He aha ka ʻOʻopu o Barrett? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka ʻōpū o Barrett kahi kūlana kahi e loli ai ka papa o loko o kou ʻōpū i kahi ʻiʻo e like me ka papa o loko o kou ʻōpū. Hana kēia loli ke holo hou aku ka wai ʻawaʻawa o kou ʻōpū i loko o kou ʻōpū no ka manawa lōʻihi, e hoʻololi ai kou kino ma ka ulu ʻana i kahi ʻiʻo pale like ʻole.

ʻOiai paha he mea hopohopo kēia, pili ka ʻōpū o Barrett i kahi 1-2% o nā mākua a hiki ke mālama ʻia me ka mālama kūpono. Hiki i ka hoʻomaopopo ʻana i kēia kūlana ke kōkua iā ʻoe e hana pū me kāu hui olakino e nānā pono ai a hoʻemi i nā pilikia.

He aha ka ʻOʻopu o Barrett?

Hana ʻia ka ʻōpū o Barrett ke hoʻololi ʻia ka papa o loko o kou ʻōpū mai kona ʻano ʻulaʻula, palupalu i kahi ʻiʻo ʻulaʻula, mānoanoa e like me ka papa o loko o kou ʻōpū. ʻO kou ʻōpū ka paipa e lawe ai i ka ʻai mai kou waha i kou ʻōpū, a ʻaʻole i hana ʻia e mālama i ka wai ʻawaʻawa o ka ʻōpū i nā manawa pinepine.

Ke hana pinepine ka acid reflux no nā mahina a i ʻole nā ​​makahiki, e ho'āʻo kou ʻōpū e pale iā ia iho ma ka ulu ʻana i kēia ʻiʻo ikaika. E noʻonoʻo iā ia he ala o kou kino e kau ai i nā mea kaua ma kahi e hōʻino pinepine ʻia ai.

Manaʻo ʻia kēia kūlana he pilikia o ka maʻi gastroesophageal reflux (GERD), ʻo ia ka acid reflux mau loa. ʻO ka hapa nui o nā kānaka me ka ʻōpū o Barrett ua loaʻa iā lākou nā hōʻailona GERD no nā makahiki he nui, ʻoiai ʻaʻole paha i ʻike kekahi i nā hōʻailona heartburn koʻikoʻi.

He aha nā Hōʻailona o ka ʻOʻopu o Barrett?

ʻAʻole hana ka ʻōpū o Barrett i nā hōʻailona kikoʻī. ʻO nā hōʻailona āu e ʻike ai, ʻo ia nā hōʻailona mai ka GERD i alakaʻi i ke kūlana ma mua.

Eia nā hōʻailona maʻamau āu e ʻike ai:

• Heartburn pinepine a i ʻole ka puhi ʻana o ka umauma
• Acid regurgitation (ʻono ʻawaʻawa i kou waha)
• Paʻakikī ka ʻai ʻana i ka ʻai a i ʻole nā ​​wai
• ʻEha umauma ʻaʻole pili i kou naʻau
• Cough mau loa a i ʻole ka leo ʻāwīwī
• Manaʻo e like me ka paʻa ʻana o ka ʻai i kou puʻu

ʻAʻole paha i loaʻa i kekahi poʻe me ka ʻōpū o Barrett nā hōʻailona māmā a i ʻole ʻaʻohe hōʻailona, ​​no laila hiki ke hele ʻole ʻia ke kūlana no nā makahiki. Inā loaʻa iā ʻoe nā hōʻailona, ​​pili pinepine lākou i ka acid reflux mau loa ma mua o nā loli ʻiʻo iho.

He aha ka mea e hana ai i ka ʻOʻopu o Barrett?

Hoʻomohala ʻia ka ʻōpū o Barrett mai ka hōʻike lōʻihi i ka wai ʻawaʻawa o ka ʻōpū i kou ʻōpū. Hana kou ʻōpū i ka wai ʻawaʻawa ikaika e hoʻoheheʻe i ka ʻai, akā ʻaʻole i hana ʻia kou ʻōpū e mālama i kēia wai ʻawaʻawa i nā manawa pinepine.

