Tam sim no, ib txoj hauv kev niaj hnub thiab cov ntaub ntawv tshaj tawm ntawm kev kuaj mob yog triplex scanning ntawm cov leeg ntawm sab qis. Raws li kev txheeb cais, tus naj npawb ntawm cov teeb meem ntawm kev tshawb pom ntawm vascular pathologies hauv cov neeg mob yog nce txhua xyoo. Triplex scanning yog ib txoj kev kuaj mob ultrasound uas tso cai rau koj los tshawb xyuas qhov kev loj hlob ntawm tus kab mob, kho cov kev kho mob thiab tiv thaiv qhov tshwm sim ntawm txhua yam teeb meem. Nws tsis cuam tshuam nrog qhov tshwm sim ntawm qhov mob thiab tsis muaj contraindications.
Lub ntsiab ntawm txoj kev
Triplex scanning ntawm cov hlab ntsha ntawm cov leeg qis yog qhov niaj hnub tshaj plaws thiab hloov kho me ntsis kev ntsuam xyuas duplex. Lub essence ntawm txoj kev yog raws li nram no: lub ultrasound system nkag mus rau hauv cov ntaub so ntswg mos, thiab nyob rau hauv tib lub vib nas this, cov duab ntawm cov hlab ntsha kawm tau tshwm sim nyob rau hauv lub monitor. nwsua tsaug rau kev txiav txim frequencies.
Ntxiv rau, thaum kawm, tus kws kho mob tau txais lub sijhawm los ntsuas cov txheej txheem ntawm cov ntshav ncig hauv qis qis. Qhov no yog vim tias cov nyhuv Doppler tuaj yeem hloov pauv zaus ntawm ultrasonic tsis tau yooj yim.
Ntau xyoo dhau los, kev tshuaj xyuas duplex tau siv dav hauv kev xyaum. Txawm li cas los xij, dhau sijhawm nws tau pom tseeb tias txoj kev no tsis haum rau kev ntsuas tag nrho ntawm lub xeev ntawm cov hlab ntsha. Txhawm rau daws qhov teeb meem no, cov kws tshawb fawb tau txhim kho txoj kev los ntawm kev ntxiv xim coding rau nws. Txij no mus, txoj kev tau los ua lub npe hu ua "triplex scanning". Ua tsaug rau kev tsim kho tshiab, cov kws kho mob muaj lub sijhawm los ntsuas cov ntshav ntws ntawm cov hlab ntsha tob tshaj plaws. Hauv qhov no, cov duab raug xa mus rau qhov screen hauv xim hom.
Kev qhia
Tam sim no, triplex scanning ntawm cov leeg ntawm sab qis yog cov ntaub ntawv tshaj plaws rau kev kuaj mob ntau yam. Txoj kev tshawb no tso cai rau koj los txheeb xyuas qhov kev txhim kho ntawm cov txheej txheem pathological thaum ntxov tshaj plaws, kom tus kws kho mob tau txais lub sijhawm los kos cov kev kho mob zoo tshaj plaws.
Txoj kev no tau muab tshuaj yog tias tus neeg mob muaj cov tsos mob ntawm thrombophlebitis ntawm qis extremities, varicose leeg, angiopathy thiab lwm yam kab mob. Cov cim hauv qab no yog qhov ceeb toom:
- Cov hlab ntsha hauv qab ntawm daim tawv nqaij. Lawv zoo li cov pob tuab.
- mob siab tshwm sim los ntawm kev sib cuag nrog mobcov leeg.
- High lub cev kub.
- Enlarged peripheral lymph nodes.
- kev tsis txaus siab.
- liab ntawm daim tawv nqaij thiab cov nqaij mos o o ntawm thaj chaw ntawm lub nkoj cuam tshuam.
- Heavy feeling in ob txhais ceg.
- qaug zog heev ntawm qis qis thaum yav tsaus ntuj.
- muscle cramps.
- Mob thaum ua haujlwm lub cev muaj zog.
Daim ntawv teev cov cim qhia rau triplex scanning ntawm cov leeg ntawm sab qis tuaj yeem nthuav dav los ntawm tus kws kho mob uas tuaj koom thaum sib tham nrog tus neeg mob.
Dab tsi nthuav tawm?
Siv txoj kev no, cov kab mob hauv qab no tuaj yeem kuaj pom raws sijhawm:
- YThrombophlebitis.
- Varicose veins.
- Post-thrombophlebitis kab mob.
- Atherosclerosis ntawm cov hlab ntsha ntawm qis qis.
- Kev puas tsuaj ntawm cov leeg thiab cov hlab ntsha.
- Angiopathy.
- Venous insufficiency in a chronic form.
- Kev tsis txaus ntseeg hauv kev tsim cov hlab ntsha.
Vasculitis
Tsis tas li ntawd, kev tshuaj ntsuam xyuas triplex ntawm cov hlab ntsha ntawm cov leeg qis feem ntau tau muab tshuaj tom qab kev phais mob txhawm rau txhawm rau ntsuas nws txoj kev vam meej. Qhov no txo qis txoj kev pheej hmoo ntawm cov teeb meem tom qab kev phais.
Kev npaj
Ua ntej tus txheej txheem, nws raug nquahu kom ua raws li qee tus kws kho mob cov lus pom zoo. Cov txheej txheem yog qhov tseeb thiab cov ntaub ntawv zoo heev, ua tsaug uas nws muaj peev xwm tau txaiscov txiaj ntsig tsis tseeb lossis tsis txaus ntseeg yog qhov ua tsis tau. Txawm li cas los xij, txhawm rau txhawm rau txhim kho qib ntawm cov ntaub so ntswg pom, me ntsis ua kom yooj yim rau kev ua haujlwm ntawm tus kws kho mob thiab txo lub sijhawm ntawm kev kuaj xyuas, nws raug nquahu kom ua raws qee cov cai.
