Ngo-2020, i-COVID-19 iyagquba. Kutshanje, ukwahluka eIndiya, eBrazil, eUnited Kingdom nakwamanye amazwe kuye kwavela, kwaye ukuphindaphindwa kweenguqu kuye kwanda kancinci ukusuka kwi-0.1 ngewaka ukuya kwi-1.3 ngewaka. Imeko yobhubhani kumazwe angaphandle isemandundu, kwaye ilizwe alinakuthoba nakancinane. Izigulana ezintathu zaqinisekiswa e-Anhui nge-13-14. Lo bhubhani awukapheli. Kusafuneka siyithathele ingqalelo, sihlambe izandla rhoqo, sinxibe iimaski kwaye sitofe isitofu esitsha sokugonya isithsaba ngokukhawuleza.
Kwaye xa kufikwa kuncedo lokuqala kwizigulana ezine-COVID-19, i-ECMO ihlala ivela kwindawo kaxakeka. Ingaba yin?ECMOsisixhobo sonyango lwe-membrane ephuma ngaphandle, eyaziwa ngokuba ".imiphunga eyenziweyo". Umatshini wokwenziwa kwentliziyo-yemiphunga bubuchwephesha bokuxhasa ubomi obusebenzisa isixhobo esikhethekileyo sokwenziwa ukutsala igazi libuyele entliziyweni kunye nemithambo ephuma emzimbeni, ukwenza utshintshiselwano lwegesi, ukulungelelanisa ubushushu kunye nesihluzo, emva koko ulibuyisele ngaphakathi. emithanjeni Ngenxa yokuba esi sixhobo sikhethekileyo sithatha indawo yentliziyo nemiphunga yomntu, sikwabizwa ngokuba yi-cardiopulmonary bypass ebizwa ngokuba yi-ECMO ye-artificial lung machine okwangoku ebizwa ngokuba "lunyango lokugqibela" kwizigulana ezigula kakhulu ezinenyumoniya entsha.
Izixhobo ezisisiseko zomatshini we-ECMO ziquka:
(1) Impompo yegazi: Ukuze uqhube ukuhamba kwendlela enye yegazi eline-oksijini ngaphandle komzimba, libuyiselwa kwi-artery yangaphakathi ukuze ithathe indawo yenxalenye ephambili yomsebenzi wokukhupha igazi lentliziyo.
(2) isixhobo sokuhamba kwegazi esine-oxygenated unidirectional.
(3) I-Oxygenator: I-Oxygenate yegazi le-venous, ikhupha i-carbon dioxide, kwaye ithatha indawo yemiphunga ukuze itshintshisene ngegesi.
(4) I-Thermostat: Isixhobo esisebenzisa ubushushu bamanzi ajikelezayo kunye ne-thermal conductive iipleyiti zokuhlukanisa isinyithi esincinci ukunciphisa okanye ukwandisa ubushushu begazi.
(5) Isihluzi: Isixhobo esenziwe ngesikrini sokucoca i-polymer microporous, esibekwe kumbhobho, sisetyenziselwa ukuhluza ngokufanelekileyo ukungcola okuhlukeneyo, amasuntswana, uthuli kunye namasuntswana alungileyo. , inenzuzo yokuchaneka okuphezulu kokucoca komoya okulungileyo, isiphumo esihle sokuhluza, i-dustproof, ikhuselekile kwaye ayinayo ityhefu, akukho vumba. Inokucoca iindidi ngeendidi zamasuntswana, kuquka ibhaktheriya, iintsholongwane kunye namathontsi amanzi. Uyilo lokuvula lukhethekileyo kwaye lusasazwe ngokulinganayo, lunokusetyenziswa ngamaxesha amaninzi ngaphandle kokucoca.
HENGKO ECMO isihluzo semiphunga eyenziweyoinokukhusela isekethe yokuphefumla yesigulane ekungcolisekeni kwentsholongwane kwaye ithintele amasuntswana othuli olukhulu ukuba angangeni kumatshini kwaye abangele umonakalo.
Imiphunga eyenziweyo ayisebenzi nje kuphela ekusindiseni izigulana ezigula kakhulu ezinenyumoniya entsha ye-coronary kodwa ikwanoluhlu olubanzi lwezicelo kumayeza asemkhosini. Ngokomzekelo, i-US Air Force iye yaseka iqela lezonyango le-Extracorporeal Membrane Oxygenation (ECMO), elithunyelwa phesheya kweelwandle ukwenza imisebenzi eyahlukeneyo yasemkhosini emhlabeni jikelele. Umkhosi ngumkhosi oxhobileyo oqinisekisa ukhuseleko lwelizwe. Umongameli Xi Jinping uye wagxininisa ngokuphindaphindiweyo ukuba "umkhosi usemfazweni." Kwintetho yakhe nge-9 kaMatshi kulo nyaka, uMongameli Xi Jinping wagxininisa ukuba imeko yokhuseleko lwangoku kwilizwe lam izinzile kwaye ayiqinisekanga. Ukusuka "ekunyukeni" ukuya "enkulu", ubunzima bemeko yangoku bufuna umlo onzima. Ukusuka "ekunyukeni" ukuya "enkulu", ubunzima bemeko yangoku bufuna umlo onzima. Ke ngoko, ukubaluleka kwemiphunga eyenziweyo njengesiqinisekiso esibalulekileyo sonyango kunyango lwezempilakahle luyabonakala.
IMedtronic eUnited States, uMcCoy eJamani, uSolin eJamani, uTerumo eJapan, noFresenius eJamani, besenza imonopoly. Ixabiso lomatshini wemiphunga eyenziweyo lifikelela kwizigidi, yaye nezinto ezisetyenziswayo ezisetyenziswayo zikwathunyelwa kwamanye amazwe. Ngenxa yobhubhane kunye nemiqobo ekhoyo ngoku yamazwe ngamazwe e-China, ukungenisa izinto ezityiwayo kumazwe angaphandle akuyongozi kuphela kodwa neenkampani ezininzi zangaphandle ziyakumisa. Thumela ngaphandle eTshayina. Ukuthembela kwizinto ezithunyelwa ngaphandle ixesha elide akuyona into enhle. Njengenye yamashishini aseTshayina, imilinganiselo yethu iquka umoya wokuma kubulungisa belizwe, ukuzingisa emsebenzini onzima, kunye nokungayeki ukuzimela. Phantsi kophando olunzima lweqela lobugcisa, kuye kwaphuhliswa iintlobo ngeentlobo zeemveliso zokucoca ezisetyenziswa kwimiphunga eyenziweyo, ezithelekiseka neemveliso ezivela kumazwe aseYurophu naseUnited States, ukunciphisa iindleko zokugcina izibhedlele kunye namaziko ezonyango, kunye nokuncedisa ekuphuhlisweni kwezibhedlele kunye namaziko ezonyango. Ushishino lwezixhobo zonyango lwaseTshayina oluphezulu.
I-ECMO iluncedo kakhulu, kodwa kusekho iingxaki ekusetyenzisweni kwe-ECMO eTshayina. Ngokomzekelo, umda wezobugcisa osetyenziswa yi-ECMO uphezulu kakhulu, izixhobo zibiza, kwaye zimbalwa kuphela izibhedlele zasekhaya ezinamava ekusebenziseni i-ECMO kunye nenani lamatyala. Ingaphantsi kwendlela yoqeqesho ye-ECMO esemgangathweni.Ixabiso le-ECMO libiza kakhulu, kwaye alikho kumda wembuyekezo ye-inshorensi yezonyango. Iindleko zesigulane ukwenza i-ECMO malunga ne-300,000 ukuya kwi-400,000 yuan, apho iindleko zokuthengwa kwamanye amazwe nazo ziyindleko enkulu, kunye nexabiso lokuqala le-40,000 ukuya kwi-80,000 yuan.
Nangona zininzi iingxaki, siya kuzoyisa. Ngenkqubela phambili iyonke kunye neempumelelo eziphambili zesicwangciso esikhulu "seMade in China 2025", iyakukhawulezisa ukukhuthazwa kwenqanaba elipheleleyo lemveliso. Sikholelwa ukuba i-ECMO yasekhaya iya kungena esibhedlele kwaye ingene ekliniki ukuze kuxhamle izigulane kwixesha elizayo.
Ixesha lokuposa: Jun-04-2021
