Ingabe izwi lakho liyashintsha? Ingabe inkinga yomphimbo? Ake sifunde ngokuhlolwa kwe-Laryngoscopy!

Ingabe uke wabhekana noshintsho ezwini lakho, ukuhosha, noma ukukhwehlela okuqhubekayo? Noma ukhathazekile kancane ngento engajwayelekile emphinjeni wakho noma into efana naleyo? Khona-ke udokotela wakho kungenzeka ukuthi ukucele ukuthi wenze isivivinyo esibizwa ngokuthi "i-laryngoscopy." Ngakho-ke noma igama lingase lizwakale liyesabeka kancane, empeleni lokhu kuyisilingo esilula, kodwa esibaluleke kakhulu. Ake sixoxe ngakho ngokuningiliziwe namuhla, kulungile?

Kuyini i-laryngoscopy?

Kalula nje, i-laryngoscopy iyisivivinyo sokubheka i-larynx yakho, noma ingxenye yomphimbo wakho eyenza imisindo uma ukhuluma . Lokhu kwenziwa kusetshenziswa ithuluzi elikhethekile elibizwa ngokuthi i-laryngoscope. Iyipayipi elincane elinokukhanya okuncane, ikhamera, kanye nelensi ekugcineni. Lokhu kuvumela udokotela ukuthi abone ingaphakathi le-larynx yakho ngokucacile. Ngezinye izikhathi lokhu kuhlolwa kungenziwa ehhovisi likadokotela. Ngezinye izikhathi, kungenziwa njengokuhlinzwa endaweni yokuhlinza. Lokhu kuzoncika esimweni sakho.

Iyini i-larynx yethu? Kwenzekani kuyo?

Cabanga ngakho, umphimbo wakho uyipayipi eliyinhloko ophefumula ngalo ( i-trachea ) kanti i-larynx itholakala phakathi nendawo. Uma sihlabelela noma sikhuluma, umsindo uvela ezintanjeni zezwi/ekugoqweni kwamagama ngaphakathi kwale larynx. Kufana nezintambo zegitare.

Enye into ebalulekile ukuthi kukhona i-flap encane ebizwa ngokuthi i-epiglottis ngaphezu kwe-larynx. Uma udla noma uphuza, le flap iyavala futhi iqondise ukudla noma isiphuzo e-esophagus noma epayipini lokudla . Ngaphandle kwalokho, uma ukudla noma isiphuzo singena epayipini lomoya, sithi "kubhajwe emphinjeni" noma "kwehle ngepayipi elingalungile." Lelo "payipi elingalungile" yi-larynx. Ngakho-ke le indawo ebaluleke kakhulu.

Kungani sidinga ukwenza i-laryngoscopy?

Kungase kube nezizathu eziningana zokuthi kungani udokotela wakho engase ancome lokhu kuhlolwa.

• Ukungezwani komzimba/ukuhosha: Uma izwi lakho selihoshile noma selishintshile isikhathi eside.
• I-Laryngitis: Ukutheleleka noma ukuvuvukala kwe-larynx kungenzeka, kanye nezimpawu ezifana nomphimbo obuhlungu kanye nobunzima bokukhuluma.
• Umphimbo obuhlungu: Umphimbo obuhlungu ongapheli, ongachazeki.
• Ukukhwehlela: Ukukhwehlela okukhona isikhathi eside futhi okunganciphi.
• Ubunzima bokugwinya: Uma uzwa ubuhlungu noma umuzwa wokuminyana lapho ugwinya ukudla noma isiphuzo.
• Ukuzizwa sengathi kukhona okubambeke emphinjeni wakho: Uma uhlala uzizwa sengathi kukhona okubambeke emphinjeni wakho.
• Ukucindezeleka kokuphefumula: Uma unobunzima bokuphefumula.
• Izimo ezibucayi kakhulu: Ngezinye izikhathi umdlavuza we-laryngealLokhu kuhlolwa kusiza nasekutholakaleni kusenesikhathi kwezifo ezinkulu njengomdlavuza. Yingakho kubalulekile ukungazinaki ngisho nezimpawu ezincane.

Ungesabi uma udokotela wakho ekusikisela lokhu kuhlolwa. Lokhu kwenzelwa ukuthola ukuthi kwenzekani ngaphakathi. Kulapho-ke kuphela lapho ungakwelapha khona ngendlela efanele.

Ubani owenza lezi zivivinyo ze-laryngoscopy?

Lezi zivivinyo zivame ukwenziwa ngodokotela be-otolaryngologists - odokotela abahlinzayo bekhanda nentamo, noma odokotela be-ENT . Laba odokotela baqeqeshwe ngokukhethekile ukwelapha izimo ezihlobene nendlebe yakho, impumulo, umphimbo, ikhanda nentamo. Bangenza lezi zivivinyo ehhovisi labo lekliniki noma, uma kudingeka, njengenqubo yokuhlinzwa endaweni yokuhlinza esibhedlela.

Ngihlinzwa i-laryngoscopy. Yini okufanele ngiyilindele?

Udokotela wakho uzohlola ngokucophelela isimo sakho bese enquma ukuthi yiluphi uhlobo lwe-laryngoscopy olufanele wena. Njengoba kushiwo ngaphambili, lokhu kungenziwa endaweni yasemtholampilo noma njengenqubo yokuhlinzwa.

Isibonelo, udokotela wakho angase anqume ukwenza i-laryngoscopy, inqubo eyenziwa endaweni yokuhlinzwa. Lokhu kubizwa ngokuthi i-direct laryngoscopy . Le-direct laryngoscopy ivame ukwenziwa ngemva kwe- flexible laryngoscopy emtholampilo, ukuze kuhlolwe i-larynx, kwenziwe i -biopsy (kuthathwa isampula yezicubu ukuze zihlolwe), noma kwenziwe olunye ukuhlinzwa okuncane.

Ingabe ngidinga ukulungiselela kusenesikhathi i-laryngoscopy ehhovisi/emtholampilo?

Ngokuvamile, awudingi ukulungiselela kusenesikhathi i-laryngoscopy, eyenziwa ehhovisi likadokotela. Ungayenza cishe ngokushesha.

Yini okufanele yenziwe ngaphambi kwenqubo yokuhlinzwa ebizwa ngokuthi i-laryngoscopy?

Uma wenza i-laryngoscopy endaweni yokuhlinza, ngaphansi kwe-anesthesia ejwayelekile (okusho ukuthi ulele ngokuphelele), udokotela wakho uzokunikeza iziqondiso ezithile ngaphambi kwenqubo:

• Ukuzila Ukudla: Ungase ucelwe ukuthi ungadli noma uphuze ubusuku bonke noma amahora ambalwa ngaphambi kokuhlolwa.
• Imithi: Eminye imithi ongase uyithathe (ikakhulukazi imithi yokunciphisa igazi) ingadinga ukuyekwa ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Kubalulekile ukuxoxa ngalokhu nodokotela wakho.
• Ukubhema: Uma ubhema, ungase welulekwe ukuthi uyeke ukubhema cishe isonto ngaphambi kokuhlolwa.
• Umuntu ozokuhambisa ekhaya: Ngenxa yokuthi uzonikezwa i-anesthesia, uzocelwa ukuthi ulethe umuntu ozokuhambisa ekhaya ngemva kokuhlolwa, njengoba ungeke ukwazi ukushayela imoto.

Kwenzekani ngesikhathi se-laryngoscopy?

Kunezindlela ezimbili zokwenza lokhu. Ake sizibheke ngokwehlukana.

