Tus Sau: Morris Wright
Hnub Kev Tsim: 22 Lub Plaub Hlis Ntuj 2021
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Zoo Siab

Doppler ultrasound yog ib hom ultrasound, nrog rau cov tswv yim tshwj xeeb, uas tso cai rau pom xim ntawm cov ntshav ntws hauv cov hlab ntsha thiab leeg ntawm lub cev, pab xyuas cov haujlwm ntawm cov nqaij mos, xws li cov phab ntsa hauv lub plawv, hlab ntsha thiab lub hlwb. Cov.

Nws yog ib hom kev kuaj tsis kis, uas yog, nws tsis siv rab koob thiab tsis xav kom ua tshuaj loog, thiab nws yog ua los ntawm tus kws ntsuas hluav taws xob, uas yuav dhau gel transducer, uas yog ib feem me me ntawm ultrasound ntaus ntawv, hauv thaj chaw hauv lub cev tau kuaj xyuas.

Los ntawm Doppler echocardiography, nws muaj peev xwm txheeb xyuas ntau yam kab mob xws li atherosclerosis, vasculitis thiab aneurysms, uas yog vim li cas nws feem ntau qhia los ntawm tus kws kho plawv lossis kws kho paj hlwb. Txawm li cas los xij, kev kuaj mob no tseem qhia tau los ntawm cov kws kho mob me me txhawm rau txhawm rau kuaj xyuas tus menyuam kev noj qab haus huv lub sijhawm thaum cev xeeb tub.

Dab tsi yog nws rau

Doppler ultrasound yog ib hom ultrasound siv los kuaj xyuas ntshav khiav hauv cov leeg thiab cov hlab ntsha, lub siab, lub paj hlwb thiab cov ceg qis. Yog li, qhov kev kuaj mob no tuaj yeem qhia rau cov xwm txheej hauv qab no:


  • Txheeb ob txhais taw los ntawm cov rog hauv cov hlab ntsha lossis leeg ntshav;
  • Nrhav cov ntshav txhaws hauv cov leeg ntawm caj npab lossis ceg;
  • Txheeb xyuas yog tias muaj qhov tso pa ntawm phab ntsa ntawm cov leeg lossis hlab ntsha;
  • Txheeb xyuas qhov tshwm sim ntawm kev phais ua rau lub siab;
  • Soj ntsuam cov yam ntxwv ntawm leeg ntshav hlab ntsha.

Ib qho ntxiv, Doppler scan kuj tseem tuaj yeem pab kuaj xyuas cov ntshav siab hauv cov hlab ntsha, qhia cov ntshav ntws hauv cov hlab ntshav thiab tuaj yeem ua lwm txoj hauv kev ntxiv rau lwm qhov kev sim tawm, xws li angiography, uas cuam tshuam nrog kev txhaj tshuaj sib piv hauv cov leeg ntshav.

Qhov kev ntsuas no tseem tuaj yeem ua rau menyuam yaus thiab feem ntau pom zoo los ntawm tus kws kho mob hauv menyuam yaus txhawm rau ntsuas seb puas muaj qhov tsis muaj yam kabmob tsis haum hauv lub siab lossis txhawm rau pabcuam hauv kev tso chaw rau cov hlab ntsha me. Saib ntxiv dab tsi yog central catheter thiab hauv qhov xwm txheej dab tsi.

Ua li cas tiav lawm

Qhov kev ntsuam xyuas ecodoppler yog ua los ntawm radiologist nyob rau hauv chav hauv chav tsev, lossis chaw kuaj mob, thiab tsis tas yuav siv tshuaj loog lossis tshuaj pleev ib ce ntawm txoj hlab ntsha, ntxiv rau qhov tseeb tias tsis muaj hluav taws xob siv.


Txhawm rau kom ua qhov kev kuaj mob nws yog qhov tsim nyog rau tus neeg kom muab tso rau apron thiab pw ntawm lub ncab. Tom qab ntawd tus kws kho mob yuav siv ib lub gel thiab txav ib qhov hloov los ntawm daim tawv nqaij, uas yog cov khoom siv me me uas nws yuav ua tau kom pom sab hauv nruab nrab ntawm lub cev, xws li leeg thiab cov hlab ntsha. Qhov no tsis ua rau mob lossis tsis xis nyob.

Tus kws kho mob yuav saib cov duab ntawm lub khoos phis tawm ntawm lub computer thiab tshawb xyuas cov qauv ntawm lub cev, thiab tom qab ob peb hnub, yuav tshaj tawm nrog cov lus piav qhia txog dab tsi tau pom hauv kev tshuaj xyuas thiab daim ntawv tshaj tawm no yuav tsum xa mus rau tus kws kho mob uas tau thov. nws.

Tub ntxhais npaj

Feem ntau, tsis tas yuav tsum tau saib xyuas tshwj xeeb los ua qhov kev ntsuas, txawm li cas los xij, cov neeg uas siv cov tshuaj uas hloov ntshav siab lossis haus luam yeeb, yuav tsum qhia tus kws kho mob uas yuav ua qhov kev ntsuas, vim tias cov xwm txheej no tuaj yeem ua rau kom ntshav ntws hauv cov leeg ntshav. thiab cov hlab ntsha ntawm lub cev.

Dab Tsi Yog Cov Doppler Doppler

Ua raws cov ntu lossis qauv ntawm lub cev uas tus kws kho mob xav kom raug txheeb xyuas, qhov kev kuaj mob tuaj yeem yog:


  • Cov Lus Pom Fetal: ua thaum cev xeeb tub, muaj kev ntsuas tus me nyuam lub plawv;
  • Doppler echocardiography ntawm qis nqua: nws pabcuam rau txhawm rau txheeb xyuas cov leeg thiab cov hlab ntsha ntawm ob txhais ceg;
  • Doppler echocardiography ntawm qaum nqua: nws muaj qhov ntsuas xyuas qhov mob ntawm cov leeg thiab hlab ntsha ntawm caj npab;
  • Carotid echodoppler: qhia kom kuaj xyuas cov hlab ntsha uas xa ntshav mus rau thaj chaw taub hau;
  • Ecodoppler ntawm cov hlab ntsha raum: qhia rau kev tshuaj xyuas ntawm lub raum veins thiab cov hlab ntsha;
  • Transcranial Doppler: pom zoo los ntsuam xyuas cov leeg thiab cov hlab ntsha ntawm lub paj hlwb;
  • Lub Dib Dawsplaws: yog hom uas tau pabcuam los kuaj xyuas cov ntshav ntws hauv lub qog.

Cov hom doppler echocardiography no tuaj yeem thov thaum sab laj nrog kws kho plawv lossis kws kho plawv, tab sis lawv kuj tuaj yeem qhia tau rau cov neeg uas tau mus nyob hauv tsev kho mob nrog kev xoom xaim ntawm qee yam kab mob lossis kev cuam tshuam.

Lub ntsiab kuaj mob

Doppler ultrasound, lossis ultrasound doppler, tuaj yeem qhia los ntawm tus kws kho plawv hlab plawv, tus kws kho mob hlwb lossis nephrologist los tshawb xyuas thiab kuaj qee yam kab mob xws li:

1. Mob ntsws Atherosclerosis

Atherosclerosis yog ib yam kab mob uas tshwm sim vim kev sib txuam ntawm cov rog plaques, lossis atheromas, nyob rau ib feem ntawm cov hlab ntsha ntawm lub plawv thiab tias yog tias tsis kho qhov twg tuaj yeem thaiv cov ntshav ntawm cov ntshav thiab ua rau cov tsos mob hnyav xws li mob myocardial infarction thiab kev huam yuaj ntawm cov hlab ntsha hlwb.

Echocardiography yog ib hom kev sim siv dav los soj ntsuam tus kab mob no, txawm li cas los xij, tus kws kho plawv tuaj yeem hais kom ua lwm yam kev kuaj mob xws li angiography thiab mob catheterization. Tom qab kuaj pom qhov kev hloov pauv no, tus kws kho mob yuav pom zoo rau kev kho kom haum tshaj plaws raws li kev hloov pauv ntawm cov cwj pwm thiab tshuaj noj. Saib ntau lwm txoj hau kev kho mob rau atherosclerosis.

