Yu kin gɛt at bɔn bak ɔltɛm? I kin tan lɛk se i de bɔn faya. pan ɔl we wi kin kɔl am "gastritis", sɔmtɛm di kɔz na di asid we de na di bɛlɛ, dat na, asid, we de flɔ insay di trot, ɔ as wi kin se, di εsophagus. If dis kɔntinyu, i kin mek pɔsin vɛks smɔl. So, yu dɔktɔ tɛl yu fɔ du nyu tɛst fɔ no di rayt tin we de mek yu gɛt dis? Na di Bravo pH Tɛst. Di nem kin tan lɛk se i strenj smɔl, bɔt nɔ fred. Dis na tɛst we rili simpul, ɛn we rili impɔtant. Lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan tide.
Simply put, wetin na dis Bravo pH Test?
di Bravo tεst na tεst we de mכsu di pH fכ yu εsophagus. Okay, okay, nɔ alarm we yu yɛri "pH." Fɔ tɔk am simpul wan, pH na fɔ no aw sɔntin gɛt asid. Wi bɛlɛ gɛt wan strɔng asid we dɛn kɔl haydroklɔrik asid. I de ɛp fɔ digest it. bכt we dis asid kכmכt frכm di bεlε, insay di εsophagus, na de di prכblεm dεm kin bigin. di εsophagus nכ bil fכ tinap fכ dis kayn strכng asid.
So di Bravo tɛst de mɛzhɔ ustɛm ɛn ɔmɔs asid de kam ɔp yu εsophagus fɔ 48 awa, ɔ tu dez. Dis kin mek yu dɔktɔ kɔnfɔm if yu gɛt gastroesophageal reflux disease, ɔ GERD fɔ shɔt tɛm.
Bɔku tɛm, na dɔktɔ we de mɛn di bɛlɛ kin du dis tɛst. I go tay wan smɔl kapsul na di wɔl na yu ɛsophagus. I tan lɛk smɔl tin we dɛn kin yuz fɔ rikodin. di kapsul de mכsu yu asid lεvεl dεm εn i de sεnd di data to wan sכmכl rεkכda we yu de wɛr rawnd yu wes. We yu gi yu bak di rikodɔ to yu dɔktɔ afta tu dez, i go rivyu di infɔmeshɔn ɛn mek wan diagnosis bɔt yu sik. Di kapsul we dɛn bin put insay? I go kɔmɔt insɛf afta sɔm dez, travul go dɔŋ yu dijestiv trakt, ɛn pas wit yu stɔl.
Wetin mek a go want fɔ du tɛst lɛk dis?
If yu gɛt sayn fɔ GERD, yu dɔktɔ kin tɛl yu fɔ du dis tɛst. Fɔ ɛgzampul, if yu de tek yu mɛrɛsin ɛvride bɔt yu at nɔr de go, ɔr if yu want fɔ no fɔ tru if yu sik dɛn rili kɔmɔt frɔm asid riflɔks, dis tɛst rili impɔtant.
Dis na de sayn dɛm wae dɛn kin si mɔr:
- At bɔn: Na filin lɛk se yu chɛst de bɔn faya.
- Kɔf: Na kɔf we kin kam mɔ na nɛt ɛn nɔr no wetin kin mek i kɔf.
- Trot we de at: Na tin we pɔsin kin fil ɔltɛm fɔ fil pen ɛn pen na yu trot.
- Di we aw pɔsin kin kray:Wan chenj na di vɔys, wan filin fɔ bi hevi.
- Burping up food: Na di filin we yu kin fil we it de kam bak na yu trot afta yu dɔn it.
If yu dɔn gɛt wan ɔ mɔ pan dɛn sik ya fɔ lɔng tɛm, i go mɔs bi se yu go to dɔktɔ ɛn aks fɔ advays.
Aw dis Bravo tɛst prɔses de wok?
Dis kin tan lɛk se na kɔmplikɛt tin, bɔt fɔ tru, i rili simpul. Dis sistɛm gɛt tri men pat dɛn.
1. pH-sensitiv kapsul: Dis na di hiro. Wan smɔl kapsul we tan lɛk yu smɔl finga nel. dis na wetin de mכsu di asid lεvεl na di εsophagus εn de sεnd infכmeshכn.
2. Rikɔda: Dis na smɔl tin we di sayz tan lɛk kɔmpyuta maws. Yu fɔ wɛr dis na yu wes. I de rikodɔ ɔl di data we dɛn sɛn frɔm di kapsul.
