Chii chinonzi lumbar puncture?
Iyo pHmetry inoenderana nekuyera kweasidhi (pH) yepakati. Mukurapa, pHmetry inoshandiswa kuongorora uye kuongorora huwandu hwegastroesophageal reflux chirwere (GERD). Izvi zvinonzi esophageal pHmetry.
GERD inyaya yekuti acidic iri mudumbu inokwira ichienda kusophagus, izvo zvinokonzeresa kupisa uye zvinogona kukuvadza lining resophagus. Inowanzoitika mucheche nevana vaduku.
Sei uchigadzira pHmetry?
Esophageal pH-kuyera kunoitwa:
- kusimbisa kuvapo kwechirwere chegastroesophageal reflux (GERD);
- kutsvaga chikonzero cheatypical reflux zviratidzo, senge chikosoro, kuchema, kurwadziwa kwehuro, nezvimwe…;
- Kana anti-reflux therapy ikakundikana, kugadzirisa kurapwa kusati kwaitwa anti-reflux kuvhiyiwa.
Kupindira
Muedzo unosanganisira kuyera pH yegurokuro kwenguva yakati (kazhinji inopfuura maawa gumi nemasere kusvika makumi maviri nemana). Iyi pH inowanzova pakati pe18 ne24; muGERD, yakanyanya acidic yemudumbu fluid inokwidza kuguro uye inodzikisa pH. Acid reflux inosimbiswa kana esophageal pH iri pasi pe5.
Kuyera intra-esophageal pH, a michina iyo inonyora pH kwemaawa makumi maviri nemana. Izvi zvichaita kuti zvikwanise kuona kuoma kweiyo reflux uye maitiro ayo (masikati kana usiku, kunyorerana nezviratidzo zvinonzwika, nezvimwewo).
Zvinowanzodikanwa kutsanya pabvunzo. Kurapa kweAnti-reflux kunofanira kumira mazuva akati wandei kusati kwaedzwa, sekurairwa nachiremba.
Iyo probe inounzwa kuburikidza nemhino, dzimwe nguva mushure memhino yekutindivadza (iyi haina kurongeka), uye inosundirwa zvinyoronyoro kuburikidza negurokuro kusvika mudumbu. Kuita kuti catheter ifambire mberi, murwere anokumbirwa kumedza (semuenzaniso nekunwa mvura nesadza).
Iyo probe yakasungirirwa kune bapiro remhino nepurasita uye yakabatanidzwa nebhokisi rekunyora iro rinopfekwa pabhanhire kana mubhegi duku. Murwere anobva aenda kumba kwemaawa makumi maviri nemana, achitevera mabasa avo emazuva ese uye kudya zvakajairwa. Iyo catheter haina kurwadza, asi inogona kunetsa zvishoma. Inokumbirwa kucherechedza nguva dzekudya uye zviratidzo zvinogoneka zvinonzwika. Zvakakosha kuti nyaya yacho isanyorova.
Migumisiroi?
Chiremba anozoongorora chiyero chepH kuti asimbise kuvepo uye kuomarara kwegastroesophageal reflux chirwere (GERD). Zvichienderana nemigumisiro, kurapwa kwakakodzera kunogona kupiwa.
GERD inogona kurapwa nemishonga inorwisa reflux. Kune akawanda, akadai seproton pump inhibitors kana H2 blockers.