ʻO ka hoʻokolohua ultrasound Doppler o kahi lima a wāwae paha
Hoʻohana kēia ho'āʻo i ka ultrasound e nānā i ke kahe o ke koko i nā aʻa nui a me nā uaua i nā lima a me nā wāwae.
Hana ʻia ka hoʻāʻo ma ke keʻena ultrasound a i ʻole ka radiology, kahi lumi o ka haukapila, a i ʻole kahi keʻena vipher peripheral.
I ka wā o ka hōʻike:
- Hoʻokomo ʻia kahi gel hiki ke hoʻoheheʻe ʻia i ka wai ma luna o kahi mīkini lima i kapa ʻia he transducer. Kuhi kēia mea i nā nalu kani kani pinepine i ke aʻa a i ʻole nā veins e hoʻāʻo ʻia.
- Hoʻokomo ʻia paha nā kūpeʻe koko i nā ʻāpana like ʻole o ke kino, e like me ka ʻūhā, ke keiki bipi, ke kuʻekuʻe wāwae, a me nā kiko ʻokoʻa ma ka lima.
Pono ʻoe e hemo i nā lole mai ka lima a i ʻole ka wāwae e nānā ʻia.
I kekahi manawa, pono ka mea e hana nei i ka hoʻokolohua e kaomi ma ka aa e maopopo ʻaʻohe ona koloka. Hiki paha i kekahi poʻe ke ʻeha iki i ke kaomi.
Hana ʻia kēia hōʻike ma ke ʻano he ʻanuʻu mua e nānā i nā aʻa a me nā uaua. I kekahi manawa, pono paha ka arteriography a me ka venography ma hope. Hana ʻia ka hōʻike e kōkua i ke kuhi:
- Arteriosclerosis o nā lima a me nā wāwae
- Koko koko (deep vein thrombosis)
- Ka lawa ʻole o Venous
E hoʻohana ʻia ka hōʻike i:
- E nānā i ka hōʻeha i nā aʻa
- Nānā i ke kūkulu hou ʻana o nā arterial a me nā bypass bypass
ʻO kahi hopena maʻamau, ʻaʻole hōʻike nā kīʻaha koko i nā hōʻailona o ka hoʻopili ʻana, nā clots, a i ʻole ke pani ʻana, a loaʻa nā kahe o ke kahe maʻamau.
Nā hopena kūpono ʻole ma muli o:
- Hoʻopili i kahi aʻa e ke kōkuʻu koko
- Koko koko i loko o kahi aa koko (DVT)
- Pākuʻi a hoʻonui paha o ke aʻa
- ʻO ka maʻi Spastic arterial (kontraction arterial i lawe ʻia e ke anuanu a i ʻole ka naʻau)
- ʻO Ven Venuse (pani ʻana o kahi aa)
- ʻO ka reflux Venous (ke kahe o ke koko e hele i ke ala hewa i nā uaua)
- Hoʻokomo ʻia ka Arterial mai atherosclerosis
Hana ʻia kēia hōʻike e kōkua ai i ka loiloi i nā ʻano aʻe:
- Arteriosclerosis o nā wēlau
- Trombosis venous hohonu
- Trombophlebitis superficial
ʻAʻohe pilikia mai kēia kaʻina hana.
Hiki paha i ka uahi paka ʻana ke hoʻololi i nā hopena o kēia hōʻike. Hiki i ka Nicotine ke hoʻopili i nā aʻa o ke kihi.
ʻO ka haʻalele ʻana i ka puhipaka e hoʻohaʻahaʻa i ka pilikia no nā pilikia me ka puʻuwai a me ka ʻōnaehana puni. ʻO ka hapa nui o nā make e pili ana i ka puhipaka ma muli o nā pilikia o ka maʻi puʻuwai, ʻaʻole ʻo ka maʻi ʻaʻaʻa.
ʻO ka maʻi vipher peripheral - Doppler; PVD - Doppler; PAD - Doppler; ʻO ka pale ʻana o nā aʻa wāwae - Doppler; Pākuʻi wā waena - Doppler; ʻO ka lawa ʻole o ka Arterial o nā wāwae - Doppler; ʻO kaʻeha o ka wāwae a me ka cramping - Doppler; ʻEha bipi keiki - Doppler; ʻO Venop Doppler - DVT
- ʻO Doppler ultrasonography o kahi palena
Anderson JL, Halperin JL, Albert NM, et al. Ka mālama ʻana i nā mea maʻi me ka maʻi o ke aʻa peripheral (ka hōʻuluʻulu ʻana o 2005 a me 2011 ACCF / AHA Nā Manaʻo Kōkua): kahi hōʻike o ka American College of Cardiology Foundation / American Heart Association Task Force ma nā Kumu Alakaʻi. Kaapuni. 2013; 127 (13): 1425-1443. PMID: 23457117 www.ncbi.nlm.nih.gov/pubmed/23457117.
Gerhard-Herman MD, Gornik HL, Barrett C, et al. ʻO 2016 AHA / ACC Alakaʻi e pili ana i ka hoʻokele o nā mea maʻi me ka maʻi o ke aʻa o ke aniani o lalo: hōʻuluʻulu mana. ʻO Vasc Med. 22 (3): NP1-NP43. PMID: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710.
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: kahi puke o ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 64.
Lockhart ME, Umphrey HR, Weber TM, Robbin ML. Nā moku ākea. I: Rumack CM, Levine D, eds. ʻIkioma ultrasound. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 27.