He maha hoki ngā wā ka pāngia koe e te mamae o te puku? Me te mea kei te mura tō uma. I ētahi wā i muri i te kai, inā koa i te pō i a koe e takoto ana i muri i te kai, ka puta mai he mea kawa, kawa hoki i roto i tō waha? He tokomaha o tātou e whakaaro ana he "gastritis" tēnei, ā, ka tango i tētahi rongoā mai i te whare rongoā ka inu noa. Engari i mōhio koe mēnā ka roa te noho o tēnei mate, ka kino pea tō tātou korokoro? He mate kino tēnei ka puta mai i taua kino, e kiia nei ko te 'Barrett's Esophagus'. Kaua e mataku, me kōrero noa tātou mō tēnei.
He aha te Barrett's Esophagus?
Whakaarohia tō tātou korokoro he paipa wai. Koinei te ngongo e kawe ana i te kai e kainga ana e tātou mai i tō tātou waha ki tō tātou puku. Pērā i ngā wāhi katoa o tō tātou tinana, he paparanga angiangi, he ārai kei roto i tēnei ngongo. Ko tāna mahi he tiaki i te korokoro.
Whakaarohia inaianei kei te piki haere tonu ngā waikawa kino o roto i tō tātou puku, ā, kei te pā ki ngā pakitara o tēnei korokoro. Pērā i te taka haere o tētahi mea kino ki runga i te papa, ka wera taua papa, ka pakaru te paparanga pūtau ngawari o te korokoro i ēnei ara waikawa.
I te haere tonu o tēnei kino i roto i ngā tau, ka ngana tō tātou tinana ki te kimi i tētahi otinga. Ka whakaaro te tinana, "Kāore e taea e ngā pūtau o tēnei korokoro te tu atu ki tēnei whakaeke waikawa. He pai ake kia hangaia e au tētahi momo pūtau kaha ake, ātete ki te waikawa i konei."
Nō reira, ko tā te tinana mahi he whakakapi i ngā pūtau kua pakaru i roto i te korokoro ki tētahi momo pūtau he ātete ake ki te waikawa i te momo e kitea ana i roto i ō tātou whekau. He māmā noa iho, hei utu mō te momo pūtau e tika ana kia noho ki roto i te korokoro, ka tīmata te tipu o tētahi momo pūtau e kitea ana i roto i te whekau ki roto i te korokoro. I roto i te rongoā, ka kiia tēnei ko te metaplasia o te whekau . Koinei te mea e kiia nei e mātou ko te 'Esophagus a Barrett'.
Koinei te ngana a te tinana ki te tiaki i a ia anō. Engari ko te raruraru, he nui ake te tūponotanga o ēnei momo pūtau hou ki te noho hei mate pukupuku i ngā pūtau noa.
He pēhea te kino o tēnei āhuatanga? Me wehi rānei tātou?
Tērā pea ka mataku koe i tēnei. Ka mataku tātou katoa ina rongo tātou i te kupu "mōrearea matepukupuku." Engari ko te mea nui kia mārama ki konei, ehara i te mea ka pāngia te hunga katoa e te mate pūkahukahu a Barrett e te matepukupuku.
Ina hoki, he tino iti te mōrearea o te mate pukupuku. Kua kitea e ngā rangahau ko te mōrearea he 0.5% ia tau, he iti iho i te 1%. Ko te tikanga o tēnei, kotahi anake i roto i te 200 tāngata he mate korokoro a Barrett ka pāngia e te mate pukupuku i roto i te tau kotahi.
Waihoki, kāore tēnei huringa pūtau e huri hei matepukupuku i te pō kotahi. He tukanga tino āta haere. I mua i te nekehanga mai i te āhua o te 'metaplasia' ki te 'matepukupuku', ka haere mā tētahi atu wāhanga waenga. Ka kiia e mātou ko te 'dysplasia'. I tēnei wāhanga o te 'dysplasia', ka taea e ngā tākuta te kite. Mena ka taea e rātou te kite, ka taea e rātou te tango i taua wāhanga pūtau kua huri, ka aukati i tōna whanaketanga hei matepukupuku.
Koia te take e tirotirohia ai, e aroturukitia ai hoki e ngā tākuta te hunga e pāngia ana e te mate korokoro a Barrett.
He aha ngā tohu o te Barrett's Esophagus?
Ko te mea miharo i konei, kāore he tohu e pā ana ki te mate korokoro a Barrett. Arā, kāore koe e rongo kua rerekē ngā pūtau i roto i tō korokoro.
Nā, me pēhea e kitea ai tēnei?
Ko te tikanga, ko te raruraru matua e puta ai tēnei āhuatanga ko te take e pāngia ana koe e ngā tohu. Mō te nuinga o te tangata, ko te take o tēnei he mate e kiia nei ko te mate reflux gastroesophageal . E mōhio ana tātou katoa, koinei te ingoa o te GERD (Gastroesophageal Reflux Disease). Koinei te wā e piki ake ai te waikawa o te puku ka uru ki te esophagus.
Nā reira, kei te pāngia koe e ēnei tohu o te GERD:
- Te ngaunga o te uma: He kare ā-wera e puta mai ana i waenganui o te uma.
- Korokoro kawa: Ko te kare o te puku, arā, te waikawa me te kai kāore anō kia nakunaku, e piki ake ana ki roto i te waha.
- Te uaua ki te horomi: He āhua kōkō te tinana ina horomihia te kai, te inu rānei.
- Te korokoro mamae tonu, te maremare rānei.
- Mamae o te uma.
Ko te mea nui, ahakoa kua roa koe e pāngia ana e ēnei tohumate, ahakoa he maha ngā tau, me te piki haere pea o te mate i ētahi wā, kaua e warewarehia. Me toro atu ki te tākuta, me te rapu tohutohu.
He aha ngā āhuatanga mōrearea e whai wāhi ana ki tēnei āhuatanga?
Ahakoa ko te tino take o te mate korokoro a Barrett he kino roa ki te korokoro, ehara i te katoa e pāngia ana e tēnei mate. Heoi anō, he nui ake te mōrearea o ētahi tāngata. Me titiro tātou ko wai rātou.
| Tauwehenga mōrearea | Whakaahuatanga |
|---|---|
| He GERD tō te tangata | Koinei te tino take mōrearea. Ko te hunga kua pāngia e te GERD mō ngā tau neke atu i te 10 he nui ake te mōrearea. Tata ki te 10%-15% o te hunga whai GERD ka pāngia pea e tēnei mate. |
| Ira tangata | E rua, e toru rānei ngā wā ka nui ake te tūponotanga o te tāne ki te pāngia e te Barrett's Esophagus i ngā wāhine. |
| Tau | Ka kitea tēnei āhuatanga i roto i te hunga neke atu i te 55 tau te pakeke. Nā te mea he roa te wā ka puta ai ēnei huringa pūtau. |
| Te momi hikareti | Ko te kai paipa tētahi atu āhuatanga nui e pā ana ki tēnei. |
Me pēhea koe e mōhio ai mēnā kei a koe te mate korokoro a Barrett?
Mena he roa ngā tohu o te GERD kei a koe, ka tukuna koe e tō tākuta ki tētahi tohunga puku. Ka whakahaerehia e ia he whakamātautau hei whakaū mēnā kei a koe tēnei mate. Ka kiia tēnei he endoscopy .
He aha te whakamātautau endoscopy?
Ko te tikanga o tēnei ko te hoatu i tētahi rongoā whakamoe ki a koe, kātahi ka tukuna he ngongo angiangi, ngāwari me te kāmera i te pito mā roto i tō waha, ka heke iho i tō korokoro ki roto i tō puku. Kāore koe e mamae i te wā o tēnei tikanga.
Mā te whakamahi i tēnei kāmera, ka kitea mārama e te tākuta te pakitara o roto o te korokoro.
- He māwhero mārama te tae o te pakitara o roto o te korokoro noa , ā, he maeneene te mata.
- He whero-karaka te āhua o te Esophagus a Barrett (he rite ki te tae hāmana) he taratara hoki.
Mena ka kitea he panonitanga o te āhua i tēnei ara, ka tangohia e te tākuta tētahi wahi kiko iti rawa mai i te wāhi whakapae hei tirotiro. Ka kiia tēnei he koiora . Ka tirohia tēnei wahi kiko i raro i te karuārai hei whakaū 100% mēnā kua tino panoni ngā pūtau, arā, mēnā kei a koe te Esophagus a Barrett.
Te Whakarōpūtanga me ngā Wāhanga o te Esophagus a Barrett
Kia tae mai tō pūrongo koiora, ka whakamāramahia e tō tākuta te āhua ki a koe. E rua ngā momo, ā, he maha ngā wāhanga.
| Whakarōpūtanga | Whakaahuatanga |
|---|---|
| Wāhanga poto | Ko te wāhanga o te korokoro kua rerekē ngā pūtau he iti iho i te 3 henimita te roa. |
| Wāhanga-roa | Neke atu i te 3 henimita te roa o te wāhanga kua rerekē ngā pūtau. |
| Ngā Wāhanga e ai ki te mōrearea o te mate pukupuku (Ngā Wāhanga Dysplasia) | |
| Metaplasia kāore he dysplasia | Kua rerekē ngā pūtau, engari kāore anō kia tīmata ngā huringa i mua i te matepukupuku (dysplasia). He tino iti te mōrearea o te matepukupuku. |
| Dysplasia iti-taumata | Kei te tīmata te puta o ngā huringa pūtau i mua i te matepukupuku. He paku teitei ake te mōrearea o te matepukupuku. |
| Dysplasia taumata teitei | He nui ngā huringa i mua i te matepukupuku i roto i ngā pūtau. He nui te mōrearea o te matepukupuku. |
| Matepukupuku | Kua huri te dysplasia hei mate pukupuku. |
He aha ngā maimoatanga mō te Barrett's Esophagus?
