ʻO Barrett's Esophagus

Anter

• He aha ke kumu o ka esophagus a Barrett
• He aha nā mea weliweli?
• Ke hoʻomaopopo nei i nā ʻōuli o ko Barrett esophagus
• Ke hōʻike nei a me ka hoʻohālikelike ʻana i ka esophagus o Barrett
• Nā koho lapaʻau no ka esophagus a Barrett
• ʻAʻole a i ʻole haʻahaʻa-kaha dysplasia
• Nissen waihona kālā
• LINX
• Nā hana Stretta
• Displasia papa kiʻekiʻe
• Hoʻokiʻiliʻi Radiofrequency
• ʻO Cryotherapy
• Hoʻoikaika Photodynamic
• Nā pilikia
• He aha ke kuanaʻike no ko Barrett esophagus?

He aha ka esophagus a Barrett

ʻO kahi esophagus o Barrett kahi kūlana kahi e hoʻomaka ai nā hunaola e hana i kāu esophagus e like me nā hunaola e hana i kou ʻōpū. Hana pinepine kēia i ka wā e hōʻino ʻia nā hunaola ma ke kū ʻana i ka waikawa mai ka ʻōpū.

Hoʻonui pinepine kēia ʻano ma hope o nā makahiki o ka ʻike ʻana i ka reflux gastroesophageal (GERD). I kekahi mau hihia, hiki i ka esophagus o Barrett ke ulu i ka maʻi ʻaʻai ʻāʻī.

He aha ke kumu o ka esophagus a Barrett

ʻAʻole i ʻike ʻia ke kumu kikoʻī o ko Barrett esophagus. Eia nō naʻe, ʻike pinepine ʻia ke ʻano i nā poʻe me GERD.

Hana ʻia ʻo GERD ke holo pono ʻole nā ​​mākala ma ka lalo o ka esophagus. ʻAʻole hiki i nā nāwaliwali nāwaliwali ke pale i ka meaʻai a me ka waikawa mai ka hoʻi ʻana i ka esophagus.

Manaʻo ʻia he hiki i nā hunaola i loko o ka esophagus ke lilo i mea maʻamau me ka hōʻike lōʻihi i ka waikawa ʻōpū. Hiki i kā Barrett esophagus ke hoʻomohala me ka ʻole o GERD, akā ʻo nā mea maʻi me GERD he 3 a 5 mau manawa ke hoʻomohala i ka esophagus o Barrett.

Ma kahi o 5 a 10 pakeneka o ka poʻe me GERD e hoʻomōhala i ka esophagus o Barrett. Hoʻopili ia i nā kāne ma kahi o ʻelua mau manawa ma mua o ka wahine a ʻike pinepine ʻia ma hope o ka makahiki 55.

I ka hala ʻana o ka manawa, hoʻomohala ʻia nā hunaola o ka uhi ʻana o ka esophageal i mau ʻāpana precancerous. Hiki ke hoʻololi i kēia mau hunaola i nā hunaola maʻi ʻino. Eia nō naʻe, ʻaʻole loaʻa ka esophagus a Barrett i loaʻa i ka maʻi ʻaʻai.

Ua manaʻo ʻia aia ma kahi o 0.5 wale nō pākēneka o ka poʻe me ka esophagus o Barrett e ulu nei i ka maʻi ʻaʻai.

He aha nā mea weliweli?

Inā loaʻa iā ʻoe nā hōʻailona GERD no 10 mau makahiki, ʻoi aku ka nui o kāu makaʻu i ka hoʻomōhala ʻana i ka esophagus o Barrett.

