Fa'aaogāina ole ultrasound feavea'i ile fa'alavelave fa'afuase'i
Faatasi ai ma le faʻaauauina o le atinaʻeina o sosaiete, o suʻesuʻega ultrasound ua avea ma se tasi o suʻega taua mo suʻesuʻega faafomaʻi.I togafitiga faʻafuaseʻi, suʻesuʻega ultrasound feaveaʻi e iai le lautele lautele, maualuga le saʻo, vave asiasiga vave, leai se faʻalavelave ma leai se faʻalavelave.O su'esu'ega faifaipea e mafai ona vave su'esu'e ai tagata mama'i i so'o se fa'aaliga, manumalo i taimi taua lavea'i mo tagata mama'i e tu'ia manu'a tuga, ma fa'amalie ai le le lava o fa'a-X.Fa'amaoniga fa'atasi ma su'ega X-ray;O le mea sili ona lelei o le faʻalavelave faʻafuaseʻi o loʻo i ai le taʻavale le mautonu poʻo e le tatau ona faʻagaoioia e mafai ona suʻesuʻeina i soʻo se taimi ma soʻo se mea, ma e leai se faʻatapulaʻaina o vaaiga, o le suʻega muamua lea mo tagata mamaʻi tigaina.
Tulaga fa'aoga ole ultrasound i autafa ole moega ile fale ma fafo
1. E sili atu ma sili atu le malosi o aʻoaʻoga ultrasound i le lalolagi.I le taimi nei, ua faʻavaeina se faiga faʻavae ma talafeagai, ma ua faʻavaeina le World Intensive Ultrasound Alliance (WINFOCUS).
2. E manaʻomia e le American College of Emergency Physicians e tatau i fomaʻi faʻalavelave faʻafuaseʻi ona faʻatautaia tekinolosi faʻafuaseʻi ultrasound, ma 95% o le tulaga 1 trauma centers i le Iunaite Setete (190) faia faʻalavelave faʻafuaseʻi ultrasound.
3. Fomaʻi faʻafuaseʻi i Europa ma Iapani ua faʻaaogaina tele le ultrasound e fesoasoani ai i tagata mamaʻi i suʻesuʻega ma togafitiga
4. Na tuai ona amata Saina, ae vave le alualu i luma.
Fa'aaogāina ole ultrasound feavea'i ile manu'a fesoasoani muamua ma le manava tu'i
01 Asiasiga muamua
Su'esu'ega mo le ea e lamatia ai le ola, manava ma le taamilosaga.- Fesoasoani muamua, fa'alavelave
02 Asiasiga lona lua
Fa'ailoa manu'a manino i vaega uma o le tino - fa'alavelave fa'afuase'i, ICU, uarota
03 Siaki faatolu
Su'esu'ega fa'apitoa e 'alofia ai le misia o manu'a -ICU, uarota
Focus Ultrasound Assessment of Trauma (FAST):E ono togi (subxiphoid, epigastric agavale, epigastric taumatau, vaega agavale agavale, vaega taumatau o le fatugao, pelvic cavity) na filifilia mo le vave faʻamaonia o manuʻa oti.
1. Su'esu'eina o le malosi tu'ia po'o le manu'a tuga o le ea i totonu o le ogalaau ma le suavai saoloto i totonu o le manava: su'esu'ega FAST e fa'aaogaina mo le su'esu'ega muamua o le toto toto, ma ia iloa ai le nofoaga ma le aofa'i o le toto (pericardial effusion, pleural effusion, abdominal effusion, pneumothorax, ma isi).
2. Manu'a masani: ate, spleen, manu'a pancreas
3. Fa'alavelave fa'afuase'i: ma'i appendicitis, ma'i cholecystitis, gallstones ma isi.
4. Gynecology masani: maitaga ectopic, placenta previa, ma'itaga ma'itaga, ma isi
5. Pediatric manu'a
6. Ma'i maualuga e le'i fa'amatalaina ma isi mea e mana'omia ai su'ega FASA
Afa'aogaina o le ultrasound feavea'i i totonufatu
Su'esu'ega vave ma lelei o le aofa'i atoa ma le galuega o le fatu, le tele o potu ta'itasi o le fatu, tulaga o le myocardial, i ai po'o le toesea o le toe fa'afo'i, galuega valve, vaega ejection, su'esu'ega tulaga o le toto, su'esu'ega o galuega pamu fatu, vave suʻesuʻeina o mafuaʻaga o le toto maualuga, agavale ma taumatau ventricular systolic / diastolic function, taʻitaʻia togafitiga vai, faʻaolaina le volume, taʻitaʻia le mataʻituina o le cardiopulmonary, Faʻamaʻi faʻamaʻi e leai se fatu gau ma vave togafitiga o pericardial effusion ma toto, ma isi.
