Esophageal manometry

Esophageal manometry ke teko ea ho lekanya hore na 'metso o sebetsa hantle hakae.

Nakong ea 'metso oa methapo,' mete o tšesaane, o mamelloang ke khatello o fetisoa ka nko, ka tlase ho 'metso le ka mpeng.

Pele ho ts'ebetso, o fumana meriana e fokolisang ka har'a nko. Sena se thusa ho etsa hore kenyelletso ea pompo e se ke ea phutholoha.

Kamora hore tube e kene ka mpeng, tube e huleloa butle butle kahare ea hau. Nakong ena, o kopa ho koenya. Khatello ea mesifa ea mesifa e lekantsoe ka likarolo tse 'maloa tsa phaephe.

Ha tube e ntse e le teng, lithuto tse ling tsa sopho ea hau li ka etsoa. Phala e tlosoa kamora hore liteko li phetheloe. Teko e nka hora e le 'ngoe.

Ha ua lokela ho ja kapa ho noa letho lihora tse 8 pele ho tlhahlobo. Haeba u etsa tlhahlobo hoseng, SE KE UA ja kapa ho noa kamora khitla.

Bolella mofani oa tlhokomelo ea bophelo ka meriana eohle eo u e sebelisang. Tsena li kenyelletsa livithamini, litlama, le litlhare tse ling tse rekisoang.

U kanna ua ba le maikutlo le pherekano e bohloko ha pompo e feta ka nko le 'metsong. U kanna oa ikutloa u sa phutholoha nko le 'metsong nakong ea tlhahlobo.

'Mele ke mothapo o tsamaisang lijo ho tsoa molomong oa hao ho li isa ka mpeng. Ha u metsa, mesifa e sopho ea hao e pepeta (konteraka) ho sutumelletsa lijo mpeng. Li-valve, kapa li-sphincters, kahare ho 'metso li bulehile ho lumella lijo le metsi ho feta. Joale lia koala ho thibela lijo, maro le asiti ea ka mpeng hore e se ke ea khutlela morao. Sphincter e ka tlase ho setopo e bitsoa "esophageal sphincter" kapa LES.

Esophageal manometry e etsoa ho bona hore na 'metso o kena le ho phomola hantle. Teko e thusa ho fumana mathata a ho metsa. Nakong ea tlhahlobo, ngaka e ka hlahloba LES ho bona hore na e bula ebile e koala hantle.

Teko e ka laeloa haeba u na le matšoao a:

• Ho hema kapa ho nyekeloa ke pelo ka mor'a ho ja (lefu la reflux la gastroesophageal, kapa GERD)
• Mathata a ho metsa (ho ikutloa eka lijo li khomaretse ka mor'a lesapo la matsoele)

Khatello ea LES le mesifa ea mesifa e tloaelehile ha u metsa.

Liphetho tse sa tloaelehang li ka supa:

• Bothata ba setopo se amang bokhoni ba sona ba ho tsamaisa lijo ho ea ka mpeng (achalasia)
• LES e fokolang, e bakang ho otloa ke pelo (GERD)
• Li-contraction tse sa tloaelehang tsa mesifa ea 'metso e sa tsamaiseng lijo hantle ka mpeng (spasm ea esophageal)

Likotsi tsa tlhahlobo ena li kenyelletsa:

• Ho tsoa mali ka hanyane
• Metso o bohloko
• Hole, kapa pherekano, ka mpeng (sena ha se etsahale hangata)

Lithuto tsa motility ea Esophageal; Lithuto tsa ts'ebetso ea Esophageal

• Esophageal manometry
• Teko ea Esophageal manometry

Pandolfino JE, Kahrilas PJ. Ts'ebetso ea Esophageal neuromuscular le mathata a motility. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 43.

Richter JE, Friedenberg FK. Lefu la reflux la gastroesophageal. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 44.