti achoke m'thupi ndikupita kumalo osokoneza. Kumeneko, makina amatsitsimutsa magazi ndikuwubweretsanso ku thupi kudzera m'kati mwachiwiri, yomwe imagwirizananso ndi thupi. Kugwedeza nthawi zonse kwa makina kumaponyera magazi okosijeni kupyolera mu thupi, mofanana ndi mtima.
Kuyika kwa ma tubes kumatsimikiziridwa ndi zokondedwa za dokotalayo. Miphikayi iyenera kuchotsedwa pa malo opaleshoni kuti asasokoneze ntchito ya opaleshoniyo, koma iikidwa mu chombo chamagazi chachikulu chokwanira kugwiritsira ntchito tubing ndi kupanikizika kwa mpope. Ma tubes awiriwa amatsimikizira kuti magazi amasiya thupi asanafike pamtima ndikubwerera ku thupi pambuyo pa mtima, opatsa dokotalayo malo opanda pake komanso opanda magazi.
Thirani chubu imayikidwanso pafupi kapena mwachindunji mu mtima, koma osati yogwirizana ndi CPM. Amagwiritsidwa ntchito kuwongolera mtima ndi cardioplegia, yankho la potassium limene limaletsa mtima. Pamene cardioplegia ikuyamba kugwira ntchito, CBM imayambika ndikugwira ntchito ya mtima ndi mapapo.
Ndani Amathamanga Mpweya wa Cardiopulmonary Bypass Machine?
Munthu amene amatha kupopera mpweya amachitcha kuti perfusionist. Nthawi zambiri anthu amatha kukhala ndi digiri ya bachelor m'ntchito yokhudzana ndi thanzi labwino, kenaka apitirize maphunziro awiri a maphunziro monga a perfusionist. Anthu ena opanga mankhwalawa amatenga mayeso kuti akhale ovomerezeka, omwe ndi ofanana ndi dokotala yemwe ali pabungwe lovomerezeka mu wapadera.
Kuopsa kwa Kachirombo ka Cardiopulmonary Bypass
Kuopsa kwa kukhala pamtima ndi m'mapapu kumaphatikizapo kupha magazi, kutuluka m'magazi pambuyo pochita opaleshoni, kuvulaza kwa opaleshoni, kupweteka kwa impso ndi kuchepa kwa mapapu ndi / kapena ntchito ya mtima. Zowopsazi zimachepa ndi nthawi zochepa pa pampu ndipo zinawonjezeka ndi nthawi yayitali ya mpope.
Kuti mudziwe zambiri: Mtima wa Munthu ndi Opaleshoni ya Mtima
Mawu Ochokera:
Njira iliyonse yomwe imayenera kugwiritsa ntchito makina oyendetsa galimoto ndi opaleshoni yaikulu ndipo iyenera kutengedwa moyenera kwambiri. Ngakhale ngozi zomwe zimagwirizanitsidwa ndi njirazi zingakhale zofunikira, opaleshoniyi ikhoza kukhalanso yopulumutsa moyo kapena moyo ukulimbitsa.
Ngati n'kotheka, ndi bwino kutenga nthawi kuti mukambirane za zoopsa ndi mphoto za ndondomekoyi komanso njira zothandizira opanga chisankho musanasankhe.
> Zotsatira:
> Cardiopulmonary Bypass. Chipatala cha Ana a Cincinnati. Inapezeka mu April, 2009.
> Zowopsa Zopweteka Pulmonary Kuchita Opaleshoni ya Cardiopulmonary Bypass. Inapezeka mu May, 2016. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3775118/
> Kodi Moyo Wosokoneza Mtima Wotani? Perfusion.com. Inapezeka mu April, 2009. http://www.perfusion.com/cgi-bin/absolutenm/templates/articledisplay.asp?articleid=1550
> Zimene Muyenera Kuyembekezera Pa Kuchita Mtima Pa Mtima. National Heart, Lung ndi Magazi Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/hs/hs_during.html