Tšebeliso ea portable ultrasound maemong a tšohanyetso a matla

Tšebeliso ea portable ultrasound maemong a tšohanyetso a matla

Ka tsoelo-pele e tsoelang pele ea sechaba, tlhahlobo ea ultrasound e fetohile e 'ngoe ea mekhoa ea bohlokoa ea tlhahlobo ea tlhahlobo ea bongaka.Ka phekolo ea tšohanyetso, tlhahlobo ea ultrasound e nkehang habonolo e na le mefuta e mengata e fapaneng, ho nepahala ho phahameng, lebelo la ho hlahloba ka potlako, ho se tsitse le ho se lumellane.Tlhahlobo e phetoang hangata e ka hlahloba bakuli maemong afe kapa afe, ea hapa nako ea bohlokoa ea pholoso bakeng sa bakuli ba nang le ts'oaetso e tebileng e bolaeang, 'me ea etsa khaello ea X-rays.netefatso ka bobeli ka tlhahlobo ea X-ray;Molemo o moholo ka ho fetisisa ke hore bakuli ba tšohanyetso ba nang le phallo e sa tsitsang kapa ba sa lokelang ho sisinyeha ba ka hlahlojoa neng kapa neng le kae kapa kae, 'me ha ho na moeli oa sebaka, e leng mokhoa oa pele oa tlhahlobo bakeng sa bakuli ba kulang haholo.

Boemo ba kopo ea ultrasound ea bethe lapeng le kantle ho naha

1. Ho na le koetliso e matla ea ultrasound lefatšeng.Hona joale, ho thehiloe mokhoa oa motheo le o utloahalang oa koetliso, 'me ho thehiloe World Intensive Ultrasound Alliance (WINFOCUS).
2. American College of Emergency Physicians e hloka hore lingaka tsa tšohanyetso li tlameha ho tseba thekenoloji ea ultrasound ea tšohanyetso, 'me 95% ea litsi tsa ts'oaetso ea boemo ba 1 United States (190) li etse ultrasound ea tšohanyetso.
3. Lingaka tsa maemo a tšohanyetso Europe le Japane li sebelisitse haholo ultrasound ho thusa bakuli ho hlahloba le ho phekola
4. Chaena e qalile ka mor'a nako, empa tsoelo-pele e potlakile.

Kopo ea portable ultrasound ho trauma thuso ea pele le mpeng e matla

01 Tlhahlobo ea mantlha
Ho hlahloba tsela e behang bophelo kotsing, ho phefumoloha le ho potoloha ha mali.- Thuso ea pele, tšohanyetso

02 Tlhahlobo ea bobeli
Hlalosa likotsi tse totobetseng likarolong tsohle tsa 'mele - tšohanyetso, ICU, ward

03 Chekeha hararo
Ho hlahlojoa ka mokhoa o hlophisitsoeng ho qoba ho lahleheloa ke ts'oaetso -ICU, lebatooa

Focus Ultrasound Assessment of Trauma (FAST) :Lintlha tse ts'eletseng (subxiphoid, epigastric e ka ho le letšehali, epigastric e ka ho le letona, sebaka sa renal se letšehali, sebaka sa renal se nepahetseng, lesapo la pelvic) li ile tsa khethoa bakeng sa ho tsebahatsa ka potlako kotsi e bolaeang.

1. Ho sibolloa ha matla a hlabang kapa kotsi e matla ea moea kutung le mokelikeli o sa lefelloeng ka mpeng: Tlhahlobo ea FAST e sebelisoa bakeng sa ho lemoha pele ho tsoa mali a pleural, le ho fumana sebaka sa ho tsoa mali le palo (ho phalla ha pericardial, pleural effusion, abdominal effusion); pneumothorax, joalo-joalo).
2.Likotsi tse tloaelehileng: sebete, spleen, kotsi ea manyeme
3. Tloaelehileng e seng e sithabetsang: appendicitis e matla, cholecystitis e matla, nyooko joalo-joalo.
4. Tloaelo ea mafu a basali: ectopic pregnancy, placenta previa, ts'oaetso ea bokhachane, joalo-joalo
5. Matšoenyeho a bana
6. Hypotension e sa hlalosoang joalo-joalo e hloka liteko tsa FASA

Akopo ea portable ultrasound inpelo

Tekanyetso e potlakileng le e sebetsang ea boholo le ts'ebetso ea pelo ka kakaretso, boholo ba likamore tsa pelo, boemo ba myocardial, boteng kapa ho se be teng ha ho khutla, tšebetso ea valve, karolo ea ejection, tlhahlobo ea boemo ba mali, tlhahlobo ea tšebetso ea pompo ea pelo, kapele. ho lemoha lisosa tsa hypotension, ts'ebetso ea systolic / diastolic ea ventricular ka ho le letšehali le ka ho le letona, phekolo ea mokelikeli o tataisang, ho tsosolosa molumo, ho tataisa tsamaiso ea pelo, bakuli ba Trauma ha ba na ho phatloha ha pelo le phekolo e potlakileng ea pericardial effusion le mali, joalo-joalo.

