Ukubeka esweni i-pH yokujonga esophageal

Ukubeka iliso kwi-pH ye-Esophageal luvavanyo olulinganisa ukuba i-asidi esiswini ingena kangakanani kumbhobho okhokelela emlonyeni uye esiswini (obizwa ngokuba yi-esophagus). Uvavanyo lukwalinganisa ukuba i-asidi ihlala ixesha elingakanani apho.

Umbhobho omncinci udluliswa ngempumlo okanye emlonyeni kwisisu sakho. Umbhobho ubuye ubuyiselwe kwi-esophagus yakho. Isilumkiso esiqhotyoshelwe kwityhubhu silinganisa inqanaba le-asidi kwindawo yakho.

Uya kunxiba esweni umtya kwaye urekhode iimpawu zakho kunye nomsebenzi kwiiyure ezingama-24 ezizayo kwidayari. Uya kubuyela esibhedlele ngosuku olulandelayo kwaye ityhubhu iyakususwa. Ingcaciso evela esweni iya kuthelekiswa neenqaku zakho kwidayari.

Iintsana nabantwana banokufuna ukuhlala esibhedlele ukuze babeke esweni u-esH.

Indlela entsha yokujonga esophageal acid (pH esweni) kukusebenzisa iprobe ye-pH engenazingcingo.

• Esi sixhobo sifana necapsule siqhotyoshelwe kuludwe lwe-esophagus ephezulu ene-endoscope.
• Ihlala kwi-esophagus apho ilinganisa i-asidi kwaye igqithise amanqanaba e-pH kwisixhobo sokurekhoda esinxibe esihlahleni.
• I-capsule iyawa emva kweentsuku ezi-4 ukuya kwezi-10 kwaye ihle ngomzila wesisu. Emva koko ikhutshelwa ngaphandle ngokuhamba kwamathumbu kwaye iyehla kwigumbi langasese.

Umboneleli wakho wezempilo uya kukucela ukuba ungatyi okanye usele emva kobusuku ngaphambi kovavanyo. Kufuneka uphephe nokutshaya.

Amanye amayeza anokutshintsha iziphumo zovavanyo. Umboneleli wakho unokukucela ukuba ungazithathi ezi zinto phakathi kweeyure ezingama-24 kunye neeveki ezi-2 (okanye nangaphezulu) ngaphambi kovavanyo. Unokuxelelwa ukuba uphephe utywala. Amayeza onokufuna ukuwayeka aquka:

• Iibhloksi zeAdrenergic
• IiAntacids
• I-Anticholinergics
• IiCholinergics
• ICorticosteroids
• H₂ iibhlokhi
• Impompo Proton inhibitors

SUKUYEKE ukuthatha naliphi na iyeza ngaphandle kokuba uxelelwe njalo ngumboneleli wakho.

Uziva ngathi ukugaxeleka njengoko ityhubhu idlula emqaleni.

Imonitha ye-Bravo pH ayibangeli kungathandeki.

Ukubeka iliso kwi-pH yokujonga esophageal kusetyenziswa ukujonga ukuba ingakanani isisu esiswini esingena kwi-esophagus. Ikwajonga ukuba i-asidi icaciswe njani ezantsi kwisisu. Uvavanyo lwesifo se-reflux se-gastroesophageal (GERD).

Kubantwana, olu vavanyo lusetyenziselwa ukukhangela i-GERD kunye nezinye iingxaki ezinxulumene nokukhala kakhulu.

Amaxabiso aqhelekileyo ahluka ngokuxhomekeka kwilebhu eyenza uvavanyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Ukunyuka kwe-asidi kwi-esophagus kunokunxulumana ne:

• I-Barrett esophagus
• Kunzima ukugwinya (iDysphagia)
• Ukunqongophala kwe-Esophageal
• Isifo se-reflux sesifo se-Gastroesophageal (GERD)
• Isitshisa
• Reflux esophagitis

Kuya kufuneka ufumane ezi mvavanyo zilandelayo ukuba umboneleli wakho urhanela i-esophagitis:

• Ukuginya kweBarium
• I-Esophagogastroduodenoscopy (ekwabizwa ngokuba yi-GI endoscopy ephezulu)

Rhoqo, oku kulandelayo kunokwenzeka:

• I-Arrhythmias ngexesha lokufakwa kwetyhubhu
• Ukuphefumla ukugabha ukuba i-catheter ibangela ukugabha

Ukujonga i-pH-esophageal; Uvavanyo lwe-esophageal acidity

• Ukubeka esweni i-pH yokujonga esophageal

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IKavitt RT, Vaezi MF. Izifo zomqala. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 69.

URichter JE, uFriedenberg FK. Isifo se-reflux sesifo se-Gastroesophageal. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 44.