Ngwa nke obere ultrasound na mberede mberede

Ngwa nke obere ultrasound na mberede 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.

Ngwa ọnọdụ nke akwa ultrasound n'ụlọ na ná mba ọzọ

1. A na-enwekwu ọzụzụ ultrasound siri ike n'ụwa.Ka ọ dị ugbu a, e guzobela usoro ọzụzụ bụ isi na nke ezi uche dị na ya, na World Intensive Ultrasound Alliance (WINFOCUS) eguzobewo.
2. The American College of Emergency Physicians na-achọ ka ndị dọkịta mberede ga-amụta nkà na ụzụ ultrasound mberede, na 95% nke ọkwa 1 trauma center na United States (190) na-eme ultrasound mberede.
3. Ndị dọkịta mberede na Europe na Japan ejiriwo ultrasound mee ihe n'ọtụtụ ebe iji nyere ndị ọrịa aka na nyocha na ọgwụgwọ
4. China malitere n'oge, mana ọganihu dị ngwa ngwa.

Ngwa nke obere ultrasound na trauma enyemaka mbụ na nnukwu afọ

01 Nyocha mbụ
Nyocha maka ụzọ ikuku na-eyi ndụ egwu, iku ume na mgbasa ozi.- Enyemaka mbụ, mberede

02 Nnyocha nke abụọ
Chọpụta mmerụ ahụ doro anya na akụkụ ahụ niile - mberede, ICU, ward

03 nlele ugboro atọ
Nyocha usoro zuru oke iji zere ọgbaghara na-efu efu -ICU, ward

Nleba anya Ultrasound Assessment of Trauma (FAST):Isi ihe isii (subxiphoid, epigastric aka ekpe, epigastric aka nri, mpaghara akụrụ aka ekpe, mpaghara akụrụ aka nri, oghere pelvic) ka ahọpụtara maka njirimara ngwa ngwa nke trauma na-egbu egbu.

1. Nchọpụta nke nnukwu 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, abdominal effusion). pneumothorax, wdg).
2.Common mmerụ: imeju, splin, pancreas mmerụ
3. A na-ahụkarị nke na-adịghị emerụ ahụ: nnukwu appendicitis, nnukwu cholecystitis, nkume gallstone na ndị ọzọ.
4. A na-ahụkarị gynecology: afọ ime ectopic, placenta previa, trauma ime ime, wdg
5. Ọrịa ụmụaka
6. hypotension na-enweghị nkọwa na ihe ndị ọzọ chọrọ ule FASA

Angwa nke obere ultrasound n'imeobi

Ntụle ngwa ngwa na nke dị irè nke mkpokọta na ọrụ nke obi, nha nke ụlọ nke onye ọ bụla n'ime obi, ọnọdụ myocardial, ọnụnọ ma ọ bụ enweghị regurgitation, ọrụ valve, ejection ụmụ irighiri, nyocha ọkwa ọbara ọbara, nyocha ọrụ mgbapụta obi, ngwa ngwa. nchọpụta nke ihe na-akpata hypotension, aka ekpe na aka nri ventricular systolic / diastolic ọrụ, na-eduzi ọgwụgwọ mmiri mmiri, ntugharị olu, na-eduzi nlekota obi obi, ndị ọrịa trauma enweghị obi mgbawa na ọgwụgwọ ngwa ngwa nke pericardial effusion na ọbara, wdg.

1. Ọfụfụ pericardial: Nchọpụta ngwa ngwa nke ọbara ọgbụgba pericardial, tamponade pericardial, ntụpọ pericardial na-eduzi ultrasound.
2. Nnukwu ihe mgbakasị akpa ume: Echocardiography nwere ike inye aka wepụ ọnọdụ ndị nwere mgbaàmà yiri mgbakasị akpa ume, dị ka tamponade obi, pneumothorax, na myocardial infarction.
3. Ntụle ọrụ ventricular aka ekpe: A na-enyocha ọrụ systolic ventricular aka ekpe site na nyocha ngwa ngwa nke axis ukwu aka ekpe, obere axis ekpe, obi apical ụlọ anọ, na akụkụ ejection ventricular ekpe.
4. Dissection Aortic: Echocardiography nwere ike ịchọpụta ebe a na-ekesa ya, yana ebe ntinye aka.
5. Myocardial ischemia: Enwere ike iji echocardiography nyochaa obi maka mmegharị mgbidi na-adịghị mma.
6. Ọrịa obi valvular: Echocardiography nwere ike ịchọpụta nkwughachi valvụ na-adịghị mma na mgbanwe na ụdị nrịba ọbara.

Ngwa nke obere ultrasound na ngụgụ

1. A na-eji enyocha ịdị njọ nke mmalite nke etiti etiti oyi oyi, obere flaks nke pulmonary hydrosis na-apụta na ngụgụ.
2. Ngụgụ abụọ ahụ na-agbasa ahịrị njikọ B, na-egosi akara "akpa ume na-acha ọcha", nchịkọta nku ume siri ike.
3. Na-eduzi nhazi nke ikuku ventilashị ma hụ ọnọdụ nke mmụba ngụgụ
4. Maka nchoputa nke pneumothorax: akara stratospheric, ihe ngụgụ na ihe ịrịba ama ndị ọzọ na-egosi na enwere ike ịnweta pneumothorax.

Ngwa nke obere ultrasound na akwara akwara

1. Ultrasound nwere ike ịchọpụta ma akwara agbajiwo na oke anya mmiri ahụ
2. 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.
3. Nyochaa njikọ aka na nkwonkwo na ọrịa ogbu na nkwonkwo na-adịghị ala ala
4. Na-eduzi nke ọma akwara na ọchịchọ bursae na injection anụ ahụ dị nro

Ngwa nke obere ultrasound na nduzi ụlọ ọgwụ

1. Ultrasound-eduzi Central vein catheterization (n'ime jugular vein, subclavian vein, femoral vein)
2. PICC na-eduzi ultrasound
3. Ultrasound na-eduzi catheterization nke akwara na-emerụ ahụ
4. Ultrasound eduzi thoracic puncture drainage, ultrasound eduzi abdominal puncture drainage.
5. Mgbapu pericardial na-eduzi ultrasound
6. Ultrasound-eduzi percutaneous hepatogallbladder mgbapu

Enwere ike ịhụ na obere agba Doppler ultrasound diagnostic ngwá ọrụ nwere ọtụtụ ngwa ngwa na ọnọdụ mberede siri ike, na-enye ihe ndabere a pụrụ ịdabere na ya maka nyocha na ọgwụgwọ ọzọ, na-achọpụta na ndị ọrịa dị oke egwu nwere ike mezue nyocha nke ultrasound obi n'akụkụ akwa na-ahapụghị. ngalaba nlekọta, na-emeziwanye nyocha na ọkwa ọgwụgwọ nke ndị ọrịa siri ike.