I thinlung natna leh acid reflux awm chhan dik tak hriat i duh em? (Bravo Esophageal pH Test) tih a ni.

I rilruah kang a, i rilruah pawh a thlum a awm fo bawk em? A châng chuan chaw ei hnua he lungawi lohna hi a tithinur hle a ni lawm ni? Mi thenkhat chuan gastritis an ti bawk. Chuti a nih chuan eng nge a chhan dik tak chu, vawiinah hian i pum chhunga acid awm chu i rilruah a rawn lut tak tak em tih dik taka hriat theihna tur test chungchang kan sawi dawn a ni. Hei hi BravoTM pH monitoring test an ti a.

BravoTM pH test hi eng nge ni? Engvangin nge hetiang hi ka tih a ngaih?

A awlsam zawngin sawi ila, he Bravo pH test hian i chaw kawng pH a teh thin. Tunah chuan he pH value hian eng nge a awmzia tih i ngaihtuah mai thei. pH hi thil pakhat acidic emaw basic/alkaline emaw a nih dan tehna a ni. Kan pum chhungah hian stomach acid an tih thil a awm a. Hei hian kan ei leh in kan digest theih nan min pui thin a ni. Mahse, a chang chuan he pum acid hi esophagus-ah a luang leh a, chu chu ril atanga chaw ei tur phurtu tube a ni. Tichuan chaw kawng acidity a sang chho zel a.

Stomach acid chauh ni lovin, a chang chuan ei loh (undigested food particles) leh digestive juices dangte pawh a rawn lang leh thei bawk. Hetianga pum chhunga thil awmte a rawn let leh zel hi "reflux" an ti a. Hei hi a thleng chhunzawm zel chuan chaw kawng a tichhe thei a ni. Chuvangin, he Bravo pH test hian pum chhunga thil awmte chu esophagus hnuai lam ah engzat nge a rawn chhoh tih chiang takin a hre thei a, engzat nge acidic a nih tih pawh a hre thei bawk.

I doctor chuan gastroesophageal reflux disease (GERD) , emaw kan sawi tawh acid reflux natna i vei nia a rinhlelh chuan he Bravo pH test hi a rawt thei ang. GERD vei te hian hetiang symptom hi an nei tlangpui thei:

• Lungchhung natna
• A rilru a na
• Khuh a awm
• Thlarau na emaw aw ri bengchheng emaw

Bravo pH test hian engtin nge hna a thawh?

Bravo pH monitoring test hian system angin hna a thawk a. A ṭhen lian pathum a nei a, chungte chu:

1. Wireless capsule te tak te, pH tehna (pH-sensing wireless capsule): Hei hi chaw kawng tissue-a pH tehna a ni.

2. Recorder: Hei hi i bun a ngai a ni. Capsule atanga data thawn chhuah chu a record thin.

3. Heng zawng zawng hnathawh theihna tura puitu software system.

Capsule te tak te, gel cap ang maia lian ang maiin han ngaihtuah teh. Hun engemaw chen chu i esophagus wall-ah a innghat a ni. Hei hi upper endoscopy an tih procedure neih laiin tih a ni . Capsule hian i chaw kawng pH a teh a, chu thu chu recorder (pager ang vel)-ah a thawn a, chu chu i belt-ah emaw, i pocket-ah emaw i phur a ni.

He recorder hian button engemaw zat a nei a. GERD symptoms, heartburn ang chi i neih chuan a inmil button i hmet a (nurse chuan eng symptoms nge record tur tih a hrilh ang che). Diary ziak turin an ti bawk ang che. Chutah chuan i ei tan tirh te, i ei zawh hun te, i in hun te, i mut lai te, i thawh leh hun te ang chi te chu i record ang. Heng zawng zawng hi nurse-in a hrilhfiah ang che.

Bravo pH monitoring test hi tuin nge ti thin?

He capsule hi gastroenterologist, gastrointestinal endoscopy lama training nei doctor-in a dah lut a ni. Hetianga tih lai hian i hmuiah camera dahna tube te tak te dahin i chaw kawng (esophagus) atanga i pum thlengin an pass a ni. Hetiang procedure hian i digestive system a enfiah thei a, condition thenkhat a tidam thei bawk.

Bravo pH test atan engtin nge i inbuatsaih thin?

Hei hi tlem a fimkhur tur thil a ni.

• Pacemaker emaw implantable heart defibrillator , thisen chhuahna lama harsatna i neih tawh, thisen kalna kawng a zau tawh, emaw, i thisen kalna kawnga harsatna hriat tawh i neih chuan i doctor hnenah i hriattir ngei ang.

A dawtah chuan damdawi thenkhat chu he test hma ni engemaw zatah tihtawp a ngai dawn a ni.

• Test hma ni sarih (7) hma: Damdawi Proton Pump Inhibitors (PPIs) an tih, Omeprazole (Prilosec®), Lansoprazole (Previcid®), Rabeprazole (Aciphex®), Pantoprazole (Protonix®), Esomeprazole (Nexium®) te ei loh tur a ni.
• Test hma ni hnih (darkar 48): H2 blocker, Ranitidine (Zantac®), Cimetidine (Tagamet®), Famotidine (Pepcid®), Nizatidine (Axid®) te ei loh tur a ni. Tin, Metoclopramide (Reglan®) ei kha bansan rawh.
• Test hma darkar ruk (6) vel: Anticids, i.e. damdawi tui emaw, gas enkawlna atana hman tablet emaw (Alka-Seltzer®, Gaviscon®, Maalox®, Milk of Magnesia®, Mylanta®, Phillips®, Riopan®, Tums® ang chi) ei loh tur a ni.
• I test hma darkar li atanga darkar ruk vel: Engmah ei leh in suh.

Pawimawh: A châng chuan, i doctor chuan he test hun chhung hian damdawi i ei mek chu ei chhunzawm zel turin a ti thei che a ni. Hei hi damdawi hian i tan engtiang chiahin nge a thawh that tih hriat nan a ni. Chuvangin i doctor thupek ang chiah kha zawm rawh.

Bravo pH test ni hian eng nge thleng?

• A theih ang anga thawmhnaw rit leh nuam tak ha rawh. Hospital emaw outpatient treatment center emaw chuan gown danglam tak hak tur a pe thei che a ni.
• I jewelry, credit card, etc. te chu in lamah dah la. Test neih chhung hian glasses emaw, ha lem emaw i bun thei lo.
• Mawhphurtu tu emaw chuan in lamah hruai kir leh turin i nei ngei tur a ni, a chhan chu tlem a zu ruih theihna tur damdawi pek i ni dawn a ni.
• I medical team chuan procedure chu an hrilhfiah leh ang che a, i beisei tur chu an hrilhfiah leh ang che. Hei hi "twilight sleep" an tih state-a dah che a ni a, chu chu mut hlim ang maia i awm theih nan damdawi pek che tihna a ni. Tin, harsatna emaw, side effect emaw awm thei te pawh an sawipui ang che.
• I rilru hnung lamah local anesthetic i hnawih ang.
• Chumi hnuah doctor chuan endoscope chu i hmuiah a dah lut ang a, i chaw kawng atanga i pum thlengin a pass ang. Lungngai suh, hei hian i thawk a tibuai lovang.
• Doctor chuan capsule chu chaw kawng chhunga tissue-ah a dah a, recorder-in signal a dawng dik em tih a enfiah thin.
• Hetiang zawng zawng hi minute tlemte chauh a ni.

Bravo pH monitoring test hian a ti na em?

He thiltawn hi eng ang nge ni ang tih i ngaihtuah mai thei. Dik tak chuan i beng chu a na deuh mai thei. I rilruah thil eng emaw a inkhung ang maiin a lang thei. Amaherawhchu, tuar theih loh khawpa natna emaw, lungkhamna tichhe thei symptom emaw i neih chuan doctor hnenah hriattir nghal rawh.

Capsule dah hnua Bravo pH monitoring test neih chhung hian eng nge thleng?

Okay, tunah chuan capsule chhungah. Darkar 48 (ni hnih vel) chhung chu engtin nge i awm ang?

