Ukuqapha kwe-popha esophageal

Ukuqapha kwe-pH ye-Esophageal ukuhlolwa okulinganisa ukuthi i-asidi yesisu ingena kangaki kushubhu eliholela lisuka emlonyeni liye esiswini (elibizwa ngokuthi i-esophagus). Ukuhlolwa kukala nokuthi i-asidi ihlala isikhathi esingakanani lapho.

Ishubhu elincanyana lidluliswa ngamakhala akho noma emlonyeni kuya esiswini sakho. Ishubhu libe selidonswa libuyele emuva libuyele emmangweni wakho. Ukuqapha okunamathiselwe kushubhu kukala izinga le-asidi esophagus yakho.

Uzogqoka i-monitor on a strap bese uqopha izimpawu zakho nomsebenzi wakho emahoreni angama-24 alandelayo kudayari. Uzobuyela esibhedlela ngakusasa bese kukhishwa ishubhu. Imininingwane evela kumqapha izofaniswa namanothi wakho wedayari.

Izinsana nezingane zingadinga ukuhlala esibhedlela ukuze kuhlolwe i-pH esophageal.

Indlela entsha yokuqapha i-esophageal acid (ukuqapha i-pH) ukusebenzisa iphenyo ye-pH engenantambo.

• Le divayisi enjenge-capsule inamathiselwe kulwelwesi lwe-esophagus engenhla nge-endoscope.
• Ihlala endaweni lapho ilinganisa khona i-asidi futhi idlulise amazinga e-pH kudivayisi yokuqopha efakwe esihlakaleni.
• I-capsule iyawa ngemuva kwezinsuku ezine kuya kwezingu-10 bese yehla ngomgudu wamathumbu. Libe selixoshwa ngokunyakaza kwamathumbu bese liyoshona phansi ethoyilethi.

Umhlinzeki wakho wezokunakekelwa kwempilo uzokucela ukuthi ungadli noma uphuze ngemuva kwamabili ngaphambi kokuhlolwa. Kufanele futhi ugweme ukubhema.

Eminye imithi ingashintsha imiphumela yokuhlolwa. Umhlinzeki wakho angakucela ukuthi ungazithathi lezi phakathi kwamahora angama-24 namaviki ama-2 (noma ngaphezulu) ngaphambi kokuhlolwa. Nawe ungatshelwa ukuthi ugweme utshwala. Imithi ongadinga ukuyiyeka ifaka phakathi:

• Ama-block adrenergic
• Ama-Antacids
• Ama-anticholinergics
• Cholinergics
• Ama-Corticosteroids
• H₂ abavimba
• I-Proton pump inhibitors

Ungayeki ukuthatha noma imuphi umuthi ngaphandle uma utshelwe ngumhlinzeki wakho ukuthi akwenze.

Uzizwa kafushane njengokuvaleka umlomo njengoba ishubhu lidlula emphinjeni wakho.

Ukuqapha kweBravo pH akubangeli ukungakhululeki.

Ukuqapha kwe-pH ye-Esophageal kusetshenziselwa ukubheka ukuthi ingakanani i-acid esiswini engena emqaleni. Iphinde ibheke ukuthi i-asidi isuswe kahle kangakanani iye esiswini. Kuyisivivinyo sesifo se-reflux se-gastroesophageal (GERD).

Ezinganeni, lokhu kuhlolwa kusetshenziselwa ukuhlola i-GERD nezinye izinkinga ezihlobene nokukhala ngokweqile.

Amabanga wamanani ajwayelekile angahluka ngokuya ngelebhu elenza isivivinyo. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

I-asidi eyandisiwe ku-esophagus ingahle ihlobane no:

• I-Barrett esophagus
• Kunzima ukugwinya (i-dysphagia)
• Isibazi se-Esophageal
• Isifo se-reflux se-gastroesophageal (GERD)
• Isilungulela
• I-Reflux esophagitis

Ungadinga ukuthi ube nokuhlolwa okulandelayo uma umhlinzeki wakho esola i-esophagitis:

• Ukugwinya kwe-Barium
• I-Esophagogastroduodenoscopy (ebizwa nangokuthi i-endoscopy ephezulu ye-GI)

Akuvamile, okulandelayo kungenzeka:

• I-Arrhythmias ngesikhathi sokufakwa kweshubhu
• Ukuphefumula kobuhlanzo uma ipayipi libangela ukuhlanza

ukuqapha i-pH - esophageal; Ukuhlolwa kwe-esophageal acidity

• Ukuqapha kwe-popha esophageal

I-Falk GW, i-Katzka DA. Izifo zomphimbo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25.IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 138.

IKavitt RT, Vaezi MF. Izifo zomphimbo. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 69.

URichter JE, uFriedenberg FK. Isifo se-reflux se-gastroesophageal. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 44.