Faʻatasi ai ma le atinaʻeina o vailaʻau faʻafuaseʻi ma le faʻalauiloaina o tekinolosi ultrasound, o le ultrasound point-of-care ua faʻaaogaina lautele i vailaʻau faʻafuaseʻi.E faigofie mo suʻesuʻega vave, iloiloga vave ma togafitiga o faʻalavelave faʻafuaseʻi, ma ua faʻaaogaina i faʻalavelave faʻafuaseʻi, ogaoga, manua, vascular, obstetrics, anesthesia ma isi mea faʻapitoa.
O le faʻaaogaina o le poc ultrasound i le suʻesuʻeina ma le iloiloga o le faʻamaʻi ua taatele i matagaluega faʻafuaseʻi mai fafo.O le American College of Emergency Physicians e manaʻomia fomaʻi e faʻatautaia faʻalavelave faʻafuaseʻi ultrasound tekinolosi.Fomaʻi faʻafuaseʻi i Europa ma Iapani ua faʻaaogaina lautele poc ultrasound e fesoasoani i suʻesuʻega ma togafitiga.I le taimi nei, o le faʻaogaina o le poc ultrasound e fomaʻi faʻalavelave faʻafuaseʻi i Saina e le tutusa, ma o nisi o matagaluega faʻafuaseʻi o falemaʻi ua amata ona aʻoaʻoina ma faʻalauiloa le faʻaogaina o le poc ultrasound, ae o le tele o matagaluega faʻafuaseʻi o falemaʻi o loʻo avanoa pea i lenei tulaga.
Fa'alavelave fa'afuase'i o se vaega fa'atapula'a o le fa'aogaina o vaila'au ultrasound, e faigofie lava, talafeagai mo foma'i fa'afuase'i uma e fa'aoga.E pei o: su'ega manu'a, abdominal aortic aneurysm, vascular access establishment ma isi.
Fa'aaogaina opocultrasound ile matagaluega faʻafuaseʻi
1. Su'esu'ega fa'alavelave
E fa'aaoga e foma'i fa'alavelave fa'afuase'i le poc ultrasound e fa'ailoa ai le sua e leai se totogi i le taimi muamua o su'esu'ega o tagata mama'i e maua i le fatafata po'o le manava.Su'esu'ega vave o le ultrasound o manu'a, fa'aaoga le ultrasound e iloa ai le toto toto i totonu.O le faiga vave o le suʻega ua avea ma auala sili ona lelei mo suʻesuʻega faʻafuaseʻi o manua o le manava, ma afai o le suʻega muamua e le lelei, e mafai ona toe faia le suʻega pe a manaʻomia ile falemaʻi.O se su'ega lelei mo le te'i toto e ta'u mai ai le tafetoto o le manava e mana'omia ai se taotoga.O le suʻesuʻeina o le ultrasound e faʻatatau i le faʻalavelave faʻalautele e faʻaaogaina i tagata mamaʻi e maua i le fatafata e suʻesuʻe ai vaega pito i lalo e aofia ai le fatu ma le pito i luma o le fatafata.
2. Echocardiography faʻatonu sini ma suʻesuʻega teʻi
Su'esu'ega o le loto fa'atasi ma le poc ultrasound e fa'aogaina ai le echocardiography e fa'atatau i sini, se numera fa'atapula'aina o fa'amatalaga fa'ata'ita'i masani, e fa'afaigofie ai su'esu'ega vave a foma'i fa'afuase'i o le fausaga ma le gaioiga o le fatu i tagata mama'i ma'i ma'i hemodynamic.O vaaiga masani e lima o le fatu e aofia ai le itu umi parasternal, axis puupuu parasternal, apical fa potu, subxiphoid fa potu, ma vaʻaia vena cava maualalo.O suʻesuʻega ole ultrasound ole mitral ma aortic valve e mafai foi ona aofia ai i le suʻega, lea e mafai ona vave iloa ai le mafuaʻaga o le ola o le tagata maʻi, e pei o le faʻaogaina o le valve, le agavaʻa o le ventricular, ma le vave faʻalavelave i nei faʻamaʻi e mafai ona laveaʻiina le ola o le tagata maʻi.
3.Pulmonary ultrasound
O le ultrasound pulmonary e mafai ai e fomaʻi faʻafuaseʻi ona vave suʻesuʻeina le mafuaʻaga o le dyspnea i tagata maʻi ma fuafua le i ai o le pneumothorax, edema pulmonary, niumonia, faʻamaʻi faʻamaʻi faʻamaʻi, poʻo le faʻaogaina o le pleural.O le ultrasound pulmonary faʻatasi ma le GDE e mafai ona iloilo lelei le mafuaʻaga ma le ogaoga o le dyspnea.Mo tagata mama'i tigaina ma dyspnea, o le pulmonary ultrasound e tutusa le aafiaga o le su'esu'eina o le fatafata manino CT scan ma e sili atu nai lo le fatafata X-ray i autafa o le moega.
