Aikace-aikace na šaukuwa duban dan tayi a cikin gaggawa gaggawa

Aikace-aikace na šaukuwa duban dan tayi a cikin gaggawa gaggawa

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.

Matsayin aikace-aikacen duban dan tayi na gado a gida da waje

1. Akwai ƙarin horo na duban dan tayi a duniya.A halin yanzu, an kirkiro wani tsarin horo na asali da na yau da kullun, da kuma Alliance na duban duban dan adam (Winfocus).
2. Kwalejin Likitocin Gaggawa na Amurka na buƙatar likitocin gaggawa dole ne su mallaki fasahar duban dan tayi na gaggawa, kuma kashi 95% na cibiyoyin rauni na matakin 1 a Amurka (190) suyi duban dan tayi na gaggawa.
3. Likitocin gaggawa a Turai da Japan sun yi amfani da duban dan tayi don taimakawa marasa lafiya a ganewar asali da magani
4. Kasar Sin ta fara a makare, amma ana samun ci gaba cikin sauri.

Aikace-aikace na šaukuwa duban dan tayi a cikin rauni taimakon farko da m ciki

01 Binciken farko
Nuna hanyoyin iska mai barazanar rai, numfashi da zagayawa.- Taimakon farko, gaggawa

02 Dubawa na sakandare
Gano raunin da ya faru a duk sassan jiki - gaggawa, ICU, unguwa

03 Duba sau uku
Cikakken bincike na tsari don guje wa ɓarna -ICU, unguwa

Mayar da hankali Ƙimar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru (FAST):An zaɓi maki shida (subxiphoid, epigastric na hagu, epigastric na dama, yankin renal na hagu, yankin renal na dama, kogon ƙwanƙwasa) don saurin gano raunin da ya faru.

1. Gano m m karfi ko m iska rauni a cikin akwati da kuma free ruwa a cikin ciki: FAST jarrabawa ana amfani da na farko ganewar Pleural jini, da kuma sanin wurin da jini wurare dabam dabam (pericardial effusion, pleural effusion, na ciki effusion, ciki). pneumothorax, da dai sauransu).
2.Rauni na yau da kullun: hanta, saifa, rauni na pancreas
3. Na kowa wanda ba mai rauni: m appendicitis, m cholecystitis, gallstones da sauransu.
4. Likitan mata na kowa: ciki ectopic, previa previa, ciwon ciki, da dai sauransu
5. Ciwon yara
6. Rashin hawan jini da ba a bayyana ba da sauransu suna buƙatar gwajin FASA

Aaikace-aikace na šaukuwa duban dan tayi azuciya

Kima da sauri da inganci na gabaɗayan girman da aikin zuciya, girman ɗakunan ɗakuna na zuciya, matsayin myocardial, kasancewar ko rashi na regurgitation, aikin bawul, juzu'in fitarwa, ƙimar ƙimar ƙimar jini, ƙima aikin famfo na zuciya, saurin ƙima. gano abubuwan da ke haifar da hypotension, hagu da dama na ventricular systolic / diastolic aiki, jagorancin maganin ruwa, farfadowa na jiki, jagorancin kulawar zuciya, marasa lafiya marasa lafiya ba su da fashewar zuciya da kuma saurin maganin cututtukan pericardial da jini, da dai sauransu.

1. Zubar da jini: saurin ganewa na bugun pericardial effusion, pericardial tamponade, huda mai shiryarwa na duban dan tayi.
2. M embolism na huhu: Echocardiography zai iya taimakawa wajen kawar da yanayi tare da alamun da ke kama da ciwon huhu, irin su tamponade na zuciya, pneumothorax, da ciwon zuciya na myocardial.
3. Ƙimar aikin ventricular na hagu: An tantance aikin systolic na hagu ta hanyar saurin duban babban axis na hagu, ƙananan axis na hagu, zuciya mai ɗaki huɗu, da juzu'in fitar da ventricular na hagu.
4. Aortic dissection: Echocardiography zai iya gano wurin da aka rarraba, da kuma wurin da aka shiga.
5. Myocardial ischemia: Ana iya amfani da Echocardiography don bincika zuciya don motsin bango mara kyau.
6. Ciwon zuciya na valvular: Echocardiography na iya gano alamun bawul ɗin mara kyau da canje-canje a cikin bakan jini.

Aikace-aikace na šaukuwa duban dan tayi a cikin huhu

1. An yi amfani da shi don tantance tsananin ciwon huhu na farko-tsakiyar, ƙananan flaks na hydrosis na huhu suna bayyana a cikin huhu.
2. Dukansu huhu suna watsa layin haɗin B, suna nuna alamar "fararen huhu", ƙarfafa huhu mai tsanani.
3. Jagorar saitin na'urar iska kuma kula da yanayin sake fadada huhu
4. Don ganewar asali na pneumothorax: alamar stratospheric, alamar huhu da sauran alamun suna nuna yiwuwar kasancewar pneumothorax.

Aikace-aikace na šaukuwa duban dan tayi a tsoka tsoka

1. Duban dan tayi na iya tantance ko jijiyar ya tsage da iyakar tsagewar
2. Ga marasa lafiya 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.
3. Yi la'akari da haɗin gwiwa a cikin cututtukan arthritis na kullum
4. Daidaitaccen jagorar tendon da bursae aspiration da allura mai laushi

Aikace-aikace na šaukuwa duban dan tayi a asibiti jagora

1. Ultrasound-shirya tsakiyar jijiya catheterization (na ciki jugular jijiya, subclavian jijiya, femoral vein)
2. Huda PICC jagorar duban dan tayi
3. Ultrasound-shirya catheterization na invasive artery
4. Duban dan tayi jagorar thoracic huda magudanar ruwa, duban dan tayi jagorar huda na ciki
5. Huda huɗar bugun zuciya ta hanyar duban dan tayi
6. Duban-sound-shirya percutaneous hepatogallbladder huda

Ana iya ganin cewa šaukuwa launi Doppler duban dan tayi bincike kayan aiki yana da wani musamman m kewayon aikace-aikace a gaggawa tsanani lokuta, samar da wani abin dogara tushe ga ƙarin asibiti ganewar asali da magani, da kuma sanin cewa m marasa lafiya na iya kammala da gadon gado duban dan tayi duban dan tayi gwajin ba tare da barin. sashin kulawa, yana inganta haɓakar ganewar asali da matakin jiyya na marasa lafiya masu tsanani.