He aha te Manometry Esophageal? Te Whāinga, Ngā Taumata/Ngā Tikanga & Ngā Hua

Ko te manometry esophageal he whakamātautau e ine ana i te pai o te mahi o tō esophagus i te wā e horomia ana e koe. Whakaarohia he huarahi hei tirotiro i te kaha me te ruruku o ngā uaua i roto i tō paipa kai. Mā tēnei tikanga ngawari e āwhina ngā tākuta ki te mārama mēnā nā te ngoikore o ngā uaua, te ruruku kino, ētahi atu raruraru rānei i roto i tō esophagus i puta ai ō raruraru horomi.

He aha te manometry esophageal?

E ine ana te manometry esophageal i te pēhanga me ngā nekehanga uaua i roto i tō esophagus. Ko tō esophagus te ngongo e kawe ana i te kai mai i tō waha ki tō puku, ā, me kōpeke i roto i te nekehanga rite ngaru hei pana tika i te kai ki raro.

I te wā o te whakamātautau, ka whakaurua mā te ihu me te ngawari he ngongo angiangi, ngawari hoki me ngā pūoko pēhanga ki roto i tō esophagus. E kitea ana e ēnei pūoko te kaha o ō uaua esophageal me te mēnā e mahi ngātahi ana rātou i runga i te mārie. E 30 meneti te roa o te whakamātautau, ā, e whakarato ana i ngā mōhiohio whai hua mō tō mahi horomi.

Ka karangatia hoki tēnei tikanga ko te whakamātautau motini esophageal nā te mea e titiro ana ki te nekehanga o tō esophagus i te kai. E whakaarohia ana ko te paerewa koura mō te tātai i ngā mate horomi e pā ana ki te mahi uaua.

He aha te take i mahia ai te manometry esophageal?

Ka tūtohu pea tō tākuta i te manometry esophageal mēnā kei te raru koe ki te horomi, ki te pā rānei te mamae o te uma ki a koe kāore i te pā ki te ngākau. Mā tēnei whakamātautau e āwhina ki te tautuhi i te take o ō tohumate kia whiwhi ai koe i te rongoā tika.

Ko te take tino noa mō tēnei whakamātautau ko te uaua ki te horomi, e karangatia ana e ngā tākuta ko te dysphagia. Ka pērā pea te āhua kei te piri te kai ki tō uma, ka mamae rānei koe i te wā e horomi ana. Ka pā hoki te regurgitation ki ētahi tāngata, arā, ka hoki mai te kai i muri i te horomanga.

Ko ēnei ngā āhuatanga matua ka āwhina tēnei whakamātautau ki te tātai:

• Achalasia - i te wā e kore e whakangāwari tika te uaua o raro o te kōpū
• Ngā whākōpū o te kōpū - ngā kirimoko uaua koretake ka pāngia te mamae o te uma
• Scleroderma - he āhuatanga ārai-a-tinana ka ngoikore ai ngā uaua o te kōpū
• Te kore o te nekehanga o te kōpū - i te wā e ngoikore rawa ana ngā kirimoko uaua
• Te mate rerenga waikawa (GERD) - hei arotake mēnā ka whai hua te pokanga

Ka tono pea tō tākuta i tēnei whakamātautau i mua i ētahi pokanga kia mōhio ai kei te pai te mahi o tō kōpū i muri mai. He mea nui rawa atu i mua i te pokanga ārai-i-te-rerenga-waikawa kia mōhio ai e kore te tikanga e pā ki ngā raruraru horomia.

He aha te tikanga mō te manometry o te kōpū?

He tika tonu te tikanga manometry o te kōpū, ā, e 30 ki te 45 meneti te roa. Ka oho koe i te wā o te whakamātautau, ā, ahakoa ka raru pea, he pai tonu te whakamanuhiri e te nuinga o te tāngata.

