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Nā hiʻohiʻona noiʻi ultrasound paʻa lima

1.Application o nā keʻena lapaʻau kūlanakauhale

Hiki i nā ultrasound lima ke kōkua i nā kauka (lāʻau kūloko, ʻokiʻoki, gynecology, pediatrics, emergency and critical care, etc.) e nānā wikiwiki i nā maʻi a i ʻole nā ​​ʻike pili i ka maʻi a hoʻopaʻa i ke kaʻina hana diagnostic e hoʻokō i ka hōʻoia mua, triage a me ka hoʻokele mua ʻana o nā maʻi.No ka laʻana, ʻike pinepine ʻia ka ʻū, ka umauma, dyspnea a me nā hōʻailona ʻē aʻe i nā poʻe maʻi me nā maʻi hanu, akā maʻamau nō hoʻi i nā poʻe maʻi me ka pau ʻole o ka naʻau, e like me ka handheld ultrasound ua hoʻonui ʻia ka naʻau, hoʻemi ʻia ka hana systolic, maʻamau i manaʻo ʻia he hopena. no ka naʻau ʻole, pono e hoʻouna ʻia i ke keʻena cardiology no ka mālama ʻana.

nā hiʻohiʻona1 

2.Application e nā keʻena lapaʻau ma nā kumu a i ʻole nā ​​wahi mamao
Loaʻa i ka ultrasound paʻa ka mana maikaʻi a me ka hana mālama mana, hiki ke hoʻomaopopo koke i ka hoʻokolokolo ʻana, loaʻa i ka maʻi maʻi a me ka ʻike hoʻopiʻi, hoʻomaikaʻi i ka pae o ka lawelawe lapaʻau mua a me ka hiki ke hoʻokele maʻi.Ma muli o kona ʻoluʻolu a me nā kumu kūʻai haʻahaʻa, kūpono ia i nā keʻena lapaʻau mua a me nā kauka (ʻohana, kauhale, kauka lapaʻau) e hoʻohana ai, e kōkua ana i ka hoʻokō wikiwiki ʻana i ka nānā mua a me ka hoʻāʻo ʻana (up-referral).

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3.Family hoʻomalu maʻi maʻi
ʻOi aku ma nā wahi mamao, hiki i nā kauka o ka mauʻu (nā kauka ʻohana a me nā kauka kuaʻāina) ke lawe i ka ultrasound paʻa lima i loko o nā hale o nā kamaʻāina, e hana i ka hoʻokolokolo olakino home, ka nānā ʻana i nā maʻi a me ka hōʻoia mua, a kōkua i ka mālama ʻana i nā maʻi maʻi i loko o ka ʻohana.No ka laʻana, pono e kiaʻi ʻia nā poʻe maʻi paraplegic no ka nui o ka mimi ma ka home, a pono e nānā ʻia nā hui kūikawā e like me ka poʻe ʻelemakule a i ʻole ka poʻe pilikia ka neʻe ʻana (e like me nā wahine hāpai).

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4.Na kahua kaua
Hoʻohana ʻia ka ultrasound paʻa lima ma ke kahua kaua, hiki ke hoʻolako ʻia me nā hui mua, nā kūlana manawa a i ʻole nā ​​kumu hoʻopaʻa manawa, e ka pūʻali koa lapaʻau a i ʻole nā ​​​​koa i aʻo ʻia e lawe, i kēlā me kēia manawa e hoʻohana ai, e hoʻokō i ka loaʻa ʻana o nā ʻeha kaua.Hiki ke hoʻohana ʻia i loko o nā halemai āpau i hui pū me nā mīkini ultrasound maʻamau.Hiki ke hoʻohana ʻia i nā kaʻa kaʻa (e lawe i nā mokulele, nā helikopter, nā kaʻa kaua, etc.).

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5. ʻO ke kahua o ka pōʻino
He mea koʻikoʻi ka ultrasound paʻa lima i nā ʻeha nui i hoʻokumu ʻia e nā ʻōlaʻi, ke kai eʻe a me nā pōʻino kūlohelohe a me nā pōʻino nui, hiki ke kōkua i nā kauka i ka hoʻomaʻamaʻa ʻana i ka poʻe ʻeha me ka wikiwiki a ma nā pūʻulu ma ke kahua pōʻino a i ʻole ke kumu manawa pōkole, a ʻike i ka hoʻohālikelike koke ʻana a me ka triage, hoʻomaikaʻi. ka pono o ka hoola ana i na ola.Hiki ke hoʻohana maʻalahi ʻia e nā limahana i hoʻomaʻamaʻa kūikawā, a hiki ke hoʻohana mau ʻia e nā poʻe ʻoihana ʻole ma hope o kahi hoʻomaʻamaʻa pōkole (e like me ke kaʻina FAST).

