He paʻakikī nō hoʻi iā ʻoe ke ale? E kamaʻilio kākou e pili ana i ka 'Esophageal Manometry Test'!

Ke manaʻo nei ʻoe e like me ʻoe e ʻūlū ana a i ʻole he puʻuwai puʻuwai ke ʻai ʻoe a inu paha? Ke manaʻo nei ʻoe i kekahi manawa e hoʻi mai ana ka meaʻai i loko o kou puʻu? Inā loaʻa iā ʻoe kēia ʻano ʻoluʻolu ʻole, i kēia lā e kamaʻilio mākou e pili ana i kahi hoʻokolohua kūikawā e hiki ke kōkua i ka loaʻa ʻana o ke kumu. Ua kapa ʻia kēia he "Esophageal Manometry Test".

He aha kēia 'Hoʻāʻo Manometry Esophageal'?

I ka ʻōlelo maʻalahi, he hoʻāʻo kēia e ʻike ai inā e hana pono ana nā ʻiʻo o ko kākou esophagus (paipu meaʻai). ʻIke ʻoe, ke ale kākou i ka meaʻai, hele ia mai ko kākou waha a i ko kākou ʻōpū ma o kēia esophagus. Ua like ia me kahi paipu. Hoʻokuke nā ʻiʻo o kēia paipu i ka meaʻai i lalo. Eia kekahi, kōkua kēia mau ʻiʻo i ka pale ʻana i ka meaʻai mai ka hoʻi ʻana mai i luna i loko o ka ʻōpū.

Eia nō naʻe, i kekahi manawa aia kekahi nāwaliwali i ka hana ʻana o nā ʻiʻo o kēia esophagus, a i ʻole nā ​​pilikia me ka "motility". ʻO ia ka manawa e kū mai ai nā mea e like me ka paʻakikī i ka moni ʻana, ka ʻeha o ka puʻuwai, a me ka hoʻi ʻana mai o ka meaʻai i loko o ka puʻu (reflux). No laila, ʻo ka "Esophageal Manometry Test" ke ana i ka maikaʻi a me ke kūpono o ka ʻaelike ʻana o nā ʻiʻo o kou esophagus, ka hoʻomaha ʻana, a me ka hoʻokuke ʻana i ka meaʻai i lalo.

No ke aha mākou e pono ai e hana i kēia ʻano hoʻāʻo? Loaʻa iā ʻoe kēia mau hōʻailona pū kekahi?

ʻO ka maʻamau, ʻōlelo ke kauka i kēia hoʻāʻo inā loaʻa iā ʻoe nā pilikia mau i ka moni ʻana a i ʻole ka paʻakikī i ka mālama ʻana i ka meaʻai a me ka mea inu. Ua loaʻa paha iā ʻoe nā hoʻokolohua ʻē aʻe o kou esophagus, e like me ka endoscopy. Inā ʻaʻole i loaʻa i kēlā mau hoʻokolohua kahi kumu maopopo no kāu mau hōʻailona, ​​ʻo ka hana aʻe he hoʻāʻo neʻe esophageal, i kapa ʻia he hoʻāʻo manometry esophageal.

E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Ke manaʻo nei ʻoe i ka paʻakikī a i ʻole ka ʻeha i ka wā e moni ai i ka meaʻai?
• Ke manaʻo nei anei ʻoe e hoʻi hou mai ana ka meaʻai i loko o ka puʻu ma hope o ke ale ʻana (regurgitation)?
• Loaʻa iā ʻoe ka ʻeha puʻuwai mau (acid reflux) ʻaʻole e nalowale ʻoiai me ka lāʻau lapaʻau?
• Loaʻa iā ʻoe ka ʻeha puʻuwai a i ʻole ka ʻeha umauma ʻaʻole ma muli o ka maʻi puʻuwai?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he manaʻo maikaʻi e kamaʻilio me kāu kauka a nīnau e pili ana i kēia hoʻokolohua.

He aha nā mea e hiki ke loaʻa ma kēia hoʻokolohua?

ʻO ke ʻano o ka "Manometry" ke ana ʻana i ke kaomi. ʻO ka mea hana i hoʻohana ʻia ma kēia hoʻāʻo ua kapa ʻia ʻo "manometer". Ana ia i ke kaomi i hana ʻia i ka wā e ʻaelike ai nā ʻiʻo o ka esophagus. Nānā nui ka "Esophageal Manometry Test" i ʻelua ʻano hana ʻiʻo ma ka esophagus.

1. Pehea ʻoe e wehewehe ai i nā neʻe ʻana o nā ʻiʻo e hoʻoneʻe ai i ka meaʻai i lalo o ke ala ʻai (peristalsis)?

2. Inā paha e wehe pono ana a e pani ana nā kiwikā ma luna a ma lalo o ka ʻauwai.

Inā he mau ʻano ʻē i ke kaomi ʻana i loko o kēia mau ʻiʻo, hiki iā ia ke wehewehe i ke kumu o kāu mau hōʻailona a ʻike i kekahi mau kūlana olakino. Eia kekahi laʻana:

• `(Achalasia)` : He kūlana kēia kahi e wehe pono ʻole ai ka sphincter esophageal haʻahaʻa, e paʻakikī ai ka meaʻai ke hele i loko o ka ʻōpū.
• ʻO ka ʻeha kokoHe maʻi kēia e hoʻopilikia ai i nā ʻiʻo pili o ke kino, a hiki nō hoʻi iā ia ke hoʻonāwaliwali i nā ʻiʻo o ka esophagus.
• ʻO nā spasms Esophageal: He ʻūlū koke kēia o nā ʻiʻo i loko o ka esophagus hiki ke hōʻeha.
• `(Rumination syndrome)` : He kūlana kēia kahi e hoʻi hou mai ai ka meaʻai i ʻeli ʻole ʻia i loko o ka waha.

Pehea e hana ʻia ai kēia hoʻāʻo 'Esophageal Manometry'? E wehewehe iki kākou.

ʻO ke ʻano holomua loa i hoʻohana ʻia no kēia i kapa ʻia ʻo "High-resolution manometry (HRM)". Eia ka mea e hana ʻia: Hoʻoili ʻia kahi paipu lahilahi loa "catheter" i lalo o kou esophagus. He nui nā mea ʻike kaomi liʻiliʻi o kēia paipu, malia paha he 36. Aia kēia mau mea ʻike ma kahi o hoʻokahi kenimika ke kaʻawale. No laila, ana kēia mau mea ʻike i ke ʻano o ka ʻaelike ʻana o nā ʻiʻo i loko o kou esophagus i kou moni ʻana i ka meaʻai.

Hoʻouna ʻia ka ʻikepili i hōʻiliʻili ʻia e kēia mau mea ʻike i kahi kamepiula. Hoʻopili ke kamepiula i ka ʻikepili a hana i kahi palapala ʻāina o ke kaomi i loko o kou esophagus i kapa ʻia he esophageal pressure topography, a i ʻole EPT. Hiki i kēia palapala ʻāina i kāu kauka ke ʻike pono i ke ʻano o ka hana ʻana o kou mau ʻiʻo esophageal.

Pehea mākou e hoʻomākaukau ai ma mua o ka hoʻokolohua?

Pono ʻoe e hana i kahi hoʻomākaukau iki ma mua o kēia hoʻokolohua.

• ʻOi aku ka maikaʻi o ka ʻole e ʻai a inu paha i kekahi mea no ʻeono hola ma mua o ka hoʻāʻo. Pono e hakahaka kou ʻōpū.
• Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e noi paha kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana iā lākou i 24 mau hola ma mua o ka hoʻāʻo. Eia kekahi laʻana:
• `(Nā mea pale i ke kahawai kalipuna)`
• `(Nitrates)`
• `(Opioids)` (nā lāʻau hoʻopau ʻeha)
• `(Nā lāʻau hoʻomaha)` (nā lāʻau e hoʻoulu ai i ka hiamoe)

No laila, he mea nui loa e haʻi mua i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.

Ke hoʻohana nei ʻoe i ka anesthesia ke hana ʻoe i kēia? ʻAʻole maopopo iaʻu inā ʻeha ia, ʻeā?

ʻO ka maʻamau, ʻaʻole ʻoe i hoʻopau piha ʻia i ka wā o kēia hoʻāʻo. ʻO ke ʻano kēia ua ʻike ʻoe. Eia nō naʻe, inā makaʻu nui ʻoe a hopohopo paha e pili ana i kēia, hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ia mea ma mua a, inā pono, e kūkākūkā i ka anesthesia māmā (sedation).

ʻAʻole he hoʻāʻo ʻeha ka Esophageal Manometry Test. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu iki a i ʻole ka paʻa i ka wā e kau ai ka paipu i loko o kou esophagus. No ka hōʻemi ʻana i kēia ʻoluʻolu ʻole, ua pīpī ʻia kahi anesthetic topical ma kou puʻu ma mua o ke komo ʻana o ka paipu. Hiki i kou puʻu ke ʻeha no hoʻokahi a ʻelua paha lā ma hope o ka hoʻāʻo ʻana, he mea maʻamau ia.

Pehea pololei e hana ʻia ai ka hoʻāʻo?

ʻAe, no laila e nānā hou aku kākou i ke ʻano o ka hana ʻana o ka hoʻāʻo.

