Mfundo Medicine: Barrett ndi kum'mero

Zachitika pa mankhwala amakono n'zotheka kudziwa magawo oyambirira zosiyanasiyana matenda. Barrett ndi kum'mero - thupi kudwala imene padziko wamkati, acid amathiridwa kuonongeka zimakhala zofanana pamwamba lamkati la mmimba.

Barrett ndi kum'mero: zimayambitsa

Akamadya, chakudya akankhidwira pakamwa kuti m'mimba mwa kholingo. Pamene chakudya mmimba, wapadera wozungulira woboola pakati minofu ndi zizipita ku akubwerera ku magawo apamwamba-atagona pa mundawo m'mimba.

Ngati deta si wothinikizidwa minofu zolimba, acid amathiridwa anapulumuka mu kumeza chubu. ndondomeko Ichi chikudziwika ngati matenda gastroesophageal Reflux, kumakhaladi chifukwa cha kutentha. Komanso amakwiya kuwononga padziko lamkati la chubu chakudya, amene amasintha maonekedwe ake, kukhala ofanana pamwamba m'mimba (Barrett ndi kum'mero).

matenda makamaka umakhudza anthu kuposa akazi. kum'mero Barrett ndi mwayi waukulu kwambiri zosayembekezereka, ngati munthu nthawi yaitali amadwala matenda a dongosolo m'mimba.

Odwala anakhudzidwa matenda, kumawonjezera mwayi dysplasia esophageal. Pankhaniyi, ngozi za khansa esophageal kumawonjezera chubu kangapo.

Barrett ndi kum'mero: zizindikiro

Palokha, izi zimachitika padziko kumeza chubu sayambitsa madandaulo iliyonse. Ngati wodwala akufotokozera kum'mero Barrett, ndi zizindikiro sangathe kwa kutentha, yomwe ndi chotsatira chake cha Reflux asidi hydrochloric.

Barrett ndi kum'mero: kudziwika matenda

Ngati zizindikiro za matenda alionse gastro-esophageal mumayenda katundu ndipo iwo anabwererako ngakhale pambuyo chithandizo, dokotala mankhwala endoscopy:

• yaitali, woonda chubu ndi kamera pa mapeto anaikapo m'kamwa, ndiye anakankhira mwa kholingo ndipo mu mimba;
• pa endoscopy dokotala akhoza kuchita biopsy zigawo zosiyanasiyana za kholingo. Izi zimathandiza kudziwa pamaso pa matenda, komanso ena mavuto amene kungachititse kuti khansa ya chitoliro chakudya.

Barrett ndi kum'mero: chithandizo

Mwatsoka, koma mankhwala kwambiri ogwira salola kuthana ndi matenda. Nthawi zambiri, chithandizo ndi pochepetsa zizindikiro gastro-esophageal matendawa, tingayambe boma monga kum'mero Barrett a. Chithandizo zimatanthauza kusintha ndi mukumwa mankhwala:

• Mankhwalawa ayenera kumwedwa kudya ndi pogona;
• histamine H2 cholandilira blockers;
• purotoni mpope zoletsa.

kusintha, mankhwala, antireflux opaleshoni akhoza kuthandiza kuthetsa matenda a gastro-oesophageal, koma iwo sangakhoze kukhudza kuchotsa kum'mero Barrett a.

Opaleshoni ndi njira zina yoikidwiratu ngati biopsy kusanthula zimasonyeza kuti maselo a kholingo zasintha (pansi dysplasia).

Ndondomeko zotsatirazi limakupatsani kuchotsa maselo zowonongeka ndi minofu ya kholingo:

• photodynamic mankhwala ntchito laser ndi mankhwala oletsa ululu pamalopo;
• mankhwala ena ntchito zina mphamvu (ultrasound, magetsi, etc.), cholinga kuthetsa maselo khansara;
• Opaleshoni kumathandiza kuchotsa minofu zowonongeka.

Ngati mwaona kuti muli kutentha kumatenga abnormally yaitali, kumeza ndi kowawa ndipo anapatsidwa nkomwe nthawi anawapeza ndi "kum'mero Barrett" ndi zizindikiro kuvutika, ndi bwino kukaonana ndi dokotala.