He aha ka Esophageal Manometry? Ke Kumu, nā Pae/Kaʻina Hana & nā Hōʻike

ʻO ka esophageal manometry kahi hoʻokolohua e ana i ka maikaʻi o ka hana ʻana o kou esophagus i ka wā e ale ai ʻoe. E noʻonoʻo ʻoe he ala e nānā ai i ka ikaika a me ka hoʻonohonoho ʻana o nā ʻiʻo i loko o kāu paipu meaʻai. Kōkua kēia hana mālie i nā kauka e hoʻomaopopo inā puka mai kāu mau pilikia ale ʻana mai ka nāwaliwali o ka ʻiʻo, ka hoʻonohonoho maikaʻi ʻole, a i ʻole nā pilikia ʻē aʻe i loko o kou esophagus.

He aha ka esophageal manometry?

Ana ka esophageal manometry i ke kaomi a me nā neʻe ʻana o ka ʻiʻo i loko o kou esophagus. ʻO kou esophagus ka paipu e lawe ana i ka meaʻai mai kou waha i kou ʻōpū, a pono e ʻomi i kahi neʻe nalu i hoʻonohonoho ʻia e hoʻokuʻu pono i ka meaʻai i lalo.

I ka wā o ka hoʻokolohua, hoʻokomo mālie ʻia kahi paipu lahilahi a maʻalahi me nā mea ʻike kaomi ma kou ihu a i loko o kou esophagus. ʻIke kēia mau mea ʻike i ka ikaika o kou mau ʻiʻo esophageal a inā e hana pū ana lākou me ka maʻalahi. He 30 mau minuke ka lōʻihi o ka hoʻokolohua a hāʻawi i ka ʻike waiwai e pili ana i kāu hana ale ʻana.

Kapa ʻia kēia kaʻina hana ʻo ka hoʻāʻo ʻana i ka motility esophageal no ka mea e nānā pono ana i ka neʻe ʻana o kou esophagus i ka meaʻai. Manaʻo ʻia ʻo ia ke kūlana gula no ka ʻike ʻana i nā maʻi ale ʻana e pili ana i ka hana ʻana o ka ʻiʻo.

No ke aha e hana ʻia ai ka esophageal manometry?

Hiki i kāu kauka ke ʻōlelo aku i ka esophageal manometry inā he pilikia kāu e ale ai a i ʻole e ʻeha ana i ka umauma ʻaʻole pili i ka puʻuwai. Kōkua kēia hoʻokolohua e ʻike i ke kumu kumu o kāu mau hōʻailona i hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau kūpono.

ʻO ke kumu maʻamau no kēia hoʻokolohua he paʻakikī ka ale ʻana, ka mea a nā kauka e kapa ai he dysphagia. Hiki iā ʻoe ke manaʻo e paʻa ka meaʻai i kou umauma, a i ʻole e ʻeha paha ʻoe i ka wā e ale ai. Loaʻa kekahi poʻe i ka regurgitation, kahi e hoʻi mai ai ka meaʻai ma hope o ka ale ʻana.

Eia nā kūlana nui e hiki ai i kēia hoʻokolohua ke kōkua i ka ʻike:

• Achalasia - ke ʻano ke ʻole e hoʻomaha pono ka mea pani o ka ʻōpū lalo
• Esophageal spasms - nā ʻiʻo ʻokoʻa ʻole e hiki ke hana i ka ʻeha o ka umauma
• Scleroderma - he maʻi autoimmune e hiki ke nāwaliwali i nā ʻiʻo esophageal
• Ineffective esophageal motility - ke nāwaliwali loa nā ʻiʻo
• Gastroesophageal reflux disease (GERD) - e loiloi inā hiki i ke ʻoki ke kōkua

Hiki nō hoʻi i kāu kauka ke kauoha i kēia hoʻokolohua ma mua o kekahi mau ʻoki e hōʻoia i ka hana pono ʻana o kou esophagus ma hope. He mea nui loa ia ma mua o ke ʻoki anti-reflux e hōʻoia ʻaʻole e hana ka hana i nā pilikia ʻai.

