Laryngoscopy a me nasolarynoscopy

ʻO Laryngoscopy kahi hoʻokolohua o ka hope o kou puʻu, me kāu pahu leo ​​(larynx). Aia i loko o kāu pahu leo ​​kāu mau kaula leo a ʻae iā ʻoe e ʻōlelo.

Hana ʻia ʻo Laryngoscopy ma nā ʻano like ʻole:

• Hoʻohana ka laryngoscopy ʻole i kahi aniani liʻiliʻi i paʻa ma ka hope o kou ʻāʻī. Mālamalama ka mea lawelawe olakino i ke aniani e nānā ai i kahi o ka puʻu. He hana maʻalahi kēia. ʻO ka hapa nui o ka manawa, hiki ke hana ʻia i ke keʻena o ka mea hoʻolako ʻoiai ʻoe e ala ala. Hiki ke hoʻohana ʻia kahi lāʻau e kolo ai ka hope o kou puʻu.
• Hoʻohana ka laryngoscopy Fiberoptic (nasolaryngoscopy) i kahi teleskope liʻiliʻi maʻalahi. Hoʻoholo ʻia ka laulā ma kou ihu a i loko o kou ʻāʻī. ʻO kēia ke ala maʻamau e nānā ʻia ai ka pahu leo. Ala ʻoe no ke kaʻina hana. E lūlū ʻia ka lāʻau numbing i kou ihu. ʻOi ke kaʻina hana ma mua o 1 mau minuke.
• Hiki ke hana ʻia ka Laryngoscopy e hoʻohana ana i ka strob light. Hiki i ke kukui uila ke hāʻawi i ka ʻike hou aku e pili ana i nā pilikia me kāu pahu leo.
• Hoʻohana ka laryngoscopy pololei i kahi paipu i kapa ʻia he laryngoscope. Hoʻokomo ʻia ka mea kani i ka hope o kou puʻu. Hiki ke maʻalahi a paʻakikī paha ka paipu. ʻAe kēia hana i ke kauka e ʻike hohonu i ka puʻu a hemo i kahi mea haole a i ʻole nā ​​mea kikoʻī no kahi biopsy. Hana ʻia ia i loko o kahi haukapila a i ʻole kahi kikowaena lapaʻau ma lalo o ka anesthesia ākea, ʻo ia hoʻi e hiamoe ʻoe a ʻaʻohe ʻeha.

E hilinaʻi ka hoʻomākaukau i ke ʻano o ka laryngoscopy e loaʻa iā ʻoe. Inā e hana ʻia ka hōʻike ma lalo o ka anesthesia laulaha, ʻōlelo ʻia ʻoe ʻaʻole e inu a ʻai i kekahi mea no kekahi mau hola ma mua o ka hoʻāʻo.

Pehea ka manaʻo o ka hōʻoia ma muli o ke ʻano o ka laryngoscopy e hana ai.

Hiki i ka laryngoscopy kuhikuhi ʻole ke hoʻohana i ke aniani a i ʻole stroboscopy ke kumu o ka gagging. No kēia kumu, ʻaʻole hoʻohana pinepine ʻia i nā keiki ma lalo o nā makahiki 6 a 7 a i ʻole nā ​​mea maʻalahi wale.

Hiki ke hana i ka laryngoscopy Fiberoptic i nā keiki. Hoʻokumu paha ia i kahi manaʻo o ke kaomi a me kahi ʻano e like me ʻoe e ʻūlū.

Hiki i kēia hōʻoia ke kōkua i kāu mea hoʻolako e ʻike i nā ʻano he nui e pili ana i ka puʻu a me ka pahu leo. Koi paha kāu mea hāʻawi i kēia hōʻoia inā loaʻa iā ʻoe:

• Hanu maikaʻi ʻole e hele
• Nā pilikia hanu, me ka hanu kani (stridor)
• Lohi wā lōʻihi (mau)
• ʻApu ʻana i ke koko
• Pilikia i ka ale ʻana
• ʻEha pepeiao ʻaʻole e hele
• Ke manaʻo nei ua paʻa kekahi mea i kou puʻu
• ʻO ka pilikia hanu lōʻihi lōʻihi ma ka mea puhipaka
• Mass ma ke poʻo a me nā ʻāʻī me nā hōʻailona o ka maʻi ʻaʻai
• ʻEha puʻuwai ʻaʻole e hele
• ʻO nā pilikia leo i ʻoi aku ma mua o 3 mau pule, e like me ka hoarseness, leo nāwaliwali, leo kolohe, a ʻaʻohe leo

Hiki ke hoʻohana ʻia kahi laryngoscopy pololei i:

• Wehe i kahi hāpana o kaʻaʻa i loko o ka puʻu no ka hoʻokolokolo pono ʻana ma lalo o kahi microscope (biopsy)
• Wehe i kahi mea e ālai ana i ke alaloa (ʻo kahi laʻana, ale ʻia kahi kinikini a kālā paha)

ʻO kahi hopena maʻamau ke ʻano o ka ʻāʻī, pahu leo, a me nā kaula leo i maʻamau.

Nā hopena kūpono ʻole ma muli o:

• Acid reflux (GERD), kahi e hiki ai i ka ʻulaʻula a me ka pehu ʻana o nā kaula leo
• Ka maʻi ʻaʻai o ka ʻāʻī a i ʻole pahu leo
• Nodules ma nā kaula leo
• Polyps (benign lumps) ma ka pahu leo
• ʻO ka hoʻohaunaele i ka ʻāʻī
• Ka lahilahi o nā mākala a me nā mea i ka pahu leo ​​(presbylaryngis)

He papa hana palekana ʻo Laryngoscopy. Pili nā pilikia i ke ʻano hana, akā hiki ke hoʻopili ʻia:

• ʻO ka hopena āpau i ka anesthesia, me ka hanu ʻana a me nā pilikia puʻuwai
• Maʻi kīnā
• Kahe nui ke koko
• Nosebleed
• Spasm o nā leo leo, kahi e pilikia ai ka hanu
• Ulcer i ka uhi o ka waha / puʻu
• Ka hōʻeha i ke alelo a i ʻole nā ​​lehelehe

ʻAʻole pono e hana ʻia ka laryngoscopy aniani kuhikuhi:

• I nā pēpē a i ʻole nā ​​keiki liʻiliʻi loa
• Inā loaʻa iā ʻoe ka epiglottitis koʻikoʻi, kahi maʻi a i ʻole ka pehu ʻana o ka pale o ke kino i mua o ka pahu leo
• Inā ʻaʻole hiki iā ʻoe ke hāmama ākea i kou waha

Laryngopharyngoscopy; Laryngoscopy kuhikuhi ʻole; Laryngoscopy maʻalahi; Aniani laryngoscopy; Laryngoscopy pololei; Fiberoptic laryngoscopy; Laryngoscopy e hoʻohana ana i strob (laryngeal stroboscopy)

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Hoffman HT, Gailey MP, Pagedar NA, Anderson C. Ka mālama ʻana i ka maʻi ʻaʻai glottic mua. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 107.

ʻO Mark LJ, Hillel AT, Herzer KR, Akst SA, Michelson JD. Nā manaʻo laulaha o ka anesthesia a me ka hoʻokele o ke ala ea paʻakikī. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 5.

ʻO Truong MT, ʻo Messner AH. Ka loiloi a me ka hoʻokele o ke ala kaʻa pediatric. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 202.

ʻO Wakefield TL, ʻo Lam DJ, ʻo Ishman SL. ʻO ka maʻi hiamoe a me nā maʻi hiamoe. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 18.