I-Esophageal manometry

I-Esophageal manometry isivivinyo sokulinganisa ukuthi isisu sisebenza kahle kanjani.

Ngesikhathi se-manometry esophageal, ithubhu elincane, elizwela ingcindezi lidluliswa ngamakhala akho, lehle ngomlomo, nasesiswini sakho.

Ngaphambi kwenqubo, uthola umuthi ophazamisayo ngaphakathi kwekhala. Lokhu kusiza ukwenza ukufakwa kweshubhu kungakhululeki.

Ngemuva kokuthi ishubhu lisesiswini, ishubhu lidonswa libuyele emuva libuyele emmoyeni wakho. Ngalesi sikhathi, ucelwa ukuthi ugwinye. Ingcindezi yezinciphiso zemisipha ilinganiswa ngezigaba eziningana zethubhu.

Ngenkathi i-tube isendaweni, ezinye izifundo zesifo sakho zingenziwa. Ishubhu liyasuswa ngemuva kokuphothulwa kokuhlolwa. Isivivinyo sithatha cishe ihora elilodwa.

Akufanele ube nokuthile okudliwayo noma okuphuzwayo amahora ayisishiyagalombili ngaphambi kokuhlolwa. Uma uhlolwa ekuseni, UNGADli noma uphuze phakathi kwamabili.

Tshela umhlinzeki wakho wezempilo ngayo yonke imithi oyiphuzayo. Lokhu kufaka amavithamini, amakhambi, kanye neminye imishanguzo yokuthenga kanye nezithako.

Ungaba nokuzwa okuxakile nokungahambi kahle lapho ithubhu lidlula ngamakhala nasemphinjeni. Ungase futhi uzizwe ungakhululekile emakhaleni nasemphinjeni wakho ngesikhathi sokuhlolwa.

I-esophagus yishubhu elithwala ukudla kusuka emlonyeni wakho kuya esiswini. Uma ugwinya, imisipha esfubeni sakho iyakhama (inkontileka) ukusunduza ukudla kubheke esiswini. Ama-Valve, noma ama-sphincters, ngaphakathi kwesisu avulekile ukuvumela ukudla noketshezi kudlule. Bese bavala ukuvimbela ukudla, uketshezi, nesisu esiswini ukuthi singabuyeli emuva. I-sphincter engezansi kwe-esophagus ibizwa nge-lower esophageal sphincter, noma i-LES.

I-Esophageal manometry yenziwa ukuze kubonwe ukuthi ngabe isisu siyangenwa yini futhi siphumule kahle. Ukuhlolwa kusiza ukuxilonga izinkinga zokugwinya. Ngesikhathi sokuhlolwa, udokotela angabheka futhi i-LES ukubona ukuthi ivula futhi ivale kahle.

Ukuhlolwa kungalandelwa uma unezimpawu ze:

• Isilungulela noma isicanucanu ngemuva kokudla (isifo se-reflux se-gastroesophageal, noma i-GERD)
• Izinkinga zokugwinya (ukuzizwa sengathi ukudla kunamathele ngemuva kwethambo lesifuba)

Ukucindezelwa kwe-LES nokucindezela kwemisipha kuyinto ejwayelekile lapho ugwinya.

Imiphumela engajwayelekile ingakhombisa:

• Inkinga nge-esophagus ethinta amandla ayo okuhambisa ukudla iye esiswini (achalasia)
• I-LES ebuthakathaka, edala isilungulela (GERD)
• Ukuphambana okungajwayelekile kwemisipha yomphimbo engahambisi kahle ukudla esiswini (i-esophageal spasm)

Izingozi zalesi sivivinyo zifaka:

• Kukhale igazi kancane
• Umphimbo obuhlungu
• I-Hole, noma i-perforation, ku-esophagus (lokhu akuvamile ukwenzeka)

Izifundo ze-Esophageal motility; Izifundo zomsebenzi we-Esophageal

• I-Esophageal manometry
• Ukuhlolwa kwe-Esophageal manometry

UPandolfino JE, uKahrilas PJ. Umsebenzi we-Esophageal neuromuscular and disorders. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 43.

URichter JE, uFriedenberg FK. Isifo se-reflux se-gastroesophageal. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 44.