Barrett's esophagus: menene shi, alamomi, dalilai da magani

Wadatacce

• Babban bayyanar cututtuka
• Shin Barrett ciwon hanji ne?
• Yadda ake ganewar asali
• Matsaloli da ka iya haddasawa
• Zaɓuɓɓukan magani
• Yaya ya kamata abincin ya kasance

Barrett's esophagus ana daukar shi mai rikitarwa na cututtukan gastroesophageal reflux, kamar yadda yawan bayyanar da murfin hancin hanji ga abinda ke ciki yana haifar da kumburi mai yawa da canji a cikin kwayar halittar da ke hade da nama a wannan yankin, wanda ke haifar da bayyanar wani yanayin da ake kira metaplasia na hanji.

Wannan yanayin ba koyaushe ke haifar da alamomi ba, duk da haka, ana iya samun alamun reflux na gastroesophageal wanda yake zafi da zafi, ƙonawa da yawan cijewa. Masanin binciken cututtukan gastroenterologist ne ya gano asalin cutar ta Barrett ta hanyar yin maganin endoscopy na ciki kuma maganin da aka nuna ya dogara ne akan amfani da magunguna don rage ruwan ciki.

Da zarar an gano jijiyar Barrett, yana da mahimmanci a bi ka'idojin magani, baya ga yin sauye-sauye na abinci don inganta alamomi da rage kumburi a wurin, saboda mutanen da ke wannan yanayin suna da haɗarin kamuwa da cutar kansa ta hanji. Ana ba da shawarar bin likita na yau da kullun don sake duba raunin.

Babban bayyanar cututtuka

Kodayake ba koyaushe ke haifar da bayyanar cututtuka ba, mutumin da ke cikin maƙogwaron Barrett na iya fuskantar alamomin reflux na gastroesophageal, waɗanda sune:

• Bwannafi;
• Flavoraci mai ɗaci ko ƙarfe a baki;
• Maimaitawa;
• Ci gaba da belching;
• Sensonewa mai zafi;
• Tari mai yawa;
• Rashin tsufa.

Bugu da kari, ciwo a tsakiyar kirji, kusa da ciki, yawanci galibi ne a cikin waɗannan lamuran, saboda tare da reflux na gastroesophageal akwai dawowar abubuwan cikin ciki, yana harzuka mucosa na esophageal. Mafi kyawun fahimtar menene kuma yadda za'a gano reflux na gastroesophageal.

Shin Barrett ciwon hanji ne?

Hanyar hanji ta Barrett ba ciwon daji bane, amma tana haifar da lahani da ake kira metaplasia na hanji, wanda ana iya daukar sa kafin cutar kansa, don haka mutanen da ke cikin hanjin Barrett suna cikin haɗarin kamuwa da cutar kansa.

Hakanan yana da mahimmanci cewa mutanen da suke da abubuwan haɗari masu alaƙa da bayyanar cutar hanji ta Barrett kuma waɗanda suke da cutar kansa a cikin iyali, suna da gwaje-gwajen bincike akai-akai don gano duk wani canje-canje a bangon esophagus da wuri.

Yadda ake ganewar asali

Ganewar hanji ta Barrett ana yin ta ne ta hanyar endoscopy, wani bincike ne da aka saka wani bututu ta cikin kogon bakin kuma wanda zai bada damar lura da layin esophagus din, kuma an tabbatar da shi tare da nazarin kwayoyin halittar da aka dauka yayin wannan binciken., tare da ƙaramin samfurin ƙwayar nama, wanda likita zai bincika a cikin dakin gwaje-gwaje. Duba ƙarin game da yadda ake yin endoscopy.

Alkawari na hanzartawa da gujewa yawan sake duba abubuwa domin gano cutar hanji na Barrett, shine binciken da aka yi da kalamu, kamar su Cytosponge, wanda ya kunshi haɗiyar da keɓaɓɓiyar kwaya wacce ke tafiya ta cikin kayan ciki kuma tana iya ɗaukar samfurin nama. Koyaya, wannan hanyar har yanzu ana gwada ta kuma ba a aiwatar da ita ba.

Matsaloli da ka iya haddasawa

Maganin Barrett ya fi zama ruwan dare ga mutanen da ke da tarihin reflux na gastroesophageal, wanda ke taɓarɓarewa ta hanyar abubuwan haɗari kamar ɗabi'ar cin abinci mara kyau, yawan cin soyayyen kayan maye ko laushi, shan sigari da kiba.

Sabili da haka, ana ba da shawarar zuwa likita idan alamun bayyanar cututtuka sun bayyana, kamar ƙwannafi ko ƙonewa, misali, ko kuma idan kuna da tarihin iyali na wannan cutar, don bincika ko akwai irin wannan matsalar da kuma yin daidai magani.

Zaɓuɓɓukan magani

Barrett's esophagus wani nau'in rauni ne na esophageal wanda ya faru ta hanyar maimaitattun lokuta na reflux na gastroesophageal reflux, kuma maganin wannan yanayin ana nuna shi ne ta hanyar likitan ciki bayan an tabbatar da ganewar asali kuma yawanci ya kunshi amfani da magunguna don rage yawan acid a cikin ciki, kamar:

• Omeprazole, Pantoprazole, Lanzoprazole ko Esomeprazole, an rarraba su azaman proton pump inhibitors, kuma sune mafi inganci;
• Ranitidine ko Cimetidine, wanda aka rarraba azaman mai karɓar mai karɓar histamine 2, shima yana da amfani sosai kuma mai rahusa.

Bugu da kari, yana da matukar mahimmanci a dauki halaye masu kyau na abinci, tare da abincin da ke taimakawa narkewar abinci da rage faruwar yanayi.

Koyaya, idan magani ta hanyar shan magani da abinci basu isa ba, ana iya nuna cirewar yanayin rediyo don kawar da cututtukan hanji ko tiyata, ko dai a gina sabon bawul na gastroesophageal, ko kuma ayyuka masu rikitarwa don cire rufin ciki.

Yaya ya kamata abincin ya kasance

Sarrafa abinci muhimmin mataki ne don taimakawa kula da hancin Barrett, kuma ana ba da shawarar:

• Ku ci abinci mai ƙarancin mai da ƙananan abinci waɗanda ke da wahalar narkewa ko yaji, kamar feijoada, barbecue ko abun ciye-ciye, saboda waɗannan abinci ne da ke dawwama a cikin ciki, yana haifar da narkewar abinci mara kyau kuma yana ƙaruwa da damar samun ruwa;
• Guji abubuwan sha na carbon, kamar su ruwa mai ɗumi ko abin sha mai laushi, saboda suna ƙara damar samun kuzari, ƙara samar da iskar gas da afkawa bangon ciki;
• Mutanen da ke damuwa da kofi ko shayin da ke cikin kafe, kamar su matte ko baƙin shayi, ya kamata su guji irin wannan abin sha, saboda suna iya ƙara ɓarkewar bayyanar cututtuka;
• A guji shan ruwa a lokacin cin abinci domin cikin bai cika yawa ba;
• Jira aƙalla awa 1 kafin ka kwanta bayan cin abinci, don sauƙaƙe narkewar abinci;
• Guji shan giya.

Wani muhimmin shawara a cikin abinci shine a ci a hankali kuma a tauna abincinku da kyau, saboda wannan kulawa yana taimakawa narkewa kuma yana iya taimakawa hana ƙoshin lafiya. Nemi ƙarin game da abin da abinci ke haifar da ƙonawa a cikin abinci don hana ƙwannafi.

Kalli bidiyo tare da manyan nasihun magani na halitta don reflux na gastroesophageal: