Manometry

Manometry

Manometry ʻEsophageal

Ke ale ʻoe, ʻūlū nā ʻiʻo o kou esophagus e kōkua i ka hoʻokuke ʻana i ka meaʻai i kou ʻōpū. Hāmama nā valves, a i ʻole sphincters, i loko o ka esophagus e hoʻokuʻu i ka meaʻai a me ka wai e hele, a laila pani e pale i ka meaʻai, nā wai, a me ka waikawa gastric mai ka neʻe ʻana i hope. Ua kapa ʻia ka sphincter ma lalo o ka esophagus ʻo ka lower oesophageal sphincter a i ʻole LES.

ʻO ke kumu o ka manometry esophageal ʻo ia ke ʻike inā e ʻuʻuku a hoʻomaha pono ana ka esophagus.

Kōkua ka hoʻokolohua i ka ʻike ʻana

• Nā kumu no nā pilikia ale ʻana
• ʻAkalasia cardia
• ʻEha umauma ʻaʻole puʻuwai
• Hoʻolaha ka spasm oesophageal
• ʻO ka esophagus Nutcracker
• ʻO ka maʻi reflux Gastroesophageal (GERD)

Pehea e hana ʻia ai ka manometry oesophageal?

I ka wā o ka manometry esophageal, hoʻokomo ʻia kahi ʻōmole lahilahi a koʻikoʻi i ke kaomi ma kou waha a i ʻole ihu a i loko o kou ʻōpū. Ke kau ʻia, huki mālie ʻia ka ʻōmole i loko o kou esophagus. Ke kau ka ʻōmole i loko o kou esophagus, e noi ʻia ʻoe e ale. E ana ʻia ke kaomi o nā ʻūmiʻi ʻiʻo ma kekahi mau ʻāpana o ka ʻōmole.

Ka nānā ʻana i ka pH o ka esophagus

ʻO ka nānā ʻana i ka pH esophageal kahi hoʻāʻo e ana i ka pinepine a me ka lōʻihi o ke komo ʻana o ka waikawa o ka ʻōpū i loko o ka paipu meaʻai (esophagus).

He hoʻāʻo ia no ka ʻike ʻana i ka maʻi reflux gastroesophageal (GERD) i nā poʻe nona ka endoscopy GI kiʻekiʻe he mea maʻamau, a i ʻole i ka poʻe i loaʻa nā hōʻailona atypical o GERD (ka ʻū maloʻo, ka ʻeha o ka puʻu, asthma, ka palahalaha o ka leo).

Pehea ka hoao ana?

Hoʻokomo ʻia kahi ʻōmole lahilahi ma kou ihu a waha paha i kou ʻōpū. A laila huki ʻia i loko o kou esophagus. Hoʻopili ʻia ka ʻōmole i kahi monitor e ana i ka pae o ka acidity i loko o kou esophagus. E kau ʻoe i kēia monitor ma ke kaula a e noi ʻia ʻoe e mālama i kahi puke moʻolelo o kāu mau hōʻailona a me kāu hana i nā hola 24 e hiki mai ana. I ka lā aʻe e hoʻi mai ʻoe a e wehe ʻia ka ʻōmole. E hoʻohālikelike ʻia ka ʻike mai ka monitor me nā memo diary āu e hāʻawi ai.

Anorectal manometry

He hoʻāʻo ia i hana ʻia e loiloi i nā poʻe maʻi me ka paʻa ʻana o ka ʻōpū a i ʻole ka incontinence fecal. Ana kēia hoʻāʻo i ke kaomi o nā ʻiʻo sphincter anal, ka manaʻo i loko o ka rectum, a me nā reflexes neural e pono ai no ka neʻe ʻana o ka ʻōpū maʻamau.

Pehea e hana ʻia ai ka manometry anorectal?

Moe ka mea maʻi ma kona ʻaoʻao hema. Hoʻokomo ʻia kahi ʻōmole liʻiliʻi a palupalu, e like me ka nui o ka thermometer, me kahi baluna ma ka hopena i loko o ka rectum. Hoʻopili ʻia ka catheter i kahi mīkini e ana i ke kaomi. I ka wā o ka hoʻāʻo ʻana, hiki ke hoʻopiha ʻia ka baluna liʻiliʻi i hoʻopili ʻia i ka catheter i loko o ka rectum e loiloi i nā ala reflex maʻamau. Hiki i ke kahu maʻi a i ʻole ka mea loea ke noi i ke kanaka e ʻomi, hoʻomaha, a paʻi i nā manawa like ʻole. Ana ʻia ke kaomi ʻana o nā ʻiʻo sphincter anal i kēlā me kēia o kēia mau hana. No ka ʻomi ʻana, hoʻopaʻa ka mea maʻi i nā ʻiʻo sphincter me he mea lā e hoʻāʻo nei e pale i kekahi mea mai ka puka ʻana mai. No ka paʻi ʻana a i ʻole ke kaumaha i lalo, hoʻoluhi ka mea maʻi me he mea lā e hoʻāʻo ana e neʻe i ka ʻōpū.

Manometry anal

Ana ia i ka ikaika o nā ʻiʻo sphincter a inā paha e hoʻomaha lākou e like me ka mea i manaʻo ʻia i ka wā e hele ana i kahi noho. Hāʻawi ia i ka ʻike kōkua i ke kauka i ka mālama ʻana i nā maʻi me ka incontinence fecal a i ʻole ka paʻa paʻa koʻikoʻi.

noi

Kūleʻaʻole ka manaʻo

ʻO nā ʻiʻo sphincter anal nāwaliwali a i ʻole ka ʻike maikaʻi ʻole i loko o ka rectum hiki ke kōkua i ka incontinence fecal. Inā loaʻa kēia mau mea ʻē, hiki ke mālama ʻia. ʻO nā ʻano hana Bio-feedback e hoʻohana ana i ka manometry anal a me nā hoʻomaʻamaʻa kūikawā o nā ʻiʻo papahele pelvic hiki ke hoʻoikaika i nā ʻiʻo a hoʻomaikaʻi i ka ʻike. Hiki i kēia ke kōkua i ka mālama ʻana i ka incontinence fecal.

Ka hoʻomau

I kekahi mau maʻi me ka paʻa ʻana o ka ʻōpū, ʻaʻole e hoʻomaha kūpono nā ʻiʻo sphincter anal i ka wā e hāpai ana i lalo a i ʻole e paʻi ana e neʻe i ka ʻōpū. Hiki i kēia hana ʻiʻo maʻamau ʻole ke hana i kahi ʻano pale hana. Hiki ke hoʻomaʻamaʻa hou ʻia nā ʻiʻo i hoʻomaha ʻole me ka hāpai ʻana i lalo me nā ʻano hana biofeedback me ka hoʻohana ʻana i ka anal manometry.