He aha ke kaʻina hana no ka esophageal manometry?

He maʻalahi ke kaʻina hana esophageal manometry a maʻa mau i 30 a 45 mau minuke. E ala ana ʻoe i ka wā o ka hoʻokolohua holoʻokoʻa, a ʻoiai paha e ʻoluʻolu ʻole, ua ʻae maikaʻi ʻia e ka hapa nui o nā kānaka.

ʻO ka mea mua, e wehewehe kāu hui mālama ola i ke kaʻina hana a pane i nā nīnau āu. E noi ʻia ʻoe e noho pololei i loko o kahi noho a i ʻole e moe ma kou ʻaoʻao. Hiki ke hoʻopili ʻia kahi ʻehu numbing i kou ihu a me kou ʻāʻī e hōʻemi i ka ʻoluʻolu ʻole i ka wā e hoʻokomo ai i ka paipu.

Hoʻokomo mālie ʻia ka catheter lahilahi, ma kahi o ka laulā o kahi ʻāpana spaghetti, ma kou ihu a alakaʻi ʻia i lalo i loko o kou esophagus. Hiki i kēia ʻāpana ke ʻoluʻolu ʻole, akā maʻa mau ia i kekahi mau kekona. Ke waiho ʻia ka paipu, e noi ʻia ʻoe e ale i nā mea liʻiliʻi o ka wai i ka wā e hoʻopaʻa ai nā mea ʻike i nā ana kaomi.

I ka wā o ka hoʻokolohua, hiki iā ʻoe ke manaʻo i ka makemake e gag a i ʻole e ʻu, he mea maʻamau loa ia. E alakaʻi ke kanaka loea iā ʻoe ma kēlā me kēia ale a e hoʻomaha ʻoe ma waena o nā ana. E hana maʻamau ʻoe i 10 mau ale me nā sips liʻiliʻi o ka wai i ka wā e hoʻopaʻa ai ka mīkini i kāu hana ʻiʻo esophageal.

Ma hope o ka pau ʻana o nā ana a pau, e wehe koke ʻia ke catheter. Manaʻo ka hapa nui o nā kānaka i ka hōʻoluʻolu ke puka ke paipu, akā e ʻoluʻolu iki paha kou ʻāʻī no ka manawa pōkole ma hope.

Pehea e hoʻomākaukau ai no kāu esophageal manometry?

He maʻalahi ka hoʻomākaukau ʻana no ka esophageal manometry, akā ʻo ka hahai ʻana i nā ʻōlelo aʻoaʻo e kōkua i ka hōʻoia ʻana i nā hopena pololei. E hāʻawi kāu kauka i nā alakaʻi kikoʻī, akā eia nā ʻanuʻu hoʻomākaukau maʻamau e hiki iā ʻoe ke manaʻo.

Pono ʻoe e hooki i ka ʻai a me ka inu ʻana no ka liʻiliʻi o 8 mau hola ma mua o kāu hoʻokolohua. ʻO kēia manawa hoʻokēʻai, e like me ka hoʻomākaukau ʻana no nā kaʻina hana lapaʻau ʻē aʻe, e hōʻoia i ka hakahaka o kou esophagus a pololei nā ana. Hiki iā ʻoe ke hana i kāu hoʻokolohua i ke kakahiaka a ʻai maʻamau ma hope.

Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka hana ʻana o ka ʻiʻo esophageal, no laila e noi paha kāu kauka iā ʻoe e hooki i kekahi mau lāʻau. Kōkua kēia mau hoʻomākaukau e hōʻoia i ka hōʻike ʻana o ka hoʻokolohua i ka hana maoli ʻana o kou esophagus:

• Nā mea pale pauma proton (e like me ka omeprazole) - ua hooki ʻia ma mua o 7 mau lā
• Nā mea pale kahawai calcium - pono paha e hoʻomaha 48 mau hola ma mua
• Nitrates - maʻamau i hooki ʻia 24 mau hola ma mua o ka hoʻokolohua
• Nā lāʻau antispasmodic - maʻamau i hoʻōki ʻia 24 mau hola ma mua
• Nā sedatives a i ʻole nā mea hoʻomaha ʻiʻo - pono paha e pale ʻia

Mai hooki i nā lāʻau lapaʻau me ka ʻole e kamaʻilio mua me kāu kauka. E hana pū lākou me ʻoe e mālama pono i kāu mau lāʻau lapaʻau maʻamau i ka wā e hoʻomākaukau ai no ka hoʻokolohua. He mea nui loa kekahi mau lāʻau lapaʻau e hooki, a e kaupaona kāu kauka i nā pōmaikaʻi a me nā pilikia.

E ʻaʻahu i nā lole ʻoluʻolu a pale i ka make-up kaumaha a i ʻole nā mea nani a puni kou ʻāʻī. E hōʻike i kāu hui mālama ola inā he maʻi ʻoe a inā hāpai ʻoe, no ka mea, hiki i kēia mau mea ke hoʻopilikia i ke kaʻina hana.

Pehea e heluhelu ai i kāu hopena esophageal manometry?

Hōʻike nā hopena manometry esophageal i nā ʻano kaomi a me ka hoʻopili ʻana o nā ʻiʻo i loko o kou esophagus. E nānā kāu kauka i kēia mau ana e hoʻoholo ai inā e hana maʻamau ana nā ʻiʻo esophageal a i ʻole inā he maʻi kikoʻī e pili ana i kāu ʻai ʻana.

Hōʻike maʻamau nā hopena maʻamau i nā ʻano hana ʻiʻo i hoʻopili ʻia e hoʻokuke pono i ka meaʻai i kou ʻōpū. Pono e ikaika nā nalu kaomi e hoʻoneʻe i ka meaʻai, a pono e maʻalahi a maʻalahi ka manawa mai luna a lalo.

Eia ka mea e haʻi ai nā ana like ʻole i kāu kauka e pili ana i kāu hana esophageal:

• Kaomi sphincter esophageal haʻahaʻa - maʻamau 10-45 mmHg ke hoʻomaha
• Nā ʻaelike kino esophageal - pono e 30-180 mmHg ka ikaika
• Hoʻopili manawa - pono e holomua nā ʻaelike i lalo
• Hoʻomaha sphincter - pono e wehe loa ke ale ʻoe
• Kaomi koena - pono e hāʻule i nā pae haʻahaʻa loa i ka wā e ale ai

Hiki i nā hopena maʻamau ke hōʻike i nā ʻaelike nāwaliwali, nā neʻe ʻana o nā ʻiʻo i hoʻopili ʻole ʻia, a i ʻole nā pilikia me ka hana sphincter. E wehewehe kāu kauka i ke ʻano o nā ʻano kikoʻī no kou maʻi a kūkākūkā i nā koho lapaʻau kūpono e pili ana i kāu mau hopena.

Pono ka loea i ka wehewehe ʻana, no laila e hoʻopili kāu kauka i nā hopena hoʻāʻo me kāu mau hōʻailona a me ka mōʻaukala olakino e hana i kahi hōʻailona pololei. Hōʻoia kēia ala piha e loaʻa iā ʻoe ka hoʻolālā lapaʻau kūpono loa.

He aha nā mea pilikia no ka manometry esophageal maʻamau?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā hopena manometry esophageal maʻamau. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e wehewehe maikaʻi i kāu mau hopena hoʻāʻo a hoʻolālā i ka lāʻau kūpono.

ʻO ka makahiki kekahi o nā mea pilikia nui loa, no ka mea, loli maoli ka hana o ka ʻiʻo esophageal i ka wā. ʻO nā mākua kahiko e ʻike pinepine i nā ʻōpū esophageal nāwaliwali a me ka neʻe lohi ʻana o ka meaʻai, hiki ke hōʻike ʻia e like me nā ʻano hana ʻino ma ka hoʻāʻo manometry.

