{"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\/tr\/va-ecmo\/","title":{"rendered":"VA ECMO: Nedir ve hayat kurtarmak i\u00e7in nas\u0131l kullan\u0131labilir?"},"content":{"rendered":"<p>ECMO olarak da bilinen ekstrakorporeal membran oksijenasyonu, kalp ve akci\u011ferlerinizin v\u00fccudun iyile\u015fmesi i\u00e7in yard\u0131ma ihtiya\u00e7 duydu\u011fu kritik bak\u0131m ko\u015fullar\u0131nda kullan\u0131l\u0131r.&nbsp;<\/p>\n\n\n\n<p>ECMO makinesi a\u00e7\u0131k kalp ameliyatlar\u0131nda kullan\u0131lan kalp-akci\u011fer by-pass makinesine benzer ve kan\u0131n v\u00fccudun d\u0131\u015f\u0131ndan kalp-akci\u011fere pompalanmas\u0131n\u0131 i\u00e7erir, bu da karbondioksiti ortadan kald\u0131r\u0131r ve oksijenli kan\u0131 v\u00fccudun dokular\u0131na geri verir. Kan, kalbin sa\u011f taraf\u0131ndan kalp-akci\u011fer makinesinin membran oksijenat\u00f6r\u00fcne ge\u00e7er ve burada yeniden \u0131s\u0131t\u0131larak v\u00fccuda geri verilir. Bu makine kalbin ve akci\u011ferlerin dinlenmesini ve iyile\u015fmesini sa\u011flar.<\/p>\n\n\n\n<p>\u0130ki \u00e7e\u015fit ECMO vard\u0131r: VV ECMO ve <strong>VA ECMO<\/strong>. Bu makalede, a\u015fa\u011f\u0131dakiler hakk\u0131nda daha fazla bilgi edineceksiniz <strong>VA ECMO<\/strong> ve iki t\u00fcr aras\u0131nda nas\u0131l ayr\u0131m yap\u0131laca\u011f\u0131.<\/p>\n\n\n\n<h2>VA ECMO nedir ve nas\u0131l \u00e7al\u0131\u015f\u0131r?<\/h2>\n\n\n\n<p>Bir veno-arteriyel ECMO veya<strong> VA ECMO<\/strong>hastan\u0131n kan\u0131n\u0131n b\u00fcy\u00fck bir k\u0131sm\u0131n\u0131n kalpten ge\u00e7meden devre boyunca ilerlemesini sa\u011flamak i\u00e7in kullan\u0131lan bir makinedir. Bu t\u00fcr ECMO, oksijenlenmemi\u015f kan\u0131 v\u00fccuttan uzakla\u015ft\u0131rmak i\u00e7in kan\u0131 b\u00fcy\u00fck bir damardan b\u00fcy\u00fck bir artere aktar\u0131r ve kalp pompalayamayacak kadar zay\u0131f olsa bile oksijenli kan\u0131n v\u00fccutta akmas\u0131n\u0131 sa\u011flar.&nbsp;<\/p>\n\n\n\n<p>Periferik veya merkezi eri\u015fim yoluyla uygulanabilir ve tipik olarak ameliyathanede, \u00f6zellikle kardiyopulmoner baypastan \u00e7\u0131kamayan postkardiyotomi hastalar\u0131nda k\u0131sa s\u00fcreli yard\u0131m sa\u011flamak i\u00e7in uygulan\u0131r. Kalp VA ECMO'dayken atmaya devam edecektir, ancak ECMO makinesi pompalaman\u0131n \u00e7o\u011funu ger\u00e7ekle\u015ftirece\u011fi i\u00e7in i\u015fi \u00e7ok daha kolay olacakt\u0131r.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2022\/08\/preview_466244-1.png\"><img decoding=\"async\" src=\"https:\/\/mindthegraph.com\/blog\/wp-content\/uploads\/2022\/08\/preview_466244-1.png\" alt=\"\" class=\"wp-image-16582\"\/><\/a><figcaption class=\"wp-element-caption\"><em>ile yap\u0131lm\u0131\u015ft\u0131r<a href=\"https:\/\/mindthegraph.com\"> Mind the Graph<\/a><\/em><\/figcaption><\/figure><\/div>\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2>ECMO T\u00fcrleri<\/h2>\n\n\n\n<p>Ek olarak <strong>VA ECMO<\/strong>VV ECMO vard\u0131r ve her ikisi de olduk\u00e7a benzerdir. Veno-ven\u00f6z ECMO kan\u0131 ayn\u0131 anda ven\u00f6z dola\u015f\u0131mdan al\u0131r ve ven\u00f6z dola\u015f\u0131ma geri verir. Eri\u015fim tipik olarak boyundaki i\u00e7 juguler vene yerle\u015ftirilen tek bir Y-\u015fekilli kan\u00fcl arac\u0131l\u0131\u011f\u0131yla sa\u011flan\u0131r, bu da kan\u0131n tek bir yerde v\u00fccudu terk etmesini ve geri d\u00f6nmesini sa\u011flar ve iki yerine sadece bir giri\u015f b\u00f6lgesi gerektirir. Ancak baz\u0131 durumlarda boyun ve\/veya kas\u0131klara \u00e7ok say\u0131da tek l\u00fcmenli kan\u00fcl sokulabilir.&nbsp;<\/p>\n\n\n\n<p>VV ECMO ile sadece akci\u011ferler desteklenir, hastan\u0131n kalbi v\u00fccudun taleplerini kar\u015f\u0131lamak i\u00e7in hala yeterli \u015fekilde \u00e7al\u0131\u015fmal\u0131d\u0131r.