Clinical aikace-aikace na gaggawa duban dan tayi
Tare da ci gaba da ci gaban al'umma, jarrabawar duban dan tayi ya zama ɗaya daga cikin hanyoyin gwajin da ba dole ba don ganewar asibiti.A cikin jiyya na gaggawa, šaukuwa duban dan tayi gwajin yana da fadi da kewayon, high daidaito, azumi dubawa gudun, marasa rauni da kuma babu contraindications.Maimaita jarrabawa na iya bincika marasa lafiya da sauri a kowane yanayi, cin nasara lokacin ceto mai daraja ga marasa lafiya da ke da mummunan rauni, da kuma daidaita ƙarancin hasken X-ray.Tabbatar da juna tare da gwajin X-ray;Babban fa'ida shi ne cewa marasa lafiya na gaggawa tare da rashin daidaiton wurare dabam dabam ko waɗanda bai kamata a motsa su ba ana iya bincika kowane lokaci da ko'ina, kuma babu iyakancewar wurin, wanda shine hanyar gwaji ta farko ga marasa lafiya marasa lafiya.
1.Application na šaukuwa duban dan tayi a cikin rauni taimakon farko da m ciki
Mayar da hankali kan duban dan adam na rauni (azumi): maki shida (subxipphioid, hannun Haske, Yankin Jikin Haske, an zabi yankin Renal, a yankin da aka saƙa, da Pelvic) don saurin gano rauni na m rauni.
01 Gano m m ƙarfi ko m iska rauni a cikin akwati da kuma free ruwa a cikin ciki: FAST jarrabawa Ana amfani da farko ganewar asali na pleural hemorrhage, da kuma sanin wurin jini da adadin (pericardial effusion, pleural effusion, peritoneal effusion, pneumothorax). , da sauransu).
02 Raunin da aka fi sani da shi: hanta, saifa, rauni na pancreas.
03 Na kowa wanda ba mai rauni ba: m appendicitis, m cholecystitis, gallstones da sauransu.
04 Likitan mata na gama gari: ciki ectopic, previa previa, ciwon ciki, da dai sauransu.
05 Ciwon yara.
06 Rashin hawan jini da ba a bayyana ba da sauransu suna buƙatar gwajin FASA.
2.A aikace-aikace na šaukuwa duban dan tayi a zuciya
Echocardiography shine ma'aunin zinare a cikin gano yawancin cututtukan zuciya da pericardial.
01 Zubar da jini na zuciya: Gaggawa da sauri na bugun pericardial, tamponade na pericardial, huda bugun pericardial mai jagorar duban dan tayi.
02 Massive embolism embolism: Echocardiography zai iya taimakawa wajen kawar da yanayi tare da alamu masu kama da ciwon huhu, irin su tamponade na zuciya, pneumothorax, da ciwon zuciya.
03 Kimar aikin ventricular na hagu: Aikin systolic na hagu na hagu an tantance shi ta hanyar saurin duba manyan axis na hagu, ƙaramar axis na hagu, zuciya mai ɗaki huɗu mai ɗaci, da juzu'in fitar da ventricular na hagu.
04 Rarraba Aortic: Echocardiography na iya gano wurin da aka rarraba, da kuma wurin shiga.
05 Myocardial ischemia: Ana iya amfani da Echocardiography don bincika zuciya don motsin bango mara kyau.
06 Cututtukan zuciya na Valvular: Echocardiography na iya gano sautin bawul ɗin mara kyau da canje-canje a cikin bakan jini.
3.Application na šaukuwa duban dan tayi a cikin huhu da diaphragm
01 An yi amfani da shi don tantance tsananin ciwon huhu na farko-tsakiyar, ƙananan ƙwayoyin hydrophilia na huhu suna bayyana a cikin huhu - Alamar layin B.
02 An yi amfani da shi a cikin ganewar asali na masu fama da ciwon huhu, duka biyun huhu suna yada haɗin B-line, suna nuna alamar "farin huhu", lokuta masu tsanani sun bayyana ƙarfafa huhu.
03 Don gano cutar zubar da jini, duban dan tayi ya jagoranci huda magudanar ruwa.
04 Don ganewar asali na pneumothorax: alamar stratospheric, alamar huhu da sauran alamun suna nuna yiwuwar kasancewar pneumothorax.
05 Jagorar saitin na'urar iska da lura da yanayin sake fadada huhu.
06 Don aikace-aikacen duban dan tayi na diaphragmatic, kashe layi mai jagora, banbance gazawar numfashi na tsakiya da na gefe.
4.Application na šaukuwa duban dan tayi a tsoka tsoka
01 Duban dan tayi na iya tantance ko tendon ya tsage da girman hawaye.
02 Ga marasa lafiya tare da ciwo da kumburi na hannaye da ƙafafu, duban dan tayi na iya sauri da kuma dogara da ganewar asali na tenosynovitis, wanda ke taimakawa wajen inganta yanayin kulawa da kuma zaɓar magani mai dacewa.
03 Yi la'akari da shigar haɗin gwiwa a cikin cututtukan arthritis na kullum.
04 Daidaitaccen jagorar tendon da bursae da allura mai laushi.
5.Application na šaukuwa duban dan tayi a asibiti jagora
01 Huda jijiyoyin jini: hangen nesa na catheterization mai zurfi, huda jijiya, da sauransu.
02 Jagorar sanya abin rufe fuska na laryngeal.
03 Shigar da hanyar trachea mai jagora.
04 Huda haɗin gwiwa, toshewar jijiya, da sauransu.
05 Jagorar rami na pericardial, rami na thoracic, rami na ciki, da sauransu.
06 Cyst, jagorar huda kumburi, da sauransu.
Ana iya ganin cewa kewayon aikace-aikacen na šaukuwa launi Doppler duban dan tayi bincike kayan aiki ne musamman m, da kuma dubawa kewayon fadi, high daidaito, azumi dubawa, ba rauni, babu contraindications, maimaita dubawa;Binciken Doppler launi mai ɗaukar nauyi yana da fa'idodi masu zuwa:
Ƙarami da šaukuwa, ana iya ɗaukar shi da hannu kai tsaye, wanda zai dace da ma'aikatan kiwon lafiya don ɗaukar duban dan tayi zuwa wurin likita.
Gudun dubawa yana da sauri, ana iya maimaita shi, babu rauni, babu contraindications.
Daidaita zuwa wurare daban-daban na aiki, gami da gefen gado, ICU, gaggawa, ziyarar filin, da sauransu.
Kyakkyawan ingancin hoto da goyan baya don binciken ciki, na sama da na zuciya tare da cikakkiyar kewayon aikace-aikace don saduwa da buƙatun asibiti daban-daban.
Maganin shiga tsakani na Ultrasound, ido na duban dan tayi wanda likitan ke ɗauka.
Doppler launi mai šaukuwa kayan aikin ganewar asali yana ba da ingantaccen tushe don ƙarin ganewar asibiti da magani, kuma ya gane cewa marasa lafiya masu mahimmanci za su iya kammala gwajin duban dan tayi na zuciya na gado ba tare da barin ICU ba, wanda ya inganta ganewar asali da matakin kulawa na marasa lafiya masu tsanani.
Lokacin aikawa: Nuwamba-13-2023