• Hnathawh: Nitin i tih dan pangngai chu chhunzawm zel ang che. Test hun chhung hian i thiltih te tihtlem emaw, thlak danglam emaw suh. Chutianga tih chuan test result dikna a ti tlem thei a ni. Pawimawh: Recorder chu hnim lo turin phal suh. Tui tlakchhamna a ni lo.
• Ei leh in: I chaw ei pangngai chu i hun pangngaiah ei rawh. Test laiin chaw i ei loh chuan i pum hian a tlangpui angin acid a siam chhuak lovang. Hei hian test result dik lo a pe thei che a ni. Ni khatah chaw vawi hnih tal ei thin ang che. I natna lan chhuahna tizual thei (mahse i enkawl harsa lutuk lo) ei tur. Snacking ei loh tur. Test neih chhung hian candy, toffee, lozenges, chew gum te chu suck suh.
• Mut: Nilengin a theih ang anga ding chungin awm rawh. Zanah i mut hma loh chuan mu suh (mut emaw mut emaw hi i nitin nunphung a nih loh chuan).
• Damdawi hman tur: 1.1.Test hun chhung hian i doctor-in chawlhsan tura a hrilh che damdawi eng pawh ei chhunzawm zel ang che.
• Recording symptoms: Symptom i neih chuan recorder-a button dik tak kha hmet la (i nurse-in he thil hi a hrilh tawh ang che). Tui tih loh thil dang ei leh in i tan leh i chawlhsan hun kha record rawh. I mut hun (chawlhna tur chauh pawh nise) leh i thawh leh hun te record rawh. I medical team zinga pakhat chuan heng zawng zawng hi a hrilhfiah ang che.
• Symptoms danglam bik emaw side effects emaw: Symptoms danglam bik emaw side effects emaw i neih nia i hriat chuan doctor ko nghal rawh.

Test hun a zawh chuan recorder leh diary chu i rawn thawn let leh tur a ni. Recorder leh diary-a information awmte chu computer-ah dahin a result chu an zirchiang a ni.

Bravo pH monitoring test hian eng hlauhawmna leh hlawkna nge a neih?

Acid reflux i nei tak tak em tih chiang taka hriat a pawimawh. A chhan chu GERD ang chi natna khirh tak i neih tak tak chuan i chaw kawng a tichhe thei a ni. Chutiang a nih chuan a hnuah Barrett-a chaw kawng emaw, chaw kawng cancer emaw ang chi harsatna lian tak i tawk thei a ni.

Tin, heartburn condition i nei tak tak lo tih hriat a pawimawh bawk. Mi tam takin PPI ang damdawi an hmang a, mahse a pui lo. Chuvangin, harsatna i neih tak tak loh chuan engmah lova damdawi ei a ngai lo. Heartburn condition i neih loh chuan i medical team te hian i symptoms awm chhan dik tak chu an zawng chhuak thei ang che.

Damdawi lam thil tih dan eng pawhah hian hlauhawmna a awm. Mahse, Bravo test-a harsatna awm hi a tlem hle. A châng chuan hmanrua dik lo vangin result chu rintlak loh a ni thei. Test chhung zawng hian capsule hi a chhuak lo thei. A nih loh leh, a nih tur hunah chhuah loh pawh a ni thei.

A tlem hle a, he test nei te hian ei harsa, rilru na, emaw, hnungzang na emaw an nei thei. Endoscopy hian ni khat emaw ni hnih emaw chhung chu rilru natna a thlen thei bawk.

Thil dang, a hlauhawm lo zawk, a awm thei a, chu chu chaw kawng emaw, intestines emaw tissue tihchhiat, thisen chhuah emaw, thlipui chhunga capsule aspiration emaw te hi a ni.

Bravo pH monitoring test hnuah eng nge thleng?

Test zawh hnuah:

• I ei leh in, in tur, leh damdawi te chu i ei leh thei .
• I thil tih dan pangngai – ei leh in, ei, in, etc. i thawk leh thei a, heng thilte hi i tih hian removable pH capsule chu a chhuak ang a, a tlangpuiin ni sarih atanga ni sawm chhungin i bawlhhlawh nen a pass out ang.
• Capsule i dah hnu ni 30 chhung chu MRI (Magnetic Resonance Imaging - MRI) test i nei thei lo .
• Doctor hmu la, test result chungchang sawipui rawh. I natna lan chhuah dan tur ruahmanna siam turin a pui ang che.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chuvangin, he Bravo pH test hi eng nge a nih tih leh i rilru natna leh acid reflux chhan zawng tura a puih theih dan tur chu i hrethiam mai thei.

Hei hi harsatna deuh angin lang mahse, GERD ang natna i neih leh neih loh hriat chian a phu hle. I hriat hnuah chuan enkawlna dik tak i tan thei tawh ang. A nih loh leh, damdawi ei kha i chawlhsan thei a, i natna lan chhuah chhan dik tak chu i zawng thei bawk.

I doctor-in he test hi a rawt a nih chuan, a chungchang hi sawipui la, zawhna i neih apiang zawt rawh. Hahdam takin la la, hlau suh. I medical team chuan engkim an hrilhfiah ang che a, an pui ang che.

` Esophagus, pH, acid reflux, GERD, Bravo test, endoscopy, rilru natna te