Laryngoscopy uye nasolarynoscopy

Laryngoscopy bvunzo yeshure kwehuro yako, kusanganisira yako izwi bhokisi (larynx). Izwi rako bhokisi rine tambo dzako dzekutaura uye dzinokutendera kuti utaure.

Laryngoscopy inogona kuitwa nenzira dzakasiyana:

• Yakananga laryngoscopy inoshandisa girazi diki rakabatwa kumashure kwehuro yako. Anopa hutano anopenya mwenje pagirazi kuti aone huro nzvimbo. Iyi nzira yakapusa. Kazhinji yenguva, zvinogona kuitwa muhofisi yemupiwe iwe uchinge wakamuka. Mushonga wekugonyesa musana wehuro yako unogona kushandiswa.
• Fiberoptic laryngoscopy (nasolaryngoscopy) inoshandisa teresikopu diki inochinja. Chiyero chinopfuudzwa kuburikidza nemhino dzako uye muhuro mako. Iyi ndiyo nzira yakajairika iyo iro bhokisi rezwi rinoongororwa. Iwe wakasvinurira maitiro. Unoverengera mushonga uchasaswa mumhino dzako. Maitiro aya anowanzo kutora isingasviki 1 mineti.
• Laryngoscopy uchishandisa strobe mwenje inogona zvakare kuitwa. Kushandisa strobe mwenje kunogona kupa mupi ruzivo rwakawanda nezvematambudziko nezwi rako bhokisi.
• Direct laryngoscopy inoshandisa chubhu inonzi laryngoscope. Icho chiridzwa chinoiswa kumashure kwehuro yako. Iyo chubhu inogona kuve inochinjika kana kuomarara. Maitiro aya anotendera chiremba kuti aone zvakadzika pahuro uye kubvisa chinhu chekunze kana sampuro turu yebhiopsy. Izvo zvinoitirwa muchipatara kana nzvimbo yekurapa pasi pechirwere cheanesthesia, zvichireva kuti unenge wakarara uye usina kurwadziwa.

Kugadzirira kunoenderana nerudzi rwe laryngoscopy iwe yauchazove nayo. Kana bvunzo ikaitwa pasi peanesthesia, unogona kutaurwa kuti usanwa kana kudya chero chinhu kwemaawa akati wandei usati wayedzwa.

Iko kuyedzwa kunonzwa sei kunoenderana nerudzi rweiyo laryngoscopy yaitwa.

Yakasarudzika laryngoscopy uchishandisa girazi kana stroboscopy inogona kukonzera kudzadzarika. Nechikonzero ichi, haiwanzoshandiswa muvana vari pasi pemakore matanhatu kusvika manomwe kana avo vanonamira nyore.

Fiberoptic laryngoscopy inogona kuitwa muvana. Zvinogona kukonzera kunzwa kwekumanikidzwa uye kunzwa senge uchazohwihwidza.

Uyu muedzo unogona kubatsira mupi wako kuongorora akawanda mamiriro anosanganisira huro uye izwi bhokisi. Wako mupi anogona kukurudzira iyi bvunzo kana iwe uine:

• Kufema kwakaipa kusingaendi
• Matambudziko ekufema, kusanganisira kufema zvine ruzha (stridor)
• Yenguva refu (isingaperi) chikosoro
• Kukosora ropa
• Zvakaoma kumedza
• Nzeve kurwadziwa kusingaendi
• Kunzwa kuti chimwe chinhu chakanamatira pahuro pako
• Yakareba-refu yepamusoro dambudziko rekufema mune munhu anosvuta
• Misa mumusoro kana mumutsipa nzvimbo ine zviratidzo zvegomarara
• Kurwadziwa pahuro kusingaperi
• Matambudziko ezwi anogara anopfuura masvondo matatu, kusanganisira hoarseness, izwi risina simba, raspy izwi, kana pasina izwi

Iyo yakananga laryngoscopy inogona zvakare kushandiswa kune:

• Bvisa sampuro yetissue muhuro kuti unyatsoongorora pasi pe microscope (biopsy)
• Bvisa chinhu chiri kuvharira nzira yemhepo (semuenzaniso, yakamedza machena kana mari)

Mhedzisiro mhedzisiro zvinoreva huro, izwi bhokisi, uye tambo dzemazwi dzinoonekwa zvakajairika.

Mhedzisiro isina kujairika inogona kunge iri nekuda kwe:

• Acid reflux (GERD), iyo inogona kukonzera kutsvuka uye kuzvimba kwetambo dzenzwi
• Kenza yehuro kana izwi bhokisi
• Nodules pane tambo dzenzwi
• Polyps (benign mapundu) pane izwi bhokisi
• Kuzvimba pahuro
• Kutetepa kwemhasuru uye zvinyama muizwi bhokisi (presbylaryngis)

Laryngoscopy inzira yakachengeteka. Njodzi dzinoenderana nenzira chaiyo, asi dzinogona kusanganisira:

• Allergic reaction kune anesthesia, inosanganisira kufema uye matambudziko emoyo
• Utachiona
• Kubuda ropa kukuru
• Nemhino
• Kupenga kwetambo dzemazwi, izvo zvinokonzeresa matambudziko ekufema
• Maronda ari mukati memuromo / pahuro
• Kukuvadza rurimi kana miromo

Chisina kujeka girazi laryngoscopy HAIFANirwe kuitwa:

• Mune vacheche kana vana vadiki kwazvo
• Kana iwe uine acute epiglottitis, hutachiona kana kuzvimba kweanorira tinyama pamberi penzwi bhokisi
• Kana iwe usingakwanise kushama muromo wako zvakanyanya

Laryngopharyngoscopy; Isina kunanga laryngoscopy; Inochinja laryngoscopy; Girazi laryngoscopy; Kutungamira laryngoscopy; Fiberoptic laryngoscopy; Laryngoscopy uchishandisa strobe (laryngeal stroboscopy)

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Hoffman HT, Gailey MP, Pagedar NA, Anderson C. manejimendi yekenza yekutanga glottic. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro & Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 107.

Maka LJ, Hillel AT, Herzer KR, Akst SA, Michelson JD. General kufunga kweanesthesia uye manejimendi yemhepo yakaoma nzira. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro & Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits.

Truong MT, Mutumwa AH. Kuongorora uye manejimendi yeiyo yevana nzira yemhepo. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro & Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chitsiko 202.

Wakefield TL, Lam DJ, Ishman SL. Kurara kufema uye kutadza kurara. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro & Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits.