Kodi nthawi zina mumamva ngati chinachake chatsekedwa pakhosi panu, kapena mawu anu ndi osamveka bwino, ndipo samatha patatha sabata imodzi kapena ziwiri? Nthawi ngati zimenezi, dokotala wanu angakufunseni kuti muyang'ane bwino mkati mwa pakhosi panu. Ndicho chimene timachitcha kuti laryngoscopy. Ngakhale kuti dzinalo limamveka ngati chinthu chachikulu, chovuta, kwenikweni ndi losavuta ndipo lingathe kuchitika mwachangu. Choncho tiyeni tikambirane za izi mwatsatanetsatane kuti tichotse mantha ndi mafunso anu onse.
Kodi laryngoscopy ndi chiyani kwenikweni?
Mwachidule, uku ndi kufufuza kholingo yanu, "bokosi la mawu" lomwe limapanga mawu anu mukamalankhula. Dokotala amagwiritsa ntchito chida chapadera chotchedwa laryngoscope . Chili ngati chubu chopyapyala kwambiri. Chili ndi kuwala kochepa, lenzi, ndipo nthawi zina kamera kakang'ono ka kanema kumapeto. Kamera iyi imalola dokotala kuwona bwino zomwe zili mkati mwa pakhosi panu pogwiritsa ntchito chowunikira.
Ndiye kodi kholingo ili lili kuti?
Tangoganizani kuti pali njira ziwiri mkati mwa pakhosi pathu. Njira imodzi ndi yopita m'mimba tikameza chakudya ndi chakumwa, yomwe ndi m'mero . Njira ina ndi yopita ku mapapo tikamapuma, yomwe ndi m'mero . Mphuno ili pamwamba pa chiyambi cha m'mero.
Zingwe za mawu zomwe zimatithandiza kulankhula ndi kuimba zilinso mkati mwa kholingo iyi. Ndipo pamwamba pake pali kachidutswa kakang'ono kotchedwa epiglottis . Tikameza chakudya kapena madzi, kachidutswa aka kamatseka ndikutseka njira yopumira. Ndicho chifukwa chake chakudya ndi zakumwa zimapita molunjika m'mimba m'malo mopita ku mapapo. Nthawi zina tikamalankhula tikudya, timati "zinapita mu chitoliro cholakwika," chifukwa panthawiyo chidutswa cha chakudya chinalowa mu kholingo iyi isanatseke bwino. Kodi mukumvetsa? Chifukwa chake izi ndi ziwalo zofunika kwambiri zomwe zimawunikidwa panthawi ya laryngoscopy.
Ndiye, kodi mayesowa amafunika liti?
Pali zifukwa zingapo zomwe dokotala angalamule kuti ayesedwe. Si chinthu chomwe chimachitidwa kwa aliyense amene ali ndi pakhosi lopweteka.
- Kusanza mawu (Dysphonia): Ngati mawu anu asintha, mawuwo sasintha pakatha milungu ingapo.
- Kupweteka kosalekeza pakhosi: Ngati muli ndi kupweteka pakhosi komwe sikutha ngakhale mutamwa mankhwala.
- Kuvuta kumeza: Ngati mukumva ngati mukugwira mphuno mukameza chakudya kapena chakumwa.
- Ngati muli ndi chifuwa chosatha kapena kutsokomola magazi.
- Ngati mukumva ngati chinachake chakumangika pakhosi panu.
- Ngati mukuvutika kupuma.
- Nthawi zina mayesowa amachitidwanso kuti atsimikizire vuto lalikulu, monga khansa ya m'phuno , ngati pali kukayikiridwa.
Chofunika ndichakuti si aliyense amene ali ndi zizindikiro zimenezi amene ali ndi vuto lalikulu monga khansa. Nthawi zambiri, izi zitha kukhala matenda wamba monga laryngitis . Chifukwa chake, ndibwino kuti musachite mantha, kumvera zomwe dokotala akunena, ndikuyesedwa.
Ndani akuchita mayeso awa?
Mayesowa amachitidwa ndi madokotala a otolaryngologist (ochita opaleshoni ya mutu ndi khosi) . Nthawi zambiri timawatcha madokotala a ENT. Iwo ndi omwe amadziwa bwino ntchito imeneyi ndipo amaphunzitsidwa kugwiritsa ntchito zidazi. Kotero mutha kukhala otsimikiza kuti muli m'manja abwino kwambiri.
Chabwino, tsopano tiyeni tiwone momwe tingachitire ndi mayesowa.
Pali njira ziwiri zazikulu zoyezera izi. Kutengera ndi matenda anu, dokotala wanu adzasankha njira yoyenera kwa inu. Tiyeni timvetse bwino kusiyana pakati pa njira ziwirizi.
| Kufotokozera | Njira yachipatala (Flexible Laryngoscopy) | Kujambula kwa Laryngoscopy Molunjika |
|---|---|---|
| Ntchito yokonzekera | Kawirikawiri, sipafunika kukonzekera kwapadera . Mutha kubwera kudzalemba mayeso monga mwachizolowezi. | Izi zili ngati opaleshoni, kotero muyenera kukonzekera . Dokotala adzakuuzani zinthu izi: - Pewani kudya ndi kumwa usiku usanachitike mayeso (Kusala Kudya). - Siyani kumwa mankhwala ena kwakanthawi (monga mankhwala ochepetsa magazi). - Ngati mukusuta, siyani kusuta pasadakhale pafupifupi sabata imodzi. - Bweretsani munthu wina kuti akutengereni kunyumba mukamaliza mayeso. |
| Pa nthawi ya mayeso | Adzakupangitsani kukhala pampando, ndipo choyamba adzakupoperani mankhwala opopera mphuno.Zidzaluma. Zikhoza kukhala zowawa pang'ono. Kenako chubu chofewa komanso chofewa (scope) chidzalowetsedwa pang'onopang'ono kudzera mu mphuno imodzi ndikutsegula pakhosi panu. Mungamve chifuwa pang'ono, koma chidzatha pakapita kanthawi. Dokotala adzakufunsani kuti mupange mawu akuti "ah...", nenani chimodzi, ziwiri, zitatu. Izi ndikuwona momwe mawu anu akugwirira ntchito. Zonsezi zitenga mphindi zochepa . | Mudzapatsidwa mankhwala oletsa ululu, kotero mudzakhala mutulo tofa nato. Choncho simudzamva chilichonse . Dokotala adzaika choyezera cholimba pakamwa panu ndikuyang'ana kholingo lanu. Ngati pakufunika, biopsy idzatengedwa panthawiyi. |
| Pambuyo pa mayeso | Mukhoza kupita kunyumba mayeso akangotha. Mphuno ndi pakhosi panu zidzamva dzanzi. Muyenera kupewa kudya kapena kumwa mpaka dzanzi litatha (pafupifupi mphindi 20). Pambuyo pake, mutha kupitiriza kukhala ndi moyo wabwinobwino. | Mukadzuka kuchokera ku opaleshoni yoletsa ululu, mudzasungidwa m'chipinda chochiritsira (chipinda chochiritsira) kwa kanthawi. Pakhosi panu pakhoza kukhala kupweteka pang'ono ndipo mawu anu akhoza kukhala osamveka bwino. Dokotala adzakuuzani kuti mupumule mawu anu kwa tsiku limodzi kapena awiri. Mudzatha kupita kunyumba madzulo omwewo. |
Kodi pali zoopsa zilizonse pa izi?
Palibe zoopsa zazikulu zokhudzana ndi mayeso a Flexible Laryngoscopy omwe amachitidwa kuchipatala. Ndi mayeso otetezeka kwambiri.
Njirayi, yomwe imachitidwa pansi pa opaleshoni m'chipinda chochitira opaleshoni, nthawi zambiri imakhala yotetezeka kwambiri. Komabe, monga momwe zimakhalira ndi opaleshoni iliyonse, pali zovuta zina zomwe zingachitike.
- Kuyankha kwa mankhwala oletsa ululu.
- Pali kuthekera kwa kuwonongeka pang'ono kwa mano mukalowetsa chipangizocho mkamwa.
- Kusamva bwino kwa lilime kapena kusintha kwakanthawi kwa kukoma.
- Mawu amamveka bwino (nthawi zambiri izi zimachepa pakatha masiku ochepa).
- Kutuluka magazi pakhosi (izi zimachitika kawirikawiri).
Ngati muli ndi nkhawa iliyonse pa zinthu izi, lankhulani ndi dokotala wanu za izo momasuka musanayesedwe. Iye adzakufotokozerani zonse.
Kodi ndi zoona kuti nthawi zina biopsy imatengedwanso?
Inde, ndi zoona. Ngati dokotala akuona chinthu chokayikitsa pakhosi panu panthawi yoyezetsa, monga chotupa chaching'ono, angatenge chidutswa chaching'ono cha minofu ndikuchitumiza ku labu kuti akadziwe bwino chomwe chili. Ndicho chifukwa chake biopsy imagwiritsidwa ntchito.Zimatchedwa kutenga chimodzi. Izi zimachitika ndi chida chaching'ono chonga forceps chomwe chimadutsa mu laryngoscope. Kawirikawiri biopsy imatengedwa panthawi yowunika m'chipinda chochitira opaleshoni. Kotero simukumva kupweteka kulikonse.
Kodi izi ndi zofanana ndi endoscopy?
Funso limene anthu ambiri amafunsa ndi ili. Kujambula laryngoscopy ndi endoscopy kumaphatikizapo kuyika chubu chokhala ndi kamera yolumikizidwa ndikuyang'ana mkati mwa thupi.
Koma kusiyana kuli m'mene mumaonekera.
- Laryngoscopy ndi njira yowunikira makamaka kholingo (bokosi la mawu) .
- Endoscopy ndi mawu ofunikira kwambiri. Nthawi zambiri timagwiritsa ntchito endoscopy potanthauza mayeso omwe amayang'ana m'mimba (Gastroscopy). Ndipo colonoscopy imagwiritsidwa ntchito potanthauza mayeso omwe amayang'ana m'matumbo akulu (colon). Izi zonse ndi mitundu ya endoscopy.
Mwachidule, laryngoscopy iliyonse ndi mtundu wa endoscopy, koma si endoscopy iliyonse yomwe ndi laryngoscopy.
Kodi zimatenga nthawi yayitali bwanji kuti mupeze zotsatira? Kodi ndiyenera kulankhula ndi dokotala liti?
Ngati mwayesedwa kuchipatala, dokotala adzakuuzani zotsatira zake akangomaliza. Izi zikutanthauza kuti mutha kudziwa zotsatira zake nthawi yomweyo .
Komabe, ngati kafukufuku wa biopsy achitika m'chipinda chochitira opaleshoni, zingatenge masiku angapo kuti minofu ifufuzidwe ndi lipotilo lilandire. Lipotilo likalandiridwa, dokotala adzakuyimbirani foni ndikufotokozerani tsatanetsatane wake.
Kawirikawiri, palibe mavuto aakulu omwe amabwera pambuyo pa mayesowa. Komabe, ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, muyenera kulankhula ndi dokotala nthawi yomweyo.
* Kupweteka kwambiri pakhosi komwe kumatenga masiku opitilira angapo.
* Malungo opitirira madigiri 38.3 Celsius (100.4 Fahrenheit). (Malungo akhoza kukhala chizindikiro cha matenda.)
* Ngati mutsokomola magazi ambiri kuposa momwe mumayembekezera.
Zinthu izi zimachitika kawirikawiri, koma ndikofunikira kuzidziwa.
Uthenga Wopita Nawo Kunyumba
- Kuyeza kwa laryngoscopy ndi njira yodziwika bwino komanso yotetezeka yoyezera bokosi lanu la mawu (larynx). Musaope dzinalo.
- Izi zimachitika makamaka kuti apeze chomwe chimayambitsa zinthu monga kusanza ndi kupweteka kwa pakhosi kosalekeza.
- Njira yochizira ku chipatala ndi yosavuta kwambiri, imatenga mphindi zochepa chabe, ndipo siipweteka.
- Pa nthawi ya opaleshoniyi, yomwe imachitidwa pansi pa mankhwala oletsa ululu m'chipinda chochitira opaleshoni, simudzamva chilichonse. Komanso ndi yotetezeka kwambiri.
- Ngati muli ndi mafunso, nkhawa, kapena kukayikira pankhaniyi, musazengereze kufunsa dokotala wanu. Ndi ufulu wanu kudziwa zonse zokhudza thupi lanu ndi mayeso omwe akuchitidwa.
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