I-Tympanometry ingasetyenziselwa ukuchonga izizathu zokulahleka kweendlebe ezifana nokusetyenziswa kwamanzi ezindlebeni (i-otitis media) okanye i- otosclerosis . Ukuphulukana nokulahlekelwa ngenxa yokusetyenziswa kwamanzi kwiindlebe ngenye yeengxaki eziqhelekileyo kubantwana kunye ne-tympanometry ingasetyenziselwa ukongeza uhlalutyo lwenjongo (ukulinganisa) lwe-eardrum kunye nendlebe ephakathi. Yenziwa ngokufaka ifomanometer kwisigodlo somlomo.
I-tympanometer ibukeka njenge- otoscope , nangona kunjalo, ihambisa amaza omsindo ngelixa i-vacuum idala izibandezelo ezintle kunye nezingalunganga ngaphakathi kwenzakalo yeendlebe. Amandla abuyele adala umfanekiso ogqithisiweyo ogqirha angasebenzisa ukuvavanya ukuphazamiseka kwendlebe ephakathi. I-waveform waveform ibizwa ngokuba yi-tympanogram, enokuthi isetyenziswe ngugqirha ukuvavanya ukusebenza kwe-eardrum.
Ukulungiselela iTympanometry
Ngaphambi kokuvavanya i-tympomometry, ugqirha wakho uza kujonga umgca wendlebe ukuvavanya ukukhuphaza okunjenge-earwax enempembelelo. Ukuvalwa komngcwabo weendlebe okanye ezinye iindlebe ezingaqhelekanga kunokuchaphazela iziphumo zovavanyo. Ngoxa ugcina umtya wee-ear nge otoscope, ugqirha wakho angasebenzisa i-otoscope ye-pneumatic, e-otoscope ene-bulb eqhotyoshelweyo xa sele idibanise ivumela ugqirha wakho ukuba akhangele ukuhamba kwe-eardrum yakho ngcinezelo.
Uviwo lokuhlola, nge-otoscope, lugqirha ugqirha wakho ukuba enze uvavanyo olulinganiselweyo (olulinganisiweyo) olusekelwe kwinto abayibonayo.
Akukho mngcipheko ehambelana nokusetyenziswa kwe-otoscope okanye i-tympanometer. Ngenxa yokusetyenziswa kwengcinezelo kwindlebe, ukuphazamiseka okubuhlungu kunokuvakalelwa ngexesha lovavanyo.
Iziphumo
I-Tympanometry ivelisa ingxelo yegrafu ebizwa ngokuba yi-tympanogram. I tympanogram iya kubonisa iintlobo ezahlukeneyo zeziphumo ezilandelayo:
- Uhlobo A = iTympanogram evamile
- Uhlobo B = I-tympanogram engavumelekanga ehambelana ne-fluid ezindlebeni okanye umngxuma kwi-eardrum
- Uhlobo C = I tympanogram engavumelekanga ehambelana nokuqala / emva kwexesha elidlulileyo kwindlebe okanye i-eustachian tube disys function (ingadibana neengxaki zesono)
- Uhlobo AS = I tympanogram engaqhelekanga ehlobene ne-sclerosis okanye i-otosclerosis
- Uhlobo AD = I-tympanogram engavumelekanga ehlobene nokuchithwa kwamathambo endlebe ephakathi
Ukuchaneka
Uphando lubonisa ukuba zombini iimvavanyo ezibonakalayo kunye ne-otoscope ye-pneumatic kunye ne-tympanometry zisetyenziselwa ukuchonga ngokucacileyo umbane kwiindlebe. Nangona kunjalo, i-otoscope ye-pneumatic ichaneke ngakumbi kwaye inikezela ngokucacileyo xa sele kwenziwa ngugqirha onamava. I-Otolaryngologists iyakwazi ukuba nekhono lovavanyo olubonakalayo kunokwenziwa kwintsapho. Nangona kunjalo, nawuphi na ugqirha angasebenzisa i-tympanometry ukuze ancedise ukuxilongwa kwe-loss hearing.
Imithombo:
Medline Plus. ITympanometry. http://www.nlm.nih.gov/medlineplus/ency/article/003390.htm
U-Onusko, E. (2004). ITympanometry. Kwi-American Family Physician. 70: 9 1713-20. http://www.aafp.org/afp/20041101/1713.pdf
UPonka, D. (2013). I-otoscopy yomoya. In Can Can Phys Physician. Sep; 59 (9): 962. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771724/.
I-Weber, i-PC Ukuvavanya ukulahlekelwa kwindlebe kubantu abadala. http://www.uptodate.com. (ukuthenga okufunekayo)