Barrett's esophagus yog ib qho teeb meem ntawm kab mob gastroesophageal reflux, uas cov ntsiab lus ntawm lub plab nkag mus rau hauv txoj hlab pas, ua rau nws cov phab ntsa. Pathology, raws li txoj cai, yog tsim nyob rau hauv cov neeg mob uas muaj ntau tshaj tsib xyoos keeb kwm ntawm xws li ib tug pathology li reflux. Yog li, kwv yees li kaum feem pua ntawm cov neeg mob tsim Barrett's esophagus.
Symptomatics
Tsis muaj cov tsos mob tshwj xeeb rau tus mob no. Qee zaum nws yog asymptomatic, tshwj xeeb tshaj yog nyob rau hauv cov neeg laus. Cov tsos mob tseem ceeb ntawm kev kho mob yog tib yam li cov tsos mob ntawm tus kab mob reflux. Feem ntau ntawm lawv, qhov sib txawv hauv qab no hauv kev noj qab haus huv tau pom:
Mob plawv, uas tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm tsis kaj siab kub hnyiab tom qab lub sternum, raws li zoo raws li txoj hlab pas. Feem ntau, qhov kev xav no tshwm sim hauv tib neeg tom qab noj ntau dhau, noj ntsim, haus luam yeeb thiab kib, nrog rau cawv, tshuaj yej muaj zog, kas fes lossis dej cawv
Lwm yam tsos mob ntawm Barrett's esophaguspaub?
- Zoo mob qa. Raws li txoj cai, nws tshwm sim peb caug feeb tom qab noj mov, ua rau hnyav dua los ntawm kev khoov los yog thaum tus neeg nyob hauv txoj hauj lwm kab rov tav.
- Sour-tasting belching uas tau mob zuj zus tom qab noj.
- Kev txhim kho ntawm regurgitation nyob rau hauv Barrett's esophagus, uas yog reflux ntawm semi-digested zaub mov ntawm lub plab mus rau hauv txoj hlab pas. Nyob rau tib lub sijhawm, nyob rau hauv cov xwm txheej hnyav dua, dysphagia tshwm sim, uas tshwm sim los ntawm kev ua txhaum ntawm nqos.
- Tshuaj mob plab tom qab noj mov.
- Enamel thinning nrog rau cov hniav yaig.
- Tshuaj zawv plaub hau.
- ntuav ib zaug tom qab noj.
khoom noj kom raug
Ib qho tseem ceeb hauv kev kho tus kab mob no yog kev noj haus. Qhov no tsis yog xav tsis thoob, txij li lub luag haujlwm tseem ceeb ntawm kev zom zaub mov yog assimilation ntawm cov zaub mov. Yog li, hloov cov khoom noj thaum lub sij hawm kev loj hlob ntawm tus kab mob zoo heev pab txhawb kev ua hauj lwm, txo cov load. Tab sis yuav ua li cas raws nraim qhov kev noj haus yuav pab nrog hnyav pathologies? Nws puas yuav siv tau raws li cov txheej txheem ua tau zoo lossis nws puas yuav dhau los ua ib qho qauv uas yuav tsis cuam tshuam dab tsi? Tom ntej no, peb yuav tham txog qhov cuam tshuam ntawm kev noj haus hauv Barrett's esophagus.
Vim li cas kev noj zaub mov tseem ceeb rau cov kab mob no?
thawj lo lus uas cov neeg mob hnov thaum pib kho los ntawm kws kho mob plab yog qhov tseem ceeb heev uas yuav tsum noj kom raug. Txij li lub sijhawm kuaj mob tau tsim, lub sijhawm tom ntej hauv tus neeg mob lub neej pib, uas nws lub neej yav tom ntej ncaj qha nyob ntawm.kev noj qab nyob zoo thiab kev noj qab haus huv. Hauv qhov no, txhua tus muaj kev txhawj xeeb txog qhov teeb meem tseem ceeb uas cuam tshuam txog qhov nws xav tau ua raws li cov lus pom zoo kho mob txog kev noj zaub mov thiab cov khoom yuav cuam tshuam li cas rau cov kab mob.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias Barrett's esophagus noj tsis yog ib qho kev pom zoo xwb. Tau kawg, qee yam khoom noj yuav tsis cuam tshuam rau qhov degeneration ntawm atypical esophageal epithelial cell mus rau ib qho qub, yog li ntawd, tsis zoo li lwm yam pathologies, qhov no, kev noj zaub mov kom zoo tsis yog lub hauv paus ntawm kev kho mob, tab sis txawm li cas los xij nws ua haujlwm tseem ceeb heev:
- Los ntawm kev txo qis kev noj zaub mov nruj rau txoj hlab pas, tus neeg mob yog li txo qis kev pheej hmoo ntawm kev nce ntxiv ntawm cov kab mob.
- noj qab nyob zoo hauv cov zaub mov yuav ua rau kom tsis txhob muaj teeb meem.
- Muaj qhov txo qis ntxiv hauv cov khoom ntawm lub plab zom mov, yog li ua rau muaj qhov ua tau zoo dua ntawm cov tshuaj.
Txhob ua rau tus kab mob
Yog li ntawd, kev kho mob ntawm Barrett's esophagus yog txhawm rau tshem tawm cov laj thawj uas ua rau muaj tus kab mob. Feem ntau nws yog reflux thiab nws cov tsos mob, xws li kub siab. Nyob rau hauv cov ntaub ntawv no, muaj ib tug rov qab reflux ntawm cov khoom los ntawm lub plab mus rau hauv lub Upper cheeb tsam ntawm lub digestive system. Los ntawm lawv tus kheej, cov khoom lag luam tsis cuam tshuam ncaj qha rau ib lossis lwm qhov hloov pauv ntawm txoj hlab pas, tab sis lawv tuaj yeem txo cov refluxes los ntawm kev ua rau cov kua qaub ntawm lub plab, uas ua raurau kev hloov ntawm lub plab hnyuv epithelium.
Yuav ua li cas kho Barrett's esophagus yog nthuav rau ntau.
Txoj cai noj zaub mov rau mob
Txhua lub sijhawm ntawm kev kho mob, tus neeg mob yuav tsum ua raws li qee cov cai yooj yim hais txog tsis yog cov lus nug ntawm cov khoom noj uas yuav tsum tau noj lossis tsis noj xwb. Txoj kev ua neej nrog kev ua neej nyob txhua hnub kuj yuav tsum tau kho me ntsis. Yog li, yuav ua li cas cov tais diav thiab yuav tsum tsis txhob ua?
- Noj nrog qhov kev kuaj mob no yuav tsum tshwm sim tsawg kawg tsib zaug hauv ib hnub. Nws yog ib qho tseem ceeb uas yuav tau xav txog tias cov khoom yuav tsum me me, thiab lub sijhawm ntawm cov pluas noj yuav tsum yog tsawg kawg yog ob teev.
- Kev nyiam yuav tsum tau muab cov khoom noj stewed, boiled thiab steamed, vim qhov no yuav muaj kev ntxhov siab rau lub plab zom mov.
- Txiv hmab txiv ntoo nrog zaub yog qhov zoo tshaj plaws noj boiled los yog stewed. Raw thiab nyob rau ntawm lub plab khoob - cov zaub mov no tsuas yog ua rau lub plab thiab ua rau muaj kev tsim cov hydrochloric acid hauv lub cev.
- Nws yog ib qho tsim nyog kom tsis suav cov seasonings thiab cov txuj lom kub uas ua rau cov txheej txheem ntawm o ntawm txoj hlab pas mucosa.
- Thaum lub sijhawm kho, txwv tsis pub qhia cov zaub mov tsis paub rau hauv kev noj zaub mov kom tsis txhob ua rau