Gukoresha ultrasound yikuramo mugihe cyihutirwa gikomeye

Gukoresha ultrasound yikuramo mugihe cyihutirwa gikomeye

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.

Gusaba imiterere ya ultrasound yo kuryama murugo no mumahanga

1. Hariho imyitozo myinshi kandi ikomeye cyane ya ultrasound kwisi.Kugeza ubu, hashyizweho uburyo bw’amahugurwa bwibanze kandi bushyize mu gaciro, kandi hashyizweho Alliance Ultrasound Alliance (WINFOCUS).
2. Ishuri rikuru ry’abaganga bo muri Amerika ryihutirwa risaba ko abaganga byihutirwa bagomba kumenya ikoranabuhanga ryihutirwa rya ultrasound, naho 95% by’ibigo by’ihungabana byo mu rwego rwa 1 muri Amerika (190) bakora ultrasound yihutirwa
3. Abaganga byihutirwa muburayi nu Buyapani bakoresheje ultrasound kugirango bafashe abarwayi mugupima no kuvura
4. Ubushinwa bwatangiye butinze, ariko iterambere ririhuta.

Gukoresha ultrasound yikuramo mu ihahamuka ubufasha bwambere ninda ikaze

01 Igenzura ryibanze
Kugaragaza inzira zangiza ubuzima, guhumeka no kuzenguruka.- Imfashanyo yambere, byihutirwa

Igenzura rya kabiri
Menya ibikomere bigaragara mu bice byose byumubiri - byihutirwa, ICU, ward

Kugenzura gatatu
Igenzura ryuzuye kuri gahunda kugirango wirinde kubura ihahamuka -ICU, ward

Kwibanda kuri Ultrasound Isuzuma ry'ihungabana (VUBA):Hatoranijwe ingingo esheshatu (subxiphoide, epigastric ibumoso, epigastric iburyo, igice cyimpyiko, igice cyimpyiko cyiburyo, pelvic cavity) zatoranijwe kugirango hamenyekane vuba ihungabana ryica.

1. Kumenya imbaraga zikomeye cyangwa gukomeretsa bikabije mu kirere no mu mazi yubusa mu nda: Isuzuma ryihuse rikoreshwa mu gutahura hakiri kare amaraso ava mu maraso, no kumenya aho amaraso ava n'amafaranga (pericardial effusion, pleural effusion, effusion munda, pneumothorax, nibindi).
2.Imvune zisanzwe: umwijima, impyiko, igikomere cya pancreas
3. Ibisanzwe bidahungabana: acute appendicite, cholecystite ikaze, amabuye ya galline nibindi
4. Abagore basanzwe: gutwita kwa ectopique, precenta previa, ihahamuka ryo gutwita, nibindi
5. Ihahamuka ry'abana
6. hypotension idasobanutse nibindi bisaba ibizamini bya FASA

AGusaba ultrasound yikuramo muriumutima

Isuzuma ryihuse kandi ryiza ryubunini rusange nimirimo yumutima, ubunini bwibyumba byumutima byumutima, imiterere ya myocardial, kubaho cyangwa kutabaho kwa reurgitasiyo, imikorere ya valve, agace kasohotse, gusuzuma imiterere yamaraso, gusuzuma imikorere yumutima wa pompe, byihuse gutahura ibitera hypotension, ibumoso na iburyo imikorere ya systolique / diastolique, kuyobora imiti ivura amazi, kuzura amajwi, kuyobora igenzura ry'umutima, abarwayi bafite ihahamuka nta guturika k'umutima no kuvura byihuse imiti ya pericardial n'amaraso, nibindi.

1. Pericardial effusion: Kumenyekanisha byihuse ya pericardial effusion, pericardial tamponade, ultrasound-iyobowe na pericardial puncture
2. Embolism nini cyane: Echocardiography irashobora gufasha kwirinda indwara zifite ibimenyetso bisa na embolisme yimpyisi, nka tamponade yumutima, pneumothorax, na infocarite ya myocardial.
3. Isuzuma ryimikorere yibumoso: Imikorere ya systolique yibumoso yasuzumwe no gusikana byihuse byibumoso bukomeye, ibumoso buto, umutima wa chambre enye, hamwe nigice cyo gusohora amashanyarazi.
4. Gutandukanya Aortic: Echocardiography irashobora kumenya aho yatandukanijwe, hamwe n’aho uruhare rwayo
5. Ischemia ya Myocardial: Echocardiography irashobora gukoreshwa mugusuzuma umutima kugirango urukuta rudasanzwe
6. Indwara z'umutima za Valvular: Echocardiography irashobora gutahura urusaku rudasanzwe rwa valve hamwe nimpinduka zamaraso

Gukoresha ultrasound yikuramo mu bihaha

1. Byakoreshejwe mugusuzuma uburemere bwumusonga wo hagati-wo hagati, uduce duto twa hydrosis du pulmonary bigaragara mu bihaha
2. Ibihaha byombi bikwirakwiza umurongo B, byerekana ikimenyetso "ibihaha byera", guhuza ibihaha bikabije
3. Kuyobora imiterere yumuyaga kandi urebe uko ibihaha byiyongera
4. Kugirango hamenyekane pneumothorax: ikimenyetso cya stratosifike, ingingo y'ibihaha nibindi bimenyetso byerekana ko hashobora kubaho pneumothorax

Gukoresha ultrasound yikuramo mumitsi

1. Ultrasound irashobora gusuzuma niba imitsi yatanyaguwe nubunini bwamarira
2. Ku barwayi bafite ububabare no kubyimba amaboko n'ibirenge, ultrasound irashobora gusuzuma vuba kandi yizewe tenosynovitis, ifasha kuzamura ubuvuzi no guhitamo uburyo bukwiye.
3. Suzuma uruhare rwa rubagimpande zidakira
4. Kuyobora neza tendon na bursae ibyifuzo hamwe no gutera inshinge zoroshye

Gukoresha ultrasound yikuramo mubuyobozi bwubuvuzi

1. Ultrasound-iyobowe na catheterisiyoneri yo hagati (imbere imbere ya jugular vene, subclavian vein, femorale femorale)
2. Ultrasound yayoboye PICC
3. Ultrasound-iyobowe na catheterisiyumu yimitsi itera
4. Ultrasound yayoboye thoracic puncture drainage, ultrasound iyobowe ninda yo mu nda.
5. Ultrasound-iyobowe na pericardial effusion puncture
6. Ultrasound-iyobora percutaneous hepatogallbladder puncture

Birashobora kugaragara ko ibara ryimurwa rya Doppler ultrasound igikoresho cyo gusuzuma gifite ibintu byinshi cyane mubisabwa mugihe cyihutirwa, bitanga ishingiro ryizewe ryo kwisuzumisha no kuvurwa, no kumenya ko abarwayi bakomeye bashobora kurangiza ikizamini cyumutima ultrasound batiriwe bava ubuvuzi, kuzamura cyane urwego rwo gusuzuma no kuvura abarwayi bakomeye.