Yu kin gɛt prɔblɛm bak fɔ swɛla? Lɛ wi tɔk bɔt di ‘Esophageal Manometry Test’!

Yu kin fil lɛk se yu de chok ɔ yu at de bɔn we yu de it ɔ drink? Sɔntɛnde yu kin fil lɛk se it kin kam bak na yu trot? If yu gɛt dis kayn diskɔmfɔt, tide wi go tɔk bɔt wan spɛshal tɛst we go ɛp fɔ fɛn di kɔz. dis dεn kכl am ``Esophageal Manometry Test''.

Wetin na dis ‘Esophageal Manometry Test’?

Fɔ tɔk am simpul wan, dis na tɛst fɔ si if di mɔsul dɛn na wi εsophagus (fud paip) de wok fayn fayn wan. Yu no se we wi swɛla it, i de kɔmɔt na wi mɔt to wi bɛlɛ tru dis ɛsophagus. I tan lɛk tyub. di mכsul dεm na dis tכb de push di it dכn. Dɔn bak, dɛn mɔsul dɛn ya kin ɛp fɔ mek di it nɔ kam bak ɔp na di bɛlɛ.

כltu, sכmtεm sכm wik kin de pan di fכnshכn fכ di mכsul dεm na dis εsophagus, כ prכblεm wit ``motility``. Na da tɛm de tin dɛn lɛk fɔ at fɔ swɛla, at pwɛl, ɛn it we de kam bak ɔp na di trot (riflɔks) kin apin. so, di ``Esophageal Manometry Test`` de mכsu aw di mכsul dεm na yu εsophagus de kכntrakt, rilaks, εn push it dכn fayn fayn wan εn fayn fayn wan.

Wetin mek wi nid fɔ du dis kayn tɛst? Yu gɛt dɛn sik ya bak?

Dɔktɔ kin tɛl yu fɔ du dis tɛst if yu gɛt prɔblɛm dɛn we de kɔntinyu fɔ swɛla ɔ yu nɔ kin ebul fɔ kip it ɛn drink dɔŋ. Sɔntɛm yu dɔn ɔlrɛdi du ɔda tɛst dɛn fɔ yu ɛsophagus, lɛk ɛndoskopi. If dɛn tɛst dɛn de nɔ fɛn klia kɔz fɔ yu sik, di nɛks tin we yu fɔ du na bɔku tɛm, dɛn kin du ɛsophageal motility test, we dɛn kɔl esophageal manometry test.

Si if yu gɛt ɛni wan pan dɛn sayn ya:

• Yu kin fil at ɔ yu kin fil pen we yu de swɛla it?
• I kin fil lɛk se it kin kam bak ɔp na di trot afta yu dɔn swɛla (regurgitation)?
• Yu gɛt at bɔn we nɔ de dɔn (acid reflux) we nɔ de go ivin if yu tek mɛrɛsin?
• Yu gɛt at pwɛl ɔr nɔr de pan yu chɛst we nɔr de bikɔs ɔf at sik?

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i fayn fɔ tɔk to yu dɔktɔ ɛn aks bɔt dis tɛst.

Wetin wi kin fɛn pan dis tɛst?

``Manometry`` min fɔ mɛzhɔ prɛshɔn. di instrכmεnt we dεn yuz fכ dis tεst dεn kכl am ``manomita``. i de mכsu di prεshכn we de kכmכt we di mכsul dεm na di εsophagus kכntrakt. di ``Esophageal Manometry Test`` de mεntal luk pan tu tכp mכsul aktiviti dεm na di εsophagus.

