Hōʻike ʻakika ʻōpū

Hoʻohana ʻia ka hoʻāʻo acid acid e ana i ka nui o ka waikawa i loko o ka ʻōpū. Ana ʻia hoʻi ke kiʻekiʻe o ka acidity i loko o ka ʻōpū.

Hana ʻia ka hōʻoia ma hope o kou ʻai ʻole ʻana no kekahi manawa a ʻo ka wai ka mea i koe i ka ʻōpū. Lawe ʻia ka wai ʻōpū ma o kahi paipu e hoʻokomo ʻia i loko o ka ʻōpū ma o ka esophagus (paipu meaʻai).

E hoʻokomo ʻia kahi hōmona i kapa ʻia gastrin i loko o kou kino. Hana ʻia kēia e hoʻāʻo i ka hiki o nā hunaola i loko o ka ʻōpū ke hoʻokuʻu i ka waikawa. Wehe ʻia a kālailai ʻia nā ʻōpū o ka ʻōpū.

E noi ʻia ʻoe ʻaʻole e ʻai a inu paha no 4 a 6 mau hola ma mua o ka hoʻāʻo.

Hiki paha iā ʻoe ke hōʻoluʻolu a i ʻole ke ʻano gagging ke hoʻokomo ʻia o ka paipu.

Hiki i kāu kauka olakino ke ʻōlelo i kēia hōʻike no nā kumu aʻe:

• E nānā inā e hana ana nā lāʻau anti-ulcer
• E nānā inā hoʻi mai nā mea mai ka ʻōpū liʻiliʻi
• No ka hoʻāʻo ʻana no ke kumu o ka ulcer

ʻO ka nui maʻamau o ka wai o ka ʻōpū 20 a 100 mL a me ka pH he waikawa (1.5 a 3.5). Hoʻohuli ʻia kēia mau helu i ka hana waikawa maoli i nā anakahi o milliequivalents i kēlā me kēia hola (mEq / hr) i kekahi mau hihia.

Kahakaha: Hiki ke hoʻololi iki i nā pae maʻamau maʻamau e like me ka lab e hana nei i ka hōʻike. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Hōʻike nā hopena maʻamau:

• Hiki i nā pae o ka gastrin ke hoʻonui i ka hoʻokuʻu o ka waikawa a alakaʻi i nā maʻi maʻi (Zollinger-Ellison Syndrome).
• ʻO ke kū ʻana o ka bile i loko o ka ʻōpū e hōʻike ana i nā mea e kākoʻo nei mai ka ʻōpū liʻiliʻi (duodenum). He mea maʻamau paha kēia. Hiki nō paha ia ma hope o ka lawe ʻia ʻana o kahi o ka ʻōpū me ka ʻoki kino.

Aia kahi makaʻu iki o ka paipu e waiho ʻia ma o ka puka aniani a i loko o nā akemā ma kahi o ka esophagus a i loko o ka ʻōpū.

ʻO ka hoʻāʻo hoʻowalewale ʻakika Gastric

• Hōʻike ʻakika ʻōpū

Chernecky CC, Berger BJ. Hōʻike hoʻoiho waikawa Gastric (hoʻāʻo stimulate acid stimulate test). I: Chernecky, CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 549-602.

Schubert ML, Kaunitz JD. Huna Gastric. 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 50.

ʻO Vincent K. Gastritis a me ka maʻi peptic ulcer. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 204-208.