Ngaba nawe usoloko unesitshiso sentliziyo? Kuvakala ngathi kuyatsha. Nangona sihlala sibiza ngokuba yi "gastritis", ngamanye amaxesha imbangela yi-asidi esiswini, oko kukuthi, i-asidi, ephuma iye emqaleni, okanye njengoko sisitsho, i-esophagus. Ukuba oku kuyaqhubeka, kunokuba yinto ecaphukisayo. Ngoko ke, ngaba ugqirha wakho ukuxelele ukuba wenze uvavanyo olutsha ukuze ufumane ukuba yintoni kanye kanye ebangela oku? Luvavanyo lweBravo pH. Igama lisenokuvakala lingaqhelekanga, kodwa ungoyiki. Olu luvavanyo olulula kakhulu, nolubaluleke kakhulu. Masithethe ngayo yonke into ngokucacileyo nangokulula namhlanje.
Kalula nje, yintoni le Bravo pH Test?
Uvavanyo lweBravo luvavanyo olulinganisa i-pH ye-esophagus yakho. Kulungile, kulungile, ungoyiki xa usiva "i-pH." Ngamafutshane, i-pH yindlela yokulinganisa ukuba into ine-asidi kangakanani. Isisu sethu sine-asidi enamandla ebizwa ngokuba yi-hydrochloric acid. Inceda ekugayeni ukutya. Kodwa xa le asidi iphuma esiswini, ingena kwi-esophagus, kulapho iingxaki ziqala khona. I-esophagus ayakhelwanga ukumelana ne-asidi enamandla kangaka.
Ngoko ke uvavanyo lweBravo lulinganisa ukuba ingakanani i-asidi ephumayo kwi-esophagus yakho kwixesha leeyure ezingama-48, okanye iintsuku ezimbini. Oku kuvumela ugqirha wakho ukuba aqinisekise ukuba unesifo se-gastroesophageal reflux, okanye i-GERD ngamafutshane.
Olu vavanyo ludla ngokwenziwa yingcali yezifo zamathumbu. Uza kudibanisa i-capsule encinci eludongeni lomqala wakho. Ifana nesixhobo esincinci sokurekhoda. I-capsule ilinganisa amanqanaba e-asidi yakho kwaye ithumele idatha kwi-recorder encinci oyinxiba esinqeni sakho. Xa ubuyisela i-recorder kugqirha wakho emva kweentsuku ezimbini, uza kujonga ulwazi aze enze uxilongo malunga nemeko yakho. I-capsule efakwe kuyo? Iya kuziphumela yodwa emva kweentsuku ezimbalwa, ihambe kwindlela yakho yokugaya ukutya, kwaye ikhutshwe nendle yakho.
Kutheni ndingathanda ukwenza uvavanyo olunje?
Ukuba uneempawu zeGERD, ugqirha wakho unokucebisa olu vavanyo. Umzekelo, ukuba usela amayeza akho yonke imihla kodwa isitshiso sakho asipheli, okanye ukuba ufuna ukwazi ngokuqinisekileyo ukuba iimpawu zakho zibangelwa yi-acid reflux, olu vavanyo lubaluleke kakhulu.
Ezi zezona mpawu zibonakala kakhulu:
- Isitshiso sentliziyo: Ukuziva ngathi isifuba sakho siyatsha.
- Ukukhwehlela: Ukukhwehlela okufika ingakumbi ebusuku kwaye kungekho sizathu saziwayo.
- Umphimbo obuhlungu: Ukuziva ubuhlungu rhoqo kunye nentlungu emqaleni.
- Ukurhawuzela:Utshintsho kwilizwi, uvakalelo lobunzima.
- Ukurhawuzelela ukutya: Imvakalelo yokutya ebuyela emqaleni emva kokutya.
Ukuba sele unenye okanye ngaphezulu kwezi mpawu ixesha elide, ngokuqinisekileyo kungcono ukubona ugqirha kwaye ufumane ingcebiso.
Isebenza njani le nkqubo yovavanyo lweBravo?
Oku kungabonakala ngathi yinto enzima, kodwa eneneni kulula kakhulu. Le nkqubo inamacandelo amathathu aphambili.
1. Ikhaphu ebuthathaka kwi-pH: Le yiqhawe. Ikhaphu encinci enobukhulu obufana nozipho lwakho oluncinci. Le yileyo ilinganisa inqanaba le-asidi kwi-esophagus kwaye ithumela ulwazi.
2. Irekhoda: Esi sisixhobo esincinci esilingana nemawusi yekhompyutha. Kufuneka usinxibe esinqeni sakho. Sirekhoda yonke idatha ethunyelwe kwikhaphu.