Tuatahi, ka whakamārama tō rōpū hauora i te tikanga, ā, ka whakautu i ngā pātai katoa kei a koe. Ka tonoa koe kia noho tika i roto i te tūru, kia takoto rānei ki tō taha. Ka whakamahia pea he rehu whakamomori ki tō ihu me tō korokoro hei whakaiti i te raru i te wā e whakauru ana i te ngongo.

Ko te katetā angiangi, tata ki te whānui o te wāhanga spaghetti, ka whakauruhia mā te ihu, ka ārahina ki raro ki tō kōpū. Ka raru pea tēnei wāhanga, engari he torutoru hēkona noa iho te roa. Kia noho te ngongo, ka tonoa koe ki te horomia he wai iti i te wā e rekoata ana ngā pūoko i ngā ine pēhanga.

I te wā o te whakamātautau, ka pāngia pea te hiahia ki te whakapōkae, ki te maremare rānei, he mea noa noa iho tēnei. Mā te tohunga e ārahi i a koe i ia horomitanga, ā, ka tuku koe kia okioki i waenga i ngā ine. Ka mahia e koe te 10 horomitanga me ngā wai iti i te wā e rekoata ana te mīhini i tō mahi uaua o te kōpū.

Whai muri i te otinga o nga ine katoa, ka tere te tango i te katita. Ko te nuinga o nga tangata ka rongo i te oranga i te wa e puta ana te ngongo, ahakoa ka rongo pea to korokoro he paku rakuraku mo te wa poto i muri mai.

Me pehea te whakarite mo to manometry esophageal?

He ngawari te whakarite mo te manometry esophageal, engari ko te whai i nga tohutohu i te tupato ka awhina i te whakarite i nga hua tika. Ka hoatu e to taakuta nga aratohu motuhake, engari koinei nga mahi whakarite whanui ka taea e koe te tumanako.

Me mutu te kai me te inu mo te 8 haora i mua i to whakamatautau. Ko tenei wa nohopuku, he rite ki te whakarite mo etahi atu tikanga rongoa, ka whakarite kia kau kau to esophagus, kia tika hoki nga ine. I te nuinga o te wa ka taea e koe te whakamatautau i te ata ka kai noa i muri mai.

He maha nga rongoa ka pa ki te mahi uaua esophageal, no reira ka tono pea to taakuta ki a koe kia whakamutua etahi rongoa. Ko enei whakaritenga ka awhina i te whakarite kia whakaatu te whakamatautau i te mahi a to esophagus:

• Nga aukati papu proton (pēnei i te omeprazole) - i te nuinga o te wa ka mutu 7 ra i mua
• Nga aukati hongere konupūmā - me mutu pea 48 haora i mua
• Nitrates - i te nuinga o te wa ka mutu 24 haora i mua i te whakamatautau
• Nga rongoa antispasmodic - i te nuinga o te wa ka mutu 24 haora i mua
• Nga rongoa whakamaarama, whakamaarama uaua ranei - me karo pea

Kaua rawa e whakamutu i nga rongoa me te kore korero ki to taakuta i te tuatahi. Ka mahi tahi ratou me koe ki te whakahaere i o rongoa i nga wa katoa i te wa e whakarite ana mo te whakamatautau. He mea nui etahi rongoa ki te whakamutu, a ka paunatia e to taakuta nga painga me nga tupono.

Mau kakahu pai, me te karo i te hanga taumaha, i nga whakapaipai ranei huri noa i to kaki. Kia mohio to roopu hauora mena he mate pāwera koe, mena kei te hapu koe, na te mea ka pa pea enei mea ki te tikanga.

Me pehea te panui i o hua manometry esophageal?

E whakaatu ana ngā hua o te manometry esophageal i ngā tauira pēhanga me te tūhono uaua i roto i tō esophagus. Ka arotake tō tākuta i ēnei ine hei whakatau mēnā kei te mahi noa ō uaua esophageal, mēnā rānei he mate motuhake e pā ana ki tō horomitanga.

Ko ngā hua noa e whakaatu ana i ngā kōtuitui uaua kua tūhonohia e pana pai ana i te kai ki tō puku. Me kaha ngā ngaru pēhanga ki te neke i te kai, ā, me te wā tika kia māeneene, kia whai i te raupapa mai i runga ki raro.

Anei ngā mea e kōrero ana ngā ine rerekē ki tō tākuta mō tō mahi esophageal:

• Te pēhanga sphincter esophageal o raro - te tikanga 10-45 mmHg i te wā e okioki ana
• Ngā kōtuitui tinana esophageal - me 30-180 mmHg te kaha
• Te wā tūhono - me haere māeneene ngā kōtuitui ki raro
• Te whakangā sphincter - me whakatuwhera katoa i te wā e horomia ana
• Te pēhanga toenga - me heke ki ngā taumata iti rawa i te wā e horomia ana

Ka whakaatu pea ngā hua koretake i ngā kōtuitui ngoikore, ngā nekehanga uaua kāore i tūhonohia, i ngā raruraru rānei ki te mahi sphincter. Ka whakamārama tō tākuta i te tikanga o ngā tauira motuhake mō tō āhua, ā, ka kōrero mō ngā whiringa maimoatanga e tika ana i runga i ō hua.

E hiahia ana te whakamāramatanga i te mātanga, nō reira ka whakataurite tō tākuta i ngā hua whakamātautau ki ō tohumate me tō hītori hauora kia whakatau i tētahi tātaritanga tika. E whakarite ana tēnei huarahi whānui kia whiwhi koe i te mahere maimoatanga e tika ana.

He aha ngā āhuatanga tūpono mō te manometry esophageal koretake?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whai hua manometry esophageal koretake. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakamārama pai i ō hua whakamātautau me te whakamahere i te maimoatanga e tika ana.

Ko te pakeke tētahi o ngā āhuatanga tūpono nui, nā te mea ka huri noa te mahi o te uaua esophageal i te roanga o te wā. Ko ngā pakeke ake nei te nuinga ka pā ki te ngoikore o te kōkiri esophageal me te puhoi o te whakawhiti kai, ka puta pea he tauira rerekē i ngā whakamātautau manometry.

Ko ēnei āhuatanga me ngā āhuatanga e pā ana ki te mahi esophageal, ā, ka hua pea ngā hua whakamātautau rerekē:

• Te mate rerenga waikawa gastroesophageal (GERD) - ka taea e te pānga waikawa tonu te whakangaro i ngā uaua
• Ngā mate autoimmune pēnei i te scleroderma - e pā tika ana ki te kiko uaua
• Te mate huka - ka taea te whakangaro i ngā io e whakahaere ana i ngā uaua esophageal
• Te pokanga pouaka o mua, te iraruke rānei - ka hua pea te hanga kiko kiko
• Ētahi rongoā - ina koa ko ēra e pā ana ki te mahi uaua maeneene
• Ngā āhuatanga neurological - ka taea te whakararu i ngā tohu e whakahaere ana i te horomia

Ka taea hoki e ngā āhuatanga o te noho te whai wāhi ki te kore mahi esophageal. Ko te nui o te inu waipiro, te kai paipa, me ētahi tikanga kai ka pā pea ki te ruruku uaua i te roanga o te wā. I ētahi wā ka taea e te ahotea me te āwangawanga te whakakaha i ngā tohu horomia, ahakoa he uaua noa iho te take o ngā mate esophageal tuatahi.

Ko te whai āhuatanga tūpono ehara i te mea ka whai hua rerekē koe, engari ka āwhina i tō tākuta ki te mārama ki te horopaki o ō tohu me ngā kitenga whakamātautau.

He aha ngā raruraru ka puta mai i te manometry esophageal rerekē?

Ko ngā hua manometry esophageal rerekē te nuinga e tohu ana i ngā āhuatanga kei raro e taea ai te raruraru ki te kore e rongoatia. Ko te māramatanga ki ēnei raruraru ka āwhina i a koe ki te whakanui i te hiranga o te tātaritanga tika me te rongoā mō tō hauora i te wā roa.

