I-Barrett esophagus

I-Barrett esophagus (BE) yisifo lapho ulwelwesi lwe-esophagus lulinyazwa yi-acid esiswini. I-esophagus ibizwa nangokuthi ipayipi lokudla, futhi ixhuma umphimbo wakho esiswini sakho.

Abantu abane-BE banengozi eyengeziwe yomdlavuza endaweni ethintekayo. Kodwa-ke, umdlavuza awuvamile.

Uma udla, ukudla kudlula kusuka emphinjeni kuya esiswini sakho kudabula umhosha. Indandatho yemicu yemisipha engxenyeni engezansi igcina okuqukethwe yisisu kungabuyeli emuva.

Uma le misipha ingavali ngokuqinile, isisu esibuhlungu se-asidi singangena ku-esophagus. Lokhu kubizwa ngokuthi i-reflux noma i-reflux ye-gastroesophageal (GERD). Kungadala ukulimala kwezicubu ngokuhamba kwesikhathi. Ulwelwesi lufana nolwesisu.

I-BE yenzeka kaningi emadodeni kunabesifazane. Abantu abane-GERD isikhathi eside maningi amathuba okuba babe nalesi simo.

I-BE uqobo ayizibangeli izimpawu. I-acid reflux ebangela i-BE ivame ukuholela ezimpawu zokushiswa yinhliziyo. Abantu abaningi abanalesi simo abanazo izimpawu.

Ungadinga i-endoscopy uma izimpawu ze-GERD zinzima noma zibuya ngemuva kokwelashwa.

Ngesikhathi se-endoscopy, i-endoscopist yakho ingathatha amasampula wezicubu (ama-biopsies) avela ezingxenyeni ezahlukahlukene zomzimba. Lezi sampuli zisiza ukuthola isimo. Basiza nokubheka izinguquko ezingaholela kumdlavuza.

Umhlinzeki wakho angancoma i-endoscopy yokulandelela ukubheka izinguquko zeseli ezibonisa umdlavuza ngezikhathi ezithile.

UKWELASHWA KWE-GERD

Ukwelashwa kufanele kuthuthukise izimpawu ze-acid reflux, futhi kungagcina i-BE ingabi kubi kakhulu. Ukwelashwa kungabandakanya ushintsho lwendlela yokuphila nemithi efana nale:

• Ama-Antacids ngemuva kokudla nangesikhathi sokulala
• Ama-block blockers we-Histamine H2
• I-Proton pump inhibitors
• Ukugwema ukusebenzisa ugwayi, ushokoledi ne-caffeine

Izinguquko zokuphila, imithi, nokuhlinzwa kwe-anti-reflux kungasiza ngezimpawu ze-GERD. Kodwa-ke, lezi zinyathelo ngeke zenze ukuthi i-BE ihambe.

UKWELASHWA KWEBARRETT ESOPHAGUS

I-endoscopic biopsy ingakhombisa ushintsho kuseli okungaba ngumdlavuza. Umhlinzeki wakho angaluleka ukwelashwa noma ezinye izinqubo zokwelapha.

Ezinye zezinqubo ezilandelayo zisusa izicubu eziyingozi emqaleni wakho:

• I-Photodynamic therapy (PDT) isebenzisa umshini okhethekile we-laser, obizwa nge-balloon esophageal, kanye nomuthi obizwa nge-Photofrin.
• Ezinye izinqubo zisebenzisa izinhlobo ezahlukahlukene zamandla aphezulu ukubhubhisa izicubu ezingaphambi kwesikhathi.
• Ukuhlinzwa ukususa ulwelwesi olungavamile.

Ukwelashwa kufanele kuthuthukise izimpawu ze-acid reflux futhi kungagcina i-BE ingabi kubi kakhulu. Akukho kulezi zindlela zokwelashwa ezizoguqula izinguquko ezingaholela kumdlavuza.

Abantu abane-GERD engapheli noma i-Barrett esophagitis ngokuvamile badinga ukubhekwa ngomdlavuza wesifo.

Shayela umhlinzeki wakho uma:

• Isilungulela sihlala isikhathi eside kunezinsuku ezimbalwa, noma unezinhlungu noma unezinkinga zokugwinya.
• Utholwe ukuthi une-BE futhi izimpawu zakho ziba zimbi kakhulu.
• Uba nezimpawu ezintsha (njengokuncipha, izinkinga ukugwinya).

Ukutholwa kokuqala nokwelashwa kwe-GERD kungavimbela i-BE.

Isisu sikaBarrett; IGERD - uBarrett; I-Reflux - Barrett

• Uhlelo lokugaya ukudla
• I-Esophagus ne-anatomy yesisu

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UJackson AS, uLouie BE. Ukuphathwa kwesifo sikaBarrett. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 19-25.

Ku GY, Ilson DH. Umdlavuza womphimbo. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 71.

UShaheen NJ, uFalk GW, u-Iyer PG, uGerson LB; Ikholeji yaseMelika yeGastroenterology. Umhlahlandlela womtholampilo we-ACG: ukuxilongwa nokuphathwa kwesifo sikaBarrett. NginguJ Gastroenterol. 2016; 111 (1): 30-50. I-PMID: 26526079 pubmed.ncbi.nlm.nih.gov/26526079/.