1. ʻO ka mea mua, e hoʻokomo ke kauka a i ʻole ke kahu maʻi i aʻo ʻia i kahi ʻōmole lahilahi me nā mea ʻike, i kapa ʻia he "catheter", ma kekahi o kou mau puka ihu a hoʻokuʻu mālie i lalo i kou esophagus a hiki i kou ʻōpū. Ua kapa ʻia hoʻi kēia he "ʻōmole nasogastric".

2. Ma mua o ke hoʻokomo ʻana i ka ʻōmole, hoʻopili ʻia kahi lubricant ma ka piko. Hoʻopili ʻia hoʻi kahi anesthetic topical ma kou ihu a me kou puʻu. E hōʻemi nui kēia i ka ʻoluʻolu ʻole o ka ʻōmole.

3. Ke kau ʻia ka ʻōmole, e noi ʻia ʻoe e moe i lalo ma kahi moe a hanu maʻamau, a e lawe ʻia kahi heluhelu kumu.

4. A laila, e noi ʻia ʻoe e ale i kahi wai liʻiliʻi. ʻO ka maʻamau, pono ʻoe e ale ma kahi o ʻehiku a ʻewalu paha manawa. I loko o kēia manawa, e noi ʻia ʻoe e moe i lalo a kūlou iki paha.

5. A laila, inā makemake ke kauka, hiki iā lākou ke hoʻāʻo i kēia ma nā ʻano ʻē aʻe. Eia kekahi laʻana, hiki iā lākou ke noi iā ʻoe e ale pololei, a i ʻole e ʻae paha lākou iā ʻoe e ale i kahi mea mānoanoa iki, e like me ka ʻāpala.

E noʻonoʻo e like me kahi hoʻoikaika kino e ana i ka "ikaika" o kou mau ʻiʻo esophageal. I kēlā me kēia manawa āu e moni ai, ke ana nei lākou i ka maikaʻi o ka hana ʻana o kēlā mau ʻiʻo.

Aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao i kēia?

Ma ke ʻano laulā, palekana loa kēia hoʻāʻo. Eia nō naʻe, hiki i kekahi poʻe ke ʻū, manaʻo i kahi puʻu i loko o ko lākou puʻu, a manaʻo paha i ka luaʻi (gagging) i ka wā o ke kaʻina hana. Eia naʻe, e nalo aku kēia mau hōʻailona ma hope o kekahi manawa. He mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa i kahi kahe koko liʻiliʻi no ka mea ua hoʻokomo ʻia ka ʻōmole ma ko lākou ihu. ʻAʻole koʻikoʻi kēia.

Pehea ka lōʻihi o kēia hoʻāʻo ʻana?

Ma kahi o 15 mau minuke ka lōʻihi o kēia hoʻāʻo holoʻokoʻa. No laila, ʻaʻole ia he kaʻina hana e hoʻopau manawa nui ai.

Pehea e hoʻomaopopo ai i nā hopena o ka hōʻike hoʻāʻo?

Ma hope o ka hoʻāʻo ʻana, e nānā kāu kauka i ka palapala ʻāina topography kaomi esophageal i hana ʻia e ke kamepiula a wehewehe i nā hopena. He mea paʻakikī iki iā mākou ke hoʻomaopopo iā mākou iho.

Hōʻike nui nā hualoaʻa i kēia mau mea:

• Ikaika peristaltic: Pili kēia i ka ikaika a nāwaliwali paha o nā ʻūlū ʻana o nā ʻiʻo e hoʻokuke ana i ka meaʻai i lalo o ka esophagus .
• ʻO ke kūpaʻa peristaltic: Inā paha e ʻaelike mau ana nā ʻiʻo ma ka sphincter esophageal , me ke keakea ʻole, a i ʻole inā he mau hakahaka ma waena.
• ʻO ka nui o ka manawa e lohi ai nā ʻūlū ʻiʻo kokoke i ka sphincter esophageal haʻahaʻa (LES) (distal latency ma ka contractile deceleration point) : ʻO kēia ka nui o ka manawa e lohi ai kēia mau ʻūlū ma mua o ka ʻūlū hope loa, ma mua o ka hoʻouna ʻia ʻana o ka meaʻai i loko o ka ʻōpū. He mea paʻakikī iki kēia, akā he mea nui i ke kauka.
• ʻO ka nui o ka manawa e wehe ai ka sphincter esophageal haʻahaʻa i kou ale ʻana ('deglutitive LES relaxation`) : ʻO kēia ke ʻano o ka wehe ʻana o kēia valve e ʻae i ka meaʻai i loko o ka ʻōpū i kou ale ʻana.

He aha kāu manaʻo no nā hopena kūpono ʻole?

ʻO nā hopena maʻamau ʻole ke ʻano o ka hana pono ʻole ʻana o nā ʻiʻo i loko o ka urethra. Eia kekahi mau laʻana:

• ʻO ka peristalsis hypertensive a hypercontractile paha : ʻO nā ʻiʻo i loko o ka esophagus e ʻūlū ikaika loa a pinepine paha. Hiki i kēia ke hōʻeha i ka umauma.
• Nāwaliwali a ʻaʻohe paha o ka peristalsis : Inā ʻaʻole e ʻaelike pono nā ʻiʻo, he paʻakikī i ka meaʻai ke neʻe i lalo.
• Hoʻemi ʻia ka latency distal a me ka moni mua ʻana: Ke hele nei ma o ka sphincter esophageal haʻahaʻa me ka hoʻolohi ʻole i ka wikiwiki o nā ʻūlū ʻiʻo.
• ʻO ka hoʻomaha ʻana o ka LES deglutitive maʻamau ʻole: ʻAʻole wehe pono ka valve e hoʻokuʻu i ka meaʻai e hele, a i ʻole e paʻa koke ia. Hiki ke ʻike ʻia kēia i nā kūlana e like me ka achalasia.

Hiki iā mākou ke loaʻa i kahi lāʻau lapaʻau e hana mai kēia mau hopena?

ʻAe, ʻoiaʻiʻo nō. Hiki i nā hopena o ka "Esophageal Manometry Test" ke kōkua i kāu kauka e ʻike pono i ka mea e hana nei i loko o kou esophagus ke ale ʻoe a me kahi o ka pilikia. E kōkua kēia iā lākou e ʻōlelo i ka lāʻau kūpono loa nāu.

Ua ʻōlelo mua paha kāu kauka i kahi lāʻau lapaʻau, e like me ke ʻoki anti-reflux a i ʻole ka hoʻoponopono ʻana i ka hiatal hernia. Inā pēlā, hiki i kēia hoʻāʻo ke kōkua iā ʻoe e hoʻoholo i ka palekana a me ka pono o kēlā lāʻau lapaʻau iā ʻoe.

He aha ka ʻokoʻa ma waena o nā hoʻāʻo 'Esophageal Manometry' a me 'Barium Swallow'?

ʻO ka `(Barium swall)` kekahi ʻano hana i hoʻohana ʻia e nānā i ka esophagus. Ua kapa ʻia hoʻi ia he `(esophagram)`. Eia naʻe, he `(imaging test)` ia ma mua o kahi hoʻokolohua e ana i ka hana o nā ʻiʻo e like me `(Manometry)`.

I loko o kahi `(Barium ale)`, hāʻawi ʻia ʻoe i kahi wai kūikawā i kapa ʻia ʻo `(barium)` e inu. Ke hoʻopili ʻia kēia wai i loko o ka esophagus, ʻike maopopo ʻia ka esophagus ma kahi `(X-ray)`. I kou ale ʻana i kēia wai, nānā ke kauka ma kahi wikiō `(X-ray)`.

Hiki i kēia ke ʻike i kekahi mau kīnā a i ʻole nā ​​​​​​mea i pale ʻia i loko o ka esophagus. ʻOiai ke hōʻike nei ke wikiō iā ʻoe e paʻakikī ana i ka ale ʻana, ʻaʻole hiki iā ia ke haʻi pololei iā ʻoe i ka mea e hana nei i loko o nā ʻiʻo o ka esophagus, ka mea e hana nei ma ke ʻano mechanical. ʻO ia ke kumu e pono ai ka hoʻāʻo "Manometry".

ʻO ka maʻamau, hana mua nā kauka i kahi `(Barium swall)` a inā hōʻike kēlā he pilikia, hana lākou i kahi hoʻāʻo `(Manometry)` e noiʻi hou aku.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻO nā hana nui ʻelua o kou esophagus ke kōkua iā ʻoe e ale i ka meaʻai a me ka mea inu, a e pale i ka meaʻai mai ka hoʻi hou ʻana i loko o kou ʻōpū. Inā he pilikia iki paha me kekahi o kēia mau mea ʻelua, hiki iā ʻoe ke loaʻa i nā ʻano ʻoluʻolu ʻole like ʻole.

No laila, ʻo ka `(Esophageal Manometry Test)` ua like ia me ke aniani e hōʻike ana i ke kauka i kahi a pehea ka pilikia i kēia kaʻina hana. E kōkua kēia iā ʻoe e ʻike i ke kumu pololei o kou kūlana a koho i ka lāʻau kūpono loa no ia . No laila, inā ʻōlelo ke kauka i kēia hoʻokolohua, mai makaʻu iā ia. E hoʻomaopopo he mea ia i hana ʻia no kou pono ponoʻī. Makemake au iā ʻoe e hoʻōla koke!

ʻEsophagus , paʻakikī i ka moni ʻana, manometry, nānā ʻana i ka esophagus, mumū o ka umauma, reflux acid, achalasia