ʻO nā kumu pilikia ʻē aʻe no ka hoʻomohala ʻana i ka esophagus o Barrett me:

• he kāne
• ʻo ia ʻo Caucasian
• ma luna o 50 mau makahiki
• loaʻa ka H pylori gastritis
• puhipaka
• he momona

ʻO nā mea e hoʻonui ai i ka GERD hiki ke hōʻeha i ka esophagus o Barrett. Pākuʻi ʻia kēia mau mea:

• puhipaka
• ʻalekohola
• hoʻohana pinepine ʻana i ka NSAID a i ʻole Aspirin
• e ʻai ana i nā ʻāpana nui i ka wā ʻai
• nā papaʻai kiʻekiʻe i nā momona momona
• mea ʻai nīoi
• hele a hiamoe a moe paha i lalo o ʻehā mau hola ma hope o ka ʻai ʻana

Ke hoʻomaopopo nei i nā ʻōuli o ko Barrett esophagus

ʻAʻole loaʻa nā ʻōuli o ko Barrett esophagus. Eia naʻe, no ka mea ʻo ka hapanui o ka poʻe me kēia ʻano he GERD kā lākou, e ʻike pinepine lākou i ka puʻuwai puʻuwai pinepine.

Kāhea koke i kāu kauka inā loaʻa kekahi o kēia mau ʻōuli:

• ʻeha ka umauma
• luaʻi i ke koko, a i ʻole ka luaʻi e like me ke kahua kope
• pilikia i ka ale ʻana
• e hele ana i ka ʻeleʻele, hoʻolōʻihi, a i ʻole nā ​​noho noho koko

Ke hōʻike nei a me ka hoʻohālikelike ʻana i ka esophagus o Barrett

Inā kānalua kāu kauka aia iā ʻoe ka esophagus o Barrett e kauoha paha lākou i kahi endoscopy. ʻO kahi endoscopy kahi hana e hoʻohana ai i kahi endoscope, a i ʻole kahi paipu me kahi kāmela liʻiliʻi a me ke kukui. ʻAe kahi endoscope e ʻike i kāu kauka i loko o kāu esophagus.

E nānā ana kāu kauka e hōʻoia i ka nānā ʻana o kāu esophagus i ka poni a me ka ʻōlinolino. ʻO ka poʻe i loaʻa i ko Barrett esophagus pinepine he esophagus e nānā ʻulaʻula a velvety.

Lawe pū paha kāu kauka i kahi laʻana kikoʻī e ʻae iā lākou e hoʻomaopopo i nā loli e hana nei i kāu esophagus.E nānā ana kāu kauka i ka laʻana kikoola no ka displasia, a i ʻole ke hoʻomohala ʻana i nā hunaola ʻino. Hoʻonohonoho ʻia ka laʻana o nā kiko ma nā kekelē o ka hoʻololi aʻe.

• ʻaʻohe displasia: ʻaʻohe ʻike ʻia o ke keʻa
• displasia papa haʻahaʻa: liʻiliʻi o nā abnormalities o ke kelepona
• displasia papa kiʻekiʻe: ka nui o nā abnormalities o ke kelepona a me nā hunaola i lilo i maʻi maʻi

Nā koho lapaʻau no ka esophagus a Barrett

ʻO ka mālama ʻana no ka esophagus a Barrett e pili ana i ka pae o ka displasia e hoʻoholo ai kāu kauka. Hiki i nā koho ke hoʻopili:

ʻAʻole a i ʻole haʻahaʻa-kaha dysplasia

Inā ʻaʻohe ou a i ʻole kahi papa haʻahaʻa dysplasia, e ʻōlelo paha kāu kauka i nā lapaʻau e kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona GERD. ʻO nā lāʻau e mālama iā GERD e komo pū me nā antagonists H2-receptor a me nā mea hoʻopale proton pump.

He moho paha ʻoe no nā hana ʻokiʻoki i hiki ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona GERD. ʻElua mau ʻoki e hana mau ʻia ma nā poʻe me GERD, e hoʻopili pū ʻia me:

Nissen waihona kālā

Ke hoʻāʻo nei kēia ʻoki e hoʻoikaika i ka sphincter esophageal haʻahaʻa (LES) ma ka wahī ʻana i ka piko o kou ʻōpū ma waho o ka LES.

LINX

I kēia kaʻina hana, e hoʻokomo kāu kauka i ka hāmeʻa LINX a puni ka esophagus haʻahaʻa. Hana ʻia ka hāmeʻa LINX me nā lei metala liʻiliʻi e hoʻohana i ka ʻume mākenēki e mālama i nā mea o kou ʻōpū mai ka liʻu ʻana i loko o kāu esophagus.

Nā hana Stretta

Hana ke kauka i ke kaʻina Stretta me kahi endoscope. Hoʻohana ʻia nā nalu lekiō e hana i nā loli i nā mākala o ka esophagus kokoke i kahi e hoʻopili ai i ka ʻōpū. Hoʻoikaika kaʻenehana i nā mākala a hoʻemi i ka reflux o nā ʻōpū.

Displasia papa kiʻekiʻe

Hiki i kāu kauka ke koi aku i nā hana hoʻouka hou aku inā loaʻa iā ʻoe kahi displasia kiʻekiʻe. ʻO kahi laʻana, wehe i nā wahi i hōʻino ʻia o ka esophagus ma o ka hoʻohana ʻana o endoscopy. I kekahi mau hihia, hoʻoneʻe ʻia nā ʻāpana holoʻokoʻa o ka esophagus. ʻO nā ʻano lāʻau ʻē aʻe kekahi:

Hoʻokiʻiliʻi Radiofrequency

Hoʻohana kēia kaʻina hana i kahi endoscope me kahi hoʻopili kūikawā e hoʻokuʻu i ka wela. Pepehi ka wela i nā hunaola ʻokoʻa.

ʻO Cryotherapy

I kēia kaʻina hana, hoʻopau ka endoscope i ke kinoea anuanu a i ʻole ka wai e paʻa ai nā hau i nā keena ʻino. ʻAe ʻia nā hunaola, a paʻa hou. Hana hou ʻia kēia hana a make nā hunaola.

Hoʻoikaika Photodynamic

E hoʻopili aku kāu kauka iā ʻoe me kahi lāʻau kemika māmā e kapa ʻia ʻo porfimer (Photofrin). E hoʻolālā ʻia kahi endoscopy ma 24 a 72 mau hola ma hope o ke kuikui. Ma loko o ka endoscopy, e hana ka laser i ka kemika a make i nā hunaola ʻino.

Nā pilikia

ʻO nā pilikia kūpono no kēia mau kaʻina hana āpau e like me ka ʻeha o ka umauma, ka hoʻopili ʻana o ka esophagus, ʻokiʻoki i kāu esophagus, a haki paha o kāu esophagus.

He aha ke kuanaʻike no ko Barrett esophagus?

Hoʻopiʻi ka esophagus a Barrett i kou makaʻu no ka hoʻomohala ʻana i ka maʻi ʻaʻai esophageal. Eia nō naʻe, ʻaʻole nui nā poʻe me kēia ʻano e hoʻomohala i ka maʻi ʻaʻai. Inā loaʻa iā GERD, e kamaʻilio me kāu kauka e ʻike i kahi papa hana e kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli.

Hiki paha i kāu hoʻolālā ke hana i nā loli nohona e like me ka haʻalele ʻana i ka puhipaka, ka palena ʻana i ka inu wai ʻona, a me ka hōʻalo ʻana i nā meaʻai nīoi. Hiki paha iā ʻoe ke hoʻomaka i ka ʻai ʻana i nā mea ʻai liʻiliʻi i haʻahaʻa i nā momona momona, e kali ana ma kahi o 4 mau hola ma hope o ka ʻai ʻana e moe i lalo, a hoʻokiʻekiʻe aʻe i ke poʻo o kou wahi moe.

E hoʻemi ana kēia mau ana āpau i ka reflux gastroesophageal. Hiki iā ʻoe ke kuhikuhi ʻia i nā antagonists H2-receptor a i ʻole nā ​​mea pale pump proton.

He mea nui nō hoʻi e hoʻonohonoho i nā manawa e ukali pinepine ai me kāu kauka i hiki iā lākou ke nānā i ka uhi o kāu esophagus. ʻO kēia ka mea e ʻike ai ke kauka i nā hunaola maʻi ʻino i nā wā mua.