Parenga ia - he aha te mea reira me pehea kawea i roto?

I roto i te ora o to tatou mau ite e taea kia tatou iho: te iti iho i roto i te rongo, te kitenga, hongi. I te tahi taime tupu te reira wawe rawa, ētahi wā - kaua te mutunga, engari te hopoia whiwhi tatou ki te kite i te tākuta. Ko tētahi o ēnei tohunga - Kimi'anga. Ko ia te tangata e ka matau nga take o ma'i.

Impedancemetry: he aha te mea te reira?

Parenga ia - ko te tikanga mauhaa o te tātaritanga, i āwhina te whakatau i te wāhi me te āhua o te mate rongo. Ki reira, ka taea e te tiki e koe ngā mōhiohio e pā ana ki te tūnga o te ngongo māna, koko, taringa waenga, me te ratou raru innervating.

Mā tēnei aratuka ki te kitea mate pērā i perforation o te torino, timpanoskleroz, patency waimaero o te korere māna, pāpāho otitis, otosclerosis me etahi atu.

impedancemetry Acoustic tohu aunoa āriponga oro kutikuti inenga i roto i te taringa waenga, ka huri i te pēhanga hau tīwae me tangi pānga. Whakarāpopototanga o tāupe - he e kuhu acoustic, ranei kawe o nga hanganga o te taringa, me te parenga ia tangi waho, me te waenganui.

tympanometry

impedancemetry Acoustic ngā tangi kawe ia inenga i muri huringa pēhanga hau. huaina ana tēnei ko te tympanometry. Ko te taputapu kitea te huringa i roto i te kuhu mai, ina whakanuia ana te pēhanga ki e rua rau mitamano o tīwae wai, me te e tukupu ana te reira i raro -400 mitamano.

Tei e kuhu i runga i te nui i te rerekētanga i waenganui i te pēhanga i roto i te awa māna waho, me te taringa waenga. rēhita Ko te uara teitei o tenei taupū te ka te pēhanga taua. whakaaturia Timpatogramme i tenei wāhi te rite te tihi teitei rawa. Te whakatairanga i tukupu te pēhanga ranei homai te huringa ānau āhuatanga. Tikanga, kia titiro ai rite te reta "L". mahi waimaero o te taringa waenga e taui te kaha tīwera, me te āhua o te tympanogram.

Investigation o te mahi ventilation o te ngongo māna

Parenga ia - he aha te mea te reira? Tenei ara o te hi'opo'a maitai o te okana māna mo tona whakaiti distortion ranei. kia kotahi take pōrearea ngōrongo. Ko tōna take īnaki tupu otaota adenoid, te wāhinga o te pereti ngao pakeke, mate oncological o te ihu, me te waha, edema mucosal. E ētahi wā tamariki kitea patency ngongo māna e tika ana ki te whakaiti o te kiko elasticity me disorders mahi uaua ngao ngohe.

Kei te wehea parenga ia o te taringa ki te whakatau i te patency o te ngongo māna ki e toru ngā wāhanga:

1. taki Haumaru. Whakamana i te pēhanga kōhauhau i runga i ngā taha e rua o te membrane tympanic.
2. Experience o Valsalva. Kei te āwenewene hanga te awa ihu pēhanga toto tiketike, a ka ui te manawanui e ki te kati i te mangai, me te ihu. I roto i te patency putorino uara teitei noa i runga i timpatogramme (tihi) hāngai ki te wāhi pēhanga mōrahi.
3. Wheako Toynbee. Whakatika taea ventilation korere ngōrongo i te pēhanga iti. Ki te mahi i tenei, ka ui te manawanui e ki te tango i te inu, i muri i te kati i te mangai, me te ihu.

reflexometer

I roto i te tikanga ki te taki mēnā i reira ko te whakaiti o te uaua stapedius (faaho'i ia te torino) i muri i te rongo ki ngā oro te whakamahi i impedancemetry acoustic. Kia pehea te Ko te tukanga? Taringa pānga haruru o kaha rerekē, me te rōrahi ki te tirohia i te pūpū acoustic.

I roto i te mau taata hauora, ko tenei paepae pūpū i waenganui i ono tekau ki te iwa tekau waeoro. Te huri i te mānukanuka o te membrane tympanic kua oti te tuhituhi i runga i ngā taha e rua, ara, ki te mahi i te tangi kei te anake i roto i te kotahi taringa. E pā ana tēnei pūpū ki te tino.

E rua ngā huarahi ki te mahi i tenei tukanga:

1. Ipsilateral, ka mahi i te taratahi tangi kei roto i te taringa, e me e whakawakia.
2. Contralateral, ki te te whakahaua te ngangau ki te taringa, e kore te mea nei i tēnei wā i raro i tūhuratanga.

Reflexometer ki te whakamahi i te tangi ki te auautanga o rau e rima, he mano, e rua mano me te wha mano Hertz, me aunui haruru.

Ko te uara tātaritanga o te tikanga

He aha e hiahia ana impedancemetry koe? He aha te mea te reira me te aha kia kawea ia ki waho? taea ana tēnei tukanga āhua ohie te manawanui ki te tautuhi conductive me sensorineural mate rongo, te hinga o te karere cranial whitu waru ranei, brainstem. A tuatapapa e totó, ongonoa me te wātea ki tetahi manawanui, ahakoa o tau me te toko i te ora.

paearu tātaritanga mō te mate rongo sensorineural ko nga āhuatanga e whai ake:

- kite pūpū oro te i te taumata haruru o iti iho i te rima tekau waeoro;
- i rima tekau ki te waru tekau waeoro Reflex tuhia i roto i te rahi ki te whakarei ake i te reo;
- i muri i waru tekau waeoro he ngaro pūpū.

e kore e reflexometer Acoustic hoatu hua ki te mate rongo conductive, kia taea e koe te whakamahi i tēnei āhuatanga ki te rerekëtanga i te reira i sensorineural. Ko te hinganga o te karere kanohi whakarato te pūpū i te taha contralateral, engari tona ngaro - ki te hinga. He take o te ofatiraa o te mahi karere kahuki māna kore i te taringa i pangia, i te hauora ranei.

aroturuki parenga ia-pH

impedancemetry Esophageal: he aha te mea te reira? Tenei tikanga mo te whakatau i nga contractions uaua o te taiepa pū kai, me te haere i roto i fluids reira me te hau. Kei te hāngai te reira i runga i ine i te ātete i waenganui i nga electrodes e rua, e kua whakaurua i roto i ngā wāhanga rerekē o te ngongo kūnatu. I te wa ano whanganga rangahau te kawatanga.

Ko te tukanga e āhei ana ki te whakatau i te momo o te mate Reflux (waikawa, kūpapa kawakore ranei), me tona hanganga (hau wai ranei). paearu tātaritanga mō te Gerd (mate gastroezofagialnoreflyuksnoy) ko ki te whakaiti i te pH o te reo ki runga ki te wha iti ranei, engari rangahau tata turaki tenei ariā. Na reira, riro te faufaa ia pū kai impedancemetry.

Hoki tenei manawanui whakahaerea nei i roto i te stylet ihu, e kua whakaritea i te pūhohe wā rite. Tenei pūrere taea ki te rēhita esophageal ioio me te kawatanga ihirangi e taka ki roto i te reira i te kopu.