Ngaba nawe uhlala unesitshiso sentliziyo? Kuvakala ngathi isifuba sakho siyatsha. Ngamanye amaxesha emva kokutya, ingakumbi ebusuku xa ulala emva kokutya, ngaba uziva ngathi kukho into emuncu nekrakra ephuma emlonyeni wakho? Uninzi lwethu lucinga ukuba oku "yi-gastritis" kwaye sithatha iyeza kwikhemesti silisele nje. Kodwa ubusazi na ukuba ukuba le meko iqhubeka ixesha elide, inokonakalisa umphimbo wethu? Le yimeko embi kakhulu enokwenzeka ngenxa yaloo monakalo, obizwa ngokuba yi-'Barrett's Esophagus'. Musa ukoyika, masithethe ngale nto ngokulula.
Kalula nje, yintoni i-Barrett's Esophagus?
Cinga ngombhobho wethu njengombhobho wamanzi. Lo ngumbhobho othwala ukutya esikutyayo ukusuka emlonyeni ukuya esiswini sethu. Njengakwezinye iindawo emzimbeni wethu, ingaphakathi lalo mbhobho linomaleko omncinci nokhuselayo weeseli (i-lining). Umsebenzi wawo kukukhusela umbhobho.
Ngoku khawucinge ukuba ii-asidi eziqatha esiswini sethu zihlala zinyuka zize zibethe eludongeni lwalo mphunga. Njengokuba xa into enzima iqhubeka iwela phantsi, loo mgangatho uyatsha, ezi ndlela ze-asidi zonakalisa umaleko weseli othambileyo we-esophagus.
Njengoko lo monakalo uqhubeka usenzeka ngokuhamba kweminyaka, umzimba wethu uzama ukufumana isisombululo. Umzimba ucinga ukuba, "Iiseli ezikule mphunga azikwazi ukumelana nohlaselo lwe-asidi. Kungcono ndenze uhlobo lweseli oluqinileyo nolunganyangekiyo yi-asidi apha."
Ngoko ke into eyenziwa ngumzimba kukutshintsha iiseli ezonakeleyo kwi-esophagus ngohlobo lweseli olumelana ne-asidi ngakumbi kunohlobo olufumaneka emathunjini ethu. Ngamafutshane, endaweni yohlobo lweseli olufanele ukuba kwi-esophagus, uhlobo lweseli olufumaneka emathunjini luqala ukukhula kwi-esophagus. Kwizonyango, sibiza oku ngokuthi yi -intestinal metaplasia . Yiloo nto siyibiza ngokuba yi-'Barrett's Esophagus'.
Oku ngokwenene yindlela umzimba ozama ngayo ukuzikhusela. Kodwa ingxaki kukuba, ezi ntlobo zintsha zeeseli zinokuba nomhlaza kancinci kuneeseli eziqhelekileyo.
Imbi kangakanani le meko? Ngaba kufuneka soyike?
Oku kusenokukoyikisa. Sonke siyoyika xa sisiva igama elithi "umngcipheko womhlaza." Kodwa into ebalulekileyo ekufuneka uyiqonde apha kukuba ayinguye wonke umntu one-Barrett's Esophagus oza kuba nomhlaza.
Enyanisweni, umngcipheko wokuba nomhlaza uphantsi kakhulu . Uphando lufumanise ukuba umngcipheko yi-0.5% ngonyaka, nto leyo engaphantsi kwe-1%. Oku kuthetha ukuba ngumntu omnye kuphela kubantu abangama-200 abane-Barrett's Esophagus oza kuba nomhlaza kunyaka nje omnye.
Kwakhona, olu tshintsho lweseli alubi ngumhlaza ngobusuku obunye. Yinkqubo ethatha ixesha elide kakhulu. Ngaphambi kokuba isuke kwimeko ye-'metaplasia' iye kwi-'cancer', idlula kwelinye inqanaba eliphakathi. Siyibiza ngokuba yi-'dysplasia'. Kweli nqanaba le-'dysplasia', oogqirha banokuyibona. Ukuba banokuyibona, banokususa loo ndawo itshintshileyo yeseli baze bayithintele ekubeni iqhubekele phambili ibe ngumhlaza.
Yiyo loo nto oogqirha behlola kwaye bebeka esweni abantu abane-Barrett's Esophagus rhoqo.
Zithini iimpawu zeBarrett's Esophagus?
Into emangalisayo apha kukuba akukho zimpawu zithile kwi-Barrett's Esophagus. Oko kukuthi, awucingi ukuba iiseli ezikwi-esophagus yakho zitshintshile.
Ngoko ke uyifumana njani le nto?
Ngokwesiqhelo, ingxaki ebangela le meko yimbangela yokuba ube neempawu. Kubantu abaninzi, oku kubangelwa yimeko ebizwa ngokuba yi -gastroesophageal reflux disease . Njengoko sonke sisazi, le yindlela ebizwa ngayo i-GERD (Gastroesophageal Reflux Disease). Oku kuxa i-asidi yesisu iphuma ize ingene kwi-esophagus.
Ngoko ke ufumana ezi mpawu zeGERD:
- Isitshiso sentliziyo: Imvakalelo yokutshisa ephuma embindini wesifuba.
- Umphimbo omuncu: Ukuziva ukuba isisu sizele yi-asidi kunye nokutya okungagayekiyo, okuphuma emlonyeni.
- Ubunzima bokuginya: Ukuziva ukrwitshwa xa uginya ukutya okanye isiselo.
- Umphimbo obuhlungu okanye ukukhohlela okungapheliyo.
- Iintlungu zesifuba.
Eyona nto ibalulekileyo kukuba, nokuba sele unazo ezi mpawu ixesha elide, nokuba yiminyaka, mhlawumbi ngamanye amaxesha ziphinde zivele, musa ukuzityeshela. Ngokuqinisekileyo bonana nogqirha kwaye ufumane ingcebiso.
Ziziphi izinto ezibangela umngcipheko kule meko?
Nangona eyona nto ibangela iBarrett's Esophagus kukonakala kwexesha elide kwi-esophagus, ayinguye wonke umntu oyifumanayo. Nangona kunjalo, abanye abantu basengozini enkulu. Makhe sijonge ukuba bangoobani.
| Into enobungozi | Inkcazo |
|---|---|
| Ukuba ne-GERD | Le yeyona nto iphambili ebangela umngcipheko. Abantu abaye baba ne-GERD iminyaka engaphezu kwe-10 basengozini enkulu. Malunga ne-10%-15% yabantu abane-GERD banokuba nale meko. |
| Isini | Amadoda anamathuba amabini ukuya kwamathathu okufumana iBarrett's Esophagus kunabafazi. |
| Ubudala | Le meko idla ngokubonakala kubantu abangaphezu kweminyaka engama-55 ubudala. Oku kungenxa yokuba kuthatha ixesha ukuba olu tshintsho lweseli lwenzeke. |
| Ukutshaya | Ukutshaya yenye into ebalulekileyo echaphazela oku. |
Uyazi njani ukuba une-Barrett's Esophagus?
Ukuba uneempawu zeGERD ezihlala ixesha elide, ugqirha wakho uza kukuthumela kwi-gastroenterologist. Uza kwenza uvavanyo ukuqinisekisa ukuba unayo na le meko. Oku kubizwa ngokuba yi-endoscopy .
Yintoni uvavanyo lwe-endoscopy?
Oku kuquka ukukunika isithomalalisi esincinci, uze emva koko udlulise ityhubhu encinci, eguquguqukayo enekhamera emlonyeni wakho ize yehle iye esiswini sakho. Awuyi kuva ntlungu ngeli xesha le nkqubo.
Ngale khamera, ugqirha unokubona ngokucacileyo udonga lwangaphakathi lomqala.
- Udonga lwangaphakathi lomqala oqhelekileyo lupinki okhanyayo kwaye lunomphezulu ogudileyo.
- I-Barrett's Esophagus ibonakala ibomvu-orenji (inombala we-salmon) kwaye irhabaxa.
Ukuba utshintsho kwinkangeleko lubonwa ngale ndlela, ugqirha uza kuthatha iqhekeza elincinci kakhulu lesicwili kwindawo ekrokrisayo ukuze alihlole. Oku sikubiza ngokuba yi-biopsy . Eli qhekeza lesicwili lihlolwa nge-microscope ukuqinisekisa ukuba iiseli zitshintshile ngokwenene na, oko kuthetha ukuba ngaba une-Barrett's Esophagus.
Ukwahlulwahlulwa kwe-Esophagus kaBarrett kunye namanqanaba
Xa ingxelo yakho ye-biopsy ifikile, ugqirha wakho uza kukuchazela imeko. Ihlala yahlulwe ibe ziintlobo ezimbini kunye nezigaba ezahlukeneyo.
| Ulwahlulo | Inkcazo |
|---|---|
| Icandelo elifutshane | Icandelo le-esophagus apho iiseli zitshintshile khona lingaphantsi kweesentimitha ezi-3 ubude. |
| Icandelo elide | Ubude becandelo apho iiseli zitshintshile khona bungaphezulu kweesentimitha ezi-3. |
| Amanqanaba ngokwengozi yomhlaza (Amanqanaba eDysplasia) | |
| I-Metaplasia ngaphandle kwe-dysplasia | Iiseli zitshintshile, kodwa utshintsho lwangaphambi komhlaza (i-dysplasia) alukaqali. Umngcipheko womhlaza uphantsi kakhulu. |
| I-Dysplasia ekumgangatho ophantsi | Utshintsho kwiiseli ezingaphambi komhlaza luqala ukubonakala. Umngcipheko womhlaza uphezulu kancinci. |
| I-Dysplasia yezinga eliphezulu | Kukho utshintsho olukhulu olubonakalayo kwiiseli ngaphambi kokuba zibe nomhlaza. Umngcipheko womhlaza uphezulu. |
| Umhlaza | I-Dysplasia ibe ngumhlaza. |
Ziziphi iindlela zonyango zeBarrett's Esophagus?
