I. Isingeniso
Ubuchwepheshe be-ultrasound obungenantambo buye bavela njengoshintsho-mdlalo endaweni yezithombe zezokwelapha, okumaka ukugxumela okubalulekile phambili emkhakheni.Amasistimu e-ultrasound endabuko sekuyisikhathi eside eboshelwe ezintanjeni ezinzima kanye nama-consoles angaguquki, anciphisa ukuhamba kwawo kanye nokusebenziseka kwazo ezilungiselelweni ezihlukahlukene zomtholampilo.Kodwa-ke, ngokufika kwemishini ye-ultrasound engenantambo, lezi zingqinamba ziye zaqedwa ngokuphumelelayo, zavula izindlela ezintsha zokucabanga okuxilonga okuguquguqukayo nokufinyelelekayo.
II.Ukuvela kobuchwepheshe be-Ultrasound
Ukuvela kobuchwepheshe be-ultrasound kuwubufakazi bobuhlakani nokuphikelela kwabacwaningi nabasunguli emkhakheni wezithombe zezokwelapha.Kusukela ekuqaleni kwekhulu lama-20, izithombe ze-ultrasound ziye zaba noshintsho oluphawulekayo, oluqhutshwa intuthuko kwezobuchwepheshe nokuqonda kwesayensi.
Uhambo lobuchwepheshe be-ultrasound lwaqala ngomsebenzi wokuphayona wososayensi abafana noPaul Langevin noKarl Dussik, ababeka isisekelo sokusebenzisa amaza omsindo ekuxilongweni kwezokwelapha.Ngawo-1940, ukuthuthukiswa kwamadivayisi okuqala asebenzayo e-ultrasound kwaphawula ingqopha-mlando, okwenza odokotela bakwazi ukubona ngeso lengqondo izakhiwo zangaphakathi futhi babone ukungahambi kahle emzimbeni womuntu.
Kodwa-ke, kuze kube yiminyaka yawo-1970 kanye nawo-1980 lapho izithombe ze-ultrasound zizitholela khona ngempela, ngenxa yempumelelo eminingana ebalulekile yezobuchwepheshe.Enye impumelelo enjalo kwaba ukuthuthukiswa kwesithombe se-ultrasound yesikhathi sangempela, esivumela ukubonakala okuguquguqukayo kwezakhiwo ezihambayo njengenhliziyo ne-fetus.Lokhu okusha kuguqule ukuxilonga kwezokwelapha, kwanikeza odokotela ukuqonda okubalulekile komsebenzi kanye nokwakheka komzimba kwezitho nezicubu ezihlukahlukene.
Enye ingqopha-mlando ekuthuthukisweni kobuchwepheshe be-ultrasound kwaba ukwethulwa kwemishini ye-ultrasound ephathekayo ngeminyaka yawo-1990.Le mishini ehlangene futhi engasindi inikeze ukuhamba nokuguquguquka okungakaze kubonwe ngaphambili, inika amandla abahlinzeki bezokunakekelwa kwempilo ukuthi benze izivivinyo ze-ultrasound endaweni yokunakekelwa.Lokhu kushintshela ekuthwaleni kwandise ukufinyelela kwezithombe ze-ultrasound, okwenza ukuba kufinyeleleke ezimeni eziningi zomtholampilo, kusukela kumagumbi ezimo eziphuthumayo kuya kuma-ambulensi kuya emitholampilo yasemaphandleni.
Ngokuhambisana nentuthuko ekwakhiweni kwedivayisi, ukuthuthukiswa kobuchwepheshe be-transducer nakho kudlale indima ebalulekile ekuthuthukiseni amakhono ezithombe ze-ultrasound.Ama-transducer ayizingxenye ezinesibopho sokukhipha nokwamukela amagagasi e-ultrasound, kanye nokuqanjwa kabusha kwedizayini ye-transducer kuholele ekuthuthukisweni kokulungiswa kwesithombe, ukujula kokungena, kanye nokuzwela.Ukuthuthukiswa kwama-multi-frequency transducers, ama-array transducers ahlukaniswe ngezigaba, kanye nekhono lokucabanga le-3D/4D kuye kwanweba kakhulu ukusetshenziswa kokuxilonga kobuchwepheshe be-ultrasound, okwenza odokotela bakwazi ukubona ngeso lengqondo izakhiwo ze-anatomical ngemininingwane engakaze ibonwe kanye nokucaca.
