1.Ukusetyenziswa kwamaziko onyango asezidolophini
I-ultrasound ephathwayo inokunceda oogqirha (iyeza langaphakathi, utyando, i-gynecology, i-pediatrics, i-emergency kunye nokunyamekela okubalulekileyo, njl.) Ukukhawuleza ukuvavanya izigulane okanye ulwazi olunxulumene nesifo kunye nokwandisa inkqubo yokuxilonga ukufezekisa ukuxilongwa kwangaphambili, ukuvavanywa kunye nokulawulwa kwangaphambili kwezifo.Ngokomzekelo, ukukhohlela, ukuxinana kwesifuba, i-dyspnea kunye nezinye iimpawu zivame ukubonwa kwizigulane ezinezifo zokuphefumla, kodwa zixhaphake kwizigulane ezinesifo senhliziyo, ezifana ne-handheld ultrasound yafumanisa ukuba intliziyo yanda, iyancipha umsebenzi we-systolic, ngokuqhelekileyo ithathwa njengesiphumo. yokusilela kwentliziyo, kufuneka ithunyelwe kwisebe le-cardiology ukuze unyango.
2.Isicelo ngamaziko ezonyango kwiindawo eziphantsi okanye ezikude
I-Ultrasound ephathwayo inamandla ombane kunye nokusebenza okonga amandla, onokuqonda uviwo olukhawulezileyo, ukufumana isifo sesigulane kunye nolwazi oluyinkimbinkimbi, ukuphucula umgangatho wenkonzo yezonyango eziphambili kunye nokukwazi ukulawula isigulane.Ngenxa yokulula kwayo kunye neenzuzo zeendleko eziphantsi, ifanelekile kumaziko onyango oluphambili kunye noogqirha (usapho, ilali, ugqirha jikelele) ukuba basebenzise, ukunceda ukufezekisa ukuhlolwa kokuqala ngokukhawuleza kunye nokuvavanywa kokuthunyelwa (ukuthunyelwa phezulu).
3.Ulawulo lwezifo ezingapheliyo zosapho
Ngokukodwa kwiindawo ezikude, oogqirha bengca (oogqirha bentsapho kunye nabasemaphandleni) banokuthwala i-ultrasound ephathwayo kumakhaya abahlali, ukwenza uhlolo lwempilo yekhaya, ukuhlolwa kwezifo kunye nokuxilongwa kwangaphambili, kunye nokuncedisa ukulawula izifo ezingapheliyo kwintsapho.Ngokomzekelo, izigulane ezikhubazekileyo kufuneka zibekwe esweni umthamo womchamo oseleyo kwi-bladder ekhaya, kwaye amaqela akhethekileyo afana nabantu abadala okanye abantu abanobunzima bokuhamba (njengabafazi abakhulelweyo) kufuneka bahlolwe.
4.Imiboniso yeBattlefield
I-Handheld ultrasound isetyenziswe kwibala lokulwa, inokuxhotyiswa ngamaqela angaphambili, izikhundla zexeshana okanye iziseko zexeshana, ngabasebenzi bezonyango zomkhosi okanye amajoni aqeqeshiweyo aphethe, nangaliphi na ixesha lokusebenzisa, ukuphumeza ukufunyanwa ngexesha lokulimala edabini.Ingasetyenziselwa kwizibhedlele zentsimi ngokubambisana noomatshini be-ultrasound abaqhelekileyo.Inokusetyenziswa kwakhona kwizithuthi zothutho (iinqwelo-moya zezothutho, ii-helicopter, izithuthi ezixhobileyo, njl.).
5. Indawo yentlekele
I-Handheld ultrasound idlala indima ebalulekileyo ekulimazeni okukhulu okubangelwa yinyikima, i-tsunami kunye nezinye iintlekele zendalo kunye neengozi ezinkulu, ezinokuthi zincede oogqirha ukuba baxilonge abonzakeleyo ngokukhawuleza kunye neebhetshi kwindawo yentlekele okanye isiseko sesikhashana, kwaye baqonde ukuhlelwa ngokukhawuleza kunye ne-triage, ukuphucula impumelelo yokusindisa ubomi.Ingasetyenziswa lula ngabasebenzi abaqeqeshwe ngokukodwa, kwaye ingasetyenziswa ngokuqhelekileyo ngabangengabo ochwepheshe emva koqeqesho olufutshane (njengenkqubo ye-FAST).
