ʻO ka ʻenehana Ultrasound kahi pōhaku kihi o nā diagnostics lapaʻau hou, e hāʻawi ana i kahi ala non-invasive a maikaʻi hoʻi e nānā i nā hale o loko o ke kino. Ma waena o nā ʻano like ʻole o ka ultrasound, ʻeleʻele-a-keʻokeʻo (a i ʻole hina) ultrasound a me Doppler ultrasound ʻelua mau ʻāpana kumu e hoʻoulu pinepine ai. ʻO kekahi nīnau maʻamau inā he ultrasound ʻeleʻele a keʻokeʻo ke ʻano o ka nele o nā mana Doppler. Manaʻo kēia ʻatikala e wehewehe i kēia pilikia a hāʻawi i ka ʻike piha o nā ʻenehana ʻelua, ko lākou ʻokoʻa, a me kā lākou noi.
He aha ka Ultrasound ʻEleʻele a keʻokeʻo?
ʻO ka ultrasound ʻeleʻele a keʻokeʻo, ʻike ʻia hoʻi he ultrasound grayscale, ʻo ia ke ʻano kuʻuna a hoʻohana nui ʻia o ke kiʻi ultrasound. Hoʻopuka ʻo ia i nā kiʻi ma nā ʻano like ʻole o ka hina hina, e hōʻike ana i nā density like ʻole o nā ʻiʻo a me nā kino.
Pehea e hana ai ka Ultrasound ʻeleʻele a keʻokeʻo
ʻO ke kaʻina hana e pili ana i kahi transducer, e hoʻopuka ana i nā hawewe kani kiʻekiʻe i loko o ke kino. Paʻa kēia mau hawewe kani i nā hale o loko a hoʻi i ka transducer ma ke ʻano he leo. Hoʻololi ʻia nā leo i nā kiʻi ʻike e ka mīkini ultrasound. Hōʻike ʻia nā ʻano like ʻole o ka hina hina i nā kiʻi i nā pae like ʻole o ka nui o ka ʻiʻo: ʻike ʻia nā hale paʻa e like me ka iwi ke keʻokeʻo, ʻoiai ʻoi aku ka pōʻeleʻele o nā hale liʻiliʻi e like me nā wahi i piha i ka wai.
Nā noi no ka Ultrasound ʻEleʻele a keʻokeʻo
ʻO ka ultrasound ʻeleʻele a me ke keʻokeʻo he mea maʻalahi loa a hoʻohana ʻia i nā lāʻau lapaʻau he nui:
Obstetrics and Gynecology: E nānā i ka ulu ʻana o ka fetal a nānā i ke olakino o ka ʻōpū a me nā ovaries.
Cardiology: No ka loiloi ʻana i ke ʻano o ka naʻau , me kona mau kiwi a me nā keʻena.
ʻO ke kiʻi kiʻi o ka ʻōpū: No ka nānā ʻana i nā kino e like me ke ake, nā puʻupaʻa, ka pancreas, a me ka gallbladder.
Musculoskeletal Imaging: No ka nānā ʻana i nā ʻiʻo, tendons, a me nā ligaments.
Nā Kaʻina Aʻoaʻo: No ke kōkua ʻana i ka hoʻokomo pololei ʻana i nā nila no nā biopsies a i ʻole nā inikini.
He aha ka Doppler Ultrasound?
ʻO Doppler ultrasound kahi ʻano loea kūikawā o ka ultrasound e loiloi i ke kahe koko ma o nā moku a me ka puʻuwai. Hoʻohana ʻo ia i ka hopena Doppler, kahi e ana i nā loli i ka alapine o nā hawewe kani i ka wā e noʻonoʻo ai lākou i nā mea e neʻe ana, e like me ke koko ʻulaʻula.
Pehea ka hana ʻana o Doppler Ultrasound
I ka Doppler ultrasound, hoʻopuka ka transducer i nā hawewe kani e hoʻopuʻi ana i nā keena koko. ʻO ka neʻeʻana o kēia mau pūnaewele e hoʻololi i ke alapine o nā hawewe kani iʻikeʻia, iʻikeʻia e ka mīkini ultrasound. Hoʻohana ʻia kēia hoʻololi i ka alapine no ka helu ʻana i ka wikiwiki a me ke kuhikuhi o ke kahe ʻana o ke koko, a laila hiki ke hōʻike ʻia me ka ʻike maka me ka hoʻohana ʻana i nā ʻano Doppler kala a i ʻole spectral.
Nā noi o Doppler Ultrasound
He mea koʻikoʻi ka ultrasound Doppler i ka ʻike ʻana a me ka mālama ʻana i nā kūlana pili i ke kahe koko:
ʻO ka Cardiology: No ka loiloi i ke kahe o ke koko i loko o ka puʻuwai a me nā moku nui, ʻike i nā hemahema o ka valve, a ana i ka puka ʻana o ka naʻau.
Nā Kiʻi Vascular: No ka loiloi ʻana i ke kahe o ke koko i loko o nā aʻa a me nā veins, e ʻike i nā poloka a i ʻole nā pahu, a nānā i nā kūlana e like me ka thrombosis vein hohonu (DVT).
