Doppler ultrasound kuyesa kwa mkono kapena mwendo

Kuyesaku kumagwiritsa ntchito ultrasound kuti ayang'ane kuthamanga kwa magazi m'mitsempha yayikulu ndi mitsempha m'manja kapena m'miyendo.

Kuyesaku kumachitika mu dipatimenti ya ultrasound kapena radiology, chipinda cha chipatala, kapena labu yothandizira.

Pakati pa mayeso:

• Gel osungunuka ndi madzi amaikidwa pachipangizo chamanja chotchedwa transducer. Chipangizochi chimayendetsa mafunde akumveka kwambiri pamitsempha kapena m'mitsempha yomwe ikuyesedwa.
• Zingwe zamagazi zimatha kuyikidwa mozungulira ziwalo zosiyanasiyana za thupi, kuphatikiza ntchafu, mwana wa ng'ombe, akakolo, ndi malo osiyanasiyana mdzanja.

Muyenera kuchotsa zovala m'manja kapena mwendo womwe mukuwunikidwa.

Nthawi zina, munthu amene akuyesa mayeso amafunika kukanikiza pamitsempha kuti iwonetsetse kuti ilibe chotupa. Anthu ena amatha kumva kupweteka pang'ono chifukwa chapanikizika.

Kuyezetsa kumeneku kumachitika ngati gawo loyamba loyang'ana mitsempha ndi mitsempha. Nthawi zina, arteriography ndi venography zitha kufunikira pambuyo pake. Kuyesaku kwachitika kuti athandizire kuzindikira:

• Arteriosclerosis ya mikono kapena miyendo
• Kuundana kwamagazi (mitsempha yakuya kwambiri)
• Kulephera kwamphamvu

Mayesowo amathanso kugwiritsidwa ntchito:

• Yang'anani kuvulala kwa mitsempha
• Onaninso zomangamanga zomangirira ndikudutsanso zolumikizira

Zotsatira zabwinobwino zimatanthauza kuti mitsempha yamagazi siziwonetsa zizindikilo za kuchepa, kuundana, kapena kutseka, ndipo mitsempha imakhala ndi magazi oyenda bwino.

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Kutsekeka pamtsempha wamagazi
• Kuundana kwamagazi mumitsempha (DVT)
• Kupindika kapena kukulitsa mtsempha
• Matenda opatsirana (kupindika kwa magazi komwe kumabwera chifukwa cha kuzizira kapena kutengeka)
• Kutsekeka kwa venous (kutseka kwa mtsempha)
• Reflux ya venous (magazi amayenda molakwika m'mitsempha)
• Kutsekemera kwa mitsempha kuchokera ku atherosclerosis

Mayesowa amathanso kuchitidwa kuti athandizire kuwunika izi:

• Arteriosclerosis yamapeto
• Thrombosis yoopsa kwambiri
• Zachiphamaso thrombophlebitis

Palibe zowopsa munjira iyi.

Kusuta ndudu kumatha kusintha zotsatira zamayesowa. Nicotine imatha kupangitsa kuti mitsempha yam'mimba imangike.

Kusiya kusuta kumachepetsa chiopsezo cha mavuto ndi mtima ndi kayendedwe ka magazi. Imfa zambiri zokhudzana ndi kusuta zimachitika ndimatenda amtima, osati khansa yamapapo.

Zotumphukira mtima matenda - Doppler; PVD - Doppler; PAD - Doppler; Kutsekeka kwamitsempha yamiyendo - Doppler; Kutsekemera kwapakati - Doppler; Kulephera kwamiyendo kwamiyendo - Doppler; Kupweteka kwa mwendo ndi kuphwanya - Doppler; Kupweteka kwa ng'ombe - Doppler; Wopatsa Doppler - DVT

• Doppler ultrasonography wa kumapeto

Anderson JL, Halperin JL, Albert NM, ndi al. Kuwongolera kwa odwala omwe ali ndi zotumphukira zamitsempha yamagulu (kuphatikiza 2005 ndi 2011 ACCF / AHA Maupangiri a Guideline): lipoti la American College of Cardiology Foundation / American Heart Association Task Force on Practice Guidelines. Kuzungulira. 2013; 127 (13): 1425-1443. PMID: 23457117 www.ncbi.nlm.nih.gov/pubmed/23457117. (Adasankhidwa)

Gerhard-Herman MD, Gornik HL, Barrett C, ndi al. Malangizo a 2016 AHA / ACC pakuwongolera odwala omwe ali ndi vuto la mitsempha yotsika kwambiri: chidule chachikulu. Vasc Med. Chizindikiro. 22 (3): NP1-NP43. PMID: 28494710 www.ncbi.nlm.nih.gov/pubmed/28494710. (Adasankhidwa)

MP wa Bonaca, Creager MA. Matenda a mtsempha wamagazi. Mu: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, olemba. Matenda a Mtima a Braunwald: Buku Lophunzitsira la Mankhwala Amtima. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 64.

Lockhart ME, Umphrey HR, Weber TM, Robbin ML. Zotengera zotumphukira. Mu: Rumack CM, Levine D, eds. Kuzindikira Ultrasound. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 27.