ʻO ke kumu nui ka maʻi gastroesophageal reflux mau loa (GERD). Ke pani ʻole pono ʻia ka ʻiʻo ma lalo o kou ʻōpū, hiki i ka wai ʻawaʻawa o ka ʻōpū ke holo i hope i kou ʻōpū. Ma hope o ka manawa, hoʻoulu kēia hōʻike wai ʻawaʻawa i ka loli ʻana o ka papa o loko o kou ʻōpū ma ke ʻano he pane pale.

Hiki i kekahi mau mea ke komo i kēia kaʻina hana. Hiki i kahi hiatal hernia, kahi e piʻi ai kahi hapa o kou ʻōpū ma o kou diaphragm, ke hoʻopilikia i ka acid reflux. Hiki i kekahi mau meaʻai, ke kaumaha, ka puhipaka, a me ka moe ʻana ma hope o ka ʻai ʻana ke hoʻonui i nā hanana acid reflux.

Lawe pinepine ʻia nā makahiki e hoʻomohala i ka loli ʻiʻo, ʻo ia ke kumu e ʻoi aku ai ka maʻamau o ka ʻōpū o Barrett i nā kānaka i loaʻa nā hōʻailona GERD no ka manawa lōʻihi. Hoʻoponopono hou ʻia kou kino i ka papa o loko o ka ʻōpū e kūʻē maikaʻi i ka hōʻike wai ʻawaʻawa.

I ka wā e ʻike ai i ke Kauka no ka ʻOʻopu o Barrett?

Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe ka heartburn pinepine a i ʻole nā ​​hōʻailona acid reflux ma mua o ʻelua manawa i ka hebedoma. Hiki i ka loiloi mua a me ka mālama ʻana i ka GERD ke kōkua i ka pale ʻana i ka ʻōpū o Barrett mai ka hoʻomohala ʻana.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i ka paʻakikī o ka ʻai ʻana, ʻoi aku inā manaʻo ʻoe e paʻa ana ka ʻai. Hiki i kēia ke hōʻike i ka hoʻonui ʻana a i ʻole ka hoʻomohala ʻana o nā pilikia ʻē aʻe.

E kelepona koke i kāu mea mālama ola inā loaʻa iā ʻoe ka ʻeha umauma, ka luaʻi koko, a i ʻole ka hele ʻana i nā ʻōpala ʻeleʻele, ʻōpala. Hiki i kēia mau hōʻailona ke hōʻike i ke kahe koko i kou ʻōpū a i ʻole ka ʻōpū, kahi e pono ai ka mālama lapaʻau koke.

Inā ʻike mua ʻoe ua loaʻa iā ʻoe ka ʻōpū o Barrett, e hahai i ka papahana nānā i manaʻo ʻia e kāu kauka. He mea nui ka nānā mau ʻana ʻoiai inā maikaʻi kou manaʻo, ʻoiai ke kōkua nei kēia e hopu i nā loli mua i ka wā e mālama maikaʻi ʻia ai.

He aha nā Mea Hōʻeha no ka ʻOʻopu o Barrett?

Hiki i ka hoʻomaopopo ʻana i kāu mau mea hōʻeha ke kōkua iā ʻoe a me kāu kauka e hoʻoholo inā pono ʻoe i ka nānā ʻana a i ʻole ka nānā pono ʻana. Hiki ke kaohi ʻia kekahi mau mea hōʻeha, ʻoiai ʻo kekahi he hapa wale nō o kāu ʻano olakino pilikino.

ʻO nā mea hōʻeha koʻikoʻi loa e komo pū ana:

• GERD lōʻihi (maʻi gastroesophageal reflux)
• Ke kāne (ʻoi aku ka nui o nā kāne e loaʻa ia)
• Ma mua o 50 mau makahiki
• Ke Caucasian
• Ka puhipaka a i ʻole ka mōʻaukala o ka puhipaka
• Ke kaumaha a i ʻole ka momona
• Ke loaʻa nei kahi mōʻaukala ʻohana o ka ʻōpū o Barrett a i ʻole ka maʻi ʻōpū

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha nā mea hōʻeha ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka ʻōpū o Barrett. ʻAʻole loaʻa i ka nui o nā kānaka me nā mea hōʻeha he nui ke kūlana, ʻoiai kekahi poʻe me nā mea hōʻeha liʻiliʻi. Ke kōkua nei kēia mau mea i kāu kauka e loiloi inā pono paha ka nānā pono ʻana no ʻoe.