3. Inkqubo yesoftware: Inkqubo yekhompyutha enceda konke oku kusebenze kunye.
Le capsule ifakwa ngenkqubo ebizwa ngokuba yi-upper endoscopy . Usenokukhumbula, abanye abantu bathi, "ukufaka ityhubhu emlonyeni wakho," kwaye yiloo nto injalo. Kodwa ungakhathazeki, uyathomalaliswa ngexesha le nkqubo, ngoko awuyi kuva ntlungu. Ugqirha uza kufaka ityhubhu encinci enekhamera enamathele emlonyeni wakho aze ayincamathisele eludongeni lomqala wakho.
Emva kokuba uyinxibile, uya ekhaya. Kulapho uvavanyo lweeyure ezingama-48 luqala khona. Kuya kufuneka ugcine idayari. Kuya kufuneka ubhale phantsi izinto ezifana nokuba uqala nini ukutya, uqala nini ukusela, ugqiba nini, unxiba nini, uvuka nini. Kwaye kukho amaqhosha ambalwa kuloo rekhoda. Kwangoko nje wakuba uneempawu ezifana neentlungu zesifuba okanye ukukhwehlela, kuya kufuneka ucinezele iqhosha elifanelekileyo.
Emva kweentsuku ezimbini, ubuyisela irekhodi kunye nedayari kugqirha. Emva koko uyayihlalutya loo nkcazelo.
Ndingazilungiselela njani ngaphambi kovavanyo?
Le yinxalenye ebaluleke kakhulu. Ukuze ufumane iziphumo ezichanekileyo kuvavanyo, kufuneka ulandele imiyalelo kagqirha ngokuchanekileyo.
- Xelela ugqirha wakho imbali yakho epheleleyo yezonyango , ingakumbi ukuba une -allergy kwi-nickel, njengoko le capsule inenani elincinci kakhulu le-nickel.
- Xelela ugqirha wakho ukuba une -pacemaker okanye esinye isixhobo sentliziyo , ukuba uneengxaki zokopha, okanye ukuba unezinye izifo ezinxulumene nomqala.
Ngokwesiqhelo, ugqirha wakho uya kukunika olu hlobo lwemiyalelo. Le imalunga nokuyeka amayeza. Kodwa khumbula, ungaze uyeke ukuthatha amayeza ngaphandle kokubuza ugqirha wakho.
| Ixesha | Iintlobo zeziyobisi ekufuneka ziyekwe kunye nemizekelo |
|---|---|
| Iintsuku ezisi-7 ngaphambi kovavanyo | IiProton Pump Inhibitors (PPIs): La ngamayeza asetyenziswa kakhulu kwi-gastritis. Imizekelo: I-Omeprazole (Prilosec®), i-Esomeprazole (Nexium®), i-Lansoprazole (Prevacid®), i-Pantoprazole (Protonix®), i-Rabeprazole (Aciphex®). |
| Iintsuku ezi-2 (iiyure ezingama-48) ngaphambi kovavanyo | Ii-H2 Blockers: Ezi zikwaluhlobo lwamayeza okunciphisa i-asidi. Imizekelo ibandakanya iRanitidine (Zantac®), iFamotidine (Pepcid®), iCimetidine (Tagamet®), iNizatidine (Axid®). Kwakhona, amayeza afana neMetoclopramide (Reglan®). |
| Iiyure ezi-6 ngaphambi kovavanyo | Ii-antacids: Ezi zizinto ezisetyenziswa xa sinesitshiso sentliziyo. Imizekelo: Maalox®, Mylanta®, Tums®, Gaviscon®, naluphi na uhlobo. |
| Iiyure ezi-4-6 ngaphambi kovavanyo | Musa ukutya okanye ukusela nantoni na. |
Ngamanye amaxesha ugqirha wakho angakuxelela ukuba uqhubeke nokusela amayeza owasebenzisayo ngoku. Oku kuya kumnceda abone ukuba amayeza asebenza kakuhle kangakanani kuwe. Ngoko ke, landela imiyalelo kagqirha wakho ngokuchanekileyo.
Kwenzeka ntoni ngomhla wovavanyo? Ngaba ndiza kuva iintlungu?
Oku kudla ngokwenziwa kwicandelo labagula ngaphandle esibhedlele okanye ekliniki. Uza kunikwa iyeza lokuthomalalisa ukukunceda uzive ukhululekile kwaye ukhululekile, ngoko ke kuya kufuneka uze nomntu onoxanduva ukuze akuqhubele ekhaya. Lonke eli nyathelo alifanele lithathe imizuzu engaphezu kwama-30.
Emva kwenkqubo, unokuba nomphimbo obuhlungu kancinci kangangeentsuku ezimbini okanye ezintathu. Oku kuqhelekile. Nangona kunjalo, ukuba ufumana iintlungu ezinganyamezelekiyo okanye ezinye iingxaki, yazisa ugqirha wakho ngoko nangoko.
Ndingenza ntoni kwiintsuku ezimbini emva kovavanyo?
Indlela oziphatha ngayo kwezi ntsuku zimbini iya kuchaphazela ngqo iziphumo zovavanyo. Ngoko ke lumka ngezi zinto.
