Chii chinonzi Esophageal Manometry? Chinangwa, Miviri/Maitiro & Mhedzisiro

Esophageal manometry imuedzo unoyera kuti esophagus yako inoshanda sei paunomedza. Fungidzira seimwe nzira yekutarisa simba uye kubatana kwemhasuru dziri mupombi yako yechikafu. Maitiro aya akapfava anobatsira vanachiremba kunzwisisa kana matambudziko ako ekumedza achibva kusimba remhasuru, kusabatana zvakanaka, kana dzimwe nyaya mu esophagus yako.

Chii chinonzi esophageal manometry?

Esophageal manometry inoyera kumanikidzwa uye kufamba kwemhasuru mu esophagus yako. Esophagus yako ndiyo chubhu inotakura chikafu kubva mumuromo wako kuenda mudumbu rako, uye inoda kusvina mumafambiro akabatana akafanana nemafungu kuti idzivise chikafu pasi zvakanaka.

Munguva yemuedzo, chubhu yakatetepa, inochinjika ine sensors yekumanikidza inoiswa zvinyoro-nyoro nemumhino yako uye mu esophagus yako. Aya ma sensors anoona kuti mhasuru dzako dze esophageal dzakasimba sei uye kana dzichishanda pamwe chete zvakanaka. Muedzo unotora anenge maminitsi makumi matatu uye unopa ruzivo rwakakosha nezve basa rako rekumedza.

Maitiro aya anonziwo esophageal motility testing nekuti inonyatso tarisa kuti esophagus yako inofambisa sei chikafu. Inoonekwa seyakajairika yegoridhe yekuwana matambudziko ekumedza ane chekuita nebasa remhasuru.

Nei esophageal manometry ichiitwa?

Chiremba wako angakurudzira esophageal manometry kana uine matambudziko ekumedza kana uchinzwa kurwadziwa muchipfuva kusingaenderane nemoyo. Muedzo uyu unobatsira kuziva chikonzero chematambudziko ako kuitira kuti uwane kurapwa kwakakodzera.

Chikonzero chakajairika chemuedzo uyu ndicho chinetso chekumedza, icho vanachiremba vanoti dysphagia. Unogona kunzwa sekunge chikafu chinonamatira muchipfuva chako, kana kuti unogona kurwadziwa paunomedza. Vamwe vanhu vanoonawo regurgitation, uko chikafu chinodzoka mushure mekumedza.

Heano mamiriro makuru ayo muedzo uyu unogona kubatsira kuongorora:

• Achalasia - apo sphincter yepasi ye'esophageal haizorore zvakanaka
• Esophageal spasms - kusagadzikana kwemhasuru kunogona kukonzera kurwadziwa muchipfuva
• Scleroderma - mamiriro e-autoimmune anogona kuita kuti mhasuru dze'esophageal dzive dzisina simba
• Ineffective esophageal motility - apo mhasuru dzinenge dzisina simba
• Gastroesophageal reflux disease (GERD) - kuongorora kana kuvhiyiwa kungabatsira

Chiremba wako anogonawo kuraira bvunzo iyi pamberi pekuvhiyiwa kumwe kuti ave nechokwadi chekuti esophagus yako ichashanda zvakanaka mushure meizvozvo. Izvi zvinonyanya kukosha pamberi pekuvhiyiwa kwe-anti-reflux kuti uve nechokwadi chekuti maitiro acho haazokonzeri matambudziko ekumedza.

Ndeipi nzira ye'esophageal manometry?

Nzira ye'esophageal manometry yakatwasuka uye inowanzo tora maminitsi makumi matatu kusvika makumi mana nemashanu. Ucharamba wakamuka panguva yebvunzo yese, uye kunyangwe zvichigona kunzwa kusagadzikana, zvinowanzotsungirirwa zvakanaka nevakawanda.

Kutanga, chikwata chako chehutano chichatsanangura maitiro acho uye kupindura chero mibvunzo yaunayo. Uchakumbirwa kugara wakatwasuka pachigaro kana kurara padivi rako. Mvura yekunyaradza inogona kushandiswa pamhino yako nehuro kuti ideredze kusagadzikana panguva yekuisa chubhu.

Katheta yakatetepa, inenge yakafara sechidimbu chespaghetti, inoiswa zvinyoro-nyoro nemumhino yako uye inotungamirirwa pasi mu'esophagus yako. Chikamu ichi chinogona kunzwa kusagadzikana, asi chinowanzo gara masekondi mashoma. Kana chubhu yaiswa, uchakumbirwa kumedza mvura shoma paunenge uchiona zviyero zvekuoma.

Panguva yebvunzo, unogona kunzwa uchida kugagura kana kukosora, izvo zvakajairika zvachose. Technician ichakutungamirira kuburikidza nekumedza kwega kwega uye kukurega uchizorora pakati pezviyero. Iwe unowanzoita gumi ekumedza nemvura shoma paunenge uchiona mhasuru dze'esophageal dzichishanda.

Mushure mekupera kuyera kwese, katheta inobviswa nekukurumidza. Vanhu vazhinji vanonzwa zororo kana chubhu yabuda, kunyangwe pahuro pako panganzwa zvishoma zvichikwenya kwenguva pfupi mushure.

Maitiro ekugadzirira esophageal manometry yako?

Kugadzirira esophageal manometry kuri nyore, asi kutevera mirairo nekuchenjerera kunobatsira kuona mhedzisiro chaiyo. Chiremba wako achapa gwara rakatarwa, asi heano matanho ekugadzirira aunogona kutarisira.

Unofanirwa kumira kudya nekunwa kwemaawa angangoita 8 usati waita bvunzo yako. Iyi nguva yekutsanya, yakafanana nekugadzirira mamwe maitiro ekurapa, inoita kuti esophagus yako isina chinhu uye kuyerwa kwacho kuri kwakaringana. Unogona kazhinji kuita bvunzo yako mangwanani uye kudya zvakajairika mushure.

Mishonga yakati wandei inogona kukanganisa basa remhasuru ye esophageal, saka chiremba wako angakukumbira kuti umise mishonga yakati wandei kwenguva pfupi. Aya magadzirirwo anobatsira kuona kuti bvunzo inoratidza mashandiro anoita esophagus yako:

• Proton pump inhibitors (senge omeprazole) - kazhinji inoiswa mazuva manomwe asati aitwa
• Calcium channel blockers - inogona kuda kumiswa maawa makumi mana nemasere asati aitwa
• Nitrates - kazhinji inoiswa maawa makumi maviri nemana asati aitwa bvunzo
• Antispasmodic mishonga - kazhinji inoregedzwa maawa makumi maviri nemana asati aitwa
• Sedatives kana muscle relaxants - inogona kuda kudziviswa

Usambomisa mishonga usina kutaura nachiremba wako kutanga. Vachashanda newe kuti utarise zvakachengeteka mishonga yako yenguva dzose uchigadzirira bvunzo. Dzimwe mishonga dzakakosha zvekuti dzimire, uye chiremba wako achayerera mabhenefiti nenjodzi.

Pfeka mbatya dzakanaka uye dzivisa makeup inorema kana zvishongo pamutsipa wako. Zivisa timu yako yekuchengetedza hutano kana uine chero allergies kana kana wakamirira, sezvo izvi zvingakanganisa maitiro acho.

Maitiro ekuverenga mhedzisiro yako ye esophageal manometry?

Mhedzisiro ye esophageal manometry inoratidza maitiro ekumanikidza uye kubatana kwemhasuru mu esophagus yako. Chiremba wako achatarisa zviyero izvi kuti aone kana mhasuru dzako dze esophageal dzichishanda zvakajairika kana kana paine chirwere chakati chinokanganisa kumedza kwako.

Mhedzisiro yakajairika inowanzo ratidza kubatana kwemhasuru kunoshanda zvinobudirira zvichisunda chikafu kunzvimbo yako yemudumbu. Mafungu ekumanikidza anofanira kuve akasimba zvakakwana kuti afambise chikafu, uye nguva yacho inofanira kuve yakatsetseka uye yakatevedzana kubva kumusoro kusvika pasi.

Hezvino zvinoyera zvakasiyana zvinoudza chiremba wako nezve basa rako re esophageal:

• Kumanikidzwa kwepasi esophageal sphincter - kazhinji 10-45 mmHg kana yakasununguka
• Esophageal body contractions - inofanira kuve 30-180 mmHg musimba
• Kubatana nguva - contractions inofanira kufambira mberi zvakanaka pasi
• Sphincter relaxation - inofanira kuvhurika zvakakwana paunomedza
• Residual pressure - inofanira kudonha kusvika kumazinga akaderera panguva yekumedza

Mhedzisiro isina kujairika inogona kuratidza kusagadzikana, kufamba kwemhasuru dzisina kubatana, kana matambudziko nebasa re sphincter. Chiremba wako achatsanangura kuti maitiro chaiwo anorevei kune mamiriro ako uye achakurukura sarudzo dzakakodzera dzekurapa zvichibva pamhedzisiro yako.

Kududzira kunoda hunyanzvi, saka chiremba wako achabatanidza mhedzisiro yekuyedzwa nezviratidzo zvako uye nhoroondo yako yekurapa kuti aite kuongororwa kwakaringana. Iyi nzira yakazara inovimbisa kuti unogamuchira chirongwa chekurapa chakakodzera.

Ndezvipi zvinhu zvine njodzi zve abnormal esophageal manometry?

Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuve nemhedzisiro isina kujairika ye esophageal manometry. Kunzwisisa izvi zvinhu zvine njodzi zvinokubatsira iwe nachiremba wako kuti ududzire zviri nani mhedzisiro yako yekuyedzwa uye uronge kurapwa kwakakodzera.

Zera ndechimwe chezvinhu zvine njodzi zvikuru, sezvo kushanda kwemhasuru dzeesophageal kuchichinja zvakasikwa nekufamba kwenguva. Vanhu vakuru vanowanzoona kusimba kwemhasuru dzeesophageal uye kufamba kwekudya kunonoka, izvo zvinogona kuratidza semaitiro asina kujairika pakuongorora kwe manometry.

Mamiriro aya uye zvinhu zvinowanzoita basa rekushanda kweesophageal uye zvinogona kutungamira kumigumisiro yekuongorora isina kujairika:

• Gastroesophageal reflux disease (GERD) - kuratidzwa kweacid kwenguva refu kunogona kukuvadza mhasuru
• Zvirwere zveAutoimmune zvakaita se scleroderma - zvinokanganisa zvakananga tishu yemhasuru
• Diabetes - inogona kukuvadza tsinga dzinodzora mhasuru dzeesophageal
• Kuvhiyiwa kwechipfuva kana radiation yapfuura - inogona kukonzera kuumbwa kwetishu yemaronda
• Mishonga yakati wandei - kunyanya iyo inokanganisa kushanda kwemhasuru yakatsetseka
• Mamiriro eNeurological - anogona kukanganisa zviratidzo zvinodzora kumedza

Zvikonzero zvemararamiro zvinogona zvakare kuita kuti esophageal dysfunction. Kushandisa doro zvakanyanya, kusvuta, uye tsika dzekudya dzakati wandei dzinogona kukanganisa kubatana kwemhasuru nekufamba kwenguva. Kushushikana nekushushikana dzimwe nguva kunogona kuwedzera zviratidzo zvekumedza, kunyangwe kazhinji kazhinji hazvikonzerese zvirwere zveesophageal zvekutanga.

Kuva nezvinhu zvine njodzi hazvireve kuti zvechokwadi uchava nemigumisiro isina kujairika, asi zvinobatsira chiremba wako kunzwisisa mamiriro ezvinhu ezviratidzo zvako uye zviwanikwa zvekuongorora.

Ndezvipi zvipingamupinyi zvinogona kuitika zveesophageal manometry isina kujairika?

Mhedzisiro yeesophageal manometry isina kujairika inowanzo ratidza mamiriro ari pasi ayo anogona kutungamira kumatambudziko kana akasiyiwa asina kurapwa. Kunzwisisa matambudziko aya anogona kukubatsira kunzwisisa kuti sei kuongororwa kwakakodzera uye kurapwa zvakakosha kuhutano hwako hwenguva refu.

Kunetsekana kwakanyanya kazhinji kunowanzo kuva kuoma kumedza, izvo zvinogona kukanganisa chikafu chako uye mhando yehupenyu. Kana chikafu chisina kufamba zvakanaka kuburikidza neesophagus yako, unogona kudzivisa zvimwe zvekudya kana kudya zvishoma, zvichikonzera kurasikirwa uremu kana kushomeka kwezvokudya.

Hezvino zvinhu zvikuru zvinogona kumuka kubva mukusabatwa kwezvirwere zve esophageal motility:

• Aspiration pneumonia - kana chikafu kana mvura zvikapinda mumapapu ako
• Malnutrition - kubva pakudzivisa chikafu kana kudya zvishoma nekuda kwekuoma kumedza
• Esophageal dilation - kukura kwe esophagus kubva pakudzoka kwechikafu
• Severe gastroesophageal reflux - kana sphincter yepasi isingashande zvakanaka
• Esophagitis - kuzvimba kubva pakubatwa neasidhi kana kutsamwa kwechikafu
• Barrett's esophagus - shanduko isati yava kenza kubva pakubatwa neasidhi kwenguva refu

Muzviitiko zvisingawanzoitiki, zvirwere zvakakomba zvemotility zvinogona kutungamira kumatambudziko akakomba. Vamwe vanhu vanowana hutachiona hwekufema hunodzoka kubva ku aspiration, nepo vamwe vachigona kuona kurasikirwa kukuru kwehuremu hunoda kupindira kwekurapa.

Mashoko akanaka ndewekuti matambudziko mazhinji anogona kudzivirirwa nekubata kwakakodzera. Chiremba wako anogona kukurudzira kurapwa kuti uvandudze basa re esophageal uye kuderedza njodzi yako yekuvandudza matambudziko aya.

Ndinofanira kuona chiremba rini kuti ndiende ku esophageal manometry?

Unofanira kufunga kuona chiremba nezve esophageal manometry kana uri kusangana nematambudziko ekumedza anoramba achiitika kana kurwadziwa muchipfuva kusingatsanangurwi. Zviratidzo izvi zvinogona kukanganisa zvikuru hupenyu hwako hwezuva nezuva uye zvinogona kuratidza mamiriro anogona kurapwa.

Chikonzero chakajairika chekutsvaga rubatsiro rwekurapa ndiko kuoma kumedza kusingavandudzike pachako. Izvi zvinogona kunzwa sekunge chikafu chakanamatira muchipfuva chako, kurwadziwa paunomedza, kana kuda kunwa mvura yakawanda kuti uwane chikafu pasi.

Taura nachiremba wako kana uri kusangana nezviratidzo izvi zvinogona kuratidza esophageal motility disorder:

• Kudya kunogara kuchinzwa sekunge kwakamira muchipfuva chako kana pahuro
• Kurwadziwa muchipfuva kusina hukama nemoyo wako
• Kudzoka kazhinji kwekudya kusina kugayiwa
• Kutadza kumedza zvese zvakasimba nezvinwiwa
• Kurasikirwa uremu kusingadiwi nekuda kwematambudziko ekudya
• Zvirwere zvekufema zvinodzoka zvinogona kunge zvichikonzerwa nekufemera mukati

Unofanira kutsvaga rubatsiro rwekurapa nekukasira kana ukaona kutadza kumedza kamwe kamwe, kwakanyanya, kurwadziwa muchipfuva nekufema kwemhepo, kana zviratidzo zvekufemera mukati sekukosora chikafu kana zvirwere zvemapapu zvinowanzoitika.

Chiremba wako wekutanga anogona kuongorora zviratidzo zvako uye kukutumira kune gastroenterologist kana zvichidikanwa. Nyanzvi inogona kuona kana esophageal manometry ichabatsira pakuongorora mamiriro ako uye kuronga kurapwa.

Mibvunzo inowanzo bvunzwa nezve esophageal manometry

Q.1 Ko bvunzo ye esophageal manometry yakanaka pakuongorora GERD here?

Esophageal manometry haisi bvunzo yekutanga yekuongorora GERD, asi inopa ruzivo rwakakosha nezve basa rako reesophageal. Bvunzo iyi inonyanya kubatsira kana chiremba wako achifunga nezvekuvhiyiwa kweanti-reflux kana kana uine zviratidzo zveGERD zvisingapinduri kurapwa kwakajairika.

Bvunzo iyi inobatsira chiremba wako kunzwisisa kana yako yepasi esophageal sphincter ichishanda nemazvo uye kana tsandanyama dzako dzeesophageal dzinogona kubvisa acid zvinobudirira. Ruzivo urwu rwakakosha pakuronga nzira yakanakisa yekurapa, kunyanya kana mishonga isingadzore zviratidzo zvako zvakakwana.

Q.2 Ko esophageal manometry isina kujairika inokonzera gomarara here?

Mhedzisiro ye esophageal manometry isina kujairika haiite gomarara zvakananga, asi mamwe mamiriro ari pasi anowanikwa nebvunzo anogona kuwedzera njodzi yegomarara nekufamba kwenguva. Bvunzo yacho pachayo ndeyekuongorora uye haawedzere njodzi yako yegomarara chero nzira.

Asi, mamiriro akaita seGERD yakanyanya kana achalasia, anogona kuzivikanwa kuburikidza nemanometry, anogona kutungamira mukuzvimba kusingaperi kana shanduko yematishu inowedzera zvishoma njodzi yegomarara reesophageal. Kuongorora nguva dzose uye kurapwa kwakakodzera kunogona kubatsira kubata njodzi idzi nemazvo.

Q.3 Manometry ye esophageal yakanyatsojeka sei?

Esophageal manometry yakanyatsojeka pakuongorora matambudziko eesophageal motility, ine chiyero chekururama chinowanzoita pamusoro pe90% kana ichiitwa nevashandi vane ruzivo. Inoonekwa seyakajairika bvunzo yekuongorora basa remhasuru yeesophageal uye kubatana.

Kururama kwebvunzo kunoenderana nekugadzirira kwakakodzera, kuita hunyanzvi, uye kududzirwa kwenyanzvi. Kutevera mirairo yekutanga-bvunzo nekuchenjerera uye kushanda nevapi vehutano vane ruzivo kunovimbisa mhedzisiro yakavimbika yekuwongorora kwako uye kuronga kurapwa.

Q.4 Manometry ye esophageal inorwadza here?

Esophageal manometry haina kunaka asi kazhinji haina kurwadza. Vanhu vazhinji vanotsanangura sekunzwa sekunge vaine chubhu yakatetepa muhuro mavo, yakafanana nekunzwa panguva yemamwe maitiro ekurapa anosanganisira mhino nehuro.

Kuiswa kwe catheter kuburikidza nemhino yako kunogona kukonzera kusagadzikana kwenguva pfupi, uye unogona kunzwa sekunge uri kugeda kana kukosora. Zvisinei, izvi zvinonzwa zvipfupi uye zvinogoneka. Muto wekunyaradza unoiswa pamberi pekuita unobatsira kuderedza kusagadzikana panguva yekuisa.

Q.5 Zvinotora nguva yakareba sei kuti uwane mhedzisiro ye esophageal manometry?

Mhedzisiro ye esophageal manometry inowanzo kuwanikwa mukati memazuva mashoma kusvika vhiki mushure mebvunzo yako. Komputa inogadzira kuyerwa kwekumanikidzwa nekukasira, asi nyanzvi inoda nguva yekuongorora zvinyatsoitika uye kupa dudziro yakazara.

Chiremba wenyu anowanzo ronga musangano wekutevera kuti akurukure mhedzisiro uye kutsanangura zvinoreva mamiriro enyu. Izvi zvinopa nguva yekuferefeta kwakakodzera uye zvinokupa mukana wekubvunza mibvunzo pamusoro pekuongororwa kwenyu uye sarudzo dzekurapa.