Ngwa ụlọ ọgwụ nke ultrasound mberede
Site na mmepe ọha na eze na-aga n'ihu, nyocha nke ultrasound aghọwo otu n'ime ụzọ nyocha dị mkpa maka nchọpụta ahụike.N'ime ọgwụgwọ mberede, nyocha nke ultrasound nke nwere ike ibugharị nwere oke nha, oke ziri ezi, ọsọ nyocha ngwa ngwa, enweghị mmerụ na enweghị mgbochi.Nyocha ugboro ugboro nwere ike nyochaa ndị ọrịa ngwa ngwa n'ọnọdụ ọ bụla, nweta oge nnapụta dị oké ọnụ ahịa maka ndị ọrịa nwere nnukwu ọnyà na-egbu egbu, ma kwụọ ụgwọ maka ụkọ X-ray.Nkwenye ibe ya na nyocha X-ray;Ihe kachasị uru bụ na ndị ọrịa mberede na-enweghị mgbasa ozi na-adịghị akwụ ụgwọ ma ọ bụ ndị na-ekwesịghị ịkwaga nwere ike nyochaa oge ọ bụla na ebe ọ bụla, ọ dịghịkwa njedebe ọnọdụ, nke bụ usoro nyocha mbụ maka ndị ọrịa na-arịa ọrịa siri ike.
1.Application nke obere ultrasound na trauma mbụ enyemaka na nnukwu afo
Nleba anya Ultrasound Assessment of Trauma (FAST): A na-ahọrọ isi ihe isii (subxiphoid, ekpe epigastric, epigastric ziri ezi, mpaghara akụrụ aka ekpe, mpaghara akụrụ aka nri, oghere pelvic) maka njirimara ngwa ngwa nke trauma na-egbu egbu.
01 Nchọpụta ike na-adịghị mma ma ọ bụ nnukwu mmerụ ikuku n'ime ogwe na mmiri efu n'ime afọ: A na-eji nyocha ngwa ngwa maka nchọpụta mmalite nke ọbara ọgbụgba nke pleural, na iji chọpụta ebe ọbara ọgbụgba na ọnụ ọgụgụ (pericardial effusion, pleural effusion, peritoneal effusion, pneumothorax). , wdg).
02 mmerụ ahụ a na-ahụkarị: imeju, splin, mmerụ ahụ pancreas.
03 A na-ahụkarị nke na-adịghị emerụ ahụ: nnukwu appendicitis, nnukwu cholecystitis, nkume gallstone na ndị ọzọ.
04 Ọmụmụ gynecology nkịtị: ime ectopic, placenta previa, trauma ime ime, wdg.
05 Ọrịa ụmụaka.
06 hypotension enweghị nkọwa na ihe ndị ọzọ chọrọ ule FASA.
2.The ngwa nke obere ultrasound na obi
Echocardiography bụ ọkọlọtọ ọla edo na nyocha nke ọtụtụ ọrịa obi na pericardial.
01 Ọfụfụ pericardial: Nchọpụta ngwa ngwa nke ọbara ọgbụgba pericardial, tamponade pericardial, mkpịsị pericardial na-eduzi ultrasound.
02 Mgbochi akpa ume dị ukwuu: Echocardiography nwere ike inye aka wepụ ọnọdụ ndị nwere mgbaàmà yiri mgbakasị akpa ume, dị ka tamponade obi, pneumothorax, na myocardial infarction.
03 Ntụle ọrụ ventricular aka ekpe: A na-enyocha ọrụ systolic ventricular aka ekpe site na nyocha ngwa ngwa nke axis aka ekpe, obere axis aka ekpe, obi ọnụ ụlọ anọ apical, na akụkụ mpụ ventricular aka ekpe.
04 Dissection Aortic: Echocardiography nwere ike ịchọpụta ebe a na-ekesa ya, yana saịtị ntinye aka.
05 Myocardial ischemia: Enwere ike iji echocardiography nyochaa obi maka mmegharị mgbidi na-adịghị mma.
06 Ọrịa obi valvular: Echocardiography nwere ike ịchọpụta nkwughachi valvụ na-adịghị mma na mgbanwe na ụdị nrịba ọbara.