Nyob rau ua ntej ntawm tus txheej txheem thiab tam sim ntawd ua ntej nws, nws yog advisable tsis txhob haus luam yeeb. Tsis tas li ntawd, nws tsis pom zoo kom haus cov dej haus uas muaj cawv, nrog rau kas fes, rau 1-2 hnub. Nws yog ib qho tsim nyog yuav tsum tsis txhob noj cov tshuaj, cov khoom siv uas cuam tshuam rau lub suab ntawm cov hlab ntsha. Cov no muaj xws li tshuaj tua kab mob, tshuaj tsaug zog, thiab sedatives. Yog tias nws tsis tuaj yeem thim qhov kev teem caij rau kev noj qab haus huv, koj yuav tsum ceeb toom rau tus kws kho mob txog qhov no.
txheej txheem piav qhia
Triplex scanning ntawm cov leeg ntawm cov leeg qis yog ib txoj kev kuaj mob zoo tiag tiag uas tsis cuam tshuam nrog qhov tshwm sim ntawm qhov mob. Txoj kev tsis muaj contraindications thiab txwv hnub nyoog.
Algorithm rau tus txheej txheem:
- Tus neeg mob tshem nws cov khaub ncaws, tso cov ceg qis.
- Qhov kev kawm siv txoj haujlwm yooj yim tshaj plaws. Feem ntau, tus kws kho mob hais kom nws zaum saum lub rooj zaum.
- Tus kws kho mob tshwj xeeb kho tus neeg mob daim tawv nqaij nrog ib qho tshwj xeeb sterile gel. Nrog kev pab los ntawm cov tshuaj no, txuas ntxiv thiab zoo nrog ultrasound sensors yog guaranteed.
- Cov txheej txheem tshawb fawb pib ncaj qha. Tus kws kho mob kho cov sensors hauv ntau qhov chaw thiab tshuaj xyuas cov duab uas tshwm sim.
- Tom qab cov txheej txheem tiav lawm, tus neeg mob tshem tawm cov gel ntxiv nrog rau daim ntaub thiab hnav khaub ncaws.
Lub sijhawm ntawm kev kawm ncaj qha nyob ntawm seb cov hlab ntsha puas raug puas tsuaj. Feem ntau, nws tsis pub dhau 1 teev.
txhais lus xaus
Tus kws kho mob angiologist lossis phlebologist cuam tshuam nrog kev txhais ntawm triplex scanning ntawm cov leeg ntawm sab qis. Feem ntau, cov lus hauv qab no yuav tsum tau qhia hauv qhov xaus:
- Hom ntshav ntws hauv cov hlab ntsha loj femoral tsis hloov. Nws yog ntuj thiab muaj lub cev lub cev.
- Tus nqi ntws ntawm cov kua dej sib txuas hauv thaj chaw ci ntsa iab yog 50 centimeters ib ob. Hauv cheeb tsam ntawm cov hlab ntsha ntawm tus ncej puab - 1 meter ib ob.
- Resistance Performance index ntawm cov hlab ntsha loj femoral - 1 meter ib ob (tsis tsawg).
- Gosling Performance index nyob rau hauv cov hlab ntsha ntawm qis qis - 1.7 meters ib ob.
- Pob Tawb-brachial qhab nia - 0.9 (tsawg kawg).
- Cov phab ntsa ntawm cov hlab ntsha yog qhov qub.
- Tsis muaj ntshav txhaws.
- Pathological refluxes tsis pom.
- Kev sib raug zoo ntawm kev ua pa thiab kev ncig yog qhov qub.
- Vessel phab ntsa yog elastic, anechoic.
Qhov kev xaus ntawm txoj kev kawm no yog qhov zoo tagnrho. Thaum twg ib qho taw qhia deviates los ntawm tus qauv, nws yog kev cai los tham txog kev txhim kho cov txheej txheem pathological.
Reviews
Tam sim no, ob tus neeg mob thiab kws kho mob tsuas muaj kev xav zoo txog kev kuaj xyuas triplex. Qhov no yog vim qhov tseeb tias txoj kev yog qhov tseeb, tsis mob thiab tso cai rau koj txheeb xyuas cov kev hloov pauv hauv cov hlab ntsha. Raws li kev txheeb xyuas, triplexKev soj ntsuam cov leeg ntawm cov leeg qis yog ib txoj hauv kev niaj hnub no uas tau tso cai rau ntau tus neeg kom tshem tau cov kab mob hauv lub sijhawm luv luv lossis txhim kho nws txoj kev kawm. Qhov no yog vim qhov tseeb tias siv txoj kev nws tuaj yeem ntsuas qhov ua tau zoo ntawm kev kho mob.
Nyob hauv kaw
Triplex scanning yog muab rau cov neeg mob uas muaj cov tsos mob ntawm thrombophlebitis ntawm qis extremities, varicose leeg, angiopathy thiab lwm yam vascular pathologies. Txoj kev tso cai tsis tsuas yog ua kom raws sijhawm rau kev txhim kho ntawm tus kab mob, tab sis kuj ntsuas qhov ua tiav ntawm kev kho mob. Txoj kev no muaj kev nyab xeeb kiag li thiab tsis muaj contraindications.
