Poyang'anizana ndi zizindikiro zomwe zingasonyeze reflux, dokotala akhoza kupanga zomwe zimatchedwa "presumptive" matenda. Amamva kuti munthu uyu mwina ali ndi reflux (popanda kutsimikizika kwathunthu). Chifukwa cha kuchuluka kwa gastroesophageal reflux, lingaliro ili limalola dokotala kuti apereke "mankhwala oyezetsa" ndi mankhwala, komanso malangizo a ukhondo, omwe atchulidwa pano.

Ngati zizindikiro sizikuyenda bwino ndi chithandizo, zitha kukhala zina osati reflux. Chifukwa chake ndikofunikira kukaonana ndi gastroenterologist paupangiri wa dokotala yemwe akupezekapo, kuti apange "high endoscopy" kapena " Fibroscopy »Atasiya mankhwala.

Izi zimakupatsani mwayi wowona m'mimba ndi m'mimba ndipo, ngati kuli kofunikira, kutenga zitsanzo. Katswiriyu nthawi zina amazindikira "eosinophilic esophagitis", kutupa kwa esophagus komwe kumalumikizidwa osati ndi reflux, koma kulowa kwa maselo oyera amwazi. Momwemonso, kuwunikaku kumatha kuzindikira mwachangu, powawona "peptic esophagitis, stenosis, khansa kapena endobrachy esophagus".

Nthawi zambiri fibroscope imakhala yachilendo, ndipo sichitsimikizira "reflux"

Matenda a reflux a gastroesophageal adzatsimikiziridwa ndi mayeso otchedwa pHmetry zomwe zimatsimikizira kukhalapo kapena kusakhalapo kwa reflux kwa maola 24 poyesa kuchuluka kwa acidity yam'mero. Kuyezetsa kumeneku kumaphatikizapo kulowetsa m’mphuno kukhosi. Pa kafukufuku, masensa amasonkhanitsa pH ya kum'mero, ndi kusiyanitsa pathological reflux ndi yachibadwa. Iyenera kuchitika patatha masiku 7 mutamwa mankhwala amtundu wa proton pump inhibitor (PPI) kuti zotsatira zake zisasokonezedwe ndi mankhwalawa.

Ngati zizindikiro zikupitilira mwa munthu yemwe ali ndi mbiri ya esophagitis kapena muyeso wabwino wa pH popanda chithandizo, a "PH-impedancemetry" Pansi pa mankhwala akhoza kuperekedwa, zomwe zimapangitsa kuti zitheke kusiyanitsa madzi, mpweya, asidi kapena reflux yopanda asidi.

Pomaliza, chifukwa cha kukwanira, titha kuyesa kuzindikira zovuta zamagalimoto a esophageal conduction pochita TOGD: transit oeso gastro duodenal. Zimalola kuti muwone m'maganizo mwazozungulira zam'mimba ndi mayendedwe ake mutamwa mankhwala a radiopaque. Ikhoza kuzindikira mizere ya hiatus chophukacho.

Mayeso ena, a manometers ndi "high-resolution manometry" zimapangitsa kuti zitheke kusanthula, ndi masensa a intra-oesophageal, motricity ya mmero.

Anthu ena ali ndi vuto logwira ntchito, visceral hypersensitivity ( mucous nembanemba yam'mero ​​ndi tcheru): amapezeka kuti ali ndi endoscopy yachibadwa, kukhudzana ndi asidi (pHmetry), chiwerengero cha reflux ya thupi, yachibadwa, koma concordance pakati pawo. Zizindikiro ndi reflux pansi pa impedancemetry.