Manometry ʻo ʻEsophageal

ʻO ka manometry esophageal kahi hōʻike e ana i ke ʻano o ka hana ʻana o ka esophagus.

I ka wā o ka manometry esophageal, hāʻawi ʻia kahi puʻupuʻu lahilahi, a me ka puʻuwai, i loko o kou ihu, i lalo o ka esophagus, a i kou ʻōpū

Ma mua o ke kaʻina hana, loaʻa iā ʻoe ka lāʻau numbing i loko o ka ihu. Kōkua kēia i ka hoʻokomo ʻana i ka paipu i mea hōʻoluʻolu ʻole.

Ma hope o ka ʻōpū i loko o ka ʻōpū, huki mālie ʻia ka paipu i loko o kāu esophagus. I kēia manawa, noi ʻia ʻoe e ale. Ana ʻia ka kaomi o nā ʻikena muscle ma nā ʻāpana o ka paipu.

ʻOiai kahi o ka paipu, e hana ʻia paha nā noiʻi ʻē aʻe o kāu esophagus. Wehe ʻia ka paipu ma hope o ka pau ʻana o nā hōʻike. Ma kahi o 1 hola ka hoʻāʻo.

ʻAʻole pono ʻoe e ʻai a inu paha no 8 mau hola ma mua o ka hoʻāʻo. Inā loaʻa iā ʻoe ka hōʻike i ke kakahiaka, mai ʻai a inu paha ma hope o ke aumoe.

E haʻi i kāu mea mālama ola e pili ana i nā lāʻau āpau āu e lawe nei. Hoʻopili kēia i nā huaora, nā mea kanu, a me nā lāʻau a me nā mea hoʻowaiwai.

Hiki paha iā ʻoe ke loaʻa ka naʻau a me ka hōʻoluʻolu ke hele ka paipu ma kou ihu a me kou puʻu. Hiki paha iā ʻoe ke hōʻoluʻolu i kou ihu a me kou puʻu i ka wā o ka hoʻāʻo.

ʻO ka esophagus ka paipu e lawe i ka meaʻai mai kou waha i ka ʻōpū. Ke ale ʻoe, nā ʻiʻo i loko o kou esophagus kaomi (ʻaelike) e pahu i ka meaʻai i ka ʻōpū. Nā kiwikā, a i ʻole nā ​​sphincters, i loko o ka esophagus hāmama e hoʻokuʻu i ka meaʻai a me ka wai. A laila kokoke lākou e pale i ka meaʻai, nā wai, a me ka waikawa ʻōpū mai neʻe hope. Kapa ʻia ka sphincter ma lalo o ka esophagus i ka sphincter haʻahaʻa o ka esophageal, a i ʻole LES.

Hana ʻia ka manometry esophageal e ʻike ai inā ʻaelike ka esophagus a hoʻomaha maikaʻi. Kōkua ka hōʻoia i ka diagnose i nā pilikia ale. I ka wā o ka hoʻokolohua, hiki i ke kauka ke nānā i ka LES e ʻike inā wehe a pani pono ʻia ia.

Kauoha ʻia paha ka hōʻoia inā loaʻa iā ʻoe nā ʻōuli o:

• ʻO ka puʻuwai a i ʻole nausea ma hope o ka ʻai ʻana (gastroesophageal reflux maʻi, a i ʻole GERD)
• Pilikia i ka ale ʻana (manaʻo e like me ka ʻai i paʻa ma hope o ka iwi umauma)

He lōkahi ke kaomi a me ka hoʻohaʻahaʻa musele ke ale ʻoe.

Hōʻike nā hopena maʻamau:

• ʻO kahi pilikia me ka esophagus e hoʻopili i kona hiki ke neʻe i ka meaʻai i ka ʻōpū (achalasia)
• ʻO kahi LES nāwaliwali, kahi e kumu ai ka puʻuwai puʻuwai (GERD)
• ʻO nā kuʻina kūpono ʻole o nā mākala esophagus e neʻe ʻole i ka meaʻai i ka ʻōpū (spasm esophageal)

ʻO nā pōʻino o kēia hōʻike me:

• Ihu iki
• Eha ka 'ā'ī
• Hole, a i ʻole perforation, i ka esophagus (ʻaʻole iki kēia)

Nā aʻo motility Esophageal; Ke aʻo ʻana i ka hana esophageal

• Manometry ʻo ʻEsophageal
• Hōʻike manometry esophageal

Pandolfino JE, Kahrilas PJ. ʻO ka hana neuromuscular Esophageal a me nā maʻi motility. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 43.

Richter JE, Friedenberg FK. ʻO ka maʻi reflux Gastroesophageal. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 44.