Mō ngā raruraru tātaritanga haumanu o te ao me te hauora tuatahi, kei te rapu tonu te tari ultrasound o Yonker i ngā otinga pai ake, me te whakapai ake i ana hangarau matua mā te rangahau tonu me te auahatanga hangarau.
Ultrasound Perioperative
Kua whānuitia te whakamahinga o te ultrasound perioperative i ngā tau tata nei.
Ko ngā tikanga aukati io me te werohanga toto e arahina ana e te ultrasound, te ultrasound i te wā tiaki (POCUS), me te echocardiography perioperative kua noho hei tikanga haumanu tino nui i roto i te rongoā whakamoe.
- Kei te tari ultrasound, kei te pokapū whakaahua rānei te pūnaha ultrasound tuku iho, ā, he tino uaua ki te neke haere, ā, ka uaua ake mō ētahi atu tari kāore i te whakamahi i te ultrasound.
- Mō ngā mahi ultrasound perioperative, me mahi pinepine ngā tākuta i te matawai ultrasonic māmā, tere hoki hei aromatawai i ngā āhuatanga tinana o ngā tūroro me te taumata o te mate, hei whakamahi rānei i te ultrasound hei āwhina i ngā mahi pēnei i te whakatakotoranga o te scatther, te whakatakotoranga poka, me te āwhina mo te mate whakamoe.
Hei whakatutuki i ēnei whakaritenga, ka whanake a Yonker i ngā tau tata nei
- Kiato: he tinana konupora konupora, he 4.5 kg te mama
- Whakaataatatia ki te tangata: ngā pūoko whakawhiti takirua; te mata pa 10 inihi kua tautuhia e te kaiwhakamahi
- Pūmau: he roa rawa te wā matawai me ngā pākahiko e rua kua whakauruhia
- Ataahua: he kounga ahua motuhake me te pono teitei me te hoahoa tatau hongere teitei
- Atamai: te arotautanga aunoa kotahi-kī me te pūmanawa ako
Te Ultrasound i roto i te Hemodialysis
He maha ngā uauatanga ka pā mai ki ngā tākuta o te pokapū dialysis i roto i te fistulation horihori.
- I tētahi taha, he rerekē ki ngā tohunga ororongo mohio, tera pea ka kitea e ngā tākuta o te pokapū dialysis he tino uaua te tukanga ine i te rere o te toto, he uaua ngā tikanga me te ine ā-ringa, e tino whakawhirinaki ana ki te wheako o ngā kaiwhakahaere. Nō reira, he koretake te tika o ngā hua ine ā-ringa, ā, he iti te kaha ki te whakahoki.
- Heoi, i tētahi atu taha, me whiwhi rātou i ngā hua ine rere toto i mua atu, i muri mai hoki i te pokanga fistula, ko te tikanga he nui te mahi ine rere toto.
-Haunga tēnā, mā te whakamahi i te whakaahua ultrasonic hei ine tika i te rere o te toto i roto i ngā oko toto ka nui ake te angitu o te pokanga o te obstetrician, engari mā ngā pokanga maha ka puta he raruraru nui, ka mamae tinana me te hinengaro.
Hei āwhina i ngā tākuta mimi ki te whakaoti i ēnei uauatanga, ka puta mai i te tauira hou:
- He mahinga rere mahi kua whakangawaritia (kua whakaitihia ki te 6 ngā taahiraa): ki te whakataurite ki ngā taputapu ultrasonic tuku iho mō te ine i te rere o te toto, he māmā noa te whakahaere i te eVol.Flow, ā, ka tino pai ake te whai huatanga o te tātaritanga
- Ine aunoa: whakaitihia ngā hapa ine ā-ringa, me te whakapai ake i te auautanga me te āheinga ki te whakaputa anō
- Te hiranga haumanu: mā te whakamahi i te eVol.Flow hei whakatutuki i te aroturukitanga wā-tūturu o te rere toto ka pai ake te whakaiti i ngā raruraru me te whakaroa i te roanga o te ora o te fistula
Ultrasound in Te rongoā whānau& Te rongoā wahine
Hei huarahi whakaahua haumaru rawa atu, he mea tino nui te whakamātautau ultrasound mō te mahi whānau tamariki. He mea tika kia inehia te BPD, AC, HC, FL, HUM, OFD puta noa i te wā e hapu ana, kia kitea ai te tukanga tipu o te tamaiti me te aromatawai i tōna hauora.
