Barrett’s Esophagus: Lung natna lo awm leh thin chungchanga hriat tur

Lung natna i nei fo em? Gastritis ang chi hi? Chaw ei zawhah i rilruah chaw a rawn lut leh ang tih i hria em? Mi tam tak chuan heng thilte hi "normal" anga ngaihin kan theihnghilh thin. Mahse heng symptom tenau tak anga langte hnung lamah hian kan ngaihtuah loh leh tlem kan ngaihtuah tur thil a awm thei. Chu chu vawiina he thuziaka kan sawi tur dinhmun chu a ni. Chu chu "Barrett-a Esophagus" a ni.

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

Okay, hei hi awlsam takin han sawifiah ila. Chaw kan ei hian kan ka atanga kan pum thlengin esophagus an tih tube hmangin a kal tih i hria a ni. Kan chaw kawng (GI tract) pumpui ang bawkin, he chaw kawng chhungril hi cell layer te tak te, venhimna neiin a khuh a.

Mahse, hun rei tak chhûng chu thil pakhatin he lining nalh tak hi a tichhe chhunzawm zêl emaw, a tithinur chhunzawm zêl emaw tih han ngaihtuah teh. Entirnan, i rilruah acid reflux i nei reng thei. Chutianga a kal zel chuan i chaw kawng chhunga cell te chuan chhiatna chu an tuar thei tawh lo. Tichuan, chu cell-te chu anmahni inveng turin an inthlak tan ta a ni.

A awlsam zawngin, chaw kawng (esophagus) hian inven a tum hian a chhunga cell awmte chu a tidanglam thin. Hei hi kawngpui pangngai chunga carpet layer dah ang mai a ni a, chu chu lirthei tlan reng avanga bawlhhlawh a nih chuan a ni. Mahse heng cell thar te hi chaw kawng chhunga awm cell te an ni lo.

Hei hi dinhmun hlauhawm tak a ni em? Cancer a thlen dawn em ni?

He zawhna hi i rilrua lo lang hmasa ber a ni mai thei. A chhanna chu hetiang hi a ni: Barrett-a chaw kawng hi cancer a ni lo. Mahse, chaw kawng cancer vei theihna tlemte tipungtu dinhmun a ni.

Mahse, lungngai suh. He risk hi i ngaihtuah angin a lian lo. Research atanga a lan dan chuan he natna vei mi pakhatin kum khatah cancer a vei theihna chance a tlem hle a, 0.5% vel a ni.

A pawimawh ber chu heng cell inthlak danglamna hi a zawi zawiin a awm a ni. Cell te hi cancer an nih hmain intermediate stage dang an paltlang leh thin. (Dysplasia) kan ti a ni. Chu chu cancer hmaa cell inthlak danglamna tihna a ni. Doctor te chuan he (Dysplasia) stage hi an hre hmasa thei a, chu cell te chu an paih chhuak thei a, cancer lo awm tur chu an titawp thei bawk. Chuvang chuan he dinhmun hi hriat chian a pawimawh hle.

Hei hi eng symptoms nge ni?

Hetah hian thil mak tak chu a awm. Barrett-a esophagus hian symptom bik a nei lo. Chumi awmzia chu, he natna hi nei mah la, natna leh hrehawmna i nei lovang.

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

Hetiang dinhmun hi a chhan bulpui ber avang hian symptoms kan nei thin. Kan sawi tawh ang khan hei hi hun rei tak chhunga chaw kawng a chhiat vang a ni. Hetiang chhiatna thlentu ber chu gastritis (GERD - Gastroesophageal Reflux Disease) a ni. Chu chu, chaw kawng chhunga acid awm chu chaw kawng chhungah a rawn chho fo tihna a ni.

Chuvangin, a hnuaia symptoms te hi rei tak i neih chuan i ngaihtuah tur a ni:

• Chhung na fo: Hnung lai takah mei a awm ang maia hriatna.
• Chaw ei harsa: Thil pakhat chu kawr chhungah a tlakbuak ang maia hriatna.
• Pum chhunga thil awm (acid, ei tur) ril chhunga lo lut: Ka chhunga a thlum lo, a bik takin zan lama mut emaw, hmalam pan emaw a nih chuan.
• Kawngkhar na emaw khuh emaw a awm reng.
• A rilru a na.

Tute nge hetiang hi vei theihna hlauhawm zawk?

Tu pawhin Barrett-a chaw kawng (esophagus) hi an vei thei a, mahse mi thenkhat chu a hlauhawmna a sang deuh hlek a ni. Tute nge an nih i han thlir teh ang.

Engtin nge doctor hian hei hi a hmuh theih?

I natna lan chhuah dan a ngaihthlak hnuah doctor in a rinhlelh chuan specialist, gastroenterologist hnenah a refer ang che. Hetiang dinhmun hi a finfiah theih nan key test a nei ang. Chu chu endoscopy a ni .

Endoscopy tih hi eng nge ni?

Hei hian i hmui kaltlangin a tawp berah camera dahin tube te tak te, flexible tak dah a, i chaw kawng, i pum leh i ril te tak te hmasa ber enfiah a huam a ni. He test chhung hian natna i nei lovang, a chhan chu sedated i ni dawn a ni.

Camera atanga a han en chuan doctor chuan vagina lining rawng leh texture a danglam tih a hmu a.

• Vagina pangngai lining chu light pink leh smooth a nih laiin,
• Barrett’s awmna hmunte chu salmon rawng leh a hring deuhin a lang thei.

Doctor chuan he inthlak danglamna hi a hmuh chuan a inthlakna hmun atang hian tissue te tak te tak te tlemte a la chhuak thin. Hei hi biopsy kan ti a . Tichuan, heng tissue piece te hi microscope hmangin an enfiah a, cell te chu an inthlak tak tak em tih 100% in an finfiah a, chu chu Intestinal Metaplasia tih hming pu condition a awm em tih hi a ni.

Test hnuah engtin nge condition hi i classified ang?

Biopsy report a lo luh veleh doctor chuan i dinhmun chu a classified ang. Hei hi thil pahnih atanga innghat a ni ber.

1. He inthlak danglamna hian chaw kawng sei zawng engzat nge a nghawng.

2. Cancer hmaa cell inthlak danglamna (dysplasia) a awm leh awm loh.

He classification hi a pawimawh hle a, a chhan chu eng treatment nge i dawn tur tih leh engzat nge i test leh tur tih a hril a ni.

Hei hi eng enkawlna nge ni?

Barrett-a chaw kawng (esophagus) enkawlna kawngah hian tum lian pathum a awm a.

1. A chhan bulpui enkawlna hmangin natna a zual zel loh nan tihtawp rawh.

2. Cancer hmaa inthlak danglamna (dysplasia) lo awm leh awm loh enfiah reng.

3. Condition (dysplasia) a awm chuan a natna cell te chu paih chhuah.

1. A chhan bulpui ber enkawl

Mi tam takin chronic gastritis (GERD) vangin he natna hi an nei thin a, a hmasa ber chu uluk taka enkawl hi a ni. I doctor chuan hemi chungchangah hian thurawn a pe ang che:

• Nunphung thlak danglam: Chaw rimtui, hriak nei, coffee, etc. tih tlem a, zanriah ei khama mut thuai loh.
• Damdawi: Pum acid siam tlem thei damdawi, a bik takin Proton Pump Inhibitors (PPI) (e.g. Omeprazole, Esomeprazole, Pantoprazole) te hi a tha hle. Esophagus chhiatna an titawp a, tissue damna atan an pui bawk.Heng damdawi te hi Doctor thurawn ang chauha ei tur a ni.

2. En reng reng (Surveillance) .

I dinhmun azirin i doctor chuan endoscopy neih vawi engzat nge i neih tih a hrilh ang che.

• Chutiang a nih loh chuan kum 3-5 danah check thin a tawk.
• Low-grade dysplasia a awm chuan kum khatah vawi khat vel enfiah turin an rawt a ni.

3. A natna (Dysplasia) enkawl dan .

Biopsy-in precancerous cell changes (dysplasia) a awm tih a finfiah chuan doctor-te chuan chu cell-te chu paih chhuah an rawt ang. Hei hi hmanraw hrang hrang a awm a.

• Ablation Therapy: Hei hi endoscopy neih laiin hmanraw bik hmanga cell layer pangngai lo tihchhiat a ni. Hei hi heat sang (radiofrequency) emaw, high cold (cryotherapy) hmanga tih theih a ni.
• Endoscopic Mucosal Resection (EMR): Hei hi endoscopy hmanga operation tenau tak a ni bawk. Hetah hian tissue pangngai lo chauh chu cut chhuakin lakchhuah a ni.
• Surgery (Esophagectomy): Dysplasia hi a nasat em em emaw, cancer-ah a lo kal tawh emaw a nih chuan, esophagus-a a natna hmun chu a chhuah vek theih nan operation neih a ngai mai thei.

He natna hi a dam kim thei ang em?

Metaplasia emaw, cell inthlak danglamna emaw hi a mah chauhin a tha lo. Mahse, a hmaa kan sawi tawh enkawlna (Ablation, EMR) te hian cell danglam tawhte chu a paih chhuak thei a ni. Tin, a chhan bulpui (GERD ang chi) hi uluk taka enkawl a nih a, chaw kawng chhiatna chu tihtawp a nih chuan a dinhmun chu control theih a ni bawk.

Mahse enkawl hnuah pawh he natna hi a lo awm leh theihna chance tlemte a awm. Chuvangin doctor-in a sawi angin follow-up test neih chhunzawm zel a pawimawh hle.