1.Kugwiritsa ntchito mabungwe azachipatala akutawuni
Handheld ultrasound ingathandize madokotala (mankhwala amkati, opaleshoni, matenda a amayi, ana, chithandizo chadzidzidzi komanso chovuta kwambiri, etc.) kuti afufuze mwamsanga odwala kapena zokhudzana ndi matenda okhudzana ndi matenda ndi kukhathamiritsa njira yodziwira matenda kuti apeze matenda oyambirira, kuyesedwa ndi kuwongolera matenda oyambirira.Mwachitsanzo, chifuwa, chifuwa chothina, dyspnea ndi zizindikiro zina nthawi zambiri amaona odwala ndi matenda kupuma, komanso wamba kwa odwala mtima kulephera, monga m'manja ultrasound anapeza kuti mtima ukukulitsidwa, kuchepetsedwa systolic ntchito, kawirikawiri amaona ngati chotsatira. kulephera kwa mtima, kuyenera kutumizidwa ku dipatimenti ya zamtima kuti akalandire chithandizo.
2.Kufunsira kwa mabungwe azachipatala kumadera akutali kapena akutali
Handheld ultrasound ili ndi mphamvu zabwino komanso mphamvu zopulumutsa mphamvu, zomwe zimatha kuzindikira nthawi yomweyo kufufuza, kupeza matenda a odwala ndi zovuta zambiri, kupititsa patsogolo chithandizo chamankhwala choyambirira ndi luso la kasamalidwe ka odwala.Chifukwa cha kuphweka kwake komanso ubwino wake wotsika mtengo, ndiyoyenera kuti zipatala zoyambira ndi madotolo (banja, mudzi, sing'anga) azigwiritsa ntchito, zomwe zimathandiza kukwaniritsa kuwunika koyambirira komanso kuyesa kotumiza (up-referral).
3.Kusamalira matenda osatha m'banja
Makamaka kumadera akutali, madokotala a udzu (madokotala a m'banja ndi akumidzi) amatha kunyamula ma ultrasound m'manja m'nyumba za anthu okhalamo, kuyesa thanzi la m'banja, kuyesa matenda ndi kufufuza koyambirira, ndikuthandizira kusamalira matenda aakulu m'banja.Mwachitsanzo, odwala olumala ayenera kuyang'anitsitsa kuchuluka kwa mkodzo wotsalira m'chikhodzodzo kunyumba, ndipo magulu apadera monga okalamba kapena anthu omwe ali ndi vuto la kuyenda (monga amayi apakati) ayenera kuyesedwa.
4.Ziwonetsero zankhondo
M'manja ultrasound ntchito pa nkhondo, akhoza okonzeka ndi magulu kutsogolo, maudindo osakhalitsa kapena zosakhalitsa zapansi, ndi ogwira ntchito zachipatala asilikali kapena asilikali ophunzitsidwa kunyamula, nthawi iliyonse ntchito, kuti akwaniritse kupeza nthawi yake kuvulala nkhondo.Itha kugwiritsidwanso ntchito m'zipatala zakumunda molumikizana ndi makina wamba a ultrasound.Itha kugwiritsidwanso ntchito pamagalimoto oyendera (ndege zoyendera, ma helikopita, magalimoto okhala ndi zida, etc.).
5. Malo a tsoka
Handheld ultrasound imagwira ntchito yofunika kwambiri pakuvulala kwakukulu komwe kumachitika chifukwa cha zivomezi, tsunami ndi masoka ena achilengedwe ndi ngozi zazikulu, zomwe zingathandize madokotala kuti azindikire ovulalawo mwachangu komanso m'magulu pamalo owopsa kapena kwakanthawi kochepa, ndikuzindikira kugawika kwakanthawi komanso kuwongolera, kukonza bwino. mphamvu yopulumutsa miyoyo.Itha kugwiritsidwa ntchito mosavuta ndi anthu ophunzitsidwa mwapadera, ndipo ingagwiritsidwenso ntchito nthawi zonse ndi anthu omwe si akatswiri pambuyo pa maphunziro ochepa (monga ndondomeko ya FAST).
