pHmetry imafanana ndi kuyeza kwa acidity (pH) ya sing'anga. Muzamankhwala, pHmetry imagwiritsidwa ntchito pozindikira ndikuwunika kukula kwa gastroesophageal reflux matenda (GERD). Izi zimatchedwa esophageal pHmetry.

GERD ndi mkhalidwe womwe asidi omwe ali m'mimba amapita kummero, zomwe zimayambitsa kuyaka ndipo zimatha kuwononga khoma lakum'mero. Ndizofala kwambiri mwa makanda ndi ana aang'ono.

Kuyeza pH ya esophageal kumachitika:

• kutsimikizira kukhalapo kwa matenda a reflux a gastroesophageal (GERD);
• kuyang'ana chomwe chimayambitsa zizindikiro za atypical reflux, monga chifuwa, kupuma movutikira, zilonda zapakhosi, ndi zina ...;
• Ngati mankhwala odana ndi reflux alephera, sinthani chithandizo musanachite opaleshoni ya anti-reflux.

Kuyezetsa kumaphatikizapo kuyeza pH ya kum'mero ​​kwa nthawi (nthawi zambiri kumatenga maola 18 mpaka 24). pH iyi nthawi zambiri imakhala pakati pa 5 ndi 7; mu GERD, madzi am'mimba a acidic kwambiri amasunthira kummero ndikutsitsa pH. Acid reflux imatsimikiziridwa pamene esophageal pH ili pansi pa 4.

Kuyeza pH yamkati mwa esophageal, a kufufuza zomwe zidzalemba pH kwa maola 24. Izi zipangitsa kuti zitheke kudziwa kuopsa kwa reflux ndi mawonekedwe ake (masana kapena usiku, kulemberana makalata ndi zizindikiro, etc.).

Nthawi zambiri pamafunika kusala kudya mayeso. Thandizo la anti-reflux liyenera kuyimitsidwa masiku angapo musanayesedwe, monga momwe dokotala adanenera.

The kafukufuku anayambitsa kudzera mphuno, nthawi zina pambuyo mankhwala ochititsa m`mphuno (izi si mwadongosolo), ndipo modekha anakankhira kupyolera kum`mero mpaka m`mimba. Kuti catheter ipite patsogolo, wodwalayo amafunsidwa kuti ameze (mwachitsanzo, kumwa madzi kudzera muudzu).

Pulojekitiyi imamangiriridwa ku phiko la mphuno ndi pulasitala ndikugwirizanitsa ndi bokosi lojambulira lomwe limavala pa lamba kapena m'thumba laling'ono. Wodwalayo amatha kupita kunyumba kwa maola 24, kutsatira zomwe amachita nthawi zonse komanso kudya moyenera. Catheter si yowawa, koma imatha kusokoneza pang'ono. Amafunsidwa kuti azindikire nthawi za chakudya ndi zizindikiro zomwe zingatheke. Ndikofunika kuti musanyowe mlanduwo.

Dokotala adzasanthula muyeso wa pH kuti atsimikizire kupezeka ndi kuopsa kwa gastroesophageal reflux matenda (GERD). Malingana ndi zotsatira zake, chithandizo choyenera chingaperekedwe.

GERD imatha kuchiritsidwa ndi mankhwala oletsa kudwala reflux. Pali zambiri, monga proton pump inhibitors kapena H2 blockers.