&nbsp;<\/p>\n\n\n\n<h2>VA ECMO ve VV ECMO aras\u0131ndaki temel farklar<\/h2>\n\n\n\n<ul class=\"has-black-color has-cyan-bluish-gray-background-color has-text-color has-background\">\n<li>VV ECMO yaln\u0131zca akci\u011ferleri desteklerken, VA ECMO hem akci\u011ferleri hem de kalbi destekler<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-black-color has-cyan-bluish-gray-background-color has-text-color has-background\">\n<li>Her iki ECMO da kan\u0131 sa\u011f atriyumdan bo\u015falt\u0131r, ancak VA kan\u0131 inferior veya superior vena kava yoluyla geri verirken, VV femoral arter, subklavyen arter veya karotid arter yoluyla geri verir<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-black-color has-cyan-bluish-gray-background-color has-text-color has-background\">\n<li>VA ECMO hastalar\u0131nda hava embolisi ve kanama g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 daha y\u00fcksekken, VV hastalar\u0131nda bu sorunlar\u0131n g\u00f6r\u00fclme olas\u0131l\u0131\u011f\u0131 daha d\u00fc\u015f\u00fckt\u00fcr.<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-black-color has-cyan-bluish-gray-background-color has-text-color has-background\">\n<li>VA ECMO sa\u011f ventrik\u00fcl yetmezli\u011fi i\u00e7in kullan\u0131labilirken, VV kullan\u0131lamaz<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-black-color has-cyan-bluish-gray-background-color has-text-color has-background\">\n<li>VV ECMO daha y\u00fcksek perforasyon oranlar\u0131na ve VA daha d\u00fc\u015f\u00fck<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-black-color has-cyan-bluish-gray-background-color has-text-color has-background\">\n<li>VA ECMO kullan\u0131m\u0131 ile VV ECMO'ya k\u0131yasla daha y\u00fcksek PaO2 elde edilir<\/li>\n<\/ul>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"is-content-justification-center is-layout-flex wp-container-1 wp-block-buttons\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/mindthegraph.com\/app\/illustrations?search=va%20ecmo\" style=\"border-radius:50px;background-color:#dc1866\" target=\"_blank\" rel=\"noreferrer noopener\">ECMO resimlerini g\u00f6rmek i\u00e7in buraya t\u0131klay\u0131n<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:15px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2>ECMO'ya kimin ihtiyac\u0131 var?<\/h2>\n\n\n\n<p>Genel olarak ECMO, ya\u015fam\u0131 tehdit eden kalp ve\/veya akci\u011fer rahats\u0131zl\u0131klar\u0131 olan bebekler, \u00e7ocuklar ve yeti\u015fkinler de dahil olmak \u00fczere herkes i\u00e7in kullan\u0131labilen bir ya\u015fam deste\u011fi t\u00fcr\u00fcd\u00fcr:<\/p>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Pulmoner emboli<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Kardiyak arrest<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Arteriyel pH de\u011feri 7,20'nin alt\u0131nda olan hiperkapnik solunum yetmezli\u011fi<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Kardiyopulmoner baypastan \u00e7\u0131kar\u0131lamayan postkardiyotomi hastalar\u0131<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Kalp veya akci\u011fer transplantasyonuna ya da ventrik\u00fcler destek cihaz\u0131n\u0131n implantasyonuna y\u00f6nelik bir ad\u0131m olarak<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Kalp kas\u0131 hastal\u0131\u011f\u0131 (dekompanse kardiyomiyopati)<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Kalp kas\u0131 iltihab\u0131 (miyokardit)<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Akut solunum s\u0131k\u0131nt\u0131s\u0131 sendromu<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Travma<\/li>\n<\/ul>\n\n\n\n<ul class=\"has-white-color has-text-color has-background\" style=\"background-color:#dc1866\">\n<li>Hayat\u0131 tehdit eden enfeksiyon reaksiyonu (sepsis)<\/li>\n<\/ul>\n\n\n\n<h2>Riskler ve komplikasyonlar<\/h2>\n\n\n\n<h3>Kanama<\/h3>\n\n\n\n<p>ECMO'nun en yayg\u0131n sonucu kanamad\u0131r. Bunun nedeni