Maitiro ekuita nekuipa kweECMO zvese zvinoenderana nekunze?

Maitiro ekuita nekuipa kweECMO zvese zvinoenderana nekunze?

Muna 2020, COVID-19 iri kuenderera mberi.Munguva pfupi yapfuura, misiyano muIndia, Brazil, United Kingdom nedzimwe nyika dzakabuda, uye kuwanda kwekuchinja kwakawedzera zvishoma nezvishoma kubva ku0.1 pachuru kusvika 1.3 pachuru.Mamiriro edenda kunze kwenyika achiri kutyisa, uye nyika haigoni kuderera kana nepadiki pose.Vatatu varwere vakasimbiswa muAnhui pa13-14.Denda iri harisati rabviswa.Tichiri kuda kuitora zvakakomba, kugeza maoko nguva zhinji, kupfeka masiki uye kubaya jekiseni idzva rekudzivirira korona nekukurumidza.

Uye kana zvasvika kune rubatsiro rwekutanga kune varwere vane COVID-19, ECMO inowanzoonekwa munzvimbo yekukurumidzira.Chii ichochi?ECMOis an extracorporeal membrane oxygenation therapy instrument, inowanzozivikanwa se "mapapu ekugadzira". Muchina weartificial heart-lung muchina inyanzvi yekutsigira hupenyu iyo inoshandisa mudziyo wakasarudzika wekukwevera ropa kumoyo netsinga kunze kwemuviri, kuita kuchinjanisa gasi, kugadzirisa tembiricha uye sefa, uyezve kuridzosera mukati. tsinga.Nekuda kwekuti chigadzirwa chakakosha ichi chinotsiva kushanda kwemoyo nemapapu,chinonzi zvakare cardiopulmonary bypass.Mudziyo wakagadzirwa uyu unonzi artificial heart-lung muchina inonzi "kurapwa kwekupedzisira" kune vanorwara zvakanyanya vane nyowani coronary pneumonia.

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Iyo yakakosha michina yemuchina weECMO inosanganisira:

 

(1) Pombi yeropa:Kuitira kufambisa nzira imwe chete yeropa rine mweya weokisijeni kunze kwemuviri, rinodzoserwa mutsinga dzemukati kuti dzitsive chikamu chikuru chekubuda kweropa remoyo.

 

(2) Oxygenated blood unidirectional flow device.

 

(3) Oxygenator: Oxygenates the venous blood, inodzinga carbon dioxide, uye inotsiva mapapu ekuchinjana gasi.

 

(4) Thermostat: Chishandiso chinoshandisa tembiricha yemvura inotenderera uye inopisa simbi yakatetepa yekuparadzanisa ndiro kuderedza kana kuwedzera kupisa kweropa. Inogona kuvapo sechikamu chakaparadzana, asi inonyanya kusanganiswa neiyo oxygenator.

 

(5) Sefa: Mudziyo wakaumbwa nemicroporous polymer filter screen, yakaiswa mupombi, unoshandiswa kusefa zvakasiyana siyana zvinosvibisa, zvimedu, huruva uye zvimedu zvakanaka. , ine mukana wepamusoro kusefa kurongeka kwakanaka kwemhepo kupenya, yakanaka kusefa mhedzisiro, inodzivirira guruva, yakachengeteka uye isiri-chepfu, hapana hwema.Inogona kusefa mhando dzakasiyana dzezvimedu, kusanganisira mabhakitiriya, mavhairasi uye madonhwe emvura.Iyo aperture dhizaini yakakosha uye yakaenzana yakagoverwa, inogona kushandiswa kakawanda pasina kuchenesa.

HENGKO-Shenzhen Stainless simbi sefa -DSC 3583

HENGKO ECMO artificial lung filter elementinogona kuchengetedza mhepo yekufema yemurwere kubva pakusvibiswa kwehutachiona uye kudzivirira huruva huru kubva kupinda mumushini uye kukonzera kukanganisa.

