Kuyini I-Manometrical Manometry?

I-manometry ye-anorectal inqubo yokuxilonga eyenza ithoni ye-muscle ye- sphincters neminye imisipha ku-anus yakho ne-rectum. Lolu lwazi lungasetshenziswa udokotela wakho ukuze aqonde kangcono futhi aphathe noma yiziphi izinkinga ongase ube nazo ngokuhamba kwakho kwezinyosi.

Ukuhlolwa kwe- balloon ukuxoshwa kwamabhaloni kungahambisana nenqubo ye-manometry ye-anorectal. Ngokuqondile, lezi zivivinyo zihlola:

• Ukuhlanganiswa kwemisipha yomhlanga neyomzimba
• Isenzo esicacile sezinhlanzi zama-rectal and anal
• Ukuzwa ngaphakathi kwe-rectum
• Amandla nobuthakathaka bemisipha engama-anal and rectal

I-manometry ye-anorectal ibhekwa njengendlela ephephile, enobungozi obuphansi, kodwa kunemibuzo ethile mayelana nokusebenza kwayo emtholampilo. Abanye bathi ukuxilongwa kwezinkinga zokuhlukunyezwa kungenziwa ngokusekelwe kumbiko wesifo kuphela. Ukusetshenziswa kobuchwepheshe obusha, okungukuthi ukusetshenziswa kwe-catheters ephakeme kakhulu nokuxazulula, kuhloswe ukuletha ukuthuthukiswa ekuqineni nasekusebenzeni kwemiphumela yokuhlola, nakuba ucwaningo lungakasekeli ngokugcwele leli themba.

Yini I-Manorectal Manometry Esetshenziselwa?

I-manometry ye-anorectus inganconywa kuwe uma unesinye sezinkinga zempilo ezilandelayo:

• Ukuqotshwa okungapheliyo
• Ukuhlukunyezwa kwe-Dyssynergic .
• Ukungabikho kwamaFecal (ukuhamba)

Ukuqina kwemisipha ye-sphincter ngesikhathi sokunyakaza kwamathumbu kungaholela ekusenikeni, kanti ubuthakathaka emisipha ye-sphincter kungaholela ekungeneni kwe-fecal.

I-manometry ye-anorectal ingasho ukuthi ngabe lezi musipha ziyasebenza ngendlela efanele.

Yini Ongayilindela Phakathi Nenkambiso

Ngaphambi kwenqubo, cishe ngeke kudingeke ukuba ulandelelwe ngokugcwele kwe- colonoscopy , kodwa cishe uzocelwa ukuba uzenze i- enema .

Isivivinyo ngokwawo asibuhlungu. Kuhilela ukungena kweprobeyini encane, eguquguqukayo e-rectum yakho ngenkathi ulele etafuleni.

Uma unesivivinyo sokuxoshwa kwamabhaluni, ibhaluni elincane lizofakwa emgqeni wakho bese ligcwaliswa kancane. Ungase ubuzwe ngezikhathi ezihlukahlukene ukuphumula noma ucindezele imisipha yakho yama-rectal, noma ukucindezela njengokungathi unomzimba wokuhamba. Isivivinyo sithatha cishe imizuzu engama-30 kuya kwehora elilodwa.

_Imithombo:

_{Lee, T. & Bharucha, A. "Indlela yokwenza futhi ichaze ukuhlolwa okuphezulu kwe-Manorery Anometrical Testing Manometry" Journal of Neurogastroenterology and Motillity 2016 Jan; 22: 46-59.}

_{Mandaliya al. "Ucwaningo olwenziwe nge-anal sphincter ukungasebenzi ngokusebenzisa i-manometry esilula kwiziguli ezinezintambo ezingathandeki: isisombululo sokuthola ukwelashwa" Ama- Annal of Gastroenterology 2015 28: 469-474.}

_{U-Olson, C. "Ukuvivinywa kokuxilongwa kwe-Fecal Incontinence" Imitholampilo e-Colon ne-Rectal Surgery 2014 27: 85-90.}