1.Kushandiswa kwemasangano ezvokurapa emaguta
Handheld ultrasound inogona kubatsira varapi (mushonga wemukati, kuvhiyiwa, gynecology, pediatrics, emergency uye kutarisisa kwakakomba, nezvimwewo) kukurumidza kuongorora varwere kana ruzivo rwechirwere uye nekugadzirisa nzira yekuongorora kuti iwane yekutanga kuongororwa, triage uye kutungamira kwekutanga kwezvirwere.Semuyenzaniso, chikosoro, chifuva tightness, dyspnea uye zvimwe zviratidzo zvinowanzoonekwa muvarwere vane zvirwere zvekufema, asiwo zvinowanzoitika kune varwere vane mwoyo kukundikana, zvakadai sehandheld ultrasound vakawana kuti mwoyo wakawedzerwa, kuderedzwa systolic basa, inowanzoonekwa semugumisiro. yekutadza kushanda kwemoyo, inoda kuendeswa kudhipatimendi remoyo kuti urapwe.
2.Kushandiswa nemasangano ezvokurapa munzvimbo dzakadzika kana dziri kure
Handheld ultrasound ine simba rakanaka rekupa uye simba rekuchengetedza simba, iro rinogona kuona kuongororwa nekukurumidza, kuwana chirwere chevarwere uye ruzivo rwekuomarara, kuvandudza mwero webasa rekutanga rekurapa uye kugona kwemurwere.Nekuda kwekureruka kwayo uye nemutengo wakaderera zvakanakira, inokodzera masangano ekurapa ekutanga uye vanachiremba (mhuri, musha, chiremba mukuru) kuti vashandise, zvichibatsira kuwana nekukurumidza kwekutanga kuongororwa uye kutumira nhanho (up-referral).
3.Family chirwere chisingaperi chinogadzirisa
Kunyanya munzvimbo dziri kure, vanachiremba veuswa (vanachiremba vemhuri uye vekumaruwa) vanogona kutakura ruoko rweultrasound mudzimba dzevagari, kuongorora hutano hwemhuri, kuongororwa kwechirwere uye kuongororwa kwekutanga, uye kubatsira kutungamira kwezvirwere zvisingaperi mumhuri.Semuenzaniso, varwere veparaplegic vanofanirwa kutariswa kuti dundira rinosara riine huwandu hweweti kumba, uye mapoka akadai seakwegura kana vanhu vane matambudziko ekufamba (sevakadzi vane nhumbu) vanofanirwa kuongororwa.
4.Battlefield mifananidzo
Handheld ultrasound inoshandiswa munhandare yehondo, inogona kuve yakashongedzerwa nezvikwata zvemberi, zvinzvimbo zvenguva pfupi kana zvigadziko zvenguva pfupi, nevashandi vezvokurapa vemauto kana masoja akadzidziswa anotakura, chero nguva yekushandisa, kuwana panguva yekutora kwekukuvara kwehondo.Inogona zvakare kushandiswa muzvipatara zvemumunda pamwe chete neyakajairwa ultrasound michina.Inogona zvakare kushandiswa mumotokari dzekutakura (ndege dzekutakura, helikopta, mota dzine zvombo, nezvimwewo).
5. Nzvimbo yenjodzi
Handheld ultrasound inobata basa rinokosha mukukuvadzwa kukuru kunokonzerwa nekudengenyeka kwenyika, tsunami nedzimwe njodzi dzinongoitika dzoga uye njodzi huru, iyo inogona kubatsira vanachiremba mukuongorora vakakuvara nokukurumidza uye mumabheti panzvimbo yenjodzi kana kuti yenguva pfupi, uye kuona pakarepo kusarudzwa uye triage, kuvandudza. kushanda zvakanaka kwekuponesa upenyu.Inogona kushandiswa nyore nyore nevashandi vakanyatsodzidziswa, uye inogona zvakare kushandiswa nguva dzose nevasiri-nyanzvi mushure mekudzidziswa kwenguva pfupi (senge FAST maitiro).
