Yini i-Esophageal Manometry? Inhloso, Amazinga/Inqubo & Imiphumela

I-Esophageal manometry iyisivivinyo esilinganisa ukuthi umphimbo wakho usebenza kahle kangakanani uma ugwinya. Cabanga ngayo njengendlela yokuhlola amandla nokuhleleka kwemisipha eshubhini lakho lokudla. Le nqubo enobumnene isiza odokotela ukuthi baqonde ukuthi ngabe izinkinga zakho zokugwinya zivela ebuthakathakeni bemisipha, ukungahleleki kahle, noma ezinye izinkinga emphinjeni wakho.

Yini i-esophageal manometry?

I-Esophageal manometry ilinganisa ingcindezi nokunyakaza kwemisipha emphinjeni wakho. Umphimbo wakho uyishubhu elithwala ukudla emlonyeni wakho liyise esiswini sakho, futhi kudingeka licindezele ngendlela ehlelekile efana negagasi ukuze lishukumise ukudla phansi ngendlela efanele.

Ngesikhathi sokuhlolwa, ishubhu elincanyana, eliguquguqukayo elinamasensa okucindezela libekwa ngobumnene ngamakhala akho nangaphakathi emphinjeni wakho. Lawa masensa athola ukuthi imisipha yakho yomphimbo inamandla kangakanani nokuthi ngabe isebenza kahle ndawonye. Ukuhlolwa kuthatha imizuzu engaba ngu-30 futhi kunikeza ulwazi olubalulekile mayelana nomsebenzi wakho wokugwinya.

Le nqubo ibizwa nangokuthi ukuhlolwa kokunyakaza komphimbo ngoba ibheka ngqo ukuthi umphimbo wakho uhambisa kanjani ukudla. Kuthathwa njengezinga legolide lokuxilonga izifo zokugwinya ezihlobene nomsebenzi wemisipha.

Kungani kwenziwa i-esophageal manometry?

Udokotela wakho angase ancome i-esophageal manometry uma unenkinga yokugwinya noma uzwa ubuhlungu besifuba obungahlobene nenhliziyo. Lolu vivinyo lusiza ukukhomba imbangela yezimpawu zakho ukuze uthole ukwelashwa okufanele.

Isizathu esivame kakhulu salolu vivinyo ubunzima bokugwinya, odokotela abakubiza ngokuthi i-dysphagia. Ungase uzizwe sengathi ukudla kunamathela esifubeni sakho, noma ungase uzwe ubuhlungu lapho ugwinya. Abanye abantu futhi bahlangabezana nokuhlanza, lapho ukudla kubuya emuva ngemva kokugwinya.

Nawa amakhondishini amakhulu lolu vivinyo olungasiza ukuwaxilonga:

• I-Achalasia - uma i-sphincter ephansi ye-esophageal ingakhululeki kahle
• Ama-esophageal spasms - ukuqina kwemisipha okungajwayelekile okungabangela ubuhlungu besifuba
• I-Scleroderma - isimo se-autoimmune esingenza buthakathaka imisipha ye-esophageal
• Ukuhamba kwe-esophageal okungasebenzi kahle - uma ukuqina kwemisipha kubuthakathaka kakhulu
• Isifo se-Gastroesophageal reflux (GERD) - ukuhlola ukuthi ukuhlinzwa kungasiza yini

Udkt wakho angase futhi ayale leli test ngaphambi kokuhlinzwa okuthile ukuze aqinisekise ukuthi i-esophagus yakho izosebenza kahle ngemva kwalokho. Kubaluleke kakhulu ngaphambi kokuhlinzwa okuphikisana ne-reflux ukuqinisekisa ukuthi inqubo ngeke ibangele izinkinga zokugwinya.

Yini inqubo ye-esophageal manometry?

Inqubo ye-esophageal manometry iqondile futhi ngokuvamile ithatha imizuzu engama-30 kuya kwengama-45. Uzobe uvukile ngesikhathi sonke sokuhlolwa, futhi ngenkathi kungase kuzizwe kungakhululekile, kuvamile ukuthi kuthathwe kahle ngabantu abaningi.

Okokuqala, ithimba lakho lokunakekela impilo lizochaza inqubo futhi liphendule noma yimiphi imibuzo onayo. Uzocelwa ukuthi uhlale uqonde esihlalweni noma ulale ngohlangothi lwakho. Isifutho sokuthulisa singase sisetshenziswe ekhaleni nasemphinjeni wakho ukunciphisa ukungakhululeki ngesikhathi sokufakwa kweshubhu.

