Ngezinkinga zokuxilonga zemitholampilo zomhlaba wonke kanye nempilo eyisisekelo, umnyango we-Yonker ultrasound uyaqhubeka nokufuna izixazululo ezingcono futhi uthuthukisa ubuchwepheshe bawo obuyinhloko ngocwaningo oluqhubekayo kanye nokusungula izinto ezintsha kwezobuchwepheshe.
I-Ultrasound Yesikhathi Sokuhlinzwa
Ukusetshenziswa kwe-ultrasound ngesikhathi sokuhlinzwa sekusabalele kakhulu eminyakeni yamuva nje.
Ukuvimbela imizwa okuqondiswa yi-ultrasound kanye namasu okubhoboza imithambo yegazi, i-ultrasound yokunakekelwa (i-POCUS), kanye ne-echocardiography ye-perioperative konke sekuyizindlela zokwelapha ezibalulekile ekubulaweni kwe-anesthesia.
- Uhlelo lwe-ultrasound olusekelwe enqoleni yendabuko lubekwe emnyangweni we-ultrasound noma esikhungweni sokuthwebula izithombe, okuyinto enzima kakhulu ukuhambahamba ngakho-ke kukhulisa ubunzima kwezinye izikhungo ezingezona eze-ultrasound.
- Ngezicelo ze-ultrasound zangaphambi kokuhlinzwa, odokotela bavame ukudinga ukwenza ukuskena kwe-ultrasound okulula nokusheshayo ukuhlola izimo zomzimba zesiguli kanye nesigaba sesifo noma ukusebenzisa i-ultrasound ukusiza ukuhlinzwa okufana nokubekwa kwe-catheter, ukubeka i-puncture endaweni, kanye ne-anesthesia eyisizayo.
Ukuze kuhlangatshezwane nalezi zidingo, i-Yonker izothuthuka eminyakeni yamuva nje
- Incane: umzimba we-magnesium alloy onesisindo esingama-4.5 kg
- Okwenziwe ngabantu: amasokhethi amabili e-transducer; isikrini sokuthinta esichazwe ngumsebenzisi esingamasentimitha angu-10
- Kuhlala isikhathi eside: isikhathi eside sokuskena ngamabhethri amabili akhelwe ngaphakathi
- Okucacile: ikhwalithi yesithombe ehlukile enokuthembeka okuphezulu kanye nokwakheka kweziteshi eziningi
- Ukuhlakanipha: ukwenza ngcono okuzenzakalelayo kokhiye owodwa kanye nesofthiwe yokufundisa
I-Ultrasound ku-Hemodialysis
Odokotela abavela esikhungweni se-dialysis bavame ukubhekana nobunzima obuningi ekufakweni kwe-fistulation yokwenziwa.
- Ngakolunye uhlangothi, ngokungafani nabathwebuli bezithombe abanolwazi, odokotela abavela esikhungweni se-dialysis bangase bathole inqubo yokulinganisa ukugeleza kwegazi iyinkimbinkimbi kakhulu, ehilela izinqubo ezinzima kanye nokulinganisa ngesandla, okuncike kakhulu kokuhlangenwe nakho kwabasebenza. Ngakho-ke, imiphumela yokulinganisa ngesandla inokunemba okungaqinisekile kanye nokuphindaphindeka okuphansi.
- Kodwa-ke, ngakolunye uhlangothi, kufanele bathole imiphumela yokulinganisa ukugeleza kwegazi ngaphambi nangemva kokuhlinzwa kwe-fistula, okusho ukuthi umsebenzi omkhulu wokulinganisa ukugeleza kwegazi uyadingeka.
-Ngaphandle kwalokho, ukusebenzisa izithombe ze-ultrasound ukuze kulinganiswe ukugeleza kwegazi okunembile emithanjeni kungaholela ekuhlinzeni kwe-offistula ngezinga eliphezulu lempumelelo kuyilapho ukuhlinzwa okuphindaphindiwe kungabangela izinkinga ezinkulu futhi kuholele ebuhlungwini bomzimba nasekucindezelekeni kwengqondo.
Ukuze kusizwe odokotela bezifo zomchamo ukuxazulula lezi zinkinga, kuzofika imodeli entsha nalokhu okulandelayo:
- Ukuhamba komsebenzi okulula (kwehliswe kwaba yizinyathelo ezi-6): uma kuqhathaniswa namathuluzi endabuko e-ultrasonic okulinganisa ukugeleza kwegazi, i-eVol.Flow ilula ukuyisebenzisa, ithuthukisa kakhulu ukusebenza kahle kokuxilonga
- Ukulinganisa okuzenzakalelayo: kunciphisa amaphutha okulinganisa ngesandla, ngenkathi kuthuthukiswa ukuphindaphindeka nokuphindaphinda
- Ukubaluleka komtholampilo: ukusebenzisa i-eVol.Flow ukuze kufezwe ukuqapha okusebenzayo ngesikhathi sangempela kokugeleza kwegazi kusiza ekunciphiseni izinkinga kanye nokwandisa isikhathi sokuphila kwe-fistula.
