Wetin na ECMO (Ekstrakɔpɔrial Mɛmbran Ɔksijɛn)? Lɛ wi lan bɔt dis teknɔlɔji we de sev layf insay wan simpul we!

Imajin se sɔmbɔdi in kɔndishɔn rili bad, in at ɛn in lɔng nɔ de wok fayn. Dɛn dɔn rich wan say we nɔmal mɛrɛsin ɔ di ventilator we wi ɔl no nɔ go ebul fɔ sev dɛn. Na lɛk dɛn tɛm ya, dɔktɔ dɛn kin tink bɔt dis teknɔlɔji we dɛn kɔl ECMO as las tin fɔ du. Pan ɔl we bɔku pipul dɛn nɔ yɛri bɔt am, dis na rili wɔndaful tin we go sev pipul dɛn layf. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na ECMO insay simpul wɔd dɛn?

Fɔ tɔk am simpul wan, ECMO na mashin we de wok lɛk atifishal at ɛn lɔng dɛn we de na do na di bɔdi. We yu at ɛn yu lɔng dɛn wik tumɔs fɔ du dɛn wok fayn, dis mashin kin tek ova fɔ sɔm tɛm.

If wi brok dɔŋ di minin fɔ di nem ECMO, na lɛk dis:

• εkstrakכpכreal - dis min "ausayd di bכdi".
• Mεmbran כksijεnshכn - dis min se "fכ gi כksijεn tru wan spεshal mεmbran."

Yu ɔndastand naw? Wetin kin apin ya na dat di blɔd we dɛn kin pul na di bɔdi kin gɛt ɔksijɛn insay wan mashin we gɛt spɛshal mɛmbran ɛn afta dat dɛn kin pɔmp am bak insay di bɔdi. Dis mashin de du jɔs wetin wi lɔng dɛn de du. Sɔntɛnde i kin du bak di pɔmp wok we di at kin du.

bay we dεn gi di at εn di lכng dεm "brεk" dis we, dεn kin ebul fכ ripa di damej we dεn bin dכn sכfa. Insay da tɛm de, di ECMO mashin de kɔntinyu fɔ gi ɔksijɛn to di bɔdi.

Yu tink se kayn ECMO de?

Yɛs, tu men kayn ECMO de. Dɔktɔ dɛn kin disayd us kayn fɔ yuz bay di sikman in kɔndishɔn.

Insay us kes dɛn dɛn kin yuz ECMO?

ECMO nɔto sɔntin we yu kin yuz fɔ kɔmɔn kol ɔ flu. Na wan we fɔ sev layf we dɛn kin yuz fɔ pipul dɛn we sik bad bad wan we nɔ ɔda tritmɛnt nɔ kin wok fayn.

• Acute Respiratory Distress Syndrome (ARDS): We di lɔng dɛn dɔn pwɛl bad bad wan bikɔs ɔf tin dɛn lɛk siriɔs nyumonia, bɔn, ɔ drawn, ɛn di bɔdi nɔ ebul fɔ gɛt ɔksijɛn. ECMO dɔn ɛp bɔku pipul dɛn wit dis sik di tɛm we COVID-19 pandemik de.
• Pulmonary Embolism: Na bכdi we de fכm na di bכdi (bכku tεm na di leg dεm) de brok εn lod insay wan big bכdi we de na di lכng. Dis na tin we rili denja ɛn we kin kil pɔsin.
• At Injury: We di at mɔsul dɔn pwɛl bikɔs ɔf bad bad at atak, aksidɛnt, ɔ fɔdɔm, ɛn i nɔ ebul fɔ pɔmp blɔd fayn fayn wan.
• Fɔ pikin dɛn we dɛn jɔs bɔn: Dɛn kin yuz ECMO fɔ sev di layf fɔ pikin dɛn we rili yɔŋ we gɛt siriɔs at ɔ lɔng prɔblɛm we dɛn bɔn dɛn, mɔ di wan dɛn we dɛn bɔn bifo tɛm.
• Ɔgan transplant ɛn ɔpreshɔn: Dɛn kin yuz ECMO fɔ ɛp pɔsin we de wet fɔ transplant in at ɔ lɔng, ɔ fɔ ɛp in bɔdi fɔ wɛl afta dɛn dɔn du big ɔpreshɔn.

Aw ECMO tritmɛnt de wok?

Dis prɔses kin apin na wan intensiv kia yunit (ICU) ɔnda di sɔpɔtishɔn fɔ wan tim we gɛt spɛshal tren dɔktɔ ɛn nɔs dɛn.

1. Kanuleshɔn: Fɔs, dɛn kin anestez di pɔsin ɔltogɛda. Dis min se dɛn nɔ go fil ɛni pen. Dɔn, dɔktɔ we de du ɔpreshɔn kin put big tiub dɛn (tyub ɔ kanula) insay wan big blɔd vesel ɔ at we de na di pɔsin in nɛk, in chɛst, ɔ in groin.

2. Fɔ kɔnɛkt to di mashin: Na wan tiub de drɔ di bɔdi in blɔd we nɔ gɛt ɔksijɛn go insay di ECMO mashin.

3. Fɔ ad ɔksijɛn:As dis blɔd de pas tru di atifishal lɔng (ɔksijɛn) we de insay di mashin, dɛn kin pul di kabon dayɔgzayd we de insay am ɛn ad ɔksijɛn.

4. Pɔmp bak insay di bɔdi: Dɛn kin pɔmp di klin blɔd we gɛt ɔksijɛn bak insay di bɔdi tru ɔda tiub.

Insay dis ɔl dis, di pɔsin kin no ɔ i kin gɛt sɛdate. Di ECMO tim kin tek tɛm wach di pɔsin ɛn di mashin fɔ 24 awa.

Aw yu kin wean yusɛf pan ECMO?

We yu at ɛn yu lɔng dɛn dɔn wɛl smɔl smɔl ɛn yu dɔktɔ dɛn fil se yu go ebul fɔ wok fɔ yusɛf bak, dɛn go bigin fɔ pul yu na di mashin smɔl smɔl. Dɛn kɔl dis "weaning." Di sɔpɔt we di mashin kin gi kin smɔl smɔl, ɛn dis kin mek yu bɔdi ebul fɔ wok fɔ insɛf. If ɔltin de go fayn, dɛn go pul di tiub dɛn insay sɔm dez ɛn put di stich dɛn bak na dɛn ples.

Wetin na di bɛnifit ɛn siriɔs risk dɛm fɔ ECMO?

Lɛk ɛni kɔmpleks mɛrɛsin, ECMO gɛt bɔku bɛnifit ɛn siriɔs risk dɛn. Na tin we pɔsin kin disayd fɔ du fɔ mek i day.

Aw yu go ɛp di famili fɔ pɔsin we sik?

Na rili at fɔ famili fɔ si pɔsin we dɛn lɛk kɔnɛkt to mashin lɛk dis. Bɔt tin dɛn de we yu go ebul fɔ du. Bɔt bifo yu du ɛnitin, mek shɔ se yu gɛt rayt frɔm di dɔktɔ ɔ di wan dɛn we de wok na di nɔs.

• Tɔk to di pɔsin we sik: Ilɛksɛf dɛn nɔ no natin, dɛn kin ebul fɔ yɛri yu. Yu vɔys go kɔrej dɛn.
• Rid buk ɔ lisin to myuzik: Miusik we de mek yu at kol ɔ di sawnd we yu de rid we yu de rid buk kin mek dɛn fil fayn.
• Bring ɛn kip famili pikchɔ: Kip yu famili pikchɔ usay dɛn go si dɛn.
• Moisturize di skin: Fɔ mek di skin nɔ dray, yu kin aks yu dɔktɔ fɔ wan fayn loshan.

Yu tink se ECMO rili na di las tin we yu go du?

Yɛs, bɔku tɛm, ECMO na las tin we dɛn kin du . Dɔktɔ dɛn kin disayd dis afta ɔl di ɔda tritmɛnt dɛn we pɔsin kin gɛt nɔ wok.

Dɔn bak, dɛn kin yuz ECMO nɔmɔ fɔ di wan dɛn we gɛt kɔndishɔn we dɛn kin chenj . Fɔ ɛgzampul, dɛn kin mɛn pɔsin we gɛt siriɔs nyumonia. Dɛn kin gi ECMO fɔ ɛp di lɔng dɛn te i wɛl. Bɔt dɛn nɔ de yuz ECMO fɔ sik we nɔ go mɛn, lɛk kansa we nɔ go mɛn.

Dis nɔto mɛrɛsin. Dɛn kin yuz am fɔ bay tɛm fɔ mek di pɔsin wɛl ɛn nɔ ambɔg ɔda pat dɛn na di bɔdi. So, pɔsin kin day we i de pan ECMO if dɛn nɔ ebul fɔ kɔntrol di ɔndalayn kɔndishɔn.