Doppler ultrasound tub ntxhais kawm ntawm caj npab lossis ceg
Qhov ntsuam xyuas no siv ultrasound los saib cov ntshav ntws hauv cov hlab ntsha loj thiab leeg ntshav ntawm caj npab lossis ceg.
Kev ntsuam xyuas tau ua tiav hauv chav thev naus laus zis lossis xov tooj hluav taws xob, chav tsev kho mob, lossis hauv chav kuaj mob vascular.
Thaum qhov kev kuaj mob:
- Cov kua dej ua kom dej daj tso rau ntawm tes ntaus ntawv hu ua transducer. Cov cuab yeej no ncaj qha ua suab nrov ceev rau cov leeg ntshav lossis leeg ntshav tau sim.
- Kev ntsuas ntshav siab tuaj yeem tso rau ib puag ncig ntawm ntau qhov chaw ntawm lub cev, suav nrog tus ncej puab, plab hlaub, pob luj taws, thiab cov ntsiab lus sib txawv ntawm sab caj npab.
Koj yuav tsum tau hle khaub ncaws ntawm caj npab lossis txhais ceg uas raug kuaj.
Qee zaum, tus neeg ua qhov kev ntsuas yuav xav tau nias rau txoj leeg kom paub tseeb tias nws tsis muaj ntshav. Qee tus neeg yuav hnov mob me ntsis los ntawm lub siab.
Qhov kev ntsuas no yog ua tiav thawj kauj ruam los saib cov hlab ntsha thiab leeg ntshav. Qee zaum, xav tawm cov hlab ntsha thiab cov duab liab qab yuav xav tau tom qab. Kev ntsuam xyuas tiav lawm los pab ntsuas:
- Arteriosclerosis ntawm caj npab lossis txhais ceg
- Cov ntshav txhaws (cov hlab ntsha sib sib zog nqus)
- Venous tsis txaus
Kev ntsuas kuj tseem siv tau:
- Saib ntawm kev raug mob rau ntawm cov hlab ntsha
- Saib xyuas txoj kev tsim kho arterial thiab kev hla dhau kev sib tsoo
Qhov tshwm sim ib txwm txhais tau hais tias cov hlab ntsha tsis muaj cov cim qhia nqaim, txhaws, lossis kaw, thiab cov hlab ntsha muaj ntshav ntws ib txwm.
Qhov ntsuas tsis zoo yuav yog vim:
- Kev txhaws ntawm cov hlab ntsha los ntawm ntshav txhaws
- Cov ntshav txhaws hauv cov hlab ntsha (DVT)
- Nqaim lossis nthuav dav ntawm cov leeg ntshav
- Kab mob rau cov hlab ntsha txhaws (cov hlab ntsha o tuaj ntawm qhov txias los yog tig tau)
- Venous occlusion (kaw cov leeg ntshav)
- Tso ntshav tawm rau hauv cov ntshav (ntshav khiav mus ncaj qha rau cov leeg ntshav)
- Arterial occlusion los ntawm atherosclerosis
Qhov kev ntsuas no tseem yuav ua tau los pab ntsuas cov teeb meem hauv qab no:
- Arteriosclerosis ntawm qhov tshaj plaws
- Mob tuag tes tuag taw (venous thrombosis)
- Sab Xuas thrombophlebitis
Tsis muaj kev phom sij los ntawm cov txheej txheem no.
Kev haus luam yeeb yuav hloov qhov ntsuas ntawm kev ntsuas no. Nicotine tuaj yeem ua rau cov hlab ntsha hauv qhov chaw tawm tsam.
Txiav kev haus luam yeeb ua rau muaj kev pheej hmoo ntau rau cov teeb meem hauv lub plawv thiab ntshav khiav lag luam. Cov neeg haus luam yeeb feem ntau ua rau muaj mob plawv, tsis yog mob ntsws.
Peripheral vascular kab mob - Doppler; PVD - Doppler; PAD - Doppler; Kev txhaws ntawm cov hlab ntsha - Doppler; Sib quas zug claudication - Doppler; Arterial tsis txaus ntawm ob txhais ceg - Doppler; Mob ceg thiab mob ntswj - Doppler; Mob plab hlaub - Doppler; Venous Doppler - DVT
- Doppler ultrasonography ntawm qhov kawg
Anderson JL, Halperin JL, Albert NM, li al. Kev tswj hwm ntawm cov neeg mob uas muaj kabmob peripheral artery (muab tso ua ke ntawm 2005 thiab 2011 ACCF / AHA Cov Lus Taw Qhia): daim ntawv tshaj tawm ntawm American College of Cardiology Foundation / American Heart Association Task Force ntawm Kev Coj Qhia. Kev ncig. 2013; 127 (13): 1425-1443. PMID: 23457117 www.ncbi.nlm.nih.gov/pubmed/23457117.
Gerhard-Herman MD, Gornik HL, Barrett C, li al. 2016 AHA / ACC Cov Lus Taw Qhia ntawm kev tswj hwm cov neeg mob uas muaj qis dua cov leeg ntshav ntawm cov leeg mob: thawj cov ntsiab lus. Vasc Med. 22 (3): NP1-NP43. PMID: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710.
Bonaca MP, Creager MA. Peripheral leeg ntshav kab mob. Hauv: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Plawv Lub Plawv: Phau Ntawv Qhia Txog Cov Tshuaj Mob plawv. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 64.
Lockhart ME, Umphrey HR, Weber TM, Robbin ML. Cov hlab ntsha txuas khoom. Hauv: Rumack CM, Levine D, eds. Kev kuaj mob Ultrasound. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: chap 27.