Ngaba nawe unengxaki yokuginya? Masithethe nge-'Esophageal Manometry Test'!

Ngaba uziva ngathi uyakrwitshwa okanye unesitshiso xa usitya okanye usela? Ngaba ngamanye amaxesha uziva ngathi ukutya kubuyela emqaleni wakho? Ukuba unengxaki enjalo, namhlanje siza kuthetha ngovavanyo olukhethekileyo olunokukunceda ufumane unobangela. Oku kubizwa ngokuba yi-"Esophageal Manometry Test".

Yintoni le 'Uvavanyo lwe-Esophageal Manometry'?

Ngamafutshane, olu luvavanyo lokujonga ukuba izihlunu ezikwi-esophagus yethu (umbhobho wokutya) zisebenza kakuhle na. Uyazi, xa siginya ukutya, kusuka emlonyeni wethu ukuya esiswini sethu ngale esophagus. Kufana nombhobho. Izihlunu ezikule mbhobho zityhala ukutya phantsi. Kwakhona, ezi zihlunu zinceda ekuthinteleni ukutya ukuba kungabuyeli esiswini.

Nangona kunjalo, ngamanye amaxesha kunokubakho ubuthathaka ekusebenzeni kwemisipha yale esophagus, okanye iingxaki ``zokuhambahamba``. Kulapho ke izinto ezinje ngobunzima bokuginya, isitshiso sentliziyo, kunye nokutya okubuyela emqaleni (reflux). Ngoko ke, i-``Esophageal Manometry Test`` ilinganisa ukuba imisipha yesophagus yakho iyancipha, iphumle, kwaye ityhale ukutya phantsi.

Kutheni kufuneka senze olu hlobo lovavanyo? Ngaba nawe unazo ezi mpawu?

Ugqirha udla ngokucebisa olu vavanyo ukuba uneengxaki ezingapheliyo zokuginya okanye unengxaki yokugcina ukutya nokusela kuncinci. Usenokuba sele wenze ezinye iimvavanyo ze-esophagus yakho, ezifana ne-endoscopy. Ukuba ezo vavanyo azifumani sizathu sicacileyo seempawu zakho, inyathelo elilandelayo lidla ngokuba luvavanyo lwe-esophageal motility, olubizwa ngokuba luvavanyo lwe-esophageal manometry.

Jonga ukuba unayo na enye yezi mpawu:

• Ngaba uziva ubunzima okanye intlungu xa uginya ukutya?
• Ingaba kuvakala ngathi ukutya kubuyela emqaleni emva kokuginya (ukuphinda kutye)?
• Ngaba une -heartburn engapheliyo (acid reflux) engapheliyo nasemva kokuba usele amayeza?
• Ngaba unentlungu yesifuba okanye engeyontliziyo engabangelwa sisifo sentliziyo?

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukuthetha nogqirha wakho ubuze ngolu vavanyo.

Yintoni enokufunyanwa kolu vavanyo?

I-``Manometry`` ithetha ukulinganisa uxinzelelo. Isixhobo esisetyenziswa kolu vavanyo sibizwa ngokuba yi-``manometer``. Silinganisa uxinzelelo oluveliswa xa izihlunu ze-esophagus ziqina. I-``Esophageal Manometry Test`` ijonga ikakhulu iintlobo ezimbini zomsebenzi wemisipha kwi-esophagus.

1. Uzichaza njani iintshukumo zezihlunu ezihambisa ukutya kwindlela yokugaya ukutya (i-peristalsis)?

2. Nokuba iivalvu eziphezulu nasezantsi kwe-esophagus ziyavuleka kwaye zivaleke kakuhle na.

Ukuba kukho ukungaqheleki koxinzelelo kwezi zihlunu, oku kunokuchaza unobangela weempawu zakho kwaye kuchonge iimeko ezithile zempilo. Umzekelo:

• `(Achalasia)` : Le yimeko apho i-sphincter esezantsi ye-esophageal ingavuli kakuhle, nto leyo eyenza kube nzima ukuba ukutya kudlulele esiswini.
• `(I-Scleroderma)`: Esi sisifo esichaphazela izicubu zomzimba ezidityanisiweyo, kwaye sinokuwenza buthathaka imisipha yomqala.
• Ukuqaqamba komlomo: Oku kukuxinana okukhulu kwemisipha esemqaleni ngequbuliso okunokubangela iintlungu.
• `(Rumination syndrome)` : Le yimeko apho ukutya okungaginywanga kutshanje kubuyela emlonyeni.

