Oboolyawo owulidde omuntu mu kitongole ekijjanjaba abalwadde abayi (ICU) ng'agamba nti "bakwatiddwa ku kyuma." Ebiseera ebisinga, kino kitegeeza ebyuma ebissa, naye waliwo ekyuma eky’enjawulo ekikozesebwa mu mbeera ezisingako awo obuzibu, ez’amaanyi ennyo. Ekyo kye bayita ECMO. Okay, ka twogere ku kino leero, kiki ddala, engeri gye kikola, era ani akisaanira.
ECMO kye ki? Kikola kitya?
Mu ngeri ennyangu, ECMO (Extracorporeal Membrane Oxygenation) nkola ya kicupuli eyamba obulamu ebweru w’omubiri eyamba omutima n’amawuggwe g’omuntu okuwummula n’okudda engulu nga byombi tebikola bulungi.
Lowooza ku kino, amawuggwe gaffe gongera omukka gwa oxygen mu musaayi ne gaggyamu kaboni dayokisayidi gwe tutayagala. Omutima gwaffe gukuba omusaayi guno ogulimu omukka gwa oxygen mu mubiri gwonna. Kati, singa bino byombi tebikola bulungi, obulamu bwaffe buba mu kabi nnyo.
Kino ekyuma kya ECMO kye kikola:
1. Tube (cannula) eyingizibwa mu musuwa omunene mu bulago, mu kifuba oba mu kisambi, omusaayi ne guggyibwa mu mubiri gwo mpolampola nga guyita mu gwo.
2. Omusaayi guno gusindikibwa nga guyita mu ppampu okutuuka ku kyuma eky’enjawulo. Ekyuma kino kiringa amawuggwe ag’ekikugu. Ayongera omukka gwa oxygen mu musaayi n’aggyawo kaboni dayokisayidi.
3. Olwo omusaayi omuyonjo ogulimu omukka gwa oxygen ne guddamu okusindikibwa mu mubiri gwo nga guyita mu ttanka endala.
Mu ngeri eno, ekyuma kya ECMO kitwala omulimu gw’omutima n’amawuggwe okumala akaseera. Kino kitegeeza nti omutima n’amawuggwe abalwadde n’ebikooye biweebwa obudde okuwummula n’okuwona awatali mugugu gwonna. Kino kiringa okuteeka pulasita ku kigere ekimenyese n’okiwummuza.
ECMO nzibu nnyo okusinga ekyuma ekissa ekya bulijjo. Ekyuma ekissa empewo kimala kussa mpewo mu mawuggwe, naye ECMO esobola okwongera omukka gwa oxygen butereevu mu musaayi.
Ddi obujjanjabi bwa ECMO bwe bwetaagibwa?
ECMO ye nkola esembayo, ekozesebwa ku balwadde bokka ab’amaanyi ennyo, abateeka obulamu mu matigga. Abasawo batera okulowooza ku ECMO mu mbeera zino.
| Embeera y’obujjanjabi | Okunnyonnyola |
|---|---|
| Obulwadde bw’okusannyalala ennyo (ARDS) . |
|
| Omutima okwonooneka | |
| Abalongo abaakazaalibwa | |
| Okulongoosa n’okukyusa ebitundu by’omubiri |
Migaso ki n’akabi akali mu bujjanjabi bwa ECMO?
Wadde nga ECMO kyuma kya kitalo ekitaasa obulamu, era kirina akabi n’ebizibu ebimu. Kikulu okubeera nga omanyi byombi.
Ebirungi ebikulu ebiri mu ECMO
- Okuwummula olw’ebitundu by’omubiri: Kiwa omutima n’amawuggwe ebirwadde ekiwummulo n’obudde bye byetaaga okuwona.
- Obuyambi bw’obulamu: Buyamba okukuuma omulwadde nga mulamu okutuusa ng’ekintu ng’okukyusa ebitundu by’omubiri kisobola okukolebwa.
- Obuyambi bw’abalongo: Abalongo abazaalibwa n’obuzibu ku mutima oba amawuggwe baweebwa omukisa okudda engulu.
Obulabe n’ebizibu ebiva mu ECMO
Abalwadde abafuna obujjanjabi bwa ECMO buli kiseera balabirirwa abasawo abakugu n’abakozi ba ba nnamusa mu kifo awajjanjabirwa abalwadde abayi olw’obulabe obuyinza okubaawo.