Hoʻopilikia pinepine kēia mau kūlana a me nā mea i ka hana esophageal a hiki ke alakaʻi i nā hopena hoʻāʻo ʻino:

• Maʻi reflux gastroesophageal (GERD) - hiki i ka ʻike ʻana i ka waikawa mau ke hōʻino i nā ʻiʻo
• Nā maʻi autoimmune e like me ka scleroderma - pili pono i ka ʻiʻo ʻiʻo
• Diabetes - hiki ke hōʻino i nā aʻalolo e mālama ana i nā ʻiʻo esophageal
• ʻO ka ʻoki ʻana i ka umauma ma mua a i ʻole ka radiation - hiki ke hana i ka ʻiʻo ʻeha
• Nā lāʻau lapaʻau - ʻoiai ʻo ka poʻe e pili ana i ka hana ʻiʻo maʻemaʻe
• Nā kūlana neurological - hiki ke hoʻopilikia i nā hōʻailona e mālama ana i ka ʻai ʻana

Hiki i nā mea ola ke kōkua i ka hana ʻino o ka esophageal. Hiki i ka hoʻohana ʻana i ka waiʻona nui, ka puhi ʻana i ka paka, a me kekahi mau ʻano meaʻai ke hoʻopilikia i ka hoʻonohonoho ʻana o ka ʻiʻo i ka wā. Hiki i ke kaumaha a me ka hopohopo ke hoʻonui i nā hōʻailona ʻai ʻana, ʻoiai ʻaʻole lākou e hana i nā maʻi esophageal mua.

ʻAʻole ia he manaʻo e loaʻa iā ʻoe nā hopena ʻino, akā kōkua ia i kāu kauka e hoʻomaopopo i ka pōʻaiapili o kāu mau hōʻailona a me nā hopena hoʻāʻo.

He aha nā pilikia hiki ke loaʻa i ka manometry esophageal ʻino?

Hōʻike pinepine nā hopena manometry esophageal ʻino i nā kūlana ma lalo e hiki ke alakaʻi i nā pilikia inā waiho ʻole ʻia. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua iā ʻoe e mahalo i ke kumu e pono ai ka hōʻailona kūpono a me ka mālama ʻana no kou olakino lōʻihi.

ʻO ka hopohopo koke loa, ʻo ia ka pilikia o ka ʻai ʻana, hiki ke hoʻopilikia i kāu meaʻai a me ka maikaʻi o ke ola. Ke neʻe ʻole ka meaʻai ma kou esophagus, hiki iā ʻoe ke pale i kekahi mau meaʻai a i ʻole e ʻai liʻiliʻi, hiki ke alakaʻi i ka pohō kaumaha a i ʻole nā ​​hemahema meaʻai.

Eia nā pilikia nui e hiki ke kū mai mai nā maʻi motility esophageal i mālama ʻole ʻia:

• Pneumonia aspiration - ke komo ka meaʻai a i ʻole ka wai i loko o kou mau māmā
• Malnutrition - mai ka pale ʻana i nā meaʻai a i ʻole ka ʻai ʻana i ka liʻiliʻi ma muli o nā pilikia ʻai
• Hoʻonui ʻia ka esophageal - ka hoʻonui ʻana o ka esophagus mai ka meaʻai i hope
• Reflux gastroesophageal koʻikoʻi - ke hana pono ʻole ka sphincter lalo
• Esophagitis - mumū mai ka ʻike ʻana i ka waikawa a i ʻole ka huhū meaʻai
• Barrett's esophagus - nā loli precancerous mai ka ʻike ʻana i ka waikawa mau

I nā hihia kakaʻikahi, hiki i nā maʻi motility koʻikoʻi ke alakaʻi i nā pilikia koʻikoʻi. Hoʻomohala kekahi poʻe i nā maʻi hanu hou mai ka aspiration, aʻo nā mea ʻē aʻe e ʻike i ka pohō kaumaha nui e koi ai i ka lāʻau lapaʻau.

ʻO ka nūhou maikaʻi, hiki ke pale ʻia ka hapa nui o nā pilikia me ka mālama kūpono. Hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau e hoʻomaikaʻi i ka hana esophageal a hōʻemi i kou pilikia o ka hoʻomohala ʻana i kēia mau pilikia.

I ka manawa hea wau e ʻike ai i ke kauka no ka manometry esophageal?

Pono ʻoe e noʻonoʻo e ʻike i ke kauka e pili ana i ka manometry esophageal inā ʻoe e ʻike nei i nā pilikia ʻai mau a i ʻole ka ʻeha o ka umauma i wehewehe ʻole ʻia. Hiki i kēia mau hōʻailona ke hoʻopilikia nui i kou ola i kēlā me kēia lā a hiki ke hōʻike i nā kūlana hiki ke mālama ʻia.

ʻO ke kumu maʻamau e ʻimi ai i ka lāʻau lapaʻau ʻo ka pilikia o ka ʻai ʻana ʻaʻole e hoʻomaikaʻi iā ia iho. Hiki i kēia ke manaʻo e like me ka meaʻai e paʻa ana i kou umauma, ka ʻeha i ka wā e ʻai ai, a i ʻole ka pono e inu i ka wai nui e hoʻoiho i ka meaʻai.

E kelepona i kāu kauka inā ʻoe e ʻike nei i kekahi o kēia mau hōʻailona e hōʻike ana i kahi maʻi motility esophageal:

• Ua paʻa mau ka meaʻai i loko o kou umauma a i ʻole ʻāʻī
• ʻEha umauma ʻaʻole pili i kou puʻuwai
• Hoʻi pinepine ka meaʻai i ʻai ʻole ʻia
• He paʻakikī ke ale ʻana i nā mea paʻa a me nā wai
• Ka pohō kaumaha i manaʻo ʻole ʻia ma muli o nā pilikia ʻai
• Nā maʻi hanu e hoʻi pinepine ana i loaʻa mai ka aspiration

Pono ʻoe e ʻimi koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe ka paʻakikī nui a me ka wikiwiki i ke ale ʻana, ka ʻeha umauma me ka pōkole o ka hanu, a i ʻole nā hōʻailona o ka aspiration e like me ka ʻuʻu ʻana i ka meaʻai a i ʻole nā maʻi māmā pinepine.

Hiki i kāu kauka mālama mua ke loiloi i kāu mau hōʻailona a kuhikuhi iā ʻoe i kahi gastroenterologist inā pono. Hiki i ka loea ke hoʻoholo inā he mea kōkua ka esophageal manometry i ka ʻike ʻana i kou maʻi a me ka hoʻolālā ʻana i ka lāʻau lapaʻau.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka esophageal manometry

Q.1 He maikaʻi anei ka hoʻāʻo ʻana o ka esophageal manometry no ka ʻike ʻana i ka GERD?

ʻAʻole ʻo ka esophageal manometry ka hoʻāʻo mua no ka ʻike ʻana i ka GERD, akā hāʻawi ia i ka ʻike waiwai e pili ana i kāu hana esophageal. He mea pono loa kēia hoʻāʻo ʻana ke noʻonoʻo nei kāu kauka i ka ʻoki anti-reflux a i ʻole ke loaʻa iā ʻoe nā hōʻailona GERD ʻaʻole e pane i nā lāʻau lapaʻau maʻamau.

Kōkua ka hoʻāʻo ʻana i kāu kauka e hoʻomaopopo inā e hana pono ana kāu lower esophageal sphincter a inā hiki i kou mau ʻiʻo esophageal ke hoʻomaʻemaʻe pono i ka waikawa. He mea nui kēia ʻike no ka hoʻolālā ʻana i ke ala lapaʻau maikaʻi loa, ʻoiai inā ʻaʻole e kāohi nā lāʻau lapaʻau i kāu mau hōʻailona.