I-catheter encane, cishe ububanzi bengxenye ye-spaghetti, ifakwa ngobumnene ngekhala lakho futhi iqondiswe phansi ku-esophagus yakho. Le ngxenye ingazizwa ingakhululekile, kodwa ngokuvamile ihlala imizuzwana embalwa nje. Uma ishubhu selingene, uzocelwa ukuthi ugwinye amanzi amancane ngenkathi izinzwa ziqopha izilinganiso zengcindezi.

Ngesikhathi sokuhlolwa, ungase uzwe isifiso sokugwinya noma ukukhwehlela, okujwayelekile ngokuphelele. Uchwepheshe uzokuqondisa ngokugwinya ngakunye futhi akuvumele uphumule phakathi kwezilinganiso. Ngokuvamile uzoqhuba ukugwinya okungu-10 ngamanzi amancane ngenkathi umshini uqopha umsebenzi wemisipha ye-esophageal yakho.

Ngemva kokuba zonke izilinganiso seziqediwe, ikhathetha isuswa ngokushesha. Abantu abaningi bazizwa bekhululekile uma leli shubhu selisusiwe, nakuba umphimbo wakho ungase uzizwe ukhuhlekile kancane ngemva kwesikhashana.

Ungalungiselela kanjani i-esophageal manometry yakho?

Ukulungiselela i-esophageal manometry kulula, kodwa ukulandela imiyalelo ngokucophelela kusiza ekuqinisekiseni imiphumela enembile. Udokotela wakho uzohlinzeka ngemihlahlandlela ethile, kodwa nazi izinyathelo zokulungiselela ezivamile ongazilindela.

Kuzodingeka uyeke ukudla nokuphuza okungenani amahora angu-8 ngaphambi kokuhlolwa kwakho. Lesi sikhathi sokuzila ukudla, esifana nokulungiselela ezinye izinqubo zezokwelapha, siqinisekisa ukuthi umphimbo wakho awunalutho futhi izilinganiso zinembile. Ngokuvamile ungenza ukuhlolwa kwakho ekuseni futhi udle ngokujwayelekile ngemva kwalokho.

Imithi eminingana ingathinta ukusebenza kwemisipha ye-esophageal, ngakho udokotela wakho angase akucele ukuthi uyeke imithi ethile okwesikhashana. Lokhu kulungiselela kusiza ekuqinisekiseni ukuthi ukuhlolwa kubonisa ukuthi i-esophagus yakho isebenza kanjani ngokwemvelo:

• Ama-proton pump inhibitors (njenge-omeprazole) - ngokuvamile ayekiswa izinsuku eziyi-7 ngaphambi kokuhlolwa
• Ama-calcium channel blockers - kungase kudingeke ukuthi amise amahora angama-48 ngaphambi kokuhlolwa
• Ama-nitrate - ngokuvamile ayekiswa amahora angama-24 ngaphambi kokuhlolwa
• Imithi elwa ne-antispasmodic - ngokuvamile iyekiswa amahora angama-24 ngaphambi kokuhlolwa
• Ama-sedatives noma ama-muscle relaxants - kungase kudingeke ukuthi agwenywe

Ungalokothi uyeke imithi ngaphandle kokukhuluma nodokotela wakho kuqala. Bazosebenza nawe ukuze baphathe ngokuphepha imithi yakho ejwayelekile ngenkathi ulungiselela ukuhlolwa. Eminye imithi ibaluleke kakhulu ukuthi iyekiswe, futhi udokotela wakho uzohlola izinzuzo nezingozi.

Gqoka izingubo ezikhululekile futhi ugweme ukuzithambisa okukhulu noma ubucwebe entanyeni yakho. Yazisa ithimba lakho lezempilo uma unezinto ozwelayo noma uma ukhulelwe, njengoba lezi zinto zingase zithinte inqubo.

Ungayifunda kanjani imiphumela yakho ye-esophageal manometry?

Imiphumela ye-esophageal manometry ikhombisa amaphethini okucindezela nokuhlangana kwemisipha e-esophagus yakho. Udokotela wakho uzobukeza lezi zilinganiso ukuze anqume ukuthi imisipha yakho ye-esophageal isebenza ngendlela ejwayelekile noma ngabe kukhona isifo esithinta ukugwinya kwakho.

Imiphumela ejwayelekile ngokuvamile ikhombisa ukuhlangana kwemisipha okuhlelekile okuqhubela ukudla esiswini sakho ngempumelelo. Amaza okucindezela kufanele abe namandla ngokwanele ukuhambisa ukudla, futhi isikhathi kufanele sibe bushelelezi futhi silandelane ukusuka phezulu kuye phansi.

Nakhu okushiwo yizilinganiso ezihlukene kudokotela wakho mayelana nomsebenzi wakho we-esophageal:

• Ukucindezela kwe-lower esophageal sphincter - ngokuvamile 10-45 mmHg lapho kukhululekile
• Ukuhlangana komzimba we-esophageal - kufanele kube namandla angu-30-180 mmHg
• Isikhathi sokuhlangana - ukuhlangana kufanele kuqhubeke ngokushelela phansi
• Ukuphumula kwe-Sphincter - kufanele kuvuleke ngokuphelele uma ugwinya
• Ukucindezela okusele - kufanele lehle liye emazingeni aphansi kakhulu ngesikhathi sokugwinya

Imiphumela engajwayelekile ingase ikhombise ukuhlangana okubuthakathaka, ukunyakaza kwemisipha okungahlelekile, noma izinkinga ngomsebenzi we-sphincter. Udokotela wakho uzochaza ukuthi amaphethini athile asho ukuthini ngesimo sakho futhi axoxe ngezinketho zokwelapha ezifanele ngokuya ngemiphumela yakho.

Ukuhumusha kudinga ubuchwepheshe, ngakho-ke udokotela wakho uzohlobanisa imiphumela yokuhlolwa nezimpawu zakho nomlando wakho wezokwelapha ukuze enze ukuxilongwa okunembile. Le ndlela ebanzi iqinisekisa ukuthi uthola uhlelo lokwelapha olufanele kakhulu.

Ziyini izici eziyingozi ze-esophageal manometry engajwayelekile?

Izici eziningana zingakhuphula ingozi yakho yokuba nemiphumela ye-esophageal manometry engajwayelekile. Ukuqonda lezi zici eziyingozi kukusiza wena nodokotela wakho ukuthi bahumushe kangcono imiphumela yakho yokuhlolwa futhi bahlele ukwelashwa okufanele.

Ubudala bungomunye wemikhakha eyingozi kakhulu, njengoba ukusebenza kwemisipha ye-esophageal kushintsha ngokwemvelo ngokuhamba kwesikhathi. Abantu abadala bavame ukuba nokuncipha okubuthakathaka kwe-esophageal kanye nokuhamba kokudla okuhamba kancane, okungavela njengamaphethini angajwayelekile ekuhlolweni kwe-manometry.

Lezi zimo nezici zivame ukuthinta ukusebenza kwe-esophageal futhi zingaholela emiphumeleni yokuhlolwa engajwayelekile:

• Isifo se-Gastroesophageal reflux (GERD) - ukuchayeka okungapheli emanzini kungalimaza imisipha
• Izifo ze-Autoimmune njenge-scleroderma - zithinta ngokuqondile izicubu zemisipha
• Isifo sikashukela - singalimaza imizwa elawula imisipha ye-esophageal
• Ukuhlinzwa kwesifuba kwangaphambilini noma imisebe - kungase kubangele ukwakheka kwezicubu ezinamanxeba
• Imithi ethile - ikakhulukazi leyo ethinta ukusebenza kwemisipha ebushelelezi
• Izimo ze-Neurological - zingaphazamisa amasignali alawula ukugwinya

Izici zokuphila nazo zingaba nomthelela ekungasebenzi kahle kwe-esophageal. Ukuphuza utshwala obuningi, ukubhema, kanye nemikhuba ethile yokudla kungase kuthinte ukuxhumana kwemisipha ngokuhamba kwesikhathi. Ukucindezeleka nokukhathazeka ngezinye izikhathi kungase kubhebhethekise izimpawu zokugwinya, nakuba kungavamile ukubangela izifo eziyinhloko ze-esophageal.

Ukuba nezici eziyingozi akusho ukuthi nakanjani uzoba nemiphumela engajwayelekile, kodwa kusiza udokotela wakho ukuthi aqonde umongo wezimpawu zakho kanye nemiphumela yokuhlolwa.

Ziyini izinkinga ezingenzeka ze-esophageal manometry engajwayelekile?

