Mea Kākau: Virginia Floyd
Lā O Ka Hana: 13 Aukake 2021
HōʻAno Hou I Ka Lā: 12 Mei 2024
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Obstetric Doppler Made Easy
Wikiō: Obstetric Doppler Made Easy

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He aha kahi ultrasound Doppler?

ʻO kahi Doppler ultrasound kahi hōʻike kiʻi e hoʻohana i nā nalu kani e hōʻike i ke kahe o ke koko ma o nā kīʻaha koko. Hoʻohana pū kekahi ultrasound maʻamau i nā nalu kani e hana i nā kiʻi o nā hanana i loko o ke kino, akā ʻaʻole hiki ke hōʻike i ke kahe o ke koko.

Hana ʻo Doppler ultrasound i ke ana ʻana i nā nalu kani e hōʻike ʻia mai nā mea neʻe, e like me nā hunaola ʻulaʻula. ʻIke ʻia kēia ʻo ka hopena Doppler.

Aia kekahi mau ʻano like ʻole o nā hoʻāʻo ultrasound Doppler. Pākuʻi ʻia lākou:

  • Doppler waihoʻoluʻu. Hoʻohana kēia ʻano Doppler i kahi kamepiula e hoʻololi i nā nalu kani i nā kala like ʻole. Hōʻike kēia mau kala i ka wikiwiki a me ke kuhikuhi o ke kahe o ke koko i ka manawa maoli.
  • ʻO Doppler Mana, kahi ʻano hou o ke kala Doppler. Hiki iā ia ke hāʻawi i nā kikoʻī hou aʻe o ke kahe o ke koko ma mua o Doppler kala. Akā ʻaʻole hiki ke hōʻike i ke ala o ke kahe o ke koko, a he mea nui ia i kekahi mau hihia.
  • Pāleka uila. Hōʻike kēia hōʻike i ka ʻike kahe o ke koko ma kahi pakuhi, ma mua o nā kiʻi kala. Hiki iā ia ke kōkua e hōʻike i ka nui o kahi kīʻaha koko i ālai ʻia.
  • Pālua Doppler. Hoʻohana kēia ho'āʻo i ka ultrasound maʻamau e kiʻi i nā kiʻi o nā kīʻaha koko a me nā meaola. A laila hoʻololi i kahi kamepiula i nā kiʻi i kahi pakuhi, e like me ka spectral Doppler.
  • Doppler nalu mau. I kēia hoʻāʻo, hoʻouna ʻia nā nalu kani a loaʻa mau. ʻAe ia no ke ana pono ʻana o ke koko e kahe ana i nā wikiwiki.

Nā inoa ʻē aʻe: Doppler ultrasonography


No ke aha ia e hoʻohana ai?

Hoʻohana ʻia nā hoʻokolohua ultrasound Doppler e kōkua i ka poʻe lawelawe olakino e ʻike inā he maʻi kou e hōʻemi a pale ana paha i kou kahe o ke koko. Hoʻohana ʻia ia e kōkua i ke kuhi ʻana i kekahi mau maʻi puʻuwai. Hoʻohana pinepine ʻia ka hōʻoia i:

  • E hōʻoia i ka hana naʻau. Hana pinepine ʻia me ka electrocardiogram, kahi hōʻike e ana i nā hōʻailona uila i ka puʻuwai.
  • E nānā i nā poloka i ke kahe o ke koko. Hiki ke kahe i ke kahe o ke koko i nā wāwae ke hana i kahi ʻano i kapa ʻia he thrombosis hohonu (DVT).
  • E hōʻoia no ka hōʻino ʻana o ke kīʻaha koko a me nā kīnā o ke ʻano o ka puʻuwai.
  • E nānā no ka hoʻopili ʻana o nā kīʻaha koko. Hiki i nā aʻa ākea i nā lima a me nā wāwae ke manaʻo he maʻi kou i kapa ʻia ʻo ka maʻi ākea peripheral (PAD). ʻO ka hoʻopili ʻana i nā aʻa i ka ʻāʻī hiki ke manaʻo he ʻano kou i kapa ʻia ʻo carotid artery stenosis.
  • Nānā i ke kahe o ke koko ma hope o ke kahakaha ʻana.
  • E hōʻoia no ke kahe o ke koko maʻamau i ka wahine hāpai a me kāna pēpē i hānau ʻole ʻia.