kan p\u0131ht\u0131lar\u0131n\u0131n geli\u015fmesini \u00f6nlemek i\u00e7in ECMO devresine heparin verilmesidir. Heparin bunu kan\u0131 inceltip p\u0131ht\u0131 olu\u015fumunu azaltarak ger\u00e7ekle\u015ftirir. Tipik olarak, kanama ECMO kan\u00fcl yerlerinde veya v\u00fccuttaki di\u011fer cerrahi yerlerde meydana gelir. Ancak hasta heparin al\u0131rken v\u00fccudun herhangi bir yerinde kanama meydana gelebilir. En ciddi kanamalar beynin i\u00e7inde veya yak\u0131n\u0131nda meydana gelebilir. Sonu\u00e7 olarak ECMO ekibi s\u00fcrekli olarak kanama belirtilerini izler ve analiz eder.<\/p>\n\n\n\n<h3>Devre ar\u0131zas\u0131 veya kopmas\u0131<\/h3>\n\n\n\n<p>Bir devre kopmas\u0131 veya y\u0131rt\u0131lmas\u0131 g\u00f6zlemlemek yayg\u0131nd\u0131r; bu durumda profesyoneller sorunu gidermek i\u00e7in derhal m\u00fcdahale etmek \u00fczere e\u011fitilmi\u015ftir. ECMO makinesini onarmadan veya de\u011fi\u015ftirmeden \u00f6nce hasta makineden \u00e7\u0131kar\u0131lmal\u0131d\u0131r. Bu s\u00fcre zarf\u0131nda ECMO yeniden ba\u015flat\u0131lana kadar hastaya bak\u0131lacakt\u0131r.<\/p>\n\n\n\n<h3>Devreye giren kan p\u0131ht\u0131lar\u0131 veya hava kabarc\u0131klar\u0131<\/h3>\n\n\n\n<p>Ekip, p\u0131ht\u0131lar\u0131n veya havan\u0131n hastaya ula\u015fmas\u0131n\u0131 engellemek i\u00e7in her t\u00fcrl\u00fc \u00f6nlemi al\u0131r; bu da beyinde veya akci\u011ferlerde emboli olarak bilinen feci bir hasara yol a\u00e7abilir. Baz\u0131 devrelerde bulunabilen bir \"kabarc\u0131k dedekt\u00f6r\u00fc\", t\u00fcp i\u00e7inde bir kabarc\u0131k \"tespit edildi\u011finde\" devreyi kapatan bir g\u00fcvenlik cihaz\u0131d\u0131r. ECMO uzman\u0131 daha sonra hastay\u0131 etkilemeden \u00f6nce havay\u0131 \u00e7\u0131karabilir.<\/p>\n\n\n\n<h2>Bilimsel ill\u00fcstrasyonlar\u0131n\u0131z yerinde<\/h2>\n\n\n\n<p>\u00c7al\u0131\u015fman\u0131za ilgili verileri i\u00e7eren infografikler eklemek, y\u00fcksek kaliteli ve temel g\u00f6rsel \u00f6\u011felerle zenginle\u015ftirmek i\u00e7in inan\u0131lmaz bir ara\u00e7 kullan\u0131n. Mind The Graph, kullan\u0131m\u0131 kolay \u00e7e\u015fitli infografik \u015fablonlar\u0131 sa\u011flayarak bilim camias\u0131na yard\u0131mc\u0131 olmak i\u00e7in olu\u015fturulmu\u015ftur.<\/p>\n\n\n\n<div style=\"height:17px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"is-content-justification-center is-layout-flex wp-container-2 wp-block-buttons\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/mindthegraph.com\/science_figures\" style=\"border-radius:50px;background-color:#dc1866\" target=\"_blank\" rel=\"noreferrer noopener\">\u0130lk bilimsel ill\u00fcstrasyonunuza ba\u015flay\u0131n<\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Mind the Graph - Nas\u0131l \u00e7al\u0131\u015f\u0131r: grafiksel bir \u00f6zet olu\u015fturma\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/AK7bH7Yq2gI?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>VA ECMO'nun ne oldu\u011funu, VV ECMO'dan nas\u0131l farkl\u0131la\u015ft\u0131\u011f\u0131n\u0131 ve ya\u015fam\u0131 tehdit eden durumlarda bir\u00e7ok hastan\u0131n hayat\u0131n\u0131 kurtarmak i\u00e7in nas\u0131l kullan\u0131labilece\u011fini \u00f6\u011frenin.<\/p>","protected":false},"author":28,"featured_media":25530,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[959,28,956],"tags":[775,916],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>VA ECMO: What it is and how it may be utilized to save lives<\/title>\n<meta name=\"description\" content=\"Learn what a VA ECMO is, how it varies from VV ECMO, and how it may be utilized to save the lives of many patients.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/mindthegraph.com\/blog\/tr\/va-ecmo\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"VA ECMO: Understand what it is and how it may be utilized to 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