Wopɛ sɛ wuhu nea ɛde wo komayare ne acid a ɛsan kɔ nipadua no mu ba ankasa? (Bravo Esophageal pH Sɔhwɛ) .

So wotaa te nka nso sɛ wo moma so hyew na wo menewa mu yɛ dɛ? Ɛtɔ mmere bi a, saa ɔhaw yi a obi nya bere a wadidi akyi no yɛ ahometew kɛse, ɛnte saa? Nnipa binom nso frɛ no yafunu mu yare. Enti dɛn na ɛde eyi ba ankasa, na ɛnnɛ yɛrebɛka sɔhwɛ bi a ebetumi ahu pɛpɛɛpɛ sɛ ebia acid a ɛwɔ wo yafunu mu no reba wo menewam ankasa anaa. Wɔfrɛ eyi BravoTM pH nhwehwɛmu sɔhwɛ.

Dɛn ne BravoTM pH sɔhwɛ no? Dɛn nti na ɛsɛ sɛ meyɛ eyi?

Sɛ yɛbɛka no tiawa a, Bravo pH sɔhwɛ yi susuw wo menewam pH. Afei ebia woresusuw nea saa pH bo yi kyerɛ ho. pH yɛ ade a wɔde susuw sɛnea biribi yɛ acidic anaa basic/alkaline. Biribi a wɔfrɛ no yafunu mu acid wɔ yɛn yafunu mu. Eyi na ɛboa yɛn ma yɛyam aduan a yedi no. Nanso, ɛtɔ mmere bi a, yafunu mu acid yi san kɔ soro kɔ esophagus, afiri a ɛde aduan fi menewa mu kɔ yafunu mu no mu. Afei acid a ɛwɔ aduan mu no kɔ soro.

Ɛnyɛ yafunu mu acid nko, na mmom ɛtɔ mmere bi a aduan mu nneɛma nketenkete a wɔanwe ne nsu afoforo a wɔde yɛ aduan nso betumi asan aba. Wɔfrɛ saa yafunu mu nneɛma a ɛsan kɔ akyi bere nyinaa yi "reflux." Sɛ eyi kɔ so kɔ so a, ebetumi asɛe aduannoa no. Enti, saa Bravo pH sɔhwɛ yi betumi ahu mpɛn dodow pɔtee a yafunu mu nneɛma ba soro kɔ esophagus a ɛwɔ fam no mu, ne sɛnea ɛyɛ acidic.

Sɛ wo duruyɛfo susuw sɛ wowɔ gastroesophageal reflux disease (GERD) , anaa acid reflux yare a yɛkaa ho asɛm no a, ebia ɔbɛkamfo Bravo pH nhwehwɛmu yi akyerɛ. Ebia nnipa a wɔwɔ GERD no taa nya sɛnkyerɛnne ahorow te sɛ eyinom:

• Koma a ɛyɛ yaw
• Koko mu yaw
• Ɔfefe
• Menewa mu yaw anaa nne a ɛyɛ dede

Ɔkwan bɛn so na Bravo pH sɔhwɛ no yɛ adwuma?

Bravo pH nhwehwɛmu sɔhwɛ no yɛ adwuma sɛ nhyehyɛe. Ɛwɔ afã atitiriw abiɛsa:

1. Wireless capsule ketewa bi a ɛsusuw pH (pH-sensing wireless capsule): Eyi ne nea ɛkyerɛ pH denam nea ɛde bata esophagus ntini ho no so.

2. Afiri a wɔde kyere nsɛm gu kasɛt so: Ɛsɛ sɛ wohyɛ eyi. Ɛkyerɛw data a efi capsule no mu de mena no.

3. Software nhyehyɛe a ɛboa ma eyi nyinaa yɛ adwuma.

Fa no sɛ ɛyɛ capsule ketewaa bi, a ne kɛse bɛyɛ sɛ gel cap. Ɛbata wo esophagus no fasu ho bere tiaa bi. Wɔyɛ eyi bere a wɔreyɛ oprehyɛn bi a wɔfrɛ no upper endoscopy . Capsule no susuw wo esophagus pH na ɛde saa nsɛm no kɔ recorder (bɛyɛ sɛ pager kɛse) a wode hyɛ wo belt anaa wo kotoku mu.

Saa recorder yi wɔ button ahorow pii. Sɛ wowɔ GERD ho sɛnkyerɛnne te sɛ komayare a, womia bɔtn a ɛne no hyia no so (ɔyarehwɛfo no bɛkyerɛ wo sɛnkyerɛnne ahorow a ɛsɛ sɛ wokyerɛw to hɔ). Wɔbɛka akyerɛ wo nso sɛ kyerɛw da biara da. Wɔ mu no, wobɛkyerɛw nneɛma te sɛ bere a wufi ase didi, bere a wudidi wie, bere a wonom nsa, bere a woada, ne bere a woasɔre bio. Ɔyarehwɛfo no bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo.

