Unonetsekawo here nekumedza? Ngatitaurei nezve 'Esophageal Manometry Test'!

Unonzwa sekunge uri kudzipwa kana kuti uri kunzwa chirungurira paunodya kana kunwa here? Dzimwe nguva unonzwa sekunge chikafu chinodzoka muhuro mako here? Kana uine rudzi urwu rwekusagadzikana, nhasi tichataura nezvebvunzo yakakosha inogona kubatsira kuwana chikonzero. Izvi zvinonzi ``Esophageal Manometry Test''.

Chii chinonzi 'Esophageal Manometry Test'?

Zvichitaurwa zviri nyore, iyi ibvunzo yekuona kana tsandanyama dziri mugurokuro redu (chikafu chepombi) dziri kushanda nemazvo. Unoziva, patinomedza chikafu, chinobva mumuromo medu chichienda mudumbu redu kuburikidza negurokuro iri. Zvakafanana nechubhu. Tsandanyama dziri muchubhu iyi dzinosundira chikafu pasi. Zvakare, tsandanyama idzi dzinobatsira kudzivirira chikafu kuti chisadzoke mudumbu.

Zvisinei, dzimwe nguva panogona kunge paine kusashanda zvakanaka kwemhasuru dzegurokuro iri, kana matambudziko ekufamba-famba. Ndipo panoitika zvinhu zvakaita sekuoma kumedza, chirungurira, uye chikafu chinodzokera muhuro (reflux). Saka, ``Esophageal Manometry Test`` inoyera kuti tsandanyama dzegurokuro rako dzinoita sei, dzinozorora sei, uye dzinosundira chikafu pasi.

Sei tichifanira kuita rudzi urwu rwebvunzo? Iwe une zviratidzo izviwo here?

Chiremba anowanzo kurudzira bvunzo iyi kana uine matambudziko ekumedza kana kuti uchinetseka nekudya nekunwa. Ungave wakamboongororwa mimwe miedzo yegurokuro rako, senge endoscopy. Kana bvunzo idzodzo dzikasawana chikonzero chakajeka chezviratidzo zvako, danho rinotevera rinowanzo kuve bvunzo yekufamba kwegurokuro, inonzi esophageal manometry test.

Ona kana uine chimwe chezviratidzo izvi:

• Unonzwa kuoma kana kurwadziwa here kana uchimedza chikafu?
• Zvinonzwa sekunge chikafu chinodzokera muhuro mushure mekumedza (kudzoreredza) here?
• Une chirungurira chisingaperi (acid reflux) chisingapere kunyangwe mushure mekutora mushonga here?
• Une kurwadziwa kwechipfuva kana chipfuva chisina mwoyo here, kusiri kukonzerwa nechirwere chemwoyo?

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakanaka kutaura nachiremba wako wobvunza nezvebvunzo iyi.

Chii chingawanikwa mubvunzo iyi?

``Manometry`` zvinoreva kuyera kumanikidzwa. Chishandiso chinoshandiswa mubvunzo iyi chinonzi ``manometer``. Chinoyera kumanikidzwa kunokonzerwa kana tsandanyama dzegurokuro dzabatana. ``Esophageal Manometry Test`` inonyanya kutarisa mhando mbiri dzekushanda kwetsandanyama mugurokuro.

1. Unotsanangura sei mafambiro emhasuru dzinofambisa chikafu munzira yekugaya (peristalsis)?

2. Kuti mavharuvhu ari pamusoro nepazasi pegurokuro anovhurika uye anovharika zvakanaka here.

Kana paine kusashanda zvakanaka kwesimba mutsandanyama idzi, zvinogona kutsanangura chikonzero chezviratidzo zvako uye kuziva mamwe matambudziko ehutano. Semuenzaniso:

• `(Achalasia)` : Ichi chirwere apo sphincter yepazasi pegurokuro haivhurike zvakanaka, zvichiita kuti zviomere kuti chikafu chipinde mudumbu.
• `(Scleroderma)`: Ichi chirwere chinokanganisa nhengo dzemuviri, uye chinogonawo kunetesa tsandanyama dzegurokuro.
• Kurwadziwa kwemudumbu: Uku kurwadziwa kwakanyanya kwetsandanyama dziri mugurokuro izvo zvinogona kukonzera marwadzo.
• `(Rumination syndrome)` : Ichi chirwere apo chikafu chisina kumedzwa chichangobva kumedzwa chinodzokera mumuromo.

Bvunzo iyi ye'Esophageal Manometry' inoitwa sei? Ngatitsanangure zvishoma.

Nzira yepamusoro-soro inoshandiswa pari zvino inonzi ``High-resolution manometry (HRM)``. Izvi ndizvo zvinoitika: Chubhu yakatetepa, yakatetepa ``catheter`` inopfuudzwa muguropu rako. Chubhu iyi ine masensa madiki akawanda ekumanikidza, angangoita 36. Masensa aya ari padyo nesendimita imwe chete. Saka, masensa aya anoyera kuti tsandanyama dziri muguropu rako dzinoita sei paunomedza chikafu.

Ruzivo rwunounganidzwa nemasensa aya runotumirwa kukombiyuta. Kombiyuta inoongorora ruzivo rwacho yogadzira mepu yekumanikidzwa kuri mugumbo rako inonzi esophageal pressure topography, kana kuti EPT. Mepu iyi inobvumira chiremba wako kuona chaizvo mashandiro anoita tsandanyama dzako dzegumbo.

Tinofanira kugadzirira sei bvunzo isati yaitwa?

Unofanira kugadzirira zvishoma usati waita bvunzo iyi.

• Zvakanakisa kusadya kana kunwa chero chinhu kwemaawa matanhatu bvunzo isati yaitwa . Dumbu rako rinofanira kunge risina chinhu.
• Kana uri kutora mimwe mishonga, chiremba wako anogona kukukumbira kuti urege kuitora maawa makumi maviri nemana bvunzo isati yaitwa. Semuenzaniso:
• `(Zvivharidzi zveCalcium channel)`
• `(Nitrates)`
• `(Opioids)` (mishonga inouraya marwadzo)
• `(Mishonga yekunyaradza)` (mishonga inokonzera hope)

Saka, zvakakosha zvikuru kuudza chiremba wako pachine nguva nezvemishonga yese yauri kutora.

Unoshandisa mushonga weanesthesia here kana uchiita izvi? Handizive kana zvichirwadza, handiti?

Kazhinji, hausi kupiwa mushonga wekuti unzwe kusagadzikana panguva yekuongororwa uku. Izvi zvinoreva kuti unenge wava kuziva. Zvisinei, kana uchitya zvikuru kana kunetseka nezvazvo, unogona kutaura nachiremba wako nezvazvo usati watanga uye, kana zvichidikanwa, kurukura nezve mushonga wekuti unzwe kusagadzikana (kunyaradza).

Kuedzwa kweEsophageal Manometry hakusi bvunzo inorwadza . Zvisinei, unogona kunzwa kusagadzikana zvishoma kana kuomarara kana chubhu iri mugurokuro rako. Kuti uderedze kusagadzikana uku, mushonga unorwadzisa muviri unopfapfaidzwa pahuro pako chubhu isati yaiswa. Huro yako inogona kunzwa kurwadziwa kwezuva rimwe kana maviri mushure mekuedzwa, izvo zvakajairika.

Bvunzo yacho inoitwa sei chaizvo?

Zvakanaka, saka ngatitarisei zvishoma kuti bvunzo yacho inoitwa sei.

1. Kutanga, chiremba kana mukoti akadzidziswa achaisa chubhu tete ine masensa, inonzi ``catheter```, kuburikidza neimwe yemhino dzako uye zvishoma nezvishoma achidzika pasi pegurokuro kusvika yasvika mudumbu mako. Izvi zvinonziwo ``nasogastric tube```.

2. Usati waisa chubhu, isa mafuta ekuzora pamusoro. Mushonga unonyaradza marwadzo unoiswawo pamhino nepahuro. Izvi zvinoderedza zvakanyanya kusagadzikana kwechubhu.

3. Kana chubhu yangoiswa, uchakumbirwa kurara pamubhedha wofema zvakanaka, uye kuverenga kwekutanga kuchatorwa.

4. Zvadaro, uchakumbirwa kumedza mvura shoma. Kazhinji uchafanira kumedza kanomwe kana kasere. Munguva iyi, uchakumbirwa kurara pasi kana kutsamira zvishoma.

5. Kana chiremba achida, vanogona kuyedza izvi nedzimwe nzira. Semuenzaniso, vanogona kukukumbira kuti umedze wakananga, kana kuti vanogona kukurega uchimedza chimwe chinhu chakakora zvishoma, senge applesauce.

Funga nezvazvo sekurovedza muviri kunoyera "simba" remhasuru dzako dzepagurokuro. Nguva imwe neimwe yaunomedza, vanenge vachiyera kuti tsandanyama idzodzo dziri kushanda zvakanaka sei.

Pane njodzi here kana kuti migumisiro yakaipa pane izvi?

Kuongororwa uku kwakajairika kwakachengeteka. Zvisinei, vamwe vanhu vanogona kukosora, kunzwa bundu pahuro, kana kunzwa kuda kurutsa (kunzwa kuda kurutsa) panguva yekuvhiyiwa. Zvisinei, zviratidzo izvi zvinopera mushure mechinguva. Kashoma, vamwe vanhu vanogona kubuda ropa mumhino nekuti chubhu inopinzwa nemhino dzavo. Izvi hazvina kuipa.

Bvunzo iyi inotora nguva yakareba sei?

Bvunzo iyi yese inotora maminetsi angangoita gumi nemashanu kuti ipere . Saka, haisi nzira inotora nguva yakawanda.

Unganzwisisa sei mhedzisiro yemushumo webvunzo?

Mushure mekuongororwa, chiremba wenyu achatarisa mepu yekuongorora kumanikidzwa kweropa yakagadzirwa nekombiyuta uye otsanangura zvabuda. Zvakaoma kuti tizvinzwisise tega.

Mhedzisiro yacho inonyanya kuratidza zvinotevera:

• Simba rePeristaltic: Izvi zvinoreva kuti kusimba kana kushata kwetsandanyama dzinosundira chikafu pasi pegurokuro kwakasimba kana kuti kwakaderera .
• Kusagadzikana kwemuviri: Kana tsandanyama dziri pasophageal sphincter dzichiramba dzichidhonza, pasina kukanganiswa, kana kuti paine mipata pakati padzo.
• Nguva iyo marwadzo emhasuru anodzikira pedyo ne lower esophageal sphincter (LES) (distal latency panzvimbo yekudzikamisa marwadzo) : Iyi ndiyo nguva iyo marwadzo aya anodzikira usati wasvika pakurwadziwa kwekupedzisira, chikafu chisati chatumirwa mudumbu. Izvi zvakaoma zvishoma, asi zvakakosha kuna chiremba.
• Nguva iyo sphincter yepazasi yegurokuro inovhurika paunomedza (`deglutitive LES relaxation`) : Iyi ndiyo nzira iyo vharuvhu iyi inovhurika nayo kuti chikafu chipinde mudumbu paunomedza.

Unorevei kana uchiti mhedzisiro isina kujairika?

Mhedzisiro isina kujairika inoratidza kuti tsandanyama dziri muurethra hadzisi kushanda zvakanaka. Heano mimwe mienzaniso:

• Kupisa kweropa kwakanyanya kana kuti kwakanyanya kubatwa nedumbu : Tsandanyama dziri mugurokuro dzinogumburwa zvakanyanya kana kuti kakawanda. Izvi zvinogona kukonzera kurwadziwa muchipfuva.
• Kusasimba kwemuviri kana kusavapo kwemuviri : Kana tsandanyama dzikasabatana zvakanaka, zvinonetsa kuti chikafu chidzike pasi.
• Kunonoka kwekusvika kure uye kumedza nguva isati yakwana: Kupfuura nemuchikamu chezasi chegurokuro usingaderedze kumhanya kwemhasuru.
• Kurerukirwa kweLES kusina kujairika: Vharuvhu haivhurike zvakanaka kuti chikafu chipfuure, kana kuti inongoerekana yasimba. Izvi zvinogona kuonekwa mumamiriro ezvinhu akadai seachalasia.

Tinogona here kuwana mushonga unoshanda kubva mumhedzisiro iyi?

Ehe, zvechokwadi. Zvakabuda muongororo ye "Esophageal Manometry Test" zvinogona kubatsira chiremba wako kuziva zviri kuitika pagurokuro rako paunomedza uye kuti dambudziko riri papi. Izvi zvichamubatsira kukurudzira kurapwa kwakakodzera iwe.

Chiremba wako angangodaro akatokurudzira kurapwa, kwakadai sekuvhiyiwa kwekudzivirira kudzoreredza ropa kana kugadzirisa hernia yemudumbu. Kana zvakadaro, bvunzo iyi inogona kukubatsira kuona kuti kurapwa ikoko kwakachengeteka uye kunoshanda sei kwauri.

Ndeupi musiyano uripo pakati pebvunzo dze'Esophageal Manometry' nedze'Barium Swallow'?

Imwe nzira inoshandiswa kuongorora gumbo remudumbu inonzi `(Barium swallow)`. Zvisinei, iyi i` (imaging test)` kwete bvunzo inoyera mashandiro emhasuru se`(Manometry)`.

Muchinwiwa che'(Barium swallow)`, unopiwa mvura yakakosha inonzi `(barium)` yekunwa. Kana mvura iyi ikaiswa mukati megurokuro, gurokuro rinoonekwa zvakajeka pa`(X-ray)`. Paunomedza mvura iyi, chiremba anoona vhidhiyo ye`(X-ray)`.

Izvi zvinogona kuona chero zvikanganiso kana kuvharika mukati megurokuro. Kunyangwe vhidhiyo iyi ichikuratidza kuti uri kunetseka kumedza, haigone kukuudza chaizvo zviri kuitika mukati memhasuru dzegurokuro, zviri kuitika nemaoko. Ndosaka bvunzo ye "Manometry" ichidikanwa.

Kazhinji, vanachiremba vanotanga vaita `(Barium swallow)` uye kana izvozvo zvichiratidza kuti pane dambudziko, vanoita `(Manometry)` bvunzo kuti vaongorore zvimwe.

Chekupedzisira, yeuka izvi (Mharidzo Yekuenda Kumba)

Mabasa maviri makuru egurokuro rako ndeekubatsira kumedza chikafu nechinwiwa, uye kudzivirira chikafu kuti chisadzoke mudumbu mako. Kana paine dambudziko diki pane chimwe chezviviri izvi, unogona kusangana nematambudziko akasiyana-siyana.

Saka, `(Esophageal Manometry Test)` yakafanana negirazi rinoratidza chiremba kuti dambudziko riri kupi uye sei mukuita uku. Izvi zvichakubatsira kuwana chikonzero chaicho chechirwere chako uye kusarudza mushonga wakakodzera . Saka, kana chiremba akakurudzira bvunzo iyi, usatye. Nzwisisa kuti chinhu chiri kuitwa kuti ugare zvakanaka. Ndinokushuvira kuti upore nekukurumidza!

Kuoma kwedumbu, kuoma kumedza, manometry, kuongororwa kwegurokuro, kuzvimba kwechipfuva, acid reflux, achalasia