Ukuhlolwa kwe-laryngoscopy okwenziwa ehhovisi/emtholampilo

Yilokhu okwenzekayo:

• Ngezinye izikhathi udokotela angasebenzisa isibuko esincane, esinohlangothi kanye nokukhanya okukhanyayo ukuze abuke izintambo zakho zezwi.
• I -laryngoscope eguquguqukayo ivame ukusetshenziswa. Lena ishubhu eguquguqukayo, okusho ukuthi ingagobeka kalula, ene-fiberoptic. Idluliselwa ekhaleni lakho futhi yehle emphinjeni wakho ukuze uyihlole.
• Ngaphambi kokuba lokhu kwenziwe, kuzofakwa inani elincane lomuthi wokuqeda izinhlungu kanye nomuthi wokukhulula ukuminyana ekhaleni lakho. Lo muthi wokuqeda izinhlungu ungase ube mnandi kancane.
• Ungase uzizwe unesifiso esincane sokukhwehlela , kodwa kuzophela ngemva kwesikhashana. Akukho okufanele ukhathazeke ngakho.
• Ngemuva kwalokho, udokotela ufaka ngokucophelela le laryngoscope eguquguqukayo ngekhala lakho elilodwa bese eyidlulisela emphinjeni wakho.
• Ukuze ubone ukuthi i-larynx yakho isebenza kanjani, ungase ucelwe ukuthi ukhulume futhi wenze imisindo efana nokuthi "ah..." kanye nokuthi "eh..." ngesikhathi sokuhlolwa.
• Kwezinye izimo ezikhethekile, kungasetshenziswa i-scope ekhethekile efakwa ngomlomo.

I-Direct Laryngoscopy eyenziwa endaweni yokuhlinzwa

Kule nqubo, uzonikezwa i-anesthesia ejwayelekile, ngakho ngeke uzwe lutho. Udokotela uzosebenzisa i-laryngoscope ekhethekile efakwa ngomlomo wakho. Lokhu kuvumela udokotela ukuthi abone i-larynx kangcono futhi ngokuqondile. Uma kudingeka, le ndlela isetshenziselwa ukuthatha i-biopsy noma ukwenza ukuhlinzwa okuncane.

Kwenzekani ngemva kokuhlinzwa kwe-laryngoscopy?

Lokhu kuyahlukahluka kuye ngohlobo lokuhlolwa oye walwenza.

Ngemva kokuhlolwa ehhovisi/emtholampilo

• Impumulo yakho nomphimbo wakho kuzozizwa kungezwani imizuzu embalwa ngemva kokuhlolwa. Lokhu kuvame ukuphela ngemva kwemizuzu engaba ngu-20.
• Ungadli noma uphuze ngenkathi umlomo nomphimbo wakho kungezwani, ngoba lokhu kungabangela ukuminyana.

Ngemva kwe-Direct Laryngoscopy endaweni yokuhlinzwa

• Ngemva kokuhlinzwa, uzothunyelwa esikhungweni sokululama ukuze ululame ekubulaweni yizinzwa futhi uqashwe ukuze kutholakale noma yiziphi izinkinga.
• Ungase ube nomphimbo obuhlungu kancane kanye/noma ukusha kwezwi izinsuku ezimbalwa.
• Udokotela angase akutshele ukuthi uphumule izwi lakho izinsuku ezimbalwa ngemva kokuhlinzwa, okusho ukuthi ungakhulumi kakhulu.

Ingabe izinkinga zingaba khona ngenxa ye-laryngoscopy?

Izinkinga ezivela ku-laryngoscopy eguquguqukayo emtholampiloAkuvamile neze. Kodwa uma unemibuzo ethile noma ukungabaza, khuluma nodokotela wakho ngakho.

Izinqubo ze-laryngoscopy eziqondile ezenziwa endaweni yokuhlinza ngokuvamile ziphephile. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Lezi zifaka:

• Ukusabela ekubulaweni yizinzwa: Abanye abantu bangase babe nokusabela kokungezwani komzimba nemithi yokubulala izinzwa.
• Ukulimala kwamazinyo: Akuvamile kakhulu ukuthi kube nomonakalo omncane noma ukuphuka kwamazinyo.
• Ulimi olubuhlungu noma ushintsho lwesikhashana ekunambithekeni: Ulimi lungase lube buhlungu kancane noma kube noshintsho oluncane ekunambithekeni.
• Ukuhosha kwezwi: Lokhu kuvame ukuba ngcono ezinsukwini ezimbalwa.
• Ukopha emphinjeni: Lokhu kungenzeka futhi kaningi kakhulu .