Ko te āwangawanga tonu ko te uaua ki te horomia, ka pā ki tō kai me te kounga o te oranga. Ki te kore te kai e neke tika ana i tō esophagus, ka karo pea koe i ētahi kai, ka kai iti rānei, ka hua pea te ngaronga taumaha, te kore rānei o te kai.

Anei ngā raruraru matua ka puta mai i ngā mate whakawhitiwhiti kōiwi kare i rongoatia:

• Pneumonia ngāwari - ka uru te kai, te wai rānei ki ō pūkahukahu
• Koretake kai - mai i te karo i ngā kai, te kai iti rānei nā te uaua ki te horo
• Whānuitanga kōiwi - te whānui o te kōiwi mai i te pūrua kai
• Te hokinga mai o te puku me te kōiwi nui - ka kore te mahi tika o te uaua o raro
• Esophagitis - te mumura mai i te waikawa, te riri kai rānei
• Barrett's esophagus - ngā huringa i mua i te mate pukupuku mai i te waikawa roa

I ngā wā onge, ka taea e ngā mate whakawhitiwhiti nui te arahi ki ngā raruraru nui ake. Ka puta mai i ētahi tāngata ngā mate manawa e hoki mai ana mai i te ngāwari, i te wā e pā ana ki ētahi atu te ngaronga taumaha nui e hiahia ana ki te wawaotanga rongoā.

Ko te rongo pai ko te nuinga o ngā raruraru ka taea te ārai mā te rongoā tika. Ka taea e tō tākuta te tūtohu i ngā rongoā hei whakapai ake i te mahi kōiwi me te whakaiti i tō tūponotanga ki te whakawhanake i ēnei raruraru.

Āhea au e kite ai i te tākuta mō te manometry kōiwi?

Me whakaaro koe ki te kite i te tākuta mō te manometry kōiwi mēnā kei te raru koe i te uaua ki te horo, i te mamae o te uma kāore i whakamāramahia. Ka taea e ēnei tohu te pā kaha ki tō oranga o ia rā, ā, ka tohu pea i ngā āhuatanga ka taea te rongoā.

Ko te take tino noa ki te rapu āwhina rongoā ko te uaua ki te horo kāore e pai ake ana i a ia anō. Ka pērā pea te āhua o te kai e piri ana ki tō uma, te mamae i te wā e horo ana, te hiahia rānei ki te inu nui i te wai kia heke te kai.

Whakapā atu ki tō tākuta mēnā kei te raru koe i ētahi o ēnei tohu ka tohu pea i te mate whakawhitiwhiti kōiwi:

• Kei te pūmau tonu te kai i tō uma, i tō korokoro rānei
• Te mamae o te uma kāore i te pā ki tō ngākau
• Te hoki mai tonu o te kai kāore i ngotea
• Te uaua ki te horo i ngā mea totoka me ngā wai
• Te ngaro o te taumaha kāore i pīrangitia nā te raruraru kai
• Ngā mate manawa e hoki mai ana, tērā pea nā te ngote

Me rapu tonu koe i te āwhina hauora mēnā ka pāngia koe e te uaua ohorere, nui ki te horo, te mamae o te uma me te pōkaikaha, ngā tohu rānei o te ngote pēnei i te mare i te kai, i ngā mate pūkahukahu e hoki mai ana.

Ka taea e tō tākuta rongoā tuatahi te arotake i ō tohu, ka tuku atu ki tētahi tohunga gastroenterologist mēnā e tika ana. Ka taea e te tohunga te whakatau mēnā he whai hua te manometry esophageal ki te tātai i tō āhua me te whakamahere i te rongoā.

Ngā pātai e pātai pinepine ana mō te manometry esophageal

Q.1 He pai te whakamātautau manometry esophageal mō te tātai i te GERD?

