Codsiga kiliinikada ee ultrasound degdegga ah
Horumarka joogtada ah ee bulshada, baaritaanka ultrasound wuxuu noqday mid ka mid ah hababka baaritaanka lagama maarmaanka u ah baaritaanka caafimaadka.Daawaynta degdega ah, baadhista ultrasound-ka ee la qaadi karo ayaa leh tiro balaadhan, saxnaan sare, xawaare baadhiseed oo degdeg ah, aan dhaawac ahayn iyo wax ka-hortag ah.Baaritaanka soo noqnoqda ayaa si dhakhso ah u baari kara bukaanada xaalad kasta, ku guulaysta wakhtiga samatabbixinta qaaliga ah ee bukaanada qaba dhaawac halis ah, oo ka kabsada yaraanta raajada.Xaqiijinta wadajirka ah ee baaritaanka raajada;Faa'iidada ugu weyn ayaa ah in bukaannada degdega ah ee wareegga aan xasilloonayn ama aan la dhaqaajin karin la baari karo wakhti kasta iyo meel kasta, mana jirto xaddidid goobta, taas oo ah habka ugu horreeya ee baaritaanka bukaannada aadka u xanuunsan.
1. Codsiga ultrasound-ka la qaadi karo ee gargaarka degdegga ah ee dhaawaca iyo caloosha oo daran
Focus Ultrasound Assessment of Trauma (FAST): Lix dhibcood (subxiphoid, epigastric bidix, epigastric midig, aagga kelyaha bidix, aagga kelyaha midig, daloolka miskaha) ayaa loo doortay si degdeg ah loogu garto dhaawaca dilaaga ah.
01 Ogaanshaha xoog ba'an oo degdeg ah ama dhaawaca hawada degdega ah ee jirridda iyo dareeraha bilaashka ah ee caloosha: Baaritaanka degdegga ah waxaa loo isticmaalaa ogaanshaha hordhaca ah ee dhiig-baxa xuubka, iyo si loo go'aamiyo goobta dhiigbaxa iyo qadarka (dhiigbaxa pericardial effusion, pleural effusion, peritoneal effusion, pneumothorax). iwm.).
02 Dhaawacyada caadiga ah: beerka, beeryarada, dhaawaca beeryarada.
03 Caadiyan oo aan dhaawac ahayn: appendicitis ba'an, cholecystitis ba'an, dhagxaanta xameetida iyo wixii la mid ah.
04 Cilmiga haweenka ee caadiga ah: uurka ectopic, previa mandheerta, dhaawaca uurka, iwm.
05 Dhaawaca carruurta.
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2. Codsiga ultrasound la qaadi karo ee wadnaha
Echocardiography waa heerka dahabka ee ogaanshaha cuduro badan oo wadnaha iyo xuubka wadnaha ah.
01 Dhiigbaxa mindhicirka: Aqoonsiga degdega ah ee dhiigbaxa xuubka wadnaha, tamponade pericardial, daloolada xuubka xuubka ee ultrasound-ka.
02 Dhiig-baxa sambabada oo weyn: Echocardiography wuxuu kaa caawin karaa in meesha laga saaro xaaladaha leh calaamadaha la midka ah sambabada sambabada, sida tamponade wadnaha, pneumothorax, iyo wadnaxanuun myocardial.
03 Qiimaynta shaqada ventricular ventricular bidix: Shaqada systolic ee bidix ee bidix waxaa lagu qiimeeyay baadhis degdeg ah oo laga sameeyay dhidibka wayn ee bidix, dhidibka bidix ee yar yar, wadnaha afar qol ka kooban, iyo jajab ka saarista ventricular bidix.
04 Dissection Aortic: Echocardiography wuxuu ogaan karaa meesha kala-baxa, iyo sidoo kale goobta ku lug lahaanshaha.
05 Myocardial ischemia: Echocardiography waxaa loo isticmaali karaa in lagu baaro wadnaha dhaqdhaqaaqa derbiga aan caadiga ahayn.
06 Cudurka wadnaha ee Valvular: Echocardiography wuxuu ogaan karaa qaylo-dhaanta waalka aan caadiga ahayn iyo isbeddellada socodka dhiigga.
3. Codsiga ultrasound la qaadi karo ee sambabada iyo diaphragm
01 Waxaa loo isticmaalaa in lagu qiimeeyo darnaanta sambabada marxaladda hore ee dhexe, bararka yar yar ee hydrophilia sambabada ayaa ka muuqda sambabada - calaamada khadka B.
