Xa unempawu ze-telltale zokuguquka nokuguquka, isifo se-reflux se-gastroesophageal (GERD) sisoloko sifumaneka ukuba sihlolwe nje kunye nokuhlaziywa kwimbali ecacileyo yeempawu zakho. Nangona kunjalo, ukuba ungenayo iiflegi ezibomvu zakudala, iimpawu zakho azifumani ngcono ngonyango, okanye ugqirha wakho ufuna ukujonga iingxaki ezinokubakho, unokuvavanya njenge-endoscopy ephezulu, i-aculatory acid (pH) uhlolo lokuhlola, i-manometry ye-esophageal, okanye i-barium ingenza i-radiograph eyenziwe.
Uvavanyo kunye neNkqubo
Ukuba ugqirha ugqiba ukwenza iimvavanyo ukuqinisekisa ukuba unayo i-GERD okanye uhlolisise iingxaki ezinokubangelwa yi-GERD, zezi ezinye zeenkqubo ezisetyenziswa rhoqo. Ngokuxhomekeke kwiimeko zakho kunye neziphumo zokuvavanya, unokufumana ngaphezulu kweyodwa.
Endoscopy ephezulu
I-endoscopy ephezulu iqhutyelwa esibhedlele okanye kwisibonelelo esipheleleyo. Ngaphambili, uya kufumana isondlo sokugcina ukhululekile kuyo yonke inkqubo. Ugqirha wakho uya kutshiza umhobho wakho ukuba awugxeke uze udibanise ityhubhu yeplastiki elula, eguquguqukayo ebizwa ngokuthi i-endoscope phantsi komqala wakho.
Ikhamera elincinci kunye nokukhanya kwipososcope vumela ugqirha wakho ukuba abone ubuso bakho kunye nokukhangela izinto ezingaqhelekanga. Ngethuba lenkqubo, ugqirha wakho unokususa iqela elincinane leencuba ukuze ahlolwe iingxaki ezifana ne-Barrett's oopopus.
Ukuba uye wafumana iimpawu ezinqamlekileyo kunye nale nkqubo ichaza nayiphi na inzakalo kwisifo sakho, akukho mvavanyo efunekayo ukuze kuqinisekiswe iGERD.
I-Acid Aculatory (pH) yoHlolo lokuHlola
Kule vavanyo, eyenziwa kwisibhedlele okanye kwisikhululo sokugula, ugqirha wakho ubeka ityhubhu encinci ngempumlo okanye emlonyeni kwisigxina sakho esiza kuhlala khona iiyure ezingama-24. Esinye siphelo sesibhubhe sidibanisa ne-monitor esincinane. Ngethuba uhamba ngemisebenzi yakho eqhelekileyo, nini kwaye ingakanani i-acid ephakanyiswayo kwi-esophagus yakho iyalinganiswa kwaye ibhalwe.
I-monitor ye-ambulatory monitor iyanceda xa unayo iimpawu ze-GERD kodwa akukho monakalo wokugqithisa. Inkqubo iyanceda ekufumaneni ukuba iimpawu zokuphefumula, kuquka ukuvutha nokukhwehlela, zibangelwa yi-reflux. Olu vavanyo lucatshulwa oluchanekileyo ukufumana i-acid reflux.
Olunye uhlobo lokulinda kwe-pH lwenziwe nge-capsule efakwe kwisigxina sakho endaweni ye-tube. I-capsule ngefowuni idlulisela imilinganiselo ye-asidi kumntu oyifumeneyo enxibayo kwiqhosha lakho. Uyakugcina umkhondo weempawu zakho ngokuchukumisa amaqhosha athile kwi-receiver nokugcina idayari yemisebenzi enje xa udla nalapho ulala.
I-Manophyge yase-Esophageal
Olu vavanyo lwenza amanyathelo okwehlukileyo xa uginya. Ingabonisa ukuba iimpawu zakho ze-GERD zibangelwa u-muscle wakho we-sphincter ubuthathaka kwaye uchonge ezinye iimeko kunye ne-oopopus enokubangela iimpawu zakho endaweni yeGERD.
Yenzelwe ngokuguqula umqala wakho kwaye ubeke ityhubhu encinci ngephunga lakho kwisisu sakho. I-tube ityunyuselwa kwisisu sakho njengoko uginya ngelixa ikhomputer ithatha isilinganiselo kwaye irekhoda iincopho zakho ezenzayo kwiindawo ezahlukeneyo. Oku kunokwenziwa kwiofisi yakho yogqirha.
Ukucinga
Ugqirha wakho angathanda ukujonga iphepheni yakho yesisu esisentla (i-GI), ngokukodwa ukuba uyakrokrela ukuba unesifo sokuzala okanye ingxaki yakho.
I-Barium Swallow Radiograph
Olu vavanyo lwenziwe kwiziko lesipilisi okanye esibhedlele kwaye isebenzisa ii-X-ray zecandelo lakho eliphezulu le-GI ukunceda ukungaqhelekanga kwendawo, nangona ayikwazi ukubonisa i-GERD. Ngethuba lo vavanyo, uya kuhlala okanye uhlale phambi komshini we-x kwaye uphuze isisombululo esinamandla, esine-chalky ye-barium njengoko i-X-ray ithathwa ukuze ugqirha wakho abone indlela i-barium ehamba ngayo emlonyeni wakho. Ungaphinde uphuze isisombululo esincinci se-barium kunye / okanye uginye ipilisi ye-barium ngelixa imifanekiso iphinda ithathwe.