Amathuba okuthi lokhu kwenzeke mancane kakhulu, kodwa kuhle ukwazi. Udokotela wakho uzokuchazela kabanzi ngalezi zingozi.

I-laryngoscope isetshenziswa kanjani ukwenza i-biopsy?

I-biopsy inqubo ethatha isampula yezicubu ukuze ihlolwe. Udokotela ufaka ithuluzi elincane elibizwa ngokuthi i-laryngoscope emphinjeni bese esusa ingxenye encane kakhulu yezicubu endaweni esolisayo. Bese ithunyelwa elabhorethri ukuze ihlolwe. Ngokuvamile, le biopsy yenziwa kanye ne-laryngoscopy eqondile endaweni yokuhlinza. Kodwa-ke, ngezinye izikhathi i-biopsy ingenziwa ngesikhathi sokuhlolwa emtholampilo.

Ingabe i-Laryngoscopy ne-Endoscopy ziyinto efanayo?

I-Endoscopy kanye ne-laryngoscopy kokubili kuyizinto nezinqubo ezisetshenziswa odokotela ukubheka ngaphakathi komzimba. Kuzo zombili, kusetshenziswa ipayipi elinokukhanya, ilensi, futhi ngezinye izikhathi ikhamera yevidiyo. Umehluko ukuthi i-laryngoscope yenzelwe ngqo ukubheka i-larynx yakho. Igama elithi endoscopy livame kakhulu, futhi libhekisela nasekuhlolweni okubheka ngaphakathi esiswini nasemathunjini akho.

Ngiyithola nini imiphumela ye-laryngoscopy?

Imiphumela ye-laryngoscopy eguquguqukayo eyenziwa emtholampilo iyatholakala cishe ngokushesha . Udokotela uzokutshela ukuthi isimo sinjani ngokushesha nje lapho ekuxilonga.

Kodwa-ke, uma kuthathwa isampula yezicubu njenge-biopsy noma kwenziwa i-culture, kungathatha izinsuku ezimbalwa ukuthi imiphumela ibuye. Lokhu kuvame ukwenziwa ngesikhathi se-Direct Laryngoscopy endaweni yokuhlinza. Buza udokotela wakho ukuthi ungalindela nini imiphumela yokuhlolwa kwakho.

Kufanele ngiphinde ngimbone nini udokotela?

I-Laryngoscopy ngokuvamile inqubo ephephile engenazo izingozi ezinkulu. Kodwa-ke, bona udokotela wakho uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:

• Uma umphimbo obuhlungu uqhubeka isikhathi esingaphezu kwezinsuku ezimbalwa.
• Uma unomkhuhlane ongu-100.4 degrees Fahrenheit (38.3 Celsius) noma ngaphezulu, umkhuhlane ungase ube uphawu lokutheleleka.
• Uma ukhwehlela igazi eliningi kunalokho okulindele.

Uma kwenzeka into efana nale, shayela udokotela ngokushesha, kulungile?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa ukhathazekile kancane lapho udokotela wakho ekutshela ukuthi wenze i-laryngoscopy. Kodwa khumbula, lokhu ukuhlolwa okubaluleke kakhulu ukuthola imbangela eqondile yezinkinga zomphimbo wakho kanye nezwi. Mhlawumbe unesihlungu esiqhubekayo somphimbo. Noma mhlawumbe izwi lakho lishosholoze futhi alibi ngcono. Kungakhathaliseki ukuthi imbangela iyini, lokhu kuhlolwa kungakunikeza impendulo ecacile.

Udokotela wakho uzochaza ukuthi kwenziwa kanjani ukuhlolwa, nokuthi yini okufanele uyenze ngaphambi nangemva kwako. Uma ungaqondi lutho, noma uma unemibuzo noma ukungabaza, buza udokotela wakho. Bazokujabulela ukukusiza. Ngemuva kwalokho ungabhekana nokuhlolwa ngokuzethemba nangokulula. Khumbula, impilo yakho iyona ebalulekile!

I- Laryngoscopy, i-Larynx, Izwi, Umphimbo Obuhlungu, i-ENT, i-Biopsy