He aha nā Pilikia o ka ʻOʻopu o Barrett?

ʻOiai ke ola nei ka hapa nui o nā kānaka me ka ʻōpū o Barrett i nā ola maʻamau, olakino, he mea nui ka hoʻomaopopo ʻana i nā pilikia e hiki mai ana i hiki iā ʻoe ke hana pū me kāu hui olakino e nānā a pale aku iā lākou.

ʻO ka mea nui ka hiki ke holomua ka ʻōpū o Barrett i kahi kūlana precancerous i kapa ʻia ʻo dysplasia. Hana kēia ke hoʻomaka nā cell i loli e nānā ʻole ma lalo o ka microscope. ʻO ka dysplasia haʻahaʻa ke ʻano he ʻano ʻē ʻole nā ​​cell, ʻoiai ʻo ka dysplasia kiʻekiʻe ke ʻano he mea hopohopo loa lākou.

ʻO ka pilikia koʻikoʻi loa akā he mea maʻamau ʻole ka adenocarcinoma esophageal, kahi ʻano o ka maʻi kanesa. Eia naʻe, he mea maʻamau ʻole kēia holomua. ʻOi aku ka liʻiliʻi ma mua o 1% o nā kānaka me ka ʻōpū o Barrett e loaʻa ka maʻi kanesa i kēlā me kēia makahiki. Me ka nānā mau ʻana, hiki ke hopu ʻia a mālama ʻia nā loli hopohopo ma mua o ka lilo ʻana i kanesa.

Hiki i nā pilikia ʻē aʻe ke komo pū me nā strictures, kahi e hoʻonui ʻia ai kou ʻōpū mai ka mumū mau, e paʻakikī ai ka ʻai ʻana. Hiki nō hoʻi ke kahe koko inā huhū loa ka ʻiʻo, ʻoiai he mea maʻamau ʻole kēia me ka kaohi wai ʻawaʻawa kūpono.

Hoʻemi nui ka nānā mau ʻana me kāu kauka i ka pilikia o nā pilikia koʻikoʻi ma ka hopu ʻana i nā loli mua i ka wā e mālama maikaʻi ʻia ai.

Pehea e ʻike ʻia ai ka ʻOʻopu o Barrett?

Hoʻomaopopo ʻia ka ʻōpū o Barrett ma o kahi endoscopy kiʻekiʻe, kahi kaʻina hana kahi e hoʻohana ai kāu kauka i kahi paipa lahilahi, palupalu me kahi kāmela e nānā i loko o kou ʻōpū. ʻAe kēia iā lākou e ʻike i nā loli ʻiʻo a lawe i nā laʻana liʻiliʻi no ka ho'āʻo ʻana.

I ka wā o ka endoscopy, e ʻimi kāu kauka i ka ʻano ʻiʻo salmon-ʻulaʻula e pani ana i ka papa o loko o ka ʻōpū ʻulaʻula māmā. E lawe lākou i kekahi mau laʻana ʻiʻo liʻiliʻi (biopsies) mai nā wahi like ʻole e nānā ma lalo o ka microscope.

He mea nui ka biopsy no ka mea e hōʻoia ana i ka ʻike a e nānā i nā loli cell ʻole. E ʻimi ka pathologist i nā cell intestinal-type me nā ʻano kūikawā i kapa ʻia ʻo goblet cells, ʻo ia nā hōʻailona o ka ʻōpū o Barrett.

Hiki i kāu kauka ke hana i nā ho'āʻo hou aku e loiloi i ka koʻikoʻi o kāu acid reflux. Hiki i kēia ke komo pū me ka nānā ʻana i ka pH, kahi e ana ai kahi mea liʻiliʻi i nā pae wai ʻawaʻawa i kou ʻōpū ma mua o 24 mau hola, a i ʻole ka manometry esophageal e nānā i ka hana o nā ʻiʻo o kou ʻōpū.

