Ke alo i nā hōʻailona e hōʻike ana i ka reflux, hiki i ke kauka ke hana i ka mea i kapa ʻia he "presumptive" diagnostic. Manaʻo ʻo ia he reflux paha kēia kanaka (me ka maopopo ʻole). Hāʻawi ʻia i ka pinepine o ka gastroesophageal reflux, ua ʻae kēia manaʻo i ke kauka e kuhikuhi i kahi "hoʻomaʻamaʻa hoʻāʻo" e nā lāʻau lapaʻau, a me nā ʻōlelo kuhikuhi meaʻai maʻemaʻe, i ʻōlelo ʻia ma hope.

Inā maikaʻi ʻole nā ​​​​hōʻailona me ka mālama ʻana, he mea ʻē aʻe paha ia ma mua o ka reflux. No laila he mea nui e ʻike i kahi gastroenterologist ma ka ʻōlelo aʻo a ke kauka hele, no ka hana ʻana i kahi "endoscopy kiʻekiʻe" a i ʻole " Fibroskopi »Ma hope o ka hooki ʻana i ka mālama ʻana.

ʻAe kēia iā ʻoe e ʻike i ka uhi o ka esophagus a me ka ʻōpū a, inā pono, e lawe i nā laʻana. No laila, ʻike ka loea i kekahi manawa i ka "eosinophilic esophagitis", ʻaʻole i hoʻopili ʻia ka esophagus i ka reflux, akā i kahi infiltration o nā keʻokeʻo keʻokeʻo kikoʻī. Pēlā nō, hiki i kēia hoʻokolohua ke ʻike koke, ma ka ʻike ʻana iā lākou he "peptic esophagitis, stenosis, cancer or endobrachy esophagus".

He mea maʻamau ka fibroscopie, a ʻaʻole hōʻoia i ka "reflux"

E hōʻoia ʻia ka maʻi gastroesophageal reflux e kahi hoʻokolohua i kapa ʻia pHmetry ka mea e helu ana i ke ola a ʻaʻole ʻole o ka reflux ma luna o 24 mau hola ma ke ana ʻana i ka degere o ka acidity o ka esophagus. ʻO kēia hoʻāʻo ʻana e hoʻokomo i kahi ʻimi ma ka ihu i loko o ka esophagus. Ma ka probe, hōʻiliʻili nā mea ʻike i ka pH o ka esophagus, a hoʻokaʻawale i ka reflux pathological mai ka maʻamau. Pono e hoʻokō ʻia i nā lā 7 ma hope o ka lawe ʻana i kekahi lāʻau ʻano proton pump inhibitor (PPI) i ʻole e hoʻopilikia ʻia nā hopena e nā lāʻau.

Inā mau nā hōʻailona i loko o ke kanaka me ka moʻolelo o ka esophagitis a i ʻole kahi ana pH maikaʻi me ka mālama ʻole ʻana, a “PH-impedancemetry” ma lalo o ka lāʻau lapaʻau hiki ke noi ʻia, kahi e hiki ai ke hoʻokaʻawale i ka wai, ke kinoea, ka waikawa a i ʻole ka reflux non-acid.

ʻO ka mea hope loa, no ka hoʻopiha piha ʻana, hiki iā mākou ke hoʻāʻo e ʻike i nā maʻi kaʻa o ka esophageal conduction ma o ka hana a TOGD : transit oeso gastro duodenal. Hiki iā ia ke ʻike i nā contours o ka esophagus a me kāna neʻe ʻana ma hope o ka ʻai ʻana i kahi huahana radiopaque. Hiki iā ia ke ʻike i nā contours o kahi hernia hiatus.

ʻO nā hoʻokolohua ʻē aʻe, ka manometer a me ka "manometry hoʻonā kiʻekiʻe" e hiki ai ke kālailai, e nā mea ʻike intra-esophageal, i ka motricity o ka esophagus.

Loaʻa i kekahi poʻe kekahi maʻi maʻi, visceral hypersensitivity (ʻo ka mucous membrane o ko lākou esophagus ka maʻalahi): ʻike ʻia lākou he endoscopy maʻamau, kahi hōʻike waika maʻamau (pHmetry), ka huina o ka reflux physiological, maʻamau, akā he concordance ma waena. nā hōʻailona a me ka reflux ma lalo o ka impedancemetry.