Ngaba nawe uziva ngathi uyakrwitshwa xa uginya ukutya, okanye kukho into ebambekileyo emqaleni wakho? Okanye ngaba uneengxaki ezifana nokutya okubuyela emqaleni wakho emva kokutya, okanye iintlungu zesifuba? Mhlawumbi usela amayeza oku, kodwa ezo meko aziphucuki. Ngamaxesha anje, ugqirha wakho unokukucebisa ukuba wenze uvavanyo olukhethekileyo. Olunye uvavanyo olubalulekileyo yi-Esophageal Manometry Test. Masithethe ngale nto ngokulula.
Yintoni le Esophageal Manometry Test?
Ngamafutshane, olu luvavanyo olulinganisa indlela ezisebenza ngayo izihlunu ezikwi-esophagus yakho. Ngoku khawucinge ukuba i-esophagus yethu ifana nombhobho owenziwe ngezihlunu ezithwala ukutya ukusuka emlonyeni wethu ukuya esiswini sethu. Xa siginya into ethile, izihlunu ezikule mbhobho zisebenza njengegagasi lokutyhala ukutya phantsi, oko kukuthi, esiswini sethu. Kwakhona, ezi zihlunu zinceda ukuthintela ukutya okungene esiswini ukuba kungabuyeli phezulu.
Ngoko ke, into eyenziwa lolu vavanyo lwe-Esophageal Manometry kukulinganisa ngqo indlela ezisebenza ngayo izihlunu kwi-esophagus yakho, okanye indlela ezihamba ngayo (intshukumo).
Kutheni kuyimfuneko ukwenza uvavanyo olunjalo?
Ngokwesiqhelo, ukuba ugqirha wakho wenze ezinye iimvavanyo, ezifana ne-endoscopy, kodwa akafumani sizathu seempawu zakho, unokukuthumela kolu vavanyo njengenyathelo elilandelayo. Oku kungenxa yokuba nokuba akukho ngxaki ngokuma komqala, kunokubakho ingxaki ngokusebenza kwawo.
Olu vavanyo lunokuba yimfuneko ukuba unezi mpawu zilandelayo.
| Uphawu | Kalula nje... |
|---|---|
| Ubunzima okanye intlungu xa uginya | Ukuva iqhuma emqaleni okanye intlungu xa uginya ukutya okanye isiselo. |
| Ukubuyela esibhedlele | Ukutya okanye ulwelo oluye lwangena esiswini lubuyela emphinjeni. |
| Intlungu yesifuba engaphenduliyo kumayeza | Ukudumba kwesifuba okuhlala kusenzeka nangona usela amayeza e-gastritis. |
| Intlungu yesifuba engesiso isifo sentliziyo | Intlungu engachazekiyo esifubeni engabangelwa sisifo sentliziyo. |
Yintoni enokufunyanwa kolu vavanyo?
I-Manometry luvavanyo olulinganisa uxinzelelo . Olu vavanyo lulinganisa uxinzelelo oludalwa xa izihlunu ezikumphimbo wakho ziqina. Lugxila kwizinto ezimbini eziphambili:
1. Indlela amaza emisipha atyhala ukutya phantsi (i-peristalsis) asebenza ngayo.
2. Nokuba iivalvu (ii-sphincters) eziphezulu nasezantsi kwe-urethra ziyavuleka kwaye zivaleke kakuhle na.
Ngokubona izinto ezingaqhelekanga ekuxinezelekeni kwezi zihlunu, ungafumana unobangela weempawu zakho kwaye ufumanise ezi meko zilandelayo zonyango.
- I-Achalasia: Imeko apho ivalvu esezantsi kwe-esophagus ingavuli kakuhle, nto leyo eyenza kube nzima ukuba ukutya kudlulele esiswini.
- I-Scleroderma: Isifo apho izihlunu zomqala ziba buthathaka ngenxa yokuqina kwezicubu zomzimba.
- Ukuqaqamba komlomo: Iintlungu zesifuba ezibangelwa kukushwabana kwemisipha ngequbuliso, ngamandla nangokungaqhelekanga komlomo.
- I-Rumination syndrome: Kungekudala emva kokutya, ukutya okungagayiwanga kubuyela emlonyeni kuze kuginywe okanye kukhutshwe.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Ugqirha wakho uza kukuchazela oku. Ngokwesiqhelo, kuya kufuneka wenze oku kulandelayo:
- Ufanele uyeke ngokupheleleyo ukutya nokusela malunga neeyure ezi-6 ngaphambi kovavanyo .
- Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile kwiiyure ezingama-24 ngaphambi kovavanyo. Umzekelo:
- Izithinteli zemijelo yecalcium
- IiNitrates
- Ii-opioids
- Izithomalalisi
Eyona nto ibalulekileyo kukuba, ungayeki ukusebenzisa amayeza ngaphandle kwengcebiso kagqirha wakho. Uza kukuxelela ngokuthe ngqo ukuba loluphi unyango omawuluyeke kwaye nini.
Ingaba olu vavanyo lubuhlungu? Lwenziwa njani?
Le yeyona ngxaki inkulu wonke umntu anayo. Olu vavanyo aludli ngokuba buhlungu. Nangona kunjalo, ungaziva ungakhululekanga kancinci emqaleni wakho.
Nantsi indlela olu vavanyo olwenziwa ngayo:
1. Okokuqala, ugqirha okanye ingcali eqeqeshiweyo iza kusebenzisa isitshizi okanye ijeli ekwenza ungabi nazintloni empumlweni nasemphinjeni . Oku kuya kunciphisa kakhulu ukungakhululeki okuvayo xa kufakwa ityhubhu.
2. Emva koko, kufakwa ityhubhu encinci kakhulu neguquguqukayo (catheter) ngempumlo yakho enye ize idlule kancinci emphinjeni wakho, nge-esophagus yakho, iye esiswini sakho. Le tyhubhu ineenzwa ezininzi ezilinganisa uxinzelelo.
3. Emva kokuqinisekisa ukuba ityhubhu ikwindawo yayo, uza kulaliswa ebhedini.
4. Emva koko, ucelwa ukuba uginye amanzi amancinci . Njengoko uginya, izihlunu zomqala wakho ziyafinyela kwaye uxinzelelo lulinganiswa zii-sensors ezikwityhubhu kwaye zithunyelwe njengedatha kwikhompyutha.
5. Ngamanye amaxesha, unokucelwa ukuba wenze oku ulele phantsi naxa uhleli.
Lonke olu vavanyo luthatha malunga nemizuzu eli-15. Usenokuziva urhawuzelelwa kancinci emqaleni wakho emva kovavanyo, kodwa oku kuya kuphela emva kwexesha elithile.
Yintoni umahluko phakathi kwe-Esophageal Manometry kunye ne-Barium Swallow Test?
Usenokuba ukhe weva ngovavanyo lwe-'Barium Swallow'. Nangona zombini ezi vavanyo zijonga umphimbo, zisebenza ngeenjongo ezahlukeneyo.
| Uvavanyo | Yintoni ejongwayo? |
|---|---|
| I-Barium Swallow (i-Esophagram) | Olu luvavanyo lwe-X-ray. Usela ulwelo olukhethekileyo olubizwa ngokuba yi-barium, kwaye ividiyo ye-X-ray ithathwa njengoko ihamba kwi-esophagus yakho. Oku kujonga ulwakhiwo lwe-esophagus yakho, oko kukuthi, ukuma kwayo, kunye nokuba kukho na ukuvaleka okanye ukungaqheleki. |
| I-Esophageal Manometry | Oku kulinganisa umsebenzi womqala. Oko kukuthi, ukusebenza kakuhle nangokuchanekileyo kwemisipha. Oku kulinganisa uxinzelelo. |
Ngokwesiqhelo, ugqirha uya kuqala enze uvavanyo lweBarium Swallow aze athumele uvavanyo lweManometry kuphela ukuba olo vavanyo alufumani sizathu.
Ngaba ungalufumana unyango olufanelekileyo kuwe kwiziphumo?
Ewe, ngokuqinisekileyo. Iziphumo zolu vavanyo ziya kunceda ugqirha wakho ukuba afumanise ukuba yintoni kanye kanye ingxaki ngokusebenza kwemisipha ekwisinqe sakho.Ingabonwa. Kuyacaca ukuba izihlunu zibuthathaka, zisebenza kakhulu, okanye kukho ingxaki ngevalvu.
Ngokusekelwe kolu lwazi, kuya kuba lula kugqirha wakho ukucebisa unyango olufanelekileyo noluchanekileyo kuwe. Ukuba ucetyisiwe into efana notyando lokulwa ne-reflux, olu vavanyo luya kunceda ukuqinisekisa ukuba utyando lufanelekile kwaye lukhuselekile kuwe.
Umyalezo Wokuya Ekhaya
- I-Esophageal Manometry luvavanyo olungenazintlungu olulinganisa ukusebenza kwemisipha kwi-esophagus yakho.
- Oku kunceda ekufumaneni unobangela weempawu ezinje ngobunzima bokuginya, ukutya okubambekayo emqaleni, kunye nentlungu yesifuba engaphenduliyo kumayeza.
- Ufanele uyeke ukutya okanye ukusela malunga neeyure ezi-6 ngaphambi kovavanyo. Yazisa ugqirha wakho malunga namayeza owasebenzisayo.
- Le nkqubo ithatha imizuzu eli-15 kuphela. Nangona kusenokubakho ukungakhululeki okuthile, kodwa yinto yexeshana.
- Iziphumo zovavanyo ziya kunceda ugqirha wakho ukuba afumanise unobangela wemeko yakho aze akhethe unyango olusebenzayo.
- Ukuba unemibuzo malunga nolu vavanyo, ungoyiki ukuthetha nogqirha wakho.
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