Khosi la Barrett: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Kodi khansa ya kholingo ya Barrett?
• Momwe matendawa amapangidwira
• Zomwe zingayambitse
• Njira zothandizira
• Zakudya zizikhala bwanji

Matenda a Barrett amawerengedwa kuti ndi vuto la matenda am'mimba a reflux, chifukwa kuwonekera pafupipafupi kwa zotupa zam'mimba zomwe zili m'mimba zimayambitsa kutupa kosatha komanso kusintha kwa mtundu wamaselo omwe amapanga minofu mderali, zomwe zimapangitsa kuti mkhalidwe wotchedwa metaplasia wamatumbo.

Matendawa samayambitsa zizindikilo nthawi zonse, komabe, pakhoza kukhala zizindikilo za gastroesophageal Reflux yomwe imawotcha, kutentha komanso kuphulika nthawi zonse. Matenda a Barrett am'mimba amapangidwa ndi gastroenterologist pochita m'mimba m'mimba endoscopy ndipo chithandizo chomwe chikuwonetsedwa chimadalira makamaka kugwiritsa ntchito mankhwala ochepetsa acidity wam'mimba.

Matenda a Barrett atadziwika, ndikofunikira kutsatira malangizo amankhwala, kuwonjezera pakupanga zosintha pazakudya kuti zithetse zizindikilo ndikuchepetsa kutupa pamalowo, chifukwa anthu omwe ali ndi vutoli ali ndi chiopsezo chowonjezeka chokhala ndi khansa ya kholingo. Kutsata pafupipafupi ndi adokotala kumalimbikitsidwanso kuti muwunikenso zovulazo.

Zizindikiro zazikulu

Ngakhale sizimayambitsa matendawa nthawi zonse, munthu yemwe ali ndi vuto la Barrett amatha kukhala ndi zizindikilo za gastroesophageal reflux, yomwe ndi:

• Kutentha pa chifuwa;
• Zowawa kapena zachitsulo mkamwa;
• Kubwezeretsa;
• Kuwombera kosalekeza;
• Kutentha;
• Pafupipafupi chifuwa;
• Kuopsa.

Kuphatikiza apo, kupweteka pakati pachifuwa, pafupi ndi m'mimba, nthawi zambiri kumachitika, chifukwa ndikamatulutsa m'mimba pamakhala kubwerera kwa m'mimba, komwe kumakwiyitsa mucosa wam'mimba. Kumvetsetsa bwino zomwe zimachitika komanso momwe mungazindikire Reflux ya gastroesophageal.

Kodi khansa ya kholingo ya Barrett?

Matenda a Barrett si khansa, koma amatsogolera zilonda zotchedwa m'matumbo metaplasia, zomwe zimawerengedwa kuti zisanachitike khansa, chifukwa chake anthu omwe ali ndi khola la Barrett ali pachiwopsezo chachikulu chokhala ndi khansa ya m'mimba.

Ndikofunikanso kuti anthu omwe ali pachiwopsezo chokhudzana ndi mawonekedwe a kholingo la Barrett komanso omwe ali ndi khansa ya m'mimba m'banja, ayesedwe pafupipafupi kuti aone zosintha zilizonse pakhosipo.

Momwe matendawa amapangidwira

Matenda a Barrett amapezeka kudzera mu endoscopy, kuwunika komwe chubu chimalowetsedwa kudzera mkamwa ndikulola kuyang'anitsitsa kwa chikho, ndikutsimikiziridwa kumachitika pofufuza zomwe zidachitika pakufufuza., ndi nyemba zazing'ono zam'mimba, zomwe zimasanthulidwa ndi dokotala mu labotale. Onani zambiri za momwe endoscopy yachitika.

Lonjezo lothamangitsa ndikupewa ma endoscopy obwerezabwereza kuti adziwe matenda a Barrett, ndikuwunika komwe kumachitika ndi makapisozi, monga Cytosponge, omwe amakhala ndi kumeza kapisozi woyenda yemwe amayenda m'mimba ndipo amatha kutenga zitsanzo zamatenda. Komabe, njirayi ikuyesedwabe ndipo sikumachitika kawirikawiri.

Zomwe zingayambitse

Kutupa kwa Barrett kumakhala kofala kwambiri kwa anthu omwe ali ndi mbiri ya gastroesophageal reflux, yomwe imakulitsidwa chifukwa cha ziwopsezo monga kusadya bwino, kumwa kwambiri zakumwa zoziziritsa kukhosi kapena zakumwa zoziziritsa kukhosi, kugwiritsa ntchito ndudu komanso kunenepa kwambiri.

Chifukwa chake, tikulimbikitsidwa kuti mupite kwa dokotala ngati zizindikilo za reflux zikuwonekera, monga kutentha pa chifuwa kapena kutentha, mwachitsanzo, kapena ngati muli ndi mbiri yakubadwa kwa matendawa, kuti mufufuze ngati pali zovuta zamtunduwu ndikupanga zolondola chithandizo.

Njira zothandizira

Matenda a Barrett ndi mtundu wa zotupa zam'mimba zomwe zimayambitsidwa ndimagulu obwerezabwereza a gastroesophageal reflux, ndipo chithandizo cha vutoli chikuwonetsedwa ndi gastroenterologist atatsimikizira kuti ali ndi matendawa ndipo nthawi zambiri amakhala ndi kugwiritsa ntchito mankhwala ochepetsa acidity m'mimba, monga:

• Omeprazole, Pantoprazole, Lanzoprazole kapena Esomeprazole, otchedwa proton pump pump inhibitors, ndipo ndi othandiza kwambiri;
• Ranitidine kapena Cimetidine, otchedwa histamine receptor 2 antagonists, omwenso ndi othandiza komanso otsika mtengo.

Kuphatikiza apo, ndikofunikanso kwambiri kukhala ndi chizolowezi chodya moyenera, ndi chakudya chomwe chimathandizira kugaya ndi kuchepetsa kupezeka kwa Reflux.

Komabe, ngati chithandizo chamankhwala ndi zakudya sizikwanira, kuphulika kwa ma radiofrequency kumatha kuwonetsedwa kuti kuthetse zilonda zam'mimba kapena opareshoni, mwina kupanga valavu yatsopano ya m'mimba, kapena maopaleshoni ovuta kwambiri kuchotsa mkatikati mwa kholingo.

Zakudya zizikhala bwanji

Kuwongolera chakudya ndi gawo lofunikira lothandizira kuchiritsa kwa Barrett, ndipo tikulimbikitsidwa kuti:

• Idyani zakudya zopanda mafuta ambiri komanso zakudya zochepa zomwe zimakhala zovuta kupukusa kapena zokometsera, monga feijoada, kanyenya kapena zokhwasula-khwasula, popeza izi ndi zakudya zomwe zimakhala m'mimba nthawi yayitali, zomwe zimayambitsa kugaya kwam'mimba ndikuwonjezera mwayi wa reflux;
• Pewani zakumwa za kaboni, monga madzi a kaboni kapena zakumwa zozizilitsa kukhosi, chifukwa zimachulukitsa mwayi wa Reflux, kukulitsa kutulutsa kwa mpweya ndikuukira khoma lam'mimba;
• Anthu omwe amamvera tiyi kapena tiyi wa tiyi kapena khofi, monga matte kapena tiyi wakuda, ayenera kupewa zakumwa zamtunduwu, chifukwa zimatha kukulitsa zizindikilo za Reflux;
• Pewani kumwa zakumwa mukamadya kuti m'mimba musakhuta kwambiri;
• Yembekezani ola limodzi musanagone mukadya, kuti chimbudzi chiziyenda bwino;
• Pewani kumwa zakumwa zoledzeretsa.

Mfundo ina yofunika pachakudya ndikudya pang'onopang'ono komanso kutafuna chakudya chanu, chifukwa chisamaliro ichi chimathandizira kugaya chakudya ndipo chitha kuthandiza kupewa reflux. Dziwani zambiri pazakudya zomwe zimayambitsa kutentha kwa mtima mu chakudya kuti muchepetse kutentha pa chifuwa.

Onerani kanema wokhala ndi malangizo abwino achilengedwe a reflux ya gastroesophageal: