Nang pawhin ei harsa i nei em? ‘Esophageal Manometry Test’ chungchang hi han sawi ila!

I ei emaw, i in emaw hian i rilru a hah emaw, i thinlung a na emaw ang maiin i inhria em? A chang chuan chaw chu i rilruah a rawn chho leh ang tih i hria em? Hetiang harsatna i neih chuan vawiin hian a chhan zawng chhuak thei tur test bik kan sawi dawn a ni. Hei hi ``Esophageal Manometry Test'' an ti a.

He ‘Esophageal Manometry Test’ hi eng nge ni?

A awlsam zawngin sawi ila, hei hi kan chaw kawng (food pipe) chhunga thau te hian hna an thawk tha em tih enfiahna a ni. I hria em, chaw kan ei hian kan ka atanga kan pum thlengin he esophagus kaltlangin a kal thin. Tube ang mai a ni. He tube chhunga muscle te hian ei tur chu a hnuai lamah an nawr thla a. Tin, heng ruhte hian ei tur chu pum chhunga a rawn chho leh loh nan a pui bawk.

Mahse, a châng chuan he chaw kawng ruhte hnathawhnaah chak lohna engemaw zat a awm thei a, ``motility``-ah pawh harsatna a awm thei bawk. Chutah chuan ei harsat, thinlung natna, leh ei tur chu rilru chhunga a rawn chho leh (reflux) ang chi thil a lo awm ta a ni. Chuvangin, ``Esophageal Manometry Test`` hian i esophagus ruhte chu engtiang chiahin nge a inzawm khawm, a hahdam a, ei tur chu a hnuai lam a nawr tih a teh a ni.

Engvangin nge hetiang fiahna hi kan tih a ngaih? Nang pawhin heng symptoms te hi i nei ve em?

Doctor chuan he test hi a rawt tlangpui a, chu chu ei leh in lama harsatna i neih reng emaw, ei leh in tur tihhniam harsatna i neih chuan a ni. I chaw kawng test dang, endoscopy ang chi pawh i nei tawh mai thei. Chutiang test-te chuan i natna lan chhuah chhan chiang tak a hmuh loh chuan, a dawt leh tur chu esophageal motility test a ni fo thin a, chu chu esophageal manometry test an ti a ni.

Heng symptoms te hi i nei em tih en rawh:

• Chaw ei lai hian harsatna emaw, natna emaw i nei em?
• Chaw ei chu ei hnuah (regurgitation) chu rilruah a rawn chho leh ang maiin a lang em?
• Damdawi ei hnuah pawh a reh lo, persistent heartburn (acid reflux) i nei em?
• Lung natna avanga lo awm lo heartburn emaw noncardiac chest pain emaw i nei em?

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor nen inbia a, he test chungchang hi zawh a tha.

He test-ah hian eng nge hmuh theih?

``Manometry`` tih awmzia chu pressure tehna tihna a ni. He test-na atana hmanraw hman hi ``manometer`` an ti a. Esophagus ruh (muscles) te a inzawm khawm avanga pressure lo awm zat a teh thin. ``Esophageal Manometry Test`` hian chaw kawng chhunga taksa peng hrang hrang (muscle activity) chi hnih a en ber a ni.

1. Chaw ei tur (digestive tract) hnuai lama kaltirtu taksa peng hrang hrangte chetna (peristalsis) hi engtin nge i sawi?

2. Esophagus chung leh hnuai lama valve te hi a inhawng tha em tih leh a khar tha em tih.

Heng taksa peng hrang hranga pressure-ah hian thil danglam a awm chuan i natna lan chhuah chhan a sawifiah thei a, damdawi lam dinhmun thenkhat pawh a hriat theih bawk. Entir nan:

• `(Achalasia)` : Hei hi chaw kawng hnuai lam (lower esophageal sphincter) a inhawng tha lo va, chaw ei tur chu pum chhunga kal a harsat avangin a ni.
• `(Scleroderma)` tih a ni: Hei hi taksa inzawmkhawmna (connective tissue) tichhe thei natna a ni a, chaw kawng ruh (muscles) a tichak lo thei bawk.
• Esophageal spasms: Hei hi chaw kawng chhunga taksa ruhte inzawmkhawm nghal, na tak, natna thlen thei a ni.
• `(Rumination syndrome)` : Hei hi tun hnaia ei tawh, ei loh chaw ei tawh chu ka chhunga a rawn chho leh thinna a ni.

He ‘Esophageal Manometry’ test hi engtin nge an tih? Tlem han sawifiah teh ang.

Tuna hetiang atana hmanraw changkang ber chu ``High-resolution manometry (HRM)`` tih a ni. Hei hi a ni: Tube te tak te, te tak te tak ``catheter`` chu i chaw kawng chhungah a kal tlang a. He tube hian pressure sensor te tak te tam tak a nei a, 36 vel pawh a ni mai thei, heng sensor te hi centimetre khat vel a inhlat a ni. Chuvangin, heng sensor te hian ei tur i ei hian i esophagus chhunga muscle te chu engtin nge an contract tih an teh thin.