- Okuvaamu omusaayi: Okuvaamu omusaayi kuyinza okuvaamu kubanga emisuwa giyingizibwa mu misuwa eminene. Ekirala, obulabe bw’okuvaamu omusaayi bweyongera olw’eddagala eriweebwa okuziyiza omusaayi okuzimba.
- Okuzimba omusaayi (Clotting): .Ebizimba by’omusaayi bisobola okutondebwa munda mu ttanka y’ekyuma kya ECMO. Singa ekizimba kino kigenda mu bwongo, kiyinza okuleeta embeera ey’amaanyi ng’okusannyalala.
- Yinfekisoni: Okuva tube bwe eyingizibwa mu kifo ekifumita mu lususu, obuwuka busobola okuyingira mu mubiri ne buleeta yinfekisoni ez’amaanyi.
- Ekyuma obutakola bulungi: Ekyuma kya ECMO kyuma kizibu nnyo. Singa wabaawo obuzibu mu by’ekikugu, kiyinza okutta omulwadde.
- Stroke: Waliwo obulabe bw’okusannyalala olw’enkyukakyuka mu ntambula y’omusaayi mu bwongo oba omusaayi okuzimba.
Omaze bbanga ki ng’oyungiddwa ku ECMO?
Ebbanga omuntu ly’amaze ng’ayungiddwa ku kyuma kya ECMO lyawukana okusinziira ku mulwadde. Kisinziira ku mbeera y’obujjanjabi eyavaako obwetaavu bwa ECMO. Abantu abamu bayinza okwetaaga okubeera ku ECMO okumala ennaku ntono, ate abalala bayinza okwetaaga okubeera ku ECMO okumala wiiki.
Abasawo buli kiseera bakebera omutima n’amawuggwe g’omulwadde. Ebitundu bino bwe biraga obubonero obw’okuwona, bitandika mpola okuggya omulwadde ku mabeere ku kyuma kya ECMO. Enkola eno etera okutwala ennaku bbiri oba ttaano.
Ekikulu kiri nti ECMO si bujjanjabi bwa muntu atalina ssuubi lya kuwona. Kiba kya muntu alina obusobozi okudda engulu, naye nga yeetaaga obudde n’obuwagizi.
Waliwo embeera nga ECMO tesobola kukozesebwa?
Yee. Obujjanjabi bwa ECMO tebusaanira buli muntu. Mu mbeera ezimu, akabi akayinza okuvaamu kayinza okusinga emigaso gya ECMO. ECMO tetera kukozesebwa mu mbeera ng’ezo.
- Eri abalina endwadde z’omutima oba ez’amawuggwe ezitasobola kuwona wadde okusimbibwa.
- Singa wabaawo okwonooneka okutakyuka ku bwongo oba ebitundu ebirala ebikulu, gamba ng’ekibumba.
- Bw’oba olina kookolo agenda mu bitundu ebirala ng’asasaanye omubiri gwonna.
- Singa wabaawo omusaayi ogutafugibwa munda mu mubiri naddala okuvaamu omusaayi munda mu mutwe.
Okusalawo okw’ekika kino kukolebwa ttiimu y’abasawo abakugu oluvannyuma lw’okunoonyereza n’obwegendereza embeera y’omulwadde. Omwagalwa wo bw’aba alina embeera eno, kirungi n’obuuza omusawo oba omusawo amujjanjaba okumanya ebisingawo.
Obubaka Obutwala Awaka
- ECMO nkola etaasa obulamu ekola ng’omutima n’amawuggwe ag’ekikugu ebweru w’omubiri.
- Kino kikozesebwa ku balwadde bokka abazibu ennyo ng’omutima n’amawuggwe biremye okumala akaseera.
- Ekyuma kya ECMO kiwa ebitundu ebirwadde ekiwummulo, ne kiwa obudde n’omukisa okuwona.
- Wadde nga buno bujjanjabi bwa mugaso nnyo, naye era buba n’obulabe obw’amaanyi ng’okuvaamu omusaayi, okuzimba omusaayi, n’okukwatibwa obuwuka.
- Okusalawo kwonna ku bujjanjabi bwa ECMO kukolebwa abasawo abakugu. Bw’oba olina ekikweraliikiriza, yogerako mu lwatu n’omusawo wo.
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