6.Iimeko zonyango olungxamisekileyo
Kwizithuthi ezingxamisekileyo, ii-helicopter eziphuthumayo, iinqwelo-moya ezinkulu, izitimela ezihamba ngesantya esiphezulu, okanye ukhathalelo olungxamisekileyo lwangaphambi kwesibhedlele, i-ultrasound ephathwayo ingasetyenziselwa ukuchonga ngokukhawuleza iimeko eziphuthumayo ezibulalayo kwithuba lokuqala, ukuncedisa iingcali ekubekeni phambili isigwebo, i-triage, ukunciphisa ixesha lokulinda isigulane, ukunciphisa iimvavanyo zolandelelo olungeyomfuneko, kwaye kwandise ukuzithemba kwesigulane kunye nosapho.(1) Ukuxhatshazwa kwe-acute blunt, ukuba i-pericardial effusion, i-pleural okanye i-abdominal effusion ifunyenwe, iphakamisa kakhulu ukuphulwa kwangaphakathi, okunokunceda ngokukhawuleza ukwenza izigqibo zeklinikhi;Ukuba idibaniswe ne-hypotension okanye ukutshatyalaliswa, iphakamisa kakhulu imfuno yokuhlinzwa ngokukhawuleza;(2) Iintlungu zesisu ezibuhlungu ngokukhawuleza, i-ultrasound ephathwayo ingasetyenziselwa ukungabandakanyi okanye ukuxilonga i-renal kunye ne-urethral calculi, ukuvinjelwa kwamathumbu emathunjini, i-intussusception, i-calculi ye-biliary, ukukhulelwa kwe-ectopic kunye ne-torsion of ovarian cyst.(3) Iintlungu zesifuba eziqhubekayo, i-ultrasound ephathwayo ingasetyenziselwa ukuchonga ischemia ye-myocardial acute, i-aortic dissection, i-pulmonary embolism, njl.;(4) Umkhuhlane ophezulu ongapheliyo ongapheliyo, i-palm ultrasound ingasetyenziselwa ukuxilonga i-pleurisy, i-abscess yesibindi, i-endocarditis echaphazelekayo kunye nokunye.5(6) I-Handheld ultrasound ingasetyenziselwa ukuhlola ukulimala kwe-craniocerebral (ukuba umgca wengqondo uphelile).Ngokukodwa kwiziganeko zonyango olungxamisekileyo lwezothutho ezingahambi kakuhle okanye iindawo ezikude zeentaba, ixabiso le-ultrasound ephathwayo libonakala ngakumbi.
7.Imeko yobhubhani
I-Handheld ultrasound idlale indima ekhethekileyo ekufunyanisweni nasekunyangweni kwe-COVID-19.(1) Ukuqhuba ukuhlolwa kwangaphambili kwezifo ukufumanisa ngokukhawuleza unobangela weempawu kunye nokubonelela ngolwazi olunzulu;(2) Ukufunyanwa kweDynamic kunye nokulawulwa kwezigulane ezinzima, ukusetyenziswa kwe-ultrasound ephathwayo ukufumana ukubandakanyeka kwamalungu nanini na naphi na, kwaye kuphunyezwe uvavanyo oluqhubekayo oluguquguqukayo, ukubeka iliso eliguquguqukayo lokuguquguquka kwezifo, kunye novavanyo lweziphumo zonyango.Kwiwadi yodwa, ukuba i-ultrasound ephathwayo inomsebenzi wokubonisana okude, inokuphepha ngokufanelekileyo ukusuleleka kwintsholongwane yabasebenzi bezonyango.
8.Ezinye iimeko ezikhethekileyo
Imiboniso efana namaziko oncedo kubantu abakhubazekileyo, amaziko okunyamekela abantu abadala, iinkampu zeembacu, iindawo zezemidlalo kunye neendawo zethafa zinokuqondwa ngokusekelwe kwi-ultrasound ephathwayo, "oogqirha bangena kumaziko kwaye baye kumakhaya abelusi (ukuhlolwa kwesifo se-hydatid)", eququzelela kakhulu uviwo kunye nonyango lonyango lwabantu abaninzi.Kwizikhululo zasemajukujukwini, ii-submersibles kunye nezinye iindawo ezikhethekileyo, i-handheld ultrasound ixabiseke ngakumbi ngenxa ye-miniaturization yayo.
9. Ukuhlolwa kweziyobisi kwindawo
Qwalasela umzimba womntu ngophando lwe-palm ultrasonic lokuba neziyobisi, ukuthuthwa kweziyobisi, ukujonga izinto ezingekho mthethweni.
10. Imfundo yesikolo sezonyango
Ukulungeleka kunye nokufikeleleka kwe-handheld ultrasound kuphuculwe kakhulu, enokudibanisa i-ultrasound kunye nokufundisa kunye nokuqeqeshwa kwabafundi bezonyango kwaye badlale indima ebalulekileyo kwinkqubo yemfundo yezonyango.
I-11.Isikhokelo se-Ultrasound kunye ne-interventional minimally invasive treatment
Unyango lwentlungu, unyango lwe-musculoskeletal, ukuhlolwa kwe-intraoperative, isigwebo sokuqala kunye nesikhokelo sesebe le-anesthesiology, njl. Kwimeko yongxamiseko, kwi-pneumothorax enzulu, i-hemothorax, i-pericardial effusion kunye nokuphazamiseka kwendlela yomoya, i-ultrasound ephathwayo inokudlala indima yokuncedisa isikhokelo kunye nokuphucula ukusebenza kakuhle unyango.Kwi-venous kunye ne-arterial puncture, isikhokelo se-ultrasound esiphathwa ngesandla sinokuphucula izinga lokuphumelela lokuhlatywa.
12. Isixhobo sokuhlolwa kwewadi
Xa uqhuba imijikelo yewadi kwizigulana ezilaliswe esibhedlele, i-ultrasound ephathwayo inokuqonda ngokukhawuleza uviwo kwaye ifumane ulwazi olufanelekileyo.
13. Ngezilwanyana
Ukuhlolwa kwezilwanyana.
Ixesha lokuposa: Nov-01-2023
