Hamwe no guteza imbere ubuvuzi bwihutirwa no gukwirakwiza ikoranabuhanga rya ultrasound, point-of-care-ultrasound yakoreshejwe cyane mubuvuzi bwihutirwa.Nibyiza kwisuzumisha byihuse, gusuzuma byihuse no kuvura abarwayi byihutirwa, kandi byakoreshejwe mubyihutirwa, bikomeye, ihahamuka, imitsi, kubyara, anesteziya nibindi bintu byihariye.
Gukoresha poc ultrasound mu gusuzuma no gusuzuma indwara byakunze kugaragara cyane mu ishami ryihutirwa ry’amahanga.Ishuri rikuru ry’abaganga byihutirwa ry’abanyamerika risaba abaganga kumenya tekinoroji ya ultrasound.Abaganga byihutirwa muburayi nu Buyapani bakoresheje cyane poc ultrasound kugirango bafashe gusuzuma no kuvura.Kugeza ubu, gukoresha poc ultrasound n'abaganga bo mu ishami ryihutirwa mu Bushinwa ntibingana, kandi amashami amwe n'amwe yihutirwa y'ibitaro yatangiye guhugura no guteza imbere ikoreshwa rya poc ultrasound, mu gihe amashami menshi yihutirwa y'ibitaro aracyari ubusa muri urwo rwego.
Ultrasound yihutirwa nigice gito cyane cyo gukoresha imiti ya ultrasound, ugereranije byoroshye, ibereye umuganga wihutirwa gukoresha.Nka: gusuzuma ihahamuka, aneurysm yo munda, gushiraho imiyoboro y'amaraso nibindi.
Gushyira mu bikorwapocultrasound mu ishami ryihutirwa
1.Isuzuma ry'ihungabana
Abaganga byihutirwa bakoresha poc ultrasound kugirango bamenye amazi yubusa mugihe cyo gusuzuma bwa mbere abarwayi bafite ihahamuka cyangwa ihahamuka.Isuzuma ryihuse rya ultrasound ryihungabana, ukoresheje ultrasound kugirango umenye amaraso ava muri intraperitoneal.Uburyo bwihuse bwikizamini bwahindutse tekinike yatoranijwe yo gusuzuma byihutirwa ihahamuka ryo munda, kandi niba ikizamini cyambere ari kibi, ikizamini gishobora gusubirwamo nkibikenewe mubuvuzi.Ikizamini cyiza cyo guhungabana kwa hémorhagie cyerekana kuva amaraso munda bisaba kubagwa.Isuzuma ryibanze rya ultrasound ryerekeye ihahamuka ryagutse rikoreshwa ku barwayi bafite ihahamuka ryo mu gatuza kugira ngo basuzume ibice bigize subcostal harimo umutima ndetse n’imbere y’igituza.
2.Icyerekezo cyerekanwe na echocardiography no gusuzuma ihungabana
Isuzuma ry'umutima hamwe na poc ultrasound ikoresha intego ya echocardiografiya igamije intego, umubare muto wibitekerezo bya echocardiografiya, kugirango byorohereze abaganga byihutirwa gusuzuma imiterere yumutima nimikorere yabarwayi bafite indwara ya hemodinamike.Ibintu bitanu bisanzwe byumutima birimo umurongo muremure wa parasternal, axe ngufi ya parasternal, ibyumba bine bya apical, ibyumba bine bya subxiphoide, hamwe na vena cava yo hasi.Isesengura rya Ultrasound ryerekeye mitral na aortic rishobora no gushyirwa mu isuzuma, rishobora kumenya vuba icyateye ubuzima bw’umurwayi, urugero nko gukora nabi kwa valve, kunanirwa kw’ibumoso, no gutabara hakiri kare muri izo ndwara birashobora kurokora ubuzima bw’umurwayi.
3. Ultrasound
Ultrasound ya pulmonary ituma abaganga byihutirwa gusuzuma vuba igitera dyspnea kubarwayi no kumenya ko hari pneumothorax, indurwe yo mu bihaha, umusonga, indwara zifata ibihaha, cyangwa effusion effusion.Ultrasound ya pulmonary ihujwe na GDE irashobora gusuzuma neza igitera n'uburemere bwa dyspnea.Ku barwayi barembye cyane barwaye dyspnea, ultrasound ultrasound igira ingaruka nkizo zo kwisuzumisha mu gituza cyoroshye scan CT kandi iruta igituza X-ray.
