Nasopharynx. Chimiro che nasopharynx. Endoscopy kuongorora

Zvirwere, imwe nzira kana imwe inobatanidza ne nasopharynx, zvikuru. Mhepo yakawanda yemuputi kana kukwezva haisi yega, asi pane zvirwere zvakanyanya. Kuti uzvinzwisise uye maitiro avo, unoda kuziva kunyatsoita kuti nasopharynx yakarongeka uye chii chinonyanya kukanganisa utano hwayo.

Muchirapa, inotomy ye nasopharynx inotaridzirwa muchikamu chemaatomy che pharynx. Panguva imwecheteyo, pharynx inomiririra zvose zvepamusoro zvegwara rekufuridzira uye kutanga kweropa rekudya.

Mhopi iyo inoparadzaniswa kuita zvikamu zvitatu: chikamu chepamusoro che pharynx (the nasopharynx, kana chikamu chayo), chikamu chepakati che pharynx (oropharynx, kana muromo chikamu), chikamu chepasi che pharynx (larynx, kana chikamu chikamu).

Chimiro che nasopharynx

The nasopharynx iduku duku. Inobatanidza kuburikidza nemakomba emukati (makorani) ane danda rakasungwa. Icho chinonzi pharynx, icho chinonziwo rutivi rwokunze rwechipiri, inosangana ne bone sphenoid uye bone occipital (chikamu chayo). Inzvimbo yakagadziriswa yechipfuva inogumira pamugumo wekutanga uye wechipiri wemutsipa. Hasi pasi nasopharynx inopinda mumuromo ichi chikamu che pharynx.

Chimiro chema nasopharynx chinosanganisira masvingo emadziro, apo pane masango ekuongorora kana, sezvaanonziwo, Eustachian tubes. Makomba aya anonzi pharyngeal. Idzo dzakapoteredzwa nemupumburu wezvinyorwa zvepamusoro kubva kumusoro uye pasi. Kuburikidza ne-pharyngeal openings, chikamu chinosungirirwa chinosangana nechemberi tsvina yekamberi uye kumudhagwa wakarurama. Pamadziro emadziro uye chidzitiro chepasina ndeche toni. Izvo zvinonzi " pharyngeal tonsil" uye "tubal tonsils", iyo iboka rezvipembenene lymphoid.

Kana pane chido chekutaurirana nesangano rezvokurapa pamusoro peswere re ENT nhengo, saka nokuti chimiro che nasopharynx chakanyanya kuoma, kushandiswa kwechigadziro chemukati bedzi (kana ichiongororwa nechiremba wechiremba) hachina kukwana. Nokudaro, dzimwe nzira dzekuongorora dzinoshandiswa, kunyanya, endoscopy ye nasopharynx.

Makomborero ekugadziriswa kwemasoscopic ye nasopharynx akaenzaniswa nedzimwe nzira:

• Chiremba ane mukana wega wega kuona uye kuongorora mamiriro ezvinhu e nasopharynx (kuvapo kwekuvhiringidza nzira uye chiyero chekuoma kwayo);
• Kusabatwa kwemajekiseni (izvo zvinokosha kune vose murwere uye chiremba);
• Kukwanisa kuongorora nzira yekurapa;
• Izvo zvinogamuchirwa kuratidza zvikamu zvekudzidza pane kombiyuta kuongorora uye kunyora iyo kumusviki unobviswa.

Rudzi urwu rwekuongorora haruna kupokana.

Usati wanyatsoongorora, murwere anogadzirira kugadzirira analgesia. Nokuda kweizvi, sarudzo inopindwa, iyo huru iyo iyo iri lidocaine mune imwe pfungwa.

Iko kuongororwa kunoitwa kuburikidza nekushandura mafungiro ekupedzisira (fibroscope). Dhaimeri dzavo dzakasiyana, izvo zvinoita kuti zvikwanise kuongorora kunyange vana vezera remakore. Penguva yekudzidza, murwere anogara kana kuti anonyengera kungwara kwechiremba.

Rudzi urwu rwekupedzisira inoparadzaniswa kuva zvikamu zvitatu zvikuru.

Pachigamba chekutanga, kuongorora kwakanyatsojeka kwemukati wemvura kunoshandiswa.

Pachikamu chechipiri, apo fibroscope inosvika kumakomba emukati (khoan), inova nyore kuongorora nasopharynx. Tsvaga nokuda kwekuongororwa uku: zvibato zviri mumabhuku ekutsvaga (miromo yavo), mapuranga ane mitsetse, mapapiro emabatini, mapapiro emapapiro, mamiriro emakumbo.

Pachitatu chechitatu, fibroscope inobviswa. Muchiitiko ichi, mapepa emapakati uye mashure emadzimai anoongororwa.

Iyo nasopharynx ndiyo chikamu chakakosha zvikuru mumuviri, saka saka zvakakosha kutarisa utano hwake. Kana zvichidikanwa, kuongororwa uye kuongorora kunofanira kutarirwa chete kune vashandi vanogona kukwanisa kuita zvese zvinoshandiswa panguva yakakodzera. Chimiro che nasopharynx chirongwa chakakomba, zvisinei, kuongororwa kwacho kazhinji hakunounzi matambudziko uye kusuruvara kusingafadzi.