Chii chinonzi Barrett's Esophagus? Zviratidzo, Zvinokonzera, & Kurapa

Barrett's esophagus chirwere apo lining ye esophagus yako inochinja kuita tishu inotaridzika kunge lining yematumbo ako. Iyi shanduko inoitika kana acid yemudumbu ichigara ichidzoka mu esophagus yako kwenguva yakareba, zvichiita kuti muviri wako udzore ne kukura tishu dzakasiyana dzokudzivirira.

Kunyangwe izvi zvinganzwa zvichitya, Barrett's esophagus inotapura vanhu vakuru vanenge 1-2% uye inogona kutarisirwa nekuchengetedzwa kwakakodzera kwemishonga. Kunzwisisa chirwere ichi kunogona kukubatsira kushanda nesangano rako rekurapa kuti urichengetedze zvakanaka uye kuderedza njodzi ipi neipi.

Chii chinonzi Barrett's Esophagus?

Barrett's esophagus inoitika kana lining ye esophagus yako ichichinja kubva kune yakajairwa pink, yakapfava tishu kuenda kune yakatsvukuruka, yakakora tishu inotaridzika kunge lining yematumbo ako. Esophagus yako ndiyo chubhu inotakura chikafu kubva mumuromo wako kuenda mudumbu rako, uye haina kugadzirirwa kubata acid yemudumbu nguva dzose.

Kana acid reflux ikaitika kazhinji kwemwedzi kana makore, esophagus yako inoramba ichiedza kuzvidzivirira nekukura iyi tishu yakasimba. Funga nezvazvo se nzira yemuviri wako yekupa simba panzvimbo inokuvadzwa nguva dzose.

Ichi chirwere chinofungwa sechinetso chegastroesophageal reflux disease (GERD), iyo ndeye acid reflux inogara kwenguva refu. Vanhu vazhinji vane Barrett's esophagus vane zviratidzo zveGERD kwemakore mazhinji, kunyangwe vamwe vangave vasina kuona zviratidzo zvakakomba zve heartburn.

Ndezvipi Zviratidzo zveBarrett's Esophagus?

Barrett's esophagus pachayo haina zviratidzo zvakakosha. Zviratidzo zvaunogona kuona zvinobva kuGERD yakakonzera chirwere ichocho.

Heano zviratidzo zvakajairwa zvaunogona kuona:

• Heartburn inowanzoitika kana kupisa muchipfuva
• Acid regurgitation (kunaka kwakashata mumuromo mako)
• Kunetseka kukotama chikafu kana zvinwiwa
• Kurwadziwa muchipfuva kunosanganisira moyo wako
• Kukosora kwenguva refu kana kuoma kwezwi
• Kunzwa sekunge chikafu chakatamira muhuro rako

Vamwe vanhu vane Barrett's esophagus vangave nezviratidzo zvishoma kana kuti hapana, ndosaka chirwere ichi chichigara chisingazivikanwi kwemakore mazhinji. Kana ukaona zviratidzo, kazhinji zvinosanganisira acid reflux inogara kwenguva refu pane shanduko yetishu pachayo.

Chii Chinokonzera Barrett's Esophagus?

Barrett's esophagus inokura nekuda kwekubuda kwenguva refu ku acid yemudumbu mu esophagus yako. Dumbu rako rinogadzira acid ine simba kuti igaye chikafu, asi esophagus yako haina kugadzirirwa kubata iyi acid nguva dzose.

Chikonzero chikuru ndeche chronic gastroesophageal reflux disease (GERD). Kana tsandanyama iri pasi pe esophagus yako isingavhari zvakanaka, acid yemudumbu inogona kudzoka mu esophagus yako. Kwenguva yakareba, kubuda uku kweacid kunokonzera kuti lining ye esophagus yako ichinje sekuzvidzivirira.

Zvinhu zvakawanda zvinogona kuita kuti izvi zviitike. Hiatal hernia, apo chikamu chedumbu rako chinokwira ne diaphragm yako, inogona kuita kuti acid reflux iwedzere. Zvimwe zvekudya, kuva uremu, kusvuta, uye kurara mushure mekudya zvinogona kuwedzera acid reflux.