Kāore te manometry esophageal i te whakamātautau tuatahi mō te tātai i te GERD, engari e whakarato ana i ngā mōhiohio whai hua mō tō mahi esophageal. He tino whai hua tēnei whakamātautau mēnā kei te whakaaro tō tākuta ki te pokanga anti-reflux, mēnā rānei he tohu GERD tōu kāore e aro ana ki ngā rongoā noa.

Ka āwhina te whakamātautau i tō tākuta ki te mārama mēnā kei te pai te mahi a tō sphincter esophageal o raro, me te mēnā ka taea e ō uaua esophageal te whakawātea i te waikawa. He mea nui tēnei mōhiohio mō te whakamahere i te huarahi rongoā pai rawa atu, ina koa mēnā kāore ngā rongoā e whakahaere ana i ō tohu.

Q.2 Ka pā te manometry esophageal hē ki te mate pukupuku?

Kāore ngā hua manometry esophageal hē e pā tika ana ki te mate pukupuku, engari ko ētahi āhua e kitea ana e te whakamātautau ka piki ake te tūponotanga o te mate pukupuku i te wā. He tātai te whakamātautau tonu, kāore hoki e piki ake i tō tūponotanga o te mate pukupuku.

Heoi anō, ko ngā āhuatanga pērā i te GERD kaha, i te achalasia rānei, e mōhiotia ana mā te manometry, ka hua pea te mumura roa, te huringa rānei o te kiko e paku whakanui ana i te tūponotanga o te mate pukupuku esophageal. Mā te aroturuki i ngā wā katoa me te rongoā tika ka āwhina i te whakahaere i ēnei tūponotanga.

Q.3 E hia te tika o te manometry esophageal?

He tino tika te manometry esophageal mō te tātai i ngā mate o te motini esophageal, ā, ko te reiti tika e teitei ana i te 90% ina mahia e ngā tohunga hangarau. E kiia ana ko te whakamātautau paerewa koura mō te arotake i te mahi uaua me te ruruku o te esophageal.

Ka whakawhirinaki te tika o te whakamātautau ki te whakarite tika, te mahi whai pūkenga, me te whakamāori tohunga. Mā te whai i ngā tohutohu i mua i te whakamātautau me te mahi tahi me ngā kaiwhakarato hauora whai pūkenga ka whakarite i ngā hua pono rawa atu mō tō tātai me te whakamahere rongoā.

Q.4 He mamae te manometry esophageal?

He kore pai te manometry esophageal engari kāore i te mamae. Ko te nuinga o te tangata e whakaahua ana i te mea he rite ki te whai i tētahi ngongo angiangi i roto i tō rātou korokoro, he rite ki te āhua i te wā o ētahi atu tikanga rongoā e pā ana ki te ihu me te korokoro.

Ko te whakauru i te kātiha mā tō ihu ka hua pea te kore pai mō te wā poto, ā, ka pērā pea te āhua o te kōroke, te maremare rānei. Heoi anō, he poto noa ēnei āhua, ā, ka taea te whakahaere. Ko te rehu whakamatemate i mua i te tikanga ka āwhina i te whakaiti i te kore pai i te wā o te whakauru.

Q.5 E hia te roa ki te tiki i ngā hua manometry esophageal?

Ko ngā hua manometry esophageal e wātea ana i roto i ngā rā torutoru ki te wiki i muri i tō whakamātautau. Ka whakaputa te rorohiko i ngā ine pēhanga tonu, engari e hiahia ana te tohunga ki te wā ki te tātari i ngā tauira me te whakarato i tētahi whakamāori whānui.

Ko te tikanga ka whakarite tō tākuta i tētahi tūpono whai muri hei kōrero i ngā hua, me te whakamārama i te tikanga o ēnei hua mō tō āhua. Mā tēnei ka whai wāhi mō te wetewete tika, ā, ka whai wāhi anō koe ki te pātai pātai mō tō tātaritanga me ngā kōwhiringa maimoatanga.