6.Emergency treatment scenarios
Mumotokari dzechimbichimbi, helicopters yekukurumidzira, ndege huru, zvitima zvinomhanya-mhanya, kana pre-hospital care emergency, handheld ultrasound inogona kushandiswa kukurumidza kuona njodzi dzinouraya panguva yekutanga, kubatsira nyanzvi mukutanga kutonga, triage, kupfupisa murwere nguva yekumirira, kuderedza kusingakodzeri bvunzo dzekutevera, uye kusimudzira kuvimba kwemurwere nemhuri.(1) Nokuda kwekushungurudzika kwakanyanya, kana pericardial effusion, pleural kana abdominal effusion inowanikwa, inonyatsoratidza kuputika kwemukati, iyo inogona kukurumidza kubatsira kliniki yekuita sarudzo;Kana yakabatanidzwa ne hypotension kana kuvhunduka, inonyatsoratidza kudiwa kwekuvhiyiwa kwekukurumidzira;(2) Kamwe kamwe kurwadziwa kwemudumbu kwakanyanya, handheld ultrasound inogona kushandiswa kusabvisa kana kuongorora renal uye ureteral calculi, acute intestinal obstruction, intussusception, biliary calculi, ectopic pregnancy uye torsion ye ovarian cyst.(3) Acute inoramba ichirwadza muchipfuva, handheld ultrasound inogona kushandiswa kuona acute myocardial ischemia, aortic dissection, pulmonary embolism, nezvimwewo;(4) Isingatsananguriki inopfuurira fever yakakura, palm ultrasound inogona kushandiswa kuongorora pleurisy, chiropa abscess, infectious endocarditis nezvimwe zvakadaro.(5) handheld ultrasound inogona kushandiswa kuongorora kuputsika kwembabvu, humerus uye femur, iyo yakaratidza kuva inogoneka zvikuru mukuita;(6) Handheld ultrasound inogonawo kushandiswa pakuongorora kukuvara kwecraniocerebral (kana mutsara wehuropi wakagadziriswa).Kunyanya kune zvechimbichimbi zvekurapa zviratidziro zvekutakura zvisizvo kana nzvimbo dziri kure dzemakomo, kukosha kwehandheld ultrasound kunonyanya kuoneka.
7.Epidemic Scenario
Handheld ultrasound yakaita basa rakasiyana mukuongororwa uye kurapwa kweCOVID-19.(1) Ita ongororo yekutanga yezvirwere kukurumidza kuona chikonzero chezviratidzo uye kupa ruzivo rwakadzama;(2) Dynamic kuona uye kutungamira kwevarwere vakakomba, kushandiswa kwehandheld ultrasound kuwana kubatanidzwa kwenhengo chero nguva uye chero kupi, uye kuwana simba rinoenderera mberi rekuongorora, kuongorora kwakasimba kwekushanduka kwechirwere, uye kuongororwa kwemigumisiro yekurapa.Muwadhi yekuzviparadzanisa nevamwe, kana handheld ultrasound ine basa rekubvunza kure, inogona kunyatso dzivirira kutapukira kwemuchinjiko wevashandi vekurapa.
8.Zvimwe zviitiko zvakakosha
Zviitiko zvakadai semasangano ekubatsira vakaremara, masangano ekuchengeta vakwegura, misasa yevapoteri, nzvimbo dzemitambo nenzvimbo dzemapani zvinogona kuonekwa zvichibva paruoko rwe ultrasound, "vanachiremba vanopinda muzvikoro voenda kudzimba dzevafudzi (hydatid chirwere chekuongorora)", iyo inobatsira zvikuru kuongororwa uye kurapwa kwevanhu vazhinji.Muzviteshi zvemuchadenga, submersibles nedzimwe nzvimbo dzakakosha, handheld ultrasound inonyanya kukosha nekuda kweiyo miniaturization.
9. Kuongororwa kwezvinodhaka panzvimbo
Tarisa muviri wemunhu kuburikidza nepalm ultrasonic kuferefeta kwekubata zvinodhaka, kutakura zvinodhaka, contraband monitoring.
10. Dzidzo yechikoro chekurapa
Iko kureruka uye kuwanikwa kwehandheld ultrasound kwakagadziridzwa zvakanyanya, izvo zvinogona kusanganisa ultrasound nekudzidzisa uye kudzidziswa kwevadzidzi vekurapa uye kuita basa rakakosha mukuita kwedzidzo yekurapa.
11.Ultrasound kutungamirirwa uye kupindira zvishoma nezvishoma kurapwa
Kurapa marwadzo, musculoskeletal kurapwa, intraoperative kuongororwa, kutonga kwekutanga uye kutungamira kwedhipatimendi reanesthesiology, etc. Mumamiriro ekukurumidzira, kune yakakomba pneumothorax, hemothorax, pericardial effusion uye kuvharika kwemhepo, handheld ultrasound inogona kuita basa rekubatsira kutungamira nekuvandudza kugona kwe kurapwa.Kune venous uye arterial puncture, handheld ultrasound kutungamira inogona kuvandudza mwero webudiriro yekubaya.
12. Chombo chekuongorora wadhi
Paunenge uchiitisa wadhi kutenderera kune varwere vari muchipatara, handheld ultrasound inokwanisa kuona nekukasira kuongororwa uye kuwana ruzivo rwakakodzera.
13. Zvemhuka
Kuongorora kwemhuka.
Nguva yekutumira: Nov-01-2023
