1.Ukusetshenziswa kwezikhungo zezokwelapha zasemadolobheni
I-Handheld ultrasound ingasiza odokotela (imithi yangaphakathi, ukuhlinzwa, izifo zabesifazane, izifo zezingane, ukunakekelwa okuphuthumayo kanye nokunakekelwa okubucayi, njll.) ukuhlola ngokushesha iziguli noma ulwazi oluhlobene nesifo kanye nokwandisa inqubo yokuxilonga ukuze kutholakale ukuxilongwa kusenesikhathi, ukulinganisa kanye nokuphathwa kwezifo kusenesikhathi.Isibonelo, ukukhwehlela, ukuqina kwesifuba, i-dyspnea nezinye izimpawu zivame ukubonakala ezigulini ezinezifo zokuphefumula, kodwa futhi zivame ezigulini ezinesifo senhliziyo, njenge-handheld ultrasound ithole ukuthi inhliziyo ikhulisiwe, iyancipha ukusebenza kwe-systolic, ngokuvamile kubhekwa njengomphumela. yokwehluleka kwenhliziyo, kudingeka udluliselwe emnyangweni wezifo zenhliziyo ukuze uthole ukwelashwa.
2.Ukufakwa kwezicelo zezikhungo zezokwelapha ezindaweni eziphansi noma ezikude
I-Ultrasound ephathwa ngesandla inokunikezwa kwamandla okuhle nokusebenza konga amandla, ekwazi ukubona ukuhlolwa okusheshayo, ithole izifo zesiguli kanye nolwazi lwezinkinga, ithuthukise izinga lenkonzo yezokwelapha eyisisekelo kanye nekhono lokuphatha isiguli.Ngenxa yobulula bayo kanye nezinzuzo zezindleko eziphansi, ilungele izikhungo zezokwelapha eziyisisekelo nodokotela (umndeni, idolobhana, udokotela ojwayelekile) ukuthi bayisebenzise, okusiza ukufeza ukuhlolwa kokuqala okusheshayo kanye nokuhlolwa kokudluliselwa (up-referral).
3.Ukuphathwa kwezifo ezingapheli emndenini
Ikakhulukazi ezindaweni ezikude, odokotela basemazingeni aphansi (odokotela bomndeni nabasemaphandleni) bangaphatha i-ultrasound ephathwayo beyisa ezindlini zezakhamuzi, bahlole impilo yasekhaya, bahlole izifo kanye nokuxilongwa kokuqala, futhi basize ekulawuleni izifo ezingelapheki emndenini.Isibonelo, iziguli ezikhubazekile kufanele ziqashwe ngeso lokhozi umthamo womchamo oyinsalela yesinye ekhaya, futhi amaqembu akhethekile afana nasebekhulile noma abantu abanenkinga yokuhamba (njengabesifazane abakhulelwe) kufanele bahlolwe.
4.Izigcawu ze-Battlefield
I-Handheld ultrasound isetshenziswa enkundleni yempi, ingahlonyiswa ngamaqembu angaphambili, izikhundla zesikhashana noma izisekelo zesikhashana, ngabasebenzi bezokwelapha bezempi noma amasosha aqeqeshiwe athwala, nganoma yisiphi isikhathi ukuze asetshenziswe, ukuze azuze ukutholwa ngesikhathi kokulimala empini.Ingasetshenziswa futhi ezibhedlela zasensimini ngokuhambisana nemishini evamile ye-ultrasound.Ingasetshenziswa nasezimotweni zokuthutha (izindiza zezokuthutha, izindiza ezinophephela emhlane, izimoto ezihlomile, njll.).
5.Indawo yenhlekelele
I-Handheld ultrasound idlala indima ebalulekile ekulimaleni okukhulu okubangelwa ukuzamazama komhlaba, ama-tsunami nezinye izinhlekelele zemvelo kanye nezingozi ezinkulu, ezingasiza odokotela ekuxilongeni abalimele ngokushesha kanye namaqoqo endaweni yenhlekelele noma isisekelo sesikhashana, futhi babone ukuhlukaniswa okusheshayo kanye ne-triage, ukuthuthukisa ukusebenza kahle kokusindisa izimpilo.Ingasetshenziswa kalula ngabasebenzi abaqeqeshwe ngokukhethekile, futhi ingasetshenziswa ngokujwayelekile ngabangewona ochwepheshe ngemva kokuqeqeshwa okufushane (okufana nenqubo ye-FAST).
