Laryngoscopy - ndichiyani? Mitundu laryngoscopy ndondomeko kufotokoza

Ngati munthu amakonda matenda kawirikawiri pakhosi ndi m'phuno, adokotala akhoza amalangiza pochitika ndondomeko monga laryngoscopy. Ndi chiyani icho? Izi ndi njira yabwino kwambiri kufufuza mkhalidwe m'mphako ya. Poyamba mu nkhani iyi, madokotala amagwiritsa ntchito kalilole wapadera. Iwo anali anadzetsa m'phuno ndi pakhosi anayatsa anayang'ana mpanda wake. Masiku ano, njirayi lasintha kwambiri, ndipo laryngoscopy chi imachitika mosiyana kwambiri ndi madokotala kupeza mumve zambiri.

N'chiyani chinathandiza laryngoscopy?

Kodi izo ndi pamene anachita njirayi? Laryngoscopy chofunika kufufuza pakhosi ndi matenda mavuto mu izo. Kawirikawiri akapatsidwa milandu zotsatirazi:

• kumvetsa chifukwa cha chifuwa nthawi zambiri ndi magazi, hoarseness, mpweya woipa, zilonda zapakhosi;
• kudziwa zimene zimayambitsa vuto Pomeza;
• kuti aone chifukwa nkotheka ululu aakulu mu khutu;
• kuchotsa thupi yachilendo;
• kudziwa pakhosi chotupa.

mitundu laryngoscopy

Zotsatirazi mitundu ya ndondomeko monga laryngoscopy:

• mosadziwika - mu nkhani iyi, laryngeal galasi, zomwe dokotala amaika mu oropharynx ya;
• molunjika - ikuchitika mwa chipangizo yomwe mutha kuona m'phuno palokha, ndipo si galasi wake chithunzi;
• Retrograde - imagwiridwa kuti kuphunzira m'phuno m'munsi ntchito galasi nasopharyngeal anadzetsa trachea kudzera tracheostoma ya;
• mikrolaringoskopiya - limagwiritsa ntchito yapadera maso opaleshoni ndi kutalika focal wa 350-400 mm.

zosokonezeka zotheka

Ngati ndondomeko ndi kukhala laryngoscopy m'phuno, m'pofunika kudziwa mavuto amenewa zotheka, monga:

• kupweteka;
• kutupa kwambiri kapena magazi mu mmero;
• ndi matupi awo sagwirizana anachita ochititsa dzanzi pa;
• magazi kuchokera mphuno zinachitikira powapatsa laryngoscope kuboola mphuno;
• kunyansidwa ndi kusanza;
• mabala kwa mano pansi pa chinenero.

Laryngoscopy ndondomeko zambiri limagwiritsa otolaryngologist.

Sing'anga otolaryngologist - ndani?

Anthu ambiri ndi matenda osiyanasiyana a makutu, mphuno komanso pakhosi sali msangamsanga kwa dokotala, ndipo chinkhoswe kudzipatsa medicate. Pang'onopang'ono, zimenezi zimapangitsa chakuti matendawa amakhala aakulu, kupereka vuto pa mtima, mfundo ndi impso. Only kukutanthauza kuti munthu waluso pa luso monga dokotala-otolaryngologist. ndi ndani?

Otolaryngologist amachita kuyendera ndi matenda: pakhosi, makutu, pakhosi, mphuno ndi trachea. katswiri amenewa amanyamula osati ndiwofatsa mankhwala, koma ntchito pa makutu, mphuno, pharynx, m'phuno.

Kukonzekera ndondomeko

Pamaso laryngoscopy udzachitike, m'pofunika yokonzekera. Kufufuza ikuchitika ndi wodwalayo kuti bokosi radiograph, radiopaque barium anachita kafukufuku chomwe chimayimira x-ray wa kum'mero ndi m'phuno, ndiponso ntchito atalandira madzi ake okhala barium njira. Komanso kukonzekera zingaphatikizepo kompyuta tomography - ntchito X-ray maganizo a kompyuta ndi zifaniziro za nyumba mwa thupi zitakwaniritsidwa.

Ngati inu ntchito mankhwala ochititsa dzanzi ambiri, izo ngoletsedwa kudya ndi kumwa kwa maola 8 patsogolo ndondomeko. mankhwala oletsa ululu pamalopo si kukakamiza anthu amafuna oterowo. dokotala ayenera kudziwa za mankhwala onse atengedwa. sabata limodzi pamaso laryngoscopy ayenera kusiya kumwa mankhwala ndi kutupa, komanso mankhwala, magazi kupatulira.