3. Sɔftwia sistɛm: Na kɔmpyuta sistɛm we de ɛp ɔl dis fɔ wok togɛda.
dis kapsul dεn kin insay tru wan prכsidכm we dεn k כl כp εndoskopi . Yu kin mɛmba, sɔm pipul dɛn kin se, "put tyub na yu mɔt," ɛn na so i tan. Bɔt nɔ wɔri, dɛn kin mek yu fil fayn we dɛn de du dis, so yu nɔ go fil ɛni pen. Di dɔktɔ go put wan tint tiub wit kamɛra we dɛn tay tru yu mɔt ɛn tay di smɔl kapsul na di wɔl na yu ɛsophagus.
Afta yu put am, yu go na os. Na de di 48 awa tɛst kin bigin. Yu fɔ kip wan dayari. Yu fɔ rayt tin dɛn lɛk we yu bigin fɔ it, we yu bigin fɔ drink, we yu dɔn, we yu put am, we yu grap. Ɛn sɔm bɔtin dɛn de na da rikoda de. As yu gɛt sɔm sayn dɛn lɛk chɛst pen ɔ kɔf, yu fɔ pres di kɔrɛspɔndɛns bɔtin.
Afta tu dez, yu kin gi bak di rikodɔ ɛn di dayari to di dɔktɔ. Dɔn i kin analayz di infɔmeshɔn.
Aw a fɔ pripia bifo di tɛst?
Dis na pat we rili impɔtant. Fɔ mek yu gɛt kɔrɛkt rizɔlt frɔm di tɛst, yu nid fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Tɛl yu dɔktɔ yu kɔmplit mɛdikal istri , mɔ if yu gɛt alɛji fɔ nikɛl, bikɔs dis kapsul gɛt smɔl smɔl nikɛl.
- Tɛl yu dɔktɔ bak if yu gɛt pesmɛka ɔ ɔda tin fɔ mek yu at pwɛl , if yu gɛt prɔblɛm wit yu blɔd, ɔ if yu gɛt ɛni ɔda sik we gɛt fɔ du wit di εsophagus.
Bɔku tɛm, yu dɔktɔ go gi yu dɛn kayn tin ya. Dɛn tin ya na bɔt fɔ stɔp fɔ tek mɛrɛsin. Bɔt mɛmba se, nɔ ɛva stɔp fɔ tek mɛrɛsin we yu nɔ aks yu dɔktɔ.
| Tɛm | Di kayn drɔgs fɔ stɔp ɛn ɛgzampul dɛn |
|---|---|
| 7 dez bifo di tɛst | Proton Pump Inhibitors (PPI): Dɛn mɛrɛsin ya na di mɛrɛsin dɛn we dɛn kin yuz mɔ fɔ gɛt gastritis. Ɛgzampul dɛn: Ɔmɛprazɔl (Prilosec®), Ɛsomprazɔl (Nexium®), Lansoprazɔl (Prevacid®), Pantoprazɔl (Protonix®), Rabeprazɔl (Aciphex®). |
| 2 dez (48 awa) bifo di tɛst | H2 Blockers: Dɛn wan ya na wan kayn mɛrɛsin bak we de ridyus asid. Sɔm ɛgzampul dɛn na Ranitidin (Zantac®), Famotidin (Pepcid®), Simɛtidin (Tagamet®), Nizatidin (Axid®). Dɔn bak, mɛrɛsin dɛn lɛk Metoclopramide (Reglan®). |
| 6 awa bifo di tɛst | Antasid: Dis na di wata ɔ tablɛt we wi kin tek we wi gɛt at bɔn. Ɛgzampul dɛn: Maalox®, Mylanta®, Tums®, Gaviscon®, ɛni brand. |
| 4-6 awa bifo di tɛst | Nɔ it ɔ drink ɛnitin. |
Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ kɔntinyu fɔ tek wan mɛrɛsin we yu de tek naw. Dis go ɛp am fɔ si aw di mɛrɛsin de wok fɔ yu. So, fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
Wetin kin apin di de we dɛn de du di tɛst? A go fil ɛni pen?
Dɛn kin du dis na ɔtpeshɛnt dipatmɛnt na ɔspitul ɔ klinik. Dɛn go gi yu mɛrɛsin fɔ mek yu fil fayn ɛn rilaks, so yu go nid fɔ kam wit pɔsin we gɛt rɛspɔnsibiliti fɔ drayv yu go na os. Di wan ol tin we dɛn fɔ du nɔ fɔ tek pas 30 minit.
Afta di prosidur, yu kin gɛt smɔl trot we kin at fɔ tu ɔ tri dez. Dis na nɔmal tin. Bɔt if yu gɛt pen we yu nɔ go ebul fɔ bia ɔ ɔda tin we nɔ izi fɔ yu, tɛl yu dɔktɔ wantɛm wantɛm.
Wetin a fɔ du insay di tu dez afta di tɛst?