- Ahakoa rā, he maha ngā wā ka whakamahia e ngā tākuta ultrasound tuku iho te whai i ngā tohutoro ā-ringa, e tino whakawhirinaki ana ki te wheako o ngā kaiwhakahaere.
- Heoi anō, he mahi uaua, he mahi auau hoki te tukanga, ā, he nui ngā mahi e hiahiatia ana, ā, ka tino whakaiti i te whai huatanga o ngā tātaritanga a ngā tākuta.
Hei whakapai ake i te tika o te ine me te whai huatanga o te tātaritanga i roto i te mahi whānau, me whakauru mai ngā taputapu hou ki:
- Tāutuhi aunoa: tautoko BPD /OFD/AC/HC /FL/HUM
- Kī kotahi: ine aunoa, penapena wā me te kaha
- Te whakapai ake i te tika: te karo i ngā hapa ine ā-ringa
HaungaOB, he tauira hou anō hoki rite rawa me ētahi atu whakamuad ngā taputapu me mahangā kōwhiringa whakawhiti, e whakarato ana i tētahi otinga whānui mō tonoion in Te rongoā whānau & Te rongoā wahine.
Te Ultrasound i roto i te Cardiology
Mō te tātaritanga o te ventricle maui i roto i te Cardiology, e toru ngā momo inenga nui e whakamahia ana i ngā wā katoa.
- He mea nui te Ejection Fraction i roto i ngā āhuatanga maha e hiahia ana ngā tākuta ki te tātaritanga i ngā mate o te ngakau pēnei i te ngoikore o te ngakau, te ohorere, me te mamae o te uma.
He mea tino nui te taumahatanga whakaroa hei aromatawai i ngā tūroro i te wā e rongoā ana i te chemotherapy, me muri hoki, i mua atu rānei i te whakakapinga o te takirere aorta.
- Mā te tātari nekehanga o te pakitara wāhanga ka kitea ngā āhuatanga rerekē o te whakahekenga o ngā wāhanga LV e 17, he mea nui tēnei i te wā o ngā mate pūkahukahu, me muri hoki.
Ko ngā tikanga tuku iho, ka mahia ā-ringa ēnei momo ine e toru o te uaua maui.
- He uaua, he roa hoki te wā e pau ana i ngā tukanga kua whakaritea.
- Tērā pea ka pāngia te tangata e te whakaaro whaiaro, ā, ka ngāwari hoki te hapa i roto i te tukanga whakahaere.
- Ko te tika me te auau o ngā hua e tino whakawhirinaki ana ki te pūkenga o ngā kaiwhakahaere.
Hei whakapai ake i te tika o te ine me te whai huatanga o te tātaritanga i roto i te Cardiology,
Kei roto i ngā mahi eLV te ine aunoa i te Wāhanga Whakaputa (EF Aunoa), te Reiti Taumahatanga (SG Aunoa) me te Taupū Kaute Nekehanga Pakitara (WMSI Aunoa).
- E wātea ana ki ngā kaiwhakamahi ultrasound katoa: Ahakoa te wheako o te kaiwhakahaere
- Tere me te Māmā: ka taea e te kaiwhakamahi te tiki putanga aunoa mā te pāwhiri kotahi
- Tika me te Whāinga: Te tirotiro ā-ringa me te tirotiro ā-tinana
- Ka taea te tāruarua: Te whakataurite tika ki ngā whakamātautau o mua
- Kāore he whakamātautau ECG e hiahiatia ana
He kaihanga hangarau a Yonker e whakapau kaha ana ki te āwhina i ō mātou kiritaki ki te whakaoti rapanga uaua.
Mā te whakapau kaha tonu, ka whakaratohia e te tari ultrasound a Yonker he whānuitanga o ngā taputapu hangarau-teitei
ngā hua, mai i te mamati pango/mā ki ngā pūnaha Doppler tae, e ahu mai ana i te kāreti me te kawe, tae atu ki te tangata me te kararehe ehara i te tangata. Hei tāpiri, e whakanui ana a Yonker i te wheako kaiwhakamahi. E whakapono ana mātou mā te tuku ratonga kiritaki tino pai ka whakaatuhia tō mātou arotahi ki te rautaki e aro ana ki te tono i roto i te mākete kore utu.
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Wā tuku: Akuhata-07-2023
