I-Barrett esophagus

I-Barrett esophagus (BE) sisiphazamiso apho ulusu lwe-esophagus lonakaliswe sisisu esiswini. Umqala ukwabizwa ngokuba ngumbhobho wokutya, kwaye udibanisa umqala wakho nesisu sakho.

Abantu abane-BE banomngcipheko okhulayo womhlaza kwindawo ebandakanyekayo. Nangona kunjalo, umhlaza awuqhelekanga.

Xa usitya, ukutya kudlula ukusuka emqaleni kuye kwisisu sakho nge-esophagus. Isangqa semicu yemisipha kwi-esophagus esezantsi igcina imixholo yesisu ekubuyiseleni umva.

Ukuba ezi zihlunu zingavali ngokuqinileyo, isisu esibuhlungu sesisu sinokuvuza kwi-esophagus. Oku kubizwa ngokuba yi-reflux okanye i-reflux ye-gastroesophageal (GERD). Ingabangela ukonakala kwetishu ekuhambeni kwexesha. Umbane uyafana nesisu.

I-BE yenzeka rhoqo emadodeni kunabafazi. Abantu abane-GERD ixesha elide kunokwenzeka ukuba babe nale meko.

I-BE ngokwayo ayibangeli zimpawu. I-asidi ye-asidi ebangela i-BE ihlala ikhokelela kwiimpawu zentlungu. Abantu abaninzi abanale meko abanazo iimpawu.

Unokufuna i-endoscopy ukuba iimpawu ze-GERD zinzima okanye zibuye emva konyango.

Ngexesha le-endoscopy, i-endoscopist yakho ingathatha iisampulu zethishu (ii-biopsies) ezivela kwiindawo ezahlukeneyo ze-esophagus. Ezi sampuli zinceda ukufumanisa imeko. Banceda ukujonga utshintsho olunokukhokelela kumhlaza.

Umboneleli wakho unokucebisa nge-endoscopy yokulandela umkhondo ukujonga utshintsho lweeseli ezibonisa umhlaza rhoqo.

UNYANGO LWE-GERD

Unyango kufuneka luphucule iimpawu ze-asidi ye-reflux, kwaye inokugcina i-BE ukuba mandundu. Unyango lunokubandakanya utshintsho kwindlela yokuphila kunye namayeza afana:

• I-Antacids emva kokutya kunye nexesha lokulala
• Imbali ye-H2 receptor blockers
• Impompo Proton inhibitors
• Ukuphepha ukusebenzisa icuba, itshokholethi kunye necaffeine

Utshintsho kwindlela yokuphila, amayeza, kunye notyando lwe-anti-reflux kunokunceda ngeempawu ze-GERD. Nangona kunjalo, la manyathelo awazukuyenza i-BE ihambe.

UNYANGO LWEBARRETT ESOPHAGUS

I-endoscopic biopsy ingabonisa utshintsho kwiseli enokuba ngumhlaza. Umboneleli wakho unokucebisa utyando okanye ezinye iinkqubo zokuyinyanga.

Ezinye zeenkqubo ezilandelayo zisusa izicubu ezinobungozi kwindawo yakho:

• Unyango lwe-Photodynamic (PDT) isebenzisa isixhobo esikhethekileyo se-laser, esibizwa ngokuba yibhaluni yokuqhinwa, kunye neyeza elibizwa ngokuba yi-Photofrin.
• Ezinye iinkqubo zisebenzisa iintlobo ezahlukeneyo zamandla aphezulu ukutshabalalisa izicwili ezingaphambuki.
• Ugqirha lokususa ulwelwesi olungaqhelekanga.

Unyango kufuneka luphucule iimpawu ze-asidi ye-reflux kwaye inokugcina i-BE ukuba mandundu. Akukho nanye kwezi zonyango eya kuguqula utshintsho olunokukhokelela kumhlaza.

Abantu abane-GERD engapheliyo okanye iBarrett esophagitis ngokubanzi kufuneka babekwe iliso kumhlaza wesifo.

Fowunela umnikezeli wakho ukuba:

• Isitshisa sihlala ixesha elide kuneentsuku ezimbalwa, okanye unentlungu okanye unengxaki yokuginya.
• Ufunyaniswe une-BE kwaye iimpawu zakho ziya zisiba mandundu.
• Uba neempawu ezintsha (ezinje ngokuhla kobunzima, iingxaki zokuginya).

Ukufunyanwa kwangoko kunye nokunyangwa kwe-GERD kunokuthintela i-BE.

Umqala kaBarrett; IGERD - iBarrett; Reflux-IBarrett

• Inkqubo yokwetyisa
• I-Esophagus kunye ne-anatomy yesisu

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UJackson AS, uLouie BE. Ulawulo lwe-esophagus kaBarrett. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 19-25.

Ku GY, Ilson DH. Umhlaza womqala. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl. 71.

UShaheen NJ, uFalk GW, u-Iyer PG, uGerson LB; Ikholeji yaseMelika yeGastroenterology. Isikhokelo seklinikhi ye-ACG: ukuxilongwa kunye nokulawulwa kwesifo sikaBarrett. NdinguJ Gastroenterol. Ngo-2016; 111 (1): 30-50. IINKCUKACHA: 26526079 pubmed.ncbi.nlm.nih.gov/26526079/.