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5.4 Waarom in het oor meten?
Uit klinische onderzoeken blijkt dat het oor een uitstekende
plaats is voor het meten van de temperatuur, omdat de
gemeten temperatuur in het oor een weerspiegeling is van de
kerntemperatuur
1
. De lichaamstemperatuur wordt gereguleerd
door de hypothalamus
2
, die dezelfde bloedvoorziening heeft als
het trommelvlies
3
. Veranderingen van de kerntemperatuur worden
gewoonlijk sneller gezien in het trommelvlies dan op andere
plaatsen, zoals het rectum, de mond of onder de arm. Voordelen
van het opnemen van de temperatuur in het oor in vergelijking met
traditionele plaatsen:
Meting van de temperatuur onder de oksel weerspiegelt de huidtemperatuur, die geen
betrouwbare maat is voor de kerntemperatuur.
De rectale temperatuur loopt vaak aanmerkelijk achter bij veranderingen van de
kerntemperatuur, vooral als die temperaturen snel veranderen. Verder is er het risico van
kruisbesmetting.
De orale temperatuur wordt vaak beïnvloed door eten, drinken, plaatsing van de
thermometer, ademen door de mond of het onvermogen van de persoon om zijn mond
volledig te sluiten.
1. Guyton A C, Textbook of medical physiology, W.B. Saunders, Philadelphia, 1996, p 919
2. Guyton A C, Textbook of medical physiology, W.B. Saunders, Philadelphia, 1996, p 754–5
3. Netter H F, Atlas of Human Anatomy, Novartis Medical Education, East Hanover, NJ, 1997, pp 63, 95.
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