Isomlomo sikaBarrett: kuyini, izimpawu, izimbangela nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ingabe umdlavuza womphimbo kaBarrett?
• Ukuxilongwa kwenziwa kanjani
• Izimbangela ezingaba khona
• Izinketho zokwelashwa
• Ukudla kufanele kube kanjani

Isimomondiya sikaBarrett sithathwa njengenkinga yesifo se-reflux se-gastroesophageal, njengoba ukuvezwa kaningi kwe-mucosa esophageal kokuqukethwe esiswini kubangela ukuvuvukala okungapheli kanye noshintsho kuhlobo lweseli elenza izicubu kule ndawo, okuholele ekuveleni isimo esibizwa ngokuthi i-metaplasia yamathumbu.

Lesi simo asihlali sibangela izimpawu, noma kunjalo, kungahle kube nezimpawu ze-reflux ye-gastroesophageal okuwukushiswa yinhliziyo, ukushisa nokuqhuma njalo. Ukuxilongwa kwesifo sikaBarrett kwenziwa ngudokotela wamathumbu ngokwenza i-endoscopy ephezulu yamathumbu kanti ukwelashwa okubonisiwe kusekelwe kakhulu ekusetshenzisweni kwemithi yokwehlisa i-asidi yesisu.

Lapho isifo sikaBarrett sesitholakele, kubalulekile ukulandela imihlahlandlela yokwelashwa, ngaphezu kokwenza ushintsho ekudleni ukuze kuthuthukiswe izimpawu nokunciphisa ukuvuvukala esizeni, njengoba abantu abanalesi simo benengozi eyengeziwe yokuba nomdlavuza wokuqopha. Ukulandelwa njalo kukadokotela kuyanconywa ukuthi uphinde uhlole ukulimala.

Izimpawu eziyinhloko

Yize kungabangeli izimpawu njalo, umuntu onesifo sikaBarrett angathola izimpawu ze-reflux ye-gastroesophageal, okuyi:

• Isilungulela;
• Umunyu omuncu noma wensimbi emlonyeni;
• Ukuvuselelwa kabusha;
• Ukubopha njalo;
• Umuzwa ovuthayo;
• Ukukhwehlela njalo;
• Ukungahambi kahle.

Ngaphezu kwalokho, ubuhlungu obuphakathi kwesifuba, eduze kwesisu, buvame ukwenzeka kulezi zimo, ngoba nge-reflux yesisu kukhona ukubuya kokuqukethwe kwesisu, okucasula i-mucosa yesophageal. Ukuqonda kangcono ukuthi kuyini nokuthi ungayibona kanjani i-reflux ye-gastroesophageal.

Ingabe umdlavuza womphimbo kaBarrett?

Isifo sikaBarrett asiwona umdlavuza, kepha siholela ezilondeni ezibizwa ngokuthi yi-intestinal metaplasia, engabhekwa njengangaphambi komdlavuza, ngakho-ke abantu abanesifo sikaBarrett basengozini enkulu yokuthola umdlavuza wokuqina.

Kubalulekile futhi ukuthi abantu abanezinto ezinobungozi ezihambisana nokubonakala kwesimomondiya sikaBarrett futhi abanezifo zomdlavuza wokuqwala emndenini, bavivinywe ukuhlolwa njalo ukuthola noma yiziphi izinguquko odongeni lwesimomondiya kusenesikhathi.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwesifo sikaBarrett kwenziwa nge-endoscopy, ukuhlolwa lapho kufakwa khona ithubhu ngomlomo futhi okuvumela ukubonwa kolwelwesi lwesifuba, futhi isiqinisekiso senziwa ngokuhlaziywa kwe-biopsy ethathwe phakathi naloluhlolo., ngesampula elincane lezicubu zomphimbo, bese lihlaziywa ngudokotela elabhorethri. Bona okuningi mayelana nokuthi i-endoscopy yenziwa kanjani.

Isithembiso sokusheshisa nokugwema ama-endoscopy aphindaphindiwe wokuxilongwa kwesifo sikaBarrett, wukuhlolwa okwenziwa ngamaphilisi, njengeCytosponge, okubandakanya ukugwinya iphilisi eliqondisiwe elihamba ngomgudu wamathumbu futhi elikwazi ukuthatha amasampula ezicubu. Noma kunjalo, le ndlela isavivinywa futhi ayenziwa njalo.