Ke kōkua nei ke kaʻina hana ʻike holoʻokoʻa i kāu hui olakino e hana i ka papahana nānā a me ka mālama maikaʻi loa no kāu kūlana kikoʻī.

He aha ka Lapaʻau no ka ʻOʻopu o Barrett?

Ke kaulike nei ka mālama ʻana i ka ʻōpū o Barrett i ka kaohi ʻana i ka acid reflux e pale aku i nā hōʻino hou aku a e nānā i nā loli i ka ʻiʻo. ʻO ka ʻoiaʻiʻo maikaʻi, me ka mālama kūpono, ke hana maikaʻi nei ka hapa nui o nā kānaka me kēia kūlana.

ʻO ka hoʻohaʻahaʻa ʻana i ka wai ʻawaʻawa ka pōhaku o ka mālama ʻana. E kauoha paha kāu kauka i nā proton pump inhibitors (PPIs), ʻo ia nā lāʻau lapaʻau e hoʻemi nui ai i ka hana ʻana o ka wai ʻawaʻawa o ka ʻōpū. Ke kōkua nei kēia mau lāʻau e pale i kou ʻōpū mai nā hōʻino wai ʻawaʻawa hou aku a hiki ke kōkua i kekahi o ka ʻiʻo Barrett e hoʻi i ka maʻamau.

No nā hihia holomua me ka dysplasia kiʻekiʻe, hiki i kāu kauka ke manaʻo i nā kaʻina hana e wehe i ka ʻiʻo ʻole. Hoʻohana ka radiofrequency ablation i ka ikehu wela e luku i ka ʻiʻo Barrett, ʻoiai ke wehe nei ka endoscopic mucosal resection i nā papa ʻiʻo. Hana pinepine ʻia kēia mau kaʻina hana i ka wā o ka endoscopy.

I nā hihia maʻamau kahi i hoʻomohala ʻia ai ka maʻi kanesa, pono paha nā mālama ikaika e like me ka ʻoki kino. Eia naʻe, me ka nānā mau ʻana, ʻaʻole loaʻa ka hapa nui o nā kānaka i kēia kahua.

E hoʻopilikino ʻia kāu papahana mālama i kāu kūlana kikoʻī, e komo pū ana i ka nui o ka ʻiʻo Barrett āu i loaʻa ai a inā loaʻa nā loli cell ʻole.

Pehea e mālama ai i ka ʻOʻopu o Barrett ma ka Home?

ʻO ka mālama ʻana i ka ʻōpū o Barrett ma ka home e komo pū ana i nā loli nohona e hoʻemi ai i ka acid reflux a kākoʻo i kou olakino ʻōpū holoʻokoʻa. Ke hana nei kēia mau loli me kāu mālama lapaʻau e hāʻawi i nā hopena maikaʻi loa.

Eia nā hoʻololi nohona nui e hiki ke kōkua:

• E pale i nā meaʻai hoʻoulu e like me nā meaʻai ʻawaʻawa, ʻawaʻawa, a i ʻole nā ​​mea momona
• E ʻai i nā meaʻai liʻiliʻi, pinepine ma mua o nā mea nui
• Mai moe no ka liʻiliʻi o 3 mau hola ma hope o ka ʻai ʻana
• E hoʻokiʻekiʻe i ke poʻo o kou moe 6-8 iniha
• E mālama i kahi kaumaha olakino
• E haʻalele i ka puhipaka inā puhi ʻoe
• E kaupalena i ka inu ʻawaʻawa

He mea nui ka lawe mau ʻana i kāu mau lāʻau lapaʻau i kauoha ʻia, ʻoiai inā maikaʻi kou manaʻo. Ua manaʻo he nui nā kānaka e ho'ōki i kā lākou mau lāʻau lapaʻau hoʻohaʻahaʻa wai ʻawaʻawa ke hoʻomaikaʻi nā hōʻailona, ​​akā he mea nui ka hoʻomau ʻana i ka hoʻohaʻahaʻa ʻana i ka wai ʻawaʻawa e pale aku i nā loli ʻiʻo hou aku.

