Khola la Barrett

Barrett esophagus (BE) ndi vuto lomwe mkombero umawonongeka ndi asidi m'mimba. Kum'mero ​​kumatchedwanso chitoliro cha chakudya, ndipo kumalumikiza kummero kwanu ndi m'mimba mwako.

Anthu omwe ali ndi BE ali ndi chiopsezo chowonjezeka cha khansa m'deralo. Komabe, khansa siofala.

Mukamadya, chakudya chimadutsa kuchokera kukhosi kwanu kupita kumimba kudzera mummero. Mphete ya ulusi wam'munsi m'mimba imapangitsa kuti m'mimba musabwerere chammbuyo.

Ngati minofu imeneyi siyitsekana mwamphamvu, asidi wamimba wam'mimba amatha kutuluka. Izi zimatchedwa reflux kapena gastroesophageal reflux (GERD). Zitha kupangitsa kuwonongeka kwa minofu pakapita nthawi. Akalowa amakhala ofanana ndi a m'mimba.

BE zimachitika nthawi zambiri mwa amuna kuposa akazi. Anthu omwe akhala ndi GERD kwa nthawi yayitali amakhala ndi izi.

KUkhala wokha sikuyambitsa zizindikiro. Reflux ya acid yomwe imayambitsa BE nthawi zambiri imabweretsa zizindikiritso zakumva kutentha pa chifuwa. Anthu ambiri omwe ali ndi vutoli alibe zizindikiro zilizonse.

Mungafunike endoscopy ngati zizindikiro za GERD zili zovuta kapena kubwerera mukalandira chithandizo.

Pakati pa endoscopy, endoscopist wanu amatha kutenga minofu (biopsies) kuchokera kumadera osiyanasiyana. Zitsanzozi zimathandiza kuzindikira vutoli. Amathandizanso kuyang'ana zosintha zomwe zingayambitse khansa.

Wothandizira anu akhoza kulangiza endoscopy yotsatila kuti ayang'ane kusintha kwa maselo komwe kumasonyeza khansa nthawi zonse.

CHithandizo CHA GERD

Chithandizo chikuyenera kukonza zizindikiritso za acid reflux, ndipo zitha kupangitsa kuti BE asakulire. Chithandizo chitha kuphatikizira kusintha kwamachitidwe ndi mankhwala monga:

• Maantacids atatha kudya komanso asanagone
• Olemba mbiri ya Hamine receptor
• Proton pump pump inhibitors
• Kupewa kugwiritsa ntchito fodya, chokoleti, ndi caffeine

Kusintha kwa moyo, mankhwala, ndi ma anti-reflux opaleshoni zitha kuthandiza ndi zizindikiritso za GERD. Komabe, izi sizingapangitse kuti BE achoke.

CHithandizo CHA BARRETT ESOPHAGUS

Endoscopic biopsy imatha kuwonetsa kusintha komwe kumakhala khansa. Woperekayo angakulangizeni opaleshoni kapena njira zina zochiritsira.

Zina mwa njira zotsatirazi zimachotsa minofu yoyipa m'mimba mwanu:

• Photodynamic therapy (PDT) imagwiritsa ntchito makina apadera a laser, otchedwa bulloon esophageal, komanso mankhwala otchedwa Photofrin.
• Njira zina zimagwiritsa ntchito mitundu yosiyanasiyana yamagetsi kuwononga minofu yoyambilira.
• Kuchita opaleshoni kuti muchotse zolowa zosazolowereka.

Chithandizo chikuyenera kukonza zizindikiritso za acid reflux ndipo zitha kupangitsa kuti BE asakulire. Palibe mankhwalawa omwe angasinthe zomwe zingayambitse khansa.

Anthu omwe ali ndi GERD kapena Barrett esophagitis nthawi zambiri amafunika kuyang'aniridwa ndi khansa yam'mero.

Itanani omwe akukuthandizani ngati:

• Kutentha pa chifuwa kumatenga nthawi yayitali kuposa masiku ochepa, kapena mumamva kuwawa kapena mavuto akumeza.
• Mwapezeka kuti muli ndi BE ndipo matenda anu akukulira.
• Mumakhala ndi zizindikilo zatsopano (monga kuonda, mavuto akumeza).

Kuzindikira koyambirira ndi chithandizo cha GERD kumatha kuletsa BE.

Khola la Barrett; GERD - Barrett; Reflux - Barrett

• Dongosolo m'mimba
• Minyewa yam'mimba ndi m'mimba

Falk GW, Katzka DA. Matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 129.

Jackson AS, Louie BE. Kuwongolera kumimba kwa Barrett. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 19-25.

Ku GY, Ilson DH. Khansa ya kum'mero. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 71.

Shaheen NJ, Falk GW, Iyer PG, Gerson LB; American College of Gastroenterology. Malangizo azachipatala a ACG: kuzindikira ndi kuyang'anira kholingo la Barrett. Ndine J Gastroenterol. 2016; 111 (1): 30-50. PMID: 26526079 adasankhidwa.ncbi.nlm.nih.gov/26526079/.