6.Zochitika za chithandizo chadzidzidzi
M'magalimoto odzidzimutsa, ma helikopita odzidzimutsa, ndege zazikulu, masitima othamanga kwambiri, kapena chisamaliro chadzidzidzi chisanachitike, ultrasound ya m'manja ingagwiritsidwe ntchito kuti azindikire mwamsanga zoopsa zadzidzidzi kumayambiriro kwa nthawi, kuthandizira akatswiri poika patsogolo chiweruzo, triage, kuchepetsa nthawi yodikira odwala, kuchepetsa kuyezetsa kotsatira kosafunikira, ndikukulitsa chidaliro cha odwala ndi banja.(1) Pakuvulala koopsa, ngati pericardial effusion, pleural kapena m'mimba effusion imapezeka, imasonyeza kwambiri kuphulika kwa mkati, komwe kungathandize mwamsanga kupanga zisankho zachipatala;Ngati pamodzi ndi hypotension kapena mantha, izo kwambiri zikusonyeza kufunika kwa opaleshoni mwadzidzidzi;(2) Mwadzidzidzi pachimake m`mimba ululu, m`manja ultrasound angagwiritsidwe ntchito kusaganizira kapena matenda aimpso ndi ureteral calculi, pachimake m`mimba kutsekeka, intussusception, biliary calculi, ectopic mimba ndi kuzunzika kwa yamchiberekero chotupa.(3) pachimake kulimbikira chifuwa ululu, m'manja ultrasound angagwiritsidwe ntchito kuzindikira pachimake m`mnyewa wamtima ischemia, kungʻambika dissection, m`mapapo mwanga embolism, etc.;(4) Kutentha kosalekeza kosalekeza kosalekeza, palm ultrasound angagwiritsidwe ntchito kuti azindikire pleurisy, abscess chiwindi, matenda endocarditis ndi zina zotero.(5) ultrasound ya m'manja ingagwiritsidwe ntchito kufufuza zothyoka za nthiti, humerus ndi femur, zomwe zatsimikiziridwa kuti ndizotheka kwambiri pochita;(6) Handheld ultrasound ingagwiritsidwenso ntchito pofufuza kuvulala kwa craniocerebral (kaya mzere wa ubongo watsekedwa).Makamaka pazidziwitso zadzidzidzi zamayendedwe osokonekera kapena madera akutali amapiri, mtengo wa ultrasound wapamanja ndiwowonekera kwambiri.
7.Mliri wa Mliri
Handheld ultrasound yatenga gawo lapadera pakuzindikiritsa ndi kuchiza COVID-19.(1) Kuwunika koyambirira kwa matenda kuti mudziwe chomwe chimayambitsa zizindikiro ndikupereka zambiri zakuya;(2) Kuzindikira kwamphamvu ndi kuyang'anira odwala kwambiri, kugwiritsa ntchito ultrasound m'manja kuti apeze kukhudzidwa kwa ziwalo nthawi iliyonse ndi kulikonse, ndi kukwaniritsa kuwunika kopitilira muyeso, kuyang'anira kwamphamvu kwa kusintha kwa matenda, ndikuwunika zotsatira za chithandizo.M'chipinda chodzipatula, ngati ultrasound ya m'manja ili ndi ntchito yochezerana ndi anthu akutali, imatha kupewa matenda opatsirana ndi ogwira ntchito zachipatala.
8.Zochitika zina zapadera
Zithunzi monga mabungwe othandizira olumala, mabungwe osamalira okalamba, misasa ya anthu othawa kwawo, malo ochitira masewera ndi malo otsetsereka amatha kuzindikirika potengera ma ultrasound a m'manja, "madokotala amalowa m'mabungwe ndikupita kunyumba za abusa (kuwunika kwa matenda a hydatid)", zomwe zimathandizira kwambiri kufufuza ndi chithandizo chamankhwala cha anthu ambiri.M'malo opangira mlengalenga, submersibles ndi malo ena apadera, ultrasound yapamanja ndiyofunika kwambiri chifukwa cha miniaturization yake.
9. Kuyang'anira mankhwala pa malo
Yang'anani thupi la munthu kudzera mu kafukufuku wopangidwa ndi kanjedza wokhudza kukhala ndi mankhwala osokoneza bongo, kunyamula mankhwala osokoneza bongo, kuyang'anira zinthu zakunja.
10. Maphunziro a sukulu ya zamankhwala
Kuthekera ndi kupezeka kwa ultrasound m'manja kwakhala bwino kwambiri, komwe kumatha kuphatikiza ultrasound ndi kuphunzitsa ndi kuphunzitsa kwa ophunzira azachipatala ndikuchita mbali yofunika kwambiri pamaphunziro azachipatala.
11.Upangiri wa Ultrasound ndi chithandizo chochepetsera pang'ono
Chithandizo cha ululu, mankhwala a minofu ndi mafupa, kuyezetsa magazi, kuweruza msanga ndi chitsogozo cha dipatimenti ya opaleshoni, ndi zina zotero. Muzochitika zadzidzidzi, chifukwa cha pneumothorax, hemothorax, pericardial effusion ndi kutsekeka kwa mpweya, ultrasound ya m'manja ingathandize kuthandizira ndi kuwongolera bwino chithandizo.Pakubowola kwa venous ndi arterial, chitsogozo cha ultrasound chapamanja chikhoza kupititsa patsogolo kuchuluka kwa puncture.
12. Chida choyang'anira ward
Poyendetsa ma ward kwa odwala omwe ali m'chipatala, ma ultrasound a m'manja amatha kuzindikira mwachangu nthawi yomweyo ndikupeza chidziwitso choyenera.
13. Zanyama
Kuyendera nyama.
Nthawi yotumiza: Nov-01-2023