Eminyakeni yamuva nje, ukuhlanganiswa kwezindlela ezithuthukisiwe zokuthwebula izithombe ezifana ne-Doppler ultrasound, i-ultrasound ethuthukisiwe yokuqhathanisa, kanye ne-elastography kuye kwakhulisa amakhono okuxilonga ezithombe ze-ultrasound.Lezi zinqubo zivumela ukuhlolwa kokugeleza kwegazi, ukugcwala kwezicubu, nokuqina kwezicubu, okuhlinzeka odokotela ngolwazi olubalulekile lokuxilongwa nokuphathwa kwezimo eziningi zezokwelapha.
Sekukonke, ukuvela kobuchwepheshe be-ultrasound kuye kwabonakala ngokuphishekela okungapheli kokuqamba kanye nokwenza ngcono, okuqhutshwa umgomo wokuthuthukisa ukunakekelwa kwesiguli kanye nokuthuthukisa ulwazi lwezokwelapha.Kusukela ekuqaleni kwayo okuthobekile kuya emandleni ayo amanje, imaging ye-ultrasound iyaqhubeka idlala indima ebalulekile emithini yesimanje, ihlinzeka odokotela ithuluzi eliphephile, elingahlaseli, neliguquguqukayo lokuthwebula izithombe zokuxilonga nokuphathwa kwesiguli.
III.Izici Zobuchwepheshe ze-Wireless Ultrasound
Imishini ye-ultrasound engenantambo isebenza ezimisweni eziyisisekelo ezifanayo njengezinhlelo ze-ultrasound zendabuko, zisebenzisa amaza omsindo wemvamisa ephezulu ukuze ikhiqize izithombe zezakhiwo zangaphakathi.Kodwa-ke, okwenza i-ultrasound engenantambo ihluke ukukhululeka kwayo ekuxhumekeni okuboshiwe, okunikwe amandla ubuchwepheshe bokudlulisa okungenantambo njenge-Bluetooth ne-Wi-Fi.Lawa madivayisi ngokuvamile ahlanganisa i-transducer ephathwa ngesandla, isidlulisi esingenantambo, kanye neyunithi yokubonisa, okuvumela ukulawuleka kalula nokudluliswa kwesithombe okungenazihibe.
IV.Izicelo ze-Wireless Ultrasound
Ubuchwepheshe be-ultrasound obungenantambo buye benza izinguquko ekucabangeni kwezokwelapha ngokunikeza ukuguquguquka okungenakuqhathaniswa nokufinyeleleka kuzilungiselelo zokunakekelwa kwezempilo.Izicelo zayo ezihlukahlukene zihlanganisa amakhono ahlukahlukene ezokwelapha, okuvumela odokotela ukuba benze ukuhlola kwesikhathi sangempela futhi bathuthukise ukunakekelwa kwesiguli kuzo zonke izimo ezihlukahlukene.Ake sihlole ezinye zezinhlelo zokusebenza ezibalulekile ze-wireless ultrasound:
Isithombe sendawo yokunakekela:
Imishini ye-ultrasound engenantambo iguqule ukuthwebula kwe-point-of-care ngokunikeza odokotela ikhono lokwenza ukuhlolwa kwe-ultrasound ngokuqondile eceleni kombhede noma ezindaweni ezikude.Lokhu kunenzuzo ikakhulukazi emithini yesimo esiphuthumayo, amayunithi okunakekelwa okujulile, kanye nezilungiselelo zangaphambi kwesibhedlela, lapho ukufinyelela okusheshayo kwezithombe zokuxilonga kungaba nomthelela omkhulu emiphumeleni yesiguli.Odokotela bangahlola ngokushesha ukulimala kokuhlukumezeka, bahlonze ukunqwabelana koketshezi, futhi baqondise ukungenelela okufana nokufinyelela emithanjeni nezinzwa ngaphandle kwesidingo semishini enzima noma amagumbi okuthwebula azinikele.
Ukubonisana okukude kanye ne-Telemedicine:
Ngokufika kobuchwepheshe be-ultrasound obungenawaya, amapulatifomu e-telemedicine andise amakhono azo ukuze afake izithombe ze-ultrasound zesikhathi sangempela.Abahlinzeki bokunakekelwa kwezempilo bangagada bekude ukuhlolwa kwe-ultrasound okwenziwa ochwepheshe abangebona ochwepheshe noma izisebenzi zezempilo ezindaweni ezinganakekelwa kahle, okuvumela ukuxilonga okufika ngesikhathi kanye nokuhlelwa kokwelashwa.Ukubonisana okukude okwenziwa amadivaysi e-ultrasound angenantambo kuye kwafakazela ukuthi kubaluleke kakhulu ezilungiselelweni zokunakekelwa kwempilo yasemaphandleni, lapho ukufinyelela kochwepheshe bezokwelapha obukhethekile kungase kube nomkhawulo.
I-Obstetrics kanye ne-Gynecology:
Imishini ye-ultrasound engenantambo idlala indima ebalulekile ekusebenzeni kwezokubelethisa kanye nezifo zabesifazane, ihlinzeka odokotela bokubelethisa nodokotela bezifo zabesifazane ukuguquguquka ukuze benze ukuhlolwa kwe-ultrasound ezindaweni ezihlukahlukene zomtholampilo.Kusukela ekuhlolweni okuvamile kwangaphambi kokubeletha kuya ekuhlolweni kwezimo zezifo zabesifazane, i-ultrasound engenantambo yenza odokotela bakwazi ukubona ngeso lengqondo ukukhula kombungu, bahlole ukwakheka kwe-pelvic, futhi bahlole izinkinga zokuzala kalula.Ukuphatheka kwayo kanye nokuba lula kwayo kuyenza ibe ithuluzi elibalulekile kodokotela bokubelethisa nodokotela bezifo zabesifazane abalawula ukukhulelwa kanye nezinkinga zempilo yabesifazane.
Isithombe se-Musculoskeletal:
Emithini yamathambo nezemidlalo, amadivaysi e-ultrasound angenawaya asetshenziswa kabanzi ekucabangeni kwe-musculoskeletal kanye nokungenelela okuqondisiwe.Odokotela abahlinzayo bamathambo nochwepheshe bemithi yezemidlalo bathembele ku-ultrasound ukuze bahlole ukulimala kwezicubu ezithambile, bahlole ubuqotho bamalunga, futhi baqondise imijovo noma izifiso ngokunemba.Ukuphatheka kwe-ultrasound okungenantambo namandla okucabanga ngesikhathi sangempela akwenza kube kuhle ukuhlola ukulimala enkundleni, emtholampilo, noma phakathi nezinqubo zokuhlinzwa, ukusiza ukuxilonga ngokushesha nokwelashwa kwezimo ze-musculoskeletal.
Impendulo Yesimo Esiphuthumayo Nenhlekelele:
Ubuchwepheshe be-ultrasound obungenawaya sebuphenduke ithuluzi elibalulekile ezimeni eziphuthumayo kanye nezinhlekelele, lapho ukuhlolwa okusheshayo nokunquma kubaluleke kakhulu.Amaqembu ezokwelapha eziphuthumayo asebenzisa imishini ye-ultrasound ephathekayo ukuze ahlole iziguli ezihlukumezekile, abone ukopha kwangaphakathi, futhi akhombe izimo ezisongela ukuphila ezifana ne-pneumothorax noma i-pericardial effusion.Ezimeni zenhlekelele, njengokuzamazama komhlaba noma izigameko zokulimala kwabantu abaningi, i-wireless ultrasound yenza abahlinzeki bezempilo bakwazi ukuhlola ngokushesha iziguli eziningi futhi babeke phambili ukunakekelwa okusekelwe ebukhulwini bokulimala.
Umuthi Wezilwane:
Ngale kokunakekelwa kwezempilo kwabantu, ubuchwepheshe be-ultrasound obungenantambo buye bathola izinhlelo zokusebenza emithini yezilwane, okuvumela odokotela bezilwane ukuthi benze izithombe zokuxilonga ezilwaneni ezilungiselelweni zomtholampilo ezahlukahlukene.Kusukela emitholampilo yezilwane ezincane kuya emapulazini ezilwane ezinkulu, odokotela bezilwane basebenzisa amadivaysi e-ultrasound angenawaya ukuze bahlole izimo ezinjengokukhulelwa, ukulimala kwemisipha namathambo, nokungajwayelekile kwesisu ezilwaneni ezingabangane, imfuyo, kanye neziguli ezilinganayo.Ubuchwepheshe be-ultrasound obuphathekayo buthuthukisa ukunakekelwa kwezilwane ngokunikeza izixazululo zezithombe ezingahlaseli izilwane zabo bonke osayizi.
Kafushane, ubuchwepheshe be-ultrasound obungenantambo buye baguqula izithombe zezokwelapha ngokunikeza ukuphatheka, ukuguquguquka, namandla ezithombe zesikhathi sangempela kuzo zonke izici zomtholampilo ezihlukahlukene.Kusukela ku-point-of-care imaging kanye ne-telemedicine kuya ekubelethweni, i-musculoskeletal imaging, impendulo ephuthumayo, kanye nemithi yezilwane, amadivaysi e-ultrasound angenawaya anika amandla odokotela ukuba balethe ukuxilonga okufika ngesikhathi nokunembile, ekugcineni bathuthukise imiphumela yesiguli futhi bathuthukise ukulethwa kwezempilo emhlabeni wonke.
V. Izinzuzo kanye nezinzuzo ze-Wireless Ultrasound
Ukwamukelwa kobuchwepheshe be-ultrasound obungenawaya kunikeza izinzuzo ezimbalwa ezibalulekile ekusebenzeni komtholampilo.Okokuqala nokubaluleke kakhulu ukuhamba okuthuthukisiwe nokuguquguquka, njengoba abahlinzeki bezempilo bengasaboshiwe kuma-imaging consoles futhi bangenza izikena endaweni yokunakekelwa.Amakhono wokucabanga kwesikhathi sangempela anika amandla ukuhlolwa nokungenelela ngokushesha, okuholela ekuxilongweni nasekulashweni okusheshayo.Ngaphezu kwalokho, amadivaysi e-ultrasound angenawaya ayabiza futhi asebenza kahle, asusa isidingo sengqalasizinda ezinikele futhi anciphisa nezindleko zokusebenza.Ngokombono wesiguli, i-ultrasound engenantambo ithuthukisa ukufinyeleleka nokunethezeka, ivumela ukuthi izinqubo zokuthwebula zenziwe ngesikhathi nangendlela elula.
VI.Izinselelo Nemikhawulo
Naphezu kwezinzuzo zayo eziningi, ubuchwepheshe be-ultrasound obungenawaya bubuye buveze izinselele kanye nemikhawulo okufanele kubhekwane nayo.Izithiyo zobuchwepheshe ezifana nobubanzi obunomkhawulo obungenawaya kanye nokuphazamiseka kwesignali okungaba khona kungase kuthinte ikhwalithi yesithombe nokudluliswa kwedatha.Ngaphezu kwalokho, ukuqinisekisa ukuqinisekiswa kwekhwalithi kanye nokuthotshelwa kwemithetho kuhlala kubalulekile ukuze kuqinisekiswe ukuphepha nokuthembeka kwezinhlelo ze-ultrasound ezingenantambo.Ukwengeza, ochwepheshe bezokunakekelwa kwempilo kumele bathole ukuqeqeshwa okwanele kanye nekhono lokusebenzisa kahle amadivaysi e-ultrasound angenantambo futhi bahumushe okutholwe kwezithombe ngokunembile.
VII.Imibono Yesikhathi Esizayo kanye Nezitayela Ezifufusayo
Sengiphetha, ubuchwepheshe be-ultrasound obungenawaya bumelela intuthuko eguquguqukayo ekucabangeni kwezokwelapha, enikeza ukuguquguquka okungenakuqhathaniswa, ukufinyeleleka, nokusebenza kahle ekusebenzeni komtholampilo.Ngokunqoba ukulinganiselwa kwezinhlelo zezintambo zendabuko, amadivaysi e-ultrasound angenawaya anika amandla abahlinzeki bezokunakekelwa kwempilo ukuletha ukunakekelwa kwekhwalithi ephezulu endaweni yesidingo.Nakuba izinselele nokulinganiselwa kusekhona
