Ngaba ufuna ukwazi unobangela ochanekileyo wesifo sakho sentliziyo kunye ne-acid reflux? (Uvavanyo lweBravo Esophageal pH)

Ngaba uhlala uziva utshile esifubeni sakho kwaye unencasa emuncu emqaleni wakho? Ngamanye amaxesha oku kungakhululeki emva kokutya kuyacaphukisa kakhulu, akunjalo? Abanye abantu bakubiza ngokuba yi-gastritis. Ngoko ke yintoni unobangela wokwenyani woku, kwaye namhlanje siza kuthetha ngovavanyo olunokufumanisa ngokuchanekileyo ukuba i-asidi esesiswini sakho ingena emqaleni wakho. Oku kubizwa ngokuba luvavanyo lokujonga i-pH lweBravo™.

Yintoni uvavanyo lwe-pH lweBravo™? Kutheni kufuneka ndenze oku?

Ngamafutshane, olu vavanyo lweBravo pH lulinganisa i-pH ye-esophagus yakho. Ngoku usenokuba uzibuza ukuba eli xabiso le-pH lithetha ukuthini. I-pH sisilinganiselo sokuba into ene-asidi okanye isiseko/i-alkaline injani. Izisu zethu ziqulethe into ebizwa ngokuba yi-asidi yesisu. Oku kusinceda sigaye ukutya esikutyayo. Nangona kunjalo, ngamanye amaxesha le asidi yesisu ibuyela phezulu kwi-esophagus, ityhubhu ethwala ukutya ukusuka emqaleni ukuya esiswini. Emva koko i-asidi ye-esophagus iyanda.

Ayisiyo kuphela i-asidi yesisu, kodwa ngamanye amaxesha amasuntswana okutya angagaywanga kunye nezinye iijusi zokugaya ukutya nazo zinokubuya zinyuke. Olu hlobo lokuhla rhoqo komxholo wesisu lubizwa ngokuba yi- "reflux." Xa oku kusenzeka rhoqo, kunokonakalisa umphimbo. Ngoko ke, olu vavanyo lwe-pH lweBravo lunokufumanisa ukuba umxholo wesisu ungena kangaphi kwi-esophagus esezantsi, kwaye une-asidi kangakanani.

Ukuba ugqirha wakho ukrokrela ukuba unesifo se-gastroesophageal reflux disease (GERD) , okanye isifo se-acid reflux esithethe ngaso, angacebisa olu vavanyo lwe-Bravo pH. Abantu abane-GERD banokuba neempawu ezifana nezi:

• Isitshiso sentliziyo
• Iintlungu zesifuba
• Ukukhohlela
• Umphimbo obuhlungu okanye ilizwi elirhabaxa

Uvavanyo lweBravo pH lusebenza njani?

Uvavanyo lokujonga i-pH lweBravo lusebenza njengenkqubo. Luneendawo ezintathu eziphambili:

1. I-capsule encinci engenazingcingo elinganisa i-pH (i-capsule engenazingcingo eqonda i-pH): Le yindlela elinganisa i-pH ngokuyincamathisela kwizicubu zomqala.

2. Irekhoda: Kufuneka uyinxibe le. Irekhoda idatha ethunyelwe kwikhaphu.

3. Inkqubo yesoftware enceda ekwenzeni konke oku kusebenze.

Cinga ngayo njengekhaphu encinci, enobukhulu obufana nesiciko sejeli. Incamatheliswe okwethutyana eludongeni lomqala wakho. Oku kwenziwa ngexesha lenkqubo ebizwa ngokuba yi-upper endoscopy . Ikhaphu ilinganisa i-pH yomqala wakho kwaye idlulisele olo lwazi kwirekhoda (enobukhulu obufana nepager) oyiphethe ebhantini lakho okanye epokothweni yakho.