Kugwizana mozungulira laryngoscopy

dokotala moleza mtima mankhwala ndondomeko monga laryngoscopy zina. Ndi chiyani icho? Izi ndondomeko ikuchitika ndi akulu ndi ana okulirapo ndi laryngeal galasi wapadera. Monga kuyatsa ntchito mazunzo imaonetsa kuti umasonyezera kuwala kwa nyale.

Sitipereka laryngoscopy nthawi zonse umachitikira m'chipinda chamdima. Agwiritsidwa mankhwala ochititsa kutsitsi amene sprayed mu mmero. Ngati mukufuna kugwiritsa ntchito wonyezimiritsira mazunzo buku kuwala ali ndi ufulu ya khutu wodwalayo, ndipo chala ndi chala chapakati cha dzanja lamanzere wodwalayo chili yotundumukira kunja kwa mpanda lilime. Chala index kawirikawiri amagwiritsidwa ntchito kukweza mlomo chapamwamba. dokotala akutsogolera imaonetsa kuwala pa dera mazunzo a m'kamwa zofewa ndi dzanja lamanja alowa pakamwa laryngeal galasi, kale kuti ayenera usavutike kutentha thupi, kotero kuti si misted.

galasi ayenera anapereka kuti cheza kuwala anasonyeza kuchokera idagwa pa m'phuno, ndi ndodo inali kumanzere mkamwa mwa wodwalayo. Izo sizigwira kuphimba m'munda wa view. Wodwala ayenera kutchula phokoso la "E" ndipo "ine", mu nkhani iyi, m'phuno liukitsidwa pang'ono ndi facilitates bwino. Ngati m'phuno ali ndi chinthu chatsopano, dokotala amachotsa izo.

Kupewa retching, m'kamwa zibowo zam'mano ndi hypopharynx ndi m'phuno chapamwamba kuthirira kapena kupaka 1-2% lidocaine wa ndi 2% njira piromekaina. Ngati pali zovuta monga yochepa wandiweyani lilime, okhwima, apangidwe, upturned epiglottis, ndiye ntchito nthandala anakoka epiglottis ku muzu wa lilime. Ndondomeko anachita pogonekedwa ndi mankhwala kuwala.

Pogwira ndondomeko ndi monga laryngoscopy mozungulira, theka-osiyanitsidwa chithunzi analandira m'phuno.

Kuchititsa laryngoscopy mwachindunji

Kuwonjezera pa mozungulira, angathe kuchitidwa ndi laryngoscopy mwachindunji. Ndi chiyani icho? Izi ndondomeko amalola dokotala kufufuza kwambiri pakhosi. Pankhaniyi, ntchito laryngoscopes kuti ntchito mwai ena, monga kuchotsedwa kwa matupi yachilendo. Kuti pa ndondomeko monga laryngoscopy mwachindunji anali yabwino kwambiri kuganizira kholingo ntchito zida laryngoscope, amene kuwala CHIKWANGWANI masamba mosinthana. zida izi kawirikawiri anafuna kuti ndondomeko ana ndi akulu, ndi kulola kuyendera m'phuno mu zinthu zonse.

Kunyamula retrograde laryngoscopy

Ndondomeko analamula kuti anthu omwe anali tracheostomy. Small nasopharyngeal galasi preheated kutentha thupi ndi kutumikiridwa kudzera tracheostomy a. The chida mu nkhani iyi kukhala pivoted m'mwamba galasi pamwamba kwa m'mphako ya. Monga kuyatsa ntchito mazunzo imaonetsa kapena chounikira. Ndondomeko imeneyi zimathandiza inu kuona trachea chapamwamba, m'munsi padziko makutu m'pofunika infraglottic patsekeke.

kunyamula mikrolaringoskopii

Anayendera m'phuno imachitidwa ndi wapadera maso opaleshoni ndi kutalika focal wa 350-400 mm. njirayi akhoza pamodzi laryngoscopy mwachindunji kapena mozungulira matenda ndi zotupa neoplastic ya m'phuno ndi.

laryngoscopy ndondomeko kumene izo zikhoza kuchitidwa?

Anthu ambiri akuda nkhawa kumene kuti laryngoscopy. Childs, izo amachitika malo ano madokotala, zomwe zili m'midzi yambiri. njirayi akhoza kulipira ufulu.

Pomaliza

Laryngoscopy - ndondomeko kuti amalola kuti asa- chikhalidwe cha m'phuno ndi kudziwa chifukwa cha matenda aakulu. Kawirikawiri matenda pakhosi sizikutha chifukwa kunyalanyaza. Pofuna kukwaniritsa boma zoterozo m'phuno awo, muyenera yomweyo kufunsa dokotala.