Ngokuphuhliswa kweyeza eziphuthumayo kunye nokuthandwa kweteknoloji ye-ultrasound, i-point-of-care ultrasound isetyenziswe ngokubanzi kwiyeza eziphuthumayo.Kukulungele ukuxilongwa ngokukhawuleza, ukuvavanywa ngokukhawuleza kunye nokunyangwa kwezigulane eziphuthumayo, kwaye isetyenziswe kwiimeko eziphuthumayo, ezinzima, ezibuhlungu, i-vascular, obstetrics, i-anesthesia kunye nezinye izinto ezikhethekileyo.
Ukusetyenziswa kwe-poc ultrasound ekuxilongweni nasekuvavanyeni kwesi sifo kuye kwaxhaphaka kakhulu kumasebe angaphandle angxamisekileyo.I-American College of Emergency Physicians ifuna oogqirha ukuba bafunde iteknoloji ye-ultrasound engxamisekileyo.Oogqirha bexesha likaxakeka eYurophu naseJapan basebenzise kakhulu i-poc ultrasound ukunceda ukuxilongwa kunye nonyango.Okwangoku, ukusetyenziswa kwe-poc ultrasound ngoogqirha besebe likaxakeka e-China akulingani, kwaye amanye amasebe kaxakeka ezibhedlele sele eqalisile ukuqeqesha kunye nokukhuthaza ukusetyenziswa kwe-poc ultrasound, ngelixa uninzi lwamasebe kaxakeka ezibhedlele zisangenanto kule nkalo.
I-ultrasound ye-Emergency yinkalo elinganiselwe kakhulu yesicelo seyeza se-ultrasound, esilula, esilungele wonke ugqirha ongxamisekileyo ukuba asebenzise.Okufana noku: ukuhlolwa kwe-trauma, i-aneurysm ye-aorta yesisu, ukusekwa kokufikelela kwi-vascular and so on.
Ukusetyenziswa kwepocultrasound kwisebe likaxakeka
1.Uvavanyo lokwenzakala
Oogqirha abangxamisekileyo basebenzisa i-poc ultrasound ukuchonga ulwelo lwasimahla ngexesha lovavanyo lokuqala lwezigulane ezinesifuba okanye ukwenzakala kwesisu.Uvavanyo olukhawulezayo lwe-ultrasound lokwenzakala, kusetyenziswa i-ultrasound ukubona ukopha kwe-intraperitoneal.Inkqubo ekhawulezileyo yoviwo iye yaba yindlela ekhethwayo yovavanyo olungxamisekileyo lokwenzakala kwesisu, kwaye ukuba uviwo lokuqala lubi, uviwo lunokuphinda luphindwe njengoko kuyimfuneko ekliniki.Uvavanyo oluqinisekileyo lomothuko owophayo lubonisa ukopha kwesisu esifuna utyando.Uvavanyo olugxininisiweyo lwe-ultrasound lwe-trauma eyandisiweyo lusetyenziswa kwizigulane ezineentlungu zesifuba ukuhlola amacandelo e-subcostal kuquka intliziyo kunye necala langaphambili lesifuba.
2.I-echocardiography ejoliswe kwinjongo kunye novavanyo lokothuka
Uvavanyo lwentliziyo kunye ne-poc ultrasound isebenzisa i-echocardiography ejoliswe ekujoliswe kuyo, inani elilinganiselweyo leembono eziqhelekileyo ze-echocardiographic, ukuququzelela ukuvavanya ngokukhawuleza koogqirha bexakeka kwisakhiwo senhliziyo kunye nomsebenzi kwizigulane ezine-hemodynamic disorders.Iimbono ezintlanu ezisemgangathweni zentliziyo ziquka i-axis ende ye-parasternal, i-axis emfutshane ye-parasternal, amagumbi amane apical, amagumbi amane e-subxiphoid, kunye nemibono engaphantsi kwe-vena cava.Uhlalutyo lwe-Ultrasound lwe-mitral kunye ne-aortic valves lunokufakwa kuviwo, olunokukhawuleza ukuchonga imbangela yobomi besigulane, njengokungasebenzi kakuhle kwe-valve, ukungaphumeleli kwe-ventricular yasekhohlo, kunye nokungenelela kwangaphambili kwezi zifo kunokusindisa ubomi besigulane.
3.I-pulmonary ultrasound
I-pulmonary ultrasound ivumela oogqirha abangxamisekileyo ukuba bahlole ngokukhawuleza imbangela ye-dyspnea kwizigulana kwaye banqume ubukho be-pneumothorax, i-pulmonary edema, i-pneumonia, isifo se-pulmonary interstitial, okanye i-pleural effusion.I-pulmonary ultrasound idibene ne-GDE inokuvavanya ngokufanelekileyo unobangela kunye nobukhulu be-dyspnea.Kwizigulane ezigula kakhulu ezine-dyspnea, i-pulmonary ultrasound inefuthe elifanayo lokuxilonga kwi-chest plain scan CT kwaye iphezulu kune-X-ray yesifuba sebhedi.