Lwenziwa njani olu vavanyo lwe-'Esophageal Manometry'? Masichaze kancinci.

Eyona ndlela iphucukileyo esetyenziswayo ngoku ibizwa ngokuba yi-``High-resolution manometry (HRM)``. Nantsi into eyenzekayo: Ityhubhu encinci kakhulu, ebhityileyo ``catheter`` idluliselwa kwi-esophagus yakho. Le tube inee-sensors ezininzi ezincinci zoxinzelelo, mhlawumbi ezifikelela kwi-36. Ezi sensors zibekwe malunga nesentimitha enye ukusuka kwenye. Ngoko ke, ezi sensors zilinganisa indlela izihlunu kwi-esophagus yakho ezincipha ngayo xa uginya ukutya.

Idatha eqokelelwe zezi sensors ithunyelwa kwikhompyutha. Ikhompyutha ihlalutya idatha ize yenze imephu yoxinzelelo kwi-esophagus yakho ebizwa ngokuba yi-esophageal pressure topography, okanye i-EPT. Le mephu ivumela ugqirha wakho ukuba abone ngqo indlela ezisebenza ngayo izihlunu zakho ze-esophageal.

Sifanele sizilungiselele njani ngaphambi kovavanyo?

Kufuneka ulungiselele kancinci ngaphambi kolu vavanyo.

• Kungcono ungatyi okanye ungaseli nto kangangeeyure ezintandathu ngaphambi kovavanyo. Isisu sakho masibe singenanto.
• Ukuba usela amayeza athile, ugqirha wakho angakucela ukuba uyeke ukuwasela iiyure ezingama-24 ngaphambi kovavanyo. Umzekelo:
• `(Izithinteli zetshaneli yeCalcium)`
• `(IiNitrates)`
• `(Opioids)` (izithomalalisi ntlungu)
• `(Ii-sedatives)` (iziyobisi ezibangela ukozela)

Ngoko ke, kubaluleke kakhulu ukuxelela ugqirha wakho kwangaphambili malunga nawo onke amayeza owasebenzisayo.

Ngaba usebenzisa i-anesthesia xa usenza oku? Andazi ukuba kubuhlungu na, akunjalo?

Ngokwesiqhelo, awufakwanga i-anesthesia ngokupheleleyo ngexesha lovavanyo. Oku kuthetha ukuba usezingqondweni. Nangona kunjalo, ukuba uyoyika kakhulu okanye uxhalabile ngale nto, ungathetha nogqirha wakho ngayo kwangaphambili kwaye, ukuba kuyimfuneko, uxoxe nge-anesthesia elula (i-sedation).

Uvavanyo lwe-Esophageal Manometry alulovavanyo olubuhlungu . Nangona kunjalo, ungaziva ungakhululekanga okanye uxinezelekile xa ityhubhu ikwi-esophagus yakho. Ukunciphisa oku kungakhululeki, kutshizwa i-anesthetic entanyeni yakho ngaphambi kokuba ityhubhu ifakwe. Umphimbo wakho ungaziva ubuhlungu kangangeentsuku ezimbini emva kovavanyo, into eqhelekileyo.

Lwenziwa njani kanye kanye olu vavanyo?

Kulungile, masijonge ngakumbi indlela olu vavanyo oluqhutywa ngayo.

1. Okokuqala, ugqirha okanye umongikazi oqeqeshiweyo uza kufaka ityhubhu encinci enezixhobo zokuvavanya, ezibizwa ngokuba yi-"catheter", ngempumlo yakho enye aze ahlise kancinci kancinci umphimbo wakho ide ifike esiswini sakho. Oku kukwabizwa ngokuba yi-"nasogastric tube".

2. Ngaphambi kokufaka ityhubhu, kufakwa i-lubricant encamini. I-anesthetic ephumayo ikwasetyenziswa empumlweni nasemqaleni. Oku kuya kunciphisa kakhulu ukungonwabi kwetyhubhu.

3. Nje ukuba ityhubhu ibekwe endaweni yayo, uya kucelwa ukuba ulale ebhedini uphefumle ngendlela eqhelekileyo, kwaye kuya kuthathwa umlinganiselo wesiseko.

4. Emva koko, uza kucelwa ukuba uginye amanzi amancinci. Ngokwesiqhelo kuza kufuneka uginye malunga nezihlandlo ezisixhenxe okanye ezisibhozo. Ngeli xesha, uza kucelwa ukuba ulale phantsi okanye ugobe kancinci.

5. Emva koko, ukuba ugqirha uyafuna, banokukuvavanya oku ngezinye iindlela. Umzekelo, banokukucela ukuba uginye ngqo, okanye banokukuvumela ukuba uginye into etyebileyo kancinci, njenge-applesauce.

Cinga ngayo njengomthambo olinganisa "amandla" emisipha yakho yomqala. Ngalo lonke ixesha uginya, balinganisa ukuba ezo misipha zisebenza kakuhle kangakanani.

Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga koku?

Olu vavanyo ngokubanzi lukhuselekile kakhulu. Nangona kunjalo, abanye abantu banokukhwehlela, bave iqhuma emqaleni, okanye bazive becaphukile (beva isandi) ngexesha lenkqubo. Nangona kunjalo, ezi mpawu ziya kuphela emva kwexesha elithile. Amaxesha amaninzi, abanye abantu banokuba nokopha kancinci impumlo kuba ityhubhu ifakwe ngempumlo yabo. Oku akuyonto imbi kangako.

Olu vavanyo luthatha ixesha elingakanani?

Olu vavanyo lonke luthatha malunga nemizuzu eli-15 ukugqitywa . Ngoko ke, ayilonkqubo ithatha ixesha elininzi.

Ungaziqonda njani iziphumo zengxelo yovavanyo?

Emva kovavanyo, ugqirha wakho uza kujonga imephu ye-esophageal pressure topography eyenziwe yikhompyutha aze achaze iziphumo. Kunzima kancinci kuthi ukuyiqonda sodwa.

Iziphumo zibonisa oku kulandelayo:

• Amandla e-Peristaltic: Oku kubhekisa ekubeni ziqine okanye zibuthathaka kangakanani na izihlunu ezityhala ukutya kwi-esophagus .
• Ukuqina kwe-Peristaltic: Nokuba izihlunu ezikwi-esophageal sphincter ziyacutheka ngokuqhubekayo, ngaphandle kokuphazamiseka, okanye nokuba kukho izithuba phakathi kwazo.
• Ixesha elinciphayo lokuncipha kwemisipha kufutshane ne-lower esophageal sphincter (LES) (i-distal latency kwindawo yokuthomalalisa uku ...
• Ixesha elivuleka ngalo i-sphincter esezantsi ye-esophageal xa uginya (`deglutitive LES relaxation`) : Le yindlela evuleka ngayo le valve ukuze ivumele ukutya kungene esiswini xa uginya.

Uthetha ukuthini xa usithi iziphumo ezingaqhelekanga?

Iziphumo ezingaqhelekanga zithetha ukuba izihlunu ezikwi-urethra azisebenzi kakuhle. Nazi imizekelo embalwa:

• I-hypertensive okanye i-hypercontractile peristalsis : Izihlunu ezikwi-esophagus zifinyela ngamandla kakhulu okanye rhoqo. Oku kunokubangela iintlungu esifubeni.
• I-peristalsis ebuthathaka okanye engekhoyo : Ukuba izihlunu azinciphisi kakuhle, kunzima ukuba ukutya kuhambe.
• Ukuncipha kokulibaziseka kokuhamba kunye nokuginya ngaphambi kwexesha: Ukudlula kwi-sphincter esezantsi ye-esophageal ngaphandle kokunciphisa isantya sokuqina kwemisipha.
• Ukuphumla okungaqhelekanga kwe-LES: Ivalvu ayivuli kakuhle ukuze kudlule ukutya, okanye iqina ngequbuliso. Oku kunokubonwa kwiimeko ezifana ne-achalasia.

Ngaba singafumana unyango olusebenzayo kwezi ziphumo?

Ewe, ngokuqinisekileyo. Iziphumo zovavanyo lwe-"Esophageal Manometry Test" zinganceda ugqirha wakho azi kakuhle ukuba kwenzeka ntoni kummizo wakho xa uginya kwaye ingxaki iphi. Oku kuya kubanceda bacebise unyango olufanelekileyo kuwe.

Ugqirha wakho usenokuba sele ecebise unyango, olufana notyando lokulwa ne-reflux okanye ukulungiswa kwe-hiatal hernia. Ukuba kunjalo, olu vavanyo lunokukunceda ubone ukuba lukhuselekile kwaye lusebenza kangakanani na olo nyango kuwe.

Yintoni umahluko phakathi kovavanyo lwe-'Esophageal Manometry' kunye novavanyo lwe-'Barium Swallow'?

I-`(Barium swallow)` yenye indlela esetyenziselwa ukuhlola umphimbo. Ikwabizwa ngokuba yi-`(esophagram)`. Nangona kunjalo, yi - `(imaging test)` endaweni yokuba luvavanyo olulinganisa ukusebenza kwemisipha efana ne-`(Manometry)`.

Kwi-`(Barium swallow)`, unikwa ulwelo olukhethekileyo olubizwa ngokuba yi-`(barium)` ukuba ulusele. Xa olu lwelo lusetyenziswa ngaphakathi kwi-esophagus, i-esophagus ibonakala ngokucacileyo kwi-`(X-ray)`. Njengoko uginya olu lwelo, ugqirha ubukela ividiyo ye-`(X-ray)`.

Oku kungabona naziphi na iziphene okanye ukuvaleka ngaphakathi komqala. Nangona le vidiyo ikubonisa ukuba unengxaki yokuginya, ayinakukuxelela kanye kanye ukuba kwenzeka ntoni ngaphakathi kwimisipha yomqala, nokuba kwenzeka ntoni ngoomatshini. Yiyo loo nto kufuneka uvavanyo lwe-``Manometry```.

Ngokwesiqhelo, oogqirha baqala benze i-`(Barium swallow)` kwaye ukuba oko kubonisa ukuba kukho ingxaki, benza uvavanyo lwe-`(Manometry)` ukuze baphande ngakumbi.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Imisebenzi emibini ephambili yomqala wakho kukukunceda uginye ukutya nokusela, kunye nokuthintela ukutya ukuba kungabuyeli esiswini sakho. Ukuba kukho ingxaki encinci nakweyiphi na kwezi zimbini, unokufumana iintlobo ngeentlobo zokungonwabi.

Ngoko ke, i-`(Esophageal Manometry Test)` ifana nesipili esibonisa ugqirha ngqo ukuba ingxaki iphi kwaye injani kule nkqubo. Oku kuya kukunceda ufumane unobangela ochanekileyo wemeko yakho kwaye ukhethe unyango olufanelekileyo . Ke ngoko, ukuba ugqirha ucebisa olu vavanyo, musa ukoyika. Qonda ukuba yinto eyenziwayo ukuze impilo yakho ibe ntle. Ndikunqwenelela ukuchacha ngokukhawuleza!

Umphimbo , ubunzima bokuginya, i-manometry, uvavanyo lomphimbo, ukudumba kwesifuba, i-acid reflux, i-achalasia