Kutarisana nezviratidzo zvinogona kuratidza reflux, chiremba anogona kuita inonzi "presumptive" kuongororwa. Anonzwa kuti munhu uyu angangodaro aine reflux (pasina chokwadi chakakwana). Tichifunga nezve kuwanda kwegastroesophageal reflux, fungidziro iyi inobvumidza chiremba kuti anyore "yekuongorora kurapwa" nemishonga, uye yehutsanana mirairo yekudya, yataurwa pano.

Kana zviratidzo zvikasavandudza nekurapa, inogona kunge iri chimwe chinhu kunze kwereflux. Saka zvakakosha kuona gastroenterologist pane mazano echiremba anoenda, nokuda kwekuita kwe "high endoscopy" kana " Fibroscopy »Mushure mekumira kurapwa.

Izvi zvinokutendera kuti uone mutsara wesophagus uye mudumbu uye, kana zvichidikanwa, kutora samples. Nyanzvi saka dzimwe nguva inoona "eosinophilic esophagitis", kuzvimba kwesophagus kwakabatana kwete nereflux, asi nekupinzwa kwemamwe masero machena eropa. Saizvozvo, ongororo iyi inogona kukurumidza kuona, nekuvaona "peptic esophagitis, stenosis, cancer kana endobrachy esophagus".

Kazhinji fibroscopy yakajairika, uye haitsigire "reflux"

Chirwere chegastroesophageal reflux chichasimbiswa nekuongorora kunonzi pHmetry iyo inotara kuvepo kana kusavapo kwereflux kwemaawa makumi maviri nemana nekuyera chiyero che acidity yegurokuro. Muedzo uyu unosanganisira kuisa probe nemumhino mugurokuro. Pane probe, masensa anounganidza pH yesophagus, uye anosiyanisa pathological reflux kubva kune yakajairika. Inofanirwa kuitwa mazuva manomwe mushure mekutora chero mushonga werudzi rweproton pump inhibitor (PPI) kuitira kuti mhedzisiro isakanganiswe nemishonga.

Kana zviratidzo zvikaramba zviripo mumunhu ane nhoroondo yesophagitis kana chiyero chakanaka chepH pasina kurapwa, a "PH-impedancemetry" pasi pekurapa kunogona kurongedzerwa, izvo zvinoita kuti zvikwanise kusiyanisa mvura, gasi, asidhi kana isiri-asidhi reflux.

Pakupedzisira, nekuda kwekukwana, tinogona kuedza kuona kusagadzikana kwemotokari yesophageal conduction nekuita TOGD: transit oeso gastro duodenal. Inobvumira kuona macontours eesophagus uye mafambiro ayo mushure mekudya kwechigadzirwa cheradiopaque. Inogona kuona mitsetse yehiatus hernia.

Mimwe bvunzo, iyo manometers uye "high-resolution manometry" inoita kuti zvikwanise kuongorora, ne-intra-oesophageal sensors, motricity yegurogus.

Vamwe vanhu vane chirwere chekushanda, visceral hypersensitivity (iyo mucous membrane yesophagus yavo inonzwa): vanowanikwa vaine endoscopy yakajairika, yakajairika acid exposure (pHmetry), nhamba yakazara yefiziological reflux, yakajairika, asi concordance pakati. zviratidzo uye reflux pasi pempedancemetry.