Shanduko yetishu kazhinji inotora makore kuti ikure, ndosaka Barrett's esophagus iri yakajairwa kune vanhu vane zviratidzo zveGERD kwenguva yakareba. Muviri wako unogadzirisa lining ye esophagus kuti ikwanise kubata acid inobuda.

Rini Unofanira Kuona Chiremba ne Barrett's Esophagus?

Unofanira kuona chiremba kana ukaona heartburn inowanzoitika kana acid reflux zviratidzo kupfuura kaviri pavhiki. Kuongororwa nekukurumidza nekurapa kweGERD kunogona kubatsira kudzivirira Barrett's esophagus kuti isakure.

Tsvaka rubatsiro rwekurapa nekukurumidza kana ukaona kunetseka kukotama, kunyanya kana chikafu chichiita sekunge chakatamira. Izvi zvinogona kuratidza kuti esophagus yako iri kuoma kana kuti mamwe matambudziko ari kukura.

Taura nachiremba wako nekukurumidza kana ukaona kurwadziwa muchipfuva, kurutsa ropa, kana kuita matumbu madema, ane mafuta. Aya maratidzo anogona kuratidza ropa mu esophagus yako kana mudumbu, izvo zvinoda kurapwa nekukurumidza.

Kana watoziva kuti une Barrett's esophagus, tevera purogiramu yekutarisa yakakurudzirwa nachiremba wako. Kuongororwa nguva dzose kunokosha kunyangwe uchinzwa zvakanaka, sezvo izvi zvinobatsira kubata chero shanduko nekukurumidza kana zvichigona kurapwa.

Ndezvipi Zvinokonzera Njodzi yeBarrett's Esophagus?

Kunzwisisa zvinokonzera njodzi kunogona kukubatsira iwe nachiremba wako kuona kana ungada kuongororwa kana kutarisirwa kwakanyanya. Zvimwe zvinokonzera njodzi zvaunogona kudzora, nepo zvimwe zviri chikamu chehutano hwako pachako.

Zvinokonzera njodzi zvikuru zvinosanganisira:

• GERD (gastroesophageal reflux disease) inogara kwenguva refu
• Kuva murume (varume vanowanzova nechirwere ichi kupfuura vakadzi)
• Kuva nemakore anopfuura 50
• Kuva muCaucasian
• Kusvuta kana nhoroondo yekusvuta
• Kuva uremu kana kufuta
• Kuva nenhoroondo yemhuri yeBarrett's esophagus kana esophageal cancer

Kuva nechinhu chimwe kana kupfuura chinokonzera njodzi hazvirevi kuti uchakura Barrett's esophagus. Vanhu vazhinji vane zvinhu zvakawanda zvinokonzera njodzi havazomboiti chirwere ichi, nepo vamwe vanhu vane zvinhu zvishoma zvinokonzera njodzi vachizviita. Izvi zvinhu zvinobatsira chiremba wako kuona kana kutarisirwa kwakanyanya kungakubatsira.

Ndezvipi Zvinogona Kuitika Matambudziko eBarrett's Esophagus?

Kunyangwe vanhu vazhinji vane Barrett's esophagus vachirarama hupenyu hunowanzoitika, hunogara zvakanaka, zvakakosha kunzwisisa matambudziko anogona kuitika kuitira kuti ugone kushanda nesangano rako rekurapa kuti urichengetedze uye urirege.

Chinhu chikuru ndechekuti Barrett's esophagus inogona dzimwe nguva kuenda kune chirwere che precancerous chinonzi dysplasia. Izvi zvinoitika kana masero akachinja achiita kutaridzika asingawanzoitika pasi pemikroskopu. Dysplasia yepakati inoreva kuti masero anotaridzika asingawanzoitika, nepo dysplasia yakakomba inoreva kuti anotaridzika zvakanyanya.

Chinhu chakakomba asi chisingawanzoitika ndeche esophageal adenocarcinoma, rudzi rwekenza. Nekudaro, iyi shanduko haina kujairika. Vashoma kupfuura 1% yevanhu vane Barrett's esophagus vanokura kenza gore rega rega. Nekutarisa nguva dzose, chero shanduko inotyisa inogona kuwanikwa uye kurapwa usati wava kenza.

Mamwe matambudziko anogona kusanganisira strictures, apo esophagus yako inoita kuti iome nekuda kwekutsamwa kwenguva refu, zvichiita kuti kukotama kuve kwakaoma. Ropa rinogona kubudawo kana tishu ikatsamwa zvakanyanya, kunyangwe izvi zvisingawanzoitiki nekuzvidzora kweacid.

Kuongororwa nguva dzose nachiremba wako kunoderedza njodzi yematambudziko akakomba nekubata chero shanduko nekukurumidza kana zvichigona kurapwa.

Barrett's Esophagus Inozwiwa Sei?

Barrett's esophagus inozwiwa ne upper endoscopy, nzira yacho chiremba wako anoshandisa chubhu yakatetepa, inogona kubatana ine kamera kuti aone mukati me esophagus yako. Izvi zvinomubvumira kuona shanduko yetishu uye kutora zvidimbu zviduku zvekuyedza.

Panguva ye endoscopy, chiremba wako acharamba achitarisa tishu inotaridzika kunge salmon inotsiva lining yakajairwa ye esophagus. Vachatora zvidimbu zviduku zve tishu (biopsies) kubva kunzvimbo dzakasiyana kuti vaongorore pasi pemikroskopu.

Biopsy inokosha nekuti inosimbisa chirwere uye inotarisa chero shanduko isina kujairika yemasero. Pathologist acharamba achitarisa masero emhando yematumbo ane zvivakwa zvakakosha zvinonzi goblet cells, izvo zviri chiratidzo cheBarrett's esophagus.

Chiremba wako anogonawo kuita bvunzo dzakawanda kuti aone kukomba kwe acid reflux yako. Izvi zvinogona kusanganisira pH monitoring, apo chishandiso chiduku chinoyera mazinga e acid mu esophagus yako kwemaawa 24, kana esophageal manometry kuona kuti tsandanyama dze esophagus yako dzinoshanda zvakanaka sei.

Nzira yese yekuongorora inobatsira sangano rako rekurapa kugadzira chirongwa chakanaka chekutarisira nekurapa chinokodzera mamiriro ako chaiwo.

Kurapa kweBarrett's Esophagus Ndeapi?

Kurapa kweBarrett's esophagus kunotarisa pakudzora acid reflux kudzivirira kukuvadzwa kwakawanda uye kutarisira chero shanduko yetishu. Mashoko akanaka ndeawo kuti nekutarisirwa kwakakodzera, vanhu vazhinji vane chirwere ichi vanoita zvakanaka kwazvo.

Acid suppression ndiyo inonyanya kukosha mukurapa. Chiremba wako anogona kukupa proton pump inhibitors (PPIs), mishonga inoderedza kugadzirwa kweacid yemudumbu. Aya mishonga inobatsira kudzivirira esophagus yako kubva pakukuvadzwa kweacid uye inogona kutobatsira imwe yetishu yeBarrett kudzoka kune yakajairwa.

Kune zviitiko zvakakomba zvine high-grade dysplasia, chiremba wako anogona kukurudzira nzira dzekubvisa tishu isina kujairika. Radiofrequency ablation inoshandisa simba rekupisa kuti iparadze tishu yeBarrett, nepo endoscopic mucosal resection ichibvisa matunhu etishu. Aya maitiro kazhinji anoitwa panguva ye endoscopy.

Mu zviitiko zvisingawanzoitiki apo kenza yakakura, kurapwa kwakanyanya senge kuvhiya kunogona kudiwa. Nekudaro, nekutarisa nguva dzose, vanhu vazhinji havazomboiti izvi.

Chirongwa chako chekurapa chichagadzirirwa mamiriro ako chaiwo, kusanganisira kuti une tishu yakawanda sei yeBarrett uye kana paine shanduko isina kujairika yemasero iripo.

Nzira Yekutarisira Barrett's Esophagus Pamba?

Kutarisira Barrett's esophagus pamba kunosanganisira shanduko dzehupenyu dzinoita kuti acid reflux ideredze uye inotsigira hutano hwako hwese hwe esophagus. Aya mashanduko anoshanda pamwe chete nekurapa kwako kwemishonga kuti ape mhedzisiro yakanaka.

Heano mashanduko ehupenyu akakosha anogona kubatsira:

• Dzivisa zvekudya zvinokonzera senge zvinonhuwira, zvakasviba, kana mafuta
• Dya zvidimbu zviduku, zvakawanda pane zvakakura
• Usarare kwemaawa anenge 3 mushure mekudya
• Simudza musoro wemubhedha wako masentimita 6-8
• Chengetedza uremu hwakanaka
• Rega kusvuta kana uchivuta
• Dzikisa kushandiswa kwe doro

Kutora mishonga yako yakanyorwa nguva dzose kunokosha, kunyangwe uchinzwa zvakanaka. Vanhu vazhinji vanonzwa vachida kurega mishonga yavo inoderedza acid kana zviratidzo zvakanaka, asi kuenderera mberi nekudzora acid kunokosha pakudzivirira shanduko dzakawanda yetishu.

Chengetedza bhuku rezvikafu nezviratidzo kuti uone zvinokonzera zvako. Zvinokonzera reflux zvinosiyana kubva kune munhu kune munhu, saka kunzwisisa zviratidzo zvako kunogona kukubatsira kuita shanduko dzezvikafu dzakanyanya.

Unofanira Kugadzirira Sei Kune Chiremba Wako?

Kugadzirira kuenda kuchiremba kwako kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva panguva yako nemugove wehutano hwako. Tanga nekunyora zviratidzo zvako zvese, kusanganisira kana zvinoitika uye zvinoita sekunge zvinokonzera.

Uye uunze runyorwa rwakakwana remishonga yese nezvinowedzerwa zvauri kutora, kusanganisira antacids ye over-the-counter. Chiremba wako anoda kuziva zvese zvauri kushandisa kutarisira zviratidzo zvako, sezvo mimwe mishonga inogona kukanganisa kurapwa kweBarrett's esophagus.

Nyora mibvunzo yaunoda kubvunza usati waenda kuchiremba. Funga kubvunza nezve purogiramu yako yekutarisa, chero zvirambidzo zvechikafu, migumisiro yemishonga, uye zviratidzo zvipi zvinofanira kukukurudzira kufona kuofisi.

Kana uri kuona nyanzvi kekutanga, uunze makopi emimwe mienzaniso ye endoscopy, mhedzisiro ye biopsy, kana zvidzidzo zvekuongorora. Aya mashoko ekutanga anobatsira chiremba wako mutsva kunzwisisa kukura kwechirwere chako uye mamiriro azvino.

Funga kuunza nhengo yemhuri kana shamwari kuti ikubatsire kuyeuka mashoko akakosha akataurwa panguva yekuenda kuchiremba, kunyanya kana uchizvidya mwoyo nezve chirwere chako.

Chii Chinonyanya Kukosha Nezve Barrett's Esophagus?

Barrett's esophagus chirwere chinogona kutarisirwa chinokura nekuda kwe acid reflux inogara kwenguva refu, uye nekurapwa kwakakodzera kwemishonga, vanhu vazhinji vane chirwere ichi vanorarama hupenyu hunowanzoitika, hunogara zvakanaka. Chinhu chikuru ndechekushanda pedyo nesangano rako rekurapa kudzora acid reflux uye kutarisira chero shanduko.

Kuongororwa nguva dzose ndiko kudzivirirwa kwakanaka kwazvo kubva kumatambudziko. Kunyangwe chirwere ichi chine njodzi shoma yekuenda kukenza, iyi njodzi iri pasi pe 1% pagore, uye kuongororwa nguva dzose kunobata chero shanduko inotyisa nekukurumidza kana zvichigona kurapwa.

Kutora mishonga yako sezvakanyorwa uye kuita shanduko dzehupenyu kuderedza acid reflux ndizvo zvinhu zvinonyanya kukosha zvaunogona kuita. Aya matanho haangobatsiri kudzivirira kukura asi anogonawo kuvandudza hupenyu hwako nekuderedza zviratidzo zvisingafadzi.

Yeuka kuti kuva neBarrett's esophagus hakusi kusimbisa rwendo rwako rwehutano. Nezvinhu zvekuongorora zvezvino uye kurapwa, unogona kutonga chirwere chako uye kunyanya kurarama zvakanaka.

Mibvunzo InowanzoBvunzwa Nezve Barrett's Esophagus

Mubvunzo 1: Barrett's esophagus inogona kudzorwa here?

Mu zvimwe zviitiko, tishu yeBarrett's esophagus inogona kudzoka kune yakajairwa ne acid suppression therapy ine simba, kunyangwe izvi zvisingawanzoitiki kune munhu wese. Kunyangwe tishu isingadzoki zvachose, kudzora acid reflux kunodzivirira kukura kwakawanda uye kunoderedza matambudziko. Chiremba wako anogona kukurukura kana ungave uri munhu anokodzera kurapwa kunobvisa tishu yeBarrett.

Mubvunzo 2: Ndinofanira kuongororwa sei endoscopy?

Frequency inotsamira pane mamiriro ako chaiwo. Kana uine Barrett's esophagus isina dysplasia, iwe kazhinji unoda endoscopy makore ose 3-5. Kana uine low-grade dysplasia, kuongororwa kunogona kuitwa mwedzi mi6-12. High-grade dysplasia kazhinji inoda kuongororwa mwedzi mitatu yega yega. Chiremba wako achaita purogiramu yakakodzera mhedzisiro yako ye biopsy nezvinokonzera njodzi.

Mubvunzo 3: Barrett's esophagus inogona kuwanikwa mumhuri here?

Kunyangwe Barrett's esophagus ichigona kuwanikwa mumhuri, haina kuwanikwa zvakananga senge mamwe marudzi ezvirwere. Kuva nenhoroondo yemhuri kunowedzera njodzi yako, asi izvi zvinogona kunge zvichikonzerwa nezvinhu zvakafanana zvakatipoteredza, genetic predisposition kuGERD, kana kusanganiswa kwezviviri. Kana uine nhengo dzemhuri dzine Barrett's esophagus kana esophageal cancer, kurukura izvi nachiremba wako kuti uwane mazano ekutarisa akakodzera.

Mubvunzo 4: Ndingadya zvakajairwa here ndine Barrett's esophagus?

Vanhu vazhinji vane Barrett's esophagus vanogona kunakidzwa nezvikafu zvakasiyana-siyana nezvimwe zvinoshandurwa kuderedza acid reflux. Iwe ungada kudzivisa kana kuderedza zvekudya zvinokonzera zviratidzo zvako, senge zvinonhuwira, citrus, matomatisi, chokoreti, kana caffeine. Kushanda ne dietitian kunogona kukubatsira kugadzira chirongwa chekudya chinogutsa chinotarisira zviratidzo zvako uchizadzisa zvinodikanwa zvehutano hwako.

Mubvunzo 5: Kunetseka kunowedzera Barrett's esophagus here?

Kunyangwe kunetseka kuchikonzera Barrett's esophagus, kunogona kuwedzera zviratidzo zve acid reflux nekukwidza kugadzirwa kweacid yemudumbu uye kukanganisa mashandiro emuviri wako wekudya. Kutonga kunetseka kuburikidza nematekiniki ekusununguka, kurovedza muviri, kana kurairwa kunogona kuva chikamu chinobatsira chechirongwa chako chekurapa. Vanhu vazhinji vanoona kuti kutonga kunetseka kunovandudza zviratidzo zvavo zve digestive zvakanyanya.