Ukusetyenziswa kwe-ultrasound ye-musculoskeletal kwiklinikhi

1.Isicelo kwizifo ezidibeneyo

I-high-frequency ultrasound ingabonisa ngokucacileyo i-articular cartilage kunye nethambo lethambo, i-ligaments ejikeleze i-joint, i-tendon kunye nemizimba yangaphandle kunye ne-fluid kwi-joint cavity, njl. umsebenzi.Umzekelo: abantu abadala bathambekele kwi-osteoarthropathy ewohlokayo, kuvavanyo lwe-ultrasound inokufumaneka kwithambo lesigulana i-articular cartilage surface edge iba rhabaxa, i-cartilage ibhityile kunye nobukhulu obungalinganiyo, umphezulu wethambo lomphetho odibeneyo unokubona iiprotrusions ezininzi zamathambo - i-osteophyte. ukwakheka, oko kukuthi, sihlala sisithi i-bone spurs.Kwiimeko ezinzima, ukuqokelela kwamanzi kunye nokuqina kwezicubu ze-synovial kunokubonwa kwi-joint cavity.Zonke ezi zibonelela ngesiseko senjongo yokuxilonga kunye novavanyo lwesifo samalungu esiwohlokayo.

I-2.Ukusetyenziswa kwi-muscle, i-tendon, i-ligament kunye nezinye izifo zezicubu ezithambileyo

Izihlunu eziqhelekileyo, i-tendon kunye ne-ligaments ine-texture efanayo kunye nemvelo yendalo, kunye ne-echoes ye-ultrasonic image echoes ifana kwaye iyaqhubeka.Olu tshintsho lufanayo xa izihlunu, imisipha, iintambo, kunye neeligaments ziphuka okanye zivutha.Xa izihlunu kunye neetendon ziphukile, i-ultrasound ingabonisa ukuqhubeka kobume bendawo.I-Edema kunye nokuvuvukala kunokukhokelela ekunciphiseni okanye ekunyuseni kwe-echo ye-tissue yendawo kunye nokutshintsha kwesicatshulwa;Ukuxinana kwendawo kunokukhokelela ekunyukeni okukhulu kweempawu zokuhamba kwegazi, kwaye xa ukuqokelela kwamanzi kwenzeka, iindawo ezingenakulinganiswa zendawo zingabonwa.Ngoko ke, i-high-frequency ultrasound kukunika oogqirha isibini sokuqonda, ukubanceda bafumane iimpawu zesifo.

I-3.Isicelo kwi-peripheral nerve damage kunye nezinye izifo

I-ultrasound yangoku ye-high-frequency inesisombululo esihle, kwaye inokubonisa ngokucacileyo i-peripheral nerves eziphambili, ukusabalalisa, ubukhulu kunye nobudlelwane be-anatomic isikhundla kunye nezicubu ezijikelezayo.Ukuxilongwa kokulimala kwe-peripheral nerve kunye ne-lesion kunokwenziwa ngokuhambelana notshintsho lwesakhiwo se-nerve, i-echo, ubukhulu kunye nobudlelwane be-anatomic kunye nezicubu ezijikelezileyo.I-peripheral neuropathy enokuxilongwa ibandakanya: i-peripheral neuropathy, i-nerve entrapment (i-carpal tunnel syndrome, i-cubital tunnel syndrome, i-suprascapular nerve entrapment syndrome, njl.), i-peripheral nerve tumor, kunye nokulimala kwe-brachial plexus nerve.

4.Isicelo kwizifo ze-rheumatic immune

Iimpawu eziphambili zezifo ze-rheumatic immune kumalungu e-musculoskeletal yi-synovitis, i-synovial hyperplasia, utshintsho oluvuthayo lwe-tendon kunye ne-tendinous sheath, i-attachment isiphelo sokudumba, ukhukuliseko kunye nokutshatyalaliswa kwethambo, njl. Kwiminyaka yakutshanje, kuye kwaba luxabiso olubalulekileyo lwesicelo se-ultrasound Amalungu e-musculoskeletal joints ngokuvavanya utshintsho oluvuthayo lwe-joint synovium, i-tendon, i-tendon sheath kunye ne-attachment end kunye neqondo lokukhukuliseka kwamathambo asekhaya kunye nokutshatyalaliswa nge-gray scale ultrasound kunye namandla e-Doppler ukubonelela ngesiseko senjongo yokuxilongwa kunye nokunyangwa kwezifo ze-rheumatic immune, eziye zabangela ukuba i-rheumatic igxininisekile. iye yakhuthazwa ngakumbi kwaye yanconywa ngokubanzi ngabasebenzi be-rheumatologists.

5.Ukusetyenziswa ekuxilongweni kwegout

IGout sisifo semetabolism esibangelwa kukuphazamiseka kwe-uric acid metabolism emzimbeni womntu.Ngophuhliso loqoqosho lwentlalo kunye nokuphuculwa kwemigangatho yokuphila kwabantu, iziganeko ze-gout zitshintsha ngokuthe ngcembe kwiminyaka emncinci, kwaye iziganeko zikwanyuka unyaka nonyaka.Ngenxa yokubekwa kweekristale ze-urate kumalungu abantu, izicubu ezithambileyo ezijikeleze amalunga kunye nezintso, iintlungu ezidibeneyo zendawo, ukubunjwa kwamatye e-gouty, amatye e-urate kunye ne-nephritis ye-interstitial kwenzeka kwizigulane.Ukufunyanwa kwe-Ultrasonic ye "uphawu oluphindwe kabini" kwi-articular cartilage surface ibe yimbonakaliso ethile ye-gouty arthritis, kunye nokuqokelela i-crystals ye-urate kunye nokwakhiwa kwelitye elidibeneyo linike isiseko sokuxilongwa kwe-gout.Iimpawu ze-ultrasound aziyi-invasive, zilungele kwaye ziphindaphinda, ezibonelela ngoncedo olusebenzayo lokuchongwa kwesifo, ukubonwa kwesiphumo sonyango, i-ultrasound-guided puncture kunye ne-injection yeziyobisi ye-gout.

6.Isicelo kunyango lokungenelela

Ukudibanisa kwe-ultrasound kumsebenzi wongenelelo lwezonyango kufana namehlo aqaqambileyo kwiiklinikhi.Ngaphantsi kwesikhokelo se-ultrasound, inani lemisebenzi yokungenelela liye lakhuseleka, likhawuleza kwaye lisebenza kakuhle, kwaye ligweme umonakalo wemithambo, imithwalo yegazi kunye nezitho ezibalulekileyo.Ngoncedo lwe-ultrasound, oogqirha banokubona ngokukhawuleza isikhundla, ulwalathiso kunye nobunzulu benaliti yokubhoboza ngexesha langempela, okwandisa kakhulu ukuchaneka kwonyango lokungenelela kunye nokunciphisa ukuvela kweengozi ezibangelwa unyango olungenelelayo.

Ngamafutshane, ngophuhliso olukhawulezayo lwetekhnoloji ye-ultrasound ye-high-frequency, i-musculoskeletal ultrasound iye yathandwa ngoogqirha abaninzi ngakumbi kunye nezigulana ezineengenelo zayo zokusonjululwa okulungileyo, ukulungelelaniswa kwexesha lokwenyani, ukungahlaseli kunye nokuphindaphindwa okuhle, kwaye inomsebenzi olungileyo. isicelo.