3.Application nke obere ultrasound na ngụgụ na diaphragm
01 A na-eji enyocha ịdị njọ nke oyi oyi etiti etiti etiti, obere flaps nke pulmonary hydrophilia na-apụta na ngụgụ - akara B.
02 Eji na nchoputa nke oké oyi baa ọrịa, ma ngụgụ na-agbasa fusion B-akara, na-egosi "na-acha ọcha ngụgụ" akara, oké ikpe na-egosi ngụgụ consolidation.
03 Maka nchoputa nke mgbawa nke pleural, ultrasound eduzi puncture drainage nke pleural effusion.
04 Maka nchoputa nke pneumothorax: akara stratospheric, ihe ngụgụ na ihe ịrịba ama ndị ọzọ na-egosi na enwere ike ịnweta pneumothorax.
05 Na-eduzi nhazi nke ikuku ventilashị ma hụ ọnọdụ nke mgbatị ngụgụ.
06 Maka ngwa diaphragmatic ultrasound, eduzi na-anọghị n'ahịrị, na-ekewa ọdịda nke etiti na akụkụ iku ume.
4.Application nke obere ultrasound na akwara akwara
01 Ultrasound nwere ike ịchọpụta ma akwara adọwara adọwa na oke anya mmiri ahụ.
02 Maka ndị ọrịa nwere mgbu na ọzịza nke aka na ụkwụ, ultrasound nwere ike ịchọpụta tenosynovitis ngwa ngwa na ntụkwasị obi, nke na-enyere aka melite ogo nlekọta ma họrọ ọgwụgwọ kwesịrị ekwesị.
03 Nyochaa itinye aka na nkwonkwo na ọrịa ogbu na nkwonkwo na-adịghị ala ala.
04 Na-eduzi nke ọma akwara na ọchịchọ bursae na injection anụ ahụ dị nro.
5.Ngwa nke obere ultrasound na nduzi ụlọ ọgwụ
01 Mgbapu akwara: nleba anya nke catheterization vein miri emi, ntapu akwara, wdg.
02 Ntuziaka ntinye mkpuchi laryngeal.
03 Intubation trachea eduzi.
04 Mgbapu nkwonkwo, mgbochi akwara, wdg.
05 Nduzi oghere pericardial, oghere thoracic, oghere afọ, wdg.
06 Cyst, ntụzịaka nkwụsị nke ọzịza, wdg.
Enwere ike ịhụ na ngwa ngwa nke obere agba Doppler ultrasound diagnostic ngwá ọrụ dị oke oke, na nyocha nyocha dị obosara, oke ziri ezi, nyocha ngwa ngwa, enweghị mmerụ ahụ, enweghị ihe mgbochi, nyocha ugboro ugboro;Nchọpụta Doppler agba nwere ike ịnwe uru ndị a dị mkpa:
Obere na obere, enwere ike iji aka na-ebu ya ozugbo, nke na-enyere ndị ọrụ ahụike aka ka ha buru ngwa ngwa ultrasound gaa ebe ahụike.
Ọsọ nyocha ahụ dị ngwa ngwa, enwere ike ịmegharị ya, ọ nweghị trauma, enweghị contraindications.
Kwado na mpaghara ọrụ dị iche iche, gụnyere akụkụ akwa, ICU, ihe mberede, nleta ubi, wdg.
Ọdịmma onyonyo mara mma na nkwado maka nyocha ime afọ, elu na obi yana ngwa ngwa zuru oke iji gboo mkpa ụlọ ọgwụ dị iche iche.
Ultrasound ntinye ọgwụgwọ, anya ultrasound nke onye dọkịta na-ebu.
The obere agba Doppler nchoputa ngwá na-enye ndabere a pụrụ ịdabere na n'ihu ụlọ ọgwụ nchoputa na ọgwụgwọ, na-aghọta na oké egwu ndị ọrịa nwere ike mechaa n'akụkụ akwa akwa ultrasound obi na-ahapụ ICU, nke ukwuu mma nchoputa na ọgwụgwọ larịị nke ndị ọrịa siri ike.
Oge nzipu: Nov-13-2023
