Ngo-2020, i-COVID-19 idlangile. Muva nje, ukuhlukahluka eNdiya, eBrazil, e-United Kingdom nakwamanye amazwe kuye kwavela, futhi imvamisa yokuguqulwa kwezakhi zofuzo iye yanda kancane kancane isuka ku-0.1 ngenkulungwane yaya ku-1.3 ngenkulungwane. Isimo esiwumqedazwe phesheya sisenzima, futhi izwe alinakuntenga nakancane. Iziguli ezintathu zaqinisekiswa e-Anhui ngo-13-14. Lolu bhubhane alukaqedwa. Kusadingeka sikuthathele phezulu, sigeze izandla njalo, sigqoke imaski futhi sijove umuthi omusha wokugomela umqhele ngokushesha ngangokunokwenzeka.
Futhi uma kukhulunywa ngosizo lokuqala lweziguli ezine-COVID-19, i-ECMO ivame ukuvela endaweni yesehlakalo. Kwenzenjani?I-ECMOiyithuluzi lokwelapha i-membrane elingaphandle kwe-oksijini, elivame ukubizwa ngokuthi "iphaphu lokwenziwa". Umshini wokwenziwa wenhliziyo wamaphaphu uwubuchwepheshe obusekela ukuphila obusebenzisa idivayisi yokwenziwa ekhethekile ukuze ubuyisele igazi enhliziyweni nasemithanjeni ephuma emzimbeni, wenze ukushintshana kwegesi, ulungise izinga lokushisa nesihlungi, bese ulibuyisela ngaphakathi. Ngenxa yokuthi lesi sisetshenziswa sokwenziwa esikhethekile sithatha indawo yenhliziyo yomuntu kanye nokusebenza kwamaphaphu, sibizwa nangokuthi i-cardiopulmonary bypass ibizwa ngokuthi umshini wokwenziwa wenhliziyo-i-ECMO njengamanje uyindlela ewumgogodla yokwehluleka kwenhliziyo ebizwa ngokuthi "ukwelashwa kokugcina" kweziguli ezigula kakhulu ezinenyumoniya yenhliziyo entsha.
Imishini eyisisekelo yomshini we-ECMO ihlanganisa:
(1) Iphampu yegazi:Ukuze kuqhutshwe indlela eyodwa yegazi eligcwele umoya-mpilo ngaphandle komzimba, libuyiselwa emithanjeni yangaphakathi ukuze kuthathelwe indawo ingxenye eyinhloko yomsebenzi wokukhipha igazi lenhliziyo.
(2) Ithuluzi lokugeleza kwegazi eline-oxygen unidirectional.
(3) I-Oxygenator:Ikhipha umoya-mpilo egazini le-venous, ikhiphe isikhutha, futhi ithathele amaphaphu esikhundleni sokushintshisana ngegesi.
（4）I-Thermostat:Idivayisi esebenzisa izinga lokushisa lamanzi ajikelezayo kanye namapuleti okuhlukanisa ensimbi athambile asebenza kahle ukuze kuncishiswe noma kukhuphule izinga lokushisa kwegazi.Ingaba khona njengengxenye ehlukile, kodwa ikakhulukazi ihlanganiswe ne-oxygenator.
(5) Isihlungi: Umshini owenziwe ngesikrini sokuhlunga se-polymer microporous, obekwe epayipini, usetshenziselwa ukuhlunga ngempumelelo ukungcola okuhlukahlukene, izinhlayiya, uthuli nezinhlayiya ezinhle.Isici sesihlungi se-Hengko microporous se-ventilator kanye ne-ECMO eyenziwe ngensimbi engagqwali yezokwelapha engu-316. , inenzuzo yokunemba okuphezulu kokuhlunga okuhle kokungena komoya, umphumela omuhle wokuhlunga, ukuvikela uthuli, okuphephile nokungenabuthi, akukho phunga. Ingakwazi ukuhlunga izinhlobo ezahlukene zezinhlayiya, okuhlanganisa amagciwane, amagciwane namaconsi amanzi. Umklamo wokuvula ukhethekile futhi usatshalaliswa ngokulinganayo, ungasetshenziswa izikhathi eziningi ngaphandle kokuhlanza.
Isici sesihlungi samaphaphu okwenziwa se-HENGKO ECMOingavikela umjikelezo wokuphefumula wesiguli ekungcolisweni yigciwane futhi ivimbele izinhlayiya ezinkulu zothuli ukuthi zingangeni emshinini futhi zidale umonakalo.