Le rekhoda inamaqhosha aliqela. Xa uneempawu zeGERD, ezifana nesitshiso sentliziyo, ucinezela iqhosha elihambelanayo (umongikazi uza kukuxelela ukuba zeziphi iimpawu omawuzirekhode). Uya kucelwa nokuba ugcine idayari. Kuyo, uza kurekhoda izinto ezifana nokuba uqala nini ukutya, ukuba ugqiba nini ukutya, ukuba usela nini, xa ulala phantsi, nokuba uvuka nini kwakhona. Konke oku kuza kucaciswa ngumongikazi.

Ngubani owenza uvavanyo lokujonga i-pH lweBravo?

Le capsule ifakwa yingcali ye-gastroenterologist, ugqirha oqeqeshwe kwi- endoscopy yesisu . Ngexesha lale nkqubo, kufakwa ityhubhu encinci enekhamera ngomlomo wakho ize idluliselwe kwi-esophagus yakho iye esiswini sakho. Le nkqubo inokuhlola inkqubo yakho yokugaya ukutya kwaye inyange ezinye iimeko.

Ulungiselela njani uvavanyo lweBravo pH?

Le yinto ekufuneka uyilumkele kancinci.

• Ukuba une -pacemaker okanye i-heart defibrillator efakelweyo, ukhe waba neengxaki zokopha ngaphambili, wakha wavuleka imithambo yegazi, okanye unezinye iingxaki ezaziwayo ngemithambo yegazi yakho, ngokuqinisekileyo kufuneka wazise ugqirha wakho.

Okulandelayo, amanye amayeza kuya kufuneka ayekiswe kwiintsuku ezimbalwa ngaphambi kolu vavanyo.

• Iintsuku ezisixhenxe (7) ngaphambi kovavanyo: Musa ukuthatha amayeza abizwa ngokuba yiProton Pump Inhibitors (PPIs), afana ne-Omeprazole (Prilosec®), iLansoprazole (Previcid®), iRabeprazole (Aciphex®), iPantoprazole (Protonix®), iEsomeprazole (Nexium®).
• Kwiintsuku ezimbini (iiyure ezingama-48) ngaphambi kovavanyo: Musa ukuthatha ii-H2 blockers, ezifana neRanitidine (Zantac®), Cimetidine (Tagamet®), Famotidine (Pepcid®), Nizatidine (Axid®). Kwakhona, yeka ukuthatha iMetoclopramide (Reglan®).
• Iiyure ezintandathu (6) ngaphambi kovavanyo: Musa ukuthatha ii-antacids, oko kukuthi amayeza olwelo okanye iipilisi ezisetyenziselwa ukunyanga igesi (ezifana neAlka-Seltzer®, Gaviscon®, Maalox®, Milk of Magnesia®, Mylanta®, Phillips®, Riopan®, Tums®).
• Iiyure ezine ukuya kwezintandathu ngaphambi kovavanyo lwakho: Musa ukutya okanye ukusela nantoni na.

Kubalulekile: Ngamanye amaxesha, ugqirha wakho angakucela ukuba uqhubeke nokusela amayeza owasebenzisayo ngeli xesha lovavanyo. Oku kwenzelwa ukubona ukuba amayeza asebenza kakuhle kangakanani kuwe. Ngoko ke landela imiyalelo kagqirha wakho ngokuchanekileyo.

Kwenzeka ntoni ngomhla wovavanyo lweBravo pH?

• Nxiba impahla elula nekhululekileyo kangangoko kunokwenzeka. Isibhedlele okanye iziko lonyango lwangaphandle lingakunika ilokhwe eyahlukileyo yokunxiba.
• Shiya ubucwebe bakho, amakhadi etyala, njl.njl. ekhaya. Awunakunxiba iiglasi okanye amazinyo okufakelwa ngexesha lovavanyo.
• Ngokuqinisekileyo kufuneka ube nomntu onoxanduva lokukubuyisela ekhaya, kuba uza kunikwa amayeza okukwenza unxile kancinci.
• Iqela lakho lezonyango liza kukuchazela kwakhona ngenkqubo kwaye likuchazele into omawuyilindele. Oku kwenziwa ngokukubeka kwimeko ebizwa ngokuba yi- "twilight sleep," oko kuthetha ukuba unikwa amayeza okukwenza uzive ngathi ukwi-light sleep. Baza kuthetha nawe nangazo naziphi na iingxaki okanye iziphumo ebezingalindelekanga.
• Kuya kusetyenziswa i-anesthetic yendawo ngasemva komqala wakho.
• Ugqirha uza kufaka i-endoscope ngomlomo wakho aze ayidlulisele emphinjeni wakho iye esiswini sakho. Ungakhathazeki, oku akuyi kuphazamisana nokuphefumla kwakho.
• Ugqirha uncamathisela i-capsule kwizicubu ezikumphimbo aze ajonge ukuba isignali ifunyenwe ngokufanelekileyo na yirekhoda.
• Le nkqubo yonke ithatha imizuzu embalwa kuphela.

Ngaba uvavanyo lokujonga i-pH lweBravo lubuhlungu?

Usenokuba uzibuza ukuba eli thuba liza kuba njani. Inyaniso kukuba, umqala wakho usenokuba buhlungu kancinci. Kusenokuvakala ngathi kukho into ebambeke emqaleni wakho. Nangona kunjalo, ukuba ufumana iintlungu ezinganyamezelekiyo okanye naziphi na iimpawu ezikwenza uzive uxhalabile, yazisa ugqirha wakho ngoko nangoko.

Kwenzeka ntoni ngexesha lovavanyo lokujonga i-pH yeBravo emva kokufaka i-capsule?

Kulungile, ngoku ungaphakathi kwikhaphu. Ufanele ukuba unjani kwiiyure ezingama-48 ezilandelayo (malunga neentsuku ezimbini)?

• Umsebenzi: Qhubeka nemisebenzi yakho yemihla ngemihla. Musa ukunciphisa okanye ukutshintsha imisebenzi yakho ngexesha lovavanyo. Ukwenza njalo kunokunciphisa ukuchaneka kweziphumo zovavanyo. Kubalulekile: Musa ukuvumela irekhoda ukuba imanzi. Ayingeni manzi.
• Ukutya: Yitya ukutya okuqhelekileyo ngamaxesha akho aqhelekileyo. Ukuba awutyi ngexesha lovavanyo, isisu sakho asiyi kuvelisa i-asidi njengoko siqhele ukwenza. Oku kunokukunika iziphumo zovavanyo ezingezizo. Yitya ubuncinane izidlo ezibini ngemini. Yitya ukutya okwenza iimpawu zakho zibe zimbi kakhulu (kodwa kungenzima kakhulu ukuba ukwazi ukuzinyamezela). Kuphephe ukutya okulula. Musa ukufunxa iilekese, i-toffee, ii-lozenges, okanye i-chew gum ngexesha lovavanyo.
• Ukulala phantsi: Hlala uthe nkqo kangangoko unako imini yonke. Musa ukulala phantsi ude ulale ebusuku (ngaphandle kokuba ukulala okanye ukulala phantsi yinxalenye yemisebenzi yakho yemihla ngemihla).
• Amayeza:Qhubeka usela nawaphi na amayeza ugqirha wakho akucebise ukuba uwayeke ngexesha lovavanyo.
• Ukurekhoda iimpawu: Xa unempawu, cofa iqhosha elifanelekileyo kwirekhoda (umongikazi wakho uya kube ekuxelele ngale nto). Bhala phantsi ixesha oqala ngalo uze uyeke ukutya nokusela nantoni na ngaphandle kwamanzi. Bhala phantsi ixesha olala ngalo (nokuba kukuphumla nje) kunye nexesha ovuka ngalo kwakhona. Omnye weqela lakho lezonyango uza kukuchazela konke oku.
• Iimpawu okanye iziphumo ebezingalindelekanga ezingaqhelekanga: Ukuba ucinga ukuba ufumana naziphi na iimpawu okanye iziphumo ebezingalindelekanga ezingaqhelekanga, fowunela ugqirha wakho ngoko nangoko.

Xa ixesha lovavanyo liphelile, kufuneka ubuyisele irekhodi kunye nedayari. Ulwazi olukwirekhodi kunye nedayari lufakwa kwikhompyutha kwaye iziphumo ziyahlalutywa.

Zithini iingozi kunye neenzuzo zovavanyo lokujonga i-pH lweBravo?

Kubalulekile ukwazi ngokuqinisekileyo ukuba une-acid reflux ngokwenene. Kuba ukuba unesifo esibi kakhulu njenge-GERD, singonakalisa umphimbo wakho. Ukuba oko kuyenzeka, ungagqibela uneengxaki ezibi kakhulu njenge- Barrett's esophagus okanye umhlaza womphimbo kamva.

Kubalulekile ukwazi ukuba awunaso isifo sentliziyo. Abantu abaninzi basebenzisa amayeza afana ne-PPI, kodwa awancedi. Ngoko ke, ngaphandle kokuba unengxaki ngokwenene, akufuneki usele amayeza simahla. Ukuba awunaso isifo sentliziyo, iqela lakho lezonyango linokukunceda ufumane unobangela wokwenene weempawu zakho.

Kukho iingozi kuyo nayiphi na inkqubo yezonyango. Nangona kunjalo, iingxaki ngovavanyo lweBravo zibikwe rhoqo. Ngamanye amaxesha, iimpazamo zezixhobo zinokwenza iziphumo zingathembeki. I-capsule isenokungakhululwa kulo lonke uvavanyo. Okanye, isenokungakhululwa ngexesha ekufanele ukuba ikhutshwe ngalo.

Amaxesha amaninzi, abantu abenza olu vavanyo banokuhlangabezana nobunzima bokuginya, iintlungu zesifuba, okanye iintlungu zomqolo. I-endoscopy inokubangela nomphimbo obuhlungu usuku okanye ezimbini.

Kukho ezinye iingozi ezinokwenzeka, ezingaphantsi kakhulu, ezinje ngokonakala kwezicubu zomqala okanye amathumbu, ukopha, okanye ukufunxwa kwekhaphu kungene kumbhobho womoya.

Kwenzeka ntoni emva kovavanyo lokujonga i-pH lweBravo?

Emva kokuba uvavanyo lugqityiwe:

• Ungaqalisa kwakhona ukutya kwakho okuqhelekileyo, iziselo, kunye namayeza .
• Ungaqhubeka nemisebenzi yakho yesiqhelo – ukuginya, ukutya, ukusela, njl. Xa usenza ezi zinto, i-capsule ye-pH esuswayo iya kuphuma kwaye idla ngokuphuma kunye nendle yakho kwiintsuku ezisixhenxe ukuya kwezilishumi.
• Awunakwenza uvavanyo lwe-MRI (Magnetic Resonance Imaging - MRI) kangangeentsuku ezingama-30 emva kokuba i-capsule ifakiwe.
• Bona ugqirha wakho nize nixoxe ngeziphumo zovavanyo. Uza kukunceda wenze isicwangciso sokulawula iimpawu zakho.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngoko ke, mhlawumbi uyaqonda ukuba olu vavanyo lweBravo pH luyintoni kwaye lunokukunceda njani ufumane unobangela wentlungu yesifuba sakho kunye ne-acid reflux.

Nangona oku kungabonakala ngathi yingxaki, kubalulekile ukwazi ngokuqinisekileyo ukuba unesifo esifana ne-GERD. Wakuba usazi, ungaqala unyango olufanelekileyo. Okanye, ungayeka ukuthatha amayeza uze ufumane unobangela wokwenene weempawu zakho.

Ukuba ugqirha wakho ucebisa olu vavanyo, thetha naye ngalo kwaye ubuze nayiphi na imibuzo onokuba unayo. Zithobe kwaye ungoyiki. Iqela lakho lezonyango liza kukuchazela yonke into kwaye likuncede.

Umlomo ophumayo, i-pH, i-acid reflux, i-GERD, uvavanyo lweBravo, i-endoscopy, ukudumba kwesifuba