Barrett esophagus

ʻO Barrett esophagus (BE) kahi maʻi kahi i hōʻino ʻia ka pale o ka esophagus e ka waikawa ʻōpū. Kāhea ʻia ka esophagus ʻo ka paipu ʻai, a hoʻohui ia i kou ʻāʻī i kou ʻōpū.

Loaʻa ka nui o ka makaʻu o ka poʻe me BE i ka maʻi ʻaʻai i ka wahi e pili ana. Eia nō naʻe, ʻaʻole maʻamau ka maʻi ʻaʻai.

Ke ʻai ʻoe, hele ka ʻai mai kou puʻu i kou ʻōpū ma o ka esophagus. ʻO ke apo o nā olonā i ka esophagus lalo e mālama i nā ʻike o ka ʻōpū mai ka neʻe ʻana i hope.

Inā ʻaʻole paʻa paʻa kēia mau mākala, hiki i ka waikawa ʻōpū ʻōpū ke kulu i loko o ka esophagus. Kapa ʻia kēia reflux a i ʻole reflux gastroesophageal (GERD). Hiki ke kumu o ka hōʻino ʻana o nā pūnaewele i ka manawa. Lilo ke ʻano like me ka ʻōpū.

Kū pinepine ʻo BE i nā kāne ma mua o nā wahine. ʻO ka poʻe i loaʻa iā GERD no ka manawa lōʻihi e hiki ke loaʻa i kēia ʻano.

ʻAʻole kumu ʻo BE iā ia iho i nā ʻōuli. ʻO ka reflux acid i kumu ʻo BE e alakaʻi pinepine ai i nā ʻōuli o ka puʻuwai. ʻAʻole loaʻa nā ʻōuli he nui i ka poʻe me kēia ʻano.

Pono ʻoe i kahi endoscopy inā koʻikoʻi nā hōʻailona GERD a hoʻi mai paha ma hope o ka lāʻau.

I ka manawa o ka endoscopy, lawe paha kāu endoscopist i kahi laʻana kikoʻī (biopsies) mai nā ʻāpana like ʻole o ka esophagus. Kōkua kēia mau laʻana i ke ʻano o ke ʻano. Kōkua pū lākou i ka nānā i nā loli e hiki ai i ka maʻi ʻaʻai.

Koi paha kāu mea hāʻawi i kahi endoscopy ukali e nānā no nā loli o ke kelepona e hōʻike ai i ka maʻi ʻaʻai i nā manawa maʻamau.

LAAU NO GERDA

Pono ka hoʻomaʻamaʻa e hoʻomaikaʻi i nā hōʻailona acid reflux, a mālama iā BE mai ka maikaʻi ʻole. Hoʻopili paha ka mālama ʻana i nā loli nohona a me nā lāʻau e like me:

• ʻO Antacids ma hope o ka ʻai ʻana a ma ka wā hiamoe
• Nā poloka receptor H2 histamine
• Nā mea hoʻopukapuka Proton
• Ka pale ʻana i ka paka, kokoleka, a me ka caffeine

Hiki ke kōkua i nā loli nohona, nā lāʻau, a me ke ʻoki anti-reflux me nā ʻōuli o GERD. Eia naʻe, ʻaʻole e hele kēia mau ʻanuʻu BE.

KA Lapaʻau ʻana o BARRETT ESOPHAGUS

Hiki i ke biopsy endoscopic ke hōʻike i nā loli i ke kele e lilo i maʻi ʻaʻai. Hiki i kāu mea hoʻolako ke ʻōlelo i ke ʻoki a i ʻole nā ​​kaʻina hana ʻē aʻe e mālama iā ia.

ʻO kekahi o nā kaʻina hana aʻe e hemo i nā aʻa ʻino i kāu esophagus:

• Hoʻohana ka Photodynamic therapy (PDT) i kahi mea hana laser kūikawā, i kapa ʻia he baluna esophageal, me kahi lāʻau i kapa ʻia ʻo Photofrin.
• Hoʻohana nā kaʻina hana ʻē aʻe i nā ʻano ʻokoʻa o ka ikehu kiʻekiʻe e luku ai i ka nāola precancerous.
• Keʻokiʻoki e wehe i ka uhi maʻamau.

Pono ka hoʻomaʻamaʻa e hoʻomaikaʻi i nā hōʻailona acid reflux a mālama iā BE mai ka maikaʻi ʻole. ʻAʻole kekahi o kēia mau mālama e hoʻohuli i nā loli e alakaʻi i ka maʻi ʻaʻai.

ʻO nā kānaka me ka GERD a i ʻole Barrett esophagitis mau e pono e nānā ʻia no ka maʻi ʻaʻai o ka esophagus.

Kāhea i kāu mea hāʻawi inā:

• ʻOi aku ka lōʻihi o ka maʻi ʻōmaʻomaʻo ma mua o kekahi mau lā, a i ʻole he ʻeha a he pilikia paha kou e ale ana.
• Ua ʻike ʻia ʻoe me BE a ʻoi aku ka maikaʻi o kāu mau ʻōuli.
• Hoʻolālā ʻoe i nā hōʻailona hou (e like me ka pohō kaumaha, nā pilikia e ale).

ʻIke ʻia a mālama ʻia ʻo GERD e pale iā BE.

ʻO Barrett esophagus; GERD - Barrett; ʻO Reflux - Barrett

• ʻŌnaehana Digestive
• Anatomi ʻo Esophagus a me ka ʻōpū

ʻO Falk GW, Katzka DA. Nā maʻi o ka esophagus. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 129.

Jackson AS, Louie BE. Ka hoʻokele o ko Barrett esophagus. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 19-25.

Ku GY, Ilson DH. Ka maʻi ʻaʻai o ka esophagus. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 71.

Shaheen NJ, Falk GW, Iyer PG, Gerson LB; Ke KulanuiʻAmelika o Gastroenterology. ʻO ka papa kuhikuhi hoʻokele ACG: ʻike a me ka hoʻokele o ko Barrett esophagus. ʻO Am J Gastroenterol. 2016; 111 (1): 30-50. PMID: 26526079 pubmed.ncbi.nlm.nih.gov/26526079/.