Yu want fɔ no di rayt tin we kin mek yu at bɔn ɛn asid riflɔks? (Bravo Ɛsofajial pH Tɛst)

Bɔku tɛm yu kin fil bak se yu chɛst de bɔn ɛn yu trot de te? Sɔntɛnde, dis diskɔmfɔt afta yu dɔn it kin rili anɔynt yu, nɔto so? Sɔm pipul dɛn kin kɔl am bak gastritis. So wetin na di rial tin we de mek dis apin, ɛn tide wi go tɔk bɔt wan tɛst we go ebul fɔ no kɔrɛkt wan if di asid we de na yu bɛlɛ de rili kam ɔp na yu trot. dis dεn kכl am di BravoTM pH mכnitri tεst.

Wetin na di BravoTM pH tɛst? Wetin mek a nid fɔ du dis?

Fɔ tɔk am simpul wan, dis Bravo pH tɛst de mɛzhɔ di pH na yu εsophagus. Naw yu kin de wɔnda wetin dis pH valyu min. pH na di mכsul we de sho aw asid כ bεsik/alkaline sכmtin de. Wi bɛlɛ gɛt sɔntin we dɛn kɔl bɛlɛ asid. Dis na wetin de ɛp wi fɔ digest di it we wi de it. כltu, sכmtεm dis bεlε asid kin fכlכ bak כp insay di εsophagus, di tכb we de kכri it frכm di trot to di bεlε. Dɔn di asid we de na di εsophagus de go ɔp.

Nɔto jɔs di bɛlɛ asid, bɔt sɔntɛnde di it patikyula dɛn we nɔ digest ɛn ɔda dijestiv jus dɛn kin kam bak ɔp bak. dis kכnstant rεfluks fכ di tin dεm we de insay di bεlε dεn kכl am "rεfluks." we dis de apin kכntinyu, i kin pwεl di εsophagus. so, dis Bravo pH tεst kin fכnכt εksakכt aw כltεm di tin dεm we de insay di bεlε kin kam כp insay di lכw εsophagus, εn aw dεn de asid.

If yu dɔktɔ sɔspɛkt se yu gɛt gastroesophageal reflux disease (GERD) , ɔ di acid reflux disease we wi bin tɔk bɔt, i kin tɛl yu fɔ du dis Bravo pH tɛst. Pipul wae gɛt GERD kin gɛt sɔm kayn sik lɛk dis:

• At bɔn
• Chɛst de pen
• Fɔ kɔf
• Trot we de at ɔ vɔys we de ala

Aw di Bravo pH tɛst de wok?

Di Bravo pH monitarin tɛst de wok lɛk sistɛm. I gɛt tri men pat dɛn:

1. sכmכl wayales kכpsul we de mכsu pH (pH-sensing wireless capsule): dis na di tin we de mכsu pH bay we i de atak di tisu dεm na di εsophagus.

2. Rikɔda: Yu nid fɔ wɛr dis. I de rikodɔ di data we dɛn sɛn frɔm di kapsul.

3. Wan softwea sistem we de ɛp fɔ mek ɔl dis wok.

Tink bɔt am lɛk smɔl kapsul, we di sayz tan lɛk jel kap. I de atak di wɔl na yu εsophagus fɔ sɔm tɛm. dis kin bi we dεn de du wan prכsidכm we dεn k כl כp εndoskopi . di kapsul de mכsu di pH fכ yu εsophagus εn i de transmit da infכmeshכn de to wan rεkכda (we di sayz fכ pej) we yu de wɛr na yu bεlt כ na yu pכket.

Dis rikoda gɛt bɔku bɔtin dɛn. We yu gɛt sɔm sayn dɛm fɔ GERD, lɛk at bɔn, yu kin prɛs di kɔrɛspɔndɛns bɔtin (di nɔs go tɛl yu us sayn dɛm fɔ rikodɔ). Dɛn go aks yu bak fɔ kip wan dayari. Insay de, yu go rayt tin dɛn lɛk we yu bigin fɔ it, we yu dɔn it, we yu de drink, we yu ledɔm, ɛn we yu grap bak. Na di nɔs go ɛksplen ɔl dis to yu.

Udat de du di Bravo pH monitarin tɛst?

Na wan dɔktɔ we de mɛn di bɛlɛ, we na dɔktɔ we tren fɔ du ɛndoskopi fɔ di bɛlɛ , kin put dis kapsul insay . We dɛn de du dis, dɛn kin put wan tin tiub we gɛt kamɛra we dɛn tay tru yu mɔt ɛn pas am dɔŋ yu ɛsophagus to yu bɛlɛ. Dis prosidur kin egzamin yu dijestiv sistɛm ɛn trit sɔm kɔndishɔn dɛn.

Aw yu kin pripia fɔ di Bravo pH tɛst?

Dis na sɔntin we wi fɔ tek tɛm wit smɔl.

• If yu gɛt pesmɛka ɔ implantable heart defibrillator , yu bin dɔn gɛt prɔblɛm wit blɔd bifo, yu blɔd vesel dɛn dɔn dilayt, ɔ yu gɛt ɛni ɔda prɔblɛm we dɛn no bɔt yu blɔd vesel, yu fɔ rili tɛl yu dɔktɔ.

Neks, sɔm mɛrɛsin dɛn go nid fɔ stɔp sɔm dez bifo dis tɛst.

• Sɛvin (7) dez bifo di tɛst: Nɔ tek mɛrɛsin dɛn we dɛn kɔl Proton Pump Inhibitors (PPIs), lɛk Omeprazole (Prilosec®), Lansoprazole (Previcid®), Rabeprazole (Aciphex®), Pantoprazole (Protonix®), Esomeprazole (Nexium®).
• Tu dez (48 awa) bifo di tɛst: Nɔ tek H2 blɔk, lɛk Ranitidine (Zantac®), Cimetidine (Tagamet®), Famotidine (Pepcid®), Nizatidine (Axid®). Dɔn bak, stɔp fɔ tek Metoclopramide (Reglan®).
• Siks (6) awa bifo di tɛst: Nɔ tek antasid, i.e. likwid mɛrɛsin ɔ tablɛt we dɛn kin yuz fɔ trit gas (lɛk Alka-Seltzer®, Gaviscon®, Maalox®, Milk of Magnesia®, Mylanta®, Phillips®, Riopan®, Tums®).
• Fo to siks awa bifo yu test: Nɔ it ɔ drink ɛnitin.

Impɔtant: Sɔntɛnde, yu dɔktɔ kin aks yu fɔ kɔntinyu fɔ tek wan mɛrɛsin we yu de tek naw insay dis tɛst tɛm. Dis na fɔ si aw di mɛrɛsin de woke fayn fɔ yu. So fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.

Wetin kin apin di de we dɛn de du di Bravo pH tɛst?

• Wear klos we layt ɛn fayn as yu ebul. Di ɔspitul ɔ ɔutpatient tritmɛnt sɛnta kin gi yu difrɛn gɔn fɔ wɛr.
• Lɛf yu jɔyri, kredit kad, ɛn ɔda tin dɛn na os. Yu nɔ go ebul fɔ wɛr glas ɔ denchɔ we yu de du di tɛst.
• Yu fɔ rili mek pɔsin we gɛt di wok fɔ kɛr yu go bak na os, bikɔs dɛn go gi yu mɛrɛsin fɔ mek yu drɔnk smɔl.
• Yu mɛdikal tim go ɛksplen to yu bak di we aw dɛn fɔ du am ɛn ɛksplen wetin fɔ ɛkspɛkt. Dɛn kin du dis bay we dɛn put yu na wan stet we dɛn kɔl "twilight sleep," we min se dɛn kin gi yu mɛrɛsin fɔ mek yu fil lɛk se yu de na layt slip. Dɛn go tɔk to yu bak bɔt ɛni prɔblɛm ɔr sayd ɛfɛkt we yu kin gɛt.
• Dɛn go put lokal anestetik na di bak pat na yu trot.
• Dɔn di dɔktɔ go put di ɛndoskɔp tru yu mɔt ɛn pas am dɔŋ yu ɛsophagus to yu bɛlɛ. Nɔ wɔri, dis nɔ go ambɔg yu fɔ blo.
• di dɔktɔ kin tay di kapsul to di tisu we de na di εsophagus ɛn chɛk fɔ si if di pɔsin we de rikodɔ de tek di signal fayn fayn wan.
• Dis ɔltin we dɛn kin du kin tek sɔm minit nɔmɔ.