2. Vasculitis

Vasculitis yog ib qho kev hloov pauv los ntawm kev mob ntshav hauv cov hlab ntshav hauv lub cev thiab tuaj yeem ua rau cov tsos mob xws li ua pob liab liab rau ntawm daim tawv nqaij, ua rau khaus lossis tsis hnov ​​hauv tes lossis taw, mob pob txha thiab kub taub hau. Tus kab mob no tuaj yeem cuam tshuam los ntawm lwm yam mob xws li kev kis mob, kab mob autoimmune thiab mob qog nqaij hlav thiab, qee qhov, ua rau muaj kev cuam tshuam xws li los ntshav.

Tus kws kho mob rheumatologist yuav tsum tau sab laj txog thaum raug mob vasculitis, thiab nws yuav qhia tus mob echocardiogram kom paub meej txog kev kuaj mob. Kev kho mob ntawm tus kab mob no yog pom zoo los ntawm kws kho mob raws li qhov mob hnyav thiab thaj chaw ntawm qhov mob o ntawm cov hlab ntshav. Txheeb xyuas lwm qhov kev ntsuam xyuas uas tuaj yeem ua kom paub tseeb txog kev kuaj mob vasculitis thiab kev kho mob twg.

3. Cov tshuaj tiv thaiv kab mob

Aneurysms tuaj yeem tshwm sim vim yog qhov nce ntxiv ntawm lub siab uas cov ntshav nkag rau hauv cov hlab ntsha, uas ua rau qhov tsim muaj qhov dilation ntawm txoj leeg lossis leeg phab ntsa. Cov kab mob no tuaj yeem tshwm sim hauv cov hlab ntshav ntawm lub plawv, lub hlwb lossis qhov chaw hauv lub cev, xws li lub plab aorta, piv txwv.

Cov tsos mob nyob ntawm qhov chaw ntawm pob qij txha, thiab cov neeg uas tau txais kev hloov pauv no yuav muaj mob hnyav rau thaj chaw, nyuaj taug kev, mob taub hau, plooj tsis pom kev thiab tseem qaug dab peg thiab yuav tsum nrhiav kev kho mob kub ceev los ntawm tsev kho mob. Txheeb xyuas ntau cov tsos mob tseem ceeb ntawm cerebral thiab aortic aneurysm.

4. Kev mob ntsws pob txha hnyav

Xws li txoj hlab ntsws sib sib zog nqus yog qhov xwm txheej uas tshwm sim vim yog ib qho kev cuam tshuam ntawm txoj hlab ntshav sib sib zog nyob rau hauv txhais ceg, ncej puab lossis lub plab, ua rau muaj kev cuam tshuam cov ntshav thiab, feem ntau, ua rau o, mob hnyav thiab xim paj yeeb hauv cov ceg, piv txwv.

Qee qhov kev pheej hmoo muaj feem cuam tshuam nrog cov tsos ntawm tob venous thrombosis xws li mob qog nqaij hlav, phais mob loj, siv tshuaj tiv thaiv lub qhov ncauj thiab me ntsis txav ntawm lub cev, thiab kev kuaj mob yog tsim los ntawm txoj kev echocardiography. Feem ntau, pw hauv tsev kho mob yog qhov tsim nyog rau kev kho mob ntawm qhov tsis zoo no, uas yog ua raws li kev siv tshuaj tiv thaiv kev puas tsuaj, xws li heparin. Kawm yuav ua li cas tiv thaiv kom tsis txhob mob thrombosis hauv ceg.

5. Lub raum leeg ntshav leeg

Cov raum mob hlab ntsha raum txhais tau tias yog qhov nqaim ntawm lub raum artery vim muaj cov plahaum rog, mob ntshav lossis mob qog, thiab kev txheeb xyuas qhov kev hloov pauv no yog tsim los ntawm kev ntsuam xyuas xws li angiography thiab lub raum Doppler.

Kev kho mob ntawm lub raum artery stenosis yog qhia los ntawm tus kws kho mob hlwb thiab suav nrog catheterization, phais thiab siv cov tshuaj anticoagulant thiab thrombolytic. Feem ntau, qhov kev kho mob no yuav tsum tau ua nrog tus neeg tau mus pw hauv tsev kho mob kom tau txais cov tshuaj los ntawm txoj hlab ntsha thiab yuav tsum tau pib sai li sai tau kom tsis txhob muaj teeb meem xws li mob ntsws ntsws.

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