Clinical kushandiswa kwechimbichimbi ultrasound
Nekuenderera mberi kwekukura kwevanhu, kuongororwa kwe ultrasound kwave imwe yenzira dzinokosha dzekuongorora dzekuongororwa kwechiremba.Mukurapa kwekukurumidzira, inotakurika ultrasound kuongororwa ine hupamhi hwakasiyana, hwakanyanya kurongeka, kukurumidza kuongorora kukurumidza, kusakuvadza uye hakuna contraindication.Kudzokororwa kuongororwa kunogona kukurumidza kuongorora varwere mune chero mamiriro ezvinhu, kuhwina yakakosha nguva yekununura kune varwere vane kukuvara kwakanyanya kunouraya, uye kugadzirisa kushomeka kweX-rays.Kuongorora kwe X-ray;Kubatsira kukuru ndekwekuti varwere vekukurumidzira vane kutenderera kusingagadzike kana vasingafanirwe kufambiswa vanogona kuongororwa chero nguva uye chero kupi, uye hapana chinomisikidza chiitiko, inova ndiyo yekutanga nzira yekuongorora kune vanorwara zvakanyanya.
1.Kushandiswa kweiyo portable ultrasound mukushungurudza rubatsiro rwekutanga uye acute dumbu
Focus Ultrasound Assessment of Trauma (FAST) : Nhanhatu (subxiphoid, kuruboshwe epigastric, kurudyi epigastric, kuruboshwe renal nzvimbo, nzvimbo yakarurama yerenal, pelvic cavity) yakasarudzwa kuti ikurumidze kuzivikanwa kwekukuvara kunouraya.
01 Kuonekwa kweacute blunt simba kana kukuvara kwakanyanya kwemhepo muhunde uye yemahara fluid mudumbu: FAST kuongororwa inoshandiswa pakuona kwekutanga kwepleural hemorrhage, uye kuona nzvimbo yekubuda ropa uye huwandu (pericardial effusion, pleural effusion, peritoneal effusion, pneumothorax. , nezvimwewo).
02 Kukuvara kwakajairika: chiropa, spleen, pancreas kukuvara.
03 Zvakajairwa zvisiri-zvinoshungurudza: acute appendicitis, acute cholecystitis, gallstones uye zvichingodaro.
04 Yakajairika gynecology: ectopic nhumbu, placenta previa, kukuvara kwepamuviri, nezvimwe.
05 Kushungurudzika kwevana.
06 Unexplained hypotension uye zvichingodaro zvinoda bvunzo dzeFASA.
2.Kushandiswa kweinotakurika Ultrasound mumoyo
Echocardiography ndiyo chiyero chegoridhe mukuongororwa kwezvirwere zvakawanda zvemoyo uye pericardial.
01 Pericardial effusion: Kukurumidza kuzivikanwa kwepervical effusion, pericardial tamponade, ultrasound-inotungamirirwa pericardial puncture.
02 Massive pulmonary embolism: Echocardiography inogona kubatsira kubvisa mamiriro ane zviratidzo zvakafanana nepulmonary embolism, zvakadai semwoyo tamponade, pneumothorax, uye myocardial infarction.
03 Kuruboshwe ventricular function assessment: Left ventricular systolic function yakaongororwa nekukurumidza scan yekuruboshwe huru axis, kuruboshwe diki axis, apical mana-chamber moyo, uye kuruboshwe ventricular ejection chikamu.
04 Aortic dissection: Echocardiography inogona kuona nzvimbo ye dissection, pamwe nenzvimbo yekubatanidzwa.
05 Myocardial ischemia: Echocardiography inogona kushandiswa kuongorora moyo kune abnormal wall movement.
06 Chirwere chemoyo cheValvular: Echocardiography inogona kuona maungira evharuvhu asina kujairika uye shanduko mukuyerera kweropa.