Di we aw yu de biev insay dɛn tu dez ya go afɛkt di rizɔlt fɔ di tɛst dairekt wan. So tek tɛm wit dɛn tin ya.
- Di tin dɛn we yu fɔ du: Kɔntinyu fɔ du di tin dɛn we yu kin du ɛvride. Nɔ de na os we dɛn de du di tɛst. Wi want fɔ si aw yu asid riflɔks de go na yu nɔmal layf.
- Fɔ it ɛn drink: It yu it ɔltɛm, di tɛm we yu kin it ɔltɛm. If yu skip fɔ it, yu bɛlɛ go mek smɔl asid, we kin mek di rizɔlt nɔ kɔrɛkt. It at least tu it fo wan de. If i pɔsibul, it tin dɛm wae de mek yu sik wɔs (bɔt nɔr tu at fɔ bia). Nɔ it gam, tɔfi, ɔ lozenj insay dɛn tu dez ya.
- Ledɔm: Stap stret as yu ebul ɔl di de. Nɔ slouch te i rich di tɛm fɔ go slip (unless yu na daytime napper).
- Fɔ rikodɔ di simptom dɛn: As yu si wan simptom so, prɛs di kɔrɛspɔndɛns bɔtin na di rikodɔ. Dɔn bak, rayt di rayt tɛm dɛn we yu de it, drink, ledɔm, ɛn grap na di dayari.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we dis tɛst kin gɛt?
Jɔs lɛk ɛni mɛdikal tɛst, sɔm prɔblɛm dɛn de, bɔt dɛn nɔ kin rili smɔl.
Di men bɛnifit na dat i kin ebul fɔ no kɔrɛkt wan if yu sik dɛn na GERD ɔ nɔto so. If dɛn nɔ trit yu, GERD kin pwɛl yu εsophagus ɛn i kin mek yu gɛt mɔ siriɔs tin dɛn lɛk Barrett in esophagus ɔ esophageal kansa. I impɔtant bak fɔ no se yu nɔ gɛt GERD. Dis go ɛp yu dɔktɔ fɔ no di rial tin we de mek yu gɛt di sik.
Di prɔblɛm dɛn we kin apin (we nɔ kin apin so ɔltɛm):
- Kapsul ɔ rikoda nɔ de wok fayn.
- di kapsul nכ de stik fayn εn i de kכmכt bifo di tεst kכmplit.
- Di kapsul nɔ de kɔmɔt na di tɛm we dɛn dɔn sɛtul afta di tɛst.
- I nɔ izi ɔ i kin fil pen fɔ swɛla.
I rili impɔtant: Bikɔs di Bravo tɛst gɛt magnet insay di kapsul, yu nɔ go ebul fɔ gɛt MRI skan fɔ 30 dez afta dis tɛst. Dis kin ambɔg di MRI mashin.
Wetin a kin lan frɔm di tin dɛn we kin apin?
Afta we di dɔktɔ dɔn stɔdi di tin dɛn we dɔn apin, i kin ebul fɔ no tin dɛn lɛk:
- Ɔmɔs tɛm yu dɔn gɛt asid riflɔks insay di las tu dez?
- Aw lɔng da asid de bin las wan tɛm?
- Aw ɔltɛm yu dɔn gɛt asid riflɔks we yu bin de slip?
- כl di tεm we di pH na di εsophagus bin less dan 4, we min se i bin bכku asid?
Bay dis infɔmeshɔn, yu dɔktɔ kin no if yu gɛt GERD, ɛn if na so, aw i siriɔs, ɛn mek wan tritmɛnt plan we go fayn fɔ yu. Bɔrku tɛm, i kin tek lɛk tu wiks fɔ gɛt di rizɔlt.
Mɛsej we dɛn kin kɛr go na os
- di Bravo pH tεst na tεst we rili akכrd εn sef we de mכsu aw mכch bεlε asid de go insay yu εsophagus.
- insay dis, dεn de put wan sכmכl kכpsul insay di εsophagus εn dεn de rεkכd di data fכ tu dez.
- di kapsul insεshכn prosidכs (Endoscopy) dεn kin du am כnda anεsthεsia, so yu nכ go fil εni pen.
- Fɔ mek yu gɛt kɔrɛkt tɛst rizɔlt, yu fɔ fala wetin yu dɔktɔ tɛl yu fɔ du, mɔ we i kam pan aw fɔ stɔp fɔ tek mɛrɛsin ɛn fɔ it ɛn drink.
- If yu gɛt ɛni prɔblɛm we yu de du di tɛst ɔ afta yu dɔn du di tɛst, tɔk to yu dɔktɔ wantɛm wantɛm. Dis na di bɛst we fɔ no di rayt tin we mek yu gɛt di sik ɛn gɛt di rayt tritmɛnt.
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