Paunenge uine zviratidzo zvinoreva kuora mwoyo nekudzokazve, chirwere chegastroesophageal reflux (GERD) chinowanzoonekwa kuti chinongorongeka mumuviri uye kuongororwa kwenhoroondo yakazara yezviratidzo zvako. Zvisinei, kana iwe usina mavaraira aya akareruka, zviratidzo zvako hazviwanikwi zviri nani nekurapa, kana chiremba wako anoda kutarisa kuti zvingave zvinetso, iwe unogona kunge uine kuongorora sekumusoro-soro, chimiro chekusimudzira acid (pH) kuongorora kuongororwa, kuongorora manometry, kana kubhenekera mafirimu akaitwa.
Miedzo uye Nzira
Kana chiremba wako asarudza kuita zviedzo kuti asimbise kuti une GERD kana kuti uongorore zvinetso zvingaguma kubva kuGERD, idzi ndeimwe yemitemo inowanzoshandiswa. Zvichienderana nemamiriro ako nemigumisiro yemuedzo, unogona kuva neanopfuura imwe.
Pamusoro Endoscopy
Endoscopy yepamusoro inowanikwa muchipatara kana kunze kwechipatara. Pamberi payo, iwe uchagamuchira sedative kuti uchengetedze ugare wakasununguka nguva dzose. Chiremba wako achapwanya musero wako kuti avhare uye aise sendimu, yakajeka ipurasitiki inonzi endoscope pasi pako.
Kamu kamera uye chiedza mu endoscope zvibvumira chiremba wako kuti aone kubwinya kwemasimba ako uye kutsvaga kusakanganisika. Panguva yekufamba, chiremba wako anogonawo kubvisa chiduku chechigunwe kuitira kuti chinogona kuongororwa nezvinetso zvakadai sehutano hwaBarrett.
Kana iwe wakanga uine zviratidzo zvisinganzwisisiki uye zvakasimba uye izvi zvinoratidzira chero hukuvadza kune imwe nharaunda yako, hapana humwe huedzo hunowanzodiwa kuti utsigire GERD.
Acidatory Acid (pH) Kuongorora Kuongorora
Muchiedza ichi, chinoitwa kuchipatara kana kunze kwepakati, chiremba wako anoisa tube duku kuburikidza nemhino yako kana muromo mumuromo wako unogara ikoko kwemaawa makumi maviri nemaviri. Imwe mugumo we tube inobatanidza nediki duku. Paunenge uchitanga nezvemabasa ako ezvisikwa, nguva uye yakawanda sei asidi inosvika munharaunda yako inoyera uye yakanyorwa.
An ambulatory acid monitor inobatsira kana iwe une zviratidzo zveGERD asi hapana uroyi hwekugadzirisa. Nzira yacho inobatsirawo pakuona kana zvirwere zvekuporesa, kusanganisira wheezing uye kukwezva, zvinokonzerwa ne reflux. Uyu muedzo unofungidzirwa kuti wakarurama kwazvo kuona kuti aclux yakagadzirwa.
Imwe mafomu ekuongorora pH yakaitwa ne capsule inowanikwa munzvimbo yako panzvimbo yehutu. Iyo capsule wireless inoendesa zviyero zveasidho kune munhu waunopfeka iwe pahudzu yako. Iwewo uchengetedze zviratidzo zvako nekusundira dzimwe zvigwaro zvekugamuchira uye kuchengeta diary yezvinhu zvakadai sekudya iwe uye paunorara pasi.
Esophageal Manometry
Uyu muedzo unoyera zvipembenene muhutano hwako paunomedza. Inogona kuratidza kana zviratidzo zvako zveGERD zvakakonzerwa nemusana wako sphincter usina simba uye kuziva zvimwe zvinetso nehweshu yako inogona kunge ichikonzera zviratidzo zvako panzvimbo yeGERD.
Yakaitwa nokuputika mushure mako uye nekuisa chidimbu chiduku mumhino dzako mukati mudumbu rako. Iyo tube inobva yasungirwa mukati mako kana iwe uchimedza apo kombiyuta inotora zviyero uye inonyora zvipikiso zvaunofunga munzvimbo dzakasiyana. Izvi zvinogona kuitwa muhofisi yechiremba.
Imaging
Chiremba wako angada kutarisa chikamu chako chepamusoro (GI), kunyanya kana iye achifungidzira kuti une chibereko chekuberekwa kana kuti nharo neshoko rako.
Barium Swallow Radiograph
Uyu muedzo unoitwa pane imwe nzvimbo yekunze kana chipatara uye inoshandisa X-ray yepamusoro yako yeGI yepamusoro kubatsira maitiro asina kukwana, kunyange asingagoni kuratidza GERD. Munguva iyi muedzo, iwe uchagara kana kumira pamberi pe-x-ray mishonga uye kunwa dutu rakaoma, chalky barium sezvo X-rays inotorwa kuitira kuti chiremba wako aone kuti bhaarium inofamba sei mumuromo mako uye inophagus. Iwe unogonawo kunwa aine minda ye barium solution uye / kana kumedza bhaari pill apo mifananidzo inotorwa zvakare.
Mushure mekuedzwa, unganzwa uchidzivirirwa kana kuti unononoka, uye iwe unogona kuva nezvivara zvitsvuku kubva bhaarium. Kushatirwa kwekushushikana kwenyasha hakuzoonekwi mumuedzo uyu, kunyange kuwedzera (strictures) yeeophagus, ulcers, uye chibereko chekuberekwa chichati.
Kusiyanisa Kuongorora
Pane zvinetso zvakasiyana-siyana zvine zviratidzo zvinogona kuwirirana neGERD. Nenzira yakanaka, zvose izvi zvinogona kuve zvakasiyana kubva kune GERD vachishandisa miedzo yakafanana inotsanangurwa pamusoro apa.
Esophagitis
Zviratidzo zvinofanana neGERD zvinogona kuonekwa kana iwe uine kuvhiringidza mukati mako (esophagitis) panzvimbo yeGERD. Kutapukisa kunokonzerwa nechimwe kana zvimwe zvezvinhu izvi:
- Kutora mimwe mishonga inopindirana nehupenyu hwako kwenguva refu, iyo inonyanya kukosha nekusavatora nemvura yakakwana. Zvinodhaka zvinobatanidza nekukonzera chirwere chemashuga zvinosanganisira mishonga inorwisa mabhakitiriya se tetracycline uye doxycycline; kurwadziwa kunoderedza kufanana neAspirin, Motrin (ibuprofen), uye Aleve (naproxen sodium); potassium chloride; biphosphonates seFosamax (alendronate); uye quinidine.
- Ipamusoro-soro yekushambadzirwa kwemasero machena eropa munharaunda yako inokonzerwa nehutachiona hunoita, acid reflux, kana maviri. Izvi zvinonzi maitiro eosinophilic esophagitis.
- Utachiona hwehutachiona, hwebhakitiriya, kana hwehutachiona.
Chiremba wako anogona kusiyanisa pakati peizvi neGERD achishandisa sophegeal manometry uye nechokupedzisira endoscopy ne biopsy yemaviri.
Esophageal Issues
Kana iwe uchinetseka kuedza kumedza, chiratidzo cheGERD, izvi zvinogona kunge zvichibva pamakete emagetsi kana webs, chirwere chesophageal motility, kugadziriswa kwemasimba, kana kuti kenza yekudzivirira. Kungofanana neesophagitis, nyaya idzi dzinogonawo kusiyaniswa kubva kuGERD neyokusimudzira manometry uye yepamusoro endoscopy ine biopsy yemaviri.
Reflux Hypersensitivity uye Functional Heartburn
Kuva nekunetseka kwepamusoro kunogona kuve nekuda kwekuregererwa kwekutengesa kana kushanda kwepfungwa panzvimbo yeGERD. Zvose izvi zvinetso zvakanyanya. Reflux hypersensitivity ine zviratidzo zvakafanana neGERD, asi kuguma kwepisopi kuchabuda kunze uye mishonga inowanzoshandiswa yekurwadza kazhinji haizobatsiri.
Kushanda kwepfungwa, iyo inofanana ne reflux hypersensitivity, inewo zviratidzo zvakafanana neGERD, haiti kupindura mishonga yekuora mwoyo, uye inotungamirira kumugumo wekupedzisira wekusingaperi, asi zviratidzo hazvikonzerwi nekunatswa sezvavari ne reflux hypersensitivity . Chiremba wako anogona kutaurira musiyano pakati pemaviri ne pH yekuongorora kuongororwa pamusoro apa, iyo inovaparadzanisawo kubva kuGERD.
> Sources:
> Kahrilas PJ. Zviratidzo zveKliniki uye Kuongororwa kweGastroesophageal Reflux muVakuru. Kusvika pari zvino. Yakarongwa musi waMarch 6, 2018.
> Mayo Clinic Staff. Esophagitis. Mayo Clinic. Yakaperedzwa Gunyana 14, 2017.
> Mayo Clinic Staff. Gastroesophageal Reflux Disease (GERD). Mayo Clinic. Yakaperedzwa March 9, 2018.
> National Institute of Diabetes and Digestive and Kidney Diseases. Kuongororwa kweGER neGERD. Dhipatimendi reUnited Health Health and Human Services. Yakabudiswa muna November 2014.
> Vandenplas Y, Hauser B. An Updated Review pamusoro peGastro-Esophageal Reflux muPediatrics. Ongororo Ongororo muGastroenterology uye Hepatology . 2015; 9 (12): 1511-21. doi: 10.1586 / 17474124.2015.1093932.