Kugwiritsa ntchito ma ultrasound a portable pazovuta kwambiri

Kugwiritsa ntchito ma ultrasound a portable pazovuta kwambiri

Ndi chitukuko chosalekeza cha anthu, kuyezetsa kwa ultrasound kwakhala chimodzi mwazinthu zofunika kwambiri pakuwunika kwachipatala.Mu chithandizo chadzidzidzi, kuyezetsa kwa ultrasound kumakhala ndi mitundu yosiyanasiyana, yolondola kwambiri, kuthamanga kwachangu, osavulaza komanso palibe zotsutsana.Kuwunika mobwerezabwereza kumatha kuyang'ana odwala muzochitika zilizonse, kupindula nthawi yamtengo wapatali yopulumutsira odwala omwe ali ndi vuto lowopsa kwambiri, ndikuthandizira kuchepa kwa ma X-ray.Kutsimikizirana kogwirizana ndi mayeso a X-ray;Ubwino waukulu ndi wakuti odwala mwadzidzidzi omwe ali ndi vuto losasunthika kapena omwe sayenera kusunthidwa akhoza kuyesedwa nthawi iliyonse komanso kulikonse, ndipo palibe malire a zochitika, yomwe ndiyo njira yoyamba yowunikira odwala omwe akudwala kwambiri.

Ntchito udindo wa bedi ultrasound kunyumba ndi kunja

1. Padziko lonse lapansi pali maphunziro ochuluka kwambiri a ultrasound.Pakalipano, njira yophunzitsira yoyambira komanso yololera yakhazikitsidwa, ndipo World Intensive Ultrasound Alliance (WINFOCUS) yakhazikitsidwa.
2. American College of Emergency Physicians imafuna kuti madokotala adzidzidzi adziwe luso ladzidzidzi la ultrasound, ndipo 95% ya malo opwetekedwa mtima a mlingo wa 1 ku United States (190) amachita mwadzidzidzi ultrasound.
3. Madokotala angozi ku Ulaya ndi Japan agwiritsa ntchito kwambiri ultrasound kuthandiza odwala kuzindikira ndi kuchiza
4. China idayamba mochedwa, koma kupita patsogolo kuli mwachangu.

Kugwiritsa ntchito kunyamula ultrasound mu zoopsa thandizo loyamba ndi pachimake pamimba

01 Kuyang'ana koyamba
Kuwunika kwa moyo wowopsa wa mpweya, kupuma ndi kuzungulira.- Thandizo loyamba, mwadzidzidzi

02 Kuyendera kwachiwiri
Dziwani kuvulala koonekeratu m'madera onse a thupi - mwadzidzidzi, ICU, ward

03 Chekeni katatu
Kuwunika mwadongosolo kuti mupewe kuvulala -ICU, wodi

Focus Ultrasound Assessment of Trauma (FAST) :Mfundo zisanu ndi chimodzi (subxiphoid, epigastric yakumanzere, epigastric yakumanja, kumanzere kwa aimpso, kumanja kwa aimpso, m'chiuno) adasankhidwa kuti azindikire mwachangu zoopsa zomwe zidapha.

1. Kuzindikira kwamphamvu kwambiri kapena kuvulala kwakukulu kwa mpweya mu thunthu ndi madzi aulere m'mimba: Kuyeza kwa FAST kumagwiritsidwa ntchito pozindikira koyambirira kwa magazi a pleural, komanso kudziwa komwe kumatuluka magazi ndi kuchuluka kwake (kutuluka kwa pericardial, pleural effusion, kutulutsa m'mimba, pneumothorax, etc.).
2.Kuvulala kofala: chiwindi, ndulu, kuvulala kwa kapamba
3. Common sanali zoopsa: pachimake appendicitis, pachimake cholecystitis, ndulu ndi zina zotero.
4. Matenda achikazi wamba: ectopic pregnancy, placenta previa, kupwetekedwa kwa mimba, ndi zina zotero
5. Matenda a ana
6. Hypotension yosadziwika bwino ndi zina zotero zimafuna mayesero a FASA

Akukhazikitsidwa kwa portable ultrasound mua mtima

Kuwunika kofulumira komanso kothandiza kwa kukula konse ndi ntchito ya mtima, kukula kwa zipinda zamtima, mkhalidwe wa myocardial, kupezeka kapena kusapezeka kwa regurgitation, ntchito ya valve, kachigawo kakang'ono ka ejection, kuwunika kuchuluka kwa magazi, kuyezetsa ntchito kwapampu yamtima, mwachangu. kuzindikira zomwe zimayambitsa hypotension, kumanzere ndi kumanja kwa ventricular systolic / diastolic ntchito, kutsogolera madzimadzi, kubwezeretsa mphamvu, kutsogolera kuwunika kwa mtima, Odwala Trauma alibe kusweka kwa mtima ndi chithandizo chachangu cha pericardial effusion ndi magazi, etc.