No ke aha e pono ai iaʻu kahi ultrasound Doppler?

Pono ʻoe i kahi ultrasound Doppler inā loaʻa iā ʻoe nā hōʻailona o ka hoʻoliʻiliʻi o ke kahe o ke koko a i ʻole ka maʻi puʻuwai. Hoʻololi nā ʻōuli i ke ʻano o ke kumu o ka pilikia. Aia ma lalo kekahi o nā kahe o ke kahe o ke koko a me nā hōʻailona.


Nā ʻōuli o ka maʻi ākea peripheral (PAD) me:

  • Pōpō a palupalu paha i kou mau wāwae
  • ʻO ka ʻehaʻehaʻeha i kou hiʻi a i ʻole nā ​​mākala o ka wāwae ke hele a piʻipiʻi paha i nā ʻanuʻu
  • ʻO ke anuanu i kou wāwae wāwae a wāwae paha
  • E hoʻololi i ke kala a me / a i ʻole ʻili ʻōlinilino i kou wāwae

Nā hōʻailona o nā pilikia puʻuwai e:

  • Pokole o ka hanu
  • ʻO ka pehu ʻana i kou mau wāwae, wāwae, a me / a i ʻole ʻōpū
  • Ka luhi

Pono paha ʻoe i kahi ultrasound Doppler inā ʻoe:

  • Ua loaʻa kahi maʻi kīnā. Ma hope o ka hahau ʻana, hiki i kāu mea mālama mālama ola ke kauoha i kahi ʻano kūikawā o ka hoʻokolohua Doppler, i kapa ʻia ʻo transcranial Doppler, e nānā i ke kahe o ke koko i ka lolo.
  • Loaʻa i kahi ʻeha i kāu kīʻaha koko.
  • Ke mālama ʻia nei no kahi maʻi kahe o ke koko.
  • Hāpai ʻoe a manaʻo paha kāu mea hāʻawi iā ʻoe a i ʻole kāu pēpē i hānau ʻole ʻia e loaʻa i kahi pilikia kahe o ke koko. Manaʻo paha kāu mea hāʻawi i kahi pilikia inā ʻoi aku ka liʻiliʻi o kāu pēpē i hānau ʻia ma mua o ka manawa ma kēia wā o ka hāpai ʻana a inā he pilikia olakino kāu. Hoʻopili kēia i ka maʻi maʻi sickle a i ʻole preeclampsia, kahi ʻano o ke koko kiʻekiʻe e pili ana i nā wahine hāpai.

He aha ka hana i ka wā o kahi ultrasound Doppler?

Hoʻokomo ʻia kahi ultrasound Doppler i kēia mau hana:


  • E moe ʻoe i kahi pākaukau, e hōʻike ana i kahi o kou kino e hoʻāʻo ʻia ana.
  • E hoʻolaha kahi mea mālama ola i kahi gel kūikawā ma ka ʻili ma luna o kēlā wahi.
  • E hoʻoneʻe ka mea hāʻawi i kahi mea like wand, i kapa ʻia transducer, ma luna o ka wahi.
  • Hoʻouna ka mea i nā nalu kani i kou kino.
  • ʻO ka neʻe ʻana o nā hunaola koko e hoʻololi i ka pitch o nā nalu kani. Lohe paha ʻoe i nā kani swishing a i ʻole like me ke kani ʻana i ke kaʻina hana.
  • Hoʻopaʻa ʻia nā nalu a lilo i kiʻi a i ʻole nā ​​kiʻi i ka monitor.
  • Ma hope o ka pau ʻana o ka hoʻāʻo, e holoi ka mea hāʻawi i ka gel i kou kino.
  • Lawe ʻia ka hōʻike ma kahi o 30-60 mau minuke e hoʻopau ai.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

E hoʻomākaukau ai no kahi ultrasound Doppler, pono ʻoe e:

  • Wehe i nā lole a me nā kāhiko mai kahi o ke kino e hoʻāʻo nei.
  • Hōʻalo i nā pika a me nā huahana ʻē aʻe i loaʻa i ka nikotine a i ʻelua mau hola ma mua o kāu hōʻike. Hoʻokumu ʻo Nicotine i nā kīʻaha koko e hāiki, a hiki ke hoʻopili i kāu hopena.
  • No kekahi ʻano o nā hoʻokolohua Doppler, noi ʻia ʻoe e hoʻokē ʻai (ʻaʻole ʻai a inu) no kekahi mau hola ma mua o ka hoʻāʻo.

E haʻi aku kāu mea mālama ola iā ʻoe inā pono ʻoe e hana i kekahi mea e hoʻomākaukau ai no kāu hōʻoia.

Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe pilikia i ʻike ʻia i ka loaʻa ʻana o kahi ultrasound Doppler. Manaʻo ʻia he palekana i ka wā hāpai.

He aha ke ʻano o nā hopena?

Inā ʻaʻole maʻamau kāu mau hopena, manaʻo paha ʻoe he:

  • Kahi paʻa a ʻaʻā paha i loko o ke aʻa
  • Nā kīʻaha koko liʻiliʻi
  • Kahe koko maʻamau
  • An aneurysm, a balloon-like bulge in the arteries. Kuhi ia i nā aʻa e hoʻolōʻihi a lahilahi. Inā lahilahi ka paia, hiki i ke aʻa ke haki, e hoʻoweliweli ana i ke kahe ʻana o ke ola.

Hōʻike ʻia paha nā hopena inā loaʻa ke kahe o ke koko i loko o kahi pēpē i hānau ʻole ʻia.

E pili ka manaʻo o kāu mau hopena i ka ʻāpana o ke kino e hoʻāʻo ʻia ana. Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

Nā kūmole

  1. Johns Hopkins Medicine [Pūnaewele]. Ke Kulanui ʻo Johns Hopkins; c2020. ʻO Kauka Johns Hopkins: Hale Waihona Puke: Pelvic Ultrasound; [helu ʻia 2020 Jul 23]; [ma kahi o 3 pale]. Loaʻa mai: https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/radiology/ultrasound_85,p01298
  2. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. Doppler ultrasound: He aha ka mea e hoʻohana ai ia ?; 2016 Dec 17 [helu ʻia 2019 Mar 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/doppler-ultrasound/expert-answers/faq-20058452
  3. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. Electrocardiogram (ECG a i ʻole EKG): No; 2019 Feb 27 [helu ʻia 2019 Mar 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/tests-procedures/ekg/about/pac-20384983
  4. Mayo Clinic [Pūnaewele]. Mayo Foundation no ka Hoʻomaʻamaʻa Lapaʻau a me ka noiʻi; c1998–2019. Maʻi maʻi peripheral artery (PAD): Nā ʻōuli a me nā kumu; 2018 Jul 17 [helu ʻia 2019 Mar 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.mayoclinic.org/diseases-conditions/peripheral-artery-disease/symptoms-causes/syc-20350557
  5. Merck Manual Mea Kūʻai Manuahi [Pūnaewele]. Kenilworth (NJ): Merck & Co., Inc. c2019. Ultrasonography; [hoʻohou 2015 Aug; i helu ʻia ʻo 2019 Mar 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.merckmanuals.com/home/spesyal-subjects/common-imaging-tests/ultrasonography
  6. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Echocardiography; [i helu ʻia 2019 Mar 1]; [ma kahi o 2 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/echocardiography
  7. National Heart, Lung, and Blood Institute [Pūnaewele]. Bethesda (MD): Ke Keʻena ʻOihana Ola a me nā lawelawe kanaka; Puʻuwai puʻuwai; [i helu ʻia 2019 Mar 1]; [ma kahi o 2 pale]. Loaʻa mai: https://www.nhlbi.nih.gov/health-topics/heart-failure
  8. Novant Health: ʻōnaehana olakino UVA [Pūnaewele]. ʻŌnaehana olakino Novant; c2018. Ultrasound a me Doppler Ultrasound; [i helu ʻia 2019 Mar 1]; [ma kahi o 4 pale]. Loaʻa mai: https://www.novanthealthuva.org/services/imaging/diagnostic-exams/ultrasound-and-doppler-ultrasound.aspx
  9. Radiology Info.org [Pūnaewele]. Radiological Society o ʻAmelika Hema, Inc. c2019. ʻO Doppler Ultrasound; [i helu ʻia 2019 Mar 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.radiologyinfo.org/en/glossary/glossary1.cfm?gid=96
