ECHO musoro: kupi kupi zvingaita zvinoratidze? ECHO inotungamirira sei?

Kune vakawanda vevarwere vake, nyanzvi yezveuropiyo inogadza musoro weECHO. Inotsanangurwa se echoencephalography uye inzira isiri iyo inoparadza, panguva iyo uropi hunoongororwa uye kunzwisisika kwezvivako zvakasiyana-siyana kune ultrasound inotsanangurwa. Vagari vazhinji vanobvunza mubvunzo uyu: "Kana chiremba achikurudzira ECHO yemusoro, kuongorora uku kunoratidzei?". Nenzira iyi, hutano hwehupi hunozivikanwa hunogona kutyisidzira hupenyu: kushaya ropa, zvirwere, mapfupa, matambudziko. Ngationgororei nzira iyi muchidimbu.

Chii chinonzi Echoencephalography?

ECHO yemusoro ndiyo nzira yakachengeteka uye yakadzidzisa yehuropi yekutsvakurudza kushandisa ultrasound mune vose vakuru nevana. Mafungu akadaro, ane nguva yakawanda ye5,5-15 MG / s, nyore nyore kupfuura mumatunhu akasiyana emuviri uye anoratidzwa kubva kumativi ose ari pedyo nemiganhu yemasukisi akasiyana-siyana (brain brain, skull mafupa, ropa, zvinodhaka, zvinyoro zvinyoro zvinyorwa).

Somugumisiro wekutsvakurudza kwakadaro, nzvimbo dzinofungidzira dzinokwanisa chaizvo kuonekwa uye hutachiona (dzakasiyana-siyana hemomomas uye masumbu, masimba emamwe marudzi, kupwanya nzvimbo, cysts). Nekubatsira kwe echoencephalography, mishonga uye mitsetse yemurwere inoongororwa uye kushandiswa kwemakamuri emakemikari kunoongororwa . Izvi zvinoratidzira nyore nyore kutyora kweropa, izvo zvinogona kutungamirira munguva yemberi kune zvirwere zvakakomba.

Muzviitiko zvipi vanhu vakuru vanogamuchira echoencephalography?

Iyi nzira yevanhu vakuru inopiwa basa rekuona mafungiro mune zvinotevera:

• Tumors;
• Kusuruvara;
• Head trauma;
• Intracranial hematoma;
• Hydrocephalus;
• Headaches;
• Dhizinesi;
• Intracranial hypertension;
• Zvimwe zvirwere zvinonzi cerebral.

Mukuwedzera, kuongorora kuongorora musoro kunorayirwa kuti kuongororwa kweimwe zvirwere. Izvi ndezvi:

• Neck trauma;
• VSD;
• Kusvibiswa kwekuyerera kweropa;
• Vertebrobasilar insufficiency;
• Cerebral ischemia ;
• Kuvhiringidza uye kugunun'una ;
• Mheremhere munzeve;
• Encephalopathy;
• Stroke.

Mune zviitiko zvipi echoencephalography inopiwa vana?

Muvana vasina kutora makore zana nemashanu, fontanel haisi yepamusoro, naizvozvo nenzira iyi unogona kunyatsoongorora nzvimbo dzose dzeuropi.

ECHO yemusoro kumwana kusarudza kana kusarudza mumatambudziko anotevera:

• Nechinangwa chekuongorora chiyero che hydrocephalus;
• Kana kubata kwakanyanya kuvhiringidzika;
• Kuongorora kubudirira kwerapi yezvirwere zvehupano;
• Kana vakashungurudza tic nervous;
• Nekunonoka pakukura mumuviri;
• Kana kuwedzera kwehutano hwemasumbu kunoratidzwa;
• Nekutengesa uye enuresis;
• Mukana wekukuvara kwemukoko.

Kugadzirira echoencephalography

Kuti uite ECHO musoro kuvanhu vakuru nevana, hapana kudzidziswa kunodiwa. Iwe unogona kutora chero chikafu nemvura. Iwe unogona kuita izvi pane imwe nguva, uye panguva yekudzivirira nekuyamwisa. Chero bedzi kana paine maronda akazaruka pamusoro mumatunhu apo sora ichashandiswa, zvakanakisisa kushandisa rumwe rudzi rwekutsvaga - kombiyuta kana MR tomography.

Kana echoencephalography yeuropi inoitwa nemwana muduku, vabereki vake vanofanira kuuya kununura, ndiani anofanira kuchengeta musoro wake mune imwe nzvimbo kwechinguva.

Kunyange zvazvo iyi nzira isinganzwisisiki, asi panguva yekugadzirisa, zvinokosha kuchinja ndege yekuongorora kakawanda, uye musoro haufaniri kutama zvachose. Sedation uye anesthesia panguva iyo hazvidiwi.

Tsvakurudzo inoitwa sei?

ECHO inotungamirira sei? Nokuda kweizvi, murwere anofanirwa kunge ari mundima yepamusoro, asi pane dzimwe nguva nzira inoitwa uye inogara. Tanga nyanzvi nekodzero yakananga, uye ipapo rutivi rworuboshwe rwemusoro, kubva pahuma kusvikira kune occipital. Iyi nzira yekutsvakurudza inowanzoshandiswa sekukurumidzira kuongororwa, saka hukuru hwezvigadzirwa zviduku, zviri nyore kutumira.

Imwe-dimensional echoencephalography inogona kuitwa muhofisi yechiremba, mu ambulensi, mumugwagwa uye kumba, kana chigadzirwa chacho chine bhatiri. Kudzidza kunopedza maminitsi gumi nemashanu uye inoitwa mumitemo miviri.

Nzira yekutanga ndiyo kutumira. Nenzira iyi, ma sensor maviri e ultrasound anoshandiswa ayo akaiswa pane imwechete yemaiti panguva imwechete kubva kumativi maviri edzimusoro. Imwe nyanzvi munyaya ino inotumira chiratidzo, uye imwe inogamuchira iyo. Nokudaro, "mutengo wepamusoro musoro" unoverengwa. Kazhinji, inowirirana neyetinical midline, asi kuzvidzivirira uku kunonyangarika nekupwanya kwezvinyama zvinyoro, uyewo munyaya yeropa kuunganidzirwa mumagetsi kana pasi pe periosteum.

Chechipiri mamiriro ekubuda. Muchiitiko ichi, inongo imwe chete inoshandiswa, yakagadzirirwa pamakona akadaro umo ultrasound iri nyore kupinda nemapfupa ehenya. Ichi chigadzirwa chinoshandiswa zvishoma kuitira kuti chifananidzo chive chinodzidzisa.

Two-dimensional echoencephalography inowanikwa pamusana pokufambisa zvishoma nezvishoma kwe sensor pamusoro pemusoro wemusoro. Panguva imwecheteyo, chifananidzo chechikamu chakakosha cheuropi, chinowanikwa nekufambisa chigadzirwa chakadaro, chinowanikwa pachitarisiko. Mukuda kwechidiki chechirwere chekurwara, kudzidza kwakadaro hakusi kwakakwana. Muchiitiko ichi, zvakanakisisa kuita magnetic resonance imaging.

Tsanangudzo yemigumisiro

Migumisiro yeECHO yemusoro muvana nevana vakuru inobatwa zvakaenzana. Kuti ajekese zvinyorwa zvemumwe nyanzvi yemwana, mumwe anofanirwa kuziva mimwe mibvunzo yenzira.

Saka, mumutemo, echoencephalography ine zviratidzo zvitatu, kana kuti "bursts", inonzi complexes.

Iko kusanganisa kwekutanga ndiyo chiratidzo chinosvika kune sensor. Iyo yakagadzirwa inoitwa ne ultrasound, iyo inoratidzwa kubva kumapfupa ehenya, ganda rine zviduku zviduku uye zvivako zvehuropi.

Iyo inyanzvi yakawanda (M-echo) chiratidzo chinowanikwa pamusana pe "kupopotedzana" kwe ultrasound ine zvivako zvehuropi zviri pakati nepakati pehemispheres.

Kugadzirisa kwekupedzisira chiratidzo chinobva kumadzikomba akadzikidzika emusoro, mapfupa ehenya, chigadziko chakasimba cheuropi kubva kune rumwe rutivi rwetsva.

Echoencephalography inobatanidza zviratidzo izvi zvitatu zvikuru, izvo pamusana kana pepa rinoratidzika segrafu ine abscissa uye ordinate axis.

Kugadziriswa kwemisoro ECHO inotanga nekuongorora kwezvinotevera zviratidzo:

• M-echo. Chiratidzo chakadaro chinowanzotora nzvimbo yepakati pakati pemadziro maviri. Inobvumirwa kana ichifamba ne 1-2 mm. Ongororo dzakawanda dzezvesayenzi dzinoratidza kuti kana pane zviratidzo zvehutano, saka kushandiswa kwemapapiro anopfuura 0,6 mm kunofanira kuchenjerera, uye munhu anoda kuongororwa zvakare.
• Chiratidzo chinobva kune chechitatu chinogadziriswa hachifaniri kuparadzaniswa kana kuputika, sezvo muchiitiko ichi chinoratidza kukura kwechisimba.
• Kubudiswa kweM-echo kunofanira kuva mukati 10-30%. Kana ikawedzerwa kusvika ku50-70%, zvino izvi zvinoratidza hypertensive-hydrocephalic syndrome.
• Pakati peM-echo uye yekutanga kuoma, kune rumwe rutivi, uye M-echo uye chiratidzo chekupedzisira, kune imwe, inofanira kunge ine nhamba yakaenzana yezviratidzo zviduku.
• Zvinoreva syllabic index (SI) kuvanhu vakuru vanofanira kuva 3.9-4.1 nezvimwe. Kana ichiwa pasi pechikamu che 3.8, zvino izvi zvinoratidza kuvapo kwekuwedzera kwechisimba.

Zvimwe zviratidzo

Mukuwedzera, echoencephalography ine zvikwangwani zvinotevera:

• Nyore yechitatu ye ventricle ndeye 22-24. Pasi pemakumi maviri nemaviri chiratidzo che hydrocephalus.
• Nhamba yerusvingo rwemukati ndeye 4-5. Kana chiratidzo chacho chiri chikuru kupfuura 5, izvi zvinoratidza kuwedzerwa kunowanikwa muyadhara.
• Kana iyo M-echo inodzingwa nemamiriyoni mashanu kana kupfuura pamakiriniki ekurohwa mumazuva ekutanga, izvi zvinoratidza kuti zvakashata mumamiriro ezvinhu. Kana kusununguka kusipo kana kusapfuurei 2.5 mm, ipapo chirwere chacho chinonzi ischemic.
• Nekukura kukuru kweM-echo mushure mekufamba kwenguva refu kwechirwere, kana pasina zviratidzo zvekuputika, bundu rinowanzoonekwa. Kuwedzerwa kwekushisa, kudhakwa kwemuviri, kukura kwakasimba kwechirwere uye kupararira kukuru kweM-echo kunoratidza kubviswa kweuropi.

Kubvira pakudzidza kwakadaro kusina kururama, tsanangudzo yemigumisiro inofanira kuitwa neurourogistist. Mishonga inorayirwa chete kana chiremba achifananidza nechokufananidzira-nezviratidzo zvemunhu.

Zvichemo zve echoencephalography

Tsvakurudzo ipi zvayo yezvokurapa nemichina yakasiyana-siyana uye kududzirwa kwayo kwezvigumisiro inobva pane zvinoitwa nevanhu. Vose vane ruzivo rwezvenyanzvi vane ruzivo rwakadaro, nekuda kwekuti anogona kutonga nenzira yake pachake pamusoro pezvakagamuchirwa uye pane nguva dzakadaro kuti maonero echiremba we ultrasound haafani nemafungiro echeurologist. Saka, mushure mokunge echoencephalography, munhu anofanira kuongororwa nenyanzvi yehutano uye, zvichibva pakuongorora kwakadaro, uye pamwe nemigumisiro yeuropi ultrasound, kurapa kunorayirwa.

ECHO musoro: kupi?

Pane zvakawanda zvingasarudzwa apo iwe unogona kuongorora uropi. Zvakanaka, kutanga kwezvose, iwe unoda kurongedza nzvimbo yehutano uye vanachiremba - kurapa kwako kweukama neurologist uye nyanzvi, uyo achaita kuongorora. Mune zvimwe zviitiko, echoencephalography inoitwa zvakananga nekurapa nyanzvi yezveuropi, naizvozvo haufaniri kuenda chero kupi, sezvo zvose zvinoitwa munzvimbo imwe.

Mhedziso

Saka, takawana kuti musoro ECHO chii. Echoencephalography inoshandiswa kujekesa mamiriro ezvinhu akasiyana-siyana europi. Iyi nzira inogona kushandiswa nevakuru nevana, uye yakachengeteka uye inodzidzisa. Pamusana pekutsvakurudza kwakadaro, kuongorora kwakarurama kunogadzirwa uye kugona kwemaitiro akawanda emagariro anotsanangurwa. Nzira yacho pachayo haina mari shoma, pamwezve, inotora nguva shoma.