I-Laryngoscopy ne-nasolarynoscopy

I-Laryngoscopy ukuhlolwa kwangemuva komphimbo wakho, kufaka phakathi ibhokisi lakho lezwi (umphimbo). Ibhokisi lakho lezwi liqukethe izintambo zakho zezwi futhi likuvumela ukuthi ukhulume.

I-Laryngoscopy ingenziwa ngezindlela ezahlukene:

• I-laryngoscopy engaqondile isebenzisa isibuko esincane esiphethwe ngemuva komphimbo wakho. Umhlinzeki wezempilo ukhanyisa isibuko esibukweni ukuze abuke indawo yomphimbo. Le yinqubo elula. Isikhathi esiningi, kungenziwa ehhovisi lomhlinzeki ngenkathi uphapheme. Kungasetshenziswa umuthi wokundindizisa umphimbo wakho.
• I-fiberoptic laryngoscopy (nasolaryngoscopy) isebenzisa isibonakude esincane esiguquguqukayo. Ububanzi budluliswa ngamakhala akho nasemphinjeni wakho. Le yindlela ejwayelekile kunazo zonke lapho ibhokisi lezwi lihlolisiswa khona. Uvukile ngenqubo. Umuthi we-numbing uzofuthwa emakhaleni akho. Le nqubo ithatha ngaphansi kweminithi elingu-1.
• I-Laryngoscopy isebenzisa ukukhanya kwe-strobe nayo ingenziwa. Ukusetshenziswa kwesibani se-strobe kunganikeza umhlinzeki imininingwane eyengeziwe ngezinkinga ngebhokisi lakho lezwi.
• I-laryngoscopy eqondile isebenzisa ithubhu ebizwa nge-laryngoscope. Ithuluzi lifakwa ngemuva komphimbo wakho. Ishubhu lingahle liguquguquke noma liqine. Le nqubo ivumela udokotela ukuthi abone ngokujulile emphinjeni futhi asuse into yangaphandle noma isampula izicubu ze-biopsy. Kwenziwa esibhedlela noma esikhungweni sezokwelapha ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi uzobe ulele futhi ungenazinhlungu.

Ukulungiselela kuzoya ngohlobo lwe-laryngoscopy ozoba nalo. Uma ukuhlolwa kuzokwenziwa ngaphansi kwe-anesthesia ejwayelekile, ungatshelwa ukuthi ungaphuzi noma ungadli lutho amahora amaningi ngaphambi kokuhlolwa.

Ukuthi ukuhlolwa kuzozizwa kanjani kuncike ekutheni yiluphi uhlobo lwe-laryngoscopy olwenziwe.

I-laryngoscopy engaqondile isebenzisa isibuko noma i-stroboscopy ingadala ukuqhuma. Ngalesi sizathu, ayijwayele ukusetshenziswa ezinganeni ezineminyaka engaphansi kwengu-6 kuya kwengu-7 noma lezo ezigaxeka kalula.

I-laryngoscopy ye-fiberoptic ingenziwa ezinganeni. Kungadala umuzwa wengcindezi nomuzwa wokuthi uzothimula.

Lokhu kuhlolwa kungasiza umhlinzeki wakho ukuxilonga izimo eziningi ezibandakanya umphimbo nebhokisi lezwi. Umhlinzeki wakho angancoma lokhu kuhlolwa uma une:

• Ukuphefumula kabi okungapheli
• Izinkinga zokuphefumula, kufaka phakathi ukuphefumula okunomsindo (stridor)
• Ukukhwehlela isikhathi eside (okungapheli)
• Akhwehlele igazi
• Kunzima ukugwinya
• Ubuhlungu bendlebe abupheli
• Uzwa ukuthi kukhona okubhajwe emphinjeni wakho
• Inkinga yokuphefumula ephezulu yesikhathi eside ekubhemeni
• IMisa endaweni yekhanda noma yentamo enezimpawu zomdlavuza
• Ubuhlungu bomphimbo obungapheli
• Izinkinga zezwi ezihlala ngaphezu kwamaviki ama-3, kufaka phakathi ukushuba, izwi elibuthakathaka, izwi eli-raspy, noma izwi elingenalo

I-laryngoscopy eqondile nayo ingasetshenziselwa:

• Susa isampula lezicubu emphinjeni ukuze ulihlolisise ngaphansi kwesibonakhulu (i-biopsy)
• Susa into evimba indlela yomoya (isibonelo, imabula eligwinyiwe noma uhlamvu lwemali)

Umphumela ojwayelekile usho umphimbo, ibhokisi lezwi, nezintambo zezwi zivele zivamile.

Imiphumela engajwayelekile ingabangelwa:

• I-Acid reflux (GERD), engadala ubomvu nokuvuvukala kwezintambo zezwi
• Umdlavuza womphimbo noma ibhokisi lezwi
• Amaqhubu ezintanjeni zezwi
• Ama-polyps (izigaxa ezinobungozi) ebhokisini lezwi
• Ukuvuvukala emphinjeni
• Ukuncipha kwemisipha nezicubu ebhokisini lezwi (presbylaryngis)

I-Laryngoscopy inqubo ephephile. Izingozi zincike kwinqubo ethile, kepha zingafaka:

• Ukusabela okweqile ku-anesthesia, kufaka phakathi izinkinga zokuphefumula nezenhliziyo
• Ukutheleleka
• Ukopha okukhulu
• Wakhala igazi
• Ukuqhuma kwemisipha yezwi, okubangela izinkinga zokuphefumula
• Izilonda emgqeni womlomo / womphimbo
• Ukulimala olimini noma ezindebeni

I-laryngoscopy yesibuko engaqondile AKUFANELE yenziwe:

• Ezinsaneni noma ezinganeni ezincane kakhulu
• Uma une-epiglottitis ebukhali, ukutheleleka noma ukuvuvukala kwesicubu sezicubu phambi kwebhokisi lezwi
• Uma ungakwazi ukuvula umlomo wakho ubanzi kakhulu

I-Laryngopharyngoscopy; I-laryngoscopy engaqondile; I-laryngoscopy eguquguqukayo; I-laryngoscopy yesibuko; I-laryngoscopy eqondile; I-laryngoscopy ye-fiberoptic; I-Laryngoscopy isebenzisa i-strobe (i-laryngeal stroboscopy)

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UHoffman HT, Ilungu lePhalamende laseGailey, i-Pagedar NA, no-Anderson C. Ukuphathwa komdlavuza wokuqala we-glottic. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 107.

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I-Wakefield TL, uLam DJ, u-Ishman SL. I-apnea yokulala nokuphazamiseka kokulala. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 18.