  10. Radiology Info.org [Pūnaewele]. Radiological Society o ʻAmelika Hema, Inc. c2019. ʻO Ultrasound Nui; [i helu ʻia 2019 Mar 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.radiologyinfo.org/en/info.cfm?pg=genus
  11. ʻO Reeder GS, Currie PJ, Hagler, DJ, Tajik AJ, Seward JB. Hoʻohana o nā ʻenehana Doppler (Wave mau, Wave Pulsed, a me ke kiʻi ʻana i ke kaʻe kala) i ka Noninvasive Hemodynamic Assessment of Congenital Heart Disease. Mayo Clin Proc [Pūnaewele]. 1986 Sep [helu ʻia 2019 Mar 1]; 61: 725-744. Loaʻa mai: https://www.mayoclinicprocessings.org/article/S0025-6196(12)62774-8/pdf
  12. ʻO Stanford Health Care [Pūnaewele]. Mālama Ola ʻO Stanford; c2020. ʻO Doppler Ultrasound; [helu ʻia 2020 Jul 23]; [ma kahi o 6 pale]. Loaʻa mai: https://stanfordhealthcare.org/medical-tests/u/ultrasound/procedures/doppler-ultrasound.html
  13. Ke Kulanui ʻo Ohio State: Wexner Medical Center [Pūnaewele]. Columbus (OH): Ke Kulanui ʻo Ohio State, Wexner Medical Center; ʻO Doppler Ultrasound; [i helu ʻia 2019 Mar 1]; [ma kahi o 4 pale]. Loaʻa mai: https://wexnermedical.osu.edu/heart-vascular/conditions-treatments/doppler-ultrasound
  14. UF Health: Ke Kulanui o Florida Health [Pūnaewele]. Gainesville (FL): Ke Kula Nui o Florida; c2019. Ultrasound Duplex: nānā ākea; [hōʻano hou ʻia 2019 Mar 1; i helu ʻia ʻo 2019 Mar 1]; [ma kahi o 2 pale]. Loaʻa mai: https://ufhealth.org/duplex-ultrasound
  15. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Doppler Ultrasound: Pehea e hana ai; [hōʻano 2017 2017 9; i helu ʻia ʻo 2019 Mar 1]; [ma kahi o 5 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/doppler-ultrasound/hw4477.html#hw4494
  16. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Doppler Ultrasound: Pehea e hoʻomākaukau ai; [hōʻano 2017 2017 9; i helu ʻia ʻo 2019 Mar 1]; [ma kahi o 4 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/doppler-ultrasound/hw4477.html#hw4492
  17. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻO Doppler Ultrasound: Nā hopena; [hōʻano 2017 2017 9; i helu ʻia ʻo 2019 Mar 1]; [ma kahi o 8 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/doppler-ultrasound/hw4477.html#hw4516
  18. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. Doppler Ultrasound: Nā Pilikia; [hōʻano 2017 2017 9; i helu ʻia ʻo 2019 Mar 1]; [ma kahi o 7 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/doppler-ultrasound/hw4477.html#hw4514
  19. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻO Doppler Ultrasound: Nānā Hōʻike Hou; [hōʻano 2017 2017 9; i helu ʻia ʻo 2019 Mar 1]; [ma kahi o 2 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/doppler-ultrasound/hw4477.html#hw4480
  20. UW Ola [Pūnaewele]. Madison (WI): Ke Kulanui o Wisconsin Nā Haukapila a me nā Mana Haukino; c2019. ʻO Doppler Ultrasound: No ke aha e hana ai; [hōʻano 2017 2017 9; i helu ʻia ʻo 2019 Mar 1]; [ma kahi o 3 pale]. Loaʻa mai: https://www.uwhealth.org/health/topic/medicaltest/doppler-ultrasound/hw4477.html#hw4485

ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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