Sesebelisoa sa Transcranial Doppler
Transcranial doppler ultrasound (TCD) ke tlhahlobo ea tlhahlobo. E metha phallo ea mali ho ea le kahare ho bokong.
TCD e sebelisa maqhubu a molumo ho etsa litšoantšo tsa phallo ea mali kahare ho boko.
Tsela eo teko e etsoang ka eona ke ena:
- U tla robala ka mokokotlo tafoleng e nang le marulelo hloohong le molaleng mosamong. Molala oa hau o otlolohile hanyane. Kapa u ka lula setulong.
- Setsebi se tlotsa gel e nang le metsi litempeleng tsa hao le mahlo a mahlo, tlas'a mohlahare oa hau, le botlaaseng ba molala oa hau. Jel e thusa maqhubu a molumo ho kena liseleng tsa hau.
- Leqhubu, le bitsoang transducer, le tsamaisoa sebakeng se lekiloeng. Leqhubu le romela maqhubu a molumo. Maqhubu a molumo a pholletsa le 'mele oa hau' me a fofa sebakeng seo ho ithutoang ho sona (ntlheng ena, boko ba hao le methapo ea mali).
- K'homphieutha e sheba mokhoa oo maqhubu a molumo ao etsang ha a khutlela morao. E etsa setšoantšo ho tloha maqhubu a molumo. Doppler e etsa modumo wa "swishing", e leng modumo wa madi a hao a tsamayang hara methapo le methapong.
- Teko e ka nka metsotso e 30 ho isa ho hora e le 1 ho phethela.
Ha ho boitokiso bo khethehileng bo hlokahalang bakeng sa tlhahlobo ena. Ha ho hlokahale hore u fetole seaparo sa bongaka.
Hopola ho:
- Tlosa lilense tsa puisano pele ho tlhahlobo haeba u li apara.
- Boloka mahlo a hau a koetsoe ha gel e sebelisoa linthong tsa hao e le hore u se ke ua e fumana mahlong a hau.
Gel e ka 'na ea ikutloa e bata serung sa hao. U kanna oa utloa khatello ha transducer e ntse e tsamaisoa ho potoloha hlooho le molala. Khatello ha ea lokela ho baka bohloko. U kanna oa utloa molumo oa "whooshing". Sena se tloaelehile.
Teko e etsoa ho fumana maemo a amang phallo ea mali bokong:
- Ho fokotsa kapa ho thiba methapo bokong
- Stroke kapa tlhaselo ea ischemic ea nakoana (TIA kapa ministerroke)
- Ho tsoa mali sebakeng se pakeng tsa boko le lisele tse koahelang boko (subarachnoid hemorrhage)
- Ballooning ea sejana sa mali bokong (cerebral aneurysm)
- Fetola khatello kahare ea lehata (khatello e sa sebetseng)
- Sickle cell anemia, ho lekola kotsi ea stroke
Tlaleho e tloaelehileng e bonts'a phallo e tloaelehileng ea mali bokong. Ha ho na ho fokotseha kapa ho thiba ha methapo ea mali e lebisang bokong le kahare ho eona.
Sephetho se sa tloaelehang se bolela hore mothapo o ka fokotsoa kapa ho na le ho hong ho fetolang phallo ea mali methapong ea boko.
Ha ho na likotsi ka ho ba le ts'ebetso ena.
Transcranial Doppler ultrasonography; TCD ultrasonography; TCD; Thuto ea Transcranial Doppler
- Endarterectomy
- Pherekano ea boko
- Tlhaselo ea nakoana ea Ischemic (TIA)
- Atherosclerosis ea methapo ea ka hare ea carotid
Defresne A, Bonhomme V. Multimodal leihlo. Ka: Prabhakar H, ed. Bohlokoa ba Neuroanesthesia. Cambridge, MA: Khatiso ea Boithuto ea Elsevier; 2017: khaolo ea 9.
Ellis JA, Yocum GT, Ornstein E, Joshi S. Cerebral le phallo ea mali a mokokotlo oa mokokotlo. Ka: Cottrell JE, Patel P, bahlophisi. Cottrell le Patro's Neuroanesthesia. La 6th. Philadelphia, PA: Elsevier; 2017: khaolo ea 2.
Matta B, Czosnyka M. Transcranial doppler ultrasonography ho anesthesia le neurosurgery. Ka: Cotrell JE, Patel P, eds. Cottrell le Patro's Neuroanesthesia. La 6th. Philadelphia, PA: Elsevier; 2017: khaolo ea 7.
Newell DW, Monteith SJ, Alexandrov AV. Diagnostic le kalafo ea neurosonology. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 363.
Sharma D, Prabhakar H. Transcranial Doppler tlhahlobo ea litšoantšo. Ka: Prabhakar H, ed. Mekhoa ea Neuromonitoring. Cambridge, MA: Khatiso ea Boithuto ea Elsevier; 2018: khaolo ea 5.
Purkayastha S, Sorond F. Transcranial Doppler ultrasound: mokhoa le ts'ebeliso. Seminine Neurol. 2012; 32 (4): 411-420. PMCID: 3902805 www.ncbi.nlm.nih.gov/pmc/articles/PMC3902805/.