Nānā pH Esophageal

ʻO ka esophageal pH monitoring kahi hoʻāʻo e ana i ka pinepine o ke komo ʻana o ka acid acid i loko o ka paipu e alakaʻi ai mai ka waha a i ka ʻōpū (kapa ʻia ka esophagus). Ana ʻia hoʻi ka hoʻāʻo i ka lōʻihi o ka noho ʻana o ka waikawa ma laila.

Hoʻoholo ʻia kahi paipu lahilahi i loko o kou ihu a waha paha i kou ʻōpū. Huki ʻia ka paipu i loko o kāu esophagus. Hoʻopili kahi mea nānā i ka paipu i ke ana o ka acid i kāu esophagus.

E kau ʻoe i ka mea nānā ma ke kaula a hoʻopaʻa i kāu mau hōʻailona a me kāu hana ma nā hola he 24 e hiki mai ana i kahi diary. E hoʻi ʻoe i ka haukapila i ka lā aʻe a wehe ʻia ka paipu. E hoʻohālikelike ʻia ka ʻikepili mai ka nānā me kāu mau puke diary.

Pono nā kamaliʻi a me nā keiki e noho i ka haukapila no ka nānā ʻana i ka pH esophageal.

ʻO kahi hana hou o ka nānā ʻana i ka waikawa esophageal (ka nānā ʻana ʻo pH) ma o ka hoʻohana ʻana i kahi ʻimi pH uea ʻole.

• Hoʻopili kēia mea like me ka capsule i ka uhi o ka esophagus o luna me ka endoscope.
• Noho ia i loko o ka esophagus kahi e ana ai i ka acidity a lawe i nā pae pH i kahi mea hoʻopaʻa leo i kau ʻia ma ka lima.
• Hāʻule ka capsule ma hope o 4 a 10 mau lā a neʻe i lalo ma o ka gastrointestinal tract. Kipaku ʻia ia me kahi ʻōpū a hāwele i ka lua.

E noi aku kāu mea mālama ola iā ʻoe ʻaʻole e ʻai a inu paha ma hope o ke aumoe ma mua o ka hoʻāʻo. E hōʻalo hoʻi ʻoe i ka puhipaka.

Hiki i kekahi mau lāʻau ke hoʻololi i nā hopena hōʻike. E noi paha kāu mea hāʻawi iā ʻoe mai lawe i kēia mau mea ma waena o 24 mau hola a me 2 mau pule (a ʻoi paha) ma mua o ka hoʻāʻo. ʻ belelo ʻia paha ʻoe e hōʻalo i ka ʻalekohola. Nā lāʻau lapaʻau āu e pono ai e ho‘okomo pū:

• Nā poloka Adrenergic
• ʻAnakini
• Nā Anticholinergics
• ʻO Cholinergics
• Corticosteroids
• H₂ poloka
• Nā mea hoʻopukapuka Proton

Mai hōʻoki i ka lawe ʻana i kekahi lāʻau inā ʻaʻole i haʻi ʻia e kāu mea hāʻawi.

Makemake iki ʻoe e like me ka gagging i ka wā e hele ai ka paipu ma kou ʻāʻī.

ʻAʻohe kumu o ka discomfort o ka monitor Bravo pH.

Hoʻohana ʻia ka nānā ʻana ʻo Esophageal pH e nānā i ka nui o ka waikawa ʻōpū e komo ana i ka esophagus. Mālama pū ʻia ka maikaʻi o ka hoʻomaʻemaʻe o ka waiʻakai i lalo i loko o ka ʻōpū. He hōʻike ia no ka maʻi reflux gastroesophageal (GERD).

I nā pēpē, hoʻohana ʻia kēia hōʻike e nānā iā GERD a me nā pilikia ʻē aʻe e pili ana i ka uē nui ʻana.

Hiki ke loli ke ʻano o nā pae maʻamau ma muli o ka lab e hōʻike ana. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hoʻohui ʻia ka waikawa hoʻonui ʻia i ka esophagus me:

• Barrett esophagus
• Pilikia i ka ale ʻana (disphagia)
• Scarring hoʻoweliweli
• ʻO ka maʻi reflux Gastroesophageal (GERD)
• Puʻuwai puʻuwai
• Reflux esophagitis

Pono paha ʻoe e loaʻa i nā hoʻokolohua aʻe inā manaʻo kāu mea hoʻolako esophagitis:

• E ale ʻo Barium
• ʻO Esophagogastroduodenoscopy (i kapa ʻia ʻo endoscopy GI kiʻekiʻe)

Kākaʻikahi ka mea e hiki mai ana:

• ʻO Arrhythmias i ka wā o ka hoʻokomo o ka paipu
• Ke hanu nei i ka luaʻi inā ʻo ka catheter ke kumu o ka luaʻi

Nānā pH - esophageal; ʻO ka hoʻāʻo ʻana ʻo Esophageal acidity

• Nānā pH Esophageal

ʻO Falk GW, Katzka DA. Nā maʻi o ka esophagus. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua.Piladelapia, PA: Elsevier Saunders; 2016: chap 138.

Kavitt RT, Vaezi MF. Nā maʻi o ka esophagus. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 69.

Richter JE, Friedenberg FK. ʻO ka maʻi reflux Gastroesophageal. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 44.