Obstetrics: No ka nānā 'ana i ke kahe o ke koko i loko o ka umbilical cord, placenta, and fetal organs.
Kiʻi ʻĀpana: No ka nānā ʻana i ke kahe o ke koko i loko o nā kino a ʻike i nā mea ʻino e like me nā maʻi koko me ka hāʻawi ʻana i ke koko.
Hoʻomaʻamaʻa i ka huikau: ʻeleʻele-a-keʻokeʻo vs. Doppler Ultrasound
Aia ka huikau mua ma ka manaʻoʻiʻo ʻaʻole hiki i ka ultrasound ʻeleʻele a keʻokeʻo ke komo i nā mana Doppler. He kuhi hewa keia. ʻOiai ke nānā aku nei ka ultrasound ʻeleʻele a keʻokeʻo maʻamau i ka nānā ʻana i ke anatomy o nā ʻiʻo a me nā ʻāpana, hiki ke hoʻohui ʻia ʻo Doppler ultrasound i loko o ka ʻōnaehana ultrasound e hāʻawi i ka ʻike hana hou e pili ana i ke kahe koko.
ʻO ka hui ʻana i ka Ultrasound ʻeleʻele a me ke keʻokeʻo a me Doppler
Hoʻolako pinepine ʻia nā mīkini ultrasound o kēia wā me nā kiʻi kiʻi hina a me nā mana Doppler. 'O ia ho'i, hiki i ka mea ho'okahi ke ho'ololi i waena o nā 'ano hana e hā'awi i ka 'ike diagnostic piha.
Ke ʻano Grayscale: Hoʻohana ʻia no ke kiʻi kikoʻī kikoʻī.
Doppler Mode: Hoʻohana ʻia no ka loiloi ʻana i ke kahe koko a me ka hemodynamics.
Nā ʻano o ka Ultrasound Doppler
Nui nā ʻano o ka ultrasound Doppler, e hāʻawi ana kēlā me kēia i nā ʻano ʻike like ʻole:
Color Doppler: Hoʻohui i ke kala i ke kiʻi hina e hōʻike i ke kuhikuhi a me ka wikiwiki o ke kahe koko. Hōʻike maʻamau ka ʻulaʻula i ke kahe ʻana i ka transducer, ʻoiai ʻo ka uliuli e hōʻike ana i ke kahe.
Power Doppler: Hāʻawi i ka ʻike maʻalahi o ke kahe koko, pono no ka loiloi ʻana i nā kahe haʻahaʻa haʻahaʻa i nā moku liʻiliʻi.
Spectral Doppler: Hōʻike i ka wikiwiki o ke kahe ʻana o ke koko ma ke kiʻi, e hōʻike ana i ka laulā o ka wikiwiki o ke kahe i loko o kahi moku.
Pōmaikaʻi a me nā palena
Loaʻa i nā ʻeleʻele a me ke keʻokeʻo a me ka Doppler ultrasound ko lākou mau pono kūʻokoʻa a me nā palena, e kūpono iā lākou no nā kumu diagnostic like ʻole.
ʻO nā pono o ka Ultrasound ʻeleʻele a keʻokeʻo
Nā Kiʻi Kūleʻa kikoʻī: Hāʻawi i nā kiʻi akaka o nā ʻāpana o loko a me nā ʻiʻo, pono no ka ʻike ʻana i nā mea ʻino.
Non-Invasive: Palekana a me ka ʻeha ʻole, me ka ʻike ʻole i ka radiation ionizing.
Kiʻi Kiʻi ʻOiaʻiʻo: Hāʻawi i ka ʻike koke a me ka loiloi o nā hale i loko.
Nā palena o ka Ultrasound ʻEleʻele a keʻokeʻo
ʻAʻole hiki ke nānā i ke kahe koko a i ʻole hemodynamics.
Kuʻi ʻana i ka Tissue: He palena palena no nā hale kiʻi kiʻi ma hope o nā iwi a i ʻole nā wahi i piha i ka ea.
Nā pōmaikaʻi o ka Ultrasound Doppler
Ka Manawa Koko: Hāʻawi i ka ʻike koʻikoʻi e pili ana i ke kahe koko, ka ʻike ʻana i nā poloka, nā clots, a me nā mea ʻino ʻole.
Nānā Hana Hana: Hoʻohui i ke kiʻi hoʻolālā a me ka hana no kahi loiloi piha.
Ke alakaʻi no nā hana: Pono no nā kaʻina hana e pili ana i nā kīʻaha koko, e hōʻoia i ka hoʻokomo pono a palekana.
Ka palena o Doppler Ultrasound
Paʻakikī: Pono ka ʻenehana holomua a me ka hoʻomaʻamaʻa hoʻokele.
Uku: ʻOi aku ke kumukūʻai ma mua o ka ultrasound ʻeleʻele a keʻokeʻo maʻamau.
