Isifo sikaBarrett yisifo esiyinkimbinkimbi enkulu yesifo se-reflux ye-gastroesophageal futhi sibhekwa njengabachwepheshe njengesimo esibucayi. Kulezi zifo, ukuguqulwa koqweqwe lwe-epithelial of the mucosa esophageal kutholakala, okubonakala ngokungafani nesimo esivamile se-epithelium ye-cylindrical kune-multi-colored flat (i-epithelium yama-cylindrical evame ukubhekisela ku-mucosa emathunjini). Lokhu kufakwa kwamangqamuzana kuhlotshaniswa nomonakalo ongapheli embranini yamangqamuzana we-esophagus yi-acast gastric acid, okubangela izinqubo zokubhubhisa ezibhubhisayo.
Izimpawu zesimo sikaBarrett
Isifo sikaBarrett asikwazi ukutholakala kuphela ngesisekelo somtholampilo, lesi sifo asikho izimpawu ezithile. Kodwa kaningi iziguli ezixilongwa ngaleyo ndlela zenza izikhalazo ezilandelayo:
- ukuqhuma njalo, ukukhathazeka isikhathi eside;
- Ukubamba njalo (umoya, omuncu, ukufutheka);
- umzwelo emphinjeni ngemuva kokudla, okwandayo nge-tilts futhi elele phansi;
- ukunambitheka okubabayo emlonyeni;
- ukuphazamiseka komsebenzi wokugwinya (ngesikhathi sokudla, ngokugwinya kwamathe);
- ukuhlanza (ngezinye izikhathi nokuxuba igazi);
- isicasuli;
- ubuhlungu esifundeni se-epigastric, okungenzeka ngemuva kokudla noma kungakhathaliseki ukudla okudliwayo;
- isikhwama esivamile ;
- ukuzwa kwesikhumba emqaleni;
- ukuzwakalisa;
- ukuphuka kwesisindo esibukhali.
Uma kucatshangwa ukuthi ukugula, ukuhlolwa okukhethekile kwe-instrumental kanye ne-laboratory kuyamiswa, okuyinhloko okungukuthi i-endoscopy yesisu nesisu nge-biopsy.
Isifo sikaBarrett siphathwa?
Iziguli ezitholakale zile-pathology zincike ekunakekeleni okuphoqelekile futhi okuphuthumayo ukuze kugweme ukuthuthukiswa kwezinguquko ezingenakuguquka ezingxenyeni zomzimba we-mucosa kanye nokuvela kwamangqamuzana omdlavuza. Ukwelashwa kwenziwa ngaphansi kokulawulwa okuvamile nge-biopsy, okwenza kube lula ukuqapha ukusebenza kwezinyathelo zokwelapha, futhi ngesikhathi sokubona izinkinga ezingenzeka. Ukuchazwa kwezimpawu zesifo sikaBarrett kuncike ekutheni isikhathi sokwelapha nokuhambisana nayo yonke imiyalelo yezokwelapha.
Ukwelashwa okuqaphayo kwe-Barrett's esophagus kuhloswe ekunciphiseni i-reflux ye-gastroesophageal, ukuvikela i-mucosa yesifo, ukuvimbela i-acid ukwakheka esiswini, ukuqeda izimpawu ezingathandeki. Izingxenye eziyinhloko zokwelashwa okuzimele zixoxwe ngezansi.
Ukudla nokudla
Iziguli zinconywa:
- Ungavumeli ukusebenzisa izitsha ezimuncu, ezithosiwe, ezivundiwe, ezifotshisayo, ama-marinades, ushokoledi, imikhiqizo ebangela ukukhiqizwa kwegesi.
- Ungadli ukudla okushisayo nokubandayo.
- Yidla ukudla okuncane izikhathi ezingu-5-6 ngosuku.
Ukushiya imikhuba emibi
Kusho ukubhema, ukuphuza utshwala. Kubuye kudingekile ukuba kulungiswe umsebenzi wokuzivocavoca, ugweme ukucindezeleka ngokweqile emshinini wesisu.
Imithi
Imithi elandelayo imisiwe:
- abavimbela ipompo yeproton;
- i-antacids;
- ama-antibiotics (ngokumelene ne-Helicobacter pylori bacterium uma itholakala);
- ama-enzyme ;
- i-prokinetics;
- ama-alginates.
Ukwelapha okuhlinzekwa kwesimo se-Barrett
Ngaphandle kokusebenza kwamasu okuqapha kanye nesimo esiyinkimbinkimbi sesifo, ukwelashwa okuhlinzekwayo kunqunywe, lapho amasayithi amathiskhi e-mucosal ashintshiwe ngokwemvelo asuswa. Ngokuyinhloko, ukwelapha ukwelashwa kwe-Barrett's esophagus kwenziwa nge-endoscopic izindlela ezingenasidingo ezincane. Izindlela zanamuhla zokuqhuba ukusebenza yi-radiation frequency and removal laser.
Ukwelashwa kuka-Barrett namayeza omuntu
Kunezindlela eziningi ezihlukile zokwelapha lesi sifo, esingasetshenziswa ngemvume kadokotela. Indlela ethandwa kakhulu futhi ephumelelayo yokwelashwa kwabantu iwukutholwa kwamafutha e-sea buckthorn, okuzuzisa ezindongeni zendawo. Amafutha ase-Sea-fuckthorn athathwa kabili - kasipuni kathathu ngosuku ngaphambi kokudla kanye nenkambo yezinyanga ezingu-1-2.