Ukuvimba - yintoni kwaye iqhutywa njani?

Ngexesha ubomi izivamvo bethu usihlise: ukuncipha ukuva, ukubona, elimnandi. Maxa wambi kwenzeka kwangoko kakhulu, maxa wambi - kunokuba emva kwexesha, kodwa ngandlel 'sifumana ukubona ugqirha. Enye yezi iingcali - otolaryngologist. Nguye oya ukuqonda oonobangela izifo.

Impedancemetry: ntoni na?

Ukuvimba - yenye yeendlela negalelo loxilongo, nto leyo inceda ukumisela indawo kunye nohlobo ilahleko ukuva. Ngayo, ungafumana ulwazi malunga nemeko ityhubhu ezikhalayo, njengecochlea, zendlebe, kwakunye luvo zabo innervating.

Le ndlela ivumela ibhaqe izifo ezifana perforation le indlebe, timpanoskleroz, patency kakuhle ka kwimibhobho ezikhalayo, amajelo otitis, otosclerosis kunye nabanye.

impedancemetry ive imele oluzenzekelayo yokulinganisa Uhanjiso ive shear ezalisekileyo esikhwebini phakathi xa ukutshintsha uxinzelelo kwikholam lomoya kunye nesandi nempembelelo. Isishwankathelo variable - ukwamkela yiacoustic, okanye conductivity izakhiwo sendlebe engaphandle nalawo aphakathi kunye amanzi aphilileyo.

tympanometry

impedancemetry ive kuquka umlinganiselo ephilileyo conductivity emva utshintsho uxinzelelo lomoya. Oku kubizwa tympanometry. Izixhobo ibhaqa notshintsho ukungena xa landisa ezingamakhulu amabini omise lomxholo yamanzi, lisibekele ngezantsi -400 iimilimitha.

Zingeniswe kuxhomekeke kwindlela mkhulu umahluko phakathi xi emjelweni lwangaphandle ekuva nendlebe eliphakathi. Ixabiso eliphezulu le index ibhalisiwe xa xi efanayo. Timpatogramme kule ngongoma iboniswe njengoko ephakeme kunazo. Ukuphakamisa okanye ukuthoba uxinzelelo unika utshintsho igophe isici. Ngokuqhelekileyo, kufuneka ngathi ileta "L". umsebenzi kakuhle sendlebe ophakathi etshintsha awo kunye nokumila tympanogram.

Uphando umsebenzi yokuphefumla ithumbu eziviwayo

Ukuvimba - ntoni na? Le ndlela uviwo ngokucokisekileyo welungu eziviwayo ukulungiselela ukuncitshiswa okanye ukufiphala. Esinye isizathu isenokuba Eustachian ityhubhu kwekhono. ityala layo ayangenana ukukhula kwezityalo adenoid, i cleavage ye inkalakahla imbasa nzima, izifo oncological impumlo kunye nomlomo, nokudumba mucosal. Abantwana wambi waphawula ekuva ityhubhu patency ngenxa ekunciphiseni esiqwini luthambe kunye umsebenzi ukuphazamiseka izihlunu velum.

Ukuvimba le indlebe ukufumanisa patency tube eziviwayo yohlulwe ngamanqanaba amathathu:

1. itshekhi Safety. Olwenziwa womoya kumacala omabini ndizayo tympanic.
2. Amava Valsalva. Le nasopharynx ke zamntu uxinzelelo oluphezulu lwegazi, kwaye isigulane ucelwa ukuba uvale umlomo kunye nempumlo. Ngokwesiqhelo pipe patency okubaluleke kakhulu timpatogramme (incopho) ingqamana ngongoma xi ubuninzi.
3. Amava Toynbee. Ukulungisa umoya amathuba iityhubhu Eustachian ngamandla eliphantsi. Ukuze benze oku, isigulane ucelwa ukuba ndisele, emva ukuvala umlomo kunye nempumlo.

reflexometer

Apha ukuze kutshekishwe ukuba kukho ukuncitshiswa esihlunwini stapedius (yena olawula indlebe) emva kokuba sesichengeni izandi usebenzisa impedancemetry ive. Njani na indlela? Ear impembelelo yengxolo of ngamandla ezahlukeneyo kunye nomthamo ukukhangela reflex ive.

Xa abantu enempilo, le Ungeno reflex iphakathi decibels ezingamashumi amathandathu ukuya kumashumi asithoba. Ukutshintsha ukuqina le inwebu tympanic zirekhodwa macala omabini, nokuba isandi kwenziwa kuphela indlebe enye. Le reflex ibhekisa phelele.

Kukho iindlela ezimbini ukwenza le nkqubo:

1. Ipsilateral, xa bodwa isandi onyamekela ibiselidubule, ekufuneka kuphandwa.
2. Contralateral, ukuba umsindo bangene indlebe, nto leyo nje uphantsi kophando.

Reflexometer ukusebenzisa isandi kunye rhoqo kwamakhulu amahlanu, iwaka, amabini amawaka amane amawaka elilodwa, kunye broadband ingxolo.

Ixabiso diagnostic kwale nkqubo

Kutheni ufuna impedancemetry? Yintoni na yaye kutheni kufuneka oko kwenziwe? Le nkqubo ilula ivumela isigulane ukuchonga conductive kwaye sensorineural ubuthulu, ekubulaleni luvo yesixhenxe okanye yesibhozo cranial, brainstem. Funda ayiphazamisi, elingenabuhlungu kwaye ifumaneke nasiphi na isigulane, kungajongwanga budala ntle.

iindlela zokuxilonga ngelahleko ukuva sensorineural ezi meko zilandelayo:

- reflex ive ambona kwinqanaba ngesandi ngaphantsi kwe amahlanu decibels;
- ukususela amahlanu ukuya asibhozo decibels reflex abhalwe ngokomlinganiselo ukuphucula isandi;
- emva asibhozo decibels angekhoyo reflex.

reflexometer ive ayiniki iziphumo kunye ubuthulu conductive, ukuze ukwazi ukusebenzisa le phawu ukuze yokuzohlula sensorineural. Ekubulaleni luvo yobuso inika reflex kwicala contralateral, kodwa engekho - zokoyisa. Ityala zokugxojwa umsebenzi-luvo reflex eziviwayo akukho ukusuka indlebe ochaphazelekayo, okanye ukusuka kwi sempilweni.

iliso ukuvimba-pH

impedancemetry Esophageal: ntoni na? Le indlela yokuqingqa izishunqulelo dystrophy yodonga umphimbo, watyhutyha ilizwe kuyo neencindi kunye neegesi. Oku kusekelwe ukulinganisa ukuxhathisa phakathi electrode amabini, ezo kuqaliswa kwiindawo ezahlukeneyo ithumbu yokwetyisa. Ngelo xesha uphando ulinganiswa iasidi.

Inkqubo ivumela ukuba ukujonga uhlobo lwesifo reflux (asidi, cala okanye ialakalin), kunye nesakhiwo sayo (gesi okanye engamanzi). iindlela zokuxilonga GERD (disease gastroezofagialnoreflyuksnoy) kukunciphisa pH eliphakathi ukuya ku ezine okanye ngaphantsi, kodwa izifundo kutshanje aphikise le ngcamango. Ngako oko, ukubaluleka wafumana impedancemetry kuvuleke iminxunya ngemihla.

Ngokuba lo isigulane ilawulwa ngokusebenzisa stylet impumlo, leyo zicwangciswe kwi detectors lekhefu ngokulinganayo. Esi sixhobo ivumela ukuba babhalise esophageal peristalsis kunye ubumuncu isiqulatho engena kuwo evela esiswini.