Uma unezimpawu ze-telltale zokugubha kanye nokuphindaphinda, isifo se-reflux se-gastroesophageal (GERD) singavunywa ukuthi sinokuhlola nje ngokomzimba nokubuyekezwa komlando oningiliziwe wezimpawu zakho. Kodwa-ke, uma ungenalo amaflegi amnyama ajwayelekile, izimpawu zakho azitholi kangcono ngemithi, noma udokotela wakho ufuna ukuhlola izinkinga ezingase zibe khona, ungase ube nokuhlola njenge-endoscopy engenayo, i-aculatory acid (pH) ukuhlolwa kokuqapha, i-manometry engasondeli, noma i-radium swallow radiograph eyenziwe.
Ukuhlolwa Nezinqubo
Uma udokotela wakho enquma ukwenza izivivinyo ukuqinisekisa ukuthi unayo i-GERD noma ukuhlola izinkinga ezingase zivele ku-GERD, lezi ezinye zezinqubo ezisetshenziswa njalo. Kuye ngezimo zakho kanye nemiphumela yokuhlolwa, ungaba okungaphezu kweyodwa.
I-Endoscopy Ephezulu
I-endoscopy ephezulu iyenziwa esibhedlela noma isikhungo sokugula. Ngaphambi kwalokho, uzothola ukuguqula ukuze uhlale ukhululeke kulo lonke uhlelo. Udokotela wakho uyosifiphaza umphimbo wakho ukuze awunqande futhi ulayishe iteksi elincane elincane le-plastiki elibizwa ngokuthi i-endoscope phansi komphimbo wakho.
Ikhamera encane nokukhanya ku-endoscope vumela udokotela wakho ukuthi abone ubuso bakho bese efuna okungavamile. Ngenkathi yenqubo, udokotela wakho angasusa futhi isiqephu esincane samathambo ukuze ahlolwe izinkinga ezifana nesimo sikaBarrett.
Uma ngabe ube nezimpawu ezilinganiselayo ezinzima futhi le nqubo yembula noma yikuphi ukulimala ku-esophagus yakho, akekho olunye uvivinyo oludingekayo ukuze kuqinisekiswe i-GERD.
I-Acbulatory Acid (pH) Yokuhlola Ukuhlola
Kulesi sivivinyo, okwenziwe esibhedlela noma esikhungweni sokuphulukisa iziguli, udokotela wakho ubeka ithubhu elincane ngekhaleni noma emlonyeni wakho endaweni eyohlala kuyo amahora angu-24. Okunye ukuphela kwebhulethi kuxhumane nomqapha omncane. Ngenkathi uhamba ngemisebenzi yakho evamile, nini nokuthi ingakanani i-acid ekhuphuka endaweni yakho isilinganiswa futhi iqoshiwe.
Ukuqapha i-aculatory acid kuyasiza uma unezimpawu ze-GERD kodwa akukho monakalo wokuqeda amandla. Le nqubo ibuye iseze ekutholeni ukuthi izimpawu zokuphefumula, kuhlanganise nokuvuthwa nokukhwehlela, zibangelwa yi-reflux. Lokhu kuhlolwa kubhekwa okunembile kakhulu ukuthola i-acid reflux.
Enye indlela yokuqapha i-pH yenziwa nge-capsule efakwe endaweni yakho esikhundleni se-tube. I-capsule nge-wireless idlulisela izilinganiso ze-asidi kumuntu oyitholayo owembini lakho. Ubuye ulandelele izimpawu zakho ngokucindezela izinkinobho ezithile kumamukeli futhi ugcine idayari yemisebenzi efana nesikhathi odlayo nalapho ulala phansi.
I-Manometry Esophageal
Lokhu kuhlola kuqhathanisa ukuphazamiseka ekugqeni kwakho uma ugwinya. Ingabonisa ukuthi izimpawu zakho ze-GERD zibangelwa ukuhlukunyezwa kwe-sphincter yakho futhi zikhomba ezinye izinkinga ngesifo sakho esingase sibangele izimpawu zakho esikhundleni se-GERD.
Kwenziwe ngokuphazamisa umphimbo wakho bese ubeka ithini elincane emakhaleni akho esiswini sakho. Ithebhu isuke ishuntshelwe endaweni yakho uma ugwinya ngenkathi ikhompyutha ithatha izilinganiso bese urekhoda ukuphazamiseka kwakho okwenziwe ezindaweni ezahlukene. Lokhu kungenziwa ehhovisi likadokotela wakho.
Ukucabanga
Udokotela wakho angase afune ukubheka ipheshana lakho eliphezulu lesisu (GI), ikakhulukazi uma esolwa ukuthi une-hernia yokuzalwa noma inkinga ngesifo sakho.
Radiograph ye-Barium Swallow
Lokhu kuhlolwa kwenziwa esikhungweni sokuphulukiswa kweziguli noma esibhedlela futhi kusetshenziswa ama-X we-tract yakho ye-GI engenhla ukuze usize ukungalingani kwendawo, nakuba kungabonakali i-GERD. Phakathi nalesi sivivinyo, uzohlala noma uhlale phambi komshini we-x futhi uphuze isisombululo esinamandla, se-chalky ye-barium njengoba kukhishwa ama-X-ray ukuze udokotela wakho abone ukuthi i-barium idlula kanjani emlonyeni wakho. Ungase uphuze nesisombululo se-barium esincane futhi / noma ugwinye iphilisi ye-barium ngenkathi izithombe zithathwa futhi.
