Ufuna ukwazi imbangela eqondile yesifo sakho sokushisa kwenhliziyo kanye ne-acid reflux? (Ukuhlolwa kwe-Bravo Esophageal pH)

Ingabe uvame ukuzwa umuzwa oshisayo esifubeni sakho kanye nokunambitheka okumuncu emphinjeni wakho? Ngezinye izikhathi lokhu kungakhululeki ngemva kokudla kuyacasula kakhulu, akunjalo? Abanye abantu bakubiza nangokuthi i-gastritis. Ngakho-ke iyini imbangela yangempela yalokhu, futhi namuhla sizokhuluma ngokuhlolwa okunganquma ngokunembile ukuthi i-asidi esiswini sakho iyangena emphinjeni wakho. Lokhu kubizwa ngokuthi ukuhlolwa kokuqapha i-pH kwe-Bravo™.

Kuyini ukuhlolwa kwe-pH kwe-Bravo™? Kungani kudingeka ngenze lokhu?

Kalula nje, lokhu kuhlolwa kwe-Bravo pH kulinganisa i-pH ye-esophagus yakho. Manje ungase uzibuze ukuthi leli nani le-pH lisho ukuthini. I-pH iyisilinganiso sokuthi into ene-acid noma i-basic/alkaline iyini. Izisu zethu ziqukethe into ebizwa ngokuthi i-stomach acid. Yilokhu okusisiza ukuthi sigaye ukudla esikudlayo. Kodwa-ke, ngezinye izikhathi le-acid yesisu igeleza iphindele phezulu e-esophagus, ipayipi elithwala ukudla kusuka emphinjeni kuya esiswini. Bese i-acidity ye-esophagus iyanda.

Akuyona nje i-asidi yesisu, kodwa ngezinye izikhathi izinhlayiya zokudla ezingagayiwe kanye nezinye ijusi zokugaya ukudla nazo zingabuya. Lokhu kubuyela emuva njalo kokuqukethwe esiswini kubizwa ngokuthi "i-reflux." Uma lokhu kwenzeka njalo, kungalimaza umphimbo. Ngakho-ke, lokhu kuhlolwa kwe-pH ye-Bravo kungathola ukuthi okuqukethwe esiswini kukhuphuka kangaki kumphimbo ongezansi, nokuthi kune-asidi kangakanani.

Uma udokotela wakho esola ukuthi unesifo se-gastroesophageal reflux (GERD) , noma isifo se-acid reflux esikhulume ngaso, angase ancome lokhu kuhlolwa kwe-Bravo pH. Abantu abane-GERD bangase babe nezimpawu ezifana nalezi:

• Isilungulela
• Ubuhlungu besifuba
• Ukukhwehlela
• Umphimbo obuhlungu noma izwi elihoshozelayo

Ukuhlolwa kwe-pH ye-Bravo kusebenza kanjani?

Ukuhlolwa kokuqapha i-pH ye-Bravo kusebenza njengohlelo. Kunezingxenye ezintathu eziyinhloko:

1. I-capsule encane engenantambo elinganisa i-pH (i-pH-sensing wireless capsule): Yilokhu okulinganisa i-pH ngokuyinamathisela ezicutshini zomhubhe.

2. Irekhoda: Udinga ukugqoka lokhu. Kuqopha idatha ethunyelwe kusuka ku-capsule.

3. Uhlelo lwesofthiwe olusiza ekwenzeni konke lokhu kusebenze.

Cabanga ngakho njenge-capsule encane, cishe ngobukhulu besivalo sejeli. Inamathele okwesikhashana odongeni lomphimbo wakho. Lokhu kwenziwa ngesikhathi senqubo ebizwa ngokuthi i-upper endoscopy . I-capsule ilinganisa i-pH yomphimbo wakho bese idlulisela lolo lwazi ku-recorder (cishe ngobukhulu be-pager) oyiphatha ebhandeni lakho noma ephaketheni lakho.

Lo mshini wokuqopha unezinkinobho eziningana. Uma unezimpawu ze-GERD, njengesilungulela, ucindezela inkinobho ehambisanayo (umhlengikazi uzokutshela ukuthi yiziphi izimpawu okufanele uziqophe). Uzocelwa futhi ukuthi ugcine idayari. Kuyo, uzoqopha izinto ezifana nokuthi uqala nini ukudla, ukuthi uqeda nini ukudla, ukuthi uphuza nini, ukuthi ulala nini, nokuthi uvuka nini futhi. Konke lokhu kuzochazwa ngumhlengikazi.

Ubani owenza ukuhlolwa kokuqapha i-pH ye-Bravo?

Le capsule ifakwa udokotela wezifo zamathumbu, udokotela oqeqeshwe kwi- endoscopy yamathumbu . Phakathi nale nqubo, kufakwa ipayipi elincane elinekhamera ngomlomo wakho bese lidluliselwa emphinjeni wakho liye esiswini sakho. Le nqubo ingahlola uhlelo lwakho lokugaya ukudla futhi yelaphe ezinye izimo.

Ulungiselela kanjani ukuhlolwa kwe-pH ye-Bravo?

Lokhu kuyinto okufanele uyiqaphele kancane.

• Uma une -pacemaker noma i-heart defibrillator efakwayo, uke waba nezinkinga zokopha ngaphambilini, wavula imithambo yegazi, noma unezinye izinkinga ezaziwayo ngemithambo yegazi yakho, kufanele nakanjani wazise udokotela wakho.

Okulandelayo, eminye imithi kuzodingeka iyekwe ezinsukwini ezimbalwa ngaphambi kwalokhu kuhlolwa.

• Izinsuku eziyisikhombisa (7) ngaphambi kokuhlolwa: Ungathathi imithi ebizwa ngokuthi i-Proton Pump Inhibitors (PPIs), njenge-Omeprazole (Prilosec®), i-Lansoprazole (Previcid®), i-Rabeprazole (Aciphex®), i-Pantoprazole (Protonix®), i-Esomeprazole (Nexium®).
• Izinsuku ezimbili (amahora angu-48) ngaphambi kokuhlolwa: Ungathathi ama-H2 blockers, njenge-Ranitidine (Zantac®), i-Cimetidine (Tagamet®), i-Famotidine (Pepcid®), i-Nizatidine (Axid®). Futhi, yeka ukuthatha i-Metoclopramide (Reglan®).
• Amahora ayisithupha (6) ngaphambi kokuhlolwa: Ungathathi imithi yokwelapha i-asidi, okungukuthi imithi yoketshezi noma amaphilisi asetshenziselwa ukwelapha igesi (njenge-Alka-Seltzer®, i-Gaviscon®, i-Maalox®, i-Milk of Magnesia®, i-Mylanta®, i-Phillips®, i-Riopan®, i-Tums®).
• Amahora amane kuya kwayisithupha ngaphambi kokuhlolwa kwakho: Ungadli noma uphuze lutho.

Okubalulekile: Ngezinye izikhathi, udokotela wakho angase akucele ukuthi uqhubeke nokuthatha umuthi owuthathayo njengamanje phakathi nalesi sikhathi sokuhlolwa. Lokhu kwenzelwa ukubona ukuthi umuthi usebenza kahle kangakanani kuwe. Ngakho landela imiyalelo kadokotela wakho ngqo.

Kwenzekani ngosuku lokuhlolwa kwe-pH ye-Bravo?

