Nigute wakemura ibibazo bya ECMO byose biterwa nibitumizwa hanze?

Muri 2020, COVID-19 irakaze.Vuba aha, impinduka mu Buhinde, Burezili, Ubwongereza no mu bindi bihugu zagaragaye, kandi inshuro nyinshi ihinduka ry’imihindagurikire ryagiye ryiyongera kuva kuri 0.1 ku gihumbi rigera kuri 1.3 ku gihumbi.Icyorezo cy’icyorezo mu mahanga kiracyakabije, kandi igihugu ntigishobora gucogora na gato.Abarwayi batatu bemejwe i Anhui ku ya 13-14.Icyorezo nticyakuweho.Turacyakeneye kubifata neza, gukaraba intoki kenshi, kwambara masike no gutera urukingo rushya rwikamba vuba bishoboka.

Kandi kubijyanye nubufasha bwambere kubarwayi barwaye COVID-19, ECMO ikunze kugaragara mubyihutirwa.Niki?ECMOni ibikoresho byo mu bwoko bwa membrane ogisijeni ivura ibikoresho bisanzwe bizwi nka "ibihaha". Arteri. Kubera ko iki gikoresho kidasanzwe gisimbuza umutima wumuntu hamwe nibikorwa by ibihaha, nanone byitwa cardiopulmonary bypass. Ubu bwoko bwibikoresho byubwonko bwitwa imashini yimitsi yumutima-ibihaha. bita "ubuvuzi bwa nyuma" ku barwayi barembye cyane barwaye umusonga mushya.

Ibikoresho byibanze byimashini ya ECMO birimo ：

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（2 blood Igikoresho cyamaraso ya ogisijeni igendanwa.

（3） Oxygeneator ： Oxygene ikora amaraso y'amaraso, ikirukana dioxyde de carbone, kandi igasimbuza ibihaha kugirango ihanahana gaze.

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. , ifite inyungu zo kuyungurura neza neza ikirere cyiza, ingaruka nziza zo kuyungurura, kutagira umukungugu, umutekano kandi udafite uburozi, nta mpumuro nziza.Irashobora gushungura ubwoko butandukanye bwibice, harimo bagiteri, virusi nigitonyanga cyamazi.Igishushanyo cya aperture kirihariye kandi kiringaniye, kirashobora gukoreshwa inshuro nyinshi udasukuye.

HENGKO ECMO artificiel ibihahairashobora kurinda umurwayi guhumeka umurwayi kwanduza virusi kandi ikabuza umukungugu munini kwinjira muri mashini no kwangiza.

Ibihaha byakozwe ntabwo bigira akamaro gusa mu gukiza abarwayi barembye cyane barwaye umusonga mushya ariko kandi bifite uburyo bwinshi bwo kuvura mubuvuzi bwa gisirikare.Kurugero, Ingabo zirwanira mu kirere z’Amerika zashyizeho itsinda ry’ubuvuzi rya Extracorporeal Membrane Oxygenation (ECMO), ryoherezwa mu mahanga gukora ubutumwa butandukanye bwa gisirikare ku isi.Igisirikare ningabo zita kumutekano wigihugu.Perezida Xi Jinping yashimangiye inshuro nyinshi ko "igisirikare kiri mu ntambara."Mu ijambo rye ku ya 9 Werurwe uyu mwaka, Perezida Xi Jinping yashimangiye ko umutekano uriho ubu mu gihugu cyanjye udahungabana kandi ko utazi neza.Kuva "kwiyongera" kugeza kuri "binini", ubukana bwibihe turimo bisaba intambara ikomeye.Kuva "kwiyongera" kugeza kuri "binini", ubukana bwibihe turimo bisaba intambara ikomeye.Kubwibyo, akamaro k'ibihaha byubukorikori nkubwishingizi bukomeye bwo kwivuza bwa gisirikare burigaragaza.

Medtronic muri Amerika, McCoy mu Budage, Solin mu Budage, Terumo mu Buyapani, na Fresenius mu Budage, bakora monopole.Igiciro cyimashini yibihaha ikora igera kuri miriyoni, kandi ibikoreshwa nabyo biratumizwa hanze.Kubera icyorezo n’imbogamizi mpuzamahanga ziriho ubu ku Bushinwa, gutumiza ibicuruzwa biva mu mahanga ntabwo ari akaga gusa ahubwo n’amasosiyete menshi yo mu mahanga arabihagarika.Kohereza mu Bushinwa.Kwishingikiriza ku bicuruzwa bitumizwa mu mahanga igihe kirekire ntabwo ari ibintu byiza.Nka kimwe mu bigo by'abashinwa, indangagaciro zacu zigaragaza umwuka wo guhagarara ku butabera bw'igihugu, kwihangana mu mirimo ikomeye, no kudatezuka.Mu bushakashatsi bukomeye bw’itsinda rya tekiniki, hateguwe ibicuruzwa bitandukanye byo muyungurura bikoreshwa mu bihaha by’ubukorikori, bigereranywa n’ibicuruzwa byatumijwe mu Burayi na Amerika, bigabanya amafaranga yo gufata neza ibitaro n’ibigo by’ubuvuzi, no gufasha iterambere ry’iterambere Inganda zo mu rwego rwo hejuru zikoreshwa mu buvuzi.

ECMO ni ingirakamaro cyane, ariko haracyari ibibazo bimwe na bimwe mugukoresha ECMO mubushinwa.Kurugero, urwego rwa tekiniki rukoreshwa na ECMO ruri hejuru cyane, ibikoresho birahenze, kandi ibitaro bike byo murugo bifite uburambe bwo gukoresha ECMO numubare wimanza.Ntabwo ari uburyo busanzwe bwo guhugura ECMO.Ibiciro bya ECMO bihenze cyane, kandi ntabwo biri murwego rwo kwishyura ubwishingizi bwubuvuzi.Igiciro cyumurwayi gukora ECMO ni hafi 300.000 kugeza 400.000, muri yo ikiguzi cyibicuruzwa byatumijwe mu mahanga nacyo ni amafaranga menshi, aho igiciro cyatangiriye 40.000 kugeza 80.000.

Nubwo hariho ingorane nyinshi, tuzabitsinda.Hamwe niterambere muri rusange hamwe niterambere ryingenzi muri gahunda nini ya “Made in China 2025”, bizihutisha kuzamura urwego rusange rwinganda.Twizera ko ECMO yo mu rugo izinjira mu bitaro ikinjira mu ivuriro kugira ngo ifashe abarwayi ejo hazaza.