Yintoni ongayilindela ngaphambi, ngexesha, nangemva kokuvavanywa kwepH
Ukuba ugqirha wakho ucebise uvavanyo lokuhlola i-pH ye-acid reflux, ungalindela ntoni? Yintoni eyenzeka ngaphambili, ngexesha nangemva kwenkqubo, kwaye kuthetha ntoni ukuba iziphumo zakho aziqhelekanga?
Ukuhlolwa kwe-pH ye-Acid Reflux
Ukuhlolwa kwe-pH ye-acid reflux ( isifo se-reflux ye-gastroesophageal reflux okanye iGERD ) silinganisa ukuba kaninzi kangakanani kwaye ixesha elingakanani isisu esiswini singena kwi-esophagus, kwaye sisilungisa njani umgca.
Ukwenziwe ngetyhubhu yeclastiki, eneplastiki ene-sensor, iyalinganisa inani le-asidi elixhasayo kwi-esophagus.
Le nkqubo idlalwa rhoqo xa iimpawu ze-GERD zikhoyo kodwa uvavanyo lwe-endoscopy alufumani naluphi na ubungqina besifo se-reflux. Kungenziwa kwakhona ukuvavanya iimpawu ezingekho phantsi kwe-GERD ezinjengeentlungu zesifuba, i-asthma, i-hoarseness, kunye nokunye.
Iimvavanyo zokuxilongwa kwi-Acid Reflux (GERD)
Ngaphambi kokuba wenze uvavanyo, ugqirha uya kukubuza malunga neempawu zeGERD. Into eqhelekileyo kwezi zinto kuguquka. Ezinye iimpawu zingabandakanywa isicupunu okanye intlungu yesisu, ubunzima bokugwinya, okanye ukukhwehlela okungapheliyo. Uya kucela kwakhona malunga nemingcipheko yakho yeGERD kubandakanye nokuba unayo i-hernia yokuzalwa, ukuba uyabhema, okanye ukuba uthatha imishishini okanye udla ukutya okunokukuhlaziya.
Amaxesha amaninzi ukuxilongwa kwe-GERD kwenziwa kwimiqondiso yodwa (ukuxilongwa kwekliniki.) Ukuba ukuxilongwa akuqinisekanga, okanye ukuba iimpawu zakho zihlala zingapheli kwaye kukho inkxalabo yokuba unokuhlakulela iingxaki ze-GERD , uvavanyo oluthe lucetyiswayo.
Uvavanyo luhlala lwenziwa ngokunjalo xa ungaphumeleli ukuphendula kwiinguqu zokuphila kunye neyeza. Ngexesha langoku, uvavanyo oluqhelekileyo luyi- endoscopy ephezulu . Le yinkqubo apho ityhubhu idluliselwa emlonyeni wakho nasesiswini sakho nasesisu. Iimpawu zezinto eziqhelekileyo zingathathwa.
Ukuba akukho nto engaqhelekanga ifunyenwe, ugqirha wakho unokucebisa ukujonga i-pH (ingqwalasela kweli nqaku.)
Ezinye iimvavanyo ezenziwa rhoqo ngaphantsi zingabandakanya ingxube ye - barium okanye i-manometry esophageal.
Yintoni onokuyilindela ngexesha lakho le-Pid Test PH?
Ukuba ugqirha wakho uncoma i-endoscopy, uya kubeka ixesha lokwenza le nkqubo, ngokuqhelekileyo kwisigxina se-endoscopy esibhedlele okanye kwisikliniki sokuphela kwe-endoscopy. Uya kukucebisa ukuba le nkqubo ingaba yinto encinci, kodwa ngokuqhelekileyo iyakunyamezela kakuhle.
Umele uthethe ugqirha wakho malunga nayiphi na imichiza oyithathayo phambi kokuba inkqubo yakho, njengoko ezinye zezi ziphazamise iziphumo zakho. Kuqheleke kakhulu ukuba abantu babonise ngosuku lwenkqubo, kodwa kufuneka bahlaziyeke ngenxa yokuba la mayeza ayengabanjwa. Qinisekisa ukuthetha ngamachiza afana neproton pump inhibitors (njenge-Prilosec okanye i-omeprazole), ii-blockers ze-H2 (njenge- Zantac okanye i-ranitidine), i-antacids, i-steroids, i-block-block blockers kunye ne-nitrate. Maxa wambi amayeza angagcinwa, kodwa ugqirha wakho kufuneka azi ukuba ezi zinto zinokuchaphazela umphumo wokuhlolwa kwepH.
Ngaphambi kokuba I-Acid yakho ye-Reflux ipH Test
Uya kufundiswa ukuba ungadli iiyure ezine ukuya ezintandathu ngaphambi kokuba wenze inkqubo yakho.
Njengoko kuphawulwe, akufanele uthathe imithi yakho ye-aclu pump reflux rhoqo njengeproton pump inhibitors okanye i-antacids ngaphambi kokuvavanywa.
Inkqubo yoVavanyo lwePH ye-Esophageal
Ukuba unesicingo se-pH ngexesha elifanayo njenge-endoscopy, ugqirha wakho uya kufaka i-IV kwaye akunike amayeza okukukhulula. Unokuphinda ahlaziye umqolo wakho emqaleni ngeyeza. Xa ukhululekile kukho iindlela ezimbini onokubeka ngayo iphenyi emzimbeni wakho. Indlela yokuqala yinkcenkceshe ephantsi: Ugqirha ufaka iprobhu ebulalayo ngeempumlo yakho kunye nomgca wakho. I-tube ityeka nje ngaphezu kwe-sphincter esezantsi (LES.) Oku kungenzeka ngexesha lokugcina i-endoscopy ngokucoca i-pH yokuqapha idivaysi kwisigxina se-esophagus.
Itheyibhu iya kushiywa endaweni yeeyure ezingama-24. Ngelo xesha, ukhuthazwa ukuba wenze imisebenzi eqhelekileyo.
Indlela yesibini yinkampani ephezulu kakhulu: Ngogqirha, ugqirha ubeka i-capsule elahlayo kwisigxina sakho. Ingabonakali ngedatha ngedatha malunga neempawu kwaye xa udla okanye ulala phantsi kwunithi oyigqoke kwibhanti yakho kunye nomgca weqhosha.
Ngayiphi na indlela, uya kugcina irekhodi lazo nayiphi na imiba ye-acid reflux, kunye nezinye iimpawu, ezifana nokukhwehlela nokuvutha. Oku kunokunceda ugqirha ukuba acinge ukuba i-acid reflux ihambelana nesifo se-asthma okanye ezinye iimpawu zokuphefumula.
Nangona uvavanyo lwe-pH lwe-esophageal lwe-pH uya kufundiswa ukuba udle ukutya rhoqo kwaye uqhubeke nemisebenzi yakho eqhelekileyo. Ngokuqhelekileyo akufanele ulale, nangona kunjalo, de uze ulale ubusuku.
Emva kovavanyo lwakho lwe-pH Test: Ukubuyisela
Emva kokuvavanywa kwakho, umqala wakho ungazivakalelwa kancinci ngosuku okanye njalo. Ukuphumelela kwi-lozenges okanye i-candy elukhuni kunokuyathulisa. Kamva, ekuqeshweni kwakho ugqirha ozayo, kufuneka ufumane iziphumo zovavanyo lwakho lwe-pH yesisindo.
Iziphumo zovavanyo lwakho lwePH
Uninzi lwexesha abantu baya ekhaya emva kokuvavanywa kwaye baya kuba nexesha eliza kuqwalaselwa ngexesha apho baya kuva malunga neziphumo zovavanyo lwe-pH.
Uhlolo lwe-pH luyakubonisa ukuba i-pH yakho iyinto eqhelekileyo, kwimeko apho olunye uhlobo lokuvavanywa luyacetyiswa. Ukuba kukho i-asidi eyongeziweyo kwi-oophagus yakho ingaba ngenxa yezinto ezimbalwa ezahlukileyo, ukusuka kwi-GERD ukuya kwi- esophagitis , ukusabalala (fibrosis), kwisifo seBarrett . Xa u tyelele ugqirha uya kuxubusha oku kuthetha ntoni kuwe kwaye uthethe ukuba ngaba uvavanyo oluninzi lufunekayo ukuchaza imeko.
Ngokuxhomekeke kwiziphumo zakho, ugqirha wakho angenza iingcebiso malunga nokutshintsha kweendlela zokuphila ezicebisayo kunye nemichiza yokuphucula iimpawu zakho nokukhusela iingxaki.
Ngaphantsi kovavanyo lwakho lwe-pH Esophageal
Uvavanyo lwe-pH lwe-esophageal luye lwenziwe ukujonga ubukho be-acid reflux, ngokuqhelekileyo xa iziphumo ze-endoscopy ephezulu ziqhelekileyo. Inkqubo yenzeka ngokufana ne-endoscopy kwaye idla ngokunyamezela. Ukuze iziphumo zovavanyo zichaneke, kubalulekile ukuthetha nodokotela wakho malunga nawo onke amayeza oyisebenzisayo, kwaye ezinye, ezifana neproton pump inhibitors kunye ne-antacids ziyakuthi zitshitshwe ngaphambi kovavanyo.
> Imithombo:
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Roma, S., Gyawali, C., Savarino, E. et al. Ukuqwalaselwa kwe-Reflux ye-Gluroesophageal Reflux Izifo: Ukuhlaziywa kweSivumelwaniso sePorto kunye neNcomelo ezivela kwiQumrhu lamaZwe eMvumelwano> I- Neurogastroenterology kunye ne-Motility . 2017. 29 (10): 1-15.