ʻO kā Barrett esophagus: he aha ia, nā ʻōuli, nā kumu a me nā lāʻau

Anter

• Nā hōʻailona nui
• He maʻi ʻaʻai anei ʻo Barrett's esophagus?
• Pehea e hana ʻia ai ke kuhi
• Nā kumu kūpono
• Nā koho lapaʻau
• Pehea e pono ai ka meaʻai

ʻO ka esophagus a Barrett i manaʻo ʻia he komplication o ka maʻi reflux gastroesophageal, ʻoiai ke hōʻike pinepine ʻia o ka mucosa esophageal i nā mea o ka ʻōpū ke kumu o ka mumū mau a me ka loli o ke ʻano o ke kele e hana i nā mea i kēia wahi, e alakaʻi ana i ka puka ʻana o ke ʻano i kapa ʻia ka metaplasia ʻōpū.

ʻAʻole kumu kēia ʻano i nā ʻōuli, eia nō naʻe, he mau hōʻailona paha o ka reflux gastroesophageal ʻo ia hoʻi ka puʻuwai puʻuwai, ke ahi a me ke kanu mau ʻana. ʻO ka hōʻailona o ko Barrett esophagus i hana ʻia e kahi gastroenterologist e ka hana ʻana i ka endoscopy gastrointestinal luna a me ka lāʻau i hōʻike ʻia e pili nui ʻia i ka hoʻohana ʻana i nā lāʻau e hōʻemi ai i ka waikawa o ka ʻōpū.

I ka manawa e ʻike ʻia ai ka esophagus a Barrett, he mea nui e ukali i nā ʻōkuhi no ka hoʻomaʻamaʻa ʻana, me ka hoʻololi ʻana i nā papaʻai e hoʻomaikaʻi ai i nā ʻōuli a hoʻēmi ai hoʻi i ka mumū ma ka pūnaewele, ʻoiai ʻo ka poʻe me kēia ʻano he nui ka pilikia o ka ulu ʻana i ka maʻi ʻaʻai esophageal. Paipai ʻia ka ukali pinepine ʻana me ke kauka e hoʻoponopono hou i ka ʻeha.

Nā hōʻailona nui

ʻOiai ʻaʻole ia e kumu mau i nā ʻōuli, hiki i ke kanaka me ka esophagus o Barrett ke ʻike i nā ʻōuli o ka gastroesophageal reflux, ʻo ia nā:

• Puʻuwai puʻuwai;
• ʻOno ʻawaʻawa a metallic paha i ka waha;
• Regurgitation;
• Kāʻei paʻa mau;
• Manaʻo kuni;
• Mū pinepine;
• Hoarseness.

Eia hou, ʻeha ma ka waena o ka umauma, kokoke i ka ʻōpū, pinepine pinepine i kēia mau hihia, no ka mea me ka reflux gastroesophageal aia ka hoʻi o nā ʻōpū o ka gastric, e hoʻonāukiuki ana i ka mucosa esophageal. Maikaʻi e maopopo ai he aha ia a pehea e ʻike ai i ka reflux gastroesophageal.

He maʻi ʻaʻai anei ʻo Barrett's esophagus?

ʻO ka esophagus a Barrett ʻaʻole ia he maʻi ʻaʻai, akā alakaʻi ia i nā leona i kapa ʻia ʻo ususapona metaplasia, kahi i manaʻo ʻia he pre-cancerous, no laila ʻo ka poʻe i loaʻa i ka esophagus o Barrett i ka nui o ka pilikia o ka ulu ʻana i ka maʻi ʻaʻai esophageal.

He mea nui ia i ka poʻe me nā mea pilikia e pili ana i ka helehelena o ka esophagus o Barrett a me nā mea i loaʻa i ka maʻi ʻaʻai esophageal i ka ʻohana, e hōʻike pinepine i nā hoʻokolohua loiloi e ʻike i nā loli i ka paia o ka esophagus i ka wanaʻao.

Pehea e hana ʻia ai ke kuhi

Hana ʻia ka diagnostical o ko Barrett esophagus ma o endoscopy, kahi hoʻokolokolo kahi i hoʻokomo ʻia ai kahi paipu ma o ka waha o ka waha a hiki i ka nānā ʻana i ka uhi o ka esophagus, a ua hōʻoia ʻia me ke kālailai ʻana o ka biopsy i lawe ʻia i kēia hoʻokolokolo ʻana., me kahi hāpana liʻiliʻi o nā kiko o ka esophageal, a laila kālailai ʻia e ke kauka i ka hale hana. E ʻike hou aʻe e pili ana i ka hopena o ka endoscopy.

ʻO kahi hoʻohiki e wikiwiki a pale i nā endoscopies pinepine no ka ʻike ʻana i ka esophagus o Barrett, ʻo ia ka hoʻokolokolo ʻana me nā capsule, e like me Cytosponge, ʻo ia hoʻi ka ale ʻana i kahi capsule alakaʻi e hele ma o ka gastrointestinal tract a hiki ke lawe i nā mea kiko. Eia nō naʻe, ke hoʻāʻo ʻia nei kēia ʻano hana a ʻaʻole hana pinepine ʻia.

