Mawallafi: Marcus Baldwin
Ranar Halitta: 22 Yuni 2021
Sabuntawa: 19 Nuwamba 2024
Anonim
ENT flexible laryngoscopy
Video: ENT flexible laryngoscopy

Laryngoscopy gwaji ne na bayan makogwaron ku, gami da akwatin muryar ku (larynx). Akwatin muryar ku yana ƙunshe da igiyoyin sautarku kuma yana ba ku damar yin magana.

Za a iya yin maganin Laryngoscopy ta hanyoyi daban-daban:

  • Laryngoscopy kai tsaye yana amfani da ƙaramin madubi da aka riƙe a bayan maƙogwaronka. Mai ba da sabis na kiwon lafiya ya haskaka haske a kan madubi don duba yankin maƙogwaron. Wannan hanya ce mai sauƙi. Mafi yawan lokuta, ana iya yin sa a ofishin mai bayarwa yayin da kake farka. Za'a iya amfani da magani don tsuke bakin makogwaron ku.
  • Fiberoptic laryngoscopy (nasolaryngoscopy) yana amfani da karamin madubin hangen nesa. An wuce iyakar a cikin hanci da zuwa cikin makogwaro. Wannan ita ce hanyar da aka fi amfani da ita don bincika akwatin murya. Kuna farka don hanya. Za a fesa maganin jinya a hanci. Wannan aikin yawanci yana ɗaukar ƙasa da minti 1.
  • Hakanan za'a iya yin Laryngoscopy ta amfani da strobe light. Amfani da hasken strobe na iya ba mai ba da ƙarin bayani game da matsaloli game da akwatin muryarku.
  • Direct laryngoscopy yana amfani da bututu da ake kira laryngoscope. An sanya kayan aikin a bayan makogwaron ku. Bututun na iya zama mai sassauƙa ko tauri. Wannan aikin yana bawa likita damar ganin zurfi a cikin maƙogwaro da kuma cire wani baƙon abu ko samfurin samfurin don biopsy. Ana yin sa a cikin asibiti ko cibiyar kiwon lafiya a ƙarƙashin maganin rigakafin cutar, ma'ana za ku yi barci kuma ba za ku sami ciwo ba.

Shiri zai dogara ne da nau'in laryngoscopy da zaku samu. Idan za a yi gwajin a karkashin maganin rigakafin cutar, ana iya ce maka kar ka sha ko ka ci wani abu na wasu awowi kafin gwajin.


Yadda gwajin zai ji ya dogara da wane nau'in laryngoscopy aka yi.

Laryngoscopy kai tsaye ta amfani da madubi ko bugun jini na iya haifar da gagging. A saboda wannan dalili, ba kasafai ake amfani da shi a cikin yara ƙasa da shekaru 6 zuwa 7 ko waɗanda ke yin gaggu cikin sauƙi ba.

Za'a iya yin aikin laryngoscopy na Fiberoptic a cikin yara. Yana iya haifar da jin matsi da jin kamar za ku yi atishawa.

Wannan gwajin zai iya taimaka wa mai ba ku sabis don gano yanayin da yawa waɗanda suka shafi makogwaro da akwatin murya. Mai ba da sabis ɗinku na iya bayar da shawarar wannan gwajin idan kuna da:

  • Warin baki wanda baya tafiya
  • Matsaloli na numfashi, gami da yawan numfashi (stridor)
  • Tari na dogon lokaci (na kullum)
  • Tari da jini
  • Matsalar haɗiyewa
  • Ciwon kunne wanda baya tafiya
  • Jin cewa wani abu ya makale a maqogwaronka
  • Matsalar numfashi ta dogon lokaci a cikin mai shan sigari
  • Mass a cikin yankin kai ko wuya tare da alamun cutar kansa
  • Ciwon makogoro wanda ba ya tafiya
  • Matsalolin murya da suka wuce sama da makonni 3, gami da saurin furci, murya mara ƙarfi, murya mai ƙarfi, ko babu murya

Hakanan za'a iya amfani da laryngoscopy kai tsaye don:


  • Cire samfurin nama a cikin maƙogwaro don cikakken bincike a ƙarƙashin microscope (biopsy)
  • Cire abu wanda yake toshe hanyar iska (misali, marmara ko tsabar haɗiye)

Sakamako na yau da kullun yana nufin maƙogwaro, akwatin murya, da igiyar murya sun zama na al'ada.

Sakamakon sakamako mara kyau na iya zama saboda:

  • Acid reflux (GERD), wanda ke haifar da ja da kumburin igiyar muryar
  • Ciwon daji na makogwaro ko akwatin murya
  • Nodules a kan igiyar muryar
  • Polyps (marasa lafiya mara kyau) akan akwatin muryar
  • Kumburi a cikin makogwaro
  • Rashin hankali na tsoka da nama a cikin akwatin murya (presbylaryngis)

Laryngoscopy hanya ce mai aminci. Hadarin ya dogara da takamaiman hanyar, amma na iya haɗawa da:

  • Maganin rashin lafia ga maganin sa barci, gami da matsalar numfashi da matsalolin zuciya
  • Kamuwa da cuta
  • Babban zubar jini
  • Hancin hanci
  • Spasm na muryoyin murya, wanda ke haifar da matsalar numfashi
  • Ulcer a cikin rufin bakin / makogwaro
  • Rauni ga harshe ko leɓɓa

Kada a yi madubin kai tsaye madubin kai tsaye:


  • A cikin jarirai ko yara ƙanana
  • Idan kana da ciwon sanƙarar epiglottitis, kamuwa ko kumburin ɓangaren nama a gaban akwatin murya
  • Idan baka iya bude bakin ka sosai

Laryngopharyngoscopy; Kai tsaye laryngoscopy; M laryngoscopy mai sassauci; Madubin girkin madubi; Kai tsaye laryngoscopy; Fiberoptic laryngoscopy; Laryngoscopy ta amfani da strobe (laryngeal stroboscopy)

Armstrong WB, Vokes DE, Verma SP. Tumananan ƙwayoyin cuta na maƙogwaro.A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi 106.

Hoffman HT, Gailey MP, Pagedar NA, Anderson C. Gudanar da cutar sankarar bargo da wuri. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi 107.

Alamar LJ, Hillel AT, Herzer KR, Akst SA, Michelson JD. Janar la'akari da maganin sa barci da kuma kula da hanyar iska mai wahala. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 5.

Truong MT, Messner AH. Kimantawa da gudanarwa na hanyar jirgin sama ta yara. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 202.

Wakefield TL, Lam DJ, Ishman SL. Barcin bacci da matsalar bacci. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 18.

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