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6. Nā hiʻohiʻona lapaʻau emergency
I loko o nā kaʻa pilikia, nā helikopter pilikia, nā mokulele nui, nā kaʻa kaʻa kiʻekiʻe, a i ʻole ka mālama ʻana i ka pilikia ma mua o ka haukapila, hiki ke hoʻohana ʻia ka ultrasound handheld e ʻike koke i nā ulia pōpilikia i ka wā mua, kōkua i nā poʻe loea i ka hoʻoholo mua ʻana, hoʻokolokolo, hoʻopōkole i ka manawa kali o ka maʻi, e ho'ēmi i nā ho'āʻo hahai ponoʻole, a hoʻonui i ka hilinaʻi o ka maʻi a me kaʻohana.(1) No ka trauma blunt acute, inā loaʻa ka pericardial effusion, pleural a abdominal effusion, hōʻike ikaika ia i ka haki ʻana i loko, hiki ke kōkua koke i ka hoʻoholo ʻana i ka lāʻau lapaʻau;Inā hui pū ʻia me ka hypotension a i ʻole ka haʻalulu, hōʻike ikaika ia i ka pono o ka ʻokiʻoki pilikia;(2) Hiki ke hoʻohana ʻia ka ʻeha ʻōpū o ka ʻōpū, ka ultrasound paʻa lima no ka wehe ʻana a i ʻole ka hoʻopaʻa ʻana i ka calculi renal a me ka ureteral, acute intestinal obstruction, intussusception, biliary calculi, ectopic pregnancy and torsion of ovarian cyst.(3) Hiki ke hoʻohana ʻia ka ʻeha ʻeha o ka umauma, ka ultrasound paʻa lima e ʻike ai i ka ischemia myocardial acute, dissection aortic, pulmonary embolism, etc.;(4) Unexplained hoomau i ke kuni kiʻekiʻe, palm ultrasound hiki ke hoʻohana 'ia e diagnose pleurisy, ate abscess, infectious endocarditis a pela aku.(5) hiki ke hoʻohana i ka ultrasound paʻa lima no ka noiʻi ʻana i nā haʻihaʻi o nā iwi ʻaoʻao, humerus a me femur, i hōʻike ʻia he mea hiki loa i ka hana;(6) Hiki ke ho'ohana 'ia ka ultrasound pa'a lima no ka 'imi 'ana i ka 'eha craniocerebral (ina 'ole ka laina lolo).Maikaʻi no nā hiʻohiʻona lapaʻau pilikia o ka lawe ʻana a i ʻole nā ​​wahi mauna mamao, ʻoi aku ka nui o ka waiwai o ka ultrasound paʻa lima.

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7. ʻEpidemic Scenario
Ua hoʻokani ʻo ultrasound paʻa i kahi hana kūʻokoʻa i ka maʻi a me ka mālama ʻana o COVID-19.(1) Hana i ka nānā mua ʻana i nā maʻi e hoʻoholo koke i ke kumu o nā hōʻailona a hāʻawi i ka ʻike hohonu;(2) ʻO ka ʻike a me ka mālama ʻana i nā maʻi koʻikoʻi, ka hoʻohana ʻana i ka ultrasound paʻa lima e loaʻa ai ke komo ʻana o nā kino i kēlā me kēia manawa a ma nā wahi āpau, a hoʻokō i ka loiloi hoʻomau ikaika, ka nānā ʻana i ka ulu ʻana o ka maʻi, a me ka loiloi o nā hopena lapaʻau.I loko o ke keʻena kaʻawale, inā loaʻa i ka ultrasound paʻa ka hana o ke kūkākūkā mamao, hiki iā ia ke pale pono i ka maʻi keʻa o nā limahana lapaʻau.

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8. ʻO nā hiʻohiʻona kūikawā'ē aʻe
Hiki ke ʻike ʻia nā hiʻohiʻona e like me nā keʻena kōkua no ka poʻe maʻi kīnā, nā keʻena mālama ʻelemakule, nā kahua hoʻokele, nā wahi haʻuki a me nā wahi pāpū ma muli o ka ultrasound paʻa lima, "ke komo nā kauka i nā hale a hele i nā home o nā kahu hānai (hydatid disease screening)", e hoʻomaʻamaʻa nui i ka ka nānā ʻana a me ka lapaʻau ʻana i ka lehulehu.Ma nā kikowaena kikowaena, submersibles a me nā wahi kūikawā ʻē aʻe, ʻoi aku ka waiwai o ka ultrasound lima ma muli o kāna miniaturization.
9. Nānā lāʻau lapaʻau ma ka pūnaewele
E nānā i ke kino o ke kanaka ma o ka hoʻokolokolo ultrasonic palm no ka loaʻa ʻana o ka lāʻau, ka lawe ʻana i ka lāʻau lapaʻau, ka nānā ʻana i nā mea kūʻē.
10. Hoʻonaʻauao kula lapaʻau
Ua hoʻomaikaʻi maikaʻi ʻia ka ʻoluʻolu a me ka hiki ʻana o ka ultrasound paʻa lima, hiki ke hoʻohui i ka ultrasound me ke aʻo ʻana a me ka hoʻomaʻamaʻa ʻana i nā haumāna lapaʻau a pāʻani i kahi kuleana nui i ke kaʻina o ka hoʻonaʻauao olakino.

nā hiʻohiʻona8

11.Ultrasound alakaʻi a me interventional minimally invasive lapaʻau
ʻO ka mālama ʻana i ka ʻeha, musculoskeletal treatment, intraoperative examination, hoʻokolokolo mua a me ke alakaʻi ʻana o ka ʻoihana anesthesiology, etc. I ka moku'āina ulia pōpilikia, no ka pneumothorax koʻikoʻi, hemothorax, pericardial effusion a me ke ea ea, hiki i ka handheld ultrasound ke pāʻani i ke kuleana o ke kōkua alakaʻi a me ka hoʻomaikaʻi ʻana i ka pono. lapaʻau.No ka puncture venous a me arterial, hiki i ke alakaʻi ultrasound lima ke hoʻomaikaʻi i ka helu kūleʻa o ka puncture.

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12. Nā mea kaua o ka nānā ʻana i ka papa

Ke alakaʻi nei i nā pōʻai no nā poʻe maʻi i hoʻopaʻa ʻia i ka haukapila, hiki i ka ultrasound paʻa lima ke ʻike maʻalahi i ka hoʻokolokolo koke a loaʻa ka ʻike pili.
13. No na holoholona
Nānā holoholona.

nā hiʻohiʻona10


Ka manawa hoʻouna: Nov-01-2023

Waiho i kāu memo:

E kākau i kāu leka ma aneʻi a hoʻouna mai iā mākou.