Yu tink se di Bravo pH monitarin tɛst de at?

Sɔntɛm yu go de wɔnda aw dis ɛkspiriɛns go tan lɛk. Fɔ tɔk tru, yu trot kin at smɔl. I kin tan lɛk se sɔntin dɔn stɔp na yu trot. Bɔt if yu gɛt pen we yu nɔ go ebul fɔ bia ɔ ɛni sayn we de mek yu wɔri, tɛl yu dɔktɔ wantɛm wantɛm.

Wetin kin apin di tɛm we dɛn de du di Bravo pH monitarin tɛst afta dɛn dɔn put di kapsul?

Okay, naw insay di kapsul. Aw yu fɔ de fɔ di nɛks 48 awa (lɛk tu dez)?

• Aktiviti: Kɔntinyu fɔ du di tin dɛn we yu kin du ɛvride. Nɔ ridyus ɔ chenj di tin dɛn we yu de du insay di tɛm we dɛn de du di tɛst. If yu du dat, dat kin mek di tɛst rizɔlt nɔ kɔrɛkt. Impɔtant: Nɔ mek di rikoda wet. I nɔ de mek wata pas.
• Fɔ it: It yu nɔmal it dɛn di tɛm we yu kin it. If yu nɔ it di tɛm we dɛn de du di tɛst, yu bɛlɛ nɔ go mek asid lɛk aw i kin du. Dis kin gi yu lay lay tɛst rizɔlt. It at least tu it fo wan de. It tin dɛm wae de mek yu sik wɔs (bɔt nɔr tu at fɔ yu fɔ handle). Nɔ it snek. Nɔ sok kandy, tɔfi, lozenj, ɔ chew gam we yu de du di tɛst.
• Ledɔm: Stap stret as yu ebul ɔl di de. Nɔ ledɔm te yu go slip na nɛt (pas nɔmɔ fɔ slip ɔ ledɔm na pat pan yu ɛvride rutin).
• Di mɛrɛsin dɛn we dɛn kin yuz:Kɔntinyu fɔ tek ɛni mɛrɛsin we yu dɔktɔ dɔn advays yu fɔ stɔp di tɛm we yu de du di tɛst.
• Rikɔd di simptom dɛm: We yu gɛt di simptom, prɛs di rayt bɔtin na di rikodɔ (yu nɔs go dɔn tɛl yu bɔt dis). Rikɔd di tɛm we yu bigin ɛn stɔp fɔ it ɛn drink ɛni ɔda tin pas wata. Rikɔd di tɛm we yu ledɔm (ilɛksɛf na fɔ rɛst nɔmɔ) ɛn di tɛm we yu grap bak. Wan pan yu mɛdikal tim go ɛksplen ɔl dis to yu.
• Simptom ɔ sayd ɛfɛkt we nɔ kɔmɔn: If yu tink se yu de gɛt ɛni ɔda sayn ɔ sayd ɛfɛkt we nɔ kɔmɔn, kɔl yu dɔktɔ wantɛm wantɛm.

We di tɛm we dɛn de du di tɛst dɔn, yu fɔ gi bak di rikodɔ ɛn di dayari. Dɛn kin put di infɔmeshɔn we de na di rikodɔ ɛn dayari na kɔmpyuta ɛn dɛn kin analayz di tin dɛn we dɛn dɔn fɛn.