6.Izimo zokwelapha izimo eziphuthumayo
Ezimotweni eziphuthumayo, izindiza ezinophephela emhlane, izindiza ezinkulu, izitimela ezihamba ngesivinini esikhulu, noma ukunakekelwa kwezimo eziphuthumayo zangaphambi kwesibhedlela, i-ultrasound ephathwa ngesandla ingasetshenziswa ukukhomba ngokushesha izimo eziphuthumayo ezibulalayo ngesikhathi sokuqala, ukusiza ochwepheshe ekubekeni phambili isahlulelo, ukulinganisa, ukunciphisa isikhathi sokulinda isiguli, ukunciphisa ukuhlolwa kokulandelela okungadingekile, futhi kuthuthukise ukuzethemba kwesiguli nomndeni.(1) Ngokuhlukumezeka okubuhlungu okubuhlungu, uma ukukhishwa kwe-pericardial, ukukhishwa kwe-pleural noma kwesisu kutholakala, kuphakamisa ngokuqinile ukuphuka kwangaphakathi, okungasiza ngokushesha ekuthathweni kwezinqumo zomtholampilo;Uma kuhlanganiswe ne-hypotension noma ukushaqeka, kuphakamisa kakhulu isidingo sokuhlinzwa okuphuthumayo;(2) Ubuhlungu obungalindelekile besisu obunamandla, i-ultrasound ephathwa ngesandla ingasetshenziswa ukukhipha noma ukuxilonga i-renal kanye ne-urethral calculi, ukuvinjelwa kwamathumbu okunamandla, i-intussusception, i-biliary calculi, ukukhulelwa kwe-ectopic kanye nokuhlukunyezwa kwe-cyst ovarian.(3) Ubuhlungu besifuba obungapheli obuqhubekayo, i-ultrasound ephathwa ngesandla ingasetshenziswa ukukhomba i-acute myocardial ischemia, i-aortic dissection, i-pulmonary embolism, njll.;(4) Imfiva engapheli ephikelelayo engachazeki, i-palm ultrasound ingasetshenziswa ukuxilonga i-pleurisy, ithumba lesibindi, i-endocarditis esithathelwanayo nokunye.(5) i-ultrasound ephathwa ngesandla ingasetshenziselwa ukuphenya ukuphuka kwezimbambo, i-humers ne-femur, okuye kwafakazelwa ukuthi kungenzeka kakhulu ekusebenzeni;(6) I-ultrasound ephathwa ngesandla ingase isetshenziselwe ukuhlola ukulimala kwe-craniocerebral (ukuthi umugqa wobuchopho ususiwe).Ikakhulukazi izigcawu zokwelapha izimo eziphuthumayo zezokuthutha ezingalungile noma izindawo ezikude ezinezintaba, inani le-ultrasound ephathwa ngesandla ligqame kakhulu.
7.Isimo Sobhubhane
I-Handheld ultrasound idlale indima ehlukile ekuxilongeni nasekwelapheni i-COVID-19.(1) Ukwenza ukuhlolwa kokuqala kwezifo ukuze kutholakale ngokushesha imbangela yezimpawu futhi kunikeze ulwazi olujulile;(2) Ukutholwa okunamandla nokuphathwa kweziguli ezinzima, ukusetshenziswa kwe-ultrasound ephathwayo ukuze kutholakale ukubandakanyeka kwezitho noma nini nanoma kuphi, futhi kuzuzwe ukuhlola okuqhubekayo okuguquguqukayo, ukuqapha okunamandla kokuvela kwezifo, nokuhlolwa kwemiphumela yokwelapha.Esigcemeni sokuzihlukanisa, uma i-ultrasound ephathwa ngesandla inomsebenzi wokubonisana kude, ingagwema ngokuphumelelayo ukutheleleka okuphambene kwabasebenzi bezokwelapha.
8.Ezinye izimo ezikhethekile
Izigcawu ezifana nezikhungo zokusiza abakhubazekile, izikhungo zokunakekela asebekhulile, amakamu ababaleki, izindawo zezemidlalo kanye nezindawo ezingamathafa zingabonakala ngokusekelwe ku-ultrasound ephathwa ngesandla, "odokotela bangena ezikhungweni baye emakhaya abelusi (ukuhlolwa kwezifo ze-hydatid)", okusiza kakhulu ukuhlolwa nokwelashwa koquqaba.Eziteshini zasemkhathini, ama-submersible nezinye izindawo ezikhethekile, i-ultrasound ephathwa ngesandla ibaluleke kakhulu ngenxa ye-miniaturization yayo.
9. Ukuhlolwa kwezidakamizwa endaweni
Hlola umzimba womuntu ngophenyo lwe-palm ultrasonic lokutholakala nezidakamizwa, ukuthuthwa kwezidakamizwa, ukuqapha izinto ezingekho emthethweni.
10. Imfundo yesikole sezokwelapha
Ukunethezeka nokufinyeleleka kwe-ultrasound ephathwayo kuye kwathuthukiswa kakhulu, engahlanganisa i-ultrasound nokufundisa nokuqeqeshwa kwabafundi bezokwelapha futhi ibambe iqhaza elibalulekile ohlelweni lwemfundo yezokwelapha.
I-11.Isiqondiso se-Ultrasound kanye nokungenelela kokungenelela okuncane kokuhlasela
Ukwelashwa kwezinhlungu, ukwelashwa kwemisipha namathambo, ukuhlolwa kwangaphakathi, ukwahlulela kusenesikhathi kanye nesiqondiso somnyango we-anesthesiology, njll. Esimeni esiphuthumayo, ngenxa ye-pneumothorax eyingozi, i-hemothorax, i-pericardial effusion kanye nokuvinjelwa kokuphefumula, i-ultrasound ephathwa ngesandla ingadlala indima yokusiza isiqondiso nokuthuthukisa ukusebenza kahle ukwelashwa.Ngokubhoboza i-venous kanye ne-arterial, isiqondiso se-ultrasound esiphathwa ngesandla singathuthukisa izinga lokuphumelela lokubhoboza.
12. Isikhali sokuhlolwa kwesigceme
Lapho wenza imijikelezo yamawodi ezigulini ezilaliswe esibhedlela, i-ultrasound ephathwa ngesandla ingakwazi ukubona ukuhlolwa okusheshayo futhi ithole ulwazi olufanele.
13. Ngezilwane
Ukuhlolwa kwezilwane.
Isikhathi sokuthumela: Nov-01-2023