1. Aw yu de diskraib di muvmεnt dεm fכ di mכsul dεm we de muv it dכn di dijestiv trakt (peristalsis)?

2. If di valv dɛn we de ɔp ɛn dɔŋ di dreyn de opin ɛn lɔk fayn fayn wan.

If abnɔmal tin dɛn de pan di prɛshɔn na dɛn mɔsul ya, i kin ɛksplen wetin mek yu gɛt di sik ɛn no sɔm kayn mɛrɛsin. Fɔ ɛgzampul:

• `(Achalasia)` : dis na kכndyushכn we di lכw εsophageal sphincter nכ de opin fayn, we de mek i at fכ it fכ pas insay di bεlε.
• `(Sklɛrodama)`: Dis na sik we de afekt di kכnektiv tisu dεm na di bכdi, εn i kin wik bak di mכsul dεm na di εsophagus.
• di εsophageal spasms: Dis na we di mכsul dεm na di εsophagus kin kכntrakt wan wan we kin mek yu fil pen.
• `(Rumination syndrome)` : Dis na di kכndyushכn we di it we dεn sכsכl, we dεn nכ dεgεst de kam bak כp insay di mכt.

Aw dɛn kin du dis ‘Esophageal Manometry’ tɛst? Lɛ wi ɛksplen smɔl.

di mכst advans mεtכd we dεn de yuz naw fכ dis dεn kכl am ``High-resolution manometry (HRM)``. dis na wetin de apin: dεn de pas wan vεri tכn, tכn tכb ``kateta`` dכn yu εsophagus. Dis tiub gɛt bɔku smɔl smɔl prɛshɔn sɛns dɛn, sɔntɛm dɛn kin rich 36. Dɛn sɛns ya de lɛk wan sɛntimita frɔm dɛnsɛf. So, dεn sεns dεm ya de mכsu aw di mכsul dεm na yu εsophagus de kכntrakt we yu de sכlow it.

Di data we dɛn sɛns ya kin gɛda, dɛn kin sɛn am to kɔmpyuta. di kɔmpyuta de analayz di data ɛn mek wan map fɔ di prɛshɔn we de na yu εsophagus we dɛn kɔl esophageal pressure topography, ɔ EPT. Dis map de mek yu dɔktɔ si di rayt we aw yu ɛsophageal mɔsul dɛn de wok.

Aw wi fɔ rɛdi bifo di tɛst?

Yu nid fɔ pripia smɔl bifo dis tɛst.

• I bɛtɛ fɔ lɛ yu nɔ it ɔ drink ɛnitin fɔ siks awa bifo yu du di tɛst. Yu bɛlɛ fɔ ɛmti.
• If yu de tek sɔm mɛrɛsin dɛn, yu dɔktɔ kin aks yu fɔ stɔp fɔ tek dɛn 24 awa bifo di tɛst. Fɔ ɛgzampul:
• `(Kalsiɔm chanɛl blɔk dɛn)`
• `(Naytrɛt)`
• `(Opioid)` (dɛn mɛrɛsin dɛn we de mek pɔsin fil pen)
• `(Sedatives)` (drɔg dɛm we de mek pɔsin slip)

So, i rili impɔtant fɔ tɛl yu dɔktɔ bifo tɛm bɔt ɔl di mɛrɛsin dɛn we yu de tek.

Yu kin yuz anestezi we yu de du dis? A nɔ no if i de at, nɔto so?

Bɔku tɛm, dɛn nɔ kin ful-ɔp yu anestez we dɛn de du dis tɛst. Dis min se yu de kɔnshɛns. Bɔt if yu rili fred ɔ wɔri bɔt dis, yu kin tɔk to yu dɔktɔ bɔt am bifo tɛm ɛn if nid de, tɔk bɔt layt anestezi (sedation).

Di Esophageal Manometry Test nɔto tɛst we de mek pɔsin fil pen . Bɔt yu kin fil smɔl smɔl ɔ yu kin tayt we di tiub de na yu ɛsophagus. Fɔ mek dis nɔ fil bad, dɛn kin sprɛy wan anestetik we dɛn kin put pan yu trot bifo dɛn put di tiub insay. Yu trot kin fil pen fɔ wan ɔ tu dez afta di tɛst, we na nɔmal tin.

Aw ɛksaktɔli dɛn kin du di tɛst?

Okay, so lɛ wi luk smɔl mɔ pan aw dɛn de du di tɛst.