Wetin na di risk ɛn bɛnifit dɛn we di Bravo pH monitarin tɛst gɛt?

I impɔtant fɔ no fɔ tru if yu rili gɛt asid riflɔks. Bikɔs if yu rili gɛt siriɔs sik lɛk GERD, i kin pwɛl yu ɛsophagus. If dat apin, yu kin dɔn wit siriɔs prɔblɛm dɛn lɛk Barrett in ɛsophagus ɔ esophageal kansa leta.

E fayn bak fɔ no se yu nɔr rili gɛt at pwɛl hat. Bɔrku pipul kin yuse mɛrɛsin lɛk PPI, bɔt dɛn nɔr kin ɛp. So, pas yu rili gɛt prɔblɛm, yu nɔ nid fɔ tek mɛrɛsin fɔ natin. If yu nɔr gɛt at pwɛl hat, yu mɛdikal tim kin ɛp yu fɔ no de rial tin wae de mek yu gɛt dis sik.

Risk de wit ɛni mɛrɛsin we dɛn kin du. Bɔt, dɛn dɔn ripɔt kɔmplikeshɔn wit di Bravo tɛst rili smɔl. Sɔntɛnde, di mistek dɛn we di ikwipmɛnt dɛn kin mek kin mek dɛn nɔ kin abop pan di tin dɛn we kin apin. di kapsul kin nכ kכmכt tru di כl tεst. Ɔ, i kin bi se dɛn nɔ go fri am we i fɔ bi.

Na smɔl tɛm nɔmɔ, pipul dɛn we gɛt dis tɛst kin gɛt prɔblɛm fɔ swɛla, dɛn kin gɛt pen na dɛn chɛst, ɔ dɛn kin gɛt bak pen. Di ɛndoskopi kin mek bak yu trot at fɔ wan ɔ tu dez.

כda risk dεm de we nכ kin apin, lεk di tisu dεm na di εsophagus כ intestinal dεm we de pwεl, bכdi we de bכn, כ we di kapsul de kכmכt na di briz paip.

Wetin kin apin afta di Bravo pH monitarin tɛst?

Afta di tɛst dɔn:

• Yu kin bigin bak fɔ it, drink, ɛn mɛrɛsin .
• Yu kin bigin yu nɔmal tin dɛn bak – fɔ swɛla, it, drink, ɛn ɔda tin dɛn we yu du dɛn tin ya, di pH kapsul we yu kin pul go kɔmɔt ɛn i go pas aut wit yu stɔl insay sɛvin to tɛn dez.
• Yu nɔ go ebul fɔ du MRI (Magnetic Resonance Imaging - MRI) tɛst fɔ 30 dez afta dɛn dɔn put di kapsul.
• Si yu dɔktɔ ɛn tɔk bɔt di tɛst rizɔlt. I go ɛp yu fɔ mek wan plan fɔ kɔntrol yu sik dɛn.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

So, yu go dɔn ɔndastand wetin na dis Bravo pH tɛst ɛn aw i kin ɛp yu fɔ fɛn di tin we de mek yu chɛst de pen ɛn asid riflɔks.

Pan ɔl we dis kin tan lɛk smɔl prɔblɛm, i fayn fɔ no fɔ tru if yu gɛt sik lɛk GERD. We yu dɔn no, yu kin bigin fɔ tek di rayt tritmɛnt. Ɔ, yu kin stɔp fɔ tek di mɛrɛsin ɛn fɛn di rial tin we de mek yu gɛt di sik.

If yu dɔktɔ tɛl yu fɔ du dis tɛst, tɔk to am bɔt am ɛn aks ɛni kwɛstyɔn we yu gɛt. Tek am izi ɛn nɔ fred. Yu mɛdikal tim go ɛksplen ɔltin to yu ɛn ɛp yu.

` εsophagus, pH, asid rεfluks, GERD, Bravo tεst, εndoskopi, chεst inflameshn