Ngemuva kokuhlolwa, ungase uzizwe uvinjelwe noma unesihlungulu, futhi ungase ube nezitembu ezikhanyayo kusuka ku-barium. Ukucasula okuncane okuyi-esophageal ngeke kuvele kulolu vavanyo, nakuba ukugoqa (iziqu) ze-esophagus, izilonda, kanye ne-hernia hiatal kuyoba.
Ukuhlonza okuhlukile
Kunezinkinga eziningana ezinezibonakaliso ezingase zihlangane ne-GERD. Ngenhlanhla, zonke lezi zimo zingahlukaniswa kusuka ku-GERD besebenzisa izivivinyo ezifanayo ezichazwe ngenhla.
I-Esophagitis
Izimpawu ezifana ne-GERD zingabonakala uma une-inflammation ku-esophagitis yakho (kune-esophagitis) kunokuba i-GERD. I-esophagitis ingabangelwa yinye noma ngaphezulu kwalezi zici:
- Ukuthatha imithi ethile ehlangene nesifo sakho isikhathi eside kakhulu, okuyinhloko ngenxa yokungathathi ngamanzi anele. Izidakamizwa ezihlotshaniswa nokudala i-esophagitis zihlanganisa ama-antibiotic afana ne-tetracycline ne-doxycycline; ubuhlungu bukhululeka njenge-aspirin, i-Motrin (ibuprofen), ne-Aleve (i-naproxen sodium); i-potassium chloride; ama-biphosphonates afana ne-Fosamax (alendronate); kanye ne-quinidine.
- Ukuhlushwa okwejwayelekile kwamangqamuzana egazi amhlophe kulesisindo sakho kubangelwa ukusabela okweqile, i-acid reflux, noma kokubili. Lokhu kubizwa ngokuthi i-eosinophilic esophagitis.
- Ukutheleleka kwamagciwane, ama-bacterium, noma amafungal ku-esophagus yakho.
Udokotela wakho angakwazi ukuhlukanisa phakathi kwalezi GERD besebenzisa i-manometry esophage kanye ne-endoscopy engenayo ene-biopsy yezicubu.
Izinkinga zokulinganisa
Uma uhlangabezana nobunzima ukugwinya, uphawu lweGERD, lokhu kungahle kube ngenxa yamasongo noma i-webs esophageal, i-esophageal motility disorder, ukulinganisa okulinganayo, noma umdlavuza wokuqeda. Njenga-esophagitis, lezi zinkinga zingase zihlukaniswe kusukela ku-GERD nge-manometry engenasifo kanye ne-endoscopy engenayo ene-biopsy yezicubu.
I-Reflux Hypersensitivity kanye Nokusebenza Kwesifo Senhliziyo
Ukuba nokuphuza kwenhliziyo njalo kungaba ngenxa ye-reflux hypersensitivity noma ukusebenza kwenhliziyo kunokusebenza kwe-GERD. Zombili lezi zinkinga zivamile. I-reflux hypersensitivity inezibonakaliso ezifanayo njenge-GERD, kodwa i-endoscopy izophuma evamile futhi imithi evame ukusetshenziselwa ukuphuza umoya ngokuvamile ayiyikusiza.
Ukushisa kwenhliziyo okusebenzayo, okufana ne-reflux hypersensitivity, kunezibonakaliso ezifanayo njenge-GERD, ayiphenduli imishanguzo yokuphuza inhliziyo, futhi kuzoholela ekugcineni komphumela wokuphela kwe-endoscopy, kodwa izimpawu azange zibangelwe yi-reflux njengezinhlobo ze-reflux hypersensitivity . Udokotela wakho angasho ukuthi umehluko phakathi kokubili nokuhlolwa kokuhlola kwe-pH okukhulunywe ngenhla, okubuye kwahlukanise nabo kusukela ku-GERD.
> Imithombo:
> Kahrilas PJ. Ukubonakaliswa Kwemitholampilo nokuxilongwa kwe-Reflux ye-gastroesophageal kubantu abadala. Kusesikhathini. Kubuyekezwe ngomhla ka-6 Mashi, 2018.
> Abasebenzi beMayo Clinic. I-Esophagitis. I-Mayo Clinic. Kubuyekezwe ngo-Okthoba 14, 2017.
> Abasebenzi beMayo Clinic. Izifo ze-Reflux ze-Gastroesophageal (GERD). I-Mayo Clinic. Kubuyekezwe ngomhla ka-9 Mashi, 2018.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. Ukuxilongwa kwe-GER ne-GERD. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Kushicilelwe ngoNovemba 2014.
> Vandenplas Y, Hauser B. Ukubuyekezwa okubuyekeziwe ku-Gastro-Esophageal Reflux ku-Pediatrics. Ukubuyekezwa kobuchwepheshe ku-Gastroenterology ne-Hepatology . 2015; 9 (12): 1511-21. i-doi: 10.1586 / 17474124.2015.1093932.