{"id":16407,"date":"2022-08-31T14:25:40","date_gmt":"2022-08-31T17:25:40","guid":{"rendered":"https:\/\/mindthegraph.com\/blog\/stem-cell-research-pros-and-cons-copy\/"},"modified":"2022-11-24T12:30:09","modified_gmt":"2022-11-24T15:30:09","slug":"va-ecmo","status":"publish","type":"post","link":"https:\/\/mindthegraph.com\/blog\/lv\/va-ecmo\/","title":{"rendered":"VA ECMO: kas t\u0101 ir un k\u0101 to var izmantot dz\u012bv\u012bbas gl\u0101b\u0161anai"},"content":{"rendered":"

Ekstrakorpor\u0101l\u0101 membr\u0101nveida oksigen\u0101cija, paz\u012bstama ar\u012b k\u0101 ECMO, tiek izmantota kritisk\u0101s apr\u016bpes apst\u0101k\u013cos, kad j\u016bsu sirdij un plau\u0161\u0101m nepiecie\u0161ama pal\u012bdz\u012bba, lai organisms var\u0113tu atg\u016bties. <\/p>\n\n\n\n

ECMO iek\u0101rta ir l\u012bdz\u012bga sirds un plau\u0161u by-pass iek\u0101rtai, ko izmanto atv\u0113rt\u0101s sirds \u0137irur\u0123ij\u0101, un taj\u0101 asinis tiek s\u016bkn\u0113tas no \u0101rpus \u0137erme\u0146a uz sirds-plau\u0161\u0101m, kas izvada oglek\u013ca dioks\u012bdu un atgrie\u017e sk\u0101bekli saturo\u0161as asinis \u0137erme\u0146a audos. Asinis no sirds lab\u0101s puses non\u0101k sirds un plau\u0161u apar\u0101ta membr\u0101nas oksigenator\u0101, kur t\u0101s tiek uzsild\u012btas un atgrieztas atpaka\u013c organism\u0101. \u0160is apar\u0101ts \u013cauj sirdij un plau\u0161\u0101m atp\u016bsties un atjaunoties.<\/p>\n\n\n\n

Ir divu veidu ECMO: VV ECMO un VA ECMO<\/strong>. \u0160aj\u0101 rakst\u0101 uzzin\u0101siet vair\u0101k par VA ECMO<\/strong> un to, k\u0101 at\u0161\u0137irt \u0161os divus veidus.<\/p>\n\n\n\n

Kas ir VA ECMO un k\u0101 t\u0101 darbojas?<\/h2>\n\n\n\n

Veno-artri\u0101l\u0101 ECMO vai VA ECMO<\/strong>, ir ier\u012bce, ko izmanto, lai liel\u0101k\u0101 da\u013ca pacienta asi\u0146u var\u0113tu ce\u013cot pa \u0137\u0113di, neejot cauri sirdij. \u0160\u0101da veida ECMO p\u0101rvada asinis no lielas v\u0113nas, lai no organisma izvad\u012btu bezsk\u0101bek\u013ca asinis, uz lielu art\u0113riju, \u013caujot sk\u0101bekli saturo\u0161\u0101m asin\u012bm pl\u016bst pa visu \u0137ermeni pat tad, kad sirds ir p\u0101r\u0101k v\u0101ja, lai t\u0101s s\u016bkn\u0113tu. <\/p>\n\n\n\n

To var ievad\u012bt ar perif\u0113ro vai centr\u0101lo piek\u013cuvi, un parasti to izmanto oper\u0101ciju z\u0101l\u0113, lai sniegtu \u012bslaic\u012bgu pal\u012bdz\u012bbu, jo \u012bpa\u0161i pacientiem p\u0113c kardiotomijas, kuri nav sp\u0113ju\u0161i atdal\u012bties no kardiopulmon\u0101l\u0101 apvedce\u013ca. Sirds turpin\u0101s pukst\u0113t, kam\u0113r VA ECMO ir piesl\u0113gta, bet t\u0101s darbs b\u016bs daudz viegl\u0101ks, jo liel\u0101ko da\u013cu s\u016bkn\u0113\u0161anas darbu veiks ECMO iek\u0101rta.<\/p>\n\n\n\n

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ECMO veidi<\/h2>\n\n\n\n

Papildus VA ECMO<\/strong>, ir VV ECMO, un abas ir diezgan l\u012bdz\u012bgas. Veno-venoz\u0101 ECMO vienlaic\u012bgi no\u0146em un atgrie\u017e asinis venozaj\u0101 asinsrit\u0113. Piek\u013cuve parasti tiek nodro\u0161in\u0101ta ar vienu Y formas kaniulu, kas ievietota kakla iek\u0161\u0113j\u0101 j\u016bgu v\u0113n\u0101, kas \u013cauj asin\u012bm izpl\u016bst un atgriezties organism\u0101 vien\u0101 viet\u0101, un ir nepiecie\u0161ama tikai viena ievad\u012b\u0161anas vieta, nevis divas. Tom\u0113r atsevi\u0161\u0137os gad\u012bjumos kakl\u0101 un\/vai cirk\u0161\u0146os var ievad\u012bt vair\u0101kas viena l\u016bmena kangulas. <\/p>\n\n\n\n

Ar VV ECMO tiek atbalst\u012btas tikai plau\u0161as, bet pacienta sirdij joproj\u0101m ir j\u0101darbojas adekv\u0101ti, lai apmierin\u0101tu organisma vajadz\u012bbas. <\/p>\n\n\n\n

Galven\u0101s at\u0161\u0137ir\u012bbas starp VA ECMO un VV ECMO<\/h2>\n\n\n\n