I-Laryngoscopy kunye ne-nasolarynoscopy

I-Laryngoscopy luvavanyo lomqolo womqala wakho, kubandakanya nebhokisi yelizwi (ingqula). Ibhokisi yakho yelizwi iqulethe iintambo zezwi kwaye ikuvumela ukuba uthethe.

I-Laryngoscopy inokwenziwa ngeendlela ezahlukeneyo:

• I-laryngoscopy engathanga ngqo isebenzisa isipili esincinci esibanjwe ngasemva komqala wakho. Umboneleli wezempilo ukhanyisa isibuko ukujonga indawo yomqala. Le yinkqubo elula. Uninzi lwexesha, inokwenziwa kwiofisi yomboneleli ngelixa uvukile. Iyeza elinokusetyenziselwa ukubuyisa umqala womqala wakho lingasetyenziswa.
• I-fiberoptic laryngoscopy (nasolaryngoscopy) isebenzisa iteleskopu encinci eguqukayo. Umda udluliswa ngeempumlo nasemqaleni wakho. Le yeyona ndlela iqhelekileyo ekuvavanywa ngayo ibhokisi yezwi. Uvukile ngenkqubo. Iyeza lokubhanga liya kutshizwa ngempumlo. Le nkqubo ihlala ithatha ngaphantsi komzuzu omnye.
• I-Laryngoscopy isebenzisa ukukhanya kwe-strobe nayo inokwenziwa. Ukusetyenziswa kwesibane se-strobe kunokunika umboneleli ulwazi ngakumbi malunga neengxaki kwibhokisi yakho yelizwi.
• I-laryngoscopy ngqo isebenzisa ityhubhu ebizwa ngokuba yi-laryngoscope. Isixhobo sibekwe ngasemva komqala wakho. Umbhobho unokuguquguquka okanye uqine. Le nkqubo ivumela ugqirha ukuba abone nzulu emqaleni aze asuse into yangaphandle okanye iisampulu zethishu kwi-biopsy. Yenziwe esibhedlele okanye kwiziko lonyango phantsi kweanesthesia ngokubanzi, oko kuthetha ukuba uya kulala kwaye awunazintlungu.

Ukulungiselela kuya kuxhomekeka kuhlobo lwe-laryngoscopy oya kuba nayo. Ukuba uviwo luya kwenziwa phantsi kwe-anesthesia ngokubanzi, unokuxelelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezininzi ngaphambi kovavanyo.

Uvavanyo luya kuziva njani kuxhomekeke kuhlobo laryngoscopy olwenziwe.

I-laryngoscopy engathanga ngqo esebenzisa isipili okanye i-stroboscopy inokubangela ukuvaleka. Ngesi sizathu, ayisoloko isetyenziswa kubantwana abangaphantsi kweminyaka emi-6 ukuya kweli-7 okanye abo bawela ngokulula.

I-laryngoscopy ye-fiberoptic inokwenziwa ebantwaneni. Ingabangela ukuziva uxinzelelo kunye nemvakalelo yokuba uza kuthimla.

Olu vavanyo lunokunceda umboneleli wakho ukuba afumane iimeko ezininzi ezibandakanya umqala kunye nebhokisi yelizwi. Umboneleli wakho unokucebisa olu vavanyo ukuba unayo:

• Umphunga ombi ongahambiyo
• Iingxaki zokuphefumla, kubandakanya ukuphefumla okunengxolo (stridor)
• Ixesha elide (elingapheliyo) ukukhwehlela
• Ukukhohlela igazi
• Kunzima ukugwinya
• Intlungu yeendlebe engahambiyo
• Ndiva ukuba kukho into enamathele emqaleni wakho
• Ingxaki yokuphefumla ephezulu yexesha elide ekutshayeni
• Ubunzima kwindawo yentloko okanye yentamo eneempawu zomhlaza
• Intlungu yomqala engapheliyo
• Iingxaki zelizwi ezihlala ngaphezulu kweeveki ezi-3, kubandakanya ukuqaqamba, ilizwi elibuthathaka, ilizwi elirhabaxa, okanye akukho lizwi

I-laryngoscopy ngqo ingasetyenziselwa:

• Susa isampulu yethishu emqaleni ukuze uvavanywe ngokusondeleyo phantsi kwemicroscope (biopsy)
• Susa into ethintela indlela yomoya (umzekelo, imarble okanye ingqekembe)

Iziphumo eziqhelekileyo zithetha umqala, ibhokisi yezwi, kunye neentambo zezwi zibonakala ziqhelekileyo.

Iziphumo ezingaqhelekanga zinokubangelwa:

• I-Acid reflux (GERD), enokubangela ubomvu kunye nokudumba kweentambo zezwi
• Umhlaza womqala okanye ibhokisi yelizwi
• Amaqhuqhuva kwiintambo zamagama
• Iipolyps (izigaqa ezinobungozi) kwibhokisi yelizwi
• Ukudumba emqaleni
• Ukucutha umsipha kunye nezicubu kwibhokisi yelizwi (presbylaryngis)

I-Laryngoscopy yinkqubo ekhuselekileyo. Umngcipheko uxhomekeke kwinkqubo ethile, kodwa unokubandakanya:

• Ukuphendula ngokuthe ngqo kwi-anesthesia, kubandakanya ukuphefumla kunye neengxaki zentliziyo
• Usulelo
• Ukopha kakhulu
• Umphunga
• Ukuqaqanjelwa kwemisipha yezwi, ebangela iingxaki zokuphefumla
• Izilonda kumngxunya womlomo / womqala
• Ukwenzakala kulwimi okanye kwimilebe

I-laryngoscopy yesipili engangqalanga ayifanele yenziwe:

• Kwiintsana okanye abantwana abancinci kakhulu
• Ukuba une-epiglottitis ebukhali, usulelo okanye ukudumba kwe-flap yethishu phambi kwebhokisi yelizwi
• Ukuba awukwazi ukuvula umlomo wakho ngokubanzi

Laryngopharyngoscopy; I-laryngoscopy engangqalanga; I-laryngoscopy eguqukayo; I-laryngoscopy yesipili; I-laryngoscopy ngqo; Ifayibha laryngoscopy; I-Laryngoscopy isebenzisa i-strobe (i-laryngeal stroboscopy)

I-Armstrong WB, iVokes DE, iVerma SP. Amathumba amabi kwingqula.Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 106.

UHoffman HT, iLungu lePalamente laseGailey, iPagedar NA, kunye noAnderson C.Ukulawulwa komhlaza wokuqala webala lomhlaza. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl. 107.

UMark LJ, uHillel AT, uHerzer KR, uAste SA, uMichelson JD. Ukuqwalaselwa ngokubanzi kweanesthesia kunye nolawulo lwendlela enzima yomoya. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 5.

ITruong MT, iMessner AH. Uvavanyo kunye nolawulo lwendlela yomoya yabantwana. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 202.

I-Wakefield TL, uLam DJ, uIshman SL. Ukulala kunye nokulala. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl 18.