He aha te mate puku Barrett? Ngā tohu, ngā take, me te rongoā

Ko te mate puku Barrett tētahi āhuatanga e huri ai te papanga noa o tō puku ki te papanga e rite ana ki te papanga o tō whekau. Ka puta tēnei huringa ina hoki anō te waipū o te kopu ki runga ki tō puku i te wā roa, ā, ka hanga e tō tinana he papanga tiaki rerekē.

Ahakoa pea ka rongo koe i te āwangawanga, ka pa te mate puku Barrett ki te 1-2% o ngā tāngata pakeke, ā, ka taea te whakahaere me te tiaki hauora tika. Ko te mārama ki tēnei āhuatanga ka āhei ai koe ki te mahi tahi me tō rōpū hauora hei aroturuki pai me te whakaiti i ngā tūponotanga.

He aha te mate puku Barrett?

Ka puta te mate puku Barrett ina huri te papanga o tō puku mai i tōna papanga mawhero, ngawari ki te papanga whero, mātotoru e rite ana ki te papanga o tō whekau. Ko tō puku te pūkaha e kawe ai i te kai i tō waha ki tō kopu, ā, kāore i hangaia hei whakahaere i te waipū o te kopu i ia wā.

Ina maha tonu te hoki mai o te waipū i ngā marama, i ngā tau rānei, ka ngana tō puku ki te tiaki i a ia mā te whakatupu i tēnei papanga kaha ake. Whakaarohia ko te huarahi o tō tinana ki te whakauru i te pūreretā ki te wāhi e pakaru ana i ia wā.

Ko tēnei āhuatanga he raruraru o te mate reflux gastroesophageal (GERD), arā, te reflux waipū roa. Ko te nuinga o ngā tāngata he mate puku Barrett kei a rātou ngā tohu GERD mō ngā tau maha, ahakoa kaore pea etahi i kite i ngā tohu ngākau mamae nui.

He aha ngā tohu o te mate puku Barrett?

Kāore te mate puku Barrett i te whakaoho i ngā tohu motuhake. Ko ngā tohu ka kite pea koe i te GERD kei raro i te āhuatanga i te tuatahi.

Ko ēnei ngā tohu noa ka kite pea koe:

• Te mamae ngākau maha, te tahuna rānei o te uma
• Te hoki mai o te waipū (te reka kawa i tō waha)
• Te uaua ki te horomia te kai, te wai rānei
• Te mamae uma kāore i te hono atu ki tō ngākau
• Te mare i te roa, te reo ngawari rānei
• Te hiahia kei te mau te kai i tō korokoro

Ka iti pea ngā tohu o ētahi tāngata he mate puku Barrett, kāore rānei, koia te take kaore e kitea te āhuatanga mō ngā tau maha. Ki te pāngia koe e ngā tohu, ka hono pea rātou ki te reflux waipū haere tonu, kāore ki ngā huringa papanga anō.

He aha ngā take o te mate puku Barrett?

Ka puta te mate puku Barrett mai i te whakamahinga roa ki te waipū o te kopu i tō puku. Ka whakaputa tō kopu i te waipū kaha hei whakangā te kai, engari kāore i hangaia tō puku hei whakahaere i tēnei waipū i ia wā.

Ko te take matua ko te mate reflux gastroesophageal roa (GERD). Ina kore te uaua i raro i tō puku e kati tika, ka taea e te waipū o te kopu te rere whakamuri ki tō puku. I te wā roa, ka whakaoho tēnei whakamahinga waipū i te huringa o te papanga o tō puku hei whakautu tiaki.

He maha ngā take ka āhei ki tēnei tukanga. He hernia hiatal, kei reira tetahi wāhanga o tō kopu e pēhi ana ki runga i tō diaphragm, ka taea te whakaiti i te reflux waipū. Ka taea e ētahi kai, te taumaha nui, te whakakā, me te takoto i muri i te kai te whakanui i ngā wāhanga reflux waipū.

Ka roa te huringa papanga ki te whakawhanake, koia te take ka noa ake te mate puku Barrett ki ngā tāngata kua roa te tohu GERD. Ka hanga anō e tō tinana te papanga puku hei whakataetae pai ake ki te whakamahinga waipū.

Nōhea te haere ki te taote mō te mate puku Barrett?

Me haere koe ki te taote ki te pāngia koe e te mamae ngākau maha, te tohu reflux waipū rānei neke atu i te rua i te wiki. Ka taea e te aromatawai me te rongoā wawe o te GERD te āhei ki te aukati i te whakawhanake o te mate puku Barrett.

Rapua te awhina hauora wawe ki te kite koe i te uaua ki te horomia, ina koa ki te hiahia koe kei te mau te kai. Ka taea e tēnei te tohu kei te whakaitihia tō puku, kei te whakawhanakehia rānei ētahi atu raruraru.

Whakapa atu ki tō kaiwhakarato hauora tonu ki te pāngia koe e te mamae uma, te ruaki toto, te paheke toto pango, te tarry rānei. Ka taea e ēnei tohu te tohu i te toto i tō puku, i tō kopu rānei, e hiahia ana ki te tiaki hauora wawe.

Ki te mohio koe kei a koe te mate puku Barrett, whai i te kaupapa aroturuki a tō taote. He mea nui te aroturuki tonu ahakoa kei te pai koe, na te mea ka āhei tenei ki te hopu i ngā huringa wawe ina tino taea te whakaora.

He aha ngā take tūponotanga mō te mate puku Barrett?

Ko te mārama ki ō tūponotanga ka āhei ai koe me tō taote ki te whakatau mēnā ka whai hua koe i te whakamātautau, i te aroturuki tata rānei. Ko ētahi tūponotanga ka taea e koe te whakahaere, ko ētahi atu he wāhanga noa iho o tō kaupapa hauora whaiaro.

Ko ngā take tūponotanga tino nui ko:

• Te GERD roa (mate reflux gastroesophageal)
• Ko te tane (ka noa ake te whanake i ngā tāne)
• Neke atu i te 50 tau
• Ko te Pākehā
• Te whakakā, te hītori whakakā rānei
• Te taumaha nui, te momona rānei
• Te whakaaro whānau o te mate puku Barrett, te mate puku rānei

Ko te whai i tetahi tūponotanga, neke atu rānei, kāore e tikanga ka whanake koe i te mate puku Barrett. Kāore te nuinga o ngā tāngata he maha ngā tūponotanga e whanake ana i te āhuatanga, engari ko ētahi tāngata he iti ngā tūponotanga e whanake ana. Ka āhei ēnei take ki tō taote ki te aromatawai mēnā ka whai hua te aroturuki mataara atu mōu.

He aha ngā raruraru pea o te mate puku Barrett?

Ahakoa ko te nuinga o ngā tāngata he mate puku Barrett e ora ana i te oranga noa, hauora, he mea nui te mārama ki ngā raruraru pea kia taea ai e koe te mahi tahi me tō rōpū hauora hei aroturuki me te aukati i a rātou.

Ko te take matua ko te mate puku Barrett ka taea te haere tonu ki te āhuatanga precancerous e kiia nei ko te dysplasia. Ka puta tēnei ina tīmata te ahua o ngā pūtau i hurihia i raro i te microscope. Ko te dysplasia iti te tikanga he iti te ahua o ngā pūtau, ko te dysplasia teitei te tikanga he nui ake te āwangawanga.

Ko te raruraru tino nui engari he iti te adenocarcinoma esophageal, tētahi momo mate pukupuku. Heoi, he iti te haere tonu. Kāore i te neke atu i te 1% o ngā tāngata he mate puku Barrett e whanake ana i te mate pukupuku ia tau. Me te aroturuki tonu, ka taea te hopu i ngā huringa āwangawanga me te whakaora i mua i te mate pukupuku.

Ka taea e ētahi atu raruraru te whakauru i ngā strictures, kei reira te whakaiti o tō puku mai i te mumura haere tonu, ka uaua te horomia. Ka taea hoki te toto ki te tino mamae te papanga, ahakoa he iti tenei me te whakahaere waipū tika.

Ka whakaiti nui te aroturuki tonu me tō taote i te tūponotanga o ngā raruraru nui mā te hopu i ngā huringa wawe ina tino taea te whakaora.

Me pēhea te whakataurite i te mate puku Barrett?

Ka whakatauritea te mate puku Barrett mā te endoscopy o runga, tētahi tukanga e whakamahi ana tō taote i te pūkaha angiangi, ngawari me te kamera hei titiro ki roto i tō puku. Ka āhei tenei ki a rātou te kite i ngā huringa papanga me te tango i ngā tauira iti mō te whakamātautau.

I te wā o te endoscopy, ka titiro tō taote ki te papanga tae ika e whakakapi ana i te papanga puku mawhero noa. Ka tango rātou i ngā tauira papanga iti (biopsies) mai i ngā wāhi rerekē hei tirotiro i raro i te microscope.

He mea nui te biopsy na te mea ka whakau i te whakataurite me te tirotiro i ngā huringa pūtau āwangawanga. Ka titiro te pathologist ki ngā pūtau momo whekau me ngā hanganga motuhake e kiia nei ko ngā pūtau goblet, koinei te tohu o te mate puku Barrett.

Ka taea e tō taote te mahi i ētahi atu whakamātautau hei aromatawai i te kaha o tō reflux waipū. Ka taea e ēnei te whakauru i te aroturuki pH, kei reira tetahi taputapu iti e ine ana i ngā taumata waipū i tō puku i roto i te 24 haora, te manometry esophageal rānei hei tirotiro i te mahi o ngā uaua puku.

Ka āhei te tukanga whakataurite katoa ki tō rōpū hauora ki te hanga i te mahere aroturuki me te rongoā pai rawa atu mō tō āhuatanga motuhake.

He aha te rongoā mō te mate puku Barrett?

Ko te rongoā mō te mate puku Barrett te aro ki te whakahaere i te reflux waipū hei aukati i ngā pakaru atu me te aroturuki i ngā huringa i te papanga. Ko te rongo pai ko te nuinga o ngā tāngata he āhuatanga nei e pai ana te ora.

Ko te whakaiti i te waipū te pūtake o te rongoā. Ka tohu pea tō taote i ngā inhibitors pūmupū proton (PPIs), ko ēnei ngā rongoā e whakaiti nui ana i te whakaputanga waipū o te kopu. Ka āhei ēnei rongoā ki te tiaki i tō puku mai i ngā pakaru waipū atu, ā, ka āhei pea te whakahoki i ētahi o te papanga Barrett ki te noa.

Mō ngā take whanui ake he dysplasia teitei, ka tohu pea tō taote i ngā tukanga hei tango i te papanga āwangawanga. Ka whakamahi te ablation radiofrequency i te kaha wera hei whakangaro i te papanga Barrett, ka tango te resection mucosal endoscopic i ngā paparanga papanga. Ka mahia pea ēnei tukanga i te wā o te endoscopy.

I roto i ngā take onge ka whanake te mate pukupuku, ka hiahiatia pea ngā rongoā nui ake penei i te pokanga. Heoi, me te aroturuki tonu, kāore te nuinga o ngā tāngata e tae ki tēnei wā.

Ka whakaritea tō mahere rongoā ki tō āhuatanga motuhake, tae atu ki te nui o te papanga Barrett kei a koe me te mea kei reira ngā huringa pūtau āwangawanga.

Me pēhea te whakahaere i te mate puku Barrett i te kāinga?

Ko te whakahaere i te mate puku Barrett i te kāinga te whakauru i ngā huringa oranga e whakaiti ana i te reflux waipū me te tautoko i tō hauora puku whānui. Ka mahi ēnei huringa tahi me tō rongoā hauora hei whakarato i ngā hua pai rawa atu.

Ko ēnei ngā whakarerekētanga oranga nui ka āhei te āwhina:

• Aukati i ngā kai whakaoho penei i ngā kai kawa, waipū, momona rānei
• Kai iti ake, maha atu ngā kai i te wāhi nui
• Kaua e takoto mo te 3 haora iti rawa i muri i te kai
• Whakaarahia te ulu o tō moenga 6-8 inihi
• Whakahaere i te taumaha hauora
• Whakamutu i te whakakā ki te whakakā koe
• Whakaitihia te inu waipiro

He mea nui te tango tonu i ō rongoā i tohua, ahakoa kei te pai koe. Ka ngana pea te tini o ngā tāngata ki te mutu i ō rātou rongoā whakaiti waipū ina pai ake ngā tohu, engari he mea nui te whakaiti tonu i te waipū hei aukati i ngā huringa papanga atu.

Tūhonohia he kai me te rārangi tohu hei whakataurite i ō whakaoho whaiaro. He rerekē te take o te reflux mai i te tangata ki te tangata, no reira ko te mārama ki ō tauira ka āhei ai koe ki te mahi i ngā whakarerekētanga kai e whai take ana.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āhei ai koe ki te whiwhi i te hua pai rawa atu i tō wā me tō kaiwhakarato hauora. Tīmata mā te tuhituhi i ō tohu katoa, tae atu ki te wā e puta ai rātou me te mea e whakaoho ana i a rātou.

Kawe mai i te rārangi katoa o ngā rongoā me ngā taapiri katoa e tangohia ana e koe, tae atu ki ngā antacids i runga i te kaute. Me mohio tō taote ki ngā mea katoa e whakamahia ana e koe hei whakahaere i ō tohu, na te mea ka taea e ētahi rongoā te mahi tahi me ngā rongoā mō te mate puku Barrett.

Tuhituhia ngā pātai e hiahia ana koe ki te ui i mua i tō hui. Whakaarohia te ui mo tō kaupapa aroturuki, ngā herenga kai, ngā pānga o ngā rongoā, me ngā tohu e hiahia ana koe ki te karanga atu ki te tari.

Ki te kite koe i te tohunga mō te wa tuatahi, kawe mai i ngā kape o ngā ripoata endoscopy o mua, ngā hua biopsy, ngā rangahau whakaahua rānei. Ka āhei tēnei mōhiohio papamuri ki tō taote hou ki te mārama ki te haere tonu o tō āhuatanga me tō tūāhua o nāianei.

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerohia i te wā o te hui, ina koa ki te āwangawanga koe mō tō whakataurite.

He aha te tango matua mō te mate puku Barrett?

Ko te mate puku Barrett tētahi āhuatanga ka taea te whakahaere e puta mai ana i te reflux waipū roa, ā, me te tiaki hauora tika, ko te nuinga o ngā tāngata he āhuatanga nei e ora ana i te oranga noa, hauora. Ko te matua ko te mahi tata me tō rōpū hauora hei whakahaere i te reflux waipū me te aroturuki i ngā huringa.

Ko te aroturuki tonu tō tiaki pai rawa atu ki ngā raruraru. Ahakoa he iti te tūponotanga o te āhuatanga ki te haere tonu ki te mate pukupuku, he iti iho i te 1% ia tau tēnei tūponotanga, ā, ka hopu te aroturuki tonu i ngā huringa āwangawanga wawe ina tino taea te whakaora.

Ko te tango i ō rongoā penei i te tohua me te mahi i ngā huringa oranga hei whakaiti i te reflux waipū ko ngā mea nui rawa atu ka taea e koe te mahi. Kāore ēnei kaupae e āhei ana ki te aukati i te haere tonu, engari ka taea te whakapai ake i tō kounga ora mā te whakaiti i ngā tohu kore pai.

Kia mahara kei te whakataurite te mate puku Barrett i tō haerenga hauora. Me ngā hangarau me ngā rongoā aroturuki o nāianei, ka taea e koe te whakahaere i tō āhuatanga me te aro ki te ora pai.

Ngā Pātai Nui e Uihia Ana Mō te Mate Puku Barrett

P1: Ka taea te hoki mai te mate puku Barrett?

I ētahi wā, ka taea te hoki mai o te papanga mate puku Barrett ki te noa me te rongoā whakaiti waipū kaha, ahakoa kāore tēnei e puta mō te katoa. Ahakoa kāore te papanga i te hoki katoa, ka aukati te whakahaere i te reflux waipū i te haere tonu me te whakaiti i ngā raruraru. Ka taea e tō taote te kōrero mēnā ka taea e koe te whakamahi i ngā rongoā e tango ana i te papanga Barrett.

P2: Nōhea te hiahia o ngā endoscopies aroturuki?

Ka whakawhirinaki te auau ki tō āhuatanga motuhake. Ki te kore koe e whai dysplasia, ka hiahia pea koe ki te endoscopy i ia 3-5 tau. Ki te whai koe i te dysplasia iti, ka aroturuki pea i ia 6-12 marama. Ko te dysplasia teitei te tikanga he aroturuki i ia 3 marama. Ka hanga e tō taote tētahi kaupapa whaiaro e whai ana ki ō hua biopsy me ō tūponotanga.

P3: He mea whakatūturu te mate puku Barrett?

Ahakoa ka taea te rere o te mate puku Barrett i roto i ngā whānau, kāore i te whakatūturu tika penei i ētahi āhuatanga ira. Ko te whai i te hītori whānau ka whakanui i tō tūponotanga, engari ka taea pea tēnei na ngā take taiao, te whakatūturutanga ira ki te GERD, te whakakotahitanga rānei o ngā mea e rua. Ki te whai koe i ngā mema whānau he mate puku Barrett, he mate puku rānei, kōrerohia tēnei me tō taote mō ngā tūtohu whakamātautau whaiaro.

P4: Ka taea tonu e au te kai noa me te mate puku Barrett?

Ko te nuinga o ngā tāngata he mate puku Barrett ka taea te pai ki te kai rerekē me ētahi whakarerekētanga hei whakaiti i te reflux waipū. Ka hiahia pea koe ki te karo, ki te whakaiti rānei i ngā kai e whakaoho ana i ō tohu, penei i ngā kai kawa, citrus, tamati, tiakarete, caffeine rānei. Ko te mahi tahi me te kaiwhakaako kai ka āhei ai koe ki te hanga i te mahere kai pai e whakahaere ana i ō tohu me te whakatutuki i ō hiahia kai.

P5: Ka kino ake te mate puku Barrett i te ahotea?

Ahakoa kāore te ahotea e whakaoho tika i te mate puku Barrett, ka taea te whakaiti i ngā tohu reflux waipū mā te whakanui i te whakaputanga waipū o te kopu me te pānga ki te mahi o tō pūnaha nakunaku. Ko te whakahaere i te ahotea mā ngā hangarau whakangā, te whakakori tinana, te tohutohu rānei ka taea te wāhanga whai hua o tō mahere rongoā whānui. Ka kite te tini o ngā tāngata kua pai ake te whakahaere i te ahotea i ō rātou tohu nakunaku.