02 Loo isticmaalo ogaanshaha bukaanka sambabada daran, labada sambabba waxay fidiyaan fiyuuska B-line, oo muujinaya calaamad "sambabada cad", xaaladaha daran waxay u muuqdaan xoojinta sambabada.
03 Si loo ogaado dheecaanka xuubka xuubka xuubka xuubka xuubka xuubka xuubka xuubka.
04 Si loo ogaado cudurka pneumothorax: calaamad stratospheric, barta sambabada iyo calaamadaha kale waxay soo jeedinayaan suurtagalnimada jiritaanka pneumothorax.
05 Hag habka hawo-mareenka oo u fiirso xaaladda dib u fidinta sanbabada.
06 Codsiyada ultrasound-ka diaphragmatic, khadka-ka-baxsan ee la hagayo, kala soocida hab-dhiska dhexe iyo gabowlaha.
4.Codsiga ultrasound la qaadi karo ee seedaha muruqa
01 Ultrasound ayaa qiimeyn kara in seedu jeexan tahay iyo inta ay le'eg tahay jeexjeexa.
02 Bukaanka qaba xanuunka iyo bararka gacmaha iyo cagaha, ultrasound ayaa si dhakhso ah oo kalsooni leh u baari kara tenosynovitis, kaas oo gacan ka geysanaya hagaajinta tayada daryeelka iyo xulashada daaweynta ku habboon.
03 Qiimee ka qayb qaadashada wadajirka ah ee arthritis-ka daba-dheeraada.
04 Si sax ah u hago seedaha iyo hamiga bursiga iyo duritaanka unugyada jilicsan.
5.Codsiga ultrasound la qaadi karo ee hagida kiliinikada
01 Dulitaanka xididdada dhiigga: aragga tuubbada xididka qotodheer, daloolista halbowlaha, iwm.
02 Hagaha meelaynta maaskaro laryngeal.
03 Gelitaanka dhuunta neef mareenka ee la hago.
04 Daloolinta wadajirka ah, xannibaadda neerfaha, iwm.
05 Hagaha godka xuubka wadnaha, daloolka thoracic, godka caloosha, iwm.
06 Cyst, hagaha daloolinta nabarrada, iwm
Waxaa la arki karaa in kala duwan ee codsiga ee midabka la qaadi karo Doppler qalab ogaanshaha ultrasound waa mid aad u ballaaran, iyo kala duwan ee kormeerku waa ballaaran, saxsanaanta sare, kormeer degdeg ah, aan dhaawac, aan wax iska caabin ah, kormeerka soo noqnoqda;Midabka la qaadi karo ee baaritaanka Doppler waxay leeyihiin faa'iidooyinka soo socda ee muhiimka ah:
Yaryar iyo mid la qaadi karo, si toos ah ayaa loo qaadi karaa gacanta, taas oo u sahlaysa shaqaalaha caafimaadka inay si degdeg ah u qaadaan ultrasound goobta caafimaadka.
Xawaaraha kormeerku waa mid degdeg ah, waa la soo celin karaa, ma jiraan wax dhaawac ah, ma jiraan wax liddi ku ah.
La qabso jawi shaqo oo kala duwan, oo ay ku jiraan sariir dhinaceeda, ICU, xaaladaha degdega ah, booqashooyinka goobta, iwm.
Tayada sawireed ee heer sare ah iyo taageerada baaritaanka caloosha, korka sare iyo wadnaha oo leh codsiyo kala duwan oo dhamaystiran si loo daboolo baahiyaha caafimaad ee kala duwan.
Daaweynta dhexgalka Ultrasound, isha ultrasound ee uu qaado takhtarku.
Midabka la qaadi karo ee Doppler-ka qalabku wuxuu bixiyaa saldhig lagu kalsoonaan karo oo loogu talagalay baarista iyo daaweynta dheeraadka ah ee kiliinikada, waxayna ogaanayaan in bukaannada muhiimka ah ay dhamaystiri karaan baaritaanka ultrasound ee wadnaha ee sariirta iyada oo aan ka tagin ICU, taas oo si weyn u hagaajinaysa heerka ogaanshaha iyo daaweynta bukaanka halista ah.
Waqtiga boostada: Nov-13-2023