4. Toe fa'aolaina le cardiopulmonary
O le manava manava ose fa'ama'i tuga fa'afuase'i masani.O le ki i le laveai manuia o le toe faʻaolaina o le cardiopulmonary i le taimi tatau ma aoga.Poc ultrasound e mafai ona faʻaalia mafuaʻaga e mafai ai ona toe faʻafoʻiina le puʻeina o le fatu, e pei o le tele o le pericardial effusion ma le pericardial tamponade, faʻalavelave faʻafuaseʻi o le ventricular taumatau ma le tele o le pulmonary embolism, hypovolemia, tension pneumothorax, cardiac tamponade, ma le tele o le myocardial infarction, ma maua ai avanoa mo le vave faasaʻoina o nei mea. mafuaaga.O le poc ultrasound e mafai ona iloa ai le gaioiga o le fatu e aunoa ma se pulupulu, iloa le va o le saʻo ma le sese, ma mataʻituina le faagasologa atoa i le taimi o le CPR.E le gata i lea, o le poc ultrasound e faʻaaogaina mo suʻesuʻega o le ea e fesoasoani e faʻamaonia le nofoaga o le faʻaogaina o le tracheal ma faʻamautinoa le lava o le ea i totonu o mama uma e lua.I le vaega o le toe faʻaolaina, e mafai ona faʻaogaina le ultrasound e iloilo ai le tulaga maualuga o le toto ma le i ai ma le ogaoga o le faʻaleagaina o le myocardial pe a uma le faʻaolaina.E mafai ona fa'aoga talafeagai togafitiga fa'asuavai, fesoasoani fa'afoma'i po'o fesoasoani fa'ainisinia.
5.Ultrasound taiala puncture togafitiga
Ole su'esu'ega ole Ultrasonic e mafai ona fa'aalia manino ai le loloto o le fausaga o le tino o le tagata, su'e sa'o ia manu'a ma mata'ituina suiga malosi o manu'a i le taimi moni e aloese ai mai fa'alavelave matuia, o lea na o'o mai ai le tekonolosi fa'aonaponei fa'ata'ita'i ultrasound.I le taimi nei, o le ultrasound-guided puncture technology ua faʻaaogaina lautele i faʻataʻitaʻiga falemaʻi ma ua avea ma faʻamaoniga saogalemu mo faʻalavelave faʻalavelave faʻapitoa.Poc ultrasound e faʻaleleia ai le manuia o faʻataʻitaʻiga eseese e faia e fomaʻi faʻalavelave faʻafuaseʻi ma faʻaitiitia ai le aʻafiaga o faʻalavelave, e pei o le thoracopuncture, pericardiocentesis, faʻamaʻi faʻaitulagi, lumbar puncture, faʻapipiʻi totonugalemu venous catheter, faigata peripheral artery ma venous catheter insertion, incision ma alavai o le paʻu. abscesses, tui sooga, ma le puleaina o le ea.
Fa'alautele atili le atina'eina o fa'alavelave fa'afuase'ipocultrasound i Saina
O le faʻaogaina o le poc ultrasound i le matagaluega faʻafuaseʻi a Saina o loʻo i ai se faʻavae muamua, ae o loʻo manaʻomia pea ona atiaʻe ma faʻalauiloa.Ina ia faʻavavevave le atinaʻeina o faʻalavelave faʻafuaseʻi poc ultrasound, e tatau ona faʻaleleia le faʻalauiloaina o fomaʻi faʻafuaseʻi i luga o le ultrasound poc, aʻoaʻo mai le poto masani aʻoaʻoga ma pulega i fafo atu, ma faʻamalosia ma faʻamaonia le aʻoaʻoina o tekinolosi faʻafuaseʻi ultrasound.O aʻoaʻoga i faʻalavelave faʻafuaseʻi ultrasound e tatau ona amata i aʻoaʻoga faʻafuaseʻi nofomau.Fa'amalosia le matagaluega o fa'alavelave fa'afuase'i e fa'atu se 'au o foma'i fa'afuase'i poc ultrasound ma galulue fa'atasi ma le matagaluega fa'ataata ultrasound e fa'aleleia atili ai le tomai o le matagaluega e fa'aoga ai le ultrasound.Faatasi ai ma le faateleina o le numera o fomaʻi faʻafuaseʻi o loʻo aʻoaʻoina ma faʻatautaia le tekinolosi o le poc ultrasound, o le a faʻalauteleina ai le atinaʻeina o faʻalavelave faʻafuaseʻi poc ultrasound i Saina.
I le lumanaʻi, faʻatasi ai ma le faʻafouina faʻafouina o masini ultrasound ma le faʻaauau pea o le faʻaleleia atili o le AI ma le AR technology, o le ultrasound ua faʻapipiʻiina i le cloud shared access ma telemedicine gafatia o le a fesoasoani i fomaʻi faʻafuaseʻi e sili atu le lelei.I le taimi lava e tasi, e tatau ona atiaʻe se polokalame aʻoaʻoga ultrasound poc faʻafuaseʻi faʻafuaseʻi ma tusi pasi faʻamaonia e fesoʻotaʻi e faʻavae i luga o tulaga moni a Saina.
Taimi meli: Tes-15-2023