Mukufuna kudziwa chifukwa chenicheni cha kutentha kwa mtima kwanu ndi acid reflux yanu? (Bravo Esophageal pH Test)

Kodi nthawi zambiri mumamva kutentha pachifuwa panu ndi kukoma kowawa pakhosi panu? Nthawi zina kusasangalala kumeneku mukatha kudya kumakhala kokwiyitsa kwambiri, sichoncho? Anthu ena amatchanso gastritis. Ndiye chifukwa chenicheni cha izi n'chiyani, ndipo lero tikambirana za mayeso omwe angadziwe molondola ngati asidi m'mimba mwanu akukweradi pakhosi panu. Izi zimatchedwa mayeso owunikira pH a Bravo™.

Kodi mayeso a Bravo™ pH ndi chiyani? Nchifukwa chiyani ndiyenera kuchita izi?

Mwachidule, mayeso a Bravo pH awa amayesa pH ya mmero wanu. Tsopano mwina mukudabwa kuti pH iyi imatanthauza chiyani. pH ndi muyeso wa momwe chinthu chilili ndi acid kapena basic/alkaline. Mimba mwathu muli chinthu chotchedwa m'mimba acid. Izi ndi zomwe zimatithandiza kugaya chakudya chomwe timadya. Komabe, nthawi zina asidi uyu wa m'mimba amabwerera mmwamba kupita ku mmero, chubu chomwe chimanyamula chakudya kuchokera pakhosi kupita m'mimba. Kenako acidity ya mmero imawonjezeka.

Sikuti asidi wa m'mimba wokha, komanso nthawi zina tinthu ta chakudya chosagayidwa ndi madzi ena ogaya chakudya amathanso kubwereranso. Kubwerera m'mimba kosalekeza kumeneku kumatchedwa "reflux." Izi zikachitika mosalekeza, zimatha kuwononga m'mero. Chifukwa chake, mayeso a Bravo pH awa amatha kudziwa nthawi zomwe zili m'mimba zimalowa m'mero, komanso momwe zilili ndi asidi.

Ngati dokotala wanu akukayikira kuti muli ndi matenda a gastroesophageal reflux (GERD) , kapena matenda a acid reflux omwe takambirana, iye angakulangizeni mayeso a Bravo pH. Anthu omwe ali ndi GERD nthawi zambiri amakhala ndi zizindikiro monga izi:

• kutentha pamtima
• Kupweteka pachifuwa
• Kutsokomola
• Kupweteka pakhosi kapena mawu osamveka bwino

Kodi mayeso a Bravo pH amagwira ntchito bwanji?

Mayeso owunikira pH a Bravo amagwira ntchito ngati dongosolo. Ali ndi magawo atatu akuluakulu:

1. Kapiso kakang'ono kopanda waya komwe kamayesa pH (pH-sensing wireless capsule): Ichi ndi chomwe chimayesa pH pochilumikiza ku minofu ya m'mero.

2. Chojambulira: Muyenera kuvala ichi. Chimalemba deta yotumizidwa kuchokera ku kapisozi.

3. Pulogalamu ya mapulogalamu yomwe imathandiza kuti zonsezi zigwire ntchito.

Taganizirani ngati kapiso kakang'ono, kofanana ndi kapuleti ya gel. Kamakhala kolumikizidwa kwakanthawi pakhoma la m'mero ​​wanu. Izi zimachitika panthawi ya opaleshoni yotchedwa upper endoscopy . Kapisoyi imayesa pH ya m'mero ​​wanu ndipo imatumiza chidziwitsocho ku chojambulira (chofanana ndi kukula kwa pager) chomwe mumanyamula pa lamba wanu kapena m'thumba mwanu.