1. Pericardial effusion: Kuzindikirika mwachangu kwa pericardial effusion, pericardial tamponade, ultrasound motsogozedwa ndi pericardial puncture.
2. Massive pulmonary embolism: Echocardiography ingathandize kuthetsa mikhalidwe yokhala ndi zizindikiro zofanana ndi pulmonary embolism, monga tamponade ya mtima, pneumothorax, ndi myocardial infarction.
3. Kuwunika kwa ntchito ya ventricular kumanzere: Kumanzere kwa ventricular systolic ntchito kunayesedwa mofulumira kumanzere kwakukulu kwa axis, kumanzere kwakung'ono, mtima wa apical wa zipinda zinayi, ndi gawo lamanzere la ejection ventricular.
4. Aortic dissection: Echocardiography imatha kuzindikira malo a dissection, komanso malo okhudzidwa.
5. Myocardial ischemia: Echocardiography ingagwiritsidwe ntchito kuyesa mtima ngati kusuntha kwakhoma kwachilendo.
6. Matenda a mtima a Valvular: Echocardiography imatha kuzindikira ma valve osadziwika bwino komanso kusintha kwa kayendedwe ka magazi.

Kugwiritsa ntchito portable ultrasound m'mapapo

1. Amagwiritsidwa ntchito poyesa kuopsa kwa chibayo chapakati-pakati, timinofu tating'ono ta pulmonary hydrosis timawonekera m'mapapo.
2. Mapapo onse amagawa mzere B wophatikizika, wowonetsa chizindikiro cha "mapapo oyera", kuphatikiza kwambiri
3. Longolerani malo opangira mpweya wabwino ndikuwona momwe mapapu akukulirakulira
4. Kuzindikiritsa pneumothorax: chizindikiro cha stratospheric, mapapu ndi zizindikiro zina zimasonyeza kupezeka kwa pneumothorax.

Kugwiritsa ntchito ma portable ultrasound mu tendon ya minofu

1. Ultrasound imatha kudziwa ngati tendon yang'ambika komanso kuchuluka kwa misozi
2. Kwa odwala omwe ali ndi ululu ndi kutupa kwa manja ndi mapazi, ultrasound imatha kuzindikira matenda a tenosynovitis mwamsanga komanso modalirika, zomwe zimathandiza kupititsa patsogolo chisamaliro ndikusankha chithandizo choyenera.
3. Unikani kukhudzidwa kwa mgwirizano mu nyamakazi yosatha
4. Kuwongolera molondola tendon ndi bursae aspiration ndi jekeseni wa minofu yofewa

Kugwiritsa ntchito ma portable ultrasound mu malangizo azachipatala

1. Ultrasound-guided central vein catheterization (internal jugular vein, subclavia vein, femoral vein)
2. Ultrasound motsogozedwa PICC puncture
3. Ultrasound-guided catheterization ya mitsempha yowonongeka
4. Ultrasound motsogozedwa ndi thoracic puncture ngalande, ultrasound motsogozedwa m'mimba puncture ngalande
5. Ultrasound yotsogozedwa ndi pericardial effusion puncture
6. Ultrasound motsogozedwa percutaneous hepatogallbladder puncture

Zitha kuwoneka kuti chida chamtundu wa Doppler ultrasound chodziwira matenda chimakhala ndi mitundu ingapo yogwiritsira ntchito pazifukwa zadzidzidzi, zomwe zimapereka maziko odalirika a matenda ndi chithandizo chamankhwala, ndikuzindikira kuti odwala ovuta amatha kumaliza mayeso amtima wapamtima popanda kusiya chilichonse. chipatala, kusintha kwambiri matenda ndi mlingo wa chithandizo cha odwala aakulu.