1. Pericardial effusion: Ho tsebahatsa kapele ha pericardial effusion, pericardial tamponade, ultrasound-guided pericardial effusion.
2. Massive pulmonary embolism: Echocardiography e ka thusa ho laola maemo a nang le matšoao a tšoanang le a pulmonary embolism, joalo ka tamponade ea pelo, pneumothorax le myocardial infarction.
3. Tlhahlobo ea ts'ebetso ea ventricular e ka ho le letšehali: Ts'ebetso ea systolic ea le letšehali e ile ea hlahlojoa ka ho hlahloba ka potlako ea axis e kholo ka ho le letšehali, karolo e nyenyane ea ka ho le letšehali, pelo ea likamore tse 'nè tsa apical, le karolo e ka thōko ea ejection ea ventricular.
4. Aortic dissection: Echocardiography e ka lemoha sebaka sa dissection, hammoho le sebaka sa ho kenya letsoho
5. Myocardial ischemia: Echocardiography e ka sebelisoa ho hlahloba pelo bakeng sa motsamao o sa tloaelehang oa lebota.
6. Boloetse ba pelo ea Valvular: Echocardiography e ka lemoha molumo o sa tloaelehang oa li-valve le liphetoho tsa phallo ea mali.

Tšebeliso ea portable ultrasound matšoafong

1. E sebelisetsoa ho lekola ho teba ha pneumonia ea mohato oa pele-bohareng, maqeba a manyenyane a pulmonary hydrosis a hlaha matšoafong.
2. Matšoafo ka bobeli a arola mola oa B o kopaneng, o bonts'a lets'oao la "matšoafo a masoeu", khokahanyo e matla ea matšoafo.
3. Tataisa boemo ba mochini o kenyang moea 'me u hlokomele boemo ba ho atoloha ha matšoafo hape
4. Bakeng sa tlhahlobo ea pneumothorax: letšoao la stratospheric, ntlha ea matšoafo le matšoao a mang a fana ka maikutlo a ho ba teng ha pneumothorax.

Tšebeliso ea portable ultrasound ka har'a tendon ea mesifa

1. Ultrasound e ka hlahloba hore na tendon e tabohile le boholo ba ho taboha
2. Bakeng sa bakuli ba nang le bohloko le ho ruruha ha matsoho le maoto, ultrasound e ka hlahloba ka potlako le ka botšepehi tenosynovitis, e thusang ho ntlafatsa boleng ba tlhokomelo le ho khetha phekolo e nepahetseng.
3. Hlahloba ho kenya letsoho ho kopanetseng ramatiki e sa foleng
4. Tataisa ka nepo takatso ea tendon le bursae le ente ea linama tse bonolo

Tšebeliso ea portable ultrasound tataisong ea bongaka

1. Ultrasound-guided central vein catheterization (internal jugular vein, subclavia vein, femoral vein)
2. Ultrasound tataisoa PICC puncture
3. Catheterization e tataisoang ke ultrasound ea methapo e hlaselang
4. Ultrasound guided thoracic puncture drainage, ultrasound guided abdominal puncture drainage
5. Ultrasound-guided pericardial effusion puncture
6. Ultrasound-guided percutaneous hepatogallbladder puncture

Hoa hlokomeleha hore 'mala o nkehang habonolo oa sesebelisoa sa tlhahlobo ea "Doppler ultrasound" o na le lits'ebetso tse fapaneng haholo maemong a tšohanyetso a matla, a fana ka motheo o tšepahalang oa tlhahlobo le kalafo e tsoelang pele, le ho hlokomela hore bakuli ba mahlonoko ba ka qeta tlhahlobo ea ultrasound ea pelo ntle le ho tloha sepetlele. setsing sa tlhokomelo, ho ntlafatsa haholo boemo ba tlhahlobo le kalafo ea bakuli ba tebileng.