Amaphaphu okwenziwa awaphumeleli nje kuphela ekusindiseni iziguli ezigula kakhulu ezinenyumoniya entsha ye-coronary kodwa futhi anezinhlobonhlobo zezicelo emithini yezempi. Isibonelo, i-US Air Force isungule ithimba lezokwelapha le-Extracorporeal Membrane Oxygenation (ECMO), elitshalwe phesheya kwezilwandle ukuze lenze imisebenzi ehlukahlukene yezempi emhlabeni jikelele. Ibutho lezempi liyibutho elihlomile eliqinisekisa ukuphepha kwezwe. UMongameli Xi Jinping ukugcizelele kaningi ukuthi "amasosha asempini." Enkulumweni yakhe yangoMashi 9 nonyaka, uMongameli Xi Jinping wagcizelela ukuthi isimo samanje sezokuphepha ezweni lami asizinzile futhi asiqinisekile. Kusukela "ekukhuleni" kuya "kukhulu", ukuqina kwesimo samanje kudinga impi enzima. Kusukela "ekukhuleni" kuya "kukhulu", ukuqina kwesimo samanje kudinga impi enzima. Ngakho-ke, ukubaluleka kwamaphaphu okwenziwa njengesiqiniseko sezokwelapha esibalulekile sokwelashwa kwezempi kuyabonakala.
I-Medtronic yase-United States, uMcCoy eJalimane, uSolin eJalimane, uTerumo eJapane, noFresenius eJalimane, benza i-monopoly. Intengo yomshini wamaphaphu okwenziwa ifinyelela ezigidini, futhi izinto ezisetshenziswayo ezisetshenziswayo nazo ziyangeniswa kwamanye amazwe. Ngenxa yalolu bhubhane kanye nezingqinamba ezikhona zamazwe ngamazwe e-China, ukungenisa izinto ezisetshenziswayo ezivela phesheya akuyona nje ingozi kodwa nezinkampani eziningi zangaphandle ziyakumisa okwesikhashana. Thumela eChina. Ukuthembela ekuthengeni kwamanye amazwe isikhathi eside akuyona into enhle. Njengenye yezinkampani zaseShayina, izindinganiso zethu zihlanganisa umoya wokuma ekulungeni kwezwe, ukuphikelela emsebenzini onzima, kanye nokuzethemba okungapheli. Ngaphansi kocwaningo olujulile lwethimba lochwepheshe, kuye kwasungulwa imikhiqizo ehlukahlukene yokuhlunga esetshenziswa emaphashini okwenziwa, eqhathaniswa nemikhiqizo evela eYurophu nase-United States, enciphisa izindleko zokunakekela izibhedlela nezikhungo zezokwelapha, futhi esiza ekuthuthukisweni kwamaphaphu okwenziwa. Imboni yemishini yezokwelapha esezingeni eliphezulu yaseChina.
I-ECMO iwusizo kakhulu, kepha kusenezinkinga ezithile ekusetshenzisweni kwe-ECMO eChina. Isibonelo, umkhawulo wezobuchwepheshe osetshenziswa i-ECMO uphakeme kakhulu, imishini iyabiza, futhi izibhedlela ezimbalwa zasekhaya kuphela ezinolwazi oluthe xaxa ekusebenziseni i-ECMO kanye nenani lamacala. Ingaphansi kwendlela yokuqeqesha esezingeni le-ECMO.Izindleko ze-ECMO zibiza kakhulu, futhi azikho esikhaleni sembuyiselo yomshwalense wezokwelapha. Izindleko zesiguli ukwenza i-ECMO zingaba ngu-300,000 kuya ku-400,000 yuan, okuyizindleko zokuthengelwa kwamanye amazwe nazo ziyizindleko ezinkulu, ngenani lokuqala lika-40,000 kuya ku-80,000 yuan.
Nakuba buningi ubunzima, sizobunqoba. Ngokuthuthuka sekukonke kanye nempumelelo ebalulekile yohlelo olukhulu lwe-"Made in China 2025", luzosheshisa ukukhushulwa kwezinga lonke lokukhiqiza. Sikholelwa ukuthi i-ECMO yasekhaya izongena esibhedlela futhi ingene emtholampilo ukuze kusizakale iziguli esikhathini esizayo.
Isikhathi sokuthumela: Jun-04-2021