DSC_2390

 

Mapapu eArtificial haangobatsiri chete mukuchengetedza varwere vanorwara zvakanyanya vane nyowani coronary pneumonia asiwo vane huwandu hwakawanda hwekushandisa mukurapa kwemauto.Semuenzaniso, US Air Force yakagadzira boka rekurapa reExtracorporeal Membrane Oxygenation (ECMO), iro rinoendeswa kune dzimwe nyika kuti riite mauto akasiyana-siyana pasi rose.Mauto iuto rine zvombo rinovimbisa kuchengetedzwa kwenyika.Mutungamiri Xi Jinping vakaramba vachisimbisa kuti "mauto ari kuhondo."Mukutaura kwavo munaKurume 9 gore rino, Mutungamiri Xi Jinping vakasimbisa kuti mamiriro ezvinhu ekuchengetedza munyika mangu haana kugadzikana uye haana chokwadi.Kubva pa "kuwedzera" kusvika "kukuru", kuoma kwemamiriro ezvinhu ikozvino kunoda hondo yakakomba.Kubva pa "kuwedzera" kusvika "kukuru", kuoma kwemamiriro ezvinhu ikozvino kunoda hondo yakakomba.Nokudaro, kukosha kwemapapu ekugadzira sevimbiso yakakosha yezvokurapa yekurapa kwemauto kunozviratidza.

Medtronic muUnited States, McCoy muGermany, Solin muGermany, Terumo muJapan, uye Fresenius muGermany, vachiumba monopoly.Mutengo wemuchina wemapapu ekugadzira unosvika kumamiriyoni, uye zvinhu zvinoshandiswa zvinotengwawo kunze kwenyika.Nekuda kwedenda uye zvimhingamipinyi zvepasi rose paChina, kupinza zvinhu kubva kunze kwenyika hakuna njodzi chete asiwo makambani mazhinji ekunze anozvimisa.Export kuChina.Kuvimba nekutengesa kunze kwenyika kwenguva yakareba hachisi chinhu chakanaka.Serimwe remabhizimusi ekuChina, hunhu hwedu hunosanganisira mweya wekumira pakururama kwenyika, kushingirira mukushanda nesimba, nekuzvitonga kusingaregi.Pasi pekutsvagisa kunorwadza kwechikwata chehunyanzvi, kwakagadzirwa zvakasiyana-siyana zvemasefa zvigadzirwa zvinoshandiswa mumapapu ekugadzira, izvo zvinofananidzwa nezvinotengeswa kunze kwenyika kubva kuEurope neUnited States, kuderedza mutengo wekuchengetedza zvipatara nemasangano ekurapa, uye kubatsira kusimudzira Indasitiri yeChina yepamusoro-soro yemidziyo yekurapa.

ECMO inobatsira zvikuru, asi pachine mamwe matambudziko mukushandiswa kweECMO muChina.Semuyenzaniso, tekinoroji chikumbaridzo chinoshandiswa neECMO chakanyanya kukwirira, midziyo inodhura, uye zvipatara zvishoma zvemumba zvine ruzivo rwakawanda mukushandisa ECMO uye nhamba yezviitiko.Izvo zvishoma zveyakajairwa ECMO kudzidzisa michina.Mutengo weECMO unodhura zvakanyanya, uye hausi muchikamu chekubhadhara inishuwarenzi yekurapa.Mutengo wemurwere kuita ECMO ungangoita 300,000 kusvika 400,000 yuan, iyo mutengo wezvinhu zvinotengeswa kunze kwenyika inodhurawo hombe, ine mutengo wekutanga we40,000 kusvika 80,000 yuan.

Kunyange zvazvo kune matambudziko akawanda, tichaakunda.Nekufambira mberi kwese uye kufambira mberi kwakakosha kwechirongwa chikuru che "Made in China 2025", chinosimudzira kusimudzirwa kwehuwandu hwekugadzira.Isu tinotenda kuti ECMO yemumba ichapinda muchipatara uye kupinda mukiriniki kuti ibatsire varwere mune ramangwana.

https://www.hengko.com/

 

 


Nguva yekutumira: Jun-04-2021