Laryngoscopy - ntoni na? inkcazelo Types Inkqubo laryngoscopy

Ukuba umntu agule kwizifo rhoqo zomqala kwingqula, ugqirha usenokuncomela ukuba bapase i inkqubo ezifana laryngoscopy. Yintoni na? Le ndlela iphumelelayo ukuhlola imeko kwingqula. Ngaphambili kulo mzekelo, oogqirha usebenzisa isipili okhethekileyo. Kuye kwangena kwingqula nasemqaleni ovuthayo wakhangela nodonga lwawo. Namhlanje, le nkqubo unenzondelelo iinguqu ezibalulekileyo, yaye laryngoscopy owayephila yenziwa ngokwahlukileyo kakhulu, yaye oogqirha ukufumana ulwazi.

Yintoni ibanjelwe laryngoscopy?

Yintoni na xa zenziwa le nkqubo? Laryngoscopy kufuneka ukuba bahlole zomqala ukufumanisa iingxaki kulo. Kudla ukuba sabelwe kwakhona kwezi meko zilandelayo:

• ukuqonda unobangela ukukhohlela, ngokufuthi ngegazi, hoarseness, onukayo, umqala obuhlungu;
• ukufumanisa unobangela kunzima ukuginya;
• ukuvavanya unobangela ndinentlungu engapheliyo endlebeni kunokwenzeka;
• ukususa umzimba angaphandle;
• okuva ithumba umqala.

iintlobo laryngoscopy

Ezi ndidi zilandelayo yeenkqubo ezifana laryngoscopy:

• ngqo - kulo mzekelo, isipili laryngeal, apho ugqirha ifaka kungena oropharynx;
• ngqo - ikhutshwa phandle esebenzisa isixhobo apho ungabona kwingqula ngokwayo, hayi nomfanekiso walo esipilini;
• Retrograde - lwenziwa ukuze ukufunda kwingqula ephantsi usebenzisa isipili nasopharyngeal eyaziswa uqhoqhoqho ngokusebenzisa tracheostoma;
• mikrolaringoskopiya - isebenzisa ngemicroscope eyodwa yotyando ukuba Ubude ebalulekile 350-400 mm.

iingxaki kunokwenzeka

Ukuba nkqubo onjalo kuba laryngoscopy kwingqula, kuyimfuneko ukuba uyazazi ezi iingxaki kunokwenzeka, abandlela:

• buhlungu;
• ukufukuka kakhulu okanye ukopha emqaleni;
• i uxabane ukuya Ukubulawa;
• wopha impumlo kwimeko yokwazisa laryngoscope ngokusebenzisa empumlweni;
• isicaphucaphu nokugabha;
• kwamanxeba amazinyo emazantsi ulwimi.

Inkqubo Laryngoscopy ngokuqhelekileyo ichitha otolaryngologist.

otolaryngologist Gqirha - ngubani na?

Abantu abaninzi zizifo ezahlukahlukeneyo indlebe, empumlweni nasemqaleni ke akukho ziyakhawuleza ukubona ugqirha, yaye wenza self-medicate. Ngokuthe ngcembe, oku kukhokelela yokuba esi sifo kuba ezingapheliyo, enika kwingxaki entliziyweni, amalungu kunye nezintso. Kuphela kule meko libhekisela kumntu onobuchule kwimizobo ezifana ugqirha-otolaryngologist. Ngubani na?

Otolaryngologist siziphatha uhlolo isifo: umqala, iindlebe, umqala, impumlo kunye noqhoqhoqho. awodwa uthwala unyango kuphela 'endala, kodwa ukusebenza ezindlebeni, impumlo, pharynx, kwingqula.

Ukulungiselela inkqubo

Phambi iya kubanjwa laryngoscopy, kuyimfuneko ukulungiselela kuyo. Olu viwo ikhutshwa phandle sisigulane ukwenza radiograph esifubeni, barium radiopaque wenza isifundo emele x-reyi le kuvuleke iminxunya kunye kwingqula, kwaye zisebenza phezu kokufumana ulwelo yayo equlethe isisombululo barium. Kwakhona kungaba ziquka i Itomography kwikhompyutha - usebenzisa i X-ray Ngenxa kwikhompyutha ngalo imifanekiso kwezakhiwo ngaphakathi emzimbeni anelisekile.

Ukuba uya kusebenzisa zomzimba ngokubanzi, Akuvunyelwe ukuba nidle nisele iiyure 8 phambi kokuba le nkqubo. zomzimba womMandla banyanzelise iimfuno ezinjalo. Ugqirha kufuneka bazi onke amayeza ezithathiweyo. Iveki enye ngaphambi kokuba laryngoscopy kufuneka uyeke ukusebenzisa iziyobisi nxamnye nangokurhala, kwakunye amayeza, hedge igazi.

