Pāhoihoi ultrasound

ʻO kahi ultrasound duplex kahi hoʻāʻo e ʻike pehea e neʻe ai ke koko ma o nā aʻa a me nā veins.

Hoʻohui kahi ultrasound duplex:

• ʻO ke ultrasound kuʻuna: hoʻohana kēia i nā nalu kani e kū i luna nā kīʻaha koko e hana i nā kiʻi.
• Doppler ultrasound: Kuhi kēia i nā nalu kani e hōʻike ana i nā mea neʻe, e like me ke koko, e ana i ko lākou wikiwiki a me nā ʻano ʻē aʻe o ko lākou kahe.

Aia nā ʻano ʻokoʻa o nā hōʻike ultrasound duplex. Pili pū kekahi:

• Arterial a me venous duplex ultrasound o ka ʻōpū. Nānā kēia hōʻike i nā kīʻaha koko a me ke kahe o ke koko i ka wahi o ka ʻōpū.
• Ke nānā aku nei ʻo Carotid duplex ultrasound i ke aʻa carotid i ka ʻāʻī.
• Nānā ka ultrasound Duplex o nā ʻaoʻao i nā lima a i ʻole nā ​​wāwae.
• Nānā ka ultrasound Renal duplex i nā puʻupaʻa a me kā lākou mau kīʻaha koko.

Pono ʻoe e komo i ke kapa olakino. E moe ʻoe i lalo ma kahi pākaukau, a e hoʻolaha ka mea loea ultrasound i kahi gel ma kahi o nā wahi e hoʻāʻo ʻia. Kōkua ka gel i nā hawewe kani i loko o kāu mauʻaʻaʻa.

Ua neʻe ʻia kahi koʻokoʻo i kapa ʻia he transducer ma luna o kahi e hoʻāʻo ʻia ana. Hoʻouna kēia neʻe i nā nalu kani. Ana ke kamepiula i ke ʻano o ka nalu o ke kani i hope, a hoʻololi i nā nalu kani i nā kiʻi. Hoʻokumu ka Doppler i kahi kani "swishing", ʻo ia ke kani o kou koko e neʻe ana i nā aʻa a me nā uaua.

Pono ʻoe e noho mālie i ka wā o ka hōʻike. E noi paha ʻoe e moe i nā kūlana o ke kino, a i ʻole e lawe i ka hanu hohonu a paʻa iā ia.

I kekahi manawa i ka manawa o kahi ultrasound duplex o nā wāwae, hiki i ka mea mālama ola ke helu i kahi kuʻekuʻe wāwae-brachial index (ABI). Pono ʻoe e ʻaʻa i nā kūpeʻe koko ma kou mau lima a me kou mau wāwae no kēia hoʻāʻo.

Loaʻa ka helu ABI i ka hoʻokaʻawale ʻana i ke kahe o ke koko ma ka kuʻekuʻe e ke kaomi koko i ka lima. ʻO ka waiwai o 0.9 a ʻoi paha ka maʻamau.

ʻO ka maʻamau, ʻaʻohe hoʻomākaukau no kēia hōʻike.

Inā loaʻa iā ʻoe kahi ultrasound o kou ʻōpū, noi ʻia ʻoe ʻaʻole e ʻai a inu paha ma hope o ke aumoe. E haʻi i ke kanaka e hana nei i ka hoʻokolohua ultrasound inā ʻoe e lawe i nā lāʻau, e like me nā mea ʻokiʻoki koko. Hoʻopili paha kēia i nā hopena o ka hoʻāʻo.

ʻIke paha ʻoe i kekahi kaomi ke neʻe ka lāʻau i luna o ke kino, akā ʻaʻohe pilikia ma ka hapa nui o ka manawa.

Hiki i kahi ultrasound duplex ke hōʻike i ke kahe o ke koko i nā ʻāpana he nui o ke kino. Hiki iā ia ke haʻi i ka laulā o kahi kīʻaha koko a hōʻike i nā ālai. ʻO kēia hōʻike he koho hōʻemi loa ia ma mua o ka arteriography a me ka venography.

Hiki i kahi ultrasound duplex ke kōkua i ke kuhi ʻana i kēia mau ʻano:

• Anerysm ʻōpū
• Hopena ʻaʻano
• Pūʻulu koko
• ʻO ka maʻi maʻi Carotid (e nānā: Carotid duplex)
• Maʻi maʻi ʻōiwi
• ʻO nā veins varicose
• Ka lawa ʻole o Venous

Hiki ke hoʻohana ʻia kahi ultrasound renal duplex ma hope o ke kaʻi transplan. Hōʻike kēia i ka maikaʻi o ka hana ʻana o kahi puʻupaʻa hou.

ʻO kahi hopena maʻamau ke kahe o ke koko maʻamau ma o nā uaua a me nā aʻa. Aia ke kaomi koko maʻamau a ʻaʻohe hōʻailona o ka ʻiki a blockage paha o kahi kīʻaha koko.

Aia kahi hopena maʻamau i ka wahi kikoʻī e nānā ʻia. ʻO kahi hopena maʻamau ma muli o ke kōkō ʻana o ke koko a i ʻole ke kūkulu ʻana o ka pā i loko o kahi kīʻaha koko.

ʻAʻohe pilikia.

Hiki i ke puhi ʻana ke hoʻololi i nā hopena o ka ultrasound o nā lima a me nā wāwae. Hana ʻia kēia no ka mea hiki i ka nikotine ke hoʻoliʻiliʻi i nā aʻa (constrict).

Pākuʻi ultrasound; ʻO ke ultrasound vipher peripheral

• Hoʻokomo ʻia ka Angioplasty a me stent - nā aʻa ākea - hoʻokuʻu
• Trombosis o ka aa hohonu - hoʻokuʻu

• ʻO ka hoʻāʻo ʻana o Duplex / doppler ultrasound

Bonaca MP, Creager MA. Nā maʻi o ke aʻa peripheral. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 64.

Freischlag JA, Heller JA. Maʻi Venous. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 64.

Kremkau FW. Nā kumu a me nā pono hana o ka ultrasonography. I: Pellerito JS, Polak JF, hua. Hoʻolauna i ka Vascular Ultrasonography. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 2.

Pōhaku PA, Hass SM. Ke keʻena hoʻokolohua vascular: ke nānā ʻana i ka duplex arterial. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 21.