Yini ongayilindela ngaphambi, ngesikhathi, nangemva kokuhlolwa kwe-pH
Uma udokotela wakho ekhuthaze ukuhlolwa kokuhlolwa kwe-pH ye-acid reflux, yini ongayilindela? Kwenzekani ngaphambili, ngesikhathi nangemva kwenqubo, futhi kusho ukuthini uma imiphumela yakho engavamile?
Ukuhlolwa kwe-pH ye-Reflux ye-Acid
Ukuhlolwa kwe-pH ye-acid reflux ( isifo se-reflux ye-gastroesophageal noma i-GERD ) silinganisa ukuthi kaningi kangakanani nokuthi isisu esingakanani singena kulesi sigameko, nokuthi sisusa kanjani lesi sici.
Ukwenziwe nge-tube encane, epulasitiki ehlomezwe inzwa, ilinganisa inani le-asidi elisekela phezulu.
Le nqubo ivame ukwenza uma izimpawu ze-GERD zikhona kodwa ukuhlolwa kokuphela kwe-endoscopy akutholaki ubufakazi obukhona bokuthi isifo se-reflux. Kungenziwa futhi ukuhlola izimpawu ezingezansi ezijwayelekile ze-GERD njengokuhlukunyezwa kwesifuba, i-asthma, i-hoarseness, nokuningi.
Izivivinyo zokuxilonga ze-Reflux ye-Acid (GERD)
Ngaphambi kokwenza noma yikuphi ukuhlolwa, udokotela wakho uzokubuza mayelana nezimpawu zakho zeGERD. Okuvame kakhulu kulezi ukukhwabanisa. Ezinye izimpawu zingase zibandakanye izinambuzane noma ubuhlungu besisu, ubunzima bokugwinya, noma ukukhwehlela okungapheli. Uzophinde akubuze mayelana nezinkinga zakho ze-GERD kufaka phakathi ukuthi unayo i-hernia yokubeletha, uma ubhema, noma uthatha imithi noma udle ukudla okungakunqanda ukuba uhlaziye.
Izikhathi eziningi ukuxilongwa kwe-GERD kwenziwa ngezimpawu kuphela (ukuxilongwa kwempilo.) Uma ukuxilongwa kungenakuqinisekiswa, noma uma izimpawu zakho zingapheli futhi kukhona ukukhathazeka ukuthi ungahlakulela izinkinga ze-GERD , ukuhlolwa okuqhubekayo kunconywa.
Ukuhlola kuvame ukwenza kahle uma uhluleka ukuphendula izinguquko zokuphila kanye nemithi. Ngesikhathi samanje, ukuhlolwa okuvame kakhulu kukuphela kwe- endoscopy . Le yinkqubo lapho ithubhu idluliselwa emlonyeni wakho nasesiswini sakho nasesisu. I-Biopsies yanoma yikuphi ukungajwayelekile kungathathwa.
Uma kungekho okungajwayelekile okutholakala, udokotela wakho angase ancome ukubhekwa kwe-pH (okugxile kwalesi sihloko.)
Ezinye izivivinyo ezenziwa kaningi kangako zingabandakanya ukugwinya kwe-barium noma i-manometry yokulinganisa.
Yini Ongayilindela Ngesikhathi Sokuhlolwa Kwakho kwe-Acid?
Uma udokotela wakho uncoma i-endoscopy, uzokubeka isikhathi sokwenza inqubo, ngokuvamile esilandelayo endoscopy esibhedlela noma emtholampilo wokuphela wama-endoscopy. Uzokwazisa ukuthi le nqubo ingaba yinto engakhululekile, kepha ivame ukubekezelela kahle.
Kufanele ukhulume nodokotela wakho nganoma imiphi imithi oyithatha kahle ngaphambi kwenqubo yakho, njengoba ezinye zazo zingaphazamisa imiphumela yakho. Kuyinto evamile kakhulu ukuthi abantu babonise ngosuku lwenqubo, kodwa kufanele baphinde bahlaziye kusukela le mithi ingabanjwanga. Qinisekisa ukuthi ukhuluma ngemithi efana neproton pump inhibitors (njenge-Prilosec noma i-omeprazole), i-H2 blockers (njenge- Zantac noma i-ranitidine), i-antacids, i-steroids, i-block-block blockers kanye ne-nitrate. Ngezinye izikhathi imithi ingaqhubeka, kodwa udokotela wakho kudingeka awazi lokhu ngoba angathinta umphumela wokuhlolwa kwe-pH.
Ngaphambi kokuhlolwa kwakho kwe-Aclux pH yakho
Uzokwaziswa ukuthi ungadli amahora amane kuya kweziyisithupha ngaphambi kwenqubo yakho.
Njengoba kuphawuliwe, akufanele uthathe imithi yakho ejwayelekile ye-acid reflux njengeprotton pump inhibitors noma i-antacids ngaphambi kokuhlolwa.
Inqubo yokuhlolwa kwe-pH Esophageal
Uma unesifo se-pH ngesikhathi esifanayo njenge-endoscopy, udokotela wakho uzovama ukubeka i-IV futhi akunike imithi yokuphumula. Angase ahlahlele emuva emqaleni wakho ngomuthi. Uma ukhululekile kunezindlela ezimbili lapho angabeka khona iphenyo emzimbeni wakho. Indlela yokuqala yi-tech-tech encane: Udokotela ufaka ipeni elibulalayo ngekhaleni lakho nasendaweni yakho. Ithebhu igxila ngaphezu kwe-sphincter esezansi engezansi (LES.) Lokhu kungase kwenzeke ngesikhathi sokuphela kwe-endoscopy ngokuchofoza idivayisi yokuqapha i-pH emgqeni wendawo.
Ithebhu isuke ishiya endaweni yamahora angu-24. Phakathi naleso sikhathi, ukhuthazwa ukuba uhlanganyele emisebenzini evamile.
Indlela yesibili ubuchwepheshe obuphezulu kakhulu: Nge-endoscope, udokotela ubeka i-capsule elahlayo emgodini wesifo sakho. I-wireless irekhodi idatha mayelana nezimpawu futhi uma udla noma ulala phansi kuyunithi oyigqoke ebhande lakho nge touch of inkinobho.
Kungakhathaliseki ukuthi yikuphi, uzobe ugcina irekhodi nanoma yiziphi izinsolo ezicatshangelwayo ze-acid reflux, nezinye izimpawu, njengokukhwehlela nokushaya. Lokhu kungasiza udokotela ukuba anqume ukuthi i-acluc reflux ihlobene yini nesifo se-asthma noma ezinye izimpawu zokuphefumula.
Ngenkathi usuqaphele ukuqapha i-pH uzokwaziswa ukuba udle ukudla okujwayelekile futhi uqale imisebenzi yakho evamile. Ngokuvamile akufanele ulale phansi, noma kunjalo, uze ulale ubusuku.
Ngemuva kokuhlolwa kwakho kwe-pH Esophageal: Ukubuyisela
Ngemuva kokuhlolwa kwakho, umphimbo wakho ungase uzizwe unesihlungu usuku olulodwa noma ngaphezulu. Ukuphumelela kwi-lozenges noma i-candy kanzima kungase kuthobise. Kamuva, ekuqeshweni kwakho kadokotela olandelayo, kufanele uthole imiphumela yokuhlolwa kwakho kwe-pH yokulinganisa.
Imiphumela ye-PH Test yakho
Esikhathini esiningi abantu baya ekhaya ngemva kokuhlolwa futhi bazoba ne-aphoyintimenti okuhleliwe ngesikhathi abazozwa ngayo ngemiphumela yokuhlolwa kwe-pH.
Ukuqapha kwe-pH kungabonisa ukuthi i-pH yakho ijwayelekile, lapho kwenzeka olunye uhlobo lokuhlola. Uma kukhona i-asidi eyandayo kulesisindo sakho kungenzeka ngenxa yezinto ezimbalwa ezihlukene, kusukela ku-GERD kuya kwesifo sokusakaza i-esophagitis , ukusabalalisa (fibrosis), kuya ku- britt's esophagus . Lapho uvakashele, udokotela wakho uzoxoxa ukuthi kusho ukuthini lokhu futhi akhulume ukuthi ngabe kudingeka yini ukuhlolwa okwengeziwe ukuze kuchazwe isimo.
Kuye ngemiphumela yakho, udokotela wakho angenza izincomo mayelana nezinguquko zendlela yokuphila oyincomayo kanye nemithi yokunciphisa izimpawu zakho nokuvimbela izinkinga.
Ngaphansi kokuhlolwa kwakho kwe-pH Esophageal
Isivivinyo se-pH esophageal senziwa ukubhekelela ukuba khona kwe-acid reflux, kaningi lapho imiphumela ye-endoscopy engenhla ijwayelekile. Inqubo yenzeke njenge-endoscopy futhi ivame ukubekezelela kahle. Ukuze imiphumela yokuhlolwa ibe yinto enembile, kubalulekile ukukhuluma nodokotela wakho mayelana nayo yonke imithi oyisebenzisayo, kanti ezinye, ezifana neproton pump inhibitors kanye ne-antacids cishe zizovalwa ngaphambi kokuhlolwa.
> Imithombo:
> Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
> Roman, S., Gyawali, C., Savarino, E. et al. Ukuqapha kwe-Reflux okuphazamisayo yokuxilongwa kwezifo ze-Reflux ye-Gastroesophageal: Ukuvuselelwa kokuvumelana kwe-Porto nezincomo ezivela kwi-International Consensus Group> I- Neurogastroenterology ne-Motility . 2017. 29 (10): 1-15.