Hena na ɔyɛ Bravo pH nhwehwɛmu sɔhwɛ no?

Yafunu mu yafunu ho oduruyɛfo, oduruyɛfo a wɔatete no wɔ yafunu mu endoscopy mu na ɔde saa aduru yi hyɛ mu . Wɔ saa adeyɛ yi mu no, wɔde afiri teateaa bi a mfoninitwa afiri abata ho fa w’anom na wɔde fa wo menewam kɔ ​​wo yafunu mu. Saa adeyɛ yi betumi ahwehwɛ wo aduan mu na asa tebea horow bi.

Wobɛyɛ dɛn asiesie wo ho ama Bravo pH sɔhwɛ no?

Eyi yɛ biribi a ɛsɛ sɛ yɛhwɛ yiye kakra wɔ ho.

• Sɛ wowɔ pacemaker anaa implantable heart defibrillator , woadi kan anya mogya ho haw, wo mogya ntini atrɛw, anaasɛ wowɔ ɔhaw foforo biara a wonim wɔ wo mogya ntini ho a, akyinnye biara nni ho sɛ ɛsɛ sɛ wobɔ wo duruyɛfo amanneɛ.

Afei, ɛho behia sɛ wogyae nnuru bi nna kakraa bi ansa na wɔayɛ nhwehwɛmu yi.

• Nnawɔtwe (7) ansa na wɔayɛ nhwehwɛmu no: Nnom nnuru a wɔfrɛ no Proton Pump Inhibitors (PPIs), te sɛ Omeprazole (Prilosec®), Lansoprazole (Previcid®), Rabeprazole (Aciphex®), Pantoprazole (Protonix®), Esomeprazole (Nexium®).
• Nnan abien ( nnɔnhwerew 48) ansa na wɔayɛ sɔhwɛ no: Nnom nnuru a esiw H2 ano, te sɛ Ranitidine (Zantac®), Cimetidine (Tagamet®), Famotidine (Pepcid®), Nizatidine (Axid®). Afei nso, gyae Metoclopramide (Reglan®) a wobɛnom.
• Nnɔnhwerew nsia (6) ansa na wɔayɛ sɔhwɛ no: Nnom nnuru a ekum asikre, i.e. nnuru a ɛyɛ nsu anaa nnuru a wɔde sa gas (te sɛ Alka-Seltzer®, Gaviscon®, Maalox®, Milk of Magnesia®, Mylanta®, Phillips®, Riopan®, Tums®).
• Nnɔnhwerew anan kosi asia ansa na woayɛ nhwehwɛmu no: Nnidi anaa nnom biribiara.

Nea ɛho hia: Ɛtɔ mmere bi a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ kɔ so nom aduru bi a worenom mprempren wɔ sɔhwɛ bere yi mu. Eyi yɛ sɛnea ɛbɛyɛ a wubehu sɛnea aduru no reyɛ adwuma yiye ama wo. Enti di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.

Dɛn na ɛba da a wɔbɛyɛ Bravo pH nhwehwɛmu no?

• Hyɛ ntade a emu yɛ hare na ɛyɛ fɛ sɛnea wubetumi biara. Ebia ayaresabea anaa baabi a wɔhwɛ ayarefo a wɔda abɔnten no bɛma wo atade soronko bi a wobɛhyɛ.
• Gyae w’agude, credit card, ne nea ɛkeka ho wɔ fie. Worentumi nhyɛ ahwehwɛ anaa sẽ a wɔde yɛ sẽ bere a wɔreyɛ sɔhwɛ no.
• Akyinnye biara nni ho sɛ ɛsɛ sɛ woma obi a ɔhwɛ so de wo san kɔ fie, efisɛ wɔbɛma wo nnuru a ɛbɛma woabow nsa kakra.
• W’aduruyɛfo kuw no bɛkyerɛkyerɛ ɔkwan a wɔfa so yɛ no mu akyerɛ wo bio na wɔakyerɛkyerɛ nea wobɛhwɛ kwan mu. Wɔyɛ eyi denam wo a wɔde wo bɛto tebea bi a wɔfrɛ no "twilight sleep" mu, a ɛkyerɛ sɛ wɔma wo nnuru a ɛbɛma woate nka sɛ wowɔ nna a emu nyɛ den mu. Wɔbɛka nsɛnnennen anaa nsunsuanso bɔne biara a ebetumi aba ho asɛm nso ne wo.
• Wɔde aduru bi a ɛma obi dwensɔ bɛhyɛ wo menewa akyi.
• Afei oduruyɛfo no de endoscope no bɛhyɛ w’anom na ɔde akɔ wo menewam akɔ wo yafunu mu. Mma ɛnhaw wo, eyi rensiw wo home kwan.
• Oduruyɛfo no de aduru a wɔde hyɛ nipadua no mu no bata ntini a ɛwɔ aduan mu no ho na ɔhwɛ sɛ ebia nea ɔkyere nsɛm gu kasɛt so no regye sɛnkyerɛnne no yiye anaa.
• Saa adeyɛ yi nyinaa gye simma kakraa bi pɛ.

So Bravo pH nhwehwɛmu sɔhwɛ no yɛ yaw?

Ebia woresusuw sɛnea osuahu yi bɛyɛ ho. Sɛ yɛbɛka nokware a, ebia wo menewa bɛyɛ wo yaw kakra. Ebia ɛbɛyɛ te sɛ nea biribi akɔhyɛ wo menewam. Nanso, sɛ wote ɛyaw a wuntumi nnyina ano anaa sɛnkyerɛnne biara a ɛma wo ho yeraw wo a, ka kyerɛ wo duruyɛfo ntɛm ara.

Dɛn na ɛba wɔ Bravo pH monitoring sɔhwɛ no mu bere a wɔde capsule no ahyɛ mu akyi?

Okay, afei deɛ ɛwɔ capsule no mu. Ɛsɛ sɛ woyɛ dɛn wɔ nnɔnhwerew 48 a edi hɔ no mu (bɛyɛ nna abien)?

• Dwumadi: Toa wo da biara da dwumadi ahorow a wotaa yɛ no so. Mma wo dwumadi ahorow so ntew anaa nnsesa wɔ sɔhwɛ bere no mu. Saa a wobɛyɛ no betumi atew sɔhwɛ no mu aba a ɛyɛ pɛpɛɛpɛ no so. Nea ɛho hia: Mma afiri a wɔde kyere nsɛm gu kasɛt so no nnyɛ nsu. Ɛnyɛ nea nsu ntumi nkɔ mu.
• Adidi: Di ​​w’aduan a wodi daa no wɔ bere a wotaa di no mu. Sɛ woannidi bere a wɔreyɛ nhwehwɛmu no a, wo yafunu rennya acid sɛnea ɛtaa yɛ no. Eyi betumi ama woanya sɔhwɛ mu aba a ɛnyɛ nokware. Anyɛ yiye koraa no, di aduan mprenu da biara. Di nnuan a ɛma wo sɛnkyerɛnne no yɛ kɛse (nanso ɛnyɛ den dodo sɛ wubedi ho dwuma). Kwati sɛ wubedi nnuan nketenkete. Mma nnom ahwiesa, toffee, lozenges, anaa chew gum bere a woreyɛ sɔhwɛ no.
• Daa: Tra hɔ tẽẽ sɛnea wubetumi da mũ no nyinaa. Mma nna nkosi sɛ wobɛda anadwo (gye sɛ nna anaa da a wobɛda no yɛ wo da biara da dwumadi fã).
• Nnuru a Wɔde Yɛ:Kɔ so nom nnuru biara a wo duruyɛfo atu wo fo sɛ gyae wɔ bere a wɔreyɛ nhwehwɛmu no mu.
• Nsɛnkyerɛnne a wobɛkyere agu hama so: Sɛ wowɔ sɛnkyerɛnne bi a, mia bɔtn a ɛfata a ɛwɔ afiri a wɔde kyere nsɛm gu kasɛt so no so (wo ɔyarehwɛfo no bɛka eyi ho asɛm akyerɛ wo). Kyerɛw bere a wufi ase na wugyae adidi ne nom biribiara a ɛnyɛ nsu. Kyerɛw bere a wode bɛda (sɛ ɛyɛ nea wode bɛgye w’ahome kɛkɛ mpo a) ne bere a wobɛsɔre bio no to hɔ. Wo nnuruyɛfo kuw no mu biako bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo.
• Nsɛnkyerɛnne anaa nsunsuanso bɔne a ɛyɛ soronko: Sɛ wususuw sɛ worenya sɛnkyerɛnne anaa nsunsuanso bɔne bi a ɛyɛ soronko a, frɛ wo duruyɛfo ntɛm ara.

Sɛ sɔhwɛ bere no twam a, ɛsɛ sɛ wosan de kyerɛwtohɔ a wɔde kyerɛw nsɛm ne da biara da nsɛm no ba. Wɔde nsɛm a ɛwɔ recorder ne diary no mu no hyɛ kɔmputa mu na wɔhwehwɛ nea efi mu ba no mu.

Asiane ne mfaso bɛn na ɛwɔ Bravo pH monitoring test no so?

Ɛho hia sɛ wuhu no yiye sɛ ebia wowɔ acid reflux ampa anaa. Efisɛ sɛ wowɔ tebea a emu yɛ den te sɛ GERD ampa a, ebetumi asɛe wo menewam. Sɛ ɛba saa a, wubetumi akowie ɔhaw ahorow a emu yɛ den te sɛ Barrett aduan mu anaa aduan mu kokoram akyiri yi.

Ɛho hia nso sɛ wuhu sɛ wunni komayare ankasa. Nnipa pii de nnuru te sɛ PPI di dwuma, nanso mmoa. Enti, gye sɛ wowɔ ɔhaw bi ankasa a, ɛho nhia sɛ wonom nnuru kwa. Sɛ wunni komayare a, w’aduruyɛfo kuw no betumi aboa wo ma woahu nea ɛde wo sɛnkyerɛnne ahorow no ba ankasa.

Asiane ahorow wɔ aduruyɛ mu adeyɛ biara mu. Nanso, wɔntaa mmɔ nsɛnnennen a ɛba wɔ Bravo sɔhwɛ no mu ho amanneɛ. Ɛtɔ mmere bi a, mfiri mu mfomso betumi ama nea efi mu ba no nyɛ nea wotumi de ho to so. Ebia wɔrenyi capsule no mfi mu wɔ sɔhwɛ no nyinaa mu. Anaasɛ, ebia wɔrenyi no adi bere a ɛsɛ sɛ ɛba no.

Ɛntaa mma sɛ nnipa a wɔyɛ sɔhwɛ yi betumi ayɛ den sɛ wɔbɛmene, wɔn koko ayɛ wɔn yaw, anaa wɔn akyi ayɛ wɔn yaw. Endoscopy no nso betumi ama ne menewa mu ayɛ no yaw da koro anaa nnanu.

Asiane afoforo wɔ hɔ a ɛnyɛ nea ɛda adi kɛse a ebetumi aba, te sɛ aduannoa anaa dwensɔtwaa mu ntini a ɛsɛe, mogya a ɛbɛtɔ, anaasɛ capsule no a ɛbɛtwetwe mframa afiri no mu.

Dɛn na ɛba wɔ Bravo pH nhwehwɛmu sɔhwɛ no akyi?

Sɛ wɔwie sɔhwɛ no wie a:

• Wubetumi asan afi w’aduan, anonne, ne nnuru a wotaa di no ase .
• Wubetumi asan afi wo dwumadi ahorow a wotaa yɛ no ase – mene, adidi, anom, ne nea ɛkeka ho Sɛ woyɛ saa nneɛma yi a, pH capsule a wotumi yi fi mu no befi hɔ na mpɛn pii no ɛbɛto wo nsu mu wɔ nnanson kosi du ntam.
• Worentumi nyɛ MRI (Magnetic Resonance Imaging - MRI) nhwehwɛmu nnafua 30 wɔ bere a wɔde capsule no ahyɛ mu akyi .
• Hwɛ wo duruyɛfo na munsusuw nea efii nhwehwɛmu no mu bae ho. Ɔbɛboa wo ma woayɛ nhyehyɛe bi a wode bedi wo sɛnkyerɛnne ahorow no ho dwuma.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Enti, ebia wobɛte nea Bravo pH sɔhwɛ yi yɛ ne sɛnea ebetumi aboa wo ma woahu nea ɛde wo koko mu yaw ne acid reflux ba no ase.

Ɛwom sɛ eyi betumi ayɛ te sɛ nea ɛyɛ ɔhaw kakra de, nanso ɛfata sɛ wuhu no yiye sɛ ebia wowɔ tebea bi te sɛ GERD anaa. Sɛ wuhu wie a, wubetumi afi ayaresa a ɛfata ase. Anaasɛ, wubetumi agyae nnuru no nom na woahu nea ɛde wo sɛnkyerɛnne ahorow no ba ankasa.

Sɛ wo duruyɛfo kamfo nhwehwɛmu yi kyerɛ a, wo ne no nkasa fa ho na bisa nsɛm biara a ebia wowɔ. Fa no mmerɛw na nsuro. Wo nnuruyɛfo kuw no bɛkyerɛkyerɛ biribiara mu akyerɛ wo na wɔaboa wo.

` Esophagus, pH, acid reflux, GERD, Bravo sɔhwɛ, endoscopy, koko mu ɔfe