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2. Ma'i mama'i pulmonary: Echocardiography e mafai ona fesoasoani e fa'ate'a ese tulaga o lo'o iai fa'ailoga e tutusa ma pulmonary embolism, e pei ole cardiac tamponade, pneumothorax, ma le myocardial infarction.
3. Su'esu'ega o galuega a le ventricular agavale: Sa su'esu'eina le galuega fa'aleagaga o le ventricular agavale e ala i le su'esu'eina vave o le axis tele agavale, axis la'ititi agavale, apical fa-chamber heart, ma le vaega o le ventricular ejection vaega agavale.
4. Aortic dissection: Echocardiography e mafai ona iloa le nofoaga o le vavae, faʻapea foʻi ma le nofoaga o loʻo aʻafia ai.
5. Myocardial ischemia: E mafai ona fa'aoga le echocardiography e su'esu'e ai le fatu mo le fa'aletonu o le pa puipui.
6. Fa'ama'i fatu fatu: Echocardiography e mafai ona iloa ai siuleo fa'aletonu ole valve ma suiga ole alaleo ole toto.
Fa'aoga ole ultrasound feavea'i ile mama
1. Fa'aaogaina e iloilo ai le ogaoga o le niumonia i le amataga-ogatotonu, o tama'i pa'u o le pulmonary hydrosis e aliali i totonu o mama.
2. O māmā uma e lua o loʻo faʻasalalau laina fusi B, faʻaalia le "mama paʻepaʻe" faʻailoga, faʻamalosia le mama.
3. Ta'ita'i le fa'atūina o le ventilator ma mata'ituina le tulaga o le toe fa'alautele
4. Mo le su'esu'eina o le pneumothorax: fa'ailoga stratospheric, pito o le māmā ma isi fa'ailoga e ta'u mai ai le ono iai o le pneumothorax.
Fa'aaogaina ole ultrasound feavea'i ile tendon musele
1. E mafai e le Ultrasound ona iloilo pe ua masae le uaua ma le tele o le loimata
2. Mo tagata mamaʻi i le tiga ma le fulafula o lima ma vae, o le ultrasound e mafai ona vave ma faʻalagolago i le tenosynovitis, lea e fesoasoani e faʻaleleia le lelei o le tausiga ma filifili togafitiga talafeagai.
3. Su'esu'e le a'afia fa'atasi i le gasegase fa'ama'i
4. Ta'ita'i sa'o le mana'o o le tendon ma le pa'u ma tui aano vaivai
Fa'aaogāina ole ultrasound feavea'i ile ta'iala ile falema'i
1. Fa'ata'ita'iina o vein tutotonu e fa'atonuina e le ultrasound (internal jugular vein, subclavian vein, femoral vein)
2. Ultrasound taialaina PICC puncture
3. Fa'amama fa'ata'ita'i ole Ultrasound catheterization ole ala fa'aoso
4. Fa'ata'ita'i fa'ata'ita'i alavai alavai fa'ama'i, fa'ata'ita'iina alavai fa'apuna abdominal.
5. Tu'i le pericardial effusion e fa'aoso e le ultrasound
6. Tu'ia o le fa'a'a'a'ave fa'ama'i e ta'ita'ia e le Ultrasound
E mafai ona iloa o le lanu feaveaʻi o le Doppler ultrasound diagnostic instrument e matua tele lava le tele o faʻaoga i faʻalavelave faʻafuaseʻi faʻalavelave faʻafuaseʻi, e tuʻuina atu ai se faʻavae faʻalagolago mo faʻamaʻi ma togafitiga faʻapitoa, ma iloa ai e mafai e tagata gasegase ogaoga ona faʻamaeʻaina le suʻega ultrasound cardiac i tafatafa o le moega e aunoa ma le tuua o le fale tausi ma'i, fa'aleleia atili le su'esu'ega ma le maualuga o togafitiga o gasegase tuga.
Taimi meli: Sep-27-2023