Q.2 Hoʻokumu anei ka esophageal manometry abnormal i ka maʻi kanesa?

ʻAʻole hoʻokumu pololei nā hopena esophageal manometry abnormal i ka maʻi kanesa, akā hiki i kekahi mau maʻi i ʻike ʻia e ka hoʻāʻo ke hoʻonui i ka pilikia o ka maʻi kanesa i ka manawa. He diagnostic ka hoʻāʻo ponoʻī a ʻaʻole ia e hoʻonui i kou pilikia o ka maʻi kanesa ma kekahi ʻano.

Eia naʻe, ʻo nā maʻi e like me ka GERD koʻikoʻi a i ʻole achalasia, hiki ke ʻike ʻia ma o ka manometry, hiki ke alakaʻi i ka mumū mau a i ʻole nā loli ʻiʻo e hoʻonui iki i ka pilikia o ka maʻi maʻi esophageal. Hiki i ka nānā mau ʻana a me ka mālama kūpono ke kōkua i ka mālama pono ʻana i kēia mau pilikia.

Q.3 Pehea ka pololei o ka esophageal manometry?

He pololei loa ka esophageal manometry no ka ʻike ʻana i nā maʻi motility esophageal, me nā helu pololei ma luna o 90% ke hana ʻia e nā loea i ʻike ʻia. Ua manaʻo ʻia ʻo ia ka hoʻāʻo gula no ka loiloi ʻana i ka hana ʻana a me ka hoʻopili ʻana o ka ʻiʻo esophageal.

Aia ka pololei o ka hoʻāʻo ʻana i ka hoʻomākaukau kūpono, ka hana akamai, a me ka wehewehe loea. ʻO ka hahai pono ʻana i nā ʻōlelo aʻo ma mua o ka hoʻāʻo ʻana a me ka hana pū ʻana me nā mea mālama ola i ʻike ʻia e hōʻoia i nā hopena hilinaʻi loa no kāu ʻike a me ka hoʻolālā lapaʻau.

Q.4 He ʻeha anei ka esophageal manometry?

He ʻoluʻolu ʻole ka esophageal manometry akā ʻaʻole ʻeha maʻamau. ʻO ka hapa nui o nā kānaka e wehewehe ana e like me ka loaʻa ʻana o kahi paipu lahilahi i ko lākou ʻāʻī, e like me ka manaʻo i ka wā o nā kaʻina hana lapaʻau ʻē aʻe e pili ana i ka ihu a me ka ʻāʻī.

ʻO ka hoʻokomo ʻana i ka catheter ma kou ihu hiki ke hoʻoulu i ka ʻoluʻolu manawa, a hiki iā ʻoe ke manaʻo e like me ka gagging a i ʻole ka ʻuʻu ʻana. Eia naʻe, he pōkole a hiki ke mālama ʻia kēia mau manaʻo. Kōkua ka ʻehu numbing i hoʻopili ʻia ma mua o ke kaʻina hana e hōʻemi i ka ʻoluʻolu i ka wā e hoʻokomo ai.

Q.5 Pehea ka lōʻihi o ka loaʻa ʻana o nā hopena esophageal manometry?

Loaʻa nā hopena esophageal manometry i loko o kekahi mau lā a i hoʻokahi pule ma hope o kāu hoʻāʻo. Hoʻokumu ka kamepiula i nā ana kaomi koke, akā pono ka loea i ka manawa e nānā pono ai i nā hiʻohiʻona a hāʻawi i kahi wehewehe piha.

E hoʻonohonoho maʻamau kāu kauka i kahi manawa e hahai ai e kūkākūkā i nā hopena a wehewehe i ko lākou manaʻo no kou maʻi. Hāʻawi kēia i ka manawa no ka loiloi kūpono a hāʻawi iā ʻoe i ka manawa kūpono e nīnau i nā nīnau e pili ana i kāu hōʻailona a me nā koho lapaʻau.