Gukoresha ivuriro ryihutirwa ultrasound
Hamwe niterambere ryiterambere ryabaturage, isuzuma rya ultrasound ryabaye bumwe muburyo bwingenzi bwo gusuzuma indwara.Mugihe cyo kuvura byihutirwa, ibizamini bya ultrasound byoroshye bifite intera nini, yukuri, umuvuduko wihuse, kutagira ihahamuka kandi nta kwanduza.Isuzuma risubirwamo rirashobora gusuzuma byihuse abarwayi mubihe byose, gutsindira igihe cyiza cyo gutabara kubarwayi bafite ihungabana rikomeye ryica, kandi bigatanga ikibazo cyo kubura X-ray.Kugenzurana hamwe no gusuzuma X-ray;Inyungu nini ni uko abarwayi byihutirwa bafite umuvuduko udasanzwe cyangwa udakwiye kwimurwa bashobora gusuzumwa igihe icyo ari cyo cyose n'ahantu hose, kandi nta hantu na hamwe hagaragara, ni bwo buryo bwa mbere bwo gusuzuma abarwayi barembye cyane.
1.Gukoresha ultrasound yikuramo mu ihahamuka ubufasha bwambere ninda ikaze
Isuzuma rya Ultrasound Isuzuma ry’ihungabana (FAST): Ingingo esheshatu (subxiphoide, epigastrica ibumoso, epigastric iburyo, ibumoso bwimpyiko, igice cyimpyiko iburyo, pelvic cavity) zatoranijwe kugirango hamenyekane vuba ihungabana ryica.
01 Kumenya imbaraga zikaze cyangwa gukomeretsa bikabije mu kirere no mu mazi yubusa mu nda: Isuzuma ryihuse rikoreshwa mu gutahura mbere yo kuva amaraso ava mu maraso, no kumenya aho amaraso ava n'amafaranga (pericardial effusion, pleural effusion, peritoneal effusion, pneumothorax) , n'ibindi).
02 Gukomeretsa bisanzwe: umwijima, ururenda, igikomere cya pancreas.
03 Ibisanzwe bidahahamutse: acute appendicite, cholecystitis ikaze, amabuye n'ibindi.
04 Abagore basanzwe: gutwita kwa ectopique, precenta previa, ihahamuka ryo gutwita, nibindi
05 Ihahamuka ry'abana.
06 hypotension idasobanutse nibindi bisaba ibizamini bya FASA.
2.Ikoreshwa rya ultrasound yikuramo mumutima
Echocardiography nigipimo cya zahabu mugupima indwara nyinshi z'umutima na pericardial.
01 Pericardial effusion: Kumenyekanisha byihuse pericardial effusion, pericardial tamponade, ultrasound-iyobowe na pericardial puncture.
02 Indwara ya embolisme nini: Echocardiography irashobora gufasha kwirinda indwara zifite ibimenyetso bisa na embolisme yimpyisi, nka tamponade yumutima, pneumothorax, na infocarite myocardial.
03 Isuzuma ryibikorwa byibumoso: Imikorere ya systolique yibumoso yasuzumwe no gusikana byihuse byibumoso bukomeye, ibumoso buto, umutima wibyumba bine, hamwe nigice cyo gusohora amashanyarazi.
04 Gutandukana kwa Aortic: Echocardiography irashobora kumenya aho yatandukanijwe, hamwe n’aho yabigizemo uruhare.
05 Ischemia ya Myocardial: Echocardiography irashobora gukoreshwa mugusuzuma umutima kugirango urukuta rudasanzwe.
06 Indwara z'umutima zitwa Valvular: Echocardiography irashobora gutahura urusaku rudasanzwe rwa valve hamwe nimpinduka zamaraso.
3.Gukoresha ultrasound yikuramo ibihaha na diaphragm
01 Byakoreshejwe mu gusuzuma uburemere bwumusonga wo hagati-hagati, uduce duto twa hydrophilia duhumeka tugaragara mu bihaha - Ikimenyetso B.
02 Ikoreshwa mugupima abarwayi bakomeye b'umusonga, ibihaha byombi bikwirakwiza f-B umurongo, byerekana ikimenyetso "ibihaha byera", indwara zikomeye zigaragara hamwe.
03 Kugirango hamenyekane effusion effusion, ultrasound iyobora puncture drainage ya pleural effusion.
04 Kugirango hamenyekane pneumothorax: ikimenyetso cya stratosifike, ingingo y'ibihaha nibindi bimenyetso byerekana ko hashobora kubaho pneumothorax.
05 Kuyobora imiterere yumuyaga kandi urebe uko ibihaha byiyongera.
06 Kubikorwa bya diaphragmatic ultrasound, byayobowe kumurongo, gutandukanya kunanirwa guhumeka hagati na peripheri.
4.Gukoresha ultrasound yikuramo mumitsi
01 Ultrasound irashobora gusuzuma niba imitsi yatanyaguwe nubunini bwamarira.
02 Ku barwayi bafite ububabare no kubyimba amaboko n'ibirenge, ultrasound irashobora gusuzuma vuba kandi yizewe tenosynovitis, ifasha kuzamura ubuvuzi no guhitamo uburyo bukwiye.
03 Suzuma uruhare rwa rubagimpande zidakira.
04 Kuyobora neza tendon na bursae ibyifuzo no gutera inshinge zoroshye.
5.Gukoresha ultrasound yikuramo mubuyobozi bwamavuriro
01 Gutobora imitsi: kwiyumvisha imitsi yimbitse ya catheterisiyonike, gutobora arterial, nibindi.
02 Kuyobora gushyira mask yo mu kanwa.
03 Kuyobora trachea intubation.
04 Gutobora hamwe, guhagarika imitsi, nibindi.
05 Kuyobora umwobo wa pericardial, thoracic cavity, cavit yo munda, nibindi.
06 Cyst, ibiyobora ibisebe, nibindi.
Birashobora kugaragara ko porogaramu ikoreshwa yamabara yikigereranyo Doppler ultrasound igikoresho cyo gusuzuma ni kinini cyane, kandi igipimo cyagenzuwe ni kinini, cyukuri, kugenzura byihuse, kudahahamuka, nta kwanduza, kugenzura kenshi;Ibara rishobora kwipimisha Doppler kwisuzumisha bifite ibyiza byingenzi bikurikira:
Ntoya kandi igendanwa, irashobora gutwarwa nintoki, bifasha abaganga kwihutira gutwara ultrasoundi kwa muganga.
Igenzura ryihuta, rirashobora gusubirwamo, nta ihahamuka, nta kubuza.
Kumenyera ibikorwa bitandukanye bikora, harimo kuryama, ICU, byihutirwa, gusura imirima, nibindi.
Ubwiza bwibishusho byiza hamwe ninkunga yo munda, hejuru yimbere na cardiac probe hamwe nurwego rwuzuye rwa porogaramu kugirango uhuze ibikenewe bitandukanye mubuvuzi.
Ultrasound interventional therapy, ijisho rya ultrasound ritwarwa numuvuzi.
Ibikoresho byifashishwa mu gusuzuma ibara rya Doppler bitanga ishingiro ryizewe ryo gukomeza gusuzuma no kuvura kwa muganga, kandi akamenya ko abarwayi bakomeye bashobora kurangiza isuzuma ryumutima ultrasound yumutima ku buriri batiriwe bava muri ICU, biteza imbere cyane urwego rwo gusuzuma no kuvura abarwayi bakomeye.
Igihe cyo kohereza: Ugushyingo-13-2023
