Pa mavuto apadziko lonse okhudzana ndi matenda amisala komanso thanzi loyamba, dipatimenti ya Yonker ultrasound ikupitiliza kufunafuna mayankho abwinoko ndikusintha ukadaulo wake waukulu kudzera mu kafukufuku wopitilira komanso luso laukadaulo.
Ultrasound ya Perioperative
Kugwiritsa ntchito ultrasound nthawi ya opaleshoni kwafala kwambiri m'zaka zaposachedwapa.
Njira zotsekereza mitsempha zoyendetsedwa ndi ultrasound komanso njira zobowola mitsempha, ultrasound yosamalira (POCUS), ndi echocardiography ya perioperative zonse zakhala njira zofunika kwambiri zachipatala pochiza ululu.
- Dongosolo lachikhalidwe la ultrasound lochokera ku ngolo limayikidwa ku dipatimenti ya ultrasound kapena malo ojambulira zithunzi, zomwe zimakhala zovuta kwambiri kuyendayenda ndipo motero zimapangitsa kuti magawo ena osagwiritsa ntchito ultrasound akhale ovuta.
- Pa ntchito ya ultrasound ya perioperative, madokotala nthawi zambiri amafunika kuchita scan yosavuta komanso yachangu ya ultrasound kuti awone momwe wodwalayo alili komanso momwe matenda ake alili kapena kugwiritsa ntchito ultrasound kuti athandize opaleshoni monga kuyika catheter, kuika boncture pamalo, ndi anesthesia yothandizira.
Kuti akwaniritse zofunikira izi, Yonker ipanga chitukuko m'zaka zaposachedwapa
- Yopapatiza: thupi la magnesium alloy lolemera makilogalamu 4.5
- Yopangidwa ndi anthu: malo olumikizira ma transducer awiri; chophimba chowonekera cha mainchesi 10 chomwe chimagwiritsidwa ntchito ndi ogwiritsa ntchito
- Yokhalitsa: nthawi yayitali yowunikira ndi mabatire awiri omangidwa mkati
- Yowala: chithunzi chapamwamba kwambiri komanso chodalirika komanso kapangidwe ka njira zambiri
- Wanzeru: kukonza zokha pogwiritsa ntchito kiyi imodzi pamodzi ndi mapulogalamu ophunzitsira
Ultrasound mu Hemodialysis
Madokotala ochokera ku malo oyeretsera magazi nthawi zambiri amakumana ndi mavuto ambiri pa fistula yopangidwa.
- Kumbali ina, mosiyana ndi akatswiri odziwa bwino ntchito yoyeza magazi, madokotala ochokera ku malo oyezera magazi angaone kuti njira yoyezera magazi ndi yovuta kwambiri, kuphatikizapo njira zovuta komanso kuyeza magazi ndi manja, zomwe zimadalira kwambiri zomwe ogwira ntchitowa adakumana nazo. Chifukwa chake, zotsatira za kuyeza magazi ndi manja zimakhala ndi kulondola kosatsimikizika komanso kubwerezabwereza kochepa.
- Komabe, kumbali ina, ayenera kupeza zotsatira za kuyeza magazi asanachite opaleshoni ya fistula komanso atachita opaleshoniyi, zomwe zikutanthauza kuti ayenera kuyeza magazi ambiri.
-Kuphatikiza apo, kugwiritsa ntchito zithunzi za ultrasound kuti muyeze bwino magazi m'mitsempha kungapangitse kuti opaleshoni ya offistula ipambane kwambiri pomwe opaleshoni yobwerezabwereza ingayambitse mavuto akulu ndikupangitsa kupweteka kwakuthupi komanso kuvutika maganizo.
Pofuna kuthandiza madokotala a urologist kuthetsa mavutowa, njira yatsopano idzabwera ndi:
- Kayendedwe ka ntchito kosavuta (kochepetsedwa kufika pa masitepe 6): poyerekeza ndi zida zachikhalidwe zoyezera kuyenda kwa magazi, eVol.Flow ndi yosavuta kugwiritsa ntchito, zomwe zimapangitsa kuti matenda azigwira bwino ntchito.
- Kuyeza kokha: kuchepetsa zolakwika zoyezera pamanja, pomwe mukukweza kubwerezabwereza ndi kuberekanso
- Kufunika kwachipatala: kugwiritsa ntchito eVol.Flow kuti mupeze kuyang'anira bwino kayendedwe ka magazi nthawi yeniyeni kumathandiza kuchepetsa mavuto ndi kukulitsa moyo wa fistula.
Ultrasound in Matenda a m'mimba& Matenda a akazi
Popeza ndi njira yotetezeka kwambiri yojambulira zithunzi, kuyezetsa kwa ultrasound ndikofunikira kwambiri kwa amayi oyembekezera. Ndikofunikira kuyeza BPD, AC, HC, FL, HUM, OFD nthawi yonse ya mimba, kuti mudziwe momwe mwana wosabadwayo akukulira komanso kuwunika thanzi lake.
- Komabe, madokotala achikhalidwe a ultrasound nthawi zambiri amagwiritsa ntchito njira yotsatirira ndi manja, zomwe zimadalira kwambiri zomwe opareshoni adakumana nazo.
- Kuphatikiza apo, njirayi ndi yovuta, yovuta, ndipo imakhala ndi ntchito zambiri zobwerezabwereza, zomwe zimachepetsa kwambiri magwiridwe antchito a madokotala powazindikira.
Kuti muwongolere bwino muyeso komanso momwe matenda amagwiritsidwira ntchito bwino, zida zatsopano ziyenera kukhala ndi:
- Kuzindikira Kokha: kuthandizira BPD / OFD / AC / HC / FL / HUM
- Chinsinsi chimodzi: kuyeza kokha, kusunga nthawi ndi khama
- Kulondola kwabwino: kupewa zolakwika zoyezera pamanja
Kupatula paOB, chitsanzo chatsopano chilinso zida ndi zina patsogolod zida ndi zingaponjira zosinthira ma transducer, zomwe zimapereka yankho lathunthu chifukwa cha wofunsiraayoni in Matenda a m'mimba & Matenda a akazi.
Ultrasound mu Cardiology
Pa matenda a mtima ndi mitsempha ya kumanzere mu Cardiology, pali mitundu itatu ya miyeso yofunika yomwe imakhudzidwa nthawi zonse.
- Kutulutsa magazi m'thupi n'kofunika kwambiri pa matenda ambiri omwe madokotala amafunika kuzindikira matenda a mtima monga kulephera kwa mtima, kugwedezeka, ndi kupweteka pachifuwa.
- Kupsinjika kwa nthawi yayitali ndikofunikira kwambiri poyesa odwala panthawi ya chemotherapy ndi pambuyo pake, kapena asanalowe m'malo mwa valavu ya aortic.
- Kusanthula kayendedwe ka khoma m'magawo kumazindikira zolakwika zokhudza kupindika kwa magawo 17 a LV, zomwe ndizofunikira kwambiri panthawi ya matenda a mtima komanso pambuyo pake.
Mwachikhalidwe, mitundu itatu iyi ya kuyeza kwa ventricle yakumanzere imachitika pamanja.
- Njira zokhazikikazi ndi zovuta komanso zimatenga nthawi.
- Njira yogwirira ntchito ikhoza kukhala yochokera kwa munthu payekha komanso yolakwika.
- Kulondola ndi kubwerezabwereza kwa zotsatira kumadalira kwambiri luso la ogwira ntchito.
Kuti muwongolere bwino muyeso komanso momwe mungagwiritsire ntchito bwino matenda a mtima,
Ntchito za eLV zimaphatikizapo kuyeza kwa Ejection Fraction (Auto EF), Strain Rate (Auto SG) ndi Wall Motion Score Index (Auto WMSI).
- Yopezeka kwa ogwiritsa ntchito onse a ultrasound: Mosasamala kanthu za zomwe wogwiritsa ntchitoyo wakumana nazo
- Mwachangu & Mosavuta: wogwiritsa ntchito amatha kupeza zotulutsa zokha ndi kungodina kamodzi kokha
- Zolondola & Cholinga: Kujambula ndi Kujambula Maso Moyenera vs. Kujambula Maso Mogwirizana ndi Munthu
- Yobwerezedwanso: Kuyerekeza kolondola ndi mayeso am'mbuyomu
- Palibe mayeso a ECG omwe akufunika
Yonker ndi katswiri wodziwa bwino zaukadaulo wodzipereka kuthandiza makasitomala athu kuthetsa mavuto ovuta.
Ndi khama lokhazikika, dipatimenti ya Yonker ultrasound imapereka mitundu yosiyanasiyana yaukadaulo wapamwamba
zinthu, kuyambira zakuda/zoyera za digito mpaka makina a Doppler amtundu, okhala ndi ngolo komanso onyamulika komanso a anthu ndi nyama zomwe si anthu. Kuphatikiza apo, Yonker amayamikira zomwe ogwiritsa ntchito akumana nazo. Tikukhulupirira kuti kupereka chithandizo chabwino kwambiri kwa makasitomala kudzaphatikiza kuyang'ana kwathu pa njira yofunikira pamsika waulere.
Kuti mudziwe zambiri, chonde pitani kuhttp://www.yonkermed.com
Nthawi yotumizira: Ogasiti-07-2023
