Umqala kaBarrett: yintoni, iimpawu, oonobangela kunye nonyango

Umxholo

• Iimpawu eziphambili
• Ngaba umhlaza womqala kaBarrett?
• Uxilongo lwenziwa njani
• Izizathu ezinokubangela
• Izinketho zonyango
• Ukutya kufanele ukuba njani

Umqala kaBarrett uthathwa njengengxaki yesifo se-reflux se-gastroesophageal, njengoko ukubonakaliswa rhoqo kwe-mucosa ye-esophageal kwiziqulatho zesisu kubangela ukudumba okungapheliyo kunye notshintsho kuhlobo lweseli elenza izicwili kulo mmandla, zikhokelela ekuveleni imeko ebizwa ngokuba yi-intestinal metaplasia

Le meko ayisoloko ibangela iimpawu, nangona kunjalo, kunokubakho iimpawu ze-gastroesophageal reflux etshisa ukubola, ukutshisa kunye nokuqhuma rhoqo. Ukuchongwa kwesifo sikaBarrett kwenziwa ngugqirha wesisu ngokwenza i-endoscopy ephezulu yesisu kwaye unyango olubonisiweyo lusekwe ikakhulu kusetyenziso lwamayeza ukunciphisa isisu esiswini.

Nje ukuba umqala kaBarrett uchongwe, kubalulekile ukulandela izikhokelo zonyango, ukongeza ekwenzeni utshintsho kwindlela yokutya ukuze kuphuculwe iimpawu kunye nokunciphisa ukudumba kwindawo leyo, njengoko abantu abanale meko benomngcipheko okhulayo wokuba nomhlaza wesophageal. Ukulandela rhoqo ugqirha kukwakhuthazwa ukuba uphinde uhlolisise ukwenzakala.

Iimpawu eziphambili

Nangona ayisoloko ibangela iimpawu, umntu one-esophagus ka-Barrett unokufumana iimpawu ze-gastroesophageal reflux, ethi:

• Isilungulela;
• Ukukrakra okanye ukunambitheka kwesinyithi emlonyeni;
• Ukuhlaziywa kwakhona;
• Ukubetha rhoqo;
• Imvakalelo yokutsha;
• Ukukhohlela rhoqo;
• Ukurhabaxa.

Ukongeza, iintlungu embindini wesifuba, kufutshane nesisu, zihlala zihlala kwezi meko, kuba xa kukho isisu esibuhlungu kukho ukubuya kokuqulathwe sisisu, okucaphukisa isifo se-esophageal mucosa. Ukuqonda ngcono ukuba yintoni kunye nendlela yokuchonga i-reflux yesisu.

Ngaba umhlaza womqala kaBarrett?

Isisu sikaBarrett asisiwo umhlaza, kodwa sikhokelela kwizilonda ezibizwa ngokuba yi-intestinal metaplasia, enokuthi ithathelwe ingqalelo njengomhlaza wangaphambi komhlaza, ke abantu abanesifo sikaBarrett basemngciphekweni wokuba nomhlaza wokuqina.

Kukwabalulekile ukuba abantu abanezinto ezinobungozi ezinxulunyaniswa nokubonakala kwesifo sikaBarrett kwaye abanamatyala omhlaza wokudinwa kusapho, kuvavanyo lokuvavanywa rhoqo ukuze babone naluphi na utshintsho eludongeni lomqala kwasekuqaleni.

Uxilongo lwenziwa njani

Ukuxilongwa kwesifo sikaBarrett kwenziwa nge-endoscopy, kuvavanyo apho kufakwa khona ityhubhu ngomlomo kwaye ivumela ukubonwa komdaka we-esophagus, kwaye isiqinisekiso senziwa ngohlalutyo lwe-biopsy ethathwe ngexesha loviwo., ngesampulu encinci yezihlunu zokuvutha, eziya kuthi ke zihlalutywe ngugqirha elebhu. Bona ngakumbi malunga nendlela i-endoscopy eyenziwe ngayo.

Isithembiso sokukhawulezisa kunye nokuphepha ii-endoscopy eziphindaphindiweyo zokuchongwa kwesifo sikaBarrett, luvavanyo olwenziwa ngeephilisi, ezinje ngeCytosponge, equka ukugwinya iphilisi ekhokelwa ehamba kumathambo zesisu kwaye iyakwazi ukuthatha iisampulu zethishu. Nangona kunjalo, le ndlela isavavanywa kwaye ayenziwa rhoqo.

Izizathu ezinokubangela

Isisu sikaBarrett sixhaphake kubantu abanembali ye-gastroesophageal reflux, eye yenziwa mandundu yimingcipheko enje ngokutya okungalunganga, ukusetyenziswa gwenxa kotywala okanye iziselo ezibandayo, ukusebenzisa icuba kunye nokutyeba kakhulu.

Ke kuyacetyiswa ukuba uye kwagqirha ukuba ngaba iimpawu ze-reflux zivela, njengokuqaqamba kwentliziyo okanye ukutsha, umzekelo, okanye ukuba unembali yosapho ngesi sifo, ukuphanda ukuba ngaba lukhona olu hlobo lwengxaki kwaye wenze ichanekile unyango.

Izinketho zonyango

Umqala kaBarrett luhlobo lwesilonda esophageal esibangelwa zizigigaba eziphindaphindiweyo ze-gastroesophageal reflux, kwaye unyango lwale meko luboniswa ngugqirha wesisu emva kokuqinisekiswa koxilongo kwaye kuhlala kubandakanya ukusetyenziswa kwamachiza ukunciphisa iasidi esiswini, njenge:

• Omeprazole, Pantoprazole, Lanzoprazole okanye Esomeprazole, Ihlelwe njengeproton pump inhibitors, kwaye zezona zisemgangathweni;
• Ranitidine okanye iCimetidine, Ihlelwe njenge-histamine receptor 2 antagonists, nayo iluncedo kakhulu kwaye ayibizi.

Ukongeza, kubaluleke kakhulu ukwamkela imikhwa yokutya esempilweni, kunye nokutya okuququzelela ukwetyisa kunye nokunciphisa ukwenzeka kwe-Reflux.

Nangona kunjalo, ukuba unyango ngamayeza kunye nokutya akwanelanga, i-radiofrequency ablation ingabonakaliswa ekupheliseni izilonda zokuqunjelwa okanye uqhaqho, nokuba kukwakha ivalve entsha yesisu, okanye imisebenzi entsonkothileyo yokususa ulusu lwangaphakathi.

Ukutya kufanele ukuba njani

Ukulawula ukutya linyathelo elibalulekileyo lokunceda ukunyanga umqala kaBarrett, kwaye kuyacetyiswa:

• Yitya ukutya okunamafutha asezantsi kunye nokutya okuncinci ekunzima ukukugaya okanye okuneziqholo, ezifana ne-feijoada, i-barbecue okanye i-snacks, njengoko oku kukutya okuhlala esiswini ixesha elide, kubangele ukwetyisa okungalunganga kwaye kwandisa amathuba okuba uphinde uphume;
• Gwema iziphuzo ze-carbon, ezifana namanzi e-carbonate okanye iziphuzo ezinxilisayo, njengoko zandisa amathuba okurhoxisa, ukwandisa imveliso yeegesi kunye nokuhlasela udonga lwesisu;
• Abantu abanovelwano kwikofu okanye iti ene-caffeine, enje nge-matte okanye iti emnyama, kufuneka baluphephe olu hlobo lwesiselo, njengoko zinokuzenza mandundu iimpawu ze-reflux;
• Kulumkele ukusela ulwelo ngexesha lesidlo ukuze isisu singagcwali kakhulu;
• Linda ubuncinci iyure enye ngaphambi kokuba ulale emva kokutya, ukulungiselela ukwetyisa;
• Kuphephe ukusela iziselo ezinxilisayo.

Elinye icebo elibalulekileyo ekutyeni kukutya kancinci kwaye ukuhlafune kakuhle ukutya kwakho, njengoko olu nonophelo luququzelela ukwetyisa kwaye lunokunceda ukuthintela i-reflux. Fumanisa ngakumbi malunga nokutya okubangela isitshisa ekutyeni ukuthintela ukutsha kwentliziyo.

Bukela ividiyo eneengcebiso zonyango olukhulu ngendalo ze-gastroesophageal reflux: