Ingabe nawe uphathwa yisisu njalo? Kuzwakala sengathi kuyasha. Nakuba sivame ukukubiza ngokuthi "i-gastritis", ngezinye izikhathi imbangela kuba yi-asidi esiswini, okungukuthi, i-asidi, egeleza emphinjeni, noma njengoba sisho, i-esophagus. Uma lokhu kuqhubeka, kungaba yinto ecasulayo kancane. Ngakho-ke, ingabe udokotela wakho ukutshele ukuthi wenze isivivinyo esisha ukuze uthole ukuthi yini ngempela ebangela lokhu? Yi-Bravo pH Test. Igama lingase lizwakale lingavamile, kodwa ungesabi. Lesi isivivinyo esilula kakhulu, futhi esibaluleke kakhulu. Ake sixoxe ngakho konke ngokucacile nangokulula namuhla.
Kalula nje, kuyini lokhu kuhlolwa kwe-Bravo pH?
Ukuhlolwa kwe-Bravo kuwukuhlolwa okukala i-pH ye-esophagus yakho. Kulungile, kulungile, ungakhathazeki uma uzwa "i-pH." Kalula nje, i-pH iyisilinganiso sokuthi into ine-asidi kangakanani. Isisu sethu siqukethe i-asidi enamandla ebizwa ngokuthi i-hydrochloric acid. Iyasiza ekugayeni ukudla. Kodwa uma le-asidi iphuma esiswini, ingena e-esophagus, yilapho izinkinga ziqala khona. I-esophagus ayakhelwe ukumelana ne-asidi enamandla kangaka.
Ngakho-ke ukuhlolwa kwe-Bravo kulinganisa ukuthi kunini futhi kungakanani i-asidi ephumayo emhubheni wakho esikhathini esingamahora angu-48, noma izinsuku ezimbili. Lokhu kuvumela udokotela wakho ukuthi aqinisekise ukuthi unesifo se-reflux se-gastroesophageal, noma i-GERD ngamafuphi.
Lokhu kuhlolwa kuvame ukwenziwa ngudokotela wezifo zamathumbu. Uzonamathisela i-capsule encane odongeni lomphimbo wakho. Kufana nedivayisi encane yokurekhoda. I-capsule ilinganisa amazinga e-asidi yakho bese ithumela idatha ku-recorder encane oyigqoka okhalweni lwakho. Uma ubuyisela i-recorder kudokotela wakho ngemva kwezinsuku ezimbili, uzobuyekeza ulwazi bese ethola ukuthi unesifo. I-capsule efakiwe? Izophuma yodwa ngemva kwezinsuku ezimbalwa, ihambe ngendlela yakho yokugaya ukudla, bese ikhishwa nendle yakho.
Kungani ngingafuna ukwenza isivivinyo esinjengalesi?
Uma unezimpawu ze-GERD, udokotela wakho angase akuphakamise lokhu kuhlolwa. Isibonelo, uma uphuza umuthi wakho nsuku zonke kodwa isilungulela sakho asipheli, noma uma ufuna ukwazi ngokuqinisekile ukuthi izimpawu zakho zibangelwa yi-acid reflux, lokhu kuhlolwa kubaluleke kakhulu.
Lezi yizimpawu ezivame ukubonakala:
- Isilungulela: Ukuzwa sengathi isifuba sakho siyasha.
- Ukukhwehlela: Ukukhwehlela okufika ikakhulukazi ebusuku futhi okungaziwa ukuthi kubangelwa yini.
- Umphimbo obuhlungu: Umuzwa ohlala njalo wobuhlungu nobuhlungu emphinjeni.
- Ukusha kwezwi:Ushintsho ezwini, umuzwa wokusinda.
- Ukubhodla ukudla: Umuzwa wokudla okubuyela emphinjeni wakho ngemva kokudla.
Uma usunesinye noma ngaphezulu salezi zimpawu isikhathi eside, kungcono kakhulu ukubona udokotela bese ucela iseluleko.
Isebenza kanjani le nqubo yokuhlola i-Bravo?
Lokhu kungase kubonakale kuyinto eyinkimbinkimbi, kodwa empeleni kulula kakhulu. Lolu hlelo lunezingxenye ezintathu eziyinhloko.
1. I-capsule ezwela i-pH: Lena yiqhawe. I-capsule encane elingana nozipho lwakho oluncane. Yilokhu okukala izinga le-asidi emhubheni bese kuthumela ulwazi.
2. Irekhoda: Lena idivayisi encane elingana negundane lekhompyutha. Kufanele uyigqoke okhalweni lwakho. Irekhoda yonke idatha ethunyelwe kusuka ku-capsule.
3. Uhlelo lwesofthiwe: Uhlelo lwekhompyutha olusiza konke lokhu ukuthi kusebenze ndawonye.
Le capsule ifakwa ngenqubo ebizwa ngokuthi i-upper endoscopy . Ungase ukhumbule, abanye abantu bathi, "ukufaka ipayipi emlonyeni wakho," futhi yilokho okukuyo. Kodwa ungakhathazeki, ulaliswa umuthi phakathi nale nqubo, ngakho ngeke uzwe ubuhlungu. Udokotela uzofaka ipayipi elincane elinekhamera exhunywe emlonyeni wakho bese enamathisela i-capsule encane odongeni lomphimbo wakho.
Ngemva kokuyigqoka, uya ekhaya. Yilapho kuqala khona ukuhlolwa kwamahora angu-48. Kufanele ugcine idayari. Kufanele ubhale phansi izinto ezifana nokuthi uqala nini ukudla, uqala nini ukuphuza, uqeda nini, ugqoka nini, uvuka nini. Futhi kunezinkinobho ezimbalwa kuleyo rekhoda. Uma nje unezimpawu ezifana nobuhlungu besifuba noma ukukhwehlela, kufanele ucindezele inkinobho efanele.
Ngemva kwezinsuku ezimbili, ubuyisela irekhodi kanye nedayari kudokotela. Ube esehlaziya ulwazi.
Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?
Lena yingxenye ebaluleke kakhulu. Ukuze uthole imiphumela enembile kusukela ekuhlolweni, udinga ukulandela imiyalelo kadokotela ngqo.
- Tshela udokotela wakho umlando wakho wezokwelapha ophelele , ikakhulukazi uma une -allergy ne-nickel, njengoba le capsule iqukethe inani elincane kakhulu le-nickel.
- Tshela udokotela wakho futhi uma une -pacemaker noma enye idivayisi yenhliziyo , uma unezinkinga zokopha, noma uma unezinye izifo ezihlobene nomphimbo.
Ngokuvamile, udokotela wakho uzokunikeza lezi zinhlobo zemiyalelo. Lokhu kumayelana nokuyeka imithi. Kodwa khumbula, ungalokothi uyeke ukuthatha imithi ngaphandle kokubuza udokotela wakho.
| Isikhathi | Izinhlobo zemithi okufanele uyiyeke kanye nezibonelo |
|---|---|
| Izinsuku eziyi-7 ngaphambi kokuhlolwa | Ama-Proton Pump Inhibitors (PPI): Lena imithi esetshenziswa kakhulu ye-gastritis. Izibonelo: I-Omeprazole (Prilosec®), i-Esomeprazole (Nexium®), i-Lansoprazole (Prevacid®), i-Pantoprazole (Protonix®), i-Rabeprazole (Aciphex®). |
| Izinsuku ezi-2 (amahora angama-48) ngaphambi kokuhlolwa | Ama-H2 Blockers: Lawa futhi uhlobo lwemithi yokwehlisa i-asidi. Izibonelo zifaka phakathi i-Ranitidine (Zantac®), i-Famotidine (Pepcid®), i-Cimetidine (Tagamet®), i-Nizatidine (Axid®). Futhi, imithi efana ne-Metoclopramide (Reglan®). |
| Amahora ayi-6 ngaphambi kokuhlolwa | Ama-antacid: Lawa uketshezi noma amaphilisi esiwaphuzayo uma sinesilungulela. Izibonelo: I-Maalox®, i-Mylanta®, i-Tums®, i-Gaviscon®, nanoma yiluphi uhlobo. |
| Amahora angu-4-6 ngaphambi kokuhlolwa | Ungadli noma uphuze lutho. |
Ngezinye izikhathi udokotela wakho angakutshela ukuthi uqhubeke nokuthatha umuthi owuthathayo njengamanje. Lokhu kuzomsiza ukuthi abone ukuthi umuthi usebenza kahle kangakanani kuwe. Ngakho-ke, landela imiyalelo kadokotela wakho ngqo.
Kuzokwenzekani ngosuku lokuhlolwa? Ingabe ngizozwa ubuhlungu?
Lokhu kuvame ukwenziwa emnyangweni weziguli ezingalaliswa esibhedlela noma emtholampilo. Uzonikezwa umuthi wokudambisa ukuze uzizwe ukhululekile futhi ukhululekile, ngakho kuzodingeka ulethe umuntu onomthwalo wemfanelo ozokuhambisa ekhaya. Yonke inqubo akufanele ithathe imizuzu engaphezu kwengu-30.
Ngemva kwenqubo, ungase ube nomphimbo obuhlungu kancane izinsuku ezimbili noma ezintathu. Lokhu kuvamile. Kodwa-ke, uma uzwa ubuhlungu obungabekezeleleki noma okunye ukungakhululeki, yazisa udokotela wakho ngokushesha.
Yini okufanele ngiyenze ezinsukwini ezimbili ngemva kokuhlolwa?