Imiphumela ye-esophageal manometry engajwayelekile ivame ukukhombisa izimo ezingaphansi ezingaholela ezinkingeni uma zingelashwa. Ukuqonda lezi zinkinga ezingaba khona kukusiza ukuthi uqonde ukuthi kungani ukuxilongwa okufanele nokwelashwa kubalulekile empilweni yakho yesikhathi eside.

Okukhathaza kakhulu ngokushesha ngokuvamile ukugwinya kanzima, okungathinta ukudla kwakho kanye nekhwalithi yempilo. Uma ukudla kungahambi kahle nge-esophagus yakho, ungase ugweme ukudla okuthile noma udle okuncane, okungaholela ekuncipheni kwesisindo noma ukuntuleka kokudla okunomsoco.

Nazi izinkinga eziyinhloko ezingavela ekuphazamisekeni kokunyakaza kwe-esophageal okungelashwa:

• I-Aspiration pneumonia - lapho ukudla noma uketshezi lungena emaphashini akho
• Ukungondleki kahle - ngenxa yokugwema ukudla noma ukudla okuncane ngenxa yobunzima bokugwinya
• Ukwanda kwe-esophageal - ukukhula kwe-esophagus ngenxa yokubuyela emuva kokudla
• I-reflux ye-gastroesophageal enzima - lapho i-sphincter engezansi ingasebenzi kahle
• I-Esophagitis - ukuvuvukala okuvela ekuchayekeni kwe-asidi noma ukucasuka kokudla
• I-Barrett's esophagus - izinguquko ezingaphambi komdlavuza ezivela ekuchayekeni kwe-asidi okungapheli

Ezimweni ezingavamile, ukuphazamiseka okukhulu kokunyakaza kungaholela ezinkingeni ezingathi sína. Abanye abantu bathuthukisa izifo zokuphefumula eziphindaphindayo ezivela ekufuneni, kanti abanye bangase bahlangabezane nokulahlekelwa isisindo esikhulu okudinga ukungenelela kwezokwelapha.

Izindaba ezinhle ukuthi izinkinga eziningi zingavinjelwa ngokwelashwa okufanele. Udokotela wakho angase ancome ukwelashwa ukuze kuthuthukiswe ukusebenza kwe-esophageal futhi kunciphise ingozi yakho yokuthuthukisa lezi zinkinga.

Kufanele ngibone nini udokotela nge-manometry ye-esophageal?

Kufanele ucabangele ukubona udokotela mayelana ne-manometry ye-esophageal uma uhlangabezana nobunzima obuqhubekayo bokugwinya noma ubuhlungu besifuba obungachazeki. Lezi zimpawu zingathinta kakhulu impilo yakho yansuku zonke futhi zingase zibonise izimo ezingelashwa.

Isizathu esivame kakhulu sokufuna ukunakekelwa kwezokwelapha ubunzima bokugwinya obungathuthuki ngokwabo. Lokhu kungase kuzizwe sengathi ukudla kunamathela esifubeni sakho, ubuhlungu lapho ugwinya, noma ukudinga ukuphuza amanzi amaningi ukuze wehlise ukudla.

Xhumana nodokotela wakho uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingase zibonise ukuphazamiseka kokunyakaza kwe-esophageal:

• Ukudla kuzizwa kuminyana esifubeni sakho noma emqaleni
• Ubuhlungu besifuba obungahlobene nenhliziyo yakho
• Ukuphindaphinda njalo kokubuyisa ukudla okungagaywanga
• Ubunzima bokugwinya kokubili okuqinile noketshezi
• Ukuncipha kwesisindo okungahlosiwe ngenxa yezinkinga zokudla
• Izifo zokuphefumula eziphindaphindayo ezingase zivela ekuhogeleni

Kufanele ufune ukwelashwa ngokushesha uma uhlangabezana nobunzima obukhulu obungazelelwe bokugwinya, ubuhlungu besifuba obuhambisana nokuphefumula kanzima, noma izimpawu zokuhogela njengokukhwehlela ukudla noma izifo zamaphaphu ezivamile.

Udokotela wakho oqala ukukunakekela angahlola izimpawu zakho futhi akudlulisele ku-gastroenterologist uma kudingeka. Uchwepheshe angathola ukuthi ngabe i-esophageal manometry ingaba usizo yini ekuxilongeni isimo sakho nasekulungiseleleni ukwelashwa.

Imibuzo evame ukubuzwa mayelana ne-esophageal manometry

Umbuzo 1. Ingabe ukuhlolwa kwe-esophageal manometry kulungile ekuxilongeni i-GERD?