Ka taea te wehewehe i ngā tikanga maimoatanga kia toru ngā wāhanga matua.
1. Te rongoā i te pūtake o te mate
Koinei te mea tino nui. Me mutu te kino o te korokoro. Ko te nuinga o ngā take he GERD, ā, ka rongoatia.
- Ngā huringa āhua noho: Whakaitihia ngā kai kakara, hinuhinu, kawhe, me ērā atu. Kaua e takoto mō te 2-3 hāora i muri i te kai i te pō.
- Ngā Rongoā: Ka hoatu ngā rongoā hei whakahaere i te hanga waikawa i roto i te puku. He tino whai hua ngā aukati papu pūwero (PPI) pēnei i te `Omeprazole` me te `Esomeprazole` mō tēnei. Ka aukati ēnei i te kino o te korokoro, ā, ka āwhina i te whakaora.
2. Te Tirotiro
Mena kāore he dysplasia i roto i tō āhua, arā, he iti te mōrearea o te mate pukupuku, tera pea ka tūtohu tō tākuta kia tirohia koe i roto i ngā tau torutoru hei aroturuki i tō āhua. Mena he dysplasia tōu, me tirotirohia koe i te iti rawa kotahi i te tau.
3. Te tango i ngā pūtau i mua i te matepukupuku (Dysplasia)
Mena kei te kī tō pūrongo he "dysplasia taumata teitei" tōu, arā, he nui te mōrearea o te mate pukupuku, ka tūtohu tō tākuta kia tangohia ngā pūtau rerekē. He maha ngā huarahi hei mahi i tēnei.
- Whakaora Whakamutu: I roto i tēnei mahi, ka tukuna he taputapu mā roto i te ngongo endoscopy, ā, ka whakangaromia ngā pūtau kino mā te whakamahi i te auau irirangi, i te cryotherapy rānei.
- Te Tangohanga Huka Endoscopic (EMR): He pokanga iti anō hoki tēnei e mahia ana mā te 'endoscopy'. I roto i tēnei, ka tapahia te kiko rerekē, ka tangohia.
- Pokanga (Esophagectomy): Mena he kino te dysplasia, kua horapa rānei ki te matepukupuku, me pokanga pea hei tango i te wāhanga kua pakaru o te esophagus.
Ka taea te whakaora katoa i tēnei mate?
Kāore te metaplasia, te huringa pūtau rānei, e memeha noa iho. Heoi, ka taea e ngā maimoatanga kua whakahuatia i runga ake nei te āwhina ki te tango i te kiko kua pakaru. Waihoki, ki te whakahaeretia pai te GERD, ka taea te ārai i ngā kino atu anō.
Ahakoa i muri i te maimoatanga, he iti noa te tūponotanga ka hoki mai anō tēnei mate, nō reira he mea tino nui kia haere tonu ki ngā whakamātautau e taunaki ana tō tākuta.
Ka taea e te tangata whai mate korokoro a Barrett te noho noa i te oranga noa. Ko te mea nui ko te mōhio wawe ki te mate, me te whai i te maimoatanga tika me ngā tohutohu hauora i mua i te kino haere. Ki te mahi koe i tēnā, ka taea e koe te karo i ngā mate kino pēnei i te mate pukupuku, me te noho ora.
Karere Tangohia ki te Kāinga
- Ki te pā mai ngā tohu pēnei i te mamae tonu o te uma, te reka kawa rānei i roto i tō korokoro, kaua e warewaretia. Me toro atu ki te tākuta.
- Ehara te Barrett's Esophagus i te mate pukupuku, engari he āhuatanga e paku whakanui ake ai i te mōrearea ki te whakawhanake i te mate pukupuku esophagus.
- He tino iti te mōrearea o tēnei mate pukupuku, ā, ka taea te ārai mā te tirotiro tika a te taote.
- Ka tātaritatia tēnei mā te endoscopy me te biopsy.
- Ko ngā whāinga matua o te maimoatanga he whakahaere i te pūtake o te mate (GERD), te aroturuki i te āhua i ia wā, me te tango i ngā pūtau o mua i te matepukupuku mēnā e tika ana.
- Mā te whai i ngā tohutohu a tō tākuta, ka taea e koe te noho hauora, te noho noa.
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