Impedance - ndichiyani ndi mmene ikuchitika?

Pa moyo wa mphamvu zathu pansi: kuchepa kumva, kuona, kununkhiza. Nthawi zina zimachitika m'banda, nthawizina - m'malo mochedwa, koma mwanjira ife kufika kuchipatala. Mmodzi wa akatswiriwa - otolaryngologist. Ndi iye amene amamvetsa zimayambitsa matenda.

Impedancemetry: ndichiyani?

Impedance - ndi njira malangizo matenda, amene amathandiza kudziwa malo ndi chikhalidwe cha imfa kumva. Ndi izo, inu mukhoza kudziwa za udindo wa chubu Makutu, cochlea, makutu pakati, komanso innervating mitsempha yawo.

Njira imeneyi zimathandiza kudziwa matenda monga perforation wa likalowa m'makutu, timpanoskleroz, mkhutu patency wa machubu Makutu, media otitis, otosclerosis ndi ena.

Lamayimbidwe impedancemetry akuimira basi muyeso kukameta ubweya lamayimbidwe conduction khutu pakati pamene kusintha mpweya ndime kuthamanga ndi phokoso amadza. Chidule cha variable - ndi kuloŵa lamayimbidwe, kapena madutsidwe wa nyumba ya khutu lakunja ndi pakati ndi impedance phokoso.

tympanometry

Lamayimbidwe impedancemetry zikuphatikizapo phokoso madutsidwe muyeso pambuyo kusintha mpweya kuthamanga. Zimenezi zimatchedwa tympanometry. zida The detects kusintha kuloŵa pamene zoipazi kumawonjezera kuti millimeters mazana awiri ndime madzi ndi kutsitsa m'munsimu -400 millimeters.

Kuloŵa zimadalira m'mene kwambiri kusiyana kuthamanga mu ngalande kunja Makutu ndi makutu pakati. Mtengo wapatali kwambiri wa index izi m'kaundula pamene kuthamanga chomwecho. Timpatogramme pa mfundo iyi akuonetsedwa ngati pachimake apamwamba. Kukweza kapena kutsitsa zoipazi amapereka kusintha khalidwe limaoneka lokongola. Mwachibadwa, tiyenera kuyang'ana ngati kalata "L". Chakhungu ntchito ya khutu pakati amasintha matalikidwe ndi mawonekedwe a tympanogram lapansi.

Investigation ya mpweya ntchito ya chubu Makutu

Impedance - ndichiyani? Izi njira ya bwinobwino wa limba Makutu kuti kuchepetsa kapena kupotoza. Chifukwa chimodzi chingakhale Eustachian chubu kukanika. chifukwa wake alipo adenoid zomera kukula, ndi pogawanikana pamawere wa mbale molimba m'kamwa, matenda oncological ya mphuno ndi mkamwa, mucosal edema. Ana nthawi zina anati Makutu chubu patency chifukwa kuchepetsa minofu elasticity ndi matenda ntchito velum minofu.

Impedance kwa khutu kudziwa patency la chubu Makutu lagawidwa magawo atatu:

1. Safety cheke. Anachita pa kuthamanga mumlengalenga pa mbali zonse za Kakhungu tympanic.
2. Zinachitikira Valsalva. The nasopharynx ndi chongopeka analenga kuthamanga kwa magazi, ndi mtima linafunsidwa kutseka pakamwa ndi mphuno. Mu yachibadwa patency chitoliro mtengo wapatali kwambiri pa timpatogramme (pachimake) chikugwirizana ndi kachulukidwe mfundo zambiri.
3. Nazo Toynbee. Akukonzekera mwayi mpweya Eustachian machubu pa mochedwerako. Kuti tichite zimenezi, wodwalayo akupemphedwa Imwani, pambuyo kutseka pakamwa ndi mphuno.

reflexometer

Pofuna kufufuza ngati pali kuchepetsa wa stapedius minofu (iye imakoka likalowa m'makutu) pambuyo kukhudzana ndi phokoso ntchito impedancemetry lamayimbidwe. Kodi ndondomeko? Khutu phokoso mmene mwamphamvu osiyana ndi buku fufuzani reflex lamayimbidwe.

Mu anthu athanzi, ili pakhomo reflex ndi pakati decibels makumi asanu ndi anayi. Kusintha maganizo a nembanemba tympanic analembedwa mbali zonse, ngakhale phokoso kumachitika kokha mu khutu limodzi. reflex amenewa amanena za mtheradi.

Pali njira ziwiri kuchita njirayi:

1. Ipsilateral, phokoso kudzipatula m'mawa m'khutu, zimene ziyenera ankafufuza.
2. Contralateral, ngati phokoso imatsogoleredwa mu khutu, amene si pano kufufuza.

Reflexometer ntchito mawu ndi pafupipafupi mazana asanu, zikwi, zikwi ziwiri ndi zikwi zinai hedzi, ndi phokoso burodibandi.

Mtengo matenda wochita

N'chifukwa chiyani muyenera impedancemetry? Kodi ndi chifukwa chiyenera kuchitidwa? Izi ndondomeko osavuta amalola wodwala kudziwa conductive ndi sensorineural kumva imfa, kugonjetsedwa kwa chiwiri kapena chitatu mitsempha cranial, brainstem. Phunziro lochita, sabweretsa chisoni ndi kupezeka kwa wodwala aliyense, kaya akhale a msinkhu ndi moyo.

Matenda muyezo chifukwa sensorineural kumva imfa ndi zinthu zotsatirazi:

- reflex lamayimbidwe zimawonedwa pa mlingo phokoso la decibels zosakwana makumi asanu;
- decibels kwa makumi asanu ndi eyite reflex analemba mogwirizana ndi patsogolo phokoso;
- pambuyo decibels eyite reflex palibe.

Lamayimbidwe reflexometer sapereka zotsatira ndi conductive kumva imfa, kotero inu mukhoza kugwiritsa ntchito mbali kusiyanitsa izo kwa sensorineural. Kugonjetsedwa kwa mitsempha nkhope imapereka reflex pa mbali contralateral, koma kulibe - kukunda. A nkhani ya kuphwanya Makutu mitsempha reflex ntchito palibe ku makutu akhudzidwa, kapena ku wathanzi.

impedance-pH polojekiti

Esophageal impedancemetry: ndichiyani? Izi njira kudziŵa contractions akulu a linga kum'mero, ndipo popitapita izo madzi ndi mpweya. Bukuli lili ndi kuyeza kukana pakati maelekitirodi awiri, amene anayambitsa mu madera osiyana a chubu m'mimba. Pa nthawi yomweyo kafukufuku chimaonekera acidity.

Ndondomeko zimathandiza kudziwa mtundu wa matenda Reflux (asidi, ndale kapena zamchere), ndi matabwa ake (mpweya kapena madzi). Matenda muyezo chifukwa GERD (matenda gastroezofagialnoreflyuksnoy) ndi kuchepetsa pH a sing'anga inayi kapena zochepa, koma kafukufuku wa posachedwapa kutsutsa mfundo imeneyi. Choncho, kufunika analandira tsiku impedancemetry kum'mero.

Kwa wodwala uyu chikuyendetsedwera mwa mphuno stylet, amene anakonza pa zoyesera ofanana imeneyi. chipangizo Zimenezi zimathandiza kuti akalembetse esophageal peristalsis ndi acidity zili zomwe igwera mu izo kuchokera m'mimba.