Bhararet's isophagus chirwere ndicho chikonzero chikuru che chirwere chegastroesophageal reflux uye inofungidzirwa nevanyanzvi semamiriro ezvinhu asina kunaka. Muhutano huno, kuchinja mune epithelial layer ye esophageal mucosa inowanikwa, inoratidzwa nekuvapo kwechinhu chisingazivikanwi chechimiro cheplinylium cylindricendi panzvimbo yemapurisa akawanda (iyo cylindrical epithelium inowanzoreva kumumbo mumcosa). Izvi zvinotsiviwa nemasero zvinosanganiswa nemigumisiro isingagumi kune mucous membrane yechipfuva ne gastric acids, izvo zvinokonzera zvinoparadza zvinokonzera kupora.
Zviratidzo zvehutano hwaBarrett
Barrett's esophagus haigoni kuonekwa chete pamusana pechipatara chinyorwa, chirwere ichi hachina zviratidzo zvakananga. Asi zvakadaro kazhinji vanorwara vane chirwere chakadaro vanoita zvikwangwani zvinotevera:
- kazhinji kuitika kwekushungurudza, izvo zvinoshungurudza kwenguva yakareba;
- kazhinji kubwinya (mhepo, muchero, kunorwadza);
- manzwiro okusagadzikana mumutsipa mushure mokudya, uchiwedzera nemakumbo uye akarara pasi;
- kunyavira mumuromo;
- chirwere chekuedza kumedza (munguva yekudya, nekumedza samate);
- kurutsa (dzimwe nguva nekusanganiswa ropa);
- nausea;
- kurwadziwa munharaunda yepigastric, iyo inogona kuitika mushure mekudya kana kuti zvisinei nokuti zvokudya zvinodya;
- kazhinji hiccough ;
- manzwiro echepa mumutsipa;
- hoarseness;
- rinopinza kuora kurasikirwa.
Apo pavanenge vachifungidzirwa nezvehutachiona, zviyero zvakakosha uye miedzo ye laboratori inosarudzwa, iyo huru iyo ndiyo endoscopy yeeophagus uye mudumbu nechisimba.
Chirwere cheBarrett chiri kurapwa here?
Varwere vanorwara vane chirwere ichi vanozviisa pasi pemishonga inoshandiswa uye inokurumidzirwa kuitira kuti vasave nekugadziridzwa kwekuchinja kusingagadziriswi mumatumbu eesophagus mucosa uye kuonekwa kwekenza masero. Kurapa kunoitwa pasi pekutonga nguva dzose kuburikidza nenzira yebiopsy, iyo inoita kuti zvikwanisike kuongorora kubudirira kwehutano hwehutano, uye munguva yekuziva zvinogona kuitika. Kufananidzira kwezviratidzo zvehutano hwaBarrett kunobva pane nguva yekurapa uye kutevedzwa nemitemo yose yezvehutano.
Kuchengetedza chirwere chinonzi Bretret's esophagus inotarirwa kuderedza gastroesophageal reflux, kuchengetedza mucosa yechipfuva, kuvhara asidi maitiro mudumbu, kubvisa zviratidzo zvisingafadzi. Zvimwe zvikamu zvehutano hwekuchengetedza zvinokurukurwa pasi apa.
Kudya uye kudya
Varwere vanokurudzirwa:
- Usabvisa kushandiswa kwemucheka, yakabikwa, zvinonhuwira, kusvuta ndiro, marinades, chokoti, michina inokonzera kubudisa gesi.
- Usadya zvokudya zvinopisa uye zvinotonhora.
- Idya zviduku zviduku 5-6 kakawanda pazuva.
Kuregererwa kwemaitiro akaipa
Zvinoreva kusvuta, kunwa doro. Izvo zvinodiwawo kuti zvirambe zvichiita basa rekuita, kudzivisa kuwedzerwa kunetseka pamakamuri ekudhinda.
Mishonga
Mishonga inotevera inorayirwa:
- blockers weproton pump;
- antacids;
- antibiotics (inopesana neHelicobacter pylori bacterium kana ichionekwa);
- enzymes ;
- prokinetics;
- alginates.
Kuvhipwa kweBatrett
Kana kusina kwekugadzirisa kwemaitiro ekuchengetedza uye muitiro wakaoma wechirwere, kurapwa kwekuvhiya kunorongedzerwa, umo nzvimbo dzechirwere chinoshandiswa mutical mucosal tishu dzesophagus dzinobviswa. Chaizvoizvo, kurapwa kwepurojekiti yeBerett's esophagus inogadzirwa ne endoscopic zvishoma zvisingasviki nzira. Nzira dzemazuva ano dzekutungamirira kushanda ndezvekushandiswa kwemhepo uye kushandiswa kwemaseri.
Bharrett's esophagus therapy with remedies folk
Kune dzimwe nzira dzakasiyana dzokurapa hutachiona, hunogona kushandiswa nemvumo yechiremba. Nzira yakakurumbira uye inobudirira yehutano hwevanhu ndeyo kugamuchirwa kwegungwa buckthorn mafuta, iyo inobatsira kumadziro eopopus. Gungwa-buckthorn mafuta inotorwa kaviri - katatu pazuva nehosi yepasipuni usati wadya pamwe nemakore 1-2.