4.Ukuvuselelwa kweCardiopulmonary
Ukubanjwa kwentliziyo yokuphefumla sisifo esixhaphakileyo esingxamisekileyo.Isihluthulelo sokuhlangula ngempumelelo lixesha kunye nokuvuselela i-cardiopulmonary resuscitation.I-poc ultrasound inokubonisa izizathu ezinokuthi zibuyele umva ukubanjwa kwentliziyo, njengokuphuma kwe-pericardial effusion kunye ne-pericardial tamponade, i-ventricular dilation enzima kunye ne-pulmonary embolism enkulu, i-hypovolemia, i-tension pneumothorax, i-tamponade yenhliziyo, kunye ne-myocardial infarction enkulu, kunye nokubonelela ngamathuba okulungiswa kwangaphambili. oonobangela.I-poc ultrasound inokuchonga umsebenzi we-contractile we-cardiac ngaphandle kwe-pulse, yahlula phakathi kokubanjwa okwenyaniso kunye nobuxoki, kwaye ibeke iliso kuyo yonke inkqubo ngexesha le-CPR.Ukongezelela, i-poc ultrasound isetyenziselwa ukuhlolwa kwendlela yomoya ukunceda ukuqinisekisa indawo ye-tracheal intubation kunye nokuqinisekisa ukungena komoya okwaneleyo kwimiphunga yomibini.Kwisigaba sokubuyisela, i-ultrasound ingasetyenziselwa ukuvavanya isimo somthamo wegazi kunye nobukho kunye nobukhulu be-myocardial dysfunction emva kokuvuselela.Unyango olufanelekileyo lwamanzi, ukungenelela kwezonyango okanye inkxaso yomatshini ingasetyenziswa ngokufanelekileyo.
5.Unyango lwe-puncture olukhokelwa yi-Ultrasound
Ukuhlolwa kwe-Ultrasonic kungabonisa ngokucacileyo ubume obunzulu bezicubu zomzimba womntu, ngokuchanekileyo indawo yezilonda kunye nokuqwalasela utshintsho oluguquguqukayo lwezilonda ngexesha langempela ukuphepha iingxaki ezinzulu, ngoko ke iteknoloji ye-ultrasound ekhokelwa yi-puncture yaba khona.Okwangoku, itekhnoloji ye-puncture ekhokelwa yi-ultrasound isetyenziswe ngokubanzi kwiklinikhi kwaye ibe sisiqinisekiso sokhuseleko kwimisebenzi eyahlukeneyo yeklinikhi.I-Poc ultrasound iphucula izinga lempumelelo yeenkqubo ezahlukeneyo ezenziwa ngoogqirha bexesha likaxakeka kwaye inciphisa izehlo zeengxaki, ezifana ne-thoracopuncture, i-pericardiocentesis, i-anesthesia yengingqi, i-lumbar puncture, ukufakwa kwe-catheter ye-venous ephakathi, i-peripheral artery enzima kunye nokufakwa kwe-catheter ye-venous, ukusika kunye nokuphuma kwesikhumba. amathumba, ukuhlatywa ngokudibeneyo, kunye nokulawulwa kwendlela yomoya.
Ukukhuthaza ngakumbi uphuhliso lonxunguphalopocultrasound e China
Ukusetyenziswa kwe-poc ultrasound kwisebe likaxakeka lase-China kunesiseko sokuqala, kodwa kusafuneka kuphuhliswe kwaye kwandiswe.Ukuze kukhawuleziswe ukuphuhliswa kwe-poc ultrasound yongxamiseko, kuyimfuneko ukuphucula ulwazi lwamagqirha angxamisekileyo kwi-poc ultrasound, ukufunda kwiimfundiso ezivuthiweyo kunye namava okulawula kwamanye amazwe, kwaye uqinise kwaye ulungelelanise uqeqesho lwe-teknoloji ye-ultrasound engxamisekileyo.Uqeqesho kwiindlela ezingxamisekileyo ze-ultrasound kufuneka ziqale ngoqeqesho lwabahlali bexakeka.Khuthaza isebe likaxakeka ukuba limisele iqela loogqirha abangxamisekileyo be-poc ultrasound kwaye basebenzisane nesebe lokujonga umfanekiso we-ultrasound ukuphucula isakhono sesebe sokusebenzisa i-ultrasound.Ngokunyuka kwenani lamagqirha angxamisekileyo abafunda kwaye basebenzise iteknoloji ye-poc ultrasound, iya kukhuthaza ngakumbi ukuphuhliswa kwe-poc ultrasound engxamisekileyo e-China.
Kwixesha elizayo, kunye nohlaziyo oluqhubekayo lwezixhobo ze-ultrasound kunye nokuphuculwa okuqhubekayo kwe-AI kunye ne-AR iteknoloji, i-ultrasound exhotywe ngokufikelela okwabelwana ngazo ngamafu kunye nobuchule be-telemedicine kuya kunceda oogqirha bexakeka ukuba benze ngcono.Kwangaxeshanye, kuyimfuneko ukuphuhlisa inkqubo yoqeqesho olungxamisekileyo poc ultrasound kunye nesiqinisekiso enxulumene isiqinisekiso esekelwe iimeko China ngokwenene yesizwe.
Ixesha lokuposa: Dec-15-2023