Ukubamba laryngoscopy ngqo

ugqirha Nomonde ukuze amisele inkqubo ezifana laryngoscopy ngqo. Yintoni na? Le nkqubo ikhutshwa phandle abadala kunye nabantwana abadala kunye laryngeal njengesipili okhethekileyo. Njengoko zokukhanya kusetyenziswa kugqame ngokungqalileyo ukuba ibonakalisa ukukhanya kwesibane.

laryngoscopy ngokungathanga ngokuqhelekileyo luqhutywa kwigumbi mnyama. Usebenza spray iintlungu ukuba iinta- kwi emqaleni. Ukuba usebenzisa i kugqame ngokungqalileyo, lo mthombo ukukhanya unelungelo ngakwicala indlebe yesigulane, kunye nocikicane ngomnwe phakathi sesandla sasekhohlo isigulane Iqinisekile eveleleyo ulwimi. Umnwe idla ngokusetyenziswa ukuze uphakamise iindevu. Ugqirha iyalela ukuba kugqame ukukhanya kummandla ngokungqalileyo inkalakahla ethambileyo aye ngasekunene kwisipili emlonyeni laryngeal, leyo phambi ekufuneka lashushu lobushushu emzimbeni, kangangokuba akukho nto misted.

Isipili kufuneka abekwe ukuze reyi ukukhanya kuboniswe kulo yawa kwingqula, kunye nentonga ibekwe kwicala lasekhohlo emlonyeni umguli. Kuya awugubungele umhlaba ngayo. Isigulane kufuneka athi izandi ze "E" yaye "Mna", kulo mzekelo, kwingqula kuvuka uviwo kancinane kwaye kubelula. Ukuba kwingqula kukho into langaphandle, ugqirha kuyisusa.

Ukuze uphephe ubuqhophololo, kwisisu yomlomo kunye hypopharynx kunye kwingqula Nkcenkceshela eliphezulu okanye waluqaba 1-2% lidocaine ne-2% solution piromekaina. Ukuba kukho ethile efana ulwimi emfutshane elingqingqwa, engqongqo, isongiwe yodwa, epiglottis ezijonge, ngoko usebenzisa yenethiwekhi kumkhupha epiglottis ka ku kuso aka ulwimi. Le nkqubo lwenziwa phantsi Ukubulawa ukukhanya.

Ekuphumezeni inkqubo efana njenge laryngoscopy ngqo, umfanekiso semi-eguqulweyo ngokubaxwa i ifunyenwe kwingqula.

Ndiqhuba laryngoscopy ngqo

Ukongeza ngqo, ingaqhuba iye phandle, laryngoscopy ngqo. Yintoni na? Le nkqubo ivumela ugqirha ukuba sihlole ngakumbi womqala. Kulo mzekelo, wasebenzisa laryngoscopes asetyenziswa ezinye zazo, ezifana ukususwa namaqumrhu angaphandle. Ukuba ngexesha inkqubo ezifana laryngoscopy ngqo kwaba lula ngakumbi ukuqwalasela kwingqula, sebenzisa izixhobo laryngoscope, leyo ibenefibre enombala iibleyidi interchangeable. Ezi khithi zikholisa yenzelwe ukuba inkqubo abantwana kunye nabantu abadala, kwaye ivumela ukuhlola umphimbo kuzo zonke iinkcukacha.

Ukufeza laryngoscopy retrograde

Inkqubo emiselweyo abantu abaye baba tracheostomy. isipili Small nasopharyngeal osuke ukuba iqondo lobushushu emzimbeni neziqhutywa ngokusebenzisa tracheostomy. Isixhobo kule tyala pivoted isipili phezulu komhlaba ukuya kwingqula. Njengoko zokukhanya kusetyenziswa kugqame ngokungqalileyo okanye illuminator. Le nkqubo ikuvumela ukuba ubone uqhoqhoqho eliphezulu, umphezulu esezantsi Imihlubulo bavakalisa izimvo zabo kunye kwisisu infraglottic.

Ukufeza mikrolaringoskopii

Ukuhlolwa kwingqula ikhutshwa phandle ngemicroscope okhethekileyo yotyando ukuba Ubude ebalulekile 350-400 mm. Le nkqubo kuyakudityaniswa laryngoscopy ngqo okanye ngokungathanga ngqo ngoxilongo kunye amanxeba neoplastic ye kwingqula.

inkqubo laryngoscopy apho enokwenziwa?

Abantu abaninzi baxhalabile malunga nalapho ukwenza laryngoscopy. Ngokuqhelekileyo, oko lwenziwa kumaziko mihla zonyango, apho zifumaneka kwiidolophu ezininzi. Le nkqubo zingahlawulwa kwaye simahla.

isiphelo

Laryngoscopy - inkqubo evumela ukuba ukuhlola imeko kwingqula nokugqiba unobangela nezifo ezingapheliyo. Amaxesha amaninzi isifo umqala ube esingapheliyo ngenxa kukutyeshela. Ukuze bafikelele meko kwingqula yabo, kufuneka ngokukhawuleza udibane nogqirha wakho.