Hoʻohana kino no ka ultrasound pilikia
Me ka hoʻomau mau ʻana o ke kaiāulu, ua lilo ka nānā ʻana i ka ultrasound i kekahi o nā ʻano hoʻokolokolo pono ʻole no ka maʻi maʻi.I ka hoʻoponopono ulia pōpilikia, ʻo ka hoʻokolohua ultrasound portable he ākea ākea, kiʻekiʻe pololei, wikiwiki ka nānā ʻana i ka wikiwiki, ʻaʻohe trauma a ʻaʻohe contraindications.Hiki i ka hoʻokolokolo hou ke nānā wikiwiki i nā mea maʻi i kēlā me kēia hiʻohiʻona, lanakila i ka manawa hoʻopakele makamae no nā poʻe maʻi me ka ʻeha make nui, a hoʻoponopono i ka hemahema o nā kukui X.ʻO ka hōʻoia like me ka hoʻokolokolo X-ray;ʻO ka pōmaikaʻi nui loa, ʻo ia ka mea hiki ke nānā ʻia nā poʻe maʻi pilikia me ka neʻe ʻole o ka neʻe ʻana i kēlā me kēia manawa a ma nā wahi āpau, a ʻaʻohe palena palena, ʻo ia ke ʻano hoʻokolokolo mua no nā maʻi maʻi koʻikoʻi.
1.Application o portable ultrasound i ka trauma kōkua mua a me ka opu opu
Nānā Ultrasound Assessment of Trauma (FAST): ʻEono mau helu (subxiphoid, epigastric hema, epigastric ʻākau, ʻāpana renal hema, ʻāpana renal ʻākau, lua pelvic) i koho ʻia no ka ʻike wikiwiki ʻana i ka ʻeha make.
01 Ka ʻike ʻana i ka ʻeha ʻeha a i ʻole ka ʻeha o ka ea i loko o ke kumu a me ka wai manuahi i loko o ka ʻōpū: Hoʻohana ʻia ka hoʻokolokolo FAST no ka ʻike mua ʻana i ka hemorrhage pleural, a no ka hoʻoholo ʻana i ka wahi a me ka nui o ke koko (pericardial effusion, pleural effusion, peritoneal effusion, pneumothorax. , etc.).
02 Nā ʻeha maʻamau: ʻeha, ʻeha, ʻeha pancreas.
03 ʻAʻohe ʻeha maʻamau: ʻo ka appendicitis acute, cholecystitis acute, gallstones a pēlā aku.
04 ʻO ka maʻi maʻi maʻamau: ʻōpū ectopic, placenta previa, trauma hapai, etc.
05 ʻEha keiki.
06 Pono ka hypotension wehewehe ʻole a pēlā aku i nā hoʻokolohua FASA.
2. ʻO ka noi o ka ultrasound portable ma ka puʻuwai
ʻO ka Echocardiography ke kūlana gula i ka hōʻoia ʻana o nā maʻi puʻuwai a me nā maʻi pericardial.
01 ʻO ka hoʻoheheʻe ʻana o ka pericardial: ʻike wikiwiki ʻia o ka hoʻoheheʻe ʻana o ka pericardial, pericardial tamponade, ka ʻokiʻoki i alakaʻi ʻia e ka ultrasound.
02 Ka nui o ka pulmonary embolism: Hiki i ka Echocardiography ke kōkua i ka pale ʻana i nā kūlana me nā hōʻailona like me ka pulmonary embolism, e like me ka tamponade naʻau, pneumothorax, a me ka myocardial infarction.
03 Ka loiloi hana ʻana o ka ventricular hema: Ua ʻike ʻia ka hana systolic ventricular hema e ka scan wikiwiki o ka axis nui hema, axis liʻiliʻi hema, apical ʻehā lumi puʻuwai, a me ka haʻihaʻi hoʻokuʻu ventricular hema.
04 Aortic dissection: Hiki i ka Echocardiography ke ʻike i kahi o ka wehe ʻana, a me ke kahua o ke komo ʻana.
05 Myocardial ischemia: Hiki ke hoʻohana ʻia ka echocardiography e nānā i ka puʻuwai no ka neʻe ʻana o ka paia.
06 ʻO ka maʻi puʻuwai Valvular: Hiki i ka Echocardiography ke ʻike i nā leo o ka valve abnormal a me nā hoʻololi ʻana i ke kiko kahe koko.
3.Application o portable ultrasound i loko o ka māmā a me ka diaphragm
01 Hoʻohana ʻia no ka loiloi ʻana i ke koʻikoʻi o ka maʻi maʻi maʻi mua-waena, ʻike ʻia nā pā liʻiliʻi o ka pulmonary hydrophilia i loko o ka māmā - hōʻailona Line B.
02 Hoʻohana ʻia i ka hōʻoia ʻana o nā maʻi maʻi pneumonia koʻikoʻi, hoʻolaha nā māmā ʻelua i ka fusion B-line, e hōʻike ana i ka hōʻailona "keʻokeʻo keʻokeʻo", ʻike ʻia nā hihia koʻikoʻi i ka hoʻohui pū ʻana.
03 No ka ʻike ʻana i ka hoʻoheheʻe ʻana o ka pleural, alakaʻi ʻia ka ultrasound i ka hoʻoheheʻe ʻana o ka pleural effusion.
04 No ka ʻike ʻana i ka pneumothorax: hōʻailona stratospheric, wahi māmā a me nā hōʻailona ʻē aʻe e hōʻike ana i ka hiki ʻana mai o ka pneumothorax.
05 E alakaʻi i ka hoʻonohonoho ʻana o ka ventilator a nānā i ke kūlana o ka hoʻonui hou ʻana o ka māmā.
06 No nā noi ultrasound diaphragmatic, alakaʻi ʻia ma waho o ka laina, hoʻokaʻawale i ka hāʻule ʻole o ka hanu waena a me ka ʻaoʻao.
4.Application o portable ultrasound i loko o ka muscle tendon
01 Hiki i ka Ultrasound ke nānā inā ua haehae ʻia ka tendon a me ka nui o ka waimaka.
02 No nā poʻe maʻi me ka ʻeha a me ka pehu o nā lima a me nā wāwae, hiki i ka ultrasound ke hōʻoia wikiwiki a hilinaʻi hoʻi i ka tenosynovitis, e kōkua ana i ka hoʻomaikaʻi ʻana i ka maikaʻi o ka mālama a koho i ka lāʻau kūpono.
03 E loiloi i ke komo ʻana o ka hui ʻana i ka maʻi maʻi maʻi.
04 E alakaʻi pololei i ka manaʻo o ka tendon a me ka bursae a me ka ʻiʻo ʻiʻo palupalu.
5.Application o portable ultrasound i ke alakaʻi alakaʻi
01 ʻAi ʻana i ke kino: ʻike ʻia o ka hoʻopaʻa ʻana i ka vein hohonu, ka ʻāʻī ʻana, a pēlā aku.
02 E alakaʻi i ka hoʻokomo ʻana i ka mask laryngeal.
03 Ke alakaʻi ʻia ʻana o ka trachea intubation.
04 Puʻu hui, poloka nerve, etc.
05 Alakaʻi i ka ʻōpū pericardial, ka ʻōpū o ka ʻōpū, ka ʻōpū o ka ʻōpū, etc.
06 Cyst, alakaʻi puncture abscess, etc.
Hiki ke ʻike ʻia ʻo ka laulā noi o ka portable kala Doppler ultrasound diagnostic instrument he ākea loa, a ʻo ka laulā o ka nānā ʻana he ākea, kiʻekiʻe pololei, wikiwiki ka nānā ʻana, non-trauma, ʻaʻohe contraindications, nānā hou;Loaʻa i nā diagnostics Doppler color portable nā pono koʻikoʻi penei:
ʻO ka liʻiliʻi a me ka lawe lima, hiki ke lawe pololei ʻia e ka lima, kahi mea kūpono i nā limahana lapaʻau e lawe wikiwiki i ka ultrasound i ke kahua olakino.
He wikiwiki ka wikiwiki o ka nānā ʻana, hiki ke hana hou ʻia, ʻaʻohe trauma, ʻaʻohe contraindications.
Hoʻololi i nā ʻano hana like ʻole, me ka ʻaoʻao moe, ICU, pilikia, kipa kula, etc.
ʻOi aku ka maikaʻi o ke kiʻi a me ke kākoʻo ʻana no nā ʻōpū o ka ʻōpū, ka ʻāʻī a me ka naʻau me ka laulā o nā noi e hoʻokō i nā pono lapaʻau like ʻole.
Ultrasound interventional therapy, he maka ultrasound i lawe ʻia e ke kauka.
Hāʻawi ka mea hoʻomaʻamaʻa Doppler kala paʻa i kahi kumu hilinaʻi no ka hoʻomaʻamaʻa ʻana a me ka mālama ʻana, a ʻike i nā mea maʻi koʻikoʻi hiki ke hoʻopau i ka hōʻike ultrasound cardiac ʻaoʻao me ka haʻalele ʻole i ka ICU, kahi e hoʻomaikaʻi nui ai i ka hōʻailona a me ka pae lapaʻau o nā maʻi koʻikoʻi.
Ka manawa hoʻouna: Nov-13-2023