Chojambulira ichi chili ndi mabatani angapo. Mukakhala ndi zizindikiro za GERD, monga kutentha pamtima, mukanikiza batani loyenera (namwino adzakuuzani zizindikiro zomwe muyenera kulemba). Mudzafunsidwanso kuti mulembe dayale. Mmenemo, mudzalemba zinthu monga nthawi yomwe mumayamba kudya, nthawi yomwe mumaliza kudya, nthawi yomwe mukumwa, nthawi yomwe mugona, komanso nthawi yomwe mudzukanso. Zonsezi zidzafotokozedwa ndi namwino.

Ndani amachita mayeso owunikira pH a Bravo?

Kapisozi iyi imayikidwa ndi dokotala wa gastroenterologist, dokotala wophunzitsidwa bwino za endoscopy ya m'mimba . Pa nthawiyi, chubu chopyapyala chokhala ndi kamera chimayikidwa kudzera pakamwa panu ndikudutsa mum'mero ​​wanu kupita m'mimba mwanu. Njirayi imatha kuwona dongosolo lanu logaya chakudya ndikuchiza matenda ena.

Kodi mumakonzekera bwanji mayeso a Bravo pH?

Ichi ndi chinthu choyenera kusamala nacho pang'ono.

• Ngati muli ndi pacemaker kapena heart defibrillator yomwe imayikidwa m'thupi, mwakhalapo ndi vuto la kutuluka magazi kale, mwakhala mukutsegula mitsempha yamagazi, kapena muli ndi vuto lina lililonse lodziwika bwino ndi mitsempha yanu yamagazi, muyenera kudziwitsa dokotala wanu.

Kenako, mankhwala ena ayenera kuyimitsidwa masiku angapo mayesowa asanachitike.

• Masiku asanu ndi awiri (7) musanayambe mayeso: Musamwe mankhwala otchedwa Proton Pump Inhibitors (PPIs), monga Omeprazole (Prilosec®), Lansoprazole (Previcid®), Rabeprazole (Aciphex®), Pantoprazole (Protonix®), Esomeprazole (Nexium®).
• Masiku awiri (maola 48) musanayese mayeso: Musamwe mankhwala oletsa H2, monga Ranitidine (Zantac®), Cimetidine (Tagamet®), Famotidine (Pepcid®), Nizatidine (Axid®). Komanso, siyani kumwa Metoclopramide (Reglan®).
• Maola asanu ndi limodzi (6) musanayesedwe: Musamwe mankhwala oletsa asidi, mwachitsanzo mankhwala amadzimadzi kapena mapiritsi ogwiritsidwa ntchito pochiza mpweya (monga Alka-Seltzer®, Gaviscon®, Maalox®, Milk of Magnesia®, Mylanta®, Phillips®, Riopan®, Tums®).
• Maola anayi mpaka asanu ndi limodzi musanayesedwe: Musadye kapena kumwa chilichonse.

Chofunika: Nthawi zina, dokotala wanu angakupempheni kuti mupitirize kumwa mankhwala omwe mukumwa panthawiyi yoyesedwa. Izi ndizoona momwe mankhwalawo akugwirira ntchito bwino kwa inu. Choncho tsatirani malangizo a dokotala wanu molondola.

Kodi chimachitika ndi chiyani tsiku la mayeso a Bravo pH?

• Valani zovala zopepuka komanso zomasuka momwe mungathere. Chipatala kapena malo ochiritsira odwala omwe sali kuchipatala angakupatseni diresi yosiyana yoti muvale.
• Siyani zodzikongoletsera zanu, makadi a ngongole, ndi zina zotero kunyumba. Simungavale magalasi kapena mano opangidwa ndi mano panthawi yoyezetsa.
• Muyenera kukhala ndi munthu wodalirika amene angakubwezereni kunyumba, chifukwa mudzapatsidwa mankhwala oti akupangitseni kuledzera pang'ono.
• Gulu lanu lachipatala lidzakufotokozeraninso za njirayi ndikukufotokozerani zomwe mungayembekezere. Izi zimachitika pokuikani mu mkhalidwe wotchedwa "twilight sleep," zomwe zikutanthauza kuti mumapatsidwa mankhwala kuti mumve ngati muli mu tulo tochepa. Adzakuuzaninso za zovuta zilizonse kapena zotsatirapo zake.
• Mankhwala oletsa ululu a m'deralo adzagwiritsidwa ntchito kumbuyo kwa pakhosi panu.
• Dokotalayo adzalowetsa endoscope kudzera pakamwa panu ndikuyiyika m'mimba mwanu. Musadandaule, izi sizingasokoneze kupuma kwanu.
• Dokotala amamangirira kapisoziyo ku minofu ya m'mero ​​ndikuyang'ana ngati chizindikirocho chikulandiridwa bwino ndi chojambulira.
• Njira yonseyi imatenga mphindi zochepa chabe.

Kodi mayeso owunikira pH a Bravo amapweteka?

Mwina mukudabwa kuti izi zidzakhala bwanji. Kunena zoona, pakhosi panu pakhoza kupweteka pang'ono. Zingamveke ngati chinachake chatsekeredwa pakhosi panu. Komabe, ngati mukumva ululu wosapiririka kapena zizindikiro zilizonse zomwe zimakupangitsani kuda nkhawa, dziwitsani dokotala wanu nthawi yomweyo.

Kodi chimachitika ndi chiyani panthawi yoyesa kuyang'anira pH ya Bravo mutayika kapisozi?

Chabwino, tsopano muli mkati mwa kapisozi. Kodi muyenera kukhala bwanji maola 48 otsatira (pafupifupi masiku awiri)?

• Zochita: Pitirizani kuchita zinthu zomwe mumachita tsiku ndi tsiku. Musachepetse kapena kusintha zochita zanu panthawi yoyeserera. Kuchita zimenezi kungachepetse kulondola kwa zotsatira za mayeso. Chofunika: Musalole kuti chojambuliracho chinyowe. Sichimalowa madzi.
• Kudya: Idyani chakudya chanu chanthawi zonse pa nthawi yanu yanthawi zonse. Ngati simudya panthawi yoyezetsa, m'mimba mwanu simungapange asidi monga momwe zimakhalira nthawi zonse. Izi zingakupatseni zotsatira zabodza pa mayeso. Idyani chakudya chambiri patsiku. Idyani zakudya zomwe zimapangitsa kuti zizindikiro zanu zikhale zovuta (koma osati zovuta kwambiri kuti muzitha kuzipirira). Pewani kudya zakudya zokhwasula-khwasula. Musamayamwe maswiti, toffee, lozenges, kapena kutafuna chingamu panthawi yoyezetsa.
• Kugona pansi: Khalani wowongoka momwe mungathere tsiku lonse. Musagone pansi mpaka mutagona usiku (pokhapokha ngati kugona tulo kapena kugona pansi ndi gawo la zochita zanu za tsiku ndi tsiku).
• Mankhwala:Pitirizani kumwa mankhwala aliwonse omwe dokotala wanu wakulangizani kuti musiye panthawi yoyezetsa.
• Kulemba zizindikiro: Mukakhala ndi chizindikiro, dinani batani loyenera pa chojambulira (namwino wanu adzakhala atakuuzani za izi). Lembani nthawi yomwe mwayamba ndipo siyani kudya ndi kumwa china chilichonse kupatula madzi. Lembani nthawi yomwe mwagona (ngakhale kungopuma) ndi nthawi yomwe mwadzukanso. Mmodzi mwa gulu lanu lachipatala adzakufotokozerani zonsezi.
• Zizindikiro kapena zotsatirapo zachilendo: Ngati mukuganiza kuti mukukumana ndi zizindikiro kapena zotsatirapo zachilendo, imbani dokotala nthawi yomweyo.

Nthawi yoyesera ikatha, muyenera kubweza chojambulira ndi dayari. Chidziwitso chomwe chili mu chojambulira ndi dayari chimalowetsedwa mu kompyuta ndipo zotsatira zake zimasanthulidwa.

Kodi zoopsa ndi ubwino wa mayeso owunikira pH a Bravo ndi ziti?

Ndikofunikira kudziwa bwino ngati muli ndi vuto la acid reflux. Chifukwa ngati muli ndi vuto lalikulu ngati GERD, likhoza kuwononga mmero wanu. Ngati zimenezo zitachitika, mutha kukhala ndi mavuto aakulu monga Barrett's esophagus kapena khansa ya mmero mtsogolo.

Ndikofunikanso kudziwa kuti mulibe vuto la kutentha pamtima. Anthu ambiri amagwiritsa ntchito mankhwala monga PPIs, koma sathandiza. Chifukwa chake, pokhapokha ngati muli ndi vuto lenileni, simuyenera kumwa mankhwala pachabe. Ngati mulibe vuto la kutentha pamtima, gulu lanu lachipatala lingakuthandizeni kupeza chomwe chimayambitsa zizindikiro zanu.

Pali zoopsa pa njira iliyonse yachipatala. Komabe, zovuta zomwe zimachitika ndi mayeso a Bravo zanenedwa kawirikawiri. Nthawi zina, zolakwika pazida zingapangitse zotsatira kukhala zosadalirika. Kapisozi singatulutsidwe panthawi yonse yoyeserera. Kapena, singatulutsidwe nthawi yomwe iyenera kutulutsidwa.

Kawirikawiri, anthu omwe ayesedwa izi amakumana ndi vuto lomeza, kupweteka pachifuwa, kapena kupweteka msana. Endoscopy ingayambitsenso kupweteka pakhosi kwa tsiku limodzi kapena awiri.

Pali zoopsa zina zomwe zingachitike, monga kuwonongeka kwa minofu ya m'mero ​​kapena matumbo, kutuluka magazi, kapena kutulutsa kapisozi m'chifuwa.

Kodi chimachitika ndi chiyani pambuyo pa mayeso owunikira pH a Bravo?

Mayeso akatha:

• Mukhoza kuyambiranso kudya zakudya zanu zachizolowezi, zakumwa, ndi mankhwala .
• Mukhoza kuyambiranso ntchito zanu zachizolowezi - kumeza, kudya, kumwa, ndi zina zotero. Mukachita izi, kapisozi ya pH yochotseka idzatuluka ndipo nthawi zambiri idzatuluka ndi ndowe yanu mkati mwa masiku asanu ndi awiri mpaka khumi.
• Simungathe kuyesedwa MRI (Magnetic Resonance Imaging - MRI) kwa masiku 30 mutaika kapisozi.
• Kaonaneni ndi dokotala wanu ndipo mukambirane zotsatira za mayeso. Iye adzakuthandizani kupanga dongosolo lothana ndi zizindikiro zanu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kotero, mwina mukumvetsa tanthauzo la mayeso a Bravo pH ndi momwe angakuthandizireni kupeza chomwe chimayambitsa kupweteka pachifuwa chanu ndi acid reflux.

Ngakhale izi zingawoneke ngati zovuta pang'ono, ndikofunikira kudziwa bwino ngati muli ndi vuto ngati GERD. Mukadziwa, mutha kuyamba kulandira chithandizo choyenera. Kapena, mutha kusiya kumwa mankhwalawo ndikupeza chomwe chimayambitsa zizindikiro zanu.

Ngati dokotala wanu akulangizani kuti muyesedwe, kambiranani naye za izi ndipo mufunseni mafunso aliwonse omwe mungakhale nawo. Musachite mantha ndipo musachite mantha. Gulu lanu lachipatala lidzakufotokozerani zonse ndikukuthandizani.

Kutuluka kwa m'mimba, pH, reflux ya asidi, GERD, mayeso a Bravo, endoscopy, kutupa pachifuwa