Nā palena ʻenehana: Hiki i nā mea kiʻi kiʻi a koi aku i ka hui ʻana o ka hoʻomanawanui e noho mālie.
Nā holomua ʻenehana
ʻO ka hoʻohui ʻana o nā ʻenehana ultrasound ʻeleʻele a me ke keʻokeʻo Doppler ua holomua nui, hoʻonui i ka hiki ke diagnostic a hoʻonui i nā noi lapaʻau.
Nā mea kani kani uila
Hoʻokomo pinepine nā mīkini ultrasound paʻa i nā ʻano grayscale a me Doppler, e ʻae ana i nā diagnostics point-of-care i nā hoʻonohonoho pilikia, nā loiloi ʻaoʻao moe, a me nā wahi mamao.
Hoʻoholo kiʻekiʻe a me 3D kiʻi
ʻO nā holomua i ka kiʻi kiʻi kiʻekiʻe a me ka hoʻomohala ʻana i nā ʻenehana ultrasound 3D a me 4D e hāʻawi i nā ʻike kikoʻī a me ka ikaika o nā hale kūloko a me ke kahe koko, e hoʻomaikaʻi ana i ka pololei diagnostic.
Ultrasound Hoʻonui Kūʻokoʻa
ʻO ka hoʻohana ʻana i nā mea ʻokoʻa i ka ultrasound e hoʻomaikaʻi i ka ʻike ʻana i ke kahe o ke koko, ʻoi aku ka paʻakikī o nā hale vascular, e maʻalahi ai ka ʻike ʻana i nā mea ʻino a hoʻolālā i nā lāʻau lapaʻau.
Nā hoʻohana maʻamau i nā ʻōnaehana hoʻomaʻamaʻa
ʻO ka hoʻomaopopo ʻana i ka wā e hoʻohana ai i ka ʻeleʻele a me ke keʻokeʻo me ka Doppler ultrasound he mea koʻikoʻi no ka mālama maʻi maikaʻi. Eia kekahi mau noi kūpono a me nā hiʻohiʻona:
Obstetrics and Gynecology
Nā Nānā Maʻamau Prenatal: Hoʻohana ʻia ka ultrasound grayscale no ka nānā mau ʻana i ka ulu ʻana a me ka ulu ʻana o ka fetal, ʻoiai ʻo Doppler ultrasound e loiloi i ke kahe o ke koko i loko o ka umbilical cord a me ka placenta.
ʻO nā hānau hānau kiʻekiʻe: He mea nui ka ultrasound Doppler no ka nānā ʻana i ka maikaʻi o ka fetal a me ka ʻike ʻana i nā kūlana e like me ka preeclampsia, kahi e hiki ai ke kahe ke koko.
ʻO ka maʻi naʻau
Nā Echocardiograms: ʻO ka hui pū ʻana i ka ultrasound grayscale a me Doppler e hāʻawi i kahi loiloi kikoʻī o ka hoʻolālā a me ka hana o ka naʻau, ka ʻike ʻana i nā hemahema o ka naʻau congenital, nā pilikia valve, a me ka pau ʻole o ka naʻau.
Nā ho'āʻo koʻikoʻi: Hiki ke hoʻohana ʻia ka ultrasound Doppler i ka wā o nā hoʻāʻo koʻikoʻi e nānā i ka maikaʻi o ka puʻuwai o ka puʻuwai i ke koko ma lalo o ka hoʻoikaika kino.
Laau Lapaau
ʻO ka maʻi Carotid Artery: ʻO ka ultrasound Doppler e loiloi i ke kahe o ke koko i loko o nā aʻa carotid, e ʻike ana i nā poloka e hiki ke alakaʻi i nā hahau.
ʻO ka maʻi ʻo Peripheral Artery: Ka loiloi ʻana i ke kahe o ke koko ma nā wāwae e ʻike i nā poloka a hoʻolālā i nā lāʻau lapaʻau e like me ka angioplasty a i ʻole ke kāʻei ʻana.
I ka hōʻuluʻulu ʻana, ʻo ka ultrasound ʻeleʻele-a-keʻokeʻo a me ka ultrasound Doppler nā ʻenehana hoʻohui e hāʻawi i ka ʻike koʻikoʻi no ka hoʻomaʻamaʻa ʻana a me ka mālama ʻana i kahi ākea o nā kūlana olakino. ʻOiai ke nānā aku nei ka ultrasound ʻeleʻele a me ke keʻokeʻo i ke kiʻi kiʻi, hoʻohui ʻo Doppler ultrasound i kahi ana hana ma ka loiloi ʻana i ke kahe koko. Hoʻohui pinepine nā mīkini ultrasound hou i nā mana ʻelua, e ʻae ana i nā loiloi piha i nā hiʻohiʻona lapaʻau like ʻole. He mea koʻikoʻi ka hoʻomaopopo ʻana i nā ʻokoʻa a me nā hoʻohana ʻana o kēia mau ʻenehana no nā mea mālama olakino a me nā mea maʻi like, e hōʻoia ana i ka mālama maikaʻi loa a me nā hopena.