- Imisebenzi: Qhubeka nemisebenzi yakho yemihla ngemihla. Musa ukuhlala ekhaya ngelixa uvavanyo lusenziwa. Sifuna ukubona ukuba i-acid reflux yakho ihamba njani kubomi bakho bemihla ngemihla.
- Ukutya nokusela: Yitya ukutya kwakho rhoqo, ngamaxesha akho aqhelekileyo. Ukuba awutyi ukutya, isisu sakho siya kuvelisa i-asidi encinci, nto leyo enokwenza iziphumo zingachaneki. Yitya ubuncinane izidlo ezibini ngemini. Ukuba kunokwenzeka, yitya ukutya okwenza iimpawu zakho zibe zimbi kakhulu (kodwa kungenzima kakhulu ukuzinyamezela). Kuphephe ukutshinga itshungama, itofi, okanye iilozenji kwezi ntsuku zimbini.
- Ukulala phantsi: Hlala uthe nkqo kangangoko unako imini yonke. Musa ukurhoxa de kufike ixesha lokulala (ngaphandle kokuba ulala emini).
- Ukurekhoda iimpawu: Wakuba nje ufumene uphawu, cofa iqhosha elihambelanayo kwirekhoda. Kwakhona, bhala phantsi amaxesha achanekileyo otya ngawo, osela ngawo, olala ngawo, novuka ngawo kwidayari.
Zithini iingenelo kunye neengozi zolu vavanyo?
Njengakuyo nayiphi na uvavanyo lwezonyango, kukho iingozi ezithile, kodwa ziphantsi kakhulu.
Eyona nzuzo iphambili kukuba inokuchonga ngokuchanekileyo ukuba iimpawu zakho zibangelwa yi-GERD okanye akunjalo. Ukuba ayinyangwa, i-GERD inokonakalisa umphimbo wakho kwaye ikhokelele kwiimeko ezinzulu ngakumbi, ezifana nomhlaza kaBarrett okanye umhlaza womphimbo. Kubalulekile ukwazi ukuba awunayo i-GERD. Oku kuya kunceda ugqirha wakho afumane unobangela wokwenene weempawu zakho.
Iingozi ezinokwenzeka (ezinqabileyo kakhulu):
- Ukungasebenzi kakuhle kweCapsule okanye irekhoda.
- Ikhaphu ayinamatheli kakuhle kwaye iphuma ngaphambi kokuba uvavanyo lugqitywe.
- I-capsule ayiphumi ngexesha elicwangcisiweyo emva kovavanyo.
- Ubunzima okanye intlungu xa uginya.
Kubaluleke kakhulu: Ngenxa yokuba uvavanyo lweBravo lunemagnethi ngaphakathi kwikhaphu, awunakwenziwa i-MRI scan kangangeentsuku ezingama-30 emva kolu vavanyo. Oku kunokuphazamisana nomatshini we-MRI.
Yintoni endinokuyifunda kwiziphumo?
Emva kokuhlalutya iziphumo, ugqirha unokufumanisa izinto ezifana nezi:
- Zingaphi izihlandlo oye waba ne-acid reflux kwiintsuku ezimbini ezidlulileyo?
- Loo asidi yahlala ixesha elingakanani ngaxesha nye?
- Kukangaphi ukhe waba ne-acid reflux ngelixa ulele?
- Zingaphi izihlandlo apho i-pH ye-esophagus yayingaphantsi kwe-4, oko kuthetha ukuba yayine-asidi eninzi?
Ngokusekelwe kolu lwazi, ugqirha wakho unokufumanisa ukuba unayo na i-GERD, kwaye ukuba kunjalo, inzima kangakanani, aze enze isicwangciso sonyango esikufaneleyo. Ngokuqhelekileyo kuthatha malunga neeveki ezimbini ukufumana iziphumo.
Umyalezo Wokuya Ekhaya
- Uvavanyo lweBravo pH luvavanyo oluchanekileyo nolukhuselekileyo olulinganisa ukuba ingakanani iasidi yesisu engena emophagus yakho.
- Kule nto, kufakwa i-capsule encinci kwi-esophagus kwaye idatha irekhodwa iintsuku ezimbini.
- Inkqubo yokufaka i-capsule (i-Endoscopy) yenziwa phantsi kwe-anesthesia, ngoko awuyi kuva ntlungu.
- Ukuze ufumane iziphumo zovavanyo ezichanekileyo, kufuneka ulandele imiyalelo kagqirha wakho ngokuchanekileyo, ingakumbi malunga nokuyeka amayeza nokutya nokusela.
- Ukuba ufumana naluphi na uvakalelo olungathandekiyo ngexesha okanye emva kovavanyo, thetha nogqirha wakho ngoko nangoko. Le yeyona ndlela ilungileyo yokufumana unobangela wemeko yakho kwaye ufumane unyango olufanelekileyo.
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