Zimene muyenera kuyembekezera, panthawi, ndi pambuyo pa kuyesa pH
Ngati dokotala wanu wakulimbikitsani kuyesa pH kufufuza kwa acid reflux, kodi mungayembekezere chiyani? Kodi chimachitika chiani, nthawi ndi pambuyo pake, ndipo chikutanthauzanji ngati zotsatira zanu zili zachilendo?
PH Test for Reflux ya Acid
Kuyezetsa kwa pH kwa acid reflux ( matenda a reflux a gastroesophageal kapena GERD ) amadziŵa kuchuluka kwa momwe amadzimadzi amadziwira nthawi yayitali, ndi momwe amachitira bwino.
Wachitidwa ndi kachidutswa kakang'ono, kapulasitiki kamene kali ndi sensa, imayesa kuchuluka kwake kwa asidi kumathandizira kumtunda.
Ndondomekoyi imakhala ikuchitika pamene zizindikiro za GERD zilipo koma kafukufuku wam'mbuyo sakuzindikira umboni uliwonse wa matenda a reflux. Zingathenso kutenganso zizindikiro zochepa zomwe zimawoneka za GERD monga kupweteka pachifuwa, mphumu, mantha, ndi zina.
Mayesero Odziwa Kuyeza kwa Reflux Acid (GERD)
Musanayese mayeso, dokotala wanu adzakufunsani za zizindikiro za GERD. Ambiri mwa izi ndi kupweteka kwa mtima. Zizindikiro zina zingakhale ndi kupwetekedwa mtima kapena kupweteka m'mimba, kuvutika kumeza, kapena chifuwa chachikulu. Adzakufunsani za zifukwa zanu zoopsa za GERD kuphatikizapo ngati muli ndi vuto lachiberekero, ngati mumasuta, kapena mumamwa mankhwala kapena kudya zakudya zomwe zingakuchititseni kuti musakonde.
Kawirikawiri matenda a GERD amapangidwa pa zizindikiro zokha. Ngati matendawa sali otsimikizika, kapena ngati matenda anu ndi aakulu ndipo pali nkhawa kuti mukhoza kukhala ndi mavuto a GERD , kuyesedwa koyeso kukulimbikitsidwa.
Kuyesera kawirikawiri kumachitidwa ngati mutalephera kuyankha kusintha kwa moyo ndi mankhwala. Pakalipano, mayesero ambiri ndi apamwamba kwambiri . Iyi ndiyo njira yomwe chubu imadutsa pakamwa panu komanso m'mimba mwanu. Zizindikiro za zovuta zilizonse zingathe kutengedwa.
Ngati palibe vuto lililonse, dokotala wanu angakulimbikitseni kufufuza pH (cholinga cha nkhaniyi.)
Mayesero ena omwe amachitika kawirikawiri angaphatikizepo chimbudzi cha Barium kapena manopheryomu ochepa kwambiri.
Kodi Mungayang'ane Chiyani Pakuyesa PH Yanu PH?
Ngati dokotala akukulimbikitsani kuti apange zojambulajambula, adzakukhazikitsani nthawi yowonongeka, kawirikawiri potsatira chipatala cha chipatala kapena kuchipatala chokhazikika chaukhondo. Adzakulangizani kuti ndondomekoyi ingakhale yosasangalatsa, koma nthawi zambiri imalekerera bwino.
Muyenera kuyankhula ndi dokotala wanu za mankhwala omwe mumakhala nawo musanayambe ntchito yanu, chifukwa zina mwa izi zingasokoneze zotsatira zanu. Ndizofala kwambiri kuti anthu asonyeze tsiku la ndondomekoyi, koma ayambiraninso chifukwa mankhwalawa sankagwiritsidwa ntchito. Onetsetsani kuti mumayankhula za mankhwala monga proton pump inhibitors (monga Prilosec kapena omeprazole), H2 blockers (monga Zantac kapena ranitidine), antacids, steroids, calcium channel blockers, ndi nitrates. Nthawi zina mankhwala akhoza kupitilizidwa, koma dokotala ayenera kudziwa izi monga momwe zingakhudzire zotsatira za kuyesa pH.
Asanayambe Kutenga Acidx PH Yesani
Mudzauzidwa kuti musadye maola anayi kapena asanu musanayambe.
Monga taonera, simuyenera kumwa mankhwala omwe mumakhala nawo nthawi zonse monga mankhwala a proton pump inhibitors kapena asanamwali.