Izimbangela ezingaba khona

Isigaxa sikaBarrett sivame kakhulu kubantu abanomlando we-reflux ye-gastroesophageal, eye yenziwa yimbi yizinto eziyingozi ezifana nemikhuba emibi yokudla, ukusetshenziswa ngokweqile kweziphuzo ezithosiwe noma ezithambile, ukusetshenziswa kukagwayi nokukhuluphala.

Ngakho-ke, kunconywa ukuthi uye kudokotela uma kuvela izimpawu ze-reflux, njengesilungulela noma umuzwa ovuthayo, isibonelo, noma uma unomlando womndeni walesi sifo, ukuphenya ukuthi ngabe kukhona yini lolu hlobo lwenkinga nokwenza okulungile ukwelashwa.

Izinketho zokwelashwa

Isigaxa sikaBarrett uhlobo lwesilonda sokuqunjelwa esibangelwa iziqephu eziphindaphindwayo ze-reflux yesisu, kanti ukwelashwa kwalesi simo kukhonjiswa ngudokotela wesisu ngemuva kokuqinisekiswa kokutholakala futhi kuvame ukusetshenziswa kwezidakamizwa ukunciphisa i-asidi esiswini, njenge:

• Omeprazole, Pantoprazole, Lanzoprazole noma Esomeprazole, ahlukaniswa njenge- proton pump inhibitors, futhi asebenza kakhulu;
• Ranitidine noma i-Cimetidine, ihlukaniswe njengabaphikisi be-histamine receptor 2, nayo ilusizo kakhulu futhi ishibhile.

Ngaphezu kwalokho, kubaluleke kakhulu ukwamukela imikhuba yokudla enempilo, ngokudla okusiza ukugaya futhi kunciphise ukuvela kwe-reflux.

Kodwa-ke, uma ukwelashwa ngemithi nangokudla kunganele, ukukhishwa kwe-radiofrequency kungakhonjiswa ukuqeda izilonda zokuhlinzwa noma ukuhlinzwa, kungaba ukwakha i-valve entsha ye-gastroesophageal, noma imisebenzi eyinkimbinkimbi yokususa ulwelwesi lwangaphakathi.

Ukudla kufanele kube kanjani

Ukulawula ukudla kuyisinyathelo esibalulekile sokusiza ekwelapheni umphimbo kaBarrett, futhi kuyanconywa:

• Yidla ukudla okunamafutha amancane nokudla okuncane okunzima ukukugaya noma okubabayo, okufana ne-feijoada, i-barbeque noma ukudla okulula, njengoba lokhu kungukudla okuhlala esiswini isikhathi eside, kubangele ukugayeka kokudla okwandayo futhi kwandise amathuba e-reflux;
• Gwema iziphuzo ezinekhabhoni, njengamanzi anekhabhoni noma iziphuzo ezibandayo, ngoba zandisa amathuba okuqhuma kabusha, zandisa ukukhiqizwa kwamagesi nokuhlasela udonga lwesisu;
• Abantu abazwela ikhofi noma itiye elinetafini, njengama-matte noma ama-black teas, kufanele bagweme lolu hlobo lwesiphuzo, ngoba lungazenza zibe zimbi izimpawu ze-reflux;
• Gwema ukuphuza iziphuzo ngesikhathi sokudla ukuze isisu singagcwali kakhulu;
• Linda okungenani ihora eli-1 ngaphambi kokulala ngemuva kokudla, ukwenza ukugaya kube lula;
• Gwema ukuphuza iziphuzo ezidakayo.

Elinye icebo elibalulekile ekudleni ukudla kancane futhi ukuhlafune kahle ukudla kwakho, ngoba lokhu kunakekelwa kusiza ukugaya futhi kungasiza ukuvimbela i-reflux. Thola kabanzi mayelana nokuthi yikuphi ukudla okubangela isilungulela ekudleni ukuvimbela isilungulela.

Bukela ividiyo enezeluleko ezinhle zokwelashwa kwemvelo ze-reflux yesisu: