Laryngoscopy ndi nasolarynoscopy

Laryngoscopy ndikuyesa kumbuyo kwa mmero wanu, kuphatikiza mawu am'mawu (larynx). Bokosi lanu lamawu limakhala ndi zingwe zamawu ndipo limakupatsani mwayi wolankhula.

Laryngoscopy itha kuchitidwa m'njira zosiyanasiyana:

• Laryngoscopy yosagwiritsa ntchito imagwiritsa ntchito kalilole kakang'ono kumbuyo kwanu. Wothandizira zaumoyo amawala pagalasi kuti awone pakhosi. Iyi ndi njira yosavuta. Nthawi zambiri, zimatha kuchitika muofesi ya omwe akukuthandizani mukadzuka. Mankhwala ogwetsera msana pakhosi anu atha kugwiritsidwa ntchito.
• Fiberoptic laryngoscopy (nasolaryngoscopy) imagwiritsa ntchito telescope yaying'ono yosinthasintha. Kukula kumadutsa mphuno zanu komanso kukhosi kwanu. Iyi ndi njira yofala kwambiri yomwe bokosi lamawu limayesedwa. Mukugalamuka chifukwa cha njirayi. Mankhwala achinsinsi adzakupopera m'mphuno mwako. Njirayi imatenga zosakwana 1 miniti.
• Laryngoscopy pogwiritsa ntchito strobe light itha kuchitidwanso. Kugwiritsa ntchito strobe light kumatha kupatsanso mwayi kwa omwe akukuthandizani pamavuto ndi mawu anu.
• Laryngoscopy mwachindunji imagwiritsa ntchito chubu chotchedwa laryngoscope. Chidacho chimayikidwa kumbuyo kwa mmero wanu. Chubu chimatha kukhala chosasinthasintha kapena cholimba. Njirayi imalola adotolo kuti aone mozama pakhosi ndikuchotsa chinthu chachilendo kapena zitsanzo za nyama. Zimachitidwa mchipatala kapena kuchipatala pansi pa anesthesia, kutanthauza kuti mudzagona ndipo simumva kupweteka.

Kukonzekera kumadalira mtundu wa laryngoscopy womwe mudzakhale nawo. Ngati mayeso adzachitika pansi pa anesthesia, mutha kuuzidwa kuti musamamwe kapena kudya chilichonse kwa maola angapo mayeso asanayesedwe.

Momwe mayeso adzamverere kutengera mtundu wa laryngoscopy womwe wachitika.

Laryngoscopy yosagwiritsidwa ntchito pogwiritsa ntchito kalilole kapena stroboscopy imatha kuyambitsa kugundana. Pachifukwa ichi, sichimagwiritsidwa ntchito nthawi zambiri kwa ana ochepera zaka 6 mpaka 7 kapena omwe amangolira mosavuta.

Fiberoptic laryngoscopy itha kuchitidwa mwa ana. Zitha kupangitsa kumverera kwapanikizika ndikumverera ngati mudzayetsemula.

Mayesowa atha kuthandiza omwe akukuthandizani kuzindikira zovuta zambiri zapakhosi ndi mawu. Wothandizira anu akhoza kuvomereza kuyesaku ngati muli ndi:

• Mpweya woipa wosachoka
• Mavuto opumira, kuphatikizapo kupuma mokweza (stridor)
• Kutsokomola kwanthawi yayitali
• Kutsokomola magazi
• Zovuta kumeza
• Kupweteka m'makutu komwe sikumatha
• Kumva kuti china chake chakumamatira kukhosi kwako
• Vuto lakumapeto kwakanthawi kwakanthawi kosuta
• Misa pamutu kapena m'khosi ndi zizindikiro za khansa
• Kupweteka kwa pakhosi komwe sikuchoka
• Mavuto amawu omwe amatha kupitilira masabata atatu, kuphatikiza kusokosera, mawu ofooka, mawu amwano, kapena mawu

Laryngoscopy yolunjika ingagwiritsidwenso ntchito ngati:

• Chotsani nyemba zapakhosi kuti mumveke bwinobwino pogwiritsa ntchito microscope (biopsy)
• Chotsani chinthu chomwe chikulepheretsa kuyenda kwa ndege (mwachitsanzo, marble kapena ndalama)

Zotsatira zabwinobwino zimatanthauza kuti mmero, bokosi lamawu, ndi zingwe zamawu zimawoneka zabwinobwino.

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Acid reflux (GERD), yomwe imatha kuyambitsa kufiira ndi kutupa kwa zingwe zamawu
• Khansa yapakhosi kapena mawu amawu
• Mitsempha yamagulu pamtsempha wamawu
• Ma polyps (zotupa zabwino) pabokosi lamawu
• Kutupa pakhosi
• Kuchepetsa minofu ndi minofu mu bokosi lamawu (presbylaryngis)

Laryngoscopy ndi njira yabwino. Zowopsa zimadalira ndondomekoyi, koma itha kukhala:

• Thupi lawo siligwirizana ndi mankhwala ochititsa dzanzi, kuphatikizapo kupuma ndi mavuto amtima
• Matenda
• Kutaya magazi kwakukulu
• Kutuluka magazi
• Kuphipha kwa zingwe zamawu, komwe kumabweretsa mavuto kupuma
• Zilonda zamkati mkamwa / mmero
• Kuvulala lilime kapena milomo

Laryngoscopy yosawonekera bwino SIYENERA kuchitidwa:

• Makanda kapena ana aang'ono kwambiri
• Ngati muli ndi epiglottitis pachimake, matenda kapena kutupa kwa kansalu kanyama patsogolo pa bokosi lamawu
• Ngati simungathe kutsegula pakamwa panu kwambiri

Laryngopharyngoscopy; Laryngoscopy yosadziwika; Kusintha laryngoscopy; Zojambula zamagalasi; Laryngoscopy mwachindunji; Fiberoptic laryngoscopy; Laryngoscopy pogwiritsa ntchito strobe (laryngeal stroboscopy)

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Truong MT, Wolemba AH. Kuwunika ndikuwongolera njira zapaulendo za ana. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 202.

Wakefield TL, Lam DJ, Ishman SL. Matenda obanika kutulo komanso kusowa tulo. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu & Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap.