Isifo sikaBarrett sisifo esiyinkxalabo enkulu ye-gastroesophageal reflux isifo kwaye iqwalaselwa yiengcali njengemeko enqabileyo. Kule ntsholongwane, utshintsho kwi-epithelial layout ye-mucosa ye-esophageal, lubonakaliswa kubukho obungabonakali kwi-epithelium ye-cylindric esikhundleni se-flat multilayer (i-epithelium yesi-cylindric ngokuqhelekileyo ibhekisela kwi-mucosa yamathumbu). Oku kufakwa kweeseli kudibaniswa nomonakalo ongapheliyo kwi-membrane ye-mucous ye-esophagus nge-acast acids, eyenza iinkqubo eziphazamisayo zokutshabalalisa.
Iimpawu zeBarrett
Isisindo sikaBarrett asikwazi ukufunyanwa kuphela ngesiseko somfanekiso wekliniki, esi sifo asikho iimpawu ezithile. Kodwa kaninzi izigulane ezinokuxilongwa okunjalo zenza izikhalazo ezilandelayo:
- ukuqhutyelwa komoya, okukhathazayo ixesha elide;
- ukubethelwa rhoqo (umoya, omuncu, ukukrakra);
- uvakalelwa ngentliziyo emqaleni emva kokutya, ukwanda ngeentsimbi kunye nokulala;
- inambitheka emlonyeni;
- ukuphazamiseka komsebenzi wokugwinya (ngexesha lokutya, ngokugwinya umthi);
- ukuhlanza (ngamanye amaxesha kunye nokuxutywa kwamanzi);
- isicefe
- intlungu kwisigodi se-epigastric, esenzeka emva kokutya okanye kungakhathaliseki ukuba ukutya;
- i-hiccough rhoqo ;
- uvakalelo lwesinqe emqaleni;
- ukuthoba;
- ukulahleka kwesisindo.
Xa kukhankanywa ukukhubazeka, iimvavanyo ezizodwa kunye neemvavanyo zelabhoratri zonyulwa, eyona nto ingundoqo yokuphela kwesifo kunye nesisu nge-biopsy.
Ingaba isifo sikaBarrett siphathwa?
Izigulane ezifunyaniswe nale nkalo yokugula ziphantsi kokunyangwa okunyanzelisiweyo kunye nokukhawuleza ukunyanga ukuphuhliswa kweenguqu ezingenakuguquka kwiimfucu ze-mucosa yesisu kunye nokubonakala kwamaseli omhlaza. Unyango luqhutywa phantsi kolawulo oluqhelekileyo ngokusebenzisa i-biopsy, eyenza kube lula ukujonga ukuphumelela kwamanyathelo enyango, kwaye ngexesha lokufumanisa iingxaki ezinokwenzeka. Ukugxekwa kweempawu ze-Barrett's esophagus kuxhomekeke ekufikeleleni kwonyango kunye nokuthotyelwa kwayo yonke imiyalelo yonyango.
Unyango lwe-Barrett lujoliswe ekunciphiseni i-reflux ye-gastroesophageal, ukukhusela i-mucosa ye-esophagus, ukuvimbela i-asidi ye-asidi esiswini, ukususa iimpawu ezingathandekiyo. Iingxenye eziphambili zonyango olulondolozayo zixutyushwa ngezantsi.
Ukutya kunye nokutya
Izigulane zinconywa:
- Ungafaki ukusetyenziswa kwamanzi omuncu, othosiweyo, ococekileyo, ocolileyo, onokubhema, i-marinades, ithokoleta, iimveliso ezibangela ukuveliswa kwegesi.
- Ungadli ukutya okutshisayo nokubandayo.
- Yidla ukutya okuncinci amaxesha ama-5-6 ngosuku.
Ukukhutshwa kwemikhwa emibi
Kuthetha ukutshaya, ukusela utywala. Kwakhona kuyimfuneko ukuqhelanisa imisebenzi yomzimba, ukuphepha ukucindezeleka ngokweqile kwisicindezelo esiswini.
Amachiza
Ezi zi yobisi zilandelayo:
- iibhloko zepompo;
- i-antacids;
- iziza-antibiotics (malunga ne-Helicobacter pylori bteriki xa ifunyenwe);
- enzyme ;
- prokinetics;
- iziqulatho.
Ugqirha lwe-Barrett
Ukungabikho kobuchule bokusebenza kunye nesimo esiyinkimbinkimbi sesi sifo, unyango luyalelwe, apho iisayithi ze-mucosal eziguqulwa ngamathambo zikhutshwe. Ngokwenene, unyango lwe-Barrett lwe-oopopus luyenziwa ngeendlela ezingapheliyo ezingapheliyo. Iindlela ezininzi zeendlela ezikhoyo zokuqhuba umsebenzi zichithwa ngokukhawuleza kunye nokukhishwa kwelaser.
Inkqubo yeBrarett yonyango kunye nezilwanyana zomntu
Kukho iindlela ezininzi zokuphatha le ngozi, enokusetyenziswa kunye nemvume kadokotela. Indlela eyaziwayo kunye neyona ndlela esebenzayo yokunyangwa kwabantu yinto yokwamkelwa kweoli ye-buckthorn yeoli, enenzuzo kwiindonga zesigxina. I-oil-buckthorn ioli ithathwa kabini - kathathu ngosuku ngepuniji phambi kokutya kunye nekhosi 1-2.