Ukuziphatha kwakho phakathi nalezi zinsuku ezimbili kuzothinta ngqo imiphumela yokuhlolwa. Ngakho-ke qaphela ngalezi zinto.
- Imisebenzi: Qhubeka nemisebenzi yakho evamile yansuku zonke. Ungahlali ekhaya ngesikhathi kwenziwa ukuhlolwa. Sifuna ukubona ukuthi i-acid reflux yakho ihamba kanjani empilweni yakho evamile.
- Ukudla Nokuphuza: Yidla ukudla kwakho njalo, ngezikhathi zakho ezijwayelekile. Uma weqa ukudla, isisu sakho sizokhiqiza i-asidi encane, okungenza imiphumela inganembile. Yidla okungenani ukudla okubili ngosuku. Uma kungenzeka, yidla ukudla okwenza izimpawu zakho zibe zimbi kakhulu (kodwa hhayi kunzima kakhulu ukubekezelela). Gwema ukuhlafuna i-gum, i-toffee, noma ama-lozenges kulezi zinsuku ezimbili.
- Ukulala phansi: Hlala uqonde ngangokunokwenzeka usuku lonke. Ungalali kuze kube yisikhathi sokulala (ngaphandle kokuthi ulala emini).
- Izimpawu zokuqopha: Uma nje uzwa izimpawu, cindezela inkinobho ehambisanayo ku-recorder. Futhi, qopha izikhathi eziqondile odla ngazo, ophuza ngazo, olala ngazo, novuka ngazo kudayari.
Yiziphi izinzuzo nezingozi zalolu vivinyo?
Njenganoma yikuphi ukuhlolwa kwezokwelapha, kunezingozi ezithile, kodwa ziphansi kakhulu.
Inzuzo enkulu ukuthi inganquma ngokunembile ukuthi i-GERD iyimbangela yezimpawu zakho noma cha. Uma ingelashwa, i-GERD ingalimaza umphimbo futhi iholele ezimweni ezibucayi kakhulu, njenge-Barrett's esophagus noma umdlavuza womphimbo. Kubalulekile futhi ukwazi ukuthi awunayo i-GERD. Lokhu kuzosiza udokotela wakho ukuthola imbangela yangempela yezimpawu zakho.
Izingozi ezingaba khona (ezingavamile kakhulu):
- Ukungasebenzi kahle kwe-capsule noma i-recorder.
- I-capsule ayinamatheli kahle futhi iyaphuma ngaphambi kokuba ukuhlolwa kuqedwe.
- I-capsule ayiphumi ngesikhathi esihleliwe ngemva kokuhlolwa.
- Ubunzima noma ubuhlungu ekugwinyeni.
Kubaluleke kakhulu: Ngenxa yokuthi isivivinyo se-Bravo sinozibuthe ngaphakathi kwe-capsule, awukwazi ukwenza i-MRI scan izinsuku ezingu-30 ngemva kwalokhu kuhlolwa. Lokhu kungaphazamisa umshini we-MRI.
Yini engingayifunda emiphumeleni?
Ngemva kokuhlaziya imiphumela, udokotela angathola izinto ezifana nalezi:
- Kukangaki uke waba ne-acid reflux ezinsukwini ezimbili ezedlule?
- Leso sici se-asidi sahlala isikhathi esingakanani ngesikhathi esisodwa?
- Uke waba ne-acid reflux kangaki ngesikhathi ulele?
- Kukangaki i-pH ye-esophagus ingaphansi kuka-4, okusho ukuthi yayine-asidi ephezulu?
Ngokusekelwe kulolu lwazi, udokotela wakho anganquma ukuthi une-GERD, futhi uma kunjalo, ukuthi inzima kangakanani, bese ethuthukisa uhlelo lokwelashwa olukufanele kakhulu. Ngokuvamile kuthatha cishe amasonto amabili ukuthola imiphumela.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Bravo pH kuwukuhlolwa okunembe kakhulu nokuphephile okukala ukuthi ingakanani i-asidi yesisu engena emhubheni wakho.
- Kulokhu, kufakwa i-capsule encane e-esophagus bese kubhalwa idatha izinsuku ezimbili.
- Inqubo yokufaka i-capsule (i-Endoscopy) yenziwa ngaphansi kwe-anesthesia, ngakho ngeke uzwe ubuhlungu.
- Ukuze uthole imiphumela yokuhlolwa enembile, kufanele ulandele imiyalelo kadokotela wakho ngqo, ikakhulukazi maqondana nokuyeka imithi nokudla nokuphuza.
- Uma uzwa noma yikuphi ukungakhululeki ngesikhathi noma ngemva kokuhlolwa, khuluma nodokotela wakho ngokushesha. Lena yindlela engcono kakhulu yokuthola imbangela eqondile yesimo sakho nokuthola ukwelashwa okufanele.
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