Isicelo Clinical of eziphuthumayo ultrasound
Ngokuthuthuka okuqhubekayo komphakathi, ukuhlolwa kwe-ultrasound kuye kwaba enye yezindlela zokuhlola ezibalulekile zokuxilongwa kwezokwelapha.Ekwelapheni okuphuthumayo, ukuhlolwa kwe-ultrasound ephathekayo kunobubanzi obubanzi, ukunemba okuphezulu, isivinini sokuhlola okusheshayo, ukungahlukumezeki futhi akukho ukuphikisana.Ukuhlola okuphindaphindiwe kungahlola ngokushesha iziguli kunoma yisiphi isimo, kuzuze isikhathi esiyigugu sokuhlenga ezigulini ezihlukumezeke kakhulu, futhi kwenzele ukushoda kwama-X ray.Ukuqinisekisa okufanayo ngokuhlolwa kwe-X-ray;Inzuzo enkulu ukuthi iziguli eziphuthumayo ezinokujikeleza okungazinzile noma okungafanele zihanjiswe zingahlolwa noma nini nanoma kuphi, futhi akukho mkhawulo wesigameko, okuyindlela yokuqala yokuhlola iziguli ezigula kakhulu.
1.Ukusetshenziswa kwe-ultrasound ephathekayo ekuhlukumezeni usizo lokuqala kanye nesisu esibuhlungu
I-Focus Ultrasound Assessment of Trauma (FAST) : Amaphuzu ayisithupha (i-subxiphoid, i-epigastric yesokunxele, i-epigastric yesokudla, indawo ye-renal yesokunxele, indawo ye-renal kwesokudla, i-pelvic cavity) akhethiwe ukuze kubonakale ngokushesha ukuhlukumezeka okubulalayo.
01 Ukutholwa kwamandla ashubile ashubile noma ukulimala komoya okubabazekayo esiqwini kanye noketshezi lwamahhala esiswini: Ukuhlolwa kwe-FAST kusetshenziselwa ukuhlonza ukopha kwe-pleural, kanye nokuthola indawo yokopha kanye nenani (ukuphuma kwe-pericardial, ukukhishwa kwe-pleural, ukukhishwa kwe-peritoneal, i-pneumothorax njll.).
02 Ukulimala okuvamile: isibindi, ubende, ukulimala kwamanyikwe.
03 Okuvamile okungeyona into ebuhlungu: i-appendicitis eyingozi, i-cholecystitis eyingozi, amatshe enyongo nokunye.
04 I-gynecology evamile: ukukhulelwa kwe-ectopic, i-placenta previa, ukuhlukumezeka kokukhulelwa, njll.
05 Ukuhlukumezeka kwezingane.
06 I-hypotension engachazwanga nokunye kudinga ukuhlolwa kwe-FASA.
2.Ukusetshenziswa kwe-ultrasound ephathekayo enhliziyweni
I-Echocardiography iyindinganiso yegolide ekuxilongeni izifo eziningi zenhliziyo ne-pericardial.
01 Ukuqhuma kwe-Pericardial: Ukuhlonzwa okusheshayo kokuphuma kwe-pericardial, i-pericardial tamponade, ukubhoboza kwe-pericardial okuqondiswa yi-ultrasound.
02 I-Massive pulmonary embolism: I-Echocardiography ingasiza ekukhipheni izimo ezinezimpawu ezifana ne-pulmonary embolism, njenge-cardiac tamponade, pneumothorax, ne-myocardial infarction.
03 Ukuhlolwa kokusebenza kwe-ventricular yesokunxele: Umsebenzi we-systolic we-ventricular yesokunxele wahlolwa ngokuskena okusheshayo kwe-eksisi enkulu yesokunxele, i-eksisi encane yesokunxele, inhliziyo ye-apical enamagumbi amane, kanye nengxenye yokuphuma kwe-ventricular yesokunxele.
I-04 I-Aortic dissection: I-Echocardiography ingathola indawo ye-dissection, kanye nendawo yokubandakanyeka.
05 I-Myocardial ischemia: I-Echocardiography ingasetshenziswa ukuhlola inhliziyo ukunyakaza okungavamile kodonga.
06 Isifo senhliziyo esibizwa ngokuthi yi-Valvular heart disease: I-Echocardiography ingathola ukunanela kwamavalvu okungavamile kanye nezinguquko kububanzi bokugeleza kwegazi.
3.Ukusetshenziswa kwe-ultrasound ephathekayo emaphashini nase-diaphragm
01 Isetshenziselwa ukuhlola ubukhali benyumoniya yesigaba sokuqala esimaphakathi, amapheshana amancane e-pulmonary hydrophilia avela emaphashini - Uphawu lomugqa B.