Iindlela zonyango zinokwahlulwa zibe ziinxalenye ezintathu eziphambili.
1. Ukunyanga unobangela oyintloko
Le yeyona nto ibalulekileyo. Kufuneka siyeke ukonakalisa umphimbo. Uninzi lweemeko zibangelwa yi-GERD, enyangwayo.
- Utshintsho kwindlela yokuphila: Nciphisa ukutya okuneziqholo, okunamafutha, ikofu, njl. Kuphephe ukulala phantsi iiyure ezi-2-3 emva kokutya ebusuku.
- Amayeza: Kunikwa amayeza alawula ukuveliswa kwe-asidi esiswini. Ii-Proton Pump Inhibitors (PPIs) ezifana ne-'Omeprazole' kunye ne-'Esomeprazole' zisebenza kakhulu koku. Ezi zithintela umonakalo kwi-esophagus kwaye zincede ukuba iphiliswe.
2. Ukubeka esweni
Ukuba imeko yakho ayinayo i-dysplasia, oko kuthetha ukuba umngcipheko wakho wokuba nomhlaza uphantsi, ugqirha wakho uya kucebisa ukuba wenze i-endoscopy rhoqo emva kweminyaka embalwa ukuze ajonge imeko yakho. Ukuba une-dysplasia, kuya kufuneka wenze i-endoscopy ubuncinane kanye ngonyaka.
3. Ukususwa kweeseli ezingekabi nomhlaza (iDysplasia)
Ukuba ingxelo yakho ithi "une-dysplasia yezinga eliphezulu," oko kuthetha ukuba usengozini enkulu yokuba nomhlaza, ugqirha wakho uya kukucebisa ukuba ususe iiseli ezingaqhelekanga. Kukho iindlela ezahlukeneyo zokwenza oku.
- Unyango lwe-Ablation: Kule nto, isixhobo sidluliselwa kwityhubhu ye-endoscopy kwaye iiseli ezimbi ziyatshatyalaliswa kusetyenziswa i-radiofrequency okanye i-cryotherapy.
- Ukususwa kwe-Endoscopic Mucosal (EMR): Olu lutyando oluncinci olwenziwa nge-'endoscopy'. Kule meko, izicubu ezingaqhelekanga ziyasikwa zize zisuswe.
- Utyando (Esophagectomy): Ukuba i-dysplasia imbi kakhulu okanye ifikelele kumhlaza, kunokufuneka utyando ukuze kususwe inxalenye eyonakeleyo ye-esophagus.
Ngaba le meko inganyangeka ngokupheleleyo?
I-Metaplasia, okanye utshintsho lweeseli, ayizipheli ngokwayo. Nangona kunjalo, unyango olukhankanyiweyo apha ngasentla lunokunceda ukususa izicwili ezonakeleyo. Kwakhona, ukuba i-GERD ilawulwa kakuhle, umonakalo ongakumbi unokuthintelwa.
Kodwa nasemva konyango, kukho ithuba elincinci lokuba le meko ingaphinda ivele, ngoko ke kubaluleke kakhulu ukuqhubeka nokuya kuvavanyo olucetyiswa ngugqirha wakho.
Umntu one-Barrett's Esophagus unokuphila ubomi obuqhelekileyo. Eyona nto ibalulekileyo kukubona imeko kwangethuba, nokulandela unyango olufanelekileyo kunye neengcebiso zonyango ngaphambi kokuba ibe mandundu. Ukuba wenza loo nto, ungaziphepha izifo ezinzulu ezifana nomhlaza kwaye uphile ubomi obusempilweni.
Umyalezo Wokuya Ekhaya
- Ukuba uneempawu ezifana neentlungu zesifuba ezingapheliyo okanye incasa emuncu emqaleni wakho, musa ukuyityeshela loo nto. Ngokuqinisekileyo bonana nogqirha.
- I-Barrett's Esophagus ayingomhlaza, kodwa yimeko eyonyusa kancinci umngcipheko wokuba nomhlaza womqala.
- Umngcipheko walo mhlaza uphantsi kakhulu kwaye unokuthintelwa ngokujongwa ngugqirha ngokufanelekileyo.
- Oku kuchongwa nge-endoscopy kunye ne-biopsy.
- Iinjongo eziphambili zonyango kukulawula unobangela oyintloko (i-GERD), ukujonga imeko rhoqo, kunye nokususa iiseli ezingaphambi komhlaza ukuba kuyimfuneko.
- Ngokulandela imiyalelo kagqirha wakho ngokuchanekileyo, ungaphila ubomi obusempilweni nobuqhelekileyo.
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