Ebhekene nezimpawu ezingase ziphakamise ukuthi i-reflux, udokotela angenza lokho okubizwa ngokuthi "ukugabadela" ukuxilongwa. Uzwa sengathi lo muntu cishe une-reflux (ngaphandle kwesiqiniseko esiphelele). Uma kubhekwa imvamisa ye-reflux ye-gastroesophageal, lokhu kucatshangelwa kugunyaza udokotela ukuthi anikeze “ukwelashwa kokuhlola” ngezidakamizwa, kanye nemiyalelo yendlela ehlanzekile yokudla, ecashunwe lapha kamuva.

Uma izimpawu zingathuthuki ngokwelashwa, kungase kube enye into ngaphandle kwe-reflux. Ngakho-ke kubalulekile ukubona i-gastroenterologist ngezeluleko zikadokotela oya khona, ukuze kwenziwe "i-endoscopy ephezulu" noma " I-Fibroscopic »Ngemva kokuyeka ukwelashwa.

Lokhu kukuvumela ukuthi ubone ulwelwesi lomminzo nesisu futhi, uma kunesidingo, uthathe amasampula. Ngakho-ke uchwepheshe ngezinye izikhathi uthola i-“eosinophilic esophagitis”, ukuvuvukala komgudu ongaxhumene ne-reflux, kodwa nokungenwa kwamangqamuzana athile amhlophe egazi. Ngokunjalo, lokhu kuhlola kungathola ngokushesha, ngokubabona “i-peptic esophagitis, i-stenosis, umdlavuza noma i-endobrachy esophagus”.

Ngokuvamile i-fibroscopy ijwayelekile, futhi ayiqinisekisi "reflux"

Isifo se-reflux ye-gastroesophageal sizoqinisekiswa ngokuhlolwa okubizwa ngokuthi i-pHmetry elinganisa ukuba khona noma ukungabi khona kwe-reflux ngaphezulu kwamahora angama-24 ngokulinganisa izinga le-asidi yomminzo. Lokhu kuhlola kuhilela ukufaka i-probe ngekhala emthonjeni. Ku-probe, izinzwa ziqoqa i-pH yomminzo, futhi zehlukanise i-pathological reflux kokujwayelekile. Kufanele wenziwe izinsuku eziyi-7 ngemuva kokuthatha noma yimuphi umuthi wohlobo lwe-proton pump inhibitor (PPI) ukuze imiphumela ingaphazanyiswa yizidakamizwa.

Uma izimpawu ziqhubeka kumuntu onomlando we-esophagitis noma isilinganiso se-pH esihle ngaphandle kokwelashwa, a "PH-impedancemetry" ngaphansi kokwelashwa kungahlongozwa, okwenza kube nokwenzeka ukuhlukanisa uketshezi, igesi, i-asidi noma i-reflux engeyona i-asidi.

Okokugcina, ngenxa yokuphelela, singazama ukuthola ukuphazamiseka kwezimoto ze-esophageal conduction ngokwenza I-TOGD: hambisa i-oeso gastro duodenal. Ivumela ukubona ngeso lengqondo ama-contours we-esophagus nokunyakaza kwawo ngemuva kokungeniswa komkhiqizo we-radiopaque. Iyakwazi ukubona ama-contours we-hiatus hernia.

Ezinye izivivinyo, i imanometry kanye ne-"high-resolution manometry" yenza kube nokwenzeka ukuhlaziya, ngezinzwa ze-intra-oesophageal, i-motricity ye-esophagus.

Abanye abantu banokuphazamiseka kokusebenza, i-visceral hypersensitivity (ulwelwesi lwamafinyila lomphimbo wabo luyazwela): batholakala bene-endoscopy evamile, ukuchayeka kwe-asidi evamile (pHmetry), inani eliphelele le-reflux yomzimba, evamile, kodwa i-concordance phakathi izimpawu kanye reflux ngaphansi impedancemetry.