E mālama i kahi puke meaʻai a me nā hōʻailona e ʻike i kāu mau mea hoʻoulu pilikino. ʻO ka mea e hoʻoulu ai i ka reflux e ʻokoʻa mai ke kanaka a i ke kanaka, no laila ke kōkua nei ka hoʻomaopopo ʻana i kāu mau ʻano e kōkua iā ʻoe e hana i nā hoʻoponopono meaʻai ikaika.

Pehea ʻoe e hoʻomākaukau ai no kāu Hālāwai Kauka?

Ke kōkua nei ka hoʻomākaukau ʻana no kāu hālāwai e hōʻoia i ka loaʻa ʻana o ka nui o kāu manawa me kāu mea mālama ola. E hoʻomaka ma ka kākau ʻana i kāu mau hōʻailona a pau, e komo pū ana i ka wā e hana ai lākou a me ka mea e hoʻoulu ai iā lākou.

E lawe mai i kahi papa inoa piha o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe nei, e komo pū ana i nā antacids over-the-counter. Pono kāu kauka e ʻike i nā mea āpau āu e hoʻohana nei e mālama i kāu mau hōʻailona, ​​no ka mea hiki i kekahi mau lāʻau ke launa pū me nā mālama no ka ʻōpū o Barrett.

E kākau i nā nīnau āu e makemake ai e nīnau ma mua o kāu hālāwai. E noʻonoʻo e nīnau e pili ana i kāu papahana nānā, nā palena meaʻai, nā hopena ʻaoʻao o nā lāʻau lapaʻau, a me nā hōʻailona e hoʻoulu ai iā ʻoe e kāhea i ke keʻena.

Inā ʻike ʻoe i kahi loea no ka manawa mua, e lawe mai i nā kope o nā hōʻike endoscopy mua, nā hopena biopsy, a i ʻole nā ​​haʻawina kiʻi. Ke kōkua nei kēia ʻike hope i kāu kauka hou e hoʻomaopopo i ka holomua a me ke kūlana o kou kūlana.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha e kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi i kūkākūkā ʻia i ka wā o ka hālāwai, ʻoi aku inā manaʻo ʻoe e hopohopo e pili ana i kāu ʻike.

He aha ka lawe nui e pili ana i ka ʻOʻopu o Barrett?

He kūlana hiki ke mālama ʻia ka ʻōpū o Barrett e hoʻomohala mai ka acid reflux lōʻihi, a me ka mālama lapaʻau kūpono, ke ola nei ka hapa nui o nā kānaka me kēia kūlana i nā ola maʻamau, olakino. ʻO ke kī ka hana pū ʻana me kāu hui olakino e kaohi i ka acid reflux a e nānā i nā loli.

ʻO ka nānā mau ʻana kāu pale maikaʻi loa e kūʻē i nā pilikia. ʻOiai ke lawe nei ke kūlana i kahi pilikia liʻiliʻi o ka holomua ʻana i ka maʻi kanesa, ʻoi aku ka liʻiliʻi o kēia pilikia ma mua o 1% i kēlā me kēia makahiki, a ke hopu nei ka nānā mau ʻana i nā loli hopohopo mua i ka wā e mālama maikaʻi ʻia ai.

ʻO ka lawe ʻana i kāu mau lāʻau lapaʻau e like me ka kauoha ʻia a me ka hana ʻana i nā loli nohona e hoʻemi ai i ka acid reflux nā mea nui loa āu e hiki ai ke hana. ʻAʻole wale kēia mau ʻanuʻu e kōkua i ka pale ʻana i ka holomua akā hiki ke hoʻomaikaʻi i kou maikaʻi o ke ola ma ka hoʻemi ʻana i nā hōʻailona ʻoluʻolu ʻole.

E hoʻomanaʻo ʻaʻole i hoʻomaopopo ʻia kou huakaʻi olakino e ka loaʻa ʻana o ka ʻōpū o Barrett. Me nā ʻenehana nānā a me nā mālama o kēia wā, hiki iā ʻoe ke kaohi i kou kūlana a e kālele i ke ola maikaʻi.

Nā Nīnau Pinepine e pili ana i ka ʻOʻopu o Barrett

Q1: Hiki ke hoʻihoʻi ʻia ka ʻōpū o Barrett?

I kekahi mau hihia, hiki i ka ʻiʻo ʻōpū o Barrett ke hoʻi i ka maʻamau me ka mālama ʻana i ka wai ʻawaʻawa ikaika, ʻoiai ʻaʻole kēia e hana no nā kānaka a pau. ʻOiai inā ʻaʻole hoʻihoʻi piha ka ʻiʻo, ke pale nei ka kaohi ʻana i ka acid reflux i ka holomua hou aku a hoʻemi i nā pilikia. Hiki i kāu kauka ke kūkākūkā inā he mea kūpono ʻoe no nā mālama e wehe i ka ʻiʻo Barrett.

Q2: Pehea pinepine ka pono o nā endoscopies nānā?

Ke hilinaʻi nei ka pinepine i kāu kūlana kikoʻī. Inā loaʻa iā ʻoe ka ʻōpū o Barrett me ka ʻole o ka dysplasia, pono ʻoe i ka endoscopy i kēlā me kēia 3-5 mau makahiki. Inā loaʻa iā ʻoe ka dysplasia haʻahaʻa, pono paha ka nānā ʻana i kēlā me kēia 6-12 mau mahina. Pono pinepine ka dysplasia kiʻekiʻe i ka nānā ʻana i kēlā me kēia 3 mau mahina. E hana kāu kauka i kahi papa hana pilikino e pili ana i kāu mau hopena biopsy a me nā mea hōʻeha.

Q3: He mea hoʻoilina anei ka ʻōpū o Barrett?

ʻOiai hiki i ka ʻōpū o Barrett ke holo i nā ʻohana, ʻaʻole ia i hoʻoilina pololei e like me kekahi mau kūlana genetic. Ke hoʻonui nei ka loaʻa ʻana o kahi mōʻaukala ʻohana i kou pilikia, akā hiki paha kēia ma muli o nā mea hoʻoulu kaiapuni i kaʻana like ʻia, ka hoʻonohonoho genetic i ka GERD, a i ʻole ka hui ʻana o nā mea ʻelua. Inā loaʻa iā ʻoe nā lālā ʻohana me ka ʻōpū o Barrett a i ʻole ka maʻi kanesa esophageal, e kūkākūkā me kāu kauka no nā manaʻo nānā pilikino.

Q4: Hiki iaʻu ke ʻai mau me ka ʻōpū o Barrett?

Hiki i ka hapa nui o nā kānaka me ka ʻōpū o Barrett ke leʻaleʻa i kahi meaʻai like ʻole me kekahi mau hoʻololi e hoʻemi ai i ka acid reflux. Pono paha ʻoe e pale a kaupalena i nā meaʻai e hoʻoulu ai i kāu mau hōʻailona, ​​e like me nā meaʻai ʻawaʻawa, citrus, tomatoes, chocolate, a i ʻole caffeine. Ke kōkua nei ka hana pū ʻana me kahi dietitian e kōkua iā ʻoe e hana i kahi papa ʻaina leʻaleʻa e mālama i kāu mau hōʻailona ʻoiai e hoʻokō ana i kāu mau pono meaʻai.

Q5: Ke hoʻopilikia nei anei ka pilikia i ka ʻōpū o Barrett?

ʻOiai ʻaʻole hana pololei ka pilikia i ka ʻōpū o Barrett, hiki iā ia ke hoʻopilikia i nā hōʻailona acid reflux ma ka hoʻonui ʻana i ka hana ʻana o ka wai ʻawaʻawa o ka ʻōpū a me ka hoʻopilikia ʻana i ka hana ʻana o kou ʻōnaehana digestive. Hiki i ka mālama ʻana i ka pilikia ma o nā ʻano hoʻomaha, ka hoʻoikaika kino, a i ʻole ka ʻōlelo aʻo ke lilo i ʻāpana kōkua o kāu papahana mālama holoʻokoʻa. He nui nā kānaka e ʻike e hoʻomaikaʻi nui ka mālama ʻana i ka pilikia i kā lākou mau hōʻailona digestive.