1. fכs, dכkta כ tren nכs go put wan tin tכb wit sεns dεm, we dεn kכl ``kateta``, tru wan pan yu nos dεm εn sloslo dכn yu εsophagus te i rich yu bεlε. dis dεn kכl am bak ``nasogastric tube``.

2. Bifo yu put di tiub, dɛn kin put lɔbrik na di tip. Dɛn kin put anestetik we dɛn kin put pan yu nos ɛn yu trot bak. Dis go rili ridyus di diskɔmfɔt we di tiub gɛt.

3. We di tiub dɔn de, dɛn go aks yu fɔ ledɔm na bed ɛn blo nɔmal wan, ɛn dɛn go tek wan beslayn ridin.

4. Dɔn, dɛn go aks yu fɔ swɛla smɔl wata. Bɔku tɛm yu go gɛt fɔ swɛla lɛk sɛvin ɔ et tɛm. Insay dis tɛm, dɛn go aks yu fɔ ledɔm ɔ ledɔm smɔl.

5. Dɔn, if di dɔktɔ want, dɛn kin tɛst dis ɔda we. Fɔ ɛgzampul, dɛn kin aks yu fɔ swɛla stret, ɔ dɛn kin mek yu swɛla sɔntin we tik smɔl lɛk apul sos.

Tink bɔt am lɛk ɛksesaiz we de mɛzhɔ di "strɛng" we yu ɛsophageal mɔsul dɛn gɛt. Ɛnitɛm we yu swɛla, dɛn de mɛzhɔ aw dɛn mɔsul dɛn de de wok fayn.

Ɛni risk ɔ sayd ɛfɛkt de fɔ dis?

Dis tɛst kin jɔs rili sef. Bɔt sɔm pipul dɛn kin kɔf, fil wan smɔl smɔl tin na dɛn trot, ɔ fil nɔs (gagging) we dɛn de du di ɔpreshɔn. Bɔt dɛn sayn ya go dɔn afta sɔm tɛm. Na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt smɔl blɔd na dɛn nos bikɔs dɛn kin put di tiub tru dɛn nos. Dis nɔto siriɔs tin.

Aw lɔng dis tɛst kin tek?

Dis ɔl tɛst kin tek lɛk 15 minit fɔ dɔn . So, i nɔto tin we kin tek bɔku tɛm.

Aw fɔ ɔndastand di rizɔlt fɔ di tɛst ripɔt?

Afta di tɛst, yu dɔktɔ go luk di map we dɛn mek wit kɔmpyuta we de mek di ɛsophageal prɛshɔn tɔpografi ɛn ɛksplen di tin dɛn we dɔn apin. I at smɔl fɔ mek wi ɔndastand fɔ wisɛf.

Di rizulyt dɛn men wan sho dɛn tin ya:

• Peristaltic vigor: Dis de tכn to aw di kכntrikshכn dεm na di mכsul dεm we de push it dכn di εsophagus strכng כ wik.
• Peristaltic integrity: If di mכsul dεm we de along di εsophageal sphincter de kכntrakt kכntinyu, we nכ de intarap, כ if gap de bitwin.
• di tεm we di mכsul dεm we de kכntrikshכn slo dכn nia di lכw εsophageal sphincter (LES) (distal latency at the contractile deceleration point) : Dis na di tεm we dεn kכntrikshכn dεm ya de slo bifo di fainal kכntrikshכn, bifo dεn sεnd it insay di bεlε. Dis na tin we kɔmplikt smɔl, bɔt i impɔtant to di dɔktɔ.
• di tεm we di lכw εsophageal sphincter de opin we yu sכlow (`deglutitive LES relaxation`) : dis na aw dis valv de opin fayn fכ alaw it fכ go insay di bεlε we yu sכlow.