02 Isetshenziswa ekuxilongeni kweziguli ezinenyumoniya ezinzima, womabili amaphaphu asakaza umugqa we-B wokuhlanganisa, obonisa uphawu "lwephaphu elimhlophe", izimo ezinzima zivela ukuhlanganiswa kwamaphaphu.
03 Ukuze kutholwe ukuphuphuma kwe-pleural, i-ultrasound guided puncture drainage ye-pleural effusion.
04 Ukuze kuhlonzwe i-pneumothorax: uphawu lwe-stratospheric, indawo yamaphaphu nezinye izimpawu zibonisa ukuthi kungenzeka ukuba khona kwe-pneumothorax.
05 Qondisa ukusethwa kwe-ventilator futhi ubheke isimo sokunwetshwa kabusha kwamaphaphu.
06 Ngezinhlelo zokusebenza ze-diaphragmatic ultrasound, eziqondiswa ungaxhunyiwe ku-inthanethi, ezihlukanisa ukuhluleka kokuphefumula okuphakathi nendawo.
4.Ukusetshenziswa kwe-ultrasound ephathekayo ku-tendon yemisipha
01 I-Ultrasound ingahlola ukuthi i-tendon idabukile kanye nezinga lokudabuka.
02 Ezigulini ezinobuhlungu nokuvuvukala kwezandla nezinyawo, i-ultrasound ingakwazi ukuxilonga ngokushesha futhi ngokuthembekile i-tenosynovitis, esiza ukuthuthukisa izinga lokunakekelwa nokukhetha ukwelashwa okufanele.
03 Hlola ukubandakanyeka okuhlangene ku-arthritis engapheli.
04 Qondisa ngokunembile i-tendon ne-bursae aspiration kanye nomjovo wezicubu ezithambile.
5.Ukusetshenziswa kwe-ultrasound ephathekayo ekuqondisweni komtholampilo
01 Ukubhoboza kwe-Vascular: ukubonwa kwe-deep vein catheterization, ukubhoboza kwe-arterial, njll.
02 Ukubekwa komhlahlandlela kwe-mask ye-laryngeal.
03 Intubation ye-trachea eqondiswayo.
04 Ukubhoboza ngokuhlanganyela, ukuvimba kwemizwa, njll.
05 Qondisa i-pericardial cavity, i-thoracic cavity, i-abdominal cavity, njll.
06 I-cyst, umhlahlandlela wokubhoboza ithumba, njll.
Kungabonakala ukuthi uhla lwesicelo sombala ophathwayo wethuluzi lokuxilonga i-Doppler ultrasound lubanzi kakhulu, futhi uhla lokuhlola lubanzi, ukunemba okuphezulu, ukuhlolwa okusheshayo, ukungahlukumezeki, akukho ukuphikisana, ukuhlolwa okuphindaphindiwe;Ukuxilongwa kwe-Doppler yombala ephathekayo kunezinzuzo ezibalulekile ezilandelayo:
Incane futhi iyaphatheka, ingathwalwa ngokuqondile ngesandla, evumela abasebenzi bezokwelapha ukuthi baphathe ngokushesha i-ultrasound endaweni yezokwelapha.
Ijubane lokuhlola liyashesha, lingaphindaphindwa, akukho ukuhlukumezeka, akukho contraindications.
Ijwayelane nezindawo zokusebenza ezahlukahlukene, okuhlanganisa umbhede, i-ICU, izimo eziphuthumayo, ukuvakasha kwenkundla, njll.
Ikhwalithi yesithombe enhle kakhulu nokusekelwa kokuhlolwa kwesisu, okungaphezulu kanye nenhliziyo enohlu olubanzi lwezinhlelo zokusebenza ukuhlangabezana nezidingo zomtholampilo ezahlukene.
I-Ultrasound interventional therapy, iso le-ultrasound elithwelwe umtholampilo.
Ithuluzi eliphathwayo lokuxilonga i-Doppler lombala linikeza isisekelo esithembekile sokuxilongwa okuqhubekayo nokwelashwa komtholampilo, futhi uyaqaphela ukuthi iziguli ezibucayi zingaqedela ukuhlolwa kwe-ultrasound yenhliziyo eceleni kombhede ngaphandle kokushiya i-ICU, okuthuthukisa kakhulu izinga lokuxilongwa kanye nokwelashwa kweziguli ezibucayi.
Isikhathi sokuthumela: Nov-13-2023