Emva kokuvavanywa, unokuziva unqabile okanye unesiqhwala, kwaye unokuba nezibane ezikhanyayo ukusuka kwi-barium. Ukucaphukisa komzimba osisigxina kungeke kubonakale kule mvavanyo, nangona ukunciphisa (izithintelo) zesisu, izilonda, kunye ne-hernia yokuzalwa.
Ukuxilongwa okuhlukeneyo
Kukho iingxaki ezininzi ezinempawu ezingakwazi ukuphazamiseka ngeGERD. Ngethamsanqa, yonke le miqathango ingahlukaniswa kwiGERD isebenzisa iimvavanyo ezifanayo ezichazwe ngasentla.
Esophagitis
Iimpawu ezifana ne-GERD ziyakubonakala xa unesivulo kwisisu sakho (isophagitis) kunokuba iGERD. I-Esophagitis ibangelwa enye okanye ngaphezulu kwezi zinto:
- Ukuthabatha amayeza athile adibeneyo kunye nesigxina sakho ixesha elide kakhulu, okubangelwa ukungawathathi ngamanzi aneleyo. Iziyobisi ezinxulumene nokubangela i-esophagitis ziquka i-antibiotics njengetetracycline kunye ne-doxycycline; ubuhlungu bukhululeka njenge-aspirin, i-Motrin (ibuprofen), kunye ne-Aleve (i-naproxen sodium); i-potassium chloride; i-biphosphonates njengeFosamax (alendronate); kunye nequinidine.
- Uxinzelelo olusenyongweni oluqhelekileyo lweeseli zegazi ezimhlophe kwi-oophagus yakho obangelwa yindlela yokuphikisa, i-acid reflux, okanye zombini. Oku kuthiwa yi-eosinophilic esophagitis.
- Ukusuleleka kwintsholongwane ye-virus, ibhakteria okanye isifo.
Ugqirha wakho unokukwazi ukuhlula phakathi kwale GERD kunye nokusebenzisa i-manometry esophageal kunye ne-endoscopy ephezulu nge-biopsy yamathambo.
Iingxaki ze-Esophageal
Ukuba ufumana ubunzima bokugwinya, uphawu lweGERD, oku kunokuba kungenxa yokucima iindandatho okanye i-webs, isifo sengqondo se-esophageal, ukuxilongwa kwe-esophageal, okanye umhlaza wesisu. Njenga-esophagitis, le micimbi nayo iyahlukana ukusuka kwi-GERD nge-manometry engasondeli kunye ne-endoscopy ephezulu ene-biopsy yamathambo.
I-reflux Hypersensitivity kunye ne-Functional Heartburn
Ukuba neentlungu zentlungu rhoqo kunokubangelwa ukutshatyalaliswa kwe-reflux okanye i-heartburn esebenzayo kune-GERD. Zibini zombini iziphazamiso ziqhelekile. Ukugqithiswa kwe-Reflux kuneempawu ezifanayo njenge-GERD, kodwa i-endoscopy iya kuphuma evamile kwaye amayeza aqhelekileyo asetyenziselwa ukuguquka kweso siyakunceda.
Ukuguquka kwentsebenzo, efana ne-reflux hypersensitivity, nayo inempawu ezifanayo njenge-GERD, ayiphenduli kwimishanguzo yokugquma, kwaye iyakubangela umphumo wokuphela kwe-endoscopy, kodwa iimpawu azibangelwa ukutshatyalaliswa njengokuba zichithwa . Ugqirha wakho unokukwazi ukuchazela umahluko phakathi kwezi zibini kunye novavanyo lokuhlola i-pH olukhankanywe ngasentla, olukwahlukana nabo kwiGERD.
> Imithombo:
> Kahrilas PJ. Ukubonakaliswa kwezonyango kunye nokuxilongwa kwe-Gastroesophageal Reflux kwiBantu abadala. Isemgangathweno. Ukuhlaziywa kweyoKwindla 6, 2018.
> Abasebenzi beKliniki yabasebenzi. Esophagitis. Clinical Mayo. Ukuhlaziywa kwe-Oktobha 14, 2017.
> Abasebenzi beKliniki yabasebenzi. Izifo ze-Reflux ye-Gastroesophageal (GERD). Clinical Mayo. Ukuhlaziywa kweyoKwindla 9, 2018.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Ukuxilongwa kweGER kunye neGERD. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Epapashwe ngoNovemba 2014.
> Vandenplas Y, Hauser B. Ukuhlaziywa okuhlaziyiweyo kwi-Gastro-Esophageal Reflux kwi-Pediatrics. Ukuphononongwa kweNgcali kwiGastroenterology kunye neHepatology . 2015; 9 (12): 1511-21. i-doi: 10.1586 / 17474124.2015.1093932.