Barrett sophagus

Barrett esophagus (BE) kusagadzikana uko iro lining yeiyo esophagus inokuvara nedumbu acid. Iyo sophagus inonziwo pombi yekudya, uye inobatanidza huro yako nedumbu rako.

Vanhu vane BE vane njodzi yakawedzera yekenza munzvimbo inobatanidzwa. Zvisinei, kenza haina kujairika.

Kana iwe uchidya, chikafu chinopfuura kubva pahuro kusvika padumbu rako kuburikidza nesophagus. Mhete yemhasuru yemhashu muzasi yegurokuro inochengetedza zviri mudumbu kubva mukudzokera kumashure.

Kana tsandanyama idzi dzikasavhara zvine simba, hasha dzemudumbu acid dzinogona kudonhedza mudumbu. Izvi zvinonzi reflux kana gastroesophageal reflux (GERD). Zvinogona kukonzera kukuvara kwemasuru nekufamba kwenguva. Iyo lining inova yakafanana neiya yemudumbu.

BE inoitika kazhinji mune varume kupfuura vakadzi. Vanhu vane GERD kwenguva yakareba vanowanzo kuve nemamiriro aya.

BE pachayo haina kukonzera zviratidzo. Iyo acid Reflux iyo inokonzeresa BE inowanzo kutungamira kune zviratidzo zvemoyo. Vanhu vazhinji vane chirwere ichi havana zviratidzo.

Iwe ungangoda endoscopy kana zviratidzo zveGERD zvakakomba kana kudzoka mushure mekurapwa.

Munguva yeiyo endoscopy, wako endoscopist anogona kutora maseru sampuli (biopsies) kubva kunzvimbo dzakasiyana dzeiyo esophagus. Aya masampuli anobatsira kuona mamiriro acho. Ivo vanobatsirawo kutsvaga shanduko dzinogona kukonzera cancer.

Wako mupi anogona kukurudzira endoscopy yekutevera kuti utarise maseru ekuchinja anoratidza kenza nguva nenguva.

KURAPWA KWEGERD

Kurapa kunofanirwa kunatsiridza asidhi Reflux zviratidzo, uye zvinogona kuchengetedza BE kubva pakuwedzera. Kurapa kunogona kusanganisira shanduko yemararamiro uye mishonga yakaita se:

• Antacids mushure mekudya uye panguva yekurara
• Nhoroondo yeH2 receptor blockers
• Proton pump pump inhibitors
• Kudzivisa kushandisa fodya, chokoreti, uye caffeine

Hupenyu mararamiro, mishonga, uye anti-reflux kuvhiyiwa kunogona kubatsira nezviratidzo zveGERD. Nekudaro, aya matanho haazoiti kuti BE iende.

KURAPWA KWABARRETT ESOPHAGUS

Endoscopic biopsy inogona kuratidza shanduko musero iyo inogona kunge iri cancer. Iwe mupi anogona kuraira kuvhiyiwa kana mamwe maitiro ekurapa.

Dzimwe dzenzira dzinotevera dzinobvisa nyama inokuvadza mudumbu rako:

• Photodynamic therapy (PDT) inoshandisa yakakosha laser mudziyo, inonzi esophageal balloon, pamwe nemushonga unonzi Photofrin.
• Dzimwe nzira dzinoshandisa mhando dzakasiyana dzesimba rakakwira kuti dziparadze zvisikwa zvepanyama.
• Kuvhiya kubvisa iyo isina kujairika lining.

Kurapa kunofanirwa kunatsiridza asidhi Reflux zviratidzo uye kunogona kuchengetedza BE kubva pakuwedzera. Hapana chimwe cheizvi kurapa chinodzosera shanduko dzinogona kukonzeresa kugomarara.

Vanhu vane chirwere chisingaperi cheGERD kana Barrett esophagitis kazhinji vanoda kuongororwa nekenza yegurokuro.

Fonera mupiki wako kana:

• Kushungurudza kunogara kwenguva yakareba kupfuura mazuva mashoma, kana uine kurwadziwa kana matambudziko ekumedza.
• Wakaonekwa uine BE uye zviratidzo zvako zvichitowedzera.
• Iwe unovandudza zviratidzo zvitsva (senge kuonda, matambudziko kumedza).

Kuonekwa kwekutanga uye kurapwa kweGERD kunogona kudzivirira BE.

Barrett's sophagus; GERD - Barrett; Reflux - Barrett

• Kugaya chirongwa
• Esophagus uye mudumbu anatomy

Falk GW, Katzka DA. Zvirwere zvegurokuro. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 129.

Jackson AS, Louie BE. Kutungamira kwesophagus yaBarrett. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 19-25.

Ku GY, Ilson DH. Kenza yegurokuro. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 71.

Shaheen NJ, Falk GW, Iyer PG, Gerson LB; American Koreji yeGastroenterology. ACG kiriniki nongedzo: kuongororwa uye manejimendi yegurokuro raBarrett. Ndiri J Gastroenterol. 2016; 111 (1): 30-50. PMID: 26526079 pubmed.ncbi.nlm.nih.gov/26526079/.