Isifo sikaBarrett sinye yezona zibonakaliso ezinobungozi zesifo se-GERD - isifo se-reflux se-gastroesophageal. I-GERD isifo esingasigxina esiphindaphinda siphinde sibonakalise njengento yokuphinda ngokuphindaphindiweyo nokuphindaphindiweyo kwisigxina sezinto zesisu ngenxa yokuphumla okanye ukuvalwa okungaphelelanga kwe-sphincter.
Inkqubo enjalo eqhubekayo inokubangela iingxaki ezinjenge-Barrett, oku kuthetha ukunyuka kwe-cylindrical shape ye-epithelium ngokuchasene nokuqhelekileyo -plates and multilayer.
Njengokwesiko kumachiza, igama lesi sifo lithathwe kwigama lomntu owaqala ukuyichaza ngo-1957. WayenguDokotela wase-English uNorman Barrett. Namhlanje, izazinzulu aziqinisekanga ngokupheleleyo ukuba ingaqwalasela isifo seBarrett njengesifo esahlukileyo okanye ukuyihlola njengempawu zeGERD.
Ngokweenkcukacha zeenkcukacha, le nkcazo ifunyenwe kwi-10% yezigulane ze-GERD, kwaye ziqwalasele i-statistics jikelele-kwi-1%. Le meko ithathwa oogqirha njengonophelo.
Iimbangela ze-Barrett's oopopus
Ukuba sithetha ukuxhamla phakathi kwe-Barrett kunye ne-GERD, oko kubangelwa umonakalo ongapheliyo kwindonga yesisu kunye nesiphumo - ukuvuvukala kwayo.
Abanye banombono wokuthi i-heritage predtionality idlala indima ekuphuhlisweni kwesi sifo.
Ukuxilongwa kwesifo seBarrett
Inkambo yokungahambi kwesi sifo ihambelana nokuxilongwa ngexesha elifanelekileyo, kwaye ngenxa yoko abantu abaneGERD okanye abo bahlala bexakeka, i-optional is a visit visit periodic to gastroenterologist and control control.
Ukuze uviwo lwe-esophagus, i-endoscopy yesigxina esiphezulu sesisu sisetyenziswe, kwaye ukuba i-biopsies ifunyenwe, i-biopsy yenzelwa ukuhlalutya ngobukho bamaseli omhlaza.
Ingaba isifo sikaBarrett sinokuphiliswa?
Isilonda sikaBarrett sinokuphiliswa, kodwa oku kuyinkxalabo enzulu yesifo esisisigxina, ngoko ke ukungenelela kunokwenzeka - inqanaba elona lonyango.
Ukuxhamlaliswa kwe-Barrett
Esi sibonakaliso sinokuba ngumqondiso womhlaza okanye ukwandisa amathuba okuphuhliswa kwawo. Isifo sinokulawulwa ngonyango olufanelekileyo, ukutya kunye nendlela yokuphila enempilo.
Indlela yokuphatha isifo sikaBarrett?
Unyango lwe-brett ye-Barrett ifana nokuphathwa kwe-GERD, kwaye iqulethwe ukulungiswa kwendlela yokuphila, ukutya kunye namayeza. Ukuba le mali ayinikezeli umphumo omuhle, ukungenelela kokuphaphazelekayo kumiselwe.
Ukulungiswa kwindlela yokuphila:
- ukugatya imikhwa emibi;
- ukulinganiswa kwesisindo;
- ukupheliswa kwemithwalo;
- Isikhundla esiphakamileyo somphelo weentloko ngexesha lokulala.
Isifo sikaBarrett
Isondlo kwisigxina seBarrett kukuhlalutya iziqephu: akukho nto imfuneko, kodwa ngokuqhelekileyo, kwaye ngelixa kunqweneleka ukuthobela urhulumente.
Emva kokutya, ukuhlala kwindawo engagqibekanga ayilunconywanga, ukwenzela ukuba ungabhubhisi i-reflux - ingxaki ebalulekileyo ye-GERD, ebangela ukuba ukwanda kwesishukela.
Imveliso elandelayo ayinqatshelwe ukwamukelwa:
- ukhilimu;
- ubisi;
- ikhofi ne teyi;
- iziphuzo ze-carbonate;
- iigwele;
- inyama yamadada, i-goose;
- ngulube;
- imvana;
- ukutya okuthosiweyo kunye namafutha;
- ioli kunye neargarini;
- izithelo ze citrus.
Ngemenyu enqabileyo enjalo kufuneka ubeke iliso kwimeko yezempilo - kukho ezininzi zokutya ezinamafutha angaphantsi kweeprotheni, zibandakanya kwi- fiber yokutya kunye nokunyamekela - i-carbohydrates. Ukunyamezela ngesifo esinjalo akuvumelekile.
Unyango
Imithi ikhethwe ngabanye, kuba yimeko yokuxhatshazwa kwimeko kwaye oku kufuna indlela ekhethekileyo kunyango ngokusekelwe kwiziphumo ze-biopsy, ukuba bekuyiyo, kunye nokuvavanywa kwesifo ngexesha le-endoscopy. Kwiimeko ezinjalo, iziyobisi ezithuthukisa i-motility kunye nokugcina i-acidity imiselwe. Kwakhona nakwiimeko ezinjalo, amayeza antisecretory asebenzayo.
Unyango o
Ngenxa yeengxaki zeGERD - i-Barrett, i-opopular, i-oopopular ilandelwa rhoqo-i-fundoplication ngendlela ye-laparoscopic.
Isifo seBarrett - unyango kunye nezilwanyana zomntu
Ukunyangwa kwamathambo kaBarrett kunye nezilwanyana zabantu ngaphandle kolawulo kunye nokuqhagamshelaniswa nogqirha kunokukhokelela kwiimeko ezinzima zesifo.
Ukunciphisa ukuvuvukala, sebenzisa iresiphi elandelayo:
- Hlanganisa kwiindawo ezilinganayo iintyatyambo ze-chamomile, i-calendula, i- sage , i-fox imbewu imbewu ye-St John kunye ne-élécampane, uze wenze umhluzi uze uyivumele kwindawo epholileyo amahora ama-5.
- Thatha le nkunkuma kwiipunipoli ezi-5. Imizuzu engama-30 phambi kokutya inyanga.
Kwakhona kwonyango lwabaxhasi bezilwanyana zinconywa bathabatha ukuthatha iipunipoli ezi-2. amazambane asetshenziselwa ijusi rhoqo emva kweentsuku ezi-1.5 emva kokutya.