Heng sensor hmanga data an khawlkhawmte hi computer-ah thawn a ni. Computer chuan data chu a zirchiang a, i chaw kawng chhunga pressure awm dan map a siam a, chu chu esophageal pressure topography, a nih loh leh EPT tih a ni. He map hian i doctor chuan i esophageal muscle te hnathawh dan dik tak a hmu thei a ni.

Engtin nge fiahna hmain kan inbuatsaih ang?

He test hma hian inbuatsaihna tlem i neih a ngai a ni.

• Test hma darkar ruk chhung chu engmah ei loh leh in loh a tha ber . I pum chu a ruak tur a ni.
• Damdawi thenkhat i ei a nih chuan i doctor chuan test hma darkar 24 chhungin ei tawh loh turin a ti thei che a ni. Entir nan:
• `(Calcium channel blocker)`
• `(Nitrates)` tih a ni
• `(Opioids)` (natna tidamtu) .
• `(Sedatives)` (muthilh tir thei damdawi) .

Damdawi i ei zawng zawng hi doctor hnenah hrilh lawk a pawimawh hle.

Hetiang i tih hian anesthesia i hmang em? A na em tih pawh ka hre lo, a dik em?

A tlangpuiin he test chhung hian anesthetized kim lo che. Chumi awmzia chu i conscious tihna a ni. Mahse, he thil hi i hlau hle emaw, i lungkham em em emaw a nih chuan i doctor nen inbiakna neih hmasak theih a ni a, a tul chuan light anesthesia (sedation) chungchang hi i sawipui thei bawk.

Esophageal Manometry Test hi test na tak a ni lo . Mahse, i esophagus-a tube a awm chuan i hrehawm lo emaw, i tight deuh emaw a ni thei. He natna hi tihziaawm nan hian tube i dah hmain i rilruah topical anesthetic i spray hmasa thin. Test zawhah ni khat emaw ni hnih emaw chhung chu i rilru a na thei a, chu chu thil pangngai a ni.

Engtin chiah nge test hi tih a nih?

Okay, chuvangin test neih dan tur tlem han en leh ila.

1. A hmasa berin doctor emaw trained nurse emaw chuan i hnar kawngkhar pakhatah sensor nei tube te tak te, ``catheter`` an tih chu a dah lut ang a, i chaw kawng chu zawi zawiin i pum a thlen thlengin a ti hniam ang. Hei hi ``nasogastric tube`` an ti bawk.

2. Tube kan dah hmain a tip-ah lubricant kan hnawih thin. Topical anesthetic pawh i hnar leh i rilruah hnawih a ni bawk. Hei hian tube-a natna chu nasa takin a tihziaawm ang.

3. Tube chu a hmunah a awm tawh chuan khumah muin thawk pangngai turin an ti ang a, baseline reading an la ang.

4. Tichuan, tui tlem tal ei turin an ti ang che. Vawi sarih emaw vawi riat emaw vel i ei a ngai tlangpui ang. Hemi chhung hian mu turin emaw, inbeng kang deuh emaw turin an ti ang che.

5. Tichuan, Doctor-in a duh chuan hei hi kawng dangin an test thei ang. Entîr nân, ei dik tûrin an ti thei che a, a nih loh leh applesauce ang chi thil thim deuhte chu ei tûrin an phalsak thei che a ni.

I esophageal muscles "chakna" tehna exercise angin ngaihtuah rawh. I ei apiangin chu ruhte chu engtiang chiahin nge a thawh that tih an teh thin.

Hei hian risk emaw side effect emaw a nei em?

He test hi a tlangpuiin a him hle. Mahse, mi thenkhat chuan an tih lai hian an khuh thei a, an rilruah lump a awm thei a, an tih lai hian nauseous (gagging) an nei thei bawk. Mahse, heng symptoms te hi rei vak lo hnuah a reh mai ang. A tlem hle a, mi thenkhat chuan an hnar atanga tube an luh avangin hnar thisen te te an nei thei. Hei hi thil pawi tak a ni lo.

He test hian eng chen nge a daih?

He test pumpui hi minute 15 vel a ni . Chuvangin, hun rei tak daih a ni lo.

Test report result hi engtin nge kan hriatthiam ang?

Test zawhah i doctor chuan computer hmanga siam esophageal pressure topography map chu a en ang a, a result chu a hrilhfiah ang. Mahni chauha hriatthiam harsa deuh a ni.

Results hian a bik takin a hnuaia mi hi a tarlang a ni.

• Peristaltic vigor: Hei hian chaw ei tur chu chaw kawng hnuai lama nawr chhuaktu taksa pengte inzawmna (contractions) a chak leh chak loh zia a kawk a ni.
• Peristaltic integrity: Esophageal sphincter bula muscle te chu an inzawm chhunzawm zel emaw , tihtawp loh emaw, a inkar ah gap awm leh awm loh emaw.
• Lower esophageal sphincter (LES) bula taksa peng (muscle contraction) a tlahniam hun chhung (distal latency at the contractile deceleration point) : Hei hi a tawp bera inzawmkhawm hmaa, chaw ei tur chu pum chhunga thawn luh hmaa, heng inzawmnate hi a tlahniam hun chhung a ni. Hei hi a buaithlak deuh a, mahse doctor tan chuan a pawimawh hle.
• I ei laiin lower esophageal sphincter a inhawng hun chhung (`deglutitive LES relaxation`) : Hei hi he valve hi a inhawng tha em em a, i ei laiin ei tur chu i pum chhungah a lut thei a ni.

Results pangngai lo tih hi eng nge i sawi tum?

Results pangngai lo chuan urethra chhunga muscle te chu a thawk tha lo tihna a ni. Entirna tlemte chu hetiang hi a ni:

• Hypertensive or hypercontractile peristalsis : Chaw ei kawng chhunga thau te hi a chak lutuk emaw, a inzawm tam lutuk emaw a ni. Hei hian rilru natna a thlen thei a ni.
• Weak or absent peristalsis : Muscle te a contract tha lo a nih chuan ei tur hnuai lam pan a harsa thin.
• Distal latency tihhniam leh ei hmaa ei: Lower esophageal sphincter kal tlangin taksa ruh inzawmna rate tihhniam loh.
• Abnormal deglutitive LES relaxation: Chaw ei kal tlang turin valve a inhawng tha lo a , a nih loh leh a khauh nghal bawk. Hei hi achalasia ang chi dinhmunah pawh hmuh theih a ni.

Heng result atang hian enkawlna tha tak kan hmu thei ang em?

Ni e, a dik tak zet. ``Esophageal Manometry Test'' result hian i doctor chu i ei laiin i esophagus-a thil thleng dik tak leh harsatna awmna hmun dik tak a hriat theih nan a pui thei a ni . Hei hian i tana enkawlna \ha ber tur rawtna an pe ang.

I doctor chuan enkawlna tur a lo rawt tawh mai thei a, chu chu anti-reflux surgery emaw hiatal hernia siamthat emaw ang chi hi a ni. Chutiang a nih chuan, he test hian chu enkawlna chu i tâna a him leh hlawkzia hriat nân a ṭanpui thei che a ni.

‘Esophageal Manometry’ leh ‘Barium Swallow’ test hi eng nge a danglamna?

`(Barium swallow)` hi chaw kawng enfiahna atana hmanraw dang a ni. `(esophagram)` an ti bawk. Mahse, `(Manometry)` ang chi muscle function tehna test aiin `(imaging test)` a ni zawk.

`(Barium swallow)` ah chuan tui bik `(barium)` an tih chu in turin an pe che a. He tui hi chaw kawng chhungah hnawih a nih chuan `(X-ray)` hmangin chaw kawng chu chiang takin a lang thei a ni. He tui i ei lai hian doctor chuan `(X-ray)` video-ah a en a.

Hei hian chaw kawng chhunga chhiatna emaw, blockage emaw a awm chuan a hmuchhuak thei a ni. Video-ah hian ei harsa i tih lai a lang a, mahse, esophagus muscle chhunga thil thleng tak tak, mechanically-a thil thleng dik tak chu a sawi thei lo. Chuvangin ``Manometry`` test hi a ngai a ni.

A tlangpuiin doctor-te chuan `(Barium swallow)` an ti hmasa a, chu chuan harsatna a awm tih a tilang a nih chuan `(Manometry)` test hmangin chhui chian lehzual an ti thin.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

I chaw kawng (esophagus) hnathawh ber pahnih chu ei leh in tur i ei theih nan a pui a, chu chaw chu i pum chhunga a rawn chho leh loh nan a ni. Heng pahnih zinga pakhatah hian harsatna tlemte pawh a awm chuan harsatna chi hrang hrang i tawk thei a ni.

Chuvangin, `(Esophageal Manometry Test)` hi he thil kal zelah hian khawiah nge harsatna a awm tih leh engtin nge a awm tih chiang taka doctor hnenah a lantir thei tur darthlalang ang mai a ni. Hei hian i natna chhan dik tak chu a zawng chhuak ang a , a enkawlna tur tha ber i thlang ang . Chuvangin Doctor-in he test hi a rawt a nih chuan hlau suh. Mahni hamthatna tura tih a ni tih hrethiam rawh. Dam leh thuai turin duhsakna ka hlan e!

` Esophagus, ei harsa, manometry, esophageal examination, rilru natna, acid reflux, achalasia