Nā kumu kūpono

ʻOi aku ka maʻamau o ka esophagus o Barrett i ka poʻe me ka mōʻaukala o ka reflux gastroesophageal, ka mea i hoʻomāhuahua ʻia e nā mea pilikia e like me nā ʻano ʻai maikaʻi ʻole, ka nui o ka ʻai ʻana i ka palai a i ʻole nā ​​mea inu momona, ka hoʻohana ʻana i ka paka a me ka momona.

No laila, paipai ʻia e hele i ke kauka inā ʻike ʻia nā ʻōuli o ka reflux, e like me ka puʻuwai puʻuwai a i ʻole ke ahi, no ka laʻana, a i ʻole he moʻolelo ʻohana kāu no kēia maʻi, e ʻimi inā aia kēia ʻano pilikia a hana i ka pololei. lapaau.

Nā koho lapaʻau

ʻO ka esophagus o Barrett kahi ʻano liona esophageal i hoʻokumu ʻia e nā hanana pinepine o ka gastroesophageal reflux, a ʻo ka mālama ʻana i kēia ʻano i hōʻike ʻia e ka gastroenterologist ma hope o ka hōʻoia ʻana o ka hōʻailona a maʻa mau ka hoʻohana ʻana i nā lāʻau e hōʻemi i ka acidity i loko o ka ʻōpū, e like me:

• ʻO Omeprazole, Pantoprazole, Lanzoprazole a i ʻole Esomeprazole, hoʻohālikelike 'ia me nā mea kūʻai proton pump, aʻo ia ka mea maikaʻi loa;
• Ranitidine a i ʻole Cimetidine, Hoʻonohonoho ʻia e like me ka receptor histamine 2 antagonists, a maikaʻi loa a maʻalahi hoʻi.

Eia hou, he mea nui nō hoʻi e lawe i nā ʻano hana olakino olakino, me kahi papaʻai e kōkua ai i ka digestion a hoʻemi i ka hanana o ka reflux.

Eia nō naʻe, inā ʻaʻole lawa ka mālama ʻana ma o ka lāʻau a me ka papaʻai, e hōʻike ʻia paha ka hoʻopau ʻana i ka radiofrequency e hoʻopau i nā liona esophageal a i ʻole ke ʻoki ʻana, e kūkulu paha i kahi kiwikā gastroesophageal hou, a i ʻole nā ​​hana ʻoi aku ka paʻakikī e kāpae i ka pale o loko. O ka esophagus.

Pehea e pono ai ka meaʻai

ʻO ka kaohi ʻana i ka meaʻai kahi hana nui e kōkua ai e mālama i ka esophagus a Barrett, a ua ʻōlelo ʻia:

• E ʻai i ka papaʻai haʻahaʻa i ka momona a haʻahaʻa i nā meaʻai paʻakikī e ʻānai a i ka nīoi paha, e like me feijoada, barbecue a i ʻole meaʻai māmā, ʻoiai he mau meaʻai kēia e noho lōʻihi i ka ʻōpū, e hoʻoulu ai i ka digestion maikaʻi ʻole a hoʻonui i nā manawa o ka reflux;
• Hōʻalo i nā mea inu kalapona, e like me ka wai kalapona a i ʻole nā ​​mea inu ʻoluʻolu, ke hoʻonui lākou i nā manawa o ka reflux, hoʻonui i ka hana o nā kinoea a me ka hoʻouka ʻana i ka paia o ka ʻōpū;
• ʻO ka poʻe i maʻalahi i ke kofe a i ʻole nā ​​kīʻaha caffeinated, e like me ka matte a i ʻole ʻeleʻele tī, pono e hōʻalo i kēia ʻano inu, no ka mea hiki iā lākou ke hōʻino i nā hōʻailona reflux;
• Hōʻalo i ka inu ʻana i nā wai i ka manawa o ka pāʻina i ʻole piha ka ʻōpū;
• E kali ma ka liʻiliʻi he 1 hola ma mua o ka hiamoe ʻana ma hope o ka ʻai ʻana, e kōkua ai i ka digestion;
• Pale i ka inu wai ʻona.

ʻO kekahi kihi koʻikoʻi i ka meaʻai ka ʻai lohi a me ka nau pono ʻana i kāu meaʻai, ʻoiai ke kōkua nei kēia mālama i ka digestion a hiki ke kōkua i ka pale ʻana i ka reflux. E ʻike i nā mea hou aʻe e pili ana i nā meaʻai e hoʻonāukiuki ai i ka puʻuwai i nā meaʻai e pale ai i ka ʻeha puʻuwai.

E nānā i kahi wikiō me nā ʻōlelo aʻoaʻo maikaʻi loa no ka reflux gastroesophageal: