Harshen jigilar katako ta hanyar amfani da ita shine gwajin da aka saba amfani dashi don taimakawa wajen ƙayyade matsala ta hanyar motsi. Wannan jarabawar tana taimakawa likita a cikin jigon ku, karnuka (raguwa da shakatawa a cikin esophagus), da kuma motsa abinci ta hanyar esophagus. Abubuwan da suka fi dacewa da likitanku zai iya bayar da shawara ga jarrabawar jarrabawa ta jituwa ta ƙunshi:
- wahala a haɗiye (dysphagia)
- zafi ciwon da ba shi da zuciya (zuciya) alaka
- acid reflux
- kafin aikin tiyata
Ana iya ƙila za a iya ba da shawara don gwajin don taimakawa don tantance waɗannan cututtuka:
- tauraron (wahala wucewa abinci a ciki)
- scleroderma
- GERD ba tare da amfani bayan makonni takwas na amfani da mai hana proton-pump (PPI)
- jackhammer esophagus
- eosinophilic esophagitis
Your Esophagus
Jigon yatsun yana da tsalle mai tsalle mai tsallewa wanda ya karu daga bakin ka zuwa ciki kuma a wani lokacin ana kiransa "gullet". Akwai sphincter, ko muryar murya wanda ya buɗe kuma ya rufe, a saman da kuma kasan ku. Wadannan ana kiran su a matsayin mafi girma a cikin jigilar kwance-kwance da kuma ƙananan kwakwalwa . Wadannan sphincters suna budewa kuma suna kusa da ita yayin da suke haɗiye abinci ko abin sha.
Abubuwan da ke cikin jigon hankalinku na sama (UES) suna amfani da dalilai biyu:
- rufe a lokacin wahayi don kauce wa cike ciki ciki tare da iska
- rufe don hana hawan acid-reflux daga shigar da huhu
Mahimmin manufar da aka yi a cikin asiboshin ta jiki (LES) shine ya hana ingancin ciki daga shiga cikin esophagus. Don hana wannan, zakuyi tsinkayen sakonninku na yau da kullum yana ci gaba da rufe har sai da haɗiye abincin da ya nuna shi a taƙaice ya ba da izinin barin abincinku daga jikin ku zuwa cikin ciki.
Akwai kuma taƙaitaccen kwanciyar hankali game da ƙaddamar da sakonnin da ke ciki a yayin da kake ƙyamar.
Shirye-shiryen gwaje-gwaje na Jirgin Jigilar Hutun Jiki
Shirye-shiryen gwaje-gwaje na zane-zane na jituwa ya hada da matakan tsaro don hana yardar (inhalation na ciki) da kuma ingantawa sakamakon sakamakon gwajin. Don tabbatar da cewa zuciyarka bata da komai, likita zai iya bayar da shawarar cewa ka azumi na akalla sa'o'i shida kafin ka fara aiki. Idan ka ci kafin wannan lokaci, likitan ka iya soke ko jinkirta gwaji.
Magunguna da yawa zasu iya shafar kacinka kuma sabili da haka likitanka na iya tambayarka ka dakatar da shan wasu magunguna na dan lokaci. Wasu magunguna bazai iya dakatar da haka sabili da haka ya kamata ku tattauna magungunanku tare da likitanku kafin aikin. Duk wani magunguna da aka dauka kawai "kamar yadda ake buƙata" ba za a karɓa ba kafin hanyar.
Magunguna masu magungunta na yau da kullum waɗanda zasu iya shafar sakamakon sakamakon jigilar kwakwalwa ta jiki sun haɗa da:
- nitrates - nitroglycerin, isosorbide, Viagra, Cialis
- asibiti-channel blockers - Norvasc, Cardizem
- antiholinergics - Cogentin, Spiriva, Atrovent, Ditropan
- Jami'an tallafawa na promotility - Reglan, Zelnorm
- sedatives - Juyin, Ativan, Fentanyl
Yana da muhimmanci a tattauna magunguna tare da likitan ku kafin ku dakatar da wani abu da kuke yi akai-akai.
Abin da za ku yi tsammanin a yayin gwaje gwaje-gwaje na jigilar jigilali
Yawancin lokutan yin sulhu ba za a yi amfani da shi ba yayin da kake saka catheter motsa jiki. Yayinda yake yin amfani da ƙananan ƙwayoyi kamar ƙananan sassaucin ƙila za a iya amfani dashi don karfafa ta'aziyya, ƙaddarawa na iya rinjayar gwaji, don haka an kauce musu idan ya yiwu.
Domin bunkasa ta'aziyarka, za a iya ba ka damar abin da kake son likita don sakawa cikin catheter cikin. Hanyar ƙusa ta fi dacewa kamar yadda ya sa ya haifar da raguwa ta ƙasa kuma yana da damuwa sau ɗaya a wuri kamar yadda ya saba da shiga ta bakinka. Ana horar da likitanka sosai a yin wannan hanya, saboda haka amince da su kuma ka yi kokarin shakatawa.
Idan kun kasance da rashin jin daɗi, ku gaya musu.
Kafin farawa, ya kamata ka cire kayan tabarau da wani abu a bakinka wanda za'a iya cirewa sauƙin. Ya kamata ka cire waɗannan abubuwa saboda yin amfani da shi ya zama al'ada a yayin shigar da catheter.
Ga abin da zai faru a yayin aikin:
- Kafin a shigar da catheter na motsa jiki, zangon catheter za a lubricated tare da m topic. Idan sakawa yana da matukar damuwa, suna iya ƙwace kaɗaɗa ko ƙin karenka tare da swab wanda ke dauke dashi da cututtuka masu tasowa.
Mafi mahimmancin juriya yana faruwa a lokacin da catheter ya kai bayan kajinka kuma ya shiga cikin kagwaro saboda gwanin da ya kamata ya yi. A wannan bangare na hanya, za a umarce ka don ka kunyar da kanka, da sanya kwakwalwarka zuwa kirjinka don taimakawa wajen yin amfani da catheter. - Don taimakawa wajen motsa catheter bayan da ke cikin jigon kwakwalwan jikinka, za a umarce ku da kuyi ruwa ta hanyar bambaro. Idan ka fara mawuyacin hali sau da yawa kuma kana da wahalar magana, yana iya nufin cewa bututu ya shiga cikin trachea a maimakon jigon ku. Wannan lokaci yakan faru kuma likitan da ke yin wannan hanya zai janye catheter kadan kuma sake gwadawa bayan da kun sami damar shakatawa kuma ku sami numfashi.
- Da zarar catheter ya wuce kawancin jigon hanzarinka, zaku iya samun ci gaba da sauri a cikin bishiya. Za a danna katsewar motsafar motsa jiki a cikin hanci lokacin da aka samu zurfin zurfin. Za a umarce ka ka kwanta yayin da aka kwantar da catheter don gwadawa. A lokacin calibration, ya kamata ku guje wa haɗiye don ba da damar yin gyare-gyare mafi kyau.
- Jarabawar farawa tare da na'urori biyu na karshe suna cikin ciki. Za a umarce ku don yin numfashi mai zurfi don taimakawa wajen tabbatar da dacewa a cikin ciki. Da zarar an kafa shi, an saita jigilar motsa jiki ta hanyar motsa jiki ta hanyar motsa jiki. Duk da yake ainihin matsa lamba ba ainihin ƙananan ba, an yi ciki cikin ciki azaman nauyin yin aiki a matsayin ma'auni domin aunawa matsa lamba a ƙananan sashin jikinka.
- Bayan an kafa ma'aunin matakai na ciki, an cire jigon motsa jiki na katako mai kwakwalwa a cikin ƙananan kwakwalwa. Da zarar an daidaita shi, za a ba ku da dama daga cikin dakin da zafin jiki (game da 5LL ko kadan fiye da daya teaspoon). Za su auna matsin da yake cikin hutawa (sphincter a cikin matsayi na rufe) da kuma lokacin da sphincter ya fada a lokacin haɗiyar ruwa.
Lokacin da sphincter ya fadi, ya kamata ya kasance kusa da matsin lamba na ciki wanda aka saita zuwa ba kome ba a gwajin. Yayin gwajin, za a umarce ku da numfashi a hankali a cikin zurfin al'ada don ba da izinin dacewa daidai. - Tare da na'urori masu aunawa na karshe a cikin matsin lamba na kwakwalwar ƙananan kwakwalwa, za su dauki matakan yayin haɗuwa da ruwa akan yadda yaringijinka ya haifar da haɗiyewa. Ya kamata yakamata ya nuna yawan karfin da za a fara a mafi girman ɓangaren kacinka kuma ya kamata su kara matsa lamba don kara yawan motsin catheter kamar yadda ruwa ke tafiya zuwa ciki.
Wannan nauyin hawan matsa lamba ne saboda hasara, ko haɓakar ƙuƙwalwar ƙwayar jikin jiki don motsawa ciki zuwa ciki. Kamar yadda a cikin mataki na baya, lokacin da ruwan yake a saman matakin kwakwalwan jikinka, matakin matakin ya kamata ya kusanci zane. - Idan aka gwada jigon kwakwalwar jikinka na sama, za'a tambayeka ka zauna. Za a motsa shinge na motility ta hanyar motsa jiki cikin sannu-sannu kuma a matsayi inda za su iya gano sashin matsin lamba na suturar jigon kwakwalwa. Za a kwatanta matsalolin da ake amfani da shi a kan yanayin da aka kafa a cikin ɓangaren ɓangaren ku. Da zarar matsa lamba yana hutawa, ko a cikin matsayi na rufe, za a auna matsa lamba yayin haɗuwa. A wannan lokaci, tare da matsayi mai kyau, jarrabawar zata iya gano daidaituwa a tsakanin kututtukan ku da jigon hankalin ku.
Matsaloli na yiwuwa
Sanin cewa matsalolin da suka danganci gwaji mai kwakwalwa ta kasuwa suna da wuya. Duk da haka, duk wani rikitarwa na gaba zai iya faruwa:
- Ƙananan kalmomin zuciya
- fata (acid ko abun ciki da ke ciki da ke gudana daga bishiya da cikin cikin huhu)
- haɓaka (tearing) na esophagus
- tube da aka sanya a cikin kututture maimakon a cikin esophagus - sauƙi a gyara lokacin sakawa
Yawancin waɗannan ba su da kariya ta bin umarnin da likitanku ya bayar kafin yin aiki.
Alternatives zuwa Testing Manometry Testing
Harshen zane-zane shine hanya mafi kyau don tantance duk wani rashin aiki tare da motil na esophageal. Duk da haka, barium ya haɗi nazarin za'a iya amfani dasu don kimanta aikin aikin aikin sphincter naka.
Har ila yau, akwai sabon sabon fasalin sakonnin zane-zane wanda ake kira mai kwakwalwa mai mahimmanci. Maimakon amfani da na'urori guda takwas a cikin motsi na motsa jiki, zane-zane mai mahimmanci yana amfani da na'urori 36. Hanyar da aka yi amfani da ita ita ce daidai. Duk da haka, da zarar an sanya catheter da kyau, babu janyewar catheter. Har ila yau, yana ba da izini game da taswirar sauƙi mai girma 3 wanda ake kira rikodin matsalolin da za'a iya amfani dashi wajen gano wasu cututtuka tare da dysfunction asymmetrical sphincter.
Kalma Daga
Idan kun ji tausayi ko kuka damu lokacin da likitanku ya bada shawarar gwaji na jituwa, ku san cewa hanya mai sauƙi ne kuma yana da wuya ya haifar da rikitarwa, musamman idan kun bi umarnin. Sanin abin da zaku yi tsammanin zai iya taimakawa wajen rage damuwa, kuma idan har yanzu kuna jin tsoro game da wani mataki a cikin hanya, bari likitan ku sani. Zai iya samun shawarwari masu taimako.
> Sources:
> Babban ƙuduri > manometry. UpToDate website. https://www.uptodate.com (Abubuwan Da ake Bukatar). Updated Jul 10, 2017.
> Bayani akan gwajin motil na gastrointestinal. UpToDate website. https://www.uptodate.com (Abubuwan Da ake Bukatar). Updated Sep 12, 2016.
> Richter, JE & Castell, DO. (2012). Esophagus. 5th ed. Wiley-Blackwell. shafi na 163-181.
> Sanin jigilar Manometry ta Esophageal. Ƙungiyar Amurka don Gastrointestinal Endoscopy yanar gizon. https://www.asge.org/home/for-patients/patient-information/understanding-esophageal-manometry.