Amaqiniso ngomuthi: isifo sikaBarrett

Ukuphumelela kwemithi yanamuhla kuvumela ukutholakala kokuqala kwezifo ezihlukahlukene. Isisu sikaBarrett yisifo sokugulisa umzimba esingaphakathi, okonakaliswe yi-hydrochloric acid, sifana nesimo sangaphakathi sesisu ngokwayo.

Isici sikaBarrett: izimbangela

Ngesikhathi sokudla, ukudla kudonswa emlonyeni kuya esiswini eduze kwesigcawu. Lapho nje ukudla kusesiswini, imisipha ekhethekile yezinyosi ilokhu ingabuyeli emuva emaphethelweni wezinsikazi eziphezulu.

Uma lezi zinhlanzi zingacindezeli ngokuqinile, i- hydrochloric acid iyangena emgodini wokugwinya. Le nqubo ibizwa ngokuthi i-reflux ye-gastroesophageal, iba yimbangela yokushaya inhliziyo. Ibuye idale umonakalo ebusweni obungaphakathi lwe-tube yokudla, okushintsha ukubonakala kwayo, kufane nesimo sesisu (isifo sikaBarrett).

Lesi sifo sithinta amadoda ngaphezu kwabesifazane. Isifo sikaBarrett sinethuba elingcono lokuvela, uma umuntu ehlushwa izifo zesimiso sokugaya ukudla isikhathi eside.

Kulezi ziguli ezithintekile yilesi sifo, ithuba le-dysplasia le-esophagus landa. Kulokhu, ingozi yomdlavuza we-tube esophageal yanda izikhathi eziningana.

I-Barrett's Esophagus: izimpawu

Ngokwalo, lesi simo sombono wokugwinya asibangeli izikhalazo. Uma isiguli siqala isifo sikaBarrett, izimpawu zesifo zinganciphisa kuphela ukuqubuka komzimba, okuwumphumela we reflux we-hydrochloric acid.

Isifo sikaBarrett: ukuhlonza lesi sifo

Uma izimpawu zanoma yisiphi isifo sofuba obuthwalayo kunzima futhi babuyela ngisho nangemva kokwelashwa, udokotela angakwazi ukubeka i-endoscopy kuwe:

• I-tube encane encane enekamelo ekugcineni ifakwe emlonyeni, bese iphoqa yonke indawo futhi ingena esiswini;
• Ngesikhathi se-endoscopy, udokotela angenza i-biopsy yezingxenye ezehlukene zesimo. Kuyasiza ukukhomba ukutholakala kwalesi sifo, kanye nezinye izinkinga ezingabangela umdlavuza wesifo somdlavuza.

Isifo sikaBarrett: ukwelashwa

Ngeshwa, isikhathi sokuba umuthi awuvumeli ukulwa okuphumelelayo nalesi sifo. Ukwelashwa okujwayelekile ukunciphisa izimpawu zesifo se-gastroesophageal, okungaholela esimweni esifana nesimo sikaBarrett. Ukwelapha ngokuvamile kuhilela ukuguqula indlela yokuphila nokuthatha imithi ethile:

• Ama-Antacids ngemuva kokudla nangaphambi kokulala;
• Abavimba be-Histamine H2;
• I-Proton pump inhibitors.

Ukuguqula indlela yokuphila, imithi, ukuhlinzekwa kwe-antireflux kungasiza ekuqedeni izimpawu zesifo se-gastroesophageal, kodwa ngeke kuthinte ukuqothulwa kwesisu sikaBarrett.

Ukuhlinzwa nezinye izinqubo kungenziwa uma kunqunywa ukuthi ukuhlaziywa kwe-biopsy kubonisa ukuthi amangqamuzana e-esophageal ashintshile (ayenziwa i-dysplasia).

Lezinqubo ezilandelayo zikuvumela ukuba ususe amaseli awonakele kanye nezicubu zomzimba:

• Inqubo ye-Photodynamic isebenzisa i-laser ne-anesthesia yendawo;
• Ezinye izinqubo zisebenzisa ezinye izinhlobo zamandla (i-ultrasound, ugesi, njll), eyenzelwe ukuqeda amaseli omdlavuza;
• Ukuhlinzwa kusiza ukulungisa izicubu ezonakalisiwe.

Uma uqaphela ukuthi ukushaya kwenhliziyo yakho kuqhubeka ngokungavamile isikhathi eside, ukugwinya kuletha ubuhlungu futhi kunzima ukuxilonga "i-Barrett's esophagus" futhi izimpawu zibi kakhulu, ngakho-ke kungcono ukuya odokotela ngesikhathi esisodwa.