Lung na fo thin hi ngaihthah suh! - Barrett-a Esophagus chungchang hi han sawi ila

Nang pawhin thinlung natna i nei fo em? I rilru a kang ang maiin a lang. A châng chuan chaw ei zawhah, a bîk takin zanah chaw ei zawha i mut laiin, i kâ aṭanga thil thlum leh thlum lo chhuak ang maiin i hria em? Mi tam tak chuan hei hi "gastritis" niin kan ngai a, damdawi dawr atanga damdawi kan la a, kan in mai thin. Mahse, he natna hi rei tak a awm chuan kan chaw kawng a tichhe thei tih i hria em? Hei hi chu chhiatna avanga lo awm thei dinhmun khirh tak a ni a, chu chu `Barrett's Esophagus` an ti a ni. Hlau suh, he thu hi awlsam takin sawi ila.

A awlsam zawngin, Barrett-a Esophagus chu eng nge ni?

Kan chaw kawng (esophagus) hi tui pipe angin han ngaihtuah teh. Hei hi kan ka atanga kan chaw ei tur phurtu tube a ni. Kan taksa hmun dangah ang bawkin he tube chhungah hian cell (lining) te tak te, venhimna layer a nei a. A hna chu chaw kawng (esophagus) venhim a ni.

Tunah chuan kan pum chhunga acid khauh tak takte chu a rawn chho zel a, he chaw kawng bang hi a rawn deng reng tih han ngaihtuah teh. Thil khauh tak chu leiah a tla reng a, chu lei chu a kang ang bawkin, heng acidic pathways te hian esophagus cell layer nalh tak chu a tichhia a ni.

Kum tam tak chhunga he chhiatna hi a thleng chhunzawm zel avangin kan taksa hian a chinfel dan tur zawngin a bei thin. Taksa chuan, "He esophagus chhunga cell te hian he acid attack hi an tuar thei lo. Hetah hian cell chak zawk, acid-resistant type ka siam a tha zawk ang," tiin a ngaihtuah a.

Chuvangin taksain a tih chu chaw kawng chhunga cell chhia te chu kan intestines-a awm chi aiin acid laka invenna nei zawk cell chi khat hmanga thlak hi a ni. A awlsam zawngin, chaw kawng chhunga cell chi khat awm tur ai chuan, chaw kawng chhunga awm cell chi khat chu chaw kawng chhungah a lo thang lian tan ta zawk a ni. Damdawi lamah chuan hei hi intestinal metaplasia kan ti a ni. Chu chu `Barrett-a Esophagus` kan tih chu a ni.

He dinhmun hi engtiang chiahin nge a pawi? Kan hlau tur em ni?

Hei hian a ti hlauhawm thei che a ni. "Cancer hlauhawmna" tih thumal kan hriat hian kan hlau vek a ni. Mahse hetah hian hriatthiam tur pawimawh tak chu Barrett’s Esophagus vei zawng zawng hian cancer an vei vek dawn lo tih hi a ni.

Dik tak chuan cancer vei theihna a tlem hle . Research atanga a lan dan chuan kum khatah 0.5% a ni a, hei hi 1% aia tlem a ni. Chumi awmzia chu Barrett’s Esophagus vei mi 200 zinga pakhat chauhvin kum khat chhungin cancer an vei dawn tihna a ni.

Tin, he cell inthlak danglamna hi zan khat thil thuah cancer a lo ni lo. Zawi zawiin a kal zel a ni. `Metaplasia` dinhmun atanga `cancer`-a a kal hmain intermediate stage dang a paltlang leh thin. `Dysplasia` kan ti a. Hetiang dinhmunah hian `dysplasia` a awm a, doctor-te chuan an hre thei a ni. An hriat theih chuan chu cell part danglam chu an paih chhuak thei a, cancer-a a kal zelna tur chu an titawp thei a ni.

Chuvangin doctor te hian Barrett’s Esophagus vei te hi an enfiah fo thin a, an enfiah fo thin.

Barrett-a Esophagus natna lan chhuah dan chu engte nge ni?

Heta mak tak mai chu Barrett’s Esophagus-ah hian symptom bik a awm lo. Chu chu i chaw kawng chhunga cell awmte chu a danglam tawh niin i hre lo tihna a ni.

Chuti a nih chuan engtin nge hei hi i hmuh theih ang?

A tlangpuiin, he natna thlentu harsatna bulpui ber chu i symptoms i neih chhan a ni. Mi tam zawk tan chuan hei hi gastroesophageal reflux disease tih natna avanga lo awm a ni. Kan hriat vek angin hei hi GERD (Gastroesophageal Reflux Disease) tih a ni. Hei hi stomach acid lo chhuakin esophagus-ah a lut a ni.

Chuvangin GERD symptoms te hi i tawng mek a ni:

• Heartburn: Kang natna, rilru lai tak atanga lo chhuak a ni.
• Sour throat: Pum chhunga thil awm, i.e. acid leh ei loh ei loh, ka chhunga lo lut hriatna.
• Chaw ei harsa: Chaw ei emaw in tur emaw ei laia rilru hahna.
• Kawngkhar na emaw khuh emaw a awm reng.
• A rilru a na.