I-Ultrasound in Ukwelashwa Kwabesifazane Abakhulelwe& I-Gynecology
Njengendlela yokuthwebula izithombe ephephile, ukuhlolwa kwe-ultrasound kubaluleke kakhulu kwababelethisi. Kuyadingeka ukukala i-BPD, i-AC, i-HC, i-FL, i-HUM, i-OFD phakathi nokukhulelwa, ukuze kutholakale inqubo yokukhula kwengane futhi kuhlolwe impilo yayo.
- Noma kunjalo, odokotela be-ultrasound bendabuko bavame ukusebenzisa ukulandelela ngesandla, okuncike kakhulu kokuhlangenwe nakho kwabasebenza.
- Ngaphezu kwalokho, le nqubo inzima, iyinkimbinkimbi, futhi ihilela imisebenzi eminingi ephindaphindwayo, okunciphisa kakhulu ukusebenza kahle kokuxilonga odokotela.
Ukuze kuthuthukiswe ukunemba kokulinganisa kanye nokusebenza kahle kokuxilonga kuma-Obstetrics, imishini emisha kufanele ifike nalokhu:
- Ukuhlonza okuzenzakalelayo: ukusekela i-BPD /OFD/AC/HC /FL/HUM
- Ukhiye owodwa: ukulinganisa okuzenzakalelayo, ukonga isikhathi nomzamo
- Ukunemba okuthuthukisiwe: ukugwema amaphutha okulinganisa ngesandla
Ngaphandle kokuthiOB, imodeli entsha nayo ifakwe nge okunye kusengaphambilid amathuluzi futhi okuningiizinketho ze-transducer, ezihlinzeka ngesisombululo esiphelele ngoba isiceloi-ion in Ukwelashwa Kwabesifazane Abakhulelwe & I-Gynecology.
I-Ultrasound ku-Cardiology
Ukuze kutholakale ukuxilongwa kwe-ventricular yangakwesobunxele ku-Cardiology, kunezinhlobo ezintathu zokulinganisa okubalulekile ezihilelekile njalo.
- Ingxenye Yokukhipha Isisu ibalulekile ezimweni eziningi lapho odokotela bedinga ukuxilonga izifo zenhliziyo ezifana nokwehluleka kwenhliziyo, ukushaqeka, kanye nobuhlungu besifuba.
- Ukucindezeleka kwe-longitudinal kubaluleke kakhulu ekuhloleni iziguli ngesikhathi nangemva kokwelashwa ngamakhemikhali, noma ngaphambi kokufakwa esikhundleni se-aortic valve.
- Ukuhlaziywa kokunyakaza kodonga olunezingxenye kukhomba ukungalingani mayelana nokufinyela kwezingxenye ze-LV ezingu-17, okubalulekile ngesikhathi nangemva kwezehlakalo zenhliziyo.
Ngokwesiko, lezi zinhlobo ezintathu zokulinganisa i-ventricle yesobunxele zenziwa ngesandla.
- Izinqubo ezihleliwe zinzima futhi zithatha isikhathi.
- Inqubo yokusebenza ingaba ngeyomuntu siqu futhi ithambekele ekuphazameni.
- Ukunemba kanye nokuphindaphindwa kwemiphumela kuncike kakhulu ekhonweni labaqhubi.
Ukuze kuthuthukiswe ukunemba kokulinganisa kanye nokusebenza kahle kokuxilonga ku-Cardiology,
Imisebenzi ye-eLV ifaka phakathi ukulinganisa okuzenzakalelayo kwe-Ejection Fraction (Auto EF), i-Strain Rate (Auto SG) kanye ne-Wall Motion Score Index (Auto WMSI).
- Kufinyeleleka kubo bonke abasebenzisi be-ultrasound: Kungakhathaliseki ukuthi umqhubi unolwazi olunjani
- Okusheshayo Nokulula: umsebenzisi angathola umphumela ozenzakalelayo ngokuchofoza okukodwa nje
- Okunembile Nomgomo: I-AI vs. Ukuhlola amehlo ngendlela ehlelekile
- Okungaphindeka: Ukuqhathaniswa okunembile nezivivinyo zangaphambilini
- Akukho ukuhlolwa kwe-ECG okudingekayo
UYonker ungumsunguli wezobuchwepheshe ozinikele ekusizeni amakhasimende ethu ukuxazulula izinselele eziyinkimbinkimbi.
Ngemizamo eqhubekayo, umnyango we-Yonker ultrasound unikeza ububanzi obubanzi bezinto zobuchwepheshe obuphezulu
imikhiqizo, kusukela kumnyama/mhlophe wedijithali kuya ezinhlelweni ze-Doppler ezinombala, ezisekelwe enqoleni futhi eziphathwayo kanye nezezilwane zabantu kanye nezingezona ezomuntu. Ngaphezu kwalokho, i-Yonker iyakwazisa ulwazi lomsebenzisi. Sikholelwa ukuthi ukunikeza izinsizakalo zamakhasimende ezinhle kakhulu kuzohlanganisa ukugxila kwethu isu eligxile ekudingweni emakethe yamahhala.
Ukuze uthole ulwazi olwengeziwe, sicela uvakashelehttp://www.yonkermed.com
Isikhathi sokuthunyelwe: Agasti-07-2023
