Esophageal Manometry Test (sɔhwɛ titiriw a wɔde hwɛ sɛnea ɛyɛ den sɛ ɔbɛmene ade ne komayare) .

So wote nka nso sɛ woremene bere a woremene aduan, anaasɛ biribi akɔhyɛ wo menewam? Anaasɛ wowɔ ɔhaw ahorow te sɛ aduan a ɛsan ba wo menewam bere a woadi awie, anaasɛ wo koko mu yaw? Ebia worenom nnuru ama eyi, nanso saa tebea horow no nkɔ yiye. Wɔ mmere a ɛte sɛ eyinom mu no, ebia wo duruyɛfo bɛkamfo akyerɛ wo sɛ kɔyɛ nhwehwɛmu titiriw bi. Sɔhwɛ a ɛho hia saa no biako ne Esophageal Manometry Test. Momma yɛnka eyi ho asɛm tiawa.

Dɛn ne saa Esophageal Manometry Test yi?

Sɛ yɛbɛka no tiawa a, eyi yɛ sɔhwɛ a ɛkyerɛ sɛnea wo menewa mu ntini reyɛ adwuma yiye. Afei fa no sɛ yɛn esophagus te sɛ tube a wɔde ntini ayɛ a ɛde aduan fi yɛn anom kɔ yɛn yafunu mu. Sɛ yɛmene biribi a, ntini a ɛwɔ saa afiri yi mu no yɛ adwuma te sɛ asorɔkye de pia aduan no kɔ fam, kyerɛ sɛ, ɛkɔ yɛn yafunu mu. Afei nso, saa ntini ahorow yi boa ma aduan a akɔ yafunu no mu no nsan mma bio.

Enti, nea Esophageal Manometry sɔhwɛ yi yɛ ne sɛ ɛbɛsusuw sɛnea ntini a ɛwɔ wo esophagus mu no reyɛ adwuma pɛpɛɛpɛ, anaa sɛnea ɛkɔ (motility).

Dɛn nti na ɛho hia sɛ yɛyɛ sɔhwɛ a ɛte saa?

Mpɛn pii no, sɛ wo duruyɛfo ayɛ nhwehwɛmu afoforo te sɛ endoscopy, nanso ontumi nhu nea ɛde wo sɛnkyerɛnne ahorow no ba a, wobetumi de wo akɔ nhwehwɛmu yi mu sɛ anammɔn a edi hɔ. Nea enti a ɛte saa ne sɛ, sɛ ɔhaw biara nni sɛnea ɛwo kotoku no te ho mpo a, ebia ɔhaw bi wɔ ne dwumadi mu.

Ebia nhwehwɛmu yi ho behia sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a.

Dɛn na wobetumi ahu wɔ sɔhwɛ yi mu?

Manometry yɛ sɔhwɛ a wɔde susuw nhyɛso . Saa sɔhwɛ yi susuw nhyɛso a ɛba bere a ntini a ɛwɔ wo aduan mu no twetwe no. Ɛtwe adwene si nneɛma atitiriw abien so:

1. Sɛnea ntini mu asorɔkye a ɛpia aduan kɔ fam (peristalsis) no yɛ adwuma.

2. Sɛ ebia valve (sphincters) a ɛwɔ urethra no atifi ne ase no bue na ɛto mu yiye anaa.

Sɛ wuhu nneɛma a ɛnteɛ wɔ nhyɛso a ɛwɔ saa ntini ahorow yi mu no so a, wubetumi ahu nea ɛde wo sɛnkyerɛnne ahorow no ba na woahu aduruyɛ mu tebea horow a edidi so yi.

• Achalasia: Tebea a ɛma valve a ɛwɔ aduan no ase no mmue yiye, na ɛma ɛyɛ den sɛ aduan bɛfa yafunu no mu.
• Scleroderma: Yare a ɛma aduan mu ntini yɛ mmerɛw esiane nipadua no mu ntini a ɛyɛ den nti.
• Esophageal spasms: Koko mu yaw a ɛnam ntini a ɛwɔ esophagus no mu a ɛtwetwe mpofirim, ɛyɛ den na ɛnkɔ so daa nti.
• Rumination syndrome: Bere a wɔadi akyi bere tiaa bi no, aduan a wɔanwe no san ba anom na wɔmene anaasɛ wɔpam.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?

Wo duruyɛfo bɛkyerɛkyerɛ eyi mu akyerɛ wo. Mpɛn pii no, ebehia sɛ woyɛ nea edidi so yi:

• Ɛsɛ sɛ wotwe wo ho fi adidi ne anonne ho koraa bɛyɛ nnɔnhwerew 6 ansa na woayɛ nhwehwɛmu no .
• Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi a wobɛnom nnɔnhwerew 24 ansa na wɔayɛ nhwehwɛmu no. Nhwɛsoɔ:
• Nnuru a esiw calcium kwan
• Nitrates a ɛwɔ nipadua no mu
• Opioid ahorow a wɔde di dwuma
• Nnuru a ɛma obi dwo

So sɔhwɛ yi yɛ yaw? Wɔyɛ no dɛn?

Eyi ne ɔhaw kɛse a obiara wɔ. Mpɛn pii no, sɔhwɛ yi nyɛ yaw. Nanso, ebia wobɛte nka sɛ wo menewam yɛ wo yaw kakra.

Sɛnea wɔyɛ sɔhwɛ no ni:

1. Nea edi kan no, oduruyɛfo anaa mfiridwumayɛfo a wɔatete no de aduru a wɔde petepete wo hwene ne wo menewam a ɛma wo ho yɛ wo yaw anaa gel bɛhyɛ wo hwene ne wo menewa mu . Eyi bɛtew ɔhaw a wote nka bere a wode afiri no hyɛ mu no so kɛse.

2. Afei, wɔde afiri (catheter) a ɛyɛ tratraa paa na ɛyɛ mmerɛw fa wo hwene mu biako mu na wɔde nkakrankakra fa wo menewam, fa wo menewam, na ɛkɔ wo yafunu mu. Saa tube yi wɔ sensor ahorow pii a ɛkyerɛ nhyɛso no.

3. Sɛ wohwɛ hu sɛ tube no wɔ nea ɛwɔ hɔ wie a, wɔbɛma woada mpa so.

4. Afei, wɔka kyerɛ wo sɛ mene nsu kakraa bi . Bere a womene no, ntini a ɛwɔ wo menewam no twetwe na wɔde sensor ahorow a ɛwɔ afiri no mu susuw nhyɛso no na wɔde kɔ kɔmputa so sɛ data.

5. Ɛtɔ da bi a, ebia wɔbɛka akyerɛ wo sɛ yɛ eyi bere a woada hɔ ne bere a wote ase nso.

Adeyɛ no nyinaa gye bɛyɛ simma 15. Ebia wobɛte nka sɛ wo menewa mu ayɛ wo yaw kakra wɔ sɔhwɛ no akyi, nanso eyi befi hɔ bere tiaa bi akyi.

Nsonsonoe bɛn na ɛda Esophageal Manometry ne Barium Swallow Test ntam?

Ebia woate `Barium Swallow` sɔhwɛ no ho asɛm. Ɛwom sɛ nhwehwɛmu abien yi nyinaa hwɛ aduannoa mu de, nanso ɛsono atirimpɔw ahorow.

Mpɛn pii no, oduruyɛfo bi bedi kan ayɛ Barium Swallow nhwehwɛmu na sɛ saa nhwehwɛmu no antumi anhu nea ɛde ba nkutoo a, ɔde Manometry nhwehwɛmu bɛkɔ akɔyɛ no.

So wubetumi anya ayaresa a ɛfata ama wo afi nea efi mu ba no mu?

Yiw, koraa. Nea ebefi sɔhwɛ yi mu aba no bɛboa wo duruyɛfo ma wahu ɔhaw a ɛwɔ ntini a ɛwɔ wo awotwaa mu no dwumadi mu pɛpɛɛpɛ .Wobetumi ahu. Ɛda adi pefee sɛ ebia ntini no yɛ mmerɛw, ɛyɛ adwuma dodo, anaasɛ ɔhaw bi wɔ valve no ho.

Sɛ wogyina saa nsɛm yi so a, ɛbɛyɛ mmerɛw ama wo duruyɛfo sɛ ɔbɛkamfo ayaresa a ɛfata na edi mu sen biara ama wo. Sɛ wɔahyɛ wo nyansa sɛ wɔnyɛ biribi te sɛ oprehyɛn a ɛko tia reflux a, sɔhwɛ yi nso bɛboa ma woahu sɛ ebia oprehyɛn no fata na asiane biara nni ho ma wo anaa.