Hetiang dinhmun thlentu risk factors te hi engte nge ni?

Barrett’s Esophagus thlentu ber chu hun rei tak chhunga chaw kawng a chhiat vang ni mahse, mi zawng zawngin an nei vek lo. Mahse, mi thenkhat chu an hlauhawm zawk. Tute nge an nih i han thlir teh ang.

Engtin nge Barrett-a Esophagus i vei tih i hriat theih ang?

Hun rei tak chhung GERD symptom i neih chuan i doctor chuan gastroenterologist hnenah a refer ang che. Hetiang natna i neih leh neih loh finfiah nan test a nei ang. Hei hi endoscopy an ti a .

Endoscopy test tih hi eng nge ni?

Hei hian sedation tlem tal pek che a huam a, chutah chuan a tawp lama camera nei tube te tak te, flexible tak chu i hmui kal tlangin i esophagus hnuai lam i pum chhungah i pass a ni. Hetiang procedure chhung hian natna i nei lovang.

He camera hmang hian doctor chuan esophagus chhung lam bang chu chiang takin a hmu thei a ni.

• Esophagus pangngai chhungril lam chu a rawng chu pink hring a ni a, a chunglam chu a hrual a ni.
• Barrett’s Esophagus hi a sen-orange (salmon rawng) leh a hring (rough) angin a lang .

Hetianga hmel danglamna hmuh a nih chuan doctor chuan rinhlelhna hmun atang hian tissue te tak te tak te chu enfiah turin a la ang. Hei hi biopsy kan ti a . He tissue piece hi microscope hmangin an enfiah a, cell te chu an inthlak tak tak em tih 100% in an finfiah a, chu chu Barrett’s Esophagus i nei em tih tihna a ni.

Barrett-a Esophagus Classification leh a Stage hrang hrangte

I biopsy report a lo luh veleh i doctor chuan i dinhmun chu a hrilhfiah ang che. A tlangpuiin chi hnih leh stage engemaw zatah then a ni.

Barrett-a Esophagus hi eng enkawlna nge ni?

Enkawl dan hi hmunpui pathum ah then theih a ni.

1. A chhan bulpui ber enkawl

Hei hi a pawimawh ber a ni. Esophagus tihchhiat hi kan bansan a ngai a ni. A tam zawk hi GERD vang a ni a, chu chu enkawl a ni.

• Nunphung thlak danglam: Chaw rimtui, hriak rimtui, coffee, etc. tih tlem tur a ni.
• Damdawi: Pum chhunga acid siam chhuah thunun thei damdawi pek thin a ni. Hemi atan hian Proton Pump Inhibitors (PPI) `Omeprazole` leh `Esomeprazole` te hi a tangkai hle a ni. Hengte hian chaw kawng chhiatna chu a titawp a, a dam theih nan a pui bawk.

2. Enkawlna

I dinhmun hi dysplasia a awm lo a nih chuan, cancer vei theihna a hniam tihna a nih chuan, i doctor chuan i dinhmun enfiah turin kum engemaw zat danah endoscopy neih tir che a rawt mai thei. Dysplasia i neih chuan kum khatah vawi khat tal endoscopy i neih a ngai dawn a ni.

3. Cancer hmaa cell awmte paih chhuah (Dysplasia) .

I report-ah chuan ``high-grade dysplasia,'' i nei tihna a ni a, chu chu cancer vei theihna sang tak i nei tihna a nih chuan i doctor chuan cell pangngai lote chu paih chhuah a rawt ang. Chutianga tih theih dan kawng hrang hrang a awm.

• Ablation Therapy: Hetah hian endoscopy tube kaltlangin hmanrua pakhat an kalpui a, radiofrequency emaw cryotherapy emaw hmangin cell tha lote chu an tichhia a ni.
• Endoscopic Mucosal Resection (EMR): Hei hi `endoscopy` hmanga tih thin surgery tenau tak a ni bawk. Hetah hian tissue pangngai lo chu cut chhuakin lakchhuah a ni.
• Surgery (Esophagectomy): Dysplasia a nasat emaw, cancer-a a lo zual tawh emaw chuan chaw kawng chhia chu paih chhuah nan operation a ngai thei.

He natna hi a dam kim thei ang em?

Metaplasia, a nih loh leh cell inthlak danglamna hi a mah chauhin a bo lo. Mahse, a chunga kan sawi tak enkawlnate hian tissue chhia chu a paih chhuak thei a ni. Tin, GERD hi uluk taka control a nih chuan chhiatna dang pawh a veng thei bawk.

Mahse enkawl hnuah pawh he natna hi a lo awm leh theihna chance tlemte a awm a, chuvangin i doctor-in a rawtna test-naah tel chhunzawm zel a pawimawh hle.

Barrett’s Esophagus vei chuan nun pangngaiin a nung thei a ni. A pawimawh ber chu a natna hi hriat hmasak a, a na zual hmain enkawlna dik leh damdawi lam thurawn zawm a ni. Chutianga i tih chuan cancer ang chi natna khirh tak tak i pumpelh thei a, nun hrisel tak i hmang thei bawk.