4.Cusopulmonary resuscitation
Gufata umutima wubuhumekero nindwara isanzwe yihutirwa.Urufunguzo rwo gutabara neza ni igihe kandi cyiza cyo kuvura umutima.Poc ultrasound irashobora kwerekana impamvu zishobora gutera gufatwa k'umutima bidasubirwaho, nka pericardial effusion hamwe na tamponade ya pericardial, kwaguka gukabije kwumuyaga hamwe na embolisme nini, hypovolemia, pneumothorax, tamponade yumutima, na infarction nini ya myocardial, kandi bigatanga amahirwe yo gukosora hakiri kare. impamvu.Poc ultrasound irashobora kumenya ibikorwa byumutima byumutima bidafite impiswi, gutandukanya ifatwa ryukuri nibinyoma, kandi rigakurikirana inzira zose mugihe cya CPR.Byongeye kandi, poc ultrasound ikoreshwa mugusuzuma inzira yo guhumeka kugirango ifashe kwemeza aho intubation ya tracheal iherereye no kwemeza umwuka uhagije mubihaha byombi.Mu cyiciro cya nyuma yubuzima, ultrasound irashobora gukoreshwa mugupima ubwinshi bwamaraso hamwe nuburemere nuburemere bwimikorere mibi ya myocardial nyuma yubuzima.Ubuvuzi bukwiye bwo kuvura, kwivuza cyangwa ubufasha bwa mashini burashobora gukoreshwa kubwibyo.
5.Utrasound yayoboye ubuvuzi bwa puncture
Isuzuma rya Ultrasonic rishobora kwerekana neza imiterere yimbitse yimibiri yumubiri wumuntu, ikamenya neza ibikomere kandi ikareba impinduka zikomeye z’ibikomere mugihe nyacyo kugirango wirinde ingorane zikomeye, bityo tekinoroji ya ultrasound iyobowe na tekinoroji.Kugeza ubu, tekinoroji ya ultrasound ikoreshwa na poncure yakoreshejwe cyane mubikorwa byubuvuzi kandi yabaye ingwate yumutekano kubikorwa bitandukanye byo gutera amavuriro.Poc ultrasound itezimbere intsinzi yuburyo butandukanye bukorwa nabaganga byihutirwa kandi ikagabanya ibibazo byingutu, nka thoracopuncture, pericardiocentesis, anesthesia yo mu karere, gucumita mu mitsi, kwinjiza imiyoboro y'amaraso hagati, kwinjiza imiyoboro ya periferique no kwinjiza uruhu rwa catheter, gutemagura no guta uruhu. ibisebe, gutobora hamwe, hamwe no gucunga inzira.
Komeza guteza imbere iterambere ryihutirwapocultrasound mu Bushinwa
Ikoreshwa rya poc ultrasound mu ishami ryihutirwa ry’Ubushinwa rifite ishingiro ryambere, ariko riracyakeneye gutezwa imbere no kumenyekana.Kugirango twihute iterambere rya ultrasound yihutirwa, birakenewe kunoza imyumvire yabaganga byihutirwa kuri poc ultrasound, twigire kuburambe bwo kwigisha no kuyobora bikuze mumahanga, kandi dushimangire kandi dushyire mubikorwa amahugurwa yikoranabuhanga rya ultrasound.Amahugurwa muburyo bwa ultrasound tekinike agomba gutangirana namahugurwa yabaturage byihutirwa.Shishikariza ishami ryihutirwa gushiraho itsinda ryabaganga byihutirwa poc ultrasound no gufatanya nishami rishinzwe amashusho ya ultrasound kunoza ubushobozi bwishami ryo gukoresha ultrasound.Umubare w’abaganga byihutirwa wiga kandi uzi neza tekinoroji ya poc ultrasound, bizarushaho guteza imbere iterambere rya poc ultrasound mu Bushinwa.
Mu bihe biri imbere, hamwe nogukomeza kuvugurura ibikoresho bya ultrasound no gukomeza kunoza ikoranabuhanga rya AI na AR, ultrasound ifite ibicu bisangiwe hamwe nubushobozi bwa telemedisine bizafasha abaganga byihutirwa gukora neza.Muri icyo gihe, birakenewe ko hategurwa gahunda ikwiye yo guhugura poc ultrasound yihutirwa hamwe nimpamyabumenyi ihanitse bijyanye n’ibihugu by’Ubushinwa.
Igihe cyo kohereza: Ukuboza-15-2023
