Isifo sikaBarrett singenye yezimpawu eziyingozi kakhulu zokuhlukunyezwa kwezifo ze-GERD - isifo se-reflux se-gastroesophageal. I-GERD isifo esingelapheki esihlala njalo siphinde sibonakale njengokwakheka okuphindaphindiwe nokuphindaphindiwe ngaphakathi kokuqukethwe kwesisu ngenxa yokuphumula noma ukuvalwa okuphelele kwe-sphincter.
Inqubo enjalo ejwayelekile ingabangela izinkinga ngendlela ye-Barrett, okusho ukusabalala kwesimo se-epithelium esiyinkimbinkimbi uma kuqhathaniswa nesijwayelekile - flat and multilayered.
Njengokwesiko emithi, igama lesi sifo lithathwe egameni lomuntu owalichaza okokuqala ngo-1957. Kwakuyi-odokotela waseNgilandi uNorman Barrett. Namuhla, ososayensi abaqapheli ngokugcwele ukuthi kufanele bacabange yini isifo sikaBarrett njengesifo esihlukile noma ukuyihlola njengesibonakaliso seGERD.
Ngokusho kwedatha yemininingwane, lokhu kunenkinga kutholakala ku-10% weziguli ze-GERD, futhi ucabangela izibalo ezijwayelekile - ku-1%. Lesi simo sithathwa odokotela njengesiqhwaga.
Izimbangela zesifo sikaBarrett
Uma sisho ukuxhuma phakathi kwe-Barrett ne-GERD, khona-ke imbangela ingumonakalo ongapheliyo ezindongeni zendawo futhi ngenxa yalokho - ukuvuvukala kwayo.
Abanye banombono wokuthi isimo sokuzalwa esiyingxenye yendima sidlala indima ekwakhiweni kwalesi sifo.
Ukuxilongwa kwesimo sikaBarrett
Inkambo yokukhubazeka yalesi sifo ihlanganisa ukuxilongwa ngesikhathi esifanele, ngakho-ke abantu abanesifo se-GER noma labo abanobuhlungu bezinhliziyo njalo, ukukhetha okusemqoka ukuvakashelwa ngezikhathi ezithile ku-gastroenterologist nokulawulwa kwezifo.
Ukuze kuhlolwe isifo, i-endoscopy yesigcawu esisemathunjini esisenyakatho isetshenzisiwe, futhi uma i-biopsies itholakele, i-biopsy yenzelwa ukuhlaziywa ngokutholakala kwamangqamuzana omdlavuza.
Isifo sikaBarrett singaphulukiswa?
Isifo sikaBarrett singaphulukiswa, kodwa lokhu kuyinkimbinkimbi enkulu yesifo esiyinkimbinkimbi, ngakho-ke ukungenelela kokuhlinzwa kungenzeka - ukwelashwa ngokweqile.
Isibikezelo se-Barrett's esophagus
Lesi sibonakaliso singase sibe uphawu lomdlavuza noma senze amathuba okuthuthukiswa kwawo. Lesi sifo singalawulwa ngokuphathwa ngendlela efanele, ukudla nokuphila okunempilo.
Indlela yokuphatha isifo sikaBarrett?
Ukwelashwa kwesifo sikaBarrett kufana nokuphathwa kweGERD, futhi kuqukethe ukulungiswa kokuphila, ukudla kanye nemithi. Uma lezi zimali zinganiki umphumela omuhle, ukungenelela kokuhlinzekwa kunqunywe.
Ukulungiswa kwendlela yokuphila:
- ukulahla imikhuba emibi;
- isisindo sokujwayelekile;
- ukuqedwa kwemithwalo;
- isikhundla esiphezulu sekhanda ekupheleni kombhede ngesikhathi sokulala.
Isici sikaBarrett
Ukudla okunomsoco ku-Barrett ukugxila izingxenye ezithile: kunesidingo esincane, kodwa kaningi, futhi kuyilapho kudingekile ukuhambisana nombuso.
Ngemuva kokuthi udle, ukuhlala endaweni engezansi akunconywanga, ukuze ungabhubhisi i-reflux - inkinga enkulu ye-GERD, okubangela ukukhula kwesisindo.
Imikhiqizo elandelayo ayinqatshelwe ukwamukelwa:
- ukhilimu;
- ubisi;
- ikhofi kanye netiye;
- iziphuzo ze-carbonated;
- amakhekhe;
- inyama yamadada, ihansi;
- ingulube;
- iwundlu;
- ukudla okuthosiwe namafutha;
- amafutha negargarini;
- izithelo zase-citrus.
Ngemenyu enjalo eqinile udinga ukuqapha isimo sezempilo - kunezinhlobo eziningi zokudla okungenamaprotheni, okuphansi kwamafutha, kufaka phakathi kwe- fiber yokudla futhi unakekelwa - ama-carbohydrate. Ukudla kakhulu ngesifo esinjalo akuvunyelwe.
Ukwelashwa Kwemithi
Imithi ikhethwe ngabanye, ngoba kuyinkinga yokugcizelela kwalesi simo futhi lokhu kudinga indlela ekhethekile yokwelapha okusekelwe kwimiphumela ye-biopsy, uma bekukhona, nokuhlola isifo ngesikhathi sokuphela kwe-endoscopy. Ezimweni ezinjalo, izidakamizwa ezithuthukisa i-motility futhi zenze ukuba i-acidity ibekiwe. Futhi ezimweni ezinjalo, imithi ye-antisecretory iyasebenza.
Ukwelapha okuhlinzwa
Ngenkinga ye-GERD - isifo se-Barrett, ukuhlinzekwa kuvame ukushiwo - ukuxhaswa ngezimali ngendlela ye-laparoscopic.
Isifo sikaBarrett - ukwelashwa ngamakhambi abantu
Ukwelashwa kuka-Barrett nama-folk amakhambi ngaphandle kokulawula nokusebenzisana nodokotela kungaholela ezinkingeni ezinzima zesifo.
Ukuze unciphise ukuvuvukala, sebenzisa iresiphi elandelayo:
- Hlanganisa ezingxenyeni ezilinganayo izimbali ze-chamomile, i-calendula, i- sage , i-flax imbewu ye-St John's wort ne-elecampane, bese wenza umhluzi bese uyivumela ukuba ufeze endaweni epholile amahora angu-5.
- Thatha umuthi wezipuni eziyi-5. Imizuzu engu-30 ngaphambi kokudla inyanga.
Kanti futhi ekwelapheni abachwepheshe bemithi yomdabu batusa ukuthatha izipuni ezimbili. amazambane asanda kufakwa juice nsuku zonke ngemuva kwamahora angu-1.5 emva kokudla.