I-Esophageal manometry akuyona ukuhlolwa okuyinhloko kokuxilonga i-GERD, kodwa inikeza imininingwane ebalulekile mayelana nokusebenza kwe-esophageal yakho. Lolu vivinyo lusiza ikakhulukazi lapho udokotela wakho ecabangela ukuhlinzwa okuphikisana nokugeleza noma uma unezimpawu ze-GERD ezingaphenduli ekwelashweni okujwayelekile.

Ukuhlolwa kusiza udokotela wakho ukuthi aqonde ukuthi i-esophageal sphincter yakho engezansi isebenza kahle yini nokuthi imisipha yakho ye-esophageal ingakwazi yini ukususa i-asidi ngempumelelo. Lolu lwazi lubalulekile ekuhleleni indlela engcono kakhulu yokwelashwa, ikakhulukazi uma imithi ingalawuli izimpawu zakho ngokwanele.

Umbuzo 2. Ingabe i-esophageal manometry engavamile ibangela umdlavuza?

Imiphumela ye-esophageal manometry engavamile ayibangeli ngqo umdlavuza, kodwa ezinye izimo eziyisisekelo ezitholwe yileli test zingakhuphula ingozi yomdlavuza ngokuhamba kwesikhathi. Ukuhlolwa ngokwako kuyaxilonga futhi akukhuphuli ingozi yakho yomdlavuza nganoma iyiphi indlela.

Kodwa-ke, izimo ezinjenge-GERD eqinile noma i-achalasia, engatholakala nge-manometry, zingaholela ekuvuvukeni okungapheli noma ekushintsheni kwezicubu okwandisa kancane ingozi yomdlavuza womphimbo. Ukuqapha njalo nokwelashwa okufanele kungasiza ekuphatheni lezi zingozi ngempumelelo.

Q.3 Iqiniso kangakanani i-esophageal manometry?

I-Esophageal manometry inembile kakhulu ekutholeni izifo zokunyakaza komphimbo, ngamazinga okunemba avamile ngaphezu kuka-90% uma yenziwa ochwepheshe abanolwazi. Ithathwa njengokuhlolwa okuyizinga legolide lokuhlola ukusebenza kwemisipha yomphimbo nokuxhumana.

Ukunemba kokuhlolwa kuncike ekulungiseleleni okufanele, ukusebenza okunekhono, nokuhumusha kochwepheshe. Ukulandela imiyalelo yangaphambi kokuhlolwa ngokucophelela nokusebenza nabahlinzeki bezempilo abanolwazi kuqinisekisa imiphumela ethembeke kakhulu yokuxilongwa kwakho nokuhlela ukwelashwa.

Q.4 Ingabe i-esophageal manometry ibuhlungu?

I-Esophageal manometry ayinethezekile kodwa ngokuvamile ayibuhlungu. Abantu abaningi bayichaza njengokuzwa sengathi baneshubhu elincanyana emqaleni wabo, elifana nomuzwa ngesikhathi sezinye izinqubo zezokwelapha ezihilela ikhala nomphimbo.

Ukufakwa kwe-catheter ngekhala lakho kungabangela ukungakhululeki kwesikhashana, futhi ungase uzizwe sengathi uyagabha noma ukhwehlela. Kodwa-ke, le mizwa imfushane futhi iyalawuleka. Isifutho sokuthulisa esisetshenziswa ngaphambi kwenqubo sisiza ukunciphisa ukungakhululeki ngesikhathi sokufakwa.

Q.5 Kuthatha isikhathi esingakanani ukuthola imiphumela ye-esophageal manometry?

Imiphumela ye-esophageal manometry ivame ukutholakala phakathi nezinsuku ezimbalwa kuya evikini ngemuva kokuhlolwa kwakho. Ikhompyutha ikhiqiza izilinganiso zokucindezela ngokushesha, kodwa uchwepheshe udinga isikhathi sokuhlaziya ngokucophelela amaphethini futhi anikeze ukuhumusha okubanzi.

Udkt wakho ngokuvamile uzohlela i-aphoyintimenti yokulandela ukuze axoxe ngemiphumela futhi achaze ukuthi isho ukuthini ngesimo sakho. Lokhu kunika isikhathi sokuhlaziywa okufanele futhi kukunika ithuba lokubuza imibuzo mayelana nokuxilongwa kwakho nezinketho zokwelashwa.