Njira ya Esophageal pH
Ngati mukuyezetsa pH nthawi yomweyo ngati dokotala, dokotala wanu nthawi zambiri amaika IV ndipo amakupatsani mankhwala kuti akutsitsimutseni. Amatha kupopera kumbuyo kwa mmero ndi mankhwala. Mukamasuka mumakhala njira ziwiri zomwe angathe kukhazikitsa kafukufuku m'thupi lanu. Njira yoyamba ndi yapamwamba-chitukuko: Dokotala amalowetsa kafukufuku wa mphuno kudzera mu mphuno ndi m'kati mwake. Phukusi limangoima pamwamba pa seophageal sphincter (LES.) Izi zikhoza kuchitika panthawi yopuma pogwiritsa ntchito chipangizo chowunikira pH kumalo ozungulira.
Tiyiyo imasiyidwa m'malo mwa maola 24. Panthawi imeneyo, amalimbikitsidwa kuchita zochitika.
Njira yachiwiri ndi yapamwamba kwambiri: Ndikumapeto kwa dokotala, dokotala amaika kapsule yotayika m'kati mwake. Zilibe mauthenga okhudza zizindikiro komanso pamene mumadya kapena kugona ku unit yomwe mumavalira pa lamba wanu pogwiritsa ntchito batani.
Mulimonsemo, mudzakhala mukulemba zochitika zonse zomwe zikuganiziridwa ndi asidi reflux, ndi zizindikiro zina monga kukhwima ndi kuwomba. Izi zikhoza kuthandiza dokotala kudziwa ngati asidi reflux akugwirizana ndi mphumu yosadziwika kapena zizindikiro zina za kupuma.
Pamene mukuyesera kuchepetsa pH kuyang'anira, mudzauzidwa kudya chakudya nthawi zonse ndikupitiriza ntchito zanu zachizolowezi. Nthawi zambiri simuyenera kugona pansi, mpaka mutagona usiku.
Pambuyo Pomuyeso Wanu wa PH: Kubwezeretsedwa
Pambuyo pa kuyesedwa kwanu, khosi lanu lingamve kupweteka pang'ono tsiku kapena kuposerapo. Kupindula pa lozenges kapena maswiti olimba kungakhale kolimbikitsa. Pambuyo pake, pa chigawo chotsatira cha dokotala, muyenera kulandira zotsatira za kuyesayesa kwanu kwa pH.
Zotsatira za kuyesa kwanu kwa pH
Nthawi zambiri anthu amapita kunyumba atayesedwa ndipo amatha kukonzekera nthawi yomwe amva za zotsatira za kuyesa kwa pH.
Kuwunika kwa pH kungasonyeze kuti pH yanu ndi yachibadwa, pamene mtundu wina wa mayeso ungakonzedwe. Ngati pali asidi ochulukirapo m'mimba yanu mukhoza kukhala chifukwa cha zinthu zingapo zosiyana, kuyambira ku GERD kupita ku matenda a shuga , kuopseza (fibrosis), kupita ku dera la Barrett . Paulendo wanu, adokotala adzakambirana zomwe zikutanthawuza kwa inu ndikukambirana ngati pakuyesedwa kofunika kuti mudziwe vutoli.
Malingana ndi zotsatira zanu, dokotala wanu angapereke malangizo othandizira kusintha kwa moyo omwe akukulimbikitsani komanso mankhwala kuti athetse vuto lanu ndi kupeŵa mavuto.
Pansi pa Mayeso Anu a PH Esophageal
Mayeso a pH a popopera amachitidwa kuti ayang'ane kukhalapo kwa asidi reflux, kawirikawiri pamene zotsatira za chapamwamba endoscopy ndi zachilendo. Ndondomekoyi imachitika mofanana ndi endoscopy ndipo nthawi zambiri imalekerera. Kuti zotsatira za mayesero zikhale zolondola, ndizofunika kuyankhula ndi adokotala za mankhwala onse omwe mumagwiritsa ntchito, ndipo ena monga proton pump inhibitors ndi antacids adzathetsedwa asanayese.
> Zotsatira:
Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: maphunziro a Mc Graw Hill, 2015. Print.
> Roman, S., Gyawali, C., Savarino, E. et al. Kuwunika kwa Reflux Kulimbana ndi Matenda a Matenda a Reflux: Kusintha kwa Porto Consensus ndi Malingaliro ochokera ku International Consensus Group> Neurogastroenterology ndi Motility . 2017. 29 (10): 1-15.