I-Tympanometry ingasetshenziselwa ukukhomba izizathu zokulahleka kokuzwa njengoketshezi ezindlebeni (i-otitis media) noma i- otosclerosis . Ukuzwa ukulahlekelwa ngenxa yetshezi ezindlebeni ingenye yezinkinga ezivame kakhulu izingane kanye ne-tympanometry ingasetshenziswa ukwengeza ukuhlaziywa kwenhloso (okulinganiselwe) kwe-eardrum nendlebe ephakathi. Yenziwa ngokufaka i-tympanometer engxenyeni yezindlebe.
I-tympanometer ibukeka njenge- otoscope , noma kunjalo, inikeza amagagasi omsindo ngenkathi i-vacuum idala ukucindezela okuhle nokubi ngaphakathi kwenzalo yezindlebe. Amandla abuyiselwe enza amaform wave ukuthi udokotela angasebenzisa ukuhlola ukukhathazeka kwendlebe ephakathi. I-waveform eyenziwe yabizwa ngokuthi i-tympanogram, engasetshenziswa ngudokotela ukuhlola ukusebenza kwe-eardrum.
Ukulungiselela iTympanometry
Ngaphambi kokuhlolwa kwe-tympanometry, udokotela wakho uzozibona ngeso lengqondo umthamo wezindlebe ukuhlola ukuvinjelwa okunjenge-earwax ethintekile. Ukwakhiwa komsele wezindlebe noma ezinye izindlebe ezingavamile kungathinta imiphumela yokuhlolwa. Ngenkathi ugcina umthamo we-ear ovorycope, udokotela wakho angasebenzisa i-otoscope ye-pneumatic, i-otoscope ene-bulb enamathiselwe lapho ehambelanisiwe ivumela udokotela wakho ukuba abheke ukuhamba kwe-eardrum yakho ngokucindezela.
Ukuhlolwa okubukwayo, nge-otoscope, kuvumela udokotela wakho ukuba enze ukuhlolwa okuzithobayo (qualitative) okusekelwe kulokho abakubonayo.
Azikho izingozi ezihlobene nokusetshenziswa kwe-otoscope noma i-tympanometer. Ngenxa yokusetshenziswa kwengcindezi endlebeni, ukukhathazeka okuncane kungase kuzwakale ngesikhathi sokuhlolwa.
Imiphumela
I-Tympanometry ikhiqiza umbiko wegrafu obizwa ngokuthi i-tympanogram. I-tympanogram izobonisa izinhlobo ezahlukene zemiphumela engu-4 kanje:
- Thayipha A = Tympanogram evamile
- Thayipha B = I-tympanogram engavamile ehlobene noketshezi ezindlebeni noma umgodi eardard
- Thayipha C = I-tympanogram engavamile ehlobene nokuqala / kwephuzile kwesikhala sezindlebe noma i-eustachian tube ukungasebenzi (kungenzeka ukuthi ihlobene nezinkinga zesinus)
- Thayipha i-AS = I-tympanogram engavamile ehlobene ne-sclerosis noma i-otosclerosis
- Thayipha AD = iTypanogram engavamile ehlobene nokuxoshwa kwamathambo endlebe ephakathi
Ukunemba
Ucwaningo lubonisa ukuthi kokubili izivivinyo ezibukwayo nge-otoscope ye-pneumatic ne-tympanometry zingasetshenziswa ukucacisa ngokucacile uketshezi ezindlebeni. Kodwa-ke, i-otoscope ye-pneumatic inembile kakhulu futhi inikeza ukuxilongwa okucacile uma kwenziwa udokotela onolwazi. Ama-otolaryngologists cishe azoba nolwazi oluningi lokuhlolwa okubukwayo kunomsebenzi womndeni. Kodwa-ke, noma yimuphi udokotela angasebenzisa i-tympanometry ukuze asize ekutholeni ukulahla kokuzwa kwakho.
Imithombo:
I-Medline Plus. I-Tympanometry. http://www.nlm.nih.gov/medlineplus/ency/article/003390.htm
U-Onusko, E. (2004). I-Tympanometry. E-American Family Physician. 70: 9 1713-20. http://www.aafp.org/afp/20041101/1713.pdf
UPonka, D. (2013). I-otoscopy ye-pneumatic. In Can Fam Physician. Sep; 59 (9): 962. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771724/.
I-Weber, i-PC Ukuhlolwa kokulahlekelwa kwezindlebe kubantu abadala. http://www.uptodate.com. (ukubhalisa okudingekayo)