Ni iki cyitwa Esophageal Manometry? Intego, Uburyo & Ibivamo

Esophageal manometry ni isuzuma ripima uburyo umuhogo wawe ukora neza iyo umira. Tekereza nk'uburyo bwo kureba imbaraga no guhuza imikaya yo mu muyoboro w'ibiryo byawe. Ubu buryo bworoshye bufasha abaganga gusobanukirwa niba ibibazo byo kumira byawe biva ku mikaya idakomeye, guhuza nabi, cyangwa izindi ngorane zo mu muhogo wawe.

Ni iki cyitwa esophageal manometry?

Esophageal manometry ipima umuvuduko n'imitsi yo mu muhogo wawe. Umuhogo wawe ni umuyoboro utwara ibiryo biva mu kanwa kawe bikajya mu gifu cyawe, kandi ugomba gukanda mu buryo buhuza kugira ngo utware ibiryo neza.

Mugihe cy'isuzuma, umuyoboro woroshye, woroshye ufite ibipimo by'umuvuduko ushyirwa mu zuru ryawe ukajyanwa mu muhogo wawe. Ibi bipimo bimenya imbaraga z'imitsi yawe yo mu muhogo niba ikorera hamwe neza. Isuzuma rifata iminota nka 30 kandi ritanga amakuru y'agaciro ku mikorere yawe yo kumira.

Ubu buryo kandi bwitwa isuzuma ry'imikorere y'umuhogo kuko rireba by'umwihariko uburyo umuhogo wawe utwara ibiryo. Bifatwa nk'urugero rwiza rwo kumenya indwara zo kumira zijyanye n'imikorere y'imitsi.

Kuki hakorwa esophageal manometry?

Umuvuzi wawe ashobora kugusaba esophageal manometry niba ufite ikibazo cyo kumira cyangwa ukagira ububabare mu gituza butajyanye n'umutima. Iri suzuma rifasha kumenya impamvu nyamukuru y'ibimenyetso byawe kugirango ubone ubuvuzi bukwiye.

Impamvu isanzwe cyane yo gukora iri suzuma ni ugutinda kumira, abaganga bita dysphagia. Ushobora kumva nkaho ibiryo bigumye mu gituza cyawe, cyangwa ushobora kugira ububabare iyo umira. Abantu bamwe kandi bahura no gusuka, aho ibiryo bisubira inyuma nyuma yo kumira.

Dore indwara nyamukuru iri suzuma rishobora gufasha kumenya:

• Achalasia - iyo umusonga wo hepfo w'urugingo rw'indya utarekuruka neza
• Esophageal spasms - imitsi idahwitse ishobora gutera kuribwa mu gituza
• Scleroderma - indwara y'ubwirinzi ishobora kunaniza imitsi y'urugingo rw'indya
• Ineffective esophageal motility - iyo imitsi ikora nabi
• Gastroesophageal reflux disease (GERD) - kugirango urebe niba kubagwa byafasha

Muganga wawe ashobora kandi gutegura iri geragezwa mbere yo kubagwa kugirango yemeze ko urugingo rw'indya ruzakora neza nyuma. Bifite akamaro cyane mbere yo kubagwa kugirango wirinde gusubira inyuma kugirango wemeze ko uburyo butazatera ibibazo byo kumira.

Ni iki gikorerwa kugirango hakorwe manometry y'urugingo rw'indya?

Uburyo bwa manometry y'urugingo rw'indya buroroshye kandi busanzwe bufata iminota 30 kugeza kuri 45. Uzaba uri maso mugihe cyose cy'igeragezwa, kandi nubwo bishobora kumvikana ko bitari byiza, mubisanzwe byihanganirwa nabantu benshi.

Mbere na mbere, ikipe yawe y'ubuzima izasobanura uburyo kandi isubize ibibazo byose ufite. Uzasabwa kwicara hejuru ku ntebe cyangwa uryame kuruhande rwawe. Umuti wo guhumuriza urashobora gukoreshwa mumazuru no mumuhogo kugirango ugabanye kutumva neza mugihe cyo gushyira urushinge.

Uruzi ruto, rufite uburebure bwa spaghetti, rwinjizwa buhoro buhoro mumazuru yawe rugashyirwa mumurongo w'urugingo rw'indya. Iki gice gishobora kumvikana ko kitari cyiza, ariko mubisanzwe bifata amasegonda make. Iyo urushinge rumaze gushyirwamo, uzasabwa kumira amazi make mugihe ibyuma bifata ibipimo by'umuvuduko.

Mugihe cy'igeragezwa, urashobora kumva ugomba kuruka cyangwa gukorora, ibyo bisanzwe rwose. Umukanishi azakuyobora mugihe cyo kumira kandi akureke uruhuke hagati y'ibipimo. Uzasanzwe ukora kumira 10 hamwe n'amazi make mugihe imashini ifata ibikorwa by'imitsi y'urugingo rw'indya.

Nyuma yo gupima byose birangiye, kateteri ikurwaho vuba. Abantu benshi bumva bahumeka neza iyo iyo tube ivuyemo, nubwo umuhogo wawe ushobora kumva ukora gato nyuma yaho.

Uko witegura gupimisha manometri ya esophageal?

Kwitegura manometri ya esophageal biroroshye, ariko gukurikiza amabwiriza neza bifasha kugira ngo ibisubizo bibe byiza. Muganga wawe azatanga amabwiriza yihariye, ariko aha hari intambwe rusange zo kwitegura ushobora kwitega.

Uzaba ukeneye guhagarika kurya no kunywa byibuze amasaha 8 mbere yo gupimwa. Iki gihe cyo kwiyiriza, gisa no kwitegura izindi nzira zo kwa muganga, gituma esophagus yawe iba isukuye kandi ibipimo biba byiza. Ubusanzwe urashobora gupimwa mu gitondo hanyuma ukarya bisanzwe nyuma yaho.

Imiti myinshi ishobora kugira ingaruka ku mikorere y'imitsi ya esophageal, bityo muganga wawe ashobora kukubwira guhagarika imiti imwe. Ibi byiteguro bifasha kugaragaza uburyo esophagus yawe ikora karemano:

• Ibintu bikumira pompe ya proton (nka omeprazole) - mubisanzwe bihagarikwa iminsi 7 mbere
• Ibintu bikumira umuyoboro wa kalisiyumu - bishobora gukenera guhagarikwa amasaha 48 mbere
• Nitrate - mubisanzwe zihagarikwa amasaha 24 mbere yo gupimwa
• Imiti ikumira spasme - mubisanzwe ihagarikwa amasaha 24 mbere
• Imiti ituma umubiri uruhuka cyangwa ikumira imitsi - bishobora gukenera kwirindwa

Ntuzigere uhagarika imiti utabanje kuvugana na muganga wawe. Bazakorana nawe kugira ngo ucunge neza imiti yawe isanzwe mugihe witegura gupimwa. Imwe mumiti ni ingenzi cyane ku buryo idahagarikwa, kandi muganga wawe azagereranya inyungu n'ibibazo.

Jya wambara imyenda yoroshye kandi wirinde kwisiga cyane cyangwa imitako yo mu ijosi. Menyesha ikipe yawe y'ubuvuzi niba ufite allergie iyo ari yo yose cyangwa niba utwite, kuko ibi bintu bishobora kugira ingaruka kuri iyi nzira.

Uko usoma ibisubizo byawe bya manometri ya esophageal?

Ibyavuye mu bipimo bya manometri ya esofage bigaragaza uko umuvuduko n'imikoranire y'imitsi mu muhogo wawe bimeze. Muganga wawe azasuzuma ibyo bipimo kugira ngo amenye niba imitsi yo mu muhogo wawe ikora neza cyangwa niba hari indwara yihariye igira ingaruka ku kumira kwawe.

Ibisubizo bisanzwe akenshi bigaragaza imikoranire y'imitsi ikora neza isunikira ibiryo mu gifu cyawe. Umuvuduko w'amazi ugomba kuba ukomeye bihagije kugira ngo ugende, kandi igihe kigomba kugenda neza kandi gikurikirana uhereye hejuru kugeza hasi.

Dore ibyo ibipimo bitandukanye bibwira muganga wawe ku birebana n'imikorere ya esofage yawe:

• Umuvuduko wa sphincter yo hepfo ya esofage - mubisanzwe 10-45 mmHg iyo iruhutse
• Umutekano wa esofage - ugomba kuba 30-180 mmHg mu mbaraga
• Igihe cy'imikoranire - imitsi igomba kugenda neza ikamanuka
• Ukuruhuka kwa sphincter - ugomba gufunguka rwose iyo umize
• Umuvuduko usigaye - ugomba kugabanuka cyane iyo umize

Ibisubizo bidasanzwe bishobora kugaragaza imitsi idakora neza, imitsi idahuzagurika, cyangwa ibibazo by'imikorere ya sphincter. Muganga wawe azasobanura icyo ibipimo byihariye bisobanuye ku ndwara yawe kandi aganire ku buryo bwo kuvura bukwiye bushingiye ku bisubizo byawe.

Igisobanuro bisaba ubuhanga, bityo muganga wawe azahuza ibisubizo by'ibizamini n'ibimenyetso byawe n'amateka yawe y'ubuvuzi kugira ngo atange icyemezo cy'ukuri. Ubu buryo bwuzuye butuma wakira gahunda yo kuvurwa ikwiye.

Ni ibihe bintu byongera ibyago byo kugira manometri ya esofage idasanzwe?

Ibintu byinshi bishobora kongera ibyago byo kugira ibisubizo bidasanzwe bya manometri ya esofage. Kumva ibyo bintu byongera ibyago bifasha wowe na muganga wawe gusobanukirwa neza ibisubizo byawe by'ibizamini no gutegura uburyo bwo kuvura bukwiye.

Imyaka ni kimwe mu bintu by'ingenzi byongera ibyago, kuko imikorere y'imitsi yo mu muhogo ihinduka uko imyaka igenda. Abantu bakuze akenshi bagira imitsi yo mu muhogo idakora neza kandi ibiryo bigatinda kugenda, ibyo bikaba bishobora kugaragara mu buryo budasanzwe mu bipimo bya manometry.

Ibi bibazo n'ibi byongera ibyago bikunze kugira ingaruka ku mikorere y'umuhogo kandi bishobora gutuma haboneka ibisubizo bitari byo mu bipimo:

• Indwara ya Gastroesophageal reflux (GERD) - kwibasirwa n'aside igihe kirekire bishobora kwangiza imitsi
• Indwara ziterwa n'ubwirinzi bw'umubiri nk'indwara ya scleroderma - zigira ingaruka ku gice cy'imitsi
• Uburwayi bwa diyabete - bushobora kwangiza imitsi igenzura imitsi yo mu muhogo
• Kubagwa mu gituza cyangwa radiyo byabayeho - bishobora gutera imitsi y'ibikomere
• Imiti imwe n'imwe - cyane cyane iyo igira ingaruka ku mikorere y'imitsi yoroshye
• Indwara zo mu bwonko - zishobora guhungabanya ibimenyetso bigenzura kumeza

Ibintu by'imibereho na byo bishobora gutuma umuhogo utagira imikorere myiza. Gukoresha inzoga nyinshi, kunywa itabi, n'imico imwe n'imwe yo kurya bishobora kugira ingaruka ku mikoranire y'imitsi uko imyaka igenda. Umunaniro n'umujinya rimwe na rimwe bishobora gutuma ibimenyetso byo kumeza birushaho kuba bibi, nubwo bidasanzwe bitera indwara z'umuhogo z'ibanze.

Kugira ibintu byongera ibyago ntibisobanura ko uzagira ibisubizo bitari byo, ariko bifasha muganga wawe gusobanukirwa icyo ibimenyetso byawe bivuga n'ibisubizo by'ibipimo.

Ni izihe ngaruka zishobora guterwa n'ibisubizo bitari byo bya manometry y'umuhogo?

Isubizo bitari byo bya manometry y'umuhogo akenshi agaragaza indwara zishobora gutera ingaruka niba zitavuwe. Gusobanukirwa izi ngaruka zishobora guterwa bifasha gusobanukirwa impamvu gupimwa no kuvurwa neza ari iby'ingenzi ku buzima bwawe bw'igihe kirekire.

Ikintu cyihutirwa cyane ni ugutinda kumeza, bishobora kugira ingaruka ku mirire yawe n'imibereho yawe. Iyo ibiryo bitagenda neza mu muhogo wawe, ushobora kwirinda ibiryo bimwe na bimwe cyangwa ukarya bike, bishobora gutuma ugabanya ibiro cyangwa ukabura intungamubiri.

Ibi nibyo bibazo bikomeye bishobora guterwa n’indwara zo mu muhogo zitavuwe:

• Umuriro wo mu bihaha uterwa no kunanirwa guhumeka - iyo ibiryo cyangwa amazi yinjira mu bihaha byawe
• Kubura imirire - bitewe no kwirinda ibiryo cyangwa kurya bike bitewe no kugorwa no kumira
• Kwaguka k'umuhogo - kwaguka k'umuhogo bitewe n'ibiryo byinshi byasubiye inyuma
• Gastroesophageal reflux ikabije - iyo sphincter yo hepfo idakora neza
• Esophagitis - kubyimba bitewe no guhura n'aside cyangwa kurakarira ibiryo
• Barrett's esophagus - impinduka zibanza kanseri ziterwa no guhura n'aside igihe kirekire

Mu bihe bidasanzwe, indwara zikomeye zo mu muhogo zishobora gutera ibibazo bikomeye. Abantu bamwe bagira indwara zo mu myanya y'ubuhumekero zigaruka ziterwa no kunanirwa guhumeka, mu gihe abandi bashobora kugabanya ibiro bikabije bisaba ubuvuzi.

Inkuru nziza ni uko ibibazo byinshi birindwa n'imiti ikwiye. Muganga wawe ashobora kugusaba imiti yo kunoza imikorere y'umuhogo no kugabanya ibyago byo guhura n'ibi bibazo.

Ni ryari nkwiriye kubona umuganga kugira ngo akore esophageal manometry?

Ukwiriye gutekereza kubona umuganga kuri esophageal manometry niba ufite ingorane zihoraho zo kumira cyangwa kuribwa mu gituza bitasobanutse. Ibi bimenyetso bishobora kugira ingaruka zikomeye ku buzima bwawe bwa buri munsi kandi bishobora kugaragaza indwara zivurwa.

Impamvu isanzwe yo gushaka ubuvuzi ni ugugorwa no kumira bitagira icyo bitanga. Ibi bishobora kumvikana nk'ibiryo bigumye mu gituza cyawe, kuribwa iyo umira, cyangwa gukenera kunywa amazi menshi kugira ngo ibiryo bigende.

Vugana na muganga wawe niba ufite kimwe muri ibi bimenyetso bishobora kugaragaza indwara yo mu muhogo:

• Ibyokurya bihora byumvikana nk'ibifashe mu gituza cyangwa mu muhogo
• Urubavu ruturuka mu gituza rutajyanye n'umutima wawe
• Kugaruka kenshi kw'ibyo kurya bitarashonga
• Kugorana kumeza ibintu bikomeye n'ibifite amazi
• Gutakaza ibiro ku buryo butunguranye bitewe n'ibibazo byo kurya
• Indwara z'ubuhumekero zigaruka zishobora guterwa no gukora aspiration

Ugomba kwihutira gushaka ubufasha bw'abaganga niba wumva ugoranye cyane kumeza, urubavu ruturuka mu gituza ruri kumwe no guhumeka bigoranye, cyangwa ibimenyetso bya aspiration nk'ukurura ibyo kurya cyangwa indwara z'ibihaha zigaruka.

Umuvuzi wawe wibanze ashobora gusuzuma ibimenyetso byawe akakohereza kwa muganga w'inzobere mu nda niba bibaye ngombwa. Uwo mwuga ashobora kumenya niba esophageal manometry yagufasha mu gusuzuma uburwayi bwawe no gutegura imiti.

Ibikunze kubazwa kuri esophageal manometry

Q.1 Ese ikizamini cya esophageal manometry ni cyiza mu gusuzuma GERD?

Esophageal manometry si ikizamini cyibanze cyo gusuzuma GERD, ariko gitanga amakuru y'agaciro ku mikorere yawe ya esophageal. Iki kizamini gifitiye akamaro kanini mugihe muganga wawe azirikana kubaga kugirango akureho reflux cyangwa mugihe ufite ibimenyetso bya GERD bititabira imiti isanzwe.

Iki kizamini gifasha muganga wawe gusobanukirwa niba sphincter yawe yo hepfo ya esophageal ikora neza niba imitsi yawe ya esophageal ishobora gukuraho aside neza. Aya makuru ni ingenzi mugutegura uburyo bwo kuvura neza, cyane cyane niba imiti itagenzura ibimenyetso byawe bihagije.

Q.2 Ese esophageal manometry idasanzwe itera kanseri?

Ibyavuye muri esophageal manometry idasanzwe ntibitera kanseri ku buryo butaziguye, ariko zimwe muri izo ndwara zigaragazwa n'ikizamini zishobora kongera ibyago bya kanseri uko igihe kigenda.

Ariko, indwara nka GERD ikomeye cyangwa achalasia, zishobora kumenyekana hakoreshejwe manometry, zishobora gutera umuvumo urambye cyangwa impinduka mu mitsi zongera gato ibyago byo kurwara kanseri y'umuhogo. Kugenzura buri gihe no kuvura neza bifasha kugenzura ibyo byago neza.

Q.3 Ese manometry y'umuhogo ikora neza ku kigero kingana iki?

Manometry y'umuhogo ikora neza cyane mu gusuzuma indwara zifitanye isano n'imikorere y'umuhogo, aho igipimo cy'ubunyamwuga kiba hejuru ya 90% iyo ikozwe n'abatekinisiye b'inararibonye. Ifatwa nk'igerageza ryo mu rwego rwo hejuru mu gusuzuma imikorere y'imitsi y'umuhogo n'imikoranire yayo.

Ubunyamwuga bw'iryo gerageza bushingiye ku myiteguro ikwiriye, imikorere y'ubuhanga, n'ubusesenguzi bw'inzobere. Gukurikiza amabwiriza mbere y'igerageza neza no gukorana n'abaganga b'inararibonye bituma haboneka ibisubizo byizewe cyane mu gusuzuma no gutegura uburyo bwo kuvura.

Q.4 Ese manometry y'umuhogo irababaza?

Manometry y'umuhogo ntibabaza cyane, ariko biragoye. Abantu benshi babivuga nk'uko bamera iyo bafite urushinge ruto mu muhogo wabo, bisa n'uko bimeze mu zindi nzira z'ubuvuzi zikorerwa mu mazuru no mu muhogo.

Kwinjiza kateteri mu mazuru yawe bishobora gutera kutoroherwa by'igihe gito, kandi ushobora kumva uruka cyangwa ukora inkorora. Ariko, ibyo bimenyetso biba by'akanya gato kandi birashobora kugenzurwa. Umuti wo guhumeka ushyirwa mbere y'igikorwa ufasha kugabanya kutoroherwa mu gihe cyo kwinjiza.

Q.5 Bifata igihe kingana iki kugira ngo ubone ibisubizo bya manometry y'umuhogo?

Ibisubizo bya manometry y'umuhogo akenshi biboneka mu minsi mike kugeza ku cyumweru nyuma y'igerageza ryawe. Kompyuta ikora ibipimo by'umuvuduko ako kanya, ariko inzobere ikeneye igihe cyo gusesengura neza uko ibintu bikurikirana no gutanga ibisobanuro birambuye.

Muganga wawe akenshi azategura gahunda yo gusubira kwa muganga kugira ngo baganire ku ngaruka z'ibizamini kandi asobanure icyo bisobanuye ku buzima bwawe. Ibi bitanga umwanya wo gusesengura neza kandi bikaguha amahirwe yo kubaza ibibazo ku byavuye mu isuzuma ryawe n'uburyo bwo kuvura.