Wetin yu min bay abnɔmal rizulyt?

di rizulεt dεm we nכ nכmal min se di mכsul dεm na di urethra nכ de wok fayn. Na sɔm ɛgzampul dɛn ya:

• Hypertensive or hypercontractile peristalsis : di mכsul dεm na di εsophagus kin kכntrakt tu strכng כ tu fכs. Dis kin mek yu chɛst pen.
• Wik ɔ absent peristalsis : If di mכsul dεm nכ kכntrakt fayn, i kin at fכ di it fכ muv dכn.
• di rεdyus distal latεns εn fכ sכlow bifo tεm: i de pas tru di lכw εsophageal sphincter we yu nכ de slo di rεt fכ di mכsul dεm we de kכntrikshכn.
• abnכmal diglutitiv LES rilaks: di valv nכ de opin fayn fכ mek di it pas, כ i de tayt wan wan. yu kin si dis pan kכndishכn dεm lεk achalasia.

Wi kin fɛn tritmɛnt we go wok frɔm dɛn rizɔlt ya?

Yɛs, na fɔ tru. di rizulyt fכ di ``Esophageal Manometry Test'' kin εp yu dכkta fכ no εksεkεkt wetin de apin na yu εsophagus we yu de sכlow εn usay di prכblεm de. Dis go ɛp dɛn fɔ tɛl yu bɔt di tritmɛnt we fit yu pas ɔl.

Sɔntɛm yu dɔktɔ dɔn ɔlrɛdi tɛl yu fɔ gɛt tritmɛnt, lɛk fɔ du ɔpreshɔn fɔ mek yu nɔ gɛt di sik ɔ fɔ mek yu ripɛnt di hiatal hεnia. If na so, dis tɛst kin ɛp yu fɔ no aw da tritmɛnt de sef ɛn aw i go wok fɔ yu.

Wetin na di difrɛns bitwin ‘Esophageal Manometry’ ɛn ‘Barium Swallow’ tɛst?

wan `(Barium swallow)` na כda mεtכd we dεn kin yuz fכ egzamin di εsophagus. Dɛn kin kɔl am bak `(ɛsophagram)`. כltu, na `(imaging test)` pas tεst we de mכsu di mכsul fכnshכn lεk `(Manometry)`.

Insay `(Barium swallow)`, dɛn kin gi yu wan spɛshal likwid we dɛn kɔl `(barium)` fɔ drink. we dεn put dis likwid insay di εsophagus, di εsophagus de klia wan pan `(X-ray)`. As yu de swɛla dis likwid, di dɔktɔ de wach pan wan `(X-ray)` vidio.

Dis kin no if i nɔ fayn ɔ i kin blok insay di εsophagus. Pan ɔl we di fim sho se i nɔ izi fɔ yu fɔ swɛla, i nɔ go ebul fɔ tɛl yu bɛtɛ bɛtɛ wan wetin rili de apin insay di mɔsul dɛn na di εsophagus, wetin de apin bay mashin. Na dat mek dɛn nid di ``Manometry`` tɛst.

Bɔku tɛm, dɔktɔ dɛn kin fɔs du `(Barium swallow)` ɛn if dat sho se prɔblɛm de, dɛn kin du `(Manometry)` tɛst fɔ invɛstigat mɔ.

Fɔ dɔn, mɛmba dis (Take-Home Message) .

di tu men wok dεm we yu εsophagus de du na fכ εp yu fכ sכlow it εn drink, εn fכ mek di it nכ kam bak כp insay yu bεlε. If ivin smɔl prɔblɛm de wit ɛni wan pan dɛn tu tin ya, yu kin gɛt difrɛn tin dɛn we nɔ kin izi fɔ yu.

So, di `(Esophageal Manometry Test)` tan lεk miro we de sho di dכkta εksεkshכn usay εn aw di prכblεm de insay dis prכsεs. Dis go ɛp yu fɔ no di rayt tin we mek yu gɛt di sik ɛn pik di tritmɛnt we go fayn fɔ am . So, if dɔktɔ tɛl yu fɔ du dis tɛst, nɔ fred am. Ɔndastand se na sɔntin we dɛn kin du fɔ yu yon wɛlbɔdi. A de wish yu fɔ wɛl kwik kwik wan!

` εsophagus, difεlεns fכ sכlow, manometry, εsophageal egzamin, chεst inflameshn, asid rεfluks, achalasia