I-manometry yokuqunjelwa

I-esophageal manometry luvavanyo lokulinganisa ukuba isebenza njani i-esophagus.

Ngexesha lokuqaqanjelwa ngumzimba, ityhubhu encinci, ethambileyo yoxinzelelo idluliselwa ngeempumlo, ezantsi kwisisu, nakwisisu sakho.

Ngaphambi kwenkqubo, ufumana amayeza abindayo ngaphakathi kwempumlo. Oku kunceda ukwenza ukufakwa kwetyhubhu kungonwabi.

Emva kokuba ityhubhu isesuswini, ityhubhu itsalwa kancinci ibuyele kumqala wakho. Ngeli xesha, ucelwa ukuba uginye. Uxinzelelo lwezihlunu zezihlunu zilinganiswa kumacandelo aliqela etyhubhu.

Ngelixa ityhubhu ikho, ezinye izifundo zesifo sakho zinokwenziwa. Umbhobho uyasuswa emva kokuba uvavanyo lugqityiwe. Uvavanyo luthatha malunga neyure.

Akufanele ube nento yokutya okanye yokusela iiyure eziyi-8 ngaphambi kovavanyo. Ukuba uvavanywa kusasa, SUKUTHI utye okanye usele emva kobusuku.

Xelela umboneleli wakho wezempilo ngawo onke amayeza owasebenzisayo. Oku kubandakanya iivithamini, amayeza, kunye namanye amayeza kunye nokuxhaswa.

Unokuba novakalelo lokuziva ungakhululeki kwaye ungonwabi xa ityhubhu idlula ngempumlo nasemqaleni. Unokuziva ungonwabanga empumlweni nasemqaleni ngexesha lovavanyo.

I-esophagus yityhubhu ehambisa ukutya emlonyeni wakho ukuya esiswini. Xa uginya, izihlunu kwi-esophagus yakho khama (ikhontrakthi) ukutyhala ukutya uye esiswini. Ivaluva, okanye i-sphincters, ngaphakathi kuvuleke kuvuleke ukutya kunye nolwelo. Baye basondela ukunqanda ukutya, ulwelo, kunye nesisu esiswini ukuba sibuyele umva. I-sphincter ephantsi kwe-esophagus ibizwa ngokuba yi-sphincter esezantsi, okanye i-LES.

I-Esophageal manometry yenziwa ukubona ukuba isophagus iyangena kwaye iyaphumla ngokufanelekileyo. Uvavanyo lunceda ukufumanisa iingxaki zokuginya. Ngexesha lovavanyo, ugqirha unokujonga kwakhona i-LES ukubona ukuba ivula kwaye ivale ngokufanelekileyo.

Uvavanyo lunoku-odolwa ukuba unempawu ze:

• Isibilini okanye isicaphucaphu emva kokutya (isifo se-reflux se-gastroesophageal, okanye i-GERD)
• Iingxaki zokuginya (ukuziva ngathi ukutya kunamathele ngasemva kwethambo lesifuba)

Uxinzelelo lwe-LES kunye nokuchasana kwezihlunu kuyinto eqhelekileyo xa uginya.

Iziphumo ezingaqhelekanga zingabonisa:

• Ingxaki kwi-esophagus echaphazela amandla ayo okuhambisa ukutya kwisisu (achalasia)
• I-LES ebuthathaka, ebangela ukutsha kwentliziyo (GERD)
• Ukuchasana okungaqhelekanga kwemisipha yesophagus engahambisi ngokufanelekileyo ukutya kwisisu (spasm esophageal spasm)

Iingozi zolu vavanyo zibandakanya:

• Kancinci ukuphuma kweempumlo
• Umqala obuhkungu
• I-Hole, okanye i-perforation, kwi-esophagus (oku kunqabile ukuba kwenzeke)

Izifundo ze-Esophageal motility; Izifundo zomsebenzi we-Esophageal

• I-manometry yokuqunjelwa
• Uvavanyo lwe-esophageal manometry

IPandolfino JE, iKahrilas PJ. Umsebenzi we-Esophageal neuromuscular kunye nokuphazamiseka kwemotility. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 43.

URichter JE, uFriedenberg FK. Isifo se-reflux sesifo se-Gastroesophageal. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 44.