A cikin 2020, COVID-19 yana tashin hankali. Kwanan nan, bambance-bambance a Indiya, Brazil, Ingila da sauran ƙasashe sun bayyana, kuma yawan maye gurbi ya karu a hankali daga 0.1 a kowace dubu zuwa 1.3 a kowace dubu. Har yanzu dai ana fama da annobar a kasashen waje, kuma kasar ba za ta yi kasa a gwiwa ba ko kadan. An tabbatar da marasa lafiya uku a Anhui a ranar 13-14. Ba a kawar da annobar ba. Har yanzu muna buƙatar ɗaukar shi da mahimmanci, wanke hannu akai-akai, sanya abin rufe fuska da allurar sabon maganin kambi da wuri-wuri.
Kuma idan ya zo ga taimakon farko ga marasa lafiya masu COVID-19, ECMO yakan bayyana a wurin gaggawa. Menene?ECMOwani kayan aikin gyaran oxygenation na membrane extracorporeal, wanda aka fi sani da "huhu na wucin gadi"Na'urar wucin gadi na zuciya-hunhu wata fasaha ce ta tallafawa rayuwa wacce ke amfani da na'urar wucin gadi ta musamman don jawo jini zuwa zuciya da jijiyoyin jini daga jiki, yin musayar iskar gas, daidaita yanayin zafi da tacewa, sannan mayar da shi zuwa ciki. Domin wannan na'urar ta wucin gadi ta maye gurbin aikin zuciya da huhu, kuma ana kiranta irin wannan na'urar wucin gadi na zuciya-huhu na wucin gadi da ake kira "magani na ƙarshe" ga majinyata marasa lafiya masu sabon ciwon huhu.
Kayan aiki na asali na injin ECMO sun haɗa da:
(1) Ruwan jini: Domin fitar da jini mai iskar oxygen zuwa waje ta hanya daya, ana mayar da shi zuwa jijiyoyi na ciki don maye gurbin babban sashin aikin fitar da jini na zuciya.
(2) Oxygenated jini unidirectional kwarara na'urar.
(3) Oxygenator: Oxygenates da venous jini, korar carbon dioxide, da kuma maye gurbin huhu ga gas musayar.
(4) Thermostat: Na'urar da ke amfani da zafin jiki na ruwa mai kewayawa da faranti na keɓewar ƙarfe na bakin ciki don rage ko ƙara yawan zafin jini. Yana iya kasancewa a matsayin wani sashi daban, amma galibi an haɗa shi da oxygenator.
(5) Tace: Na'urar da ta ƙunshi microporous polymer tace allon, sanya shi a cikin bututun, ana amfani dashi don tace abubuwa daban-daban na gurɓataccen gurɓataccen abu, barbashi, ƙura da ƙananan ƙwayoyin cuta. , yana da fa'ida daga high tacewa daidaito mai kyau iska permeability, mai kyau tace sakamako, ƙura, aminci da mara guba, babu wari. Yana iya tace nau'ikan barbashi iri-iri, gami da ƙwayoyin cuta, ƙwayoyin cuta da ɗigon ruwa. Tsarin budewa yana da na musamman kuma an rarraba shi daidai, ana iya amfani dashi sau da yawa ba tare da tsaftacewa ba.
HENGKO ECMO mai tace huhun wucin gadizai iya kare da'irar numfashi na majiyyaci daga kamuwa da cutar kuma ya hana manyan ƙurar ƙura shiga cikin injin da haifar da lalacewa.
Huhun wucin gadi ba wai kawai yana da tasiri wajen ceton marasa lafiya masu fama da sabon ciwon huhu ba amma kuma suna da aikace-aikace iri-iri a cikin magungunan soja. Misali, Rundunar Sojan Sama ta Amurka ta kafa wata tawagar likitocin Extracorporeal Membrane Oxygenation (ECMO), wacce aka tura zuwa ketare don gudanar da ayyukan soji daban-daban a duniya. Sojoji runduna ce da ke tabbatar da tsaron kasa. Shugaba Xi Jinping ya sha nanata cewa "sojoji na yaki." A cikin jawabinsa na ranar 9 ga watan Maris na bana, shugaba Xi Jinping ya jaddada cewa, halin da ake ciki a halin yanzu na tsaro a kasarta yana da matukar rashin kwanciyar hankali da rashin tabbas. Daga "ƙara" zuwa "mafi girma", tsananin halin yanzu yana buƙatar yaƙi mai tsanani. Daga "ƙara" zuwa "mafi girma", tsananin halin yanzu yana buƙatar yaƙi mai tsanani. Sabili da haka, mahimmancin huhu na wucin gadi a matsayin muhimmin garantin likita don maganin likitancin soja yana bayyana kansa.
Medtronic a Amurka, McCoy a Jamus, Solin a Jamus, Terumo a Japan, da Fresenius a Jamus, samar da wani keɓaɓɓu. Farashin injin huhu na wucin gadi ya kai miliyoyi, sannan kuma ana shigo da kayayyakin da ake amfani da su. Saboda annobar da kuma matsalolin da kasashen duniya ke fuskanta a halin yanzu a kasar Sin, shigo da kayayyakin masarufi daga kasashen waje ba kawai hadari ba ne, har ma da kamfanonin kasashen waje da dama sun dakatar da shi. Fitarwa zuwa China. Dogaro da shigo da kaya na dogon lokaci ba abu ne mai kyau ba. A matsayin daya daga cikin kamfanonin kasar Sin, dabi'unmu sun kunshi ruhin tsayawa kan adalci na kasa, da jajircewa wajen yin aiki tukuru, da kuma ci gaba da kai-komo. A karkashin bincike mai ɗorewa na ƙungiyar fasaha, an samar da nau'ikan samfuran tacewa da ake amfani da su a cikin huhu na wucin gadi, waɗanda suke kwatankwacin kayayyakin da ake shigo da su daga Turai da Amurka, rage farashin kula da asibitoci da cibiyoyin kiwon lafiya, da kuma taimakawa ci gaban ci gaban. Babban masana'antar na'urorin likitanci na kasar Sin.
ECMO yana da amfani sosai, amma har yanzu akwai wasu matsaloli a aikace-aikacen ECMO a China. Misali, matakin fasaha da ECMO ke amfani da shi yana da girma, kayan aikin suna da tsada, kuma asibitocin cikin gida kaɗan ne kawai suka fi ƙwarewa wajen amfani da ECMO da adadin lokuta. Yana da ƙasa da daidaitaccen tsarin horo na ECMO. Farashin ECMO yana da tsada sosai, kuma baya cikin iyakokin biyan kuɗin inshorar likita. Kudin majiyyaci don yin ECMO ya kai kusan Yuan 300,000 zuwa 400,000, wanda kuma farashin kayayyakin da ake shigowa da su daga kasashen waje ya yi yawa, inda farashin farawa ya kai yuan 40,000 zuwa 80,000.
Ko da yake akwai matsaloli da yawa, za mu shawo kansu. Tare da ci gaba gabaɗaya da manyan nasarorin babban shirin "Made in China 2025", zai haɓaka haɓaka matakin masana'antu gabaɗaya. Mun yi imanin ECMO na gida zai shiga asibiti kuma ya shiga asibitin don amfanar marasa lafiya a nan gaba.
Lokacin aikawa: Juni-04-2021