3.Kushandiswa kweiyo portable ultrasound mumapapu uye diaphragm
01 Inoshandiswa kuongorora kuomarara kwemabayo ekutanga-yepakati, zvidiki zvinoputika zvepulmonary hydrophilia zvinoonekwa mumapapu - Mutsara B chiratidzo.
02 Inoshandiswa mukuongororwa kwevarwere vepneumonia yakaoma, mapapu ese ari maviri anoparadzira fusion B-mutsara, inoratidza chiratidzo che "white lung", zviitiko zvakakomba zvinoonekwa kubatanidzwa kwemapapu.
03 Kuongororwa kwepleural effusion, Ultrasound inotungamira puncture drainage yepleural effusion.
04 Kuongororwa kwepneumothorax: stratospheric sign, lung point uye zvimwe zviratidzo zvinoratidza kuvepo kwepneumothorax.
05 Tungamira marongero emhepo inofefetera uye tarisa mamiriro ekuwedzera kwemapapu.
06 Ye diaphragmatic ultrasound application, inotungamirwa off-line, kusiyanisa pakati uye peperipheral kufema kutadza.
4.Kushandiswa kweiyo portable ultrasound mumhasuru tendon
01 Ultrasound inogona kuongorora kana tendon yakabvaruka uye kukura kwekubvarura.
02 Kune varwere vane marwadzo uye kuzvimba kwemaoko nemakumbo, ultrasound inogona kukurumidza uye yakavimbika kuongorora tenosynovitis, iyo inobatsira kuvandudza hutano hwehutano uye kusarudza kurapa kwakakodzera.
03 Ongorora kubatanidzwa kwekubatana mukusingaperi arthritis.
04 Nyatsotungamira tendon uye bursae aspiration uye nyoro jekiseni.
5.Kushandiswa kweiyo portable ultrasound mukutungamira kwekliniki
01 Vascular puncture: kuona kweyakadzika vein catheterization, arterial puncture, nezvimwe.
02 Nhungamiro yekuiswa kwelaryngeal mask.
03 Inotungamirirwa trachea intubation.
04 Joint puncture, nerve block, nezvimwe.
05 Kutungamira pericardial cavity, thoracic cavity, abdominal cavity, nezvimwe.
06 Cyst, abscess puncture gwara, nezvimwe.
Zvinogona kuonekwa kuti kushandiswa kwemavara anotakurika Doppler ultrasound diagnostic instrument yakafara zvakanyanya, uye chiyero chekuongorora chakafara, chakanyanya kururamisa, kukurumidza kuongorora, kusingakuvadzi, hakuna contraindications, kuongororwa kwakadzokororwa;Inotakurika ruvara Doppler diagnostics ine zvinotevera zvakakosha zvakanakira:
Zvidiki uye zvinotakurika, zvinogona kutakurwa zvakananga nemaoko, izvo zvinobatsira kune vashandi vekurapa kukurumidza kutakura ultrasound kuenda kunzvimbo yekurapa.
Iyo yekumhanyisa yekuongorora inokurumidza, inogona kudzokororwa, hapana kukuvara, hapana contraindication.
Chinja kune dzakasiyana siyana dzekushanda nharaunda, kusanganisira padivi pemubhedha, ICU, emergency, kushanya kwemunda, nezvimwe.
Yakanakisa mhando yemufananidzo uye rutsigiro rwedumbu, repamusoro uye remoyo probes ine huwandu hwakakwana hwemaapplication kusangana nezvinodiwa zvekiriniki zvakasiyana.
Ultrasound interventional therapy, ziso re ultrasound rinotakurwa nachiremba.
Iyo inotakurika ruvara Doppler yekuongorora chiridzwa inopa hwaro hwakavimbika hwekuwedzera kuongororwa kwekiriniki uye kurapwa, uye inoona kuti varwere vakakomba vanogona kupedzisa pamubhedha wemoyo ultrasound kuongororwa pasina kusiya ICU, iyo inovandudza zvakanyanya kuongororwa uye kurapwa kwevarwere vakakomba.
Nguva yekutumira: Nov-13-2023