• Gqoka izingubo ezilula nezikhululekile ngangokunokwenzeka. Isibhedlela noma isikhungo sokwelapha iziguli ezingalaliswa esibhedlela singakunikeza ingubo ehlukile ongayigqoka.
• Shiya ubucwebe bakho, amakhadi esikweletu, njll. ekhaya. Awukwazi ukugqoka izibuko noma amazinyo okufakelwa ngesikhathi sokuhlolwa.
• Kufanele nakanjani ube nomuntu onesibopho sokukubuyisela ekhaya, ngoba uzonikezwa imithi yokukudakisa kancane.
• Ithimba lakho lezokwelapha lizophinde likuchazele inqubo futhi likuchazele ukuthi yini ongayilindela. Lokhu kwenziwa ngokukubeka esimweni esibizwa ngokuthi "ukulala kancane," okusho ukuthi unikezwa imithi yokwenza uzizwe sengathi usebuthongweni obuncane. Bazophinde bakuxoxele nganoma yiziphi izinkinga noma imiphumela emibi engaba khona.
• Kuzofakwa umuthi wokubulala izinzwa wendawo ngemuva komphimbo wakho.
• Udokotela uzobe esefaka i-endoscope ngomlomo wakho bese eyidlulisela phansi emhubheni wakho iye esiswini sakho. Ungakhathazeki, lokhu ngeke kuphazamise ukuphefumula kwakho.
• Udokotela unamathisela i-capsule ezicutshini ezisemhubheni bese ehlola ukuthi isignali itholwa kahle yini yi-recorder.
• Lonke lolu hlelo luthatha imizuzu embalwa kuphela.

Ingabe ukuhlolwa kokuqapha i-pH ye-Bravo kuyalimaza?

Ungase uzibuze ukuthi lokhu kuzoba njani. Uma ngikhuluma iqiniso, umphimbo wakho ungase uzwe ubuhlungu kancane. Kungase kuzwakale sengathi kukhona okubambeke emphinjeni wakho. Kodwa-ke, uma uzwa ubuhlungu obungabekezeleleki noma izimpawu ezikwenza uzizwe ukhathazekile, yazisa udokotela wakho ngokushesha.

Kwenzekani ngesikhathi sokuhlolwa kokuqapha i-pH ye-Bravo ngemva kokufaka i-capsule?

Kulungile, manje ungaphakathi kwe-capsule. Kufanele ube njani emahoreni angu-48 alandelayo (cishe izinsuku ezimbili)?

• Umsebenzi: Qhubeka nemisebenzi yakho yansuku zonke evamile. Unganciphisi noma ushintshe imisebenzi yakho ngesikhathi sokuhlolwa. Ukwenza kanjalo kunganciphisa ukunemba kwemiphumela yokuhlolwa. Okubalulekile: Ungavumeli umshini wokuqopha umanzi. Awungenisi amanzi.
• Ukudla: Yidla ukudla kwakho okuvamile ngezikhathi zakho ezijwayelekile. Uma ungadli ngesikhathi sokuhlolwa, isisu sakho ngeke sikhiqize i-asidi njengoba sivame ukwenza. Lokhu kungakunikeza imiphumela yokuhlolwa engamanga. Yidla okungenani ukudla okubili ngosuku. Yidla ukudla okwenza izimpawu zakho zibe zimbi kakhulu (kodwa hhayi nzima kakhulu ukuthi ukwazi ukubhekana nazo). Gwema ukudla okulula. Ungamunyi amaswidi, i-toffee, ama-lozenges, noma i-chew gum ngesikhathi sokuhlolwa.
• Ukulala phansi: Hlala uqonde ngangokunokwenzeka usuku lonke. Ungalali phansi uze ulale ebusuku (ngaphandle kokuthi ukulala noma ukulala phansi kuyingxenye yenqubo yakho yansuku zonke).
• Imithi:Qhubeka uphuza noma yimiphi imithi udokotela wakho akuyalele ukuthi uyeke ngesikhathi sokuhlolwa.
• Ukuqopha izimpawu: Uma unezimpawu, cindezela inkinobho efanele ku-recorder (umhlengikazi wakho uzobe ekutshelile ngalokhu). Qopha isikhathi oqala ngaso bese uyeka ukudla nokuphuza noma yini ngaphandle kwamanzi. Qopha isikhathi olala ngaso (noma ngabe ukuphumula nje) kanye nesikhathi ovuka ngaso futhi. Omunye wethimba lakho lezokwelapha uzokuchazela konke lokhu.
• Izimpawu noma imiphumela emibi engavamile: Uma ucabanga ukuthi ubhekene nanoma yiziphi izimpawu noma imiphumela emibi engavamile, shayela udokotela wakho ngokushesha.

Uma isikhathi sokuhlolwa sesiphelile, kufanele ubuyisele irekhodi kanye nedayari. Ulwazi olukurekhodi kanye nedayari lufakwa kukhompyutha bese imiphumela ihlaziywa.

Yiziphi izingozi nezinzuzo zokuhlolwa kokuqapha i-pH kwe-Bravo?

Kubalulekile ukwazi ngokuqinisekile ukuthi une-acid reflux ngempela. Ngoba uma unesifo esibi kakhulu njenge-GERD, singalimaza umphimbo wakho. Uma lokho kwenzeka, ungagcina unezinkinga ezinkulu njenge- Barrett's esophagus noma umdlavuza womphimbo kamuva.

Kubalulekile futhi ukwazi ukuthi awunaso ngempela isimo sokushiswa yisisu. Abantu abaningi basebenzisa imithi efana nama-PPI, kodwa ayisizi. Ngakho-ke, ngaphandle kokuthi unenkinga ngempela, akudingeki uphuze imithi mahhala. Uma ungenaso isimo sokushiswa yisisu, ithimba lakho lezokwelapha lingakusiza ukuthola imbangela yangempela yezimpawu zakho.

Kunezingozi nganoma iyiphi inqubo yezokwelapha. Kodwa-ke, izinkinga ngokuhlolwa kwe-Bravo azibikwa njalo. Ngezinye izikhathi, amaphutha emishini angenza imiphumela ingathembeki. I-capsule ingase ingakhishwa kulo lonke ukuhlolwa. Noma, ingase ingakhishwa ngesikhathi okufanele ikhishwe ngaso.

Akuvamile kakhulu ukuthi abantu abanalolu vivinyo babhekane nobunzima bokugwinya, ubuhlungu besifuba, noma ubuhlungu bomhlane. I-endoscopy ingase ibangele nomphimbo obuhlungu usuku olulodwa noma ezimbili.

Kunezinye izingozi ezingaba khona, ezingaba khona kakhulu, njengokulimala kwezicubu zomhubhe noma amathumbu, ukopha, noma ukufuthwa kwekhaphu kungene embhobho womoya.

Kwenzekani ngemva kokuhlolwa kokuqapha i-pH kwe-Bravo?

Ngemva kokuphela kokuhlolwa:

• Ungaqhubeka nokudla kwakho okuvamile, iziphuzo, kanye nemithi .
• Ungaqhubeka nemisebenzi yakho evamile - ukugwinya, ukudla, ukuphuza, njll. Uma wenza lezi zinto, i-capsule ye-pH esuswayo izophuma futhi ivame ukuchitheka nendle yakho zingakapheli izinsuku eziyisikhombisa kuya kweziyishumi.
• Awukwazi ukwenza ukuhlolwa kwe-MRI (Magnetic Resonance Imaging - MRI) izinsuku ezingu-30 ngemva kokufakwa kwe-capsule.
• Bona udokotela wakho bese nixoxa ngemiphumela yokuhlolwa. Uzokusiza ukuthi wakhe uhlelo lokuphatha izimpawu zakho.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ngakho-ke, cishe uyaqonda ukuthi lokhu kuhlolwa kwe-Bravo pH kuyini nokuthi kungakusiza kanjani ukuthola imbangela yobuhlungu besifuba sakho kanye ne-acid reflux.

Nakuba lokhu kungase kubonakale kuyinkinga, kubalulekile ukwazi ngokuqinisekile ukuthi unesifo esifana ne-GERD. Uma usuyazi, ungaqala ukwelashwa okufanele. Noma, ungayeka ukuthatha imithi bese uthola imbangela yangempela yezimpawu zakho.

Uma udokotela wakho encoma lokhu kuhlolwa, khuluma naye ngakho bese ubuza noma yimiphi imibuzo ongase ube nayo. Yehlisa umoya futhi ungesabi. Ithimba lakho lezokwelapha lizokuchazela konke futhi likusize.

Umphimbo , i-pH, i-acid reflux, i-GERD, ukuhlolwa kwe-Bravo, i-endoscopy, ukuvuvukala kwesifuba