Laryngoscopy - kuyini? incazelo Izinhlobo inqubo laryngoscopy

Uma umuntu othambekele izifo njalo womphimbo amalaka, udokotela angase atuse ukuba kudlule inqubo efana laryngoscopy. Kuyini lokhu? Lena indlela ephumelela kakhulu ukuba sihlole isimo amalaka. Ngaphambili kuleli cala, odokotela basebenzisa nesibuko ekhethekile. It yethulwa ku amalaka nomphimbo ovuthayo wabheka nodonga lwawo. Namuhla, le nqubo iye yashintshwa abalulekile, kanye laryngoscopy wesimanje uqhutshwa ngendlela ehlukile kakhulu, futhi odokotela uthole ukwaziswa okuningiliziwe.

Yini labetibambile laryngoscopy?

Kuyini futhi lapho kwenziwa le nqubo? Laryngoscopy liyadingeka uhlole emphinjeni kanye ukuxilonga izinkinga kuwo. Ngokuvamile kunikezelwe kulezi zimo ezilandelayo:

• ukuqonda imbangela ukukhwehlela, ngokuvamile igazi, hoarseness, onukayo, umphimbo obuhlungu,
• ukucacisa izimbangela nenkinga yokugwinya;
• ukuhlola imbangela okungenzeka ubuhlungu chronic endlebeni;
• ukususa umzimba angaphandle;
• ukuthola isimila emphinjeni.

izinhlobo laryngoscopy

Lezi zinhlobo ezilandelayo izinqubo ezifana laryngoscopy:

• ngokungaqondile - kulesi simo, esibukweni laryngeal, lapho udokotela ifaka phakathi oropharynx;
• ngqo - Kwenziwa esebenzisa idivayisi lapho ungabona amalaka uqobo, hhayi esibukweni sayo sediski;
• Retrograde - wenziwa ukuze ukufunda amalaka aphansi usebenzisa esibukweni nasopharyngeal busuka kuqhoqhoqho ngokusebenzisa tracheostoma;
• mikrolaringoskopiya - lisebenzisa ngesibonakhulu kuhlinzwa ekhethekile kokuba a Ubude ebalulekile 350-400 mm.

yezinkinga kungenzeka

Uma ukwenza inqubo enjalo ukuba njengoba laryngoscopy amalaka, kubalulekile ukuqaphela ukuthi lezi yezinkinga kungenzeka, njenge:

• ubuhlungu;
• ukuvuvukala ezinzima noma ukopha emphinjeni;
• ukusabela iguliswa kuya izinzwa;
• ngopha emakhaleni endabeni yokwazisa laryngoscope ngokusebenzisa ikhala;
• isicanucanu nokuhlanza;
• izilonda kusuka amazinyo ezansi ulimi.

inqubo Laryngoscopy ngokuvamile uchitha Otolaryngologist.

Otolaryngologist Udokotela - ngubani?

Abantu abaningi abanezifo ezahlukene endlebeni, ikhala nomphimbo kukhona ekujaheni ukubona udokotela, futhi wahlanganyela kule yokuzithiba medicate. Kancane kancane, lokhu kuholela yokuthi lesi sifo kuba amahlala khona, enika kwetintfo ku inhliziyo, amalunga omzimba kanye nezinso. Kuphela kulokhu kusho ukukhuluma nomuntu onekhono ubuciko ezifana udokotela-Otolaryngologist. Ungubani wena?

Otolaryngologist uqhuba ukuhlolwa kanye ukuxilongwa: emphinjeni, izindlebe, emphinjeni, imphumulo kanye kuqhoqhoqho. Uchwepheshe okunjalo ithwala ukwelashwa ngoludala hhayi kuphela, kodwa ukusebenza phezu izindlebe, ikhala, pharynx, amalaka.

Ukulungiselela inqubo

Ngaphambi laryngoscopy izobanjelwa, kubalulekile nokukulungiselela. Ukuze lokhu kuhlolwa Kwenziwa ogulayo ukuba enze radiograph esifubeni, barium yombala radiopaque kwenziwe ucwaningo elimelela x-ray of the emphinjeni kanye umphimbo, futhi usebenze lapho ethola ketshezi yayo aqukethe isixazululo barium yombala. Futhi ukulungiselela ingafaka tomography ikhompyutha - Usebenzisa umbono-X-ray computer ngawo izithombe izakhiwo phakathi nomzimba ziyaneliswa.

Uma uzosebenzisa ukubulawa kwezinzwa okuvamile, ke sinqatshelwe ukuba badle futhi baphuze amahora 8 ngaphambi inqubo. izinzwa wendawo akusho ukuthi abeke izimfuneko ezinjalo. Udokotela kufanele ukwazi yonke imithi kuthathwe. Ngelinye isonto ngaphambi laryngoscopy kudingeka ayeke nokusebenzisa izidakamizwa ngokumelene ukuvuvukala, kanye imithi, igazi thinning.

Sibambe laryngoscopy engaqondile

udokotela nangesineke kungase linqume inqubo efana laryngoscopy engesobala. Kuyini lokhu? Lokhu inqubo yenziwa abantu abadala futhi izingane ezindala nge laryngeal esibukweni ekhethekile. Njengoba ukukhanyisa esetshenziswa kugqame frontal ibonisa ukuthi nokukhanya kwesibani.

laryngoscopy ongaqondile ngokuvamile kwenziwe igumbi mnyama. Lusebenza spray izinzwa ukuthi wafutha ku emphinjeni. Uma usebenzisa i-kugqame engaphelele, lokhu umthombo wokukhanya unelungelo phezu ingxenye indlebe lesiguli, futhi isithupha kanye umunwe phakathi isandla sobunxele isiguli iqinile ophumile ulimi. Umunwe Inkomba ivame phakamisa udebe eliphezulu. Udokotela eliqondisa kugqame ukukhanya oku esifundeni okuqondile ulwanga esithambile futhi ngakwesokunene engena esibukweni umlomo laryngeal, okuyinto ngaphambi ukuthi kumele ukufuthelana lokushisa komzimba, ngakho akulona misted.

Esibukweni kufanele isethwe ukuze imisebe yokukhanya kubonakala kusukela yawa phezu kwezinsizwa amalaka, nenduku wawusegunjini ohlangothini lwesobunxele emlonyeni isiguli. Ngeke ukumboza emkhakheni umbono. Isiguli kufanele athi imisindo "E" futhi "Mina", kulesi simo, amalaka ephakanyiswe ukuhlolisisa kancane futhi kusiza. Uma amalaka has into angaphandle, udokotela kuyisusa.

Ukuze ugweme retching, ngalo ingaphakathi ngomlomo kanye hypopharynx futhi amalaka nisela engenhla noma ezigcotshwe 1-2% lidocaine futhi 2% isixazululo piromekaina. Uma kukhona nemiphumela ethile engathandeki ezifana ulimi iDemo obukhulu, eziqinile, eligoqiwe, epiglottis sokutakula, abese esebenzisa leyo yenethiwekhi ngadonsa epiglottis empandeni nolimi. Le nqubo wenziwa ngaphansi izinzwa ukukhanya.

Lapho efeza inqubo efana laryngoscopy ngokungaqondile, isithombe semi ephambene etholwe amalaka.

Ukuqhuba laryngoscopy oqondile

Ngaphezu ngokungaqondile, kungaba kwenziwe futhi laryngoscopy oqondile. Kuyini lokhu? Lokhu inqubo ivumela udokotela ukuba sihlole kabanzi emphinjeni. Kulokhu, wasebenzisa laryngoscopes ezisetshenziswa nezinye manipulations, ezifana ukususwa imizimba angaphandle. Lokho phakathi nenqubo ethile yokuthola ezifana laryngoscopy oqondile kwaba elula kakhulu ukucabangela amalaka, sebenzisa laryngoscope kits, ezithinta optical fibre izindwani nezilandiso. Lezi kits kuvame senzelwe inqubo ezinganeni nakubantu abadala, bese uvumele ukuzohlola amalaka e yonke imininingwane.

Ethwele laryngoscopy retrograde

Inqubo engabelwe kona abantu abaye baba tracheostomy. Small esibukweni nasopharyngeal osuke usushisa kakade ukuba izinga lokushisa komzimba nokugeleza iqondiswa ngokusebenzisa tracheostomy. Ithuluzi kuleli cala kumele pivoted phezulu esibukweni ebusweni maqondana amalaka. Njengoba ukukhanyisa esetshenziswa kugqame okuqondile noma lwenkanyiso. Le nqubo ikuvumela ukuba ubone kuqhoqhoqho engenhla, ebusweni engezansi emphethweni lamaqembu ingaphakathi infraglottic.

Ethwele mikrolaringoskopii

Ukuhlolwa amalaka eyenziwa ngesibonakhulu kuhlinzwa ekhethekile kokuba a Ubude ebalulekile 350-400 mm. Le nqubo kungenziwa kuhlangene laryngoscopy ngokuqondile noma ngokungaqondile ukuxilonga kanye izilonda neoplastic we amalaka.

inqubo laryngoscopy lapho kungenziwa?

Abantu abaningi bakhathazekile ngomphumela lapho ukwenza laryngoscopy. Ngokuvamile, iqhutshwa izikhungo yesimanje wezokwelapha, okuyinto zitholakala emadolobheni amaningi. Le nqubo singasetshenziswa ezikhokhelwayo khulula.

isiphetho

Laryngoscopy - inqubo elikuvumela ukuba uhlole isimo amalaka futhi kutholakale imbangela yokushona nezifo ezingamahlala khona. Ngokuvamile isifo emphinjeni bubé ngenxa ukunganaki. Ukuze sifinyelele isimo okunjalo amalaka yabo, kufanele ngokushesha uxhumane nodokotela wakho.