Zvaunotarisira pamberi, munguva, uye mushure mekuongorora pH
Kana chiremba wako akakurudzira pH kuongororwa muedzo we acid reflux, chii chaungatarisira? Chii chinoitika zvisati zvaitika, panguva uye shure kwekuita, uye zvinorevei kana zviwanikwa zvako zvisiri izvo?
PH Test for Acid Reflux
PH test for acid reflux ( chirwere chegastroesophageal reflux kana GERD ) inotaridza kuti kakawanda sei uye nguva yakareba sei mudumbu inonzi inopinda, uye kuti inogadzirisa sei.
Yakaitwa nechembera, ipurasitiki yakashongedzwa nenzwi, iyo inotarisa kuwanda kwechidimbu chechidimbu chinotsigirwa kusvika mudumbu.
Iyi nzira inowanzoitwa apo zviratidzo zveGERD zviripo asi kugadziriswa kwenguva refu hakuone humwe humwe uchapupu hwehutachiona hwezvirwere. Zvinogonawo kuitwa kuti uongorore zviratidzo zvishoma zvisingazivikanwi zveGERD zvakadai sekurwadziwa kwepfupa, asthma, hoarseness, nezvimwewo.
Miedzo yokuongorora Kuda kweAcid Reflux (GERD)
Usati waita chero upi zvaunoedza, chiremba wako achakubvunza nezvezviratidzo zvako zveGERD. Chinhu chinonyanya kuwanda pane izvi ndechekutsamwa. Zvimwe zviratidzo zvinogona kusanganisira kushungurudza kana kurwadziwa mumimba, kuoma kukumedza, kana kuora mwoyo kusingaperi. Iye achakubvunzawo nezvehutano hwako hweGERD kusanganisira kana iwe uine hutano hwekuberekwa, kana ukasvuta, kana kuti iwe unotora mishonga kana kudya zvokudya zvingakugadzirisa iwe kuti urege kubvisa.
Kazhinji kacho kuongororwa kweGERD kunogadzirwa pazviratidzo zvega (chirwere chinorapwa.) Kana kuongororwa kusina chokwadi, kana kuti zviratidzo zvako zvisingagumi uye pane kunetseka kuti unogona kukurira matambudziko eGERD ,zve kuongororwa kunorudzirwa.
Kuedza kunowanzoitwa pamwe chete kana ukakundikana kupindura mararamiro ekuchinja uye mishonga. Panguva ino yazvino, muedzo wakajairika ndewekupedzisira wekusingaperi . Iyi ndiyo nzira iyo iyo tube inopfuurira mumuromo wako uye mukati mako uye mudumbu. Maitiro ezvimwe zvipi zvingaitika zvinogona kutorwa.
Kana kusina kuipa kunowanika, chiremba wako angabva akurudzira pH kutarisa (chinangwa chechi ino.)
Mimwe miedzo inowedzerwa kashoma inogona kusanganisira chirongwa cheBabum kana kuti sopugeal manometry.
Chii Chaungatarisira Mukati Yako Acid PH Test?
Kana chiremba wako anokurudzira kugumira kwenguva refu, iye achaita kuti iwe ugadzire nguva yekuita iyo nzira, kazhinji mumusangano wekupedzisira wepachipatara kana mune kliniki yekusimirira yakasununguka. Achakukurudzira kuti nzira iyi inogona kunge isina kunetseka, asi inowanzochengetedzwa zvakanaka.
Iwe unofanirwa kutaura nachiremba wako nezvemishonga ipi yaunotora zvakanaka usati waita, sezvimwe zvezvi zvinogona kupindira nemigumisiro yako. Zvinowanzoitika kuti vanhu vazviratidze pazuva rekugadzirisa, asi vanofanira kuidzokorora zvakare sezvo mishonga iyi isina kubatwa. Iva nechokwadi chekutaura nezvemishonga yakadai seproton pump inhibitors (yakadai sePolosec kana omeprazole), H2 blockers (yakadai seZantac kana ranitidine), antacids, steroids, calcium channel blockers, uye nitrates. Dzimwe nguva mishonga inogona kuenderera mberi, asi chiremba wako anofanira kuziva izvi sezvo zvingakanganisa pH test results.
Pamberi peAxy yako Reflux pH Test
Iwe uchadzidziswa kuti urege kudya kwemaawa mana kusvika matanhatu usati waita.
Sezvakataurwa, iwe haufaniri kutora nguva yako yemaawa asiri yemishonga yakadai seproton pump inhibitors kana antiacids vasati vamboedzwa.
The Esophageal pH Test Procedure
Kana iwe uine chirongwa chepH panguva imwechete sekusingaperi, chiremba wako anowanzoisa IV uye anokupa mishonga kuti akuzorore iwe. Anogonawo kuputira shure kwehuro pako nemishonga. Paunenge wakasununguka pane nzira mbiri dzaanogona kuisa purogiramu mumuviri wako. Nzira yekutanga idiki-tech-chiremba: Chiremba anoisa probe tubular kuburikidza nemhino dzako uye mukati mako. Iyo tube inomira pamusoro pechepasi esophageal sphincter (LES.) Izvi zvinogona kuitika panguva yekupedzisira nekunyora pH monitoring device kusvika pakatarisana kweeophagus.
Iyo tube inobva yasara munzvimbo panzvimbo yamaawa makumi maviri nemaviri. Munguva iyoyo, unokurudzirwa kuita zvinhu zvakajairika.
Nzira yechipiri inongova yepamusoro-tech: Ne endoscope, chiremba anoisa kapsule inogadziriswa mumucheka wepamu yako. Iyo isina kunyora dambudziko pamusoro pezviratidzo uye kana iwe uchidya kana kurara kune imwe chikwata chaunopfeka pa bhanhire rako nekunzwa kwebhokisi.
Chero nzira, iwe uchange uri kuchengeta rekodhi yezvimwe zvifungidziro zveAic acid reflux, uye zvimwe zviratidzo, zvakadai sekukanganiswa uye kuputika. Izvi zvinogona kubatsira chiremba kuti aone kana asidi reflux yakabatana nechisina kufanirwa chirwere chemafi kana zvimwe zviratidzo zvekufema.
Paunenge uine sophageal pH yekuongorora iwe ucharayirirwa kudya kudya nguva dzose uye kutangazve mabasa ako ezvisikwa. Iwe kazhinji usingafaniri kurara pasi, zvisinei, kusvikira iwe uchienda kunorara usiku.
Mushure mekunyora kwako pH Test: Kuwanazve
Mushure mekuedzwa kwako, huro dzako hune huni hunova neshungu zvishoma kwezuva kana kuti. Kubudirira pa lozenges kana kushata candy kunogona kunge kwakanyaradza. Gare gare, pakagadzwa kwako kwachiremba, iwe unofanirwa kuwana migumisiro yekuongorora kwako pH test.
Mhinduro dzePH yako Test
Nguva zhinji vanhu vanoenda kumusha mushure mekuedzwa uye vachava nekambani yakatarwa panguva iyo vachanzwa pamusoro pemigumisiro yepH test.
Iwe pH kutarisa kungaratidza kuti pH yako inowanzoitika, mune imwe iyo imwe rudzi rwekuedza rungakurudzirwa. Kana pane kuwedzerwa asidi muhara yako inogona kunge yakakonzerwa nezvinhu zvishoma zvakasiyana, kubva paGERD kuenda kune esophagitis , kutyisa (fibrosis), kusvika kuchitembo chaBarrett . Paunoshanyira, chiremba wako achakurukura kuti izvi zvinorevei kwauri uye kutaura pamusoro pekunge humwe huongorori hunodiwa kuti ujekese mamiriro acho ezvinhu.
Zvichienderana nemigumisiro yako, chiremba wako anogona kupa mazano maererano nehupenyu hwekuchinja hunoti anokurudzira pamwe nemishonga yekudzivirira zviratidzo zvako uye kudzivirira zvinetso.
Pasi pepamusoro paunofanirwa kuongorora pH Test
Chirwere chepopugeal pH chinowanikwa kutarisa kuvapo kwe acid acid, kakawanda apo migumisiro ye endoscopy yepamusoro yakajairika. Iyo nzira inoitika yakafanana ne endoscopy uye inowanzoremeswa. Kuti zviitiko zvemuedzo zvive zvakarurama, zvakakosha kutaura nachiremba wako nezvemishonga yose yaunoshandisa, uye zvimwe, zvakadai seproton pump inhibitors uye antiacids zvingangodaro dzisati dzaedzwa.
> Sources:
> Kasper, Dennis L .., Anthony S. Fauci, naStefano L .. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Graw Hill yembudzi, 2015. Print.
> Roman, S., Gyawali, C., Savarino, E. et al. Chirwere chekutsvaga Reflux Kuchengeta Kuongororwa kweGastroesophageal Reflux Disease: Kuvandudzwa kwePorto Consensus uye Mazano kubva kune International Consensus Group> Neurogastroenterology uye Motility . 2017. 29 (10): 1-15.