Codsiga ultrasound la qaadi karo ee xaalad degdeg ah oo daran

Codsiga ultrasound la qaadi karo ee xaalad degdeg ah oo daran

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.

Xaaladda codsiga ee ultrasound-ka sariirta guriga iyo dibaddaba

1. Waxaa jira oo aad u badan oo aad u badan oo tababar ultrasound ah oo adduunka ah.Waqtigan xaadirka ah, nidaam tababar oo aasaasi ah oo macquul ah ayaa la sameeyay, waxaana la aasaasay Isbahaysiga Ultrasound ee Intensive World (WINFOCUS).
2. Kulliyada Maraykanka ee Dhakhaatiirta Degdegga ah waxay u baahan tahay in takhaatiirta degdega ahi ay sare u qaadaan tignoolajiyada degdega ah ee ultrasound, iyo 95% xarumaha dhaawacyada heerka 1 ee Maraykanka (190) waxay sameeyaan ultrasound degdeg ah.
3. Dhakhaatiirta deg-degga ah ee Yurub iyo Japan waxay si weyn u isticmaaleen ultrasound si ay u caawiyaan bukaanka ogaanshaha iyo daaweynta
4. Shiinuhu wuxuu bilaabay goor dambe, laakiin horumarku waa dhakhso.

Codsiga ultrasound-ka la qaadi karo ee gargaarka degdegga ah ee dhaawaca iyo caloosha oo daran

01 Kormeerka aasaasiga ah
Baaritaanka marin-haweedka nafta halis gelinaya, neefsashada iyo wareegga.- Gargaarka degdega ah, degdegga

02 Kormeerka sare
Aqoonso dhaawacyada muuqda ee dhammaan qaybaha jidhka - degdegga, ICU, qaybta

03 Jeeg saddex jeer ah
Kormeer nidaamsan oo dhamaystiran si looga fogaado dhaawacyada maqan -ICU, waadh

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 dhaawacyada dilaaga ah.

1. Ogaanshaha xoog ba'an oo ba'an ama dhaawaca hawada ba'an 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, plexus pleural, effusion caloosha). pneumothorax, iwm.).
2.Dhaawacyada caadiga ah: beerka, beeryarada, dhaawaca beeryarada
3. Caadiyan aan dhaawac ahayn: xanuunka appendicitis, cholecystitis ba'an, dhagxaanta xameetida iyo wixii la mid ah
4. Cilmiga haweenka ee caadiga ah: uurka ectopic, mandheerta previa, dhaawaca uurka, iwm
5. Dhaawaca carruurta
6. Hoos-u-dhac aan la garanayn iyo wixii la mid ah waxay u baahan yihiin tijaabooyinka FASA

Acodsiga ultrasound la qaadi karo ee gudahawadnaha

Qiimaynta degdega ah oo wax ku ool ah ee xajmiga guud iyo shaqada wadnaha, xajmiga qolalka shakhsi ahaaneed ee wadnaha, heerka myocardial, joogitaanka ama maqnaanshaha regurgitation, shaqada valve, jajabka ka saarista, qiimeynta heerka heerka dhiigga, qiimeynta shaqada matoorka wadnaha, degdeg ah ogaanshaha sababaha hypotension, bidix iyo midig ee ventricular systolic / shaqada diastooliga, hagida daaweynta dareeraha, dib u soo kicinta mugga, hagida kormeerka wadnaha sambabada, Bukaannada dhaawacyada qaba ma laha wadna dillaac iyo daawaynta degdega ah ee xuubka pericardial iyo dhiigga, iwm.

1. Dhiigbaxa mindhicirka: Aqoonsiga degdega ah ee dhiigbaxa xuubka wadnaha, tamponade pericardial, dalool xuubka xuubka ee ultrasound
2. Sambabada weyn ee sambabada: Echocardiography ayaa kaa caawin karta in meesha laga saaro xaaladaha leh calaamado la mid ah sambabada sambabada, sida tamponade wadnaha, pneumothorax, iyo wadnaxanuun myocardial.
3. Qiimaynta shaqada ventricular ee bidix: Shaqada systolic ee bidix ee bidix waxa lagu qiimeeyay baadhis degdeg ah oo lagu sameeyay dhidibka weyn ee bidix, dhidibka yar ee bidix, wadnaha afar qol ka kooban, iyo jajab ka saarista ventricular bidix.
4. Kala-baxa xididada: Echocardiography waxa uu ogaan karaa meesha la goynayo, iyo sidoo kale goobta ku lug lahaanshaha
5. Wadnaha wadnaha (Myocardial ischemia): Echocardiography waxa loo isticmaali karaa in lagu baaro wadnaha dhaq-dhaqaaqa gidaarka ee aan caadiga ahayn.
6. Cudurka wadnaha ee Valvular: Echocardiography wuxuu ogaan karaa dhawaaqa waalka aan caadiga ahayn iyo isbeddelada socodka dhiigga

Codsiga ultrasound la qaadi karo ee sambabada

1. Waxaa loo isticmaalaa in lagu qiimeeyo darnaanta sambabada marxaladda hore ee dhexe, qaybo yaryar oo ah hydrosis sambabada ayaa ka muuqda sambabada
2. Labada sambabba waxay fidiyaan xariiqda fiyuuska ah ee B, oo muujinaya calaamad "sambabada cad", xoojinta sambabada oo daran
3. Hag habka hawo-mareenka oo u fiirso xaaladda dib u fidinta sanbabada
4. Si loo ogaado cudurka pneumothorax: calaamad stratospheric, barta sambabada iyo calaamadaha kale waxay soo jeedinayaan jiritaanka suurtogalka ah ee pneumothorax

Codsiga ultrasound-ka la qaadi karo ee seedaha muruqa

1. Ultrasound ayaa qiimeyn kara in seedu jeexan tahay iyo inta ay le'eg tahay jeexjeexa
2. 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.
3. Qiimee ka qayb qaadashada wadajirka ah ee arthritis-ka daba-dheeraada
4. Si sax ah u hago seedaha iyo hamiga bursiga iyo duritaanka unugyada jilicsan

Codsiga ultrasound-ka la qaadi karo ee hagida kiliinikada

1. Catheterization xididka dhexe ee uu hogaamiyo Ultrasound (xididka jugular gudaha, xididka subclavian, xididka femoral)
2. Daloolinta PICC ee hagta Ultrasound
3. Kateeterization-ka uu hago Ultrasound ee halbowlaha soo duulay
4. Ultrasound hago dheecaan dalool, ultrasound hago dheecaan dalool caloosha.
5. Daloolin dhiigbaxa xuubka xuubka ee Ultrasound-ku haga
6. Dulitaanka beerka kaadiheysta hepatogall-ka ee uu hago Ultrasound

Waxaa la arki karaa in midabka la qaadi karo ee Doppler ultrasound diagnostic qalab uu leeyahay codsiyo aad u ballaaran oo aad u ballaaran xaaladaha degdegga ah ee degdegga ah, siinta saldhig lagu kalsoonaan karo oo loogu talagalay ogaanshaha iyo daaweynta dheeraadka ah ee kiliinikada, iyo garashada in bukaannada muhiimka ah ay dhamaystiri karaan baaritaanka ultrasound wadnaha ee sariirta iyada oo aan ka tagin qaybta daryeelka, si weyn u wanaajisay ogaanshaha iyo heerka daawaynta ee bukaannada halista ah.