Esophageal manometry inowanzoshandiswa kuedza kuongorora sophageal motor kusagadzikana. Uyu muedzo unobatsira chiremba wako kuongorora zvipingamupinyi mukati memaoko ako, peristalsis (kupindira kusingabvunzi uye kusununguka mukati mako), uye kufamba kwezvokudya kuburikidza nehupenyu hwako. Zvikonzero zvakakurumbira chiremba wako anogona kukurudzira sophageal manometry test inosanganisira:
- kuoma kunomedza (dysphagia)
- chirwere chepfupa chisati chiri chepfungwa (mwoyo) yakabatana
- asidi reflux
- mushure mekuvhiya kupora
Iwe unogonawo kunge wakakurudzirwa kuti uedzwe ichi kuti ubatsire kuongorora zvinotevera zvinetso:
- achalasia (kunetseka kudarika zvokudya mudumbu)
- scleroderma
- GERD pasina kubatsirwa pashure pemavhiki masere ekushandisa proton-pump inhibitor (PPI)
- jackhammer esophagus
- eosinophilic esophagitis
Your Esophagus
Iko inophagus ndeyeiyo yakareba muscular tube inowedzera kubva pamutsipa wako kuenda mudumbu rako uye dzimwe nguva inonzi "gullet" yako. Kune sphincter, kana kuti ring rinosungurudza rinozarura uye rinovhara, kumusoro uye pasi pehupenyu hwako. Izvo izvi zvinotaridzirwa seyepamusoro esophageal sphincter uye yepasi esophageal sphincter . Aya mahwendefa anotsemuka uye akavhara zvakasununguka paanomedza kudya kana kunwa.
Your upper esophageal sphincter (UES) inoshumira 2 zvinangwa zvikuru:
- rinovhara panguva yekufuridzirwa kuti urege kuzadza dumbu rako nemhepo
- inogadzirisa kudzivisa acid-reflux kupinda mumapapu ako
Chinhu chenyu chepasi chesophageal sphincter (LES) chinangwa chikuru ndechekudzivirira mudumbu asidi kupinda mukati mako. Kuti udzivise izvi, yako yepasi esophageal sphincter inogara ichivharwa kusvikira ikamedza zvokudya panguva iyo inobvumirana zvishoma kubvumira kudengenyeka kwezvokudya zvichibva mudumbu rako kusvika mudumbu rako.
Panewo kupfupisa kwenguva pfupi kwechepasi esophageal sphincter apo iwe unobata.
Kugadzirira Eesophageal Manometry Test
Kugadzirira kweesophageal manometry test inosanganisira kuchengetedza matanho ekudzivirira kushuva (inhalation yemimba mukati) uye kugadziriswa kwemigumisiro yekuedza. Kuti uone kuti dumbu rako risina chinhu, chiremba wako angangokurudzira kuti iwe unotsanya kwemaawa matanhatu musati waita. Kana iwe uchidya nguva ino isati yasvika, chiremba wako anogona kukonzera kana kunonoka kuedza kwako.
Mishonga yakawanda inogona kukanganisa nhengo yako uye saka chiremba wako angakukumbira kuti urege kunonoka kushandisa mamwe mishonga. Mimwe mishonga inogona kunge isingakwanisi kumira uye naizvozvo iwe unofanira kukurukura mishonga yako nachiremba wako usati waitwa. Chero mishonga inotorwa chete "sezvinodiwa" haifaniri kutorwa musati yaitwa.
Mhando dzakajairika dzemishonga inogona kuchinja migumisiro yechipimo chekuongorora manometry inosanganisira:
- nitrate - nitroglycerin, isosorbide, Viagra, Cialis
- calcium-channel blockers - Norvasc, Cardizem
- anticholinergics - Cogentin, Spiriva, Atrovent, Ditropan
- promotility agents - Reglan, Zelnorm
- sedatives - Versed, Ativan, Fentanyl
Zvakakosha kukurukura mishonga nachiremba wako usati warega chero chinhu chaunotora nguva dzose.
Zvaunotarisira Mukati yeEesophageal Manometry Test
Kazhinji yenguva sedation haigoni kushandiswa painenge ichiisa sopterge motility catheter. Kunyange zvazvo zvinyoronyoro zvinyoro-soro zvakaderera zvakaderera zveVeeded zvinogona kushandiswa kusimbisa nyaradzo, zvinyorwa zvinogona kukanganisa kuongororwa kwemaitiro, saka dzinodziviswa kana zvichibvira.
Kuti uwedzere kunyaradza kwako, iwe ungangove wakapiwa chisarudzo chechizivo chaunoda chiremba kuti aise catheter mukati. Nzira yepamusoro inoshandiswa sezvo inowanzoita kuti kuderera kusanyanya uye kusanyanya kunetseka kamwechete pane nzvimbo kusiyana nekupinda mumuromo wako. Chiremba wako anonyatsodzidziswa mukuita izvi, saka vimba navo uye edza kupora.
Kana iwe uchinzwa kushungurudzika kukuru, taurira izvozvo kwavari.
Usati watanga, unofanira kubvisa magirazi uye chero chinhu chiri mumuromo mako chinogona kubviswa nyore nyore. Iwe unofanira kubvisa zvinhu izvi nokuti kuputika kunowanzoitika panguva yekuiswa kwe catheter.
Hezvino izvo zvichaitika panguva yose:
- Usati waisa catheter ye-esophageal motility, chidimbu che catheter chichagadziriswa nehutachiona hwehutachiona. Kana kuiswa kwacho kusinganzwisisiki, vanogonawo kuti iwe unyeve zvishoma kana kuisa chino chako neshizha rakaputirwa nehutachiona hwehutachiona.
Nzvimbo huru yekurwisana inowanikwa apo catheter inosvika kumashure emakumbo ako uye inopinda mumutsipa wako nekuda kwekodhi iyo inofanira kuita. Munguva iyi chikamu chetsika yacho, iwe uchakumbirwa kuti udzike musoro wako pasi, uchiisa chinamato chako kuchipfuva chako kuti ubatsire kuita shanduro yacho nekatheta. - Kuti ubatsire kutamisa catheter kupfuura yako yepamusoro esophageal sphincter, iwe uchakumbira kuti upe mvura mumvura. Kana iwe ukatanga kufukorora zvakare uye uchinetseka kutaura, zvinogona kureva kuti tube inopinda mumutambo wako pane nzvimbo yako. Izvi zvinowanzoitika uye chiremba anoita nzira yacho achabvisa catheter zvishoma uye edza zvakare mushure mokunge mave nemukana wokuzorora uye kubata mweya wako.
- Kamwe katheter yapfuura yako yepamusoro esophageal sphincter, catheter inogona kukurumidza kukurumidza pasi. Icho sophageal motility catheter ichazoiswa pamhino dzako kana kuwedzera kwakakwana kwave kwawanikwa. Iwe uchazobvunzwa kurara pasi apo catheter inonyatsogadzirirwa kuongororwa. Paunenge uchigadzirisa, iwe unofanirwa kurega kumedza kubvumira kukodzera kwakakwana.
- Kuedzwa kunotanga nemashure maviri ekupedzisira ari mudumbu. Iwe uchakumbirwa kutora kufema kwakadzika kuti ubatsire kutarisa kwakakodzera mukati memudumbu mako. Kana imwe nguva yakagadziriswa, sophageal motility catheter rinokonzerwa nheyo inoshandiswa ku zero. Kunyange zvazvo kunyanya kupikisa hakusi zero chaiyo, mudumbu inoratidzika se zero kuita shanduko yekuenzanisa kushandiswa kwepasi esophageal sphincter.
- Mushure mokunge mitezo yepamuviri yepamusoro yakagadziriswa, esophageal motility catheter inodzingwa kusvika pasi reesophageal sphincter. Kana imwe nguva yakanyatsogadziriswa, iwe uchapiwa huwandu hwemasvuru emhepo yekushisa yemvura (anenge 5 mL kana zvishoma kudarika imwe teaspoon). Vachave vachiyera kuoma kunenge kuripo (sphincter munzvimbo yakavharwa) uye apo sphincter inodonha panguva yekumira kwemvura.
Apo sphincter inodzosera, inofanira kugara ichiuya pedyo nekumanikidzwa kwemuviri iyo yakatarwa kusvika zero pakutanga kwekuedzwa. Panguva yekuedzwa, iwe uchakumbirwa kufema zvinyararire pane zvakadzama zvakadzika kuti uwane chiyero chakakodzera. - Uine mazwi ekupedzisira ari munzvimbo yakakwirira-yepamusoro yepasi yako esophageal sphincter, ivo vanozotorawo zviyero panguva yekumedza kwemvura iyo nzira yako inopindirana nayo kumedza. Nhengo yako inofanirwa kuratidza kukura kwekutanga kunotanga pachikamu chepamusoro chepakati chako uye vanofanira kuchengeta kuwedzera kwekuwedzera pasi esophageal motility catheter sezvo mvura inofamba ichienda kumadziro ako.
Ichi chizunguro chekumanikidzwa kuwedzera ndekuda kwezvinopera, kana kupindira kusingabatsiri kwemuviri wemasophage kuendesa zviri mukati kumimba yako. Sezvakaitwa nhanho yapfuura, apo mvura iri pamwero wepamusoro yako yepamusoro esophageal sphincter, dambudziko rinofanira kusvika kune zero. - Paunenge uchitarisa yako yepamusoro esophageal sphincter, iwe uchakumbirwa kugara. Iyo esophageal motility catheter ichaendeswa mberi zvishoma nezvishoma uye ichange yave iyo inogona kuziva nzvimbo yakakwirira-yepamusoro yepamusoro yako yepamusoro esophageal sphincter. Kushingaira pa sphincter kuchaenzaniswa nechisimba chekutanga chekutanga munharaunda yako. Kana imwe nguva kumanikidzika kuzorora, kana munzvimbo yakavharwa, kukanganiswa panguva yekumedza kuchayera. Panguva ino, nekugadzirisa zvakakodzera, muedzo unogona kuonawo kubatanidza pakati pehuro wako uye yako yepamusoro esophageal sphincter.
Zvinokonzera Matambudziko
Ziva kuti matambudziko anokonzerwa nesophageal manometry test is rare. Zvisinei, chimwe chezvinetso zvinotevera zvinogona kuitika:
- kusagadzikana kwepfungwa
- chido (asidi kana mudumbu zviri mumvura zvinoputika uye zvinopinda mumapapu ako)
- kupererwa (kubvarura) kweropa rako
- tube inoputirwa mumapapu panzvimbo yepamuti - inogadziriswa nyore nyore panguva yekuiswa
Zvizhinji zvezvinhu izvi zvinodzivirirwa nekutevera mirayiridzo inopiwa nachiremba wako usati wasvika.
Zvimwewo zveEsophageal Manometry Kuedzwa
Esophageal manometry ndiyo nzira yakanakisisa yekuongorora chero kusakonzera kushanda ne esophageal motility. Zvisinei, chirongwa chinonzi barium chinodzidza chinogona kushandiswa kuongororwa basa rekushongedzwa kwepopigeal sphincter.
Iko kunewo mutsva yakashandura yakawanda yeeophageal manometry inonzi high-resolution manometry. Panzvimbo yekushandisa masereji masere mu-esophageal motility catheter, catheter yakakwirira inoshandisa masero 36. Nzira yakashandiswa kuyera yakafanana. Zvisinei, kana catheter ichiiswa zvakakodzera, hapana kubvisa katheta kunodiwa. Iyo inobvumirawo 3-dimensional mapikisi yemapu inonzi sophageal pressure topography inogona kubatsira mukugadzirisa zvimwe zvinetso ne-asymmetric sphincter dysfunction.
Shoko Rinobva
Kana uri kunzwa uchitya kana kuora mwoyo apo chiremba wako anokurudzira esophageal manometry test, ziva kuti nzira yacho iri nyore uye haigoni kukonzera zvinetso, kunyanya kana iwe uchitevera mirayiridzo. Kuziva kuti chii chaunotarisira kunogona kubatsira kubvisa kutya, uye kana iwe uchiri kutya nezvechito chakanaka mumutambo, rega chiremba wako azive. Angave ane mazano anobatsira.
> Sources:
> Kukurudzira> manometry. UpToDate website. https://www.uptodate.com (Kubhadhara Kunodiwa). Yashandurwa Jul 10, 2017.
> Maitiro ekudzivirirwa kwemuviri kuongorora. UpToDate website. https://www.uptodate.com (Kubhadhara Kunodiwa). Yashandurwa Sep 12, 2016.
> Richter, JE & Castell, DO. (2012). The Esophagus. 5 th ed. Wiley-Blackwell. pp. 163-181.
> Kunzwisisa Esophageal Manometry. American Society for Gastrointestinal Endoscopy website. https://www.asge.org/home/for-patients/patient-information/understanding-esophageal-manometry.