Laryngoscopy - abin da yake da shi? Nau'in laryngoscopy hanya description

Idan wani mutum ne yiwuwa ga m cututtuka na makogwaro da kuma maƙogwaro, likita zai iya bayar da shawarar auku a hanya kamar laryngoscopy. Mene ne wannan? Wannan shi ne mafi inganci hanyar bincika jihar na maƙogwaro. A baya can a wannan yanayin, likitoci amfani da wani madubi na na musamman. Yana da aka gabatar a cikin maƙogwaro da makogwaro lit duba ta bango. Yau, da wannan hanya ya halartar gagarumin canje-canje, da kuma zamani laryngoscopy aka gudanar sosai daban, da kuma likitoci samun cikakken bayanai.

Abin da aka gudanar laryngoscopy?

Mẽne ne, kuma lokacin da ya yi wannan hanya? Laryngoscopy ake bukata, don su bincika makogwaro da kuma gane asali matsaloli a cikinsa. Yawancin lokaci aka sanya a cikin wadannan lokuta:

• su fahimci dalilin da tari, sau da yawa tare da jini, hoarseness, bad numfashi, ciwon makogwaro.
• domin sanin haddasawa wahala a hadiya.
• to tantance yiwu hanyar kullum zafi a cikin kunne.
• cire kasashen waje jiki.
• don gane da makogwaro ƙari.

iri laryngoscopy

Wadannan iri hanyoyin kamar laryngoscopy:

• kai tsaye ba - a cikin wannan harka, da laryngeal madubi, wanda likita abun da ake sakawa cikin oropharynx.
• mike - yana da za'ayi ta hanyar na'urar ta hanyar abin da za ka iya gani da maƙogwaro da kanta, da kuma ba ta madubi image.
• Retrograde - aka yi domin yin nazarin ƙananan maƙogwaro amfani nasopharyngeal madubi gabatar a cikin trachea ta cikin tracheostoma.
• mikrolaringoskopiya - shi yana amfani da wani musamman m microscope ciwon mai da hankali tsawon 350-400 mm.

zai yiwu rikitarwa

Idan irin wannan hanya ya zama kamar laryngoscopy maƙogwaro, shi wajibi ne ya zama sane da wadannan yiwu rikitarwa, kamar:

• zafi.
• m kumburi ko zub da jini a cikin makogwaro.
• wani rashin lafiyan dauki ga maganin sa barci.
• zub da jini daga hanci a cikin hali na gabatar da laryngoscope ta hanci.
• tashin zuciya da kuma amai.
• raunuka daga hakora a kasa na da harshen.

Laryngoscopy hanya yawanci ciyarwa otolaryngologist.

Likita otolaryngologist - wanda shi ne shi?

Mutane da yawa tare da cututtuka daban-daban na kunne, hanci da makogwaro ne a wani sauri ganin likita, da kuma tsunduma a kai-medicate. A hankali, wannan take kaiwa zuwa gaskiyar cewa cutar zama na kullum, ba wani wahala a zuciya, da gidajen abinci da kuma kodan. Kawai a cikin wannan harka tana nufin wani mutum da gwani a cikin art kamar likita-otolaryngologist. Wane ne shi?

Otolaryngologist gudanar da dubawa da kuma ganewar asali: makogwaro, kunnuwa, makogwaro, hanci da kuma trachea. Irin gwani daukawa ba kawai ra'ayin mazan jiya magani, amma aiki a kan kunnuwansa, hanci, pharynx, maƙogwaro.

Shiri ga hanya

Kafin laryngoscopy za a gudanar, shi ne zama dole a shirya a shi. Domin wannan jarrabawa ne da za'ayi da haƙuri a yi babban akwati radiograph, radiopaque barium yi wani nazari wanda wakiltar x-ray na esophagus da maƙogwaro, da kuma aiki a kan samun da ruwa dauke da barium bayani. Har ila yau, shirye-shiryen na iya hada kwamfuta tomography - yin amfani da X-ray view na kwamfuta da wanda images of Tsarin cikin jiki ne gamsu.

Idan za ka yi amfani da janar maganin sa barci, haramun ne to ku ci kuma ku sha for 8 hours kafin hanya. Maganin sa barci ba Ya kãmã irin bukatun. Likita ya kamata ka sani game da duk magunguna dauka. Daya mako kafin laryngoscopy bukatar dakatar da shan kwayoyi da kumburi, kazalika da magunguna, jini thinning.

Rike tsaye ba laryngoscopy

Haƙuri likita iya rubũta a hanya kamar tsaye ba laryngoscopy. Mene ne wannan? Wannan hanya da aka za'ayi da manya kuma mazan yara da musamman laryngeal madubi. Kamar yadda lighting amfani frontal reflector da ta nuna hasken fitila.

Kai tsaye ba laryngoscopy mafi yawa ana da za'ayi a cikin wani daki mai duhu. Yana shafi m SPRAY cewa an fesa cikin makogwaro. Idan kana amfani da frontal reflector, wannan haske Madogararsa yana da hakki a kan wani ɓangare na haƙuri ta kunne, da babban yatsa da kuma tsakiyar yatsa na hagu na haƙuri yana gyarawa protruding harshe. A index yatsa ne sau da yawa amfani don ya dauke da babba lebe. The likita da shugabantar da haske reflector a kan frontal yankin na taushi palate da hannun dama ya shiga cikin bakin laryngeal madubi, wanda kafin cewa dole ne a mai tsanani ga jiki zafin jiki, sabõda haka, an ba misted.

A madubi ya kamata a kafa haka da cewa haske haskoki nuna daga shi ya fadi a kan maƙogwaro, da kuma sanda aka located a gefen hagu na bakin haƙuri. Yana ba zai rufe fagen view. A haƙuri kamata ambaci sauti na "E" da "I", a cikin wannan yanayin, da maƙogwaro ne ya tashe kadan da kuma facilitates jarrabawa. Idan maƙogwaro yana da wani waje abu, likita ta kawar da shi.

Don kauce wa retching, baka rami da hypopharynx da maƙogwaro babba bayi ko smeared 1-2% lidocaine da kuma 2% bayani piromekaina. Idan akwai drawbacks kamar wani gajeren m harshe, m, folded, upturned epiglottis, sa'an nan ta amfani da m ja da epiglottis zuwa ga tushen da harshe. Wannan hanya da aka yi a karkashin haske maganin sa barci.

A dauke da fitar da wani hanya kamar wani kai tsaye ba laryngoscopy, Semi-kishiya image samu maƙogwaro.

Gudanar kai tsaye laryngoscopy

Bugu da kari ga kaikaitaccen, za a iya za'ayi da kuma kai tsaye laryngoscopy. Mene ne wannan? Wannan hanya damar likita, don su bincika mafi hankali da makogwaro. A wannan yanayin, yi amfani da laryngoscopes cewa ana amfani da sauran jan, kamar kau na waje jikinsu. Wannan a lokacin wata hanya kamar kai tsaye laryngoscopy ya fi dace don la'akari da maƙogwaro, yi amfani da laryngoscope kaya, wanda dole Tantancewar fiber m ruwan wukake. Wadannan kaya yawanci yi nufi ga hanya a cikin yara da manya, da kuma ba da damar duba da maƙogwaro a duk bayani.

Dauke da retrograde laryngoscopy

A hanya wajabta mutane da suka yi a tracheostomy. Kananan nasopharyngeal madubi preheated zuwa yanayin jiki da kuma gudanar da ta hanyar da tracheostomy. A kayan aiki a cikin wannan harka a pivoted zuwa gaba madubi surface zuwa ga maƙogwaro. Kamar yadda lighting amfani frontal reflector ko illuminator. Wannan hanya ba ka damar ganin babba trachea, da ƙananan surface na vocal folds da kuma infraglottic kogo.

dauke da mikrolaringoskopii

Dubawa na maƙogwaro ne da za'ayi ta musamman m microscope ciwon mai da hankali tsawon 350-400 mm. Wannan hanya za a iya hade tare da kai tsaye, ko kai tsaye ba laryngoscopy don gane asali da kuma neoplastic raunuka na maƙogwaro.

laryngoscopy hanya inda za a iya yi?

Mutane da yawa da damuwa game da inda za a yi laryngoscopy. Yawanci, yadda aka gudanar da zamani a cibiyoyin harkokin likita, wanda aka located in birane da yawa. Wannan hanya za a iya biya da kuma free.

ƙarshe

Laryngoscopy - wata hanya da cewa ba ka damar kimanta yanayin maƙogwaro da kuma gano dalilin kullum cututtuka. Sau da yawa makogwaro cuta zama na kullum saboda su sakaci. Domin kada ya kai irin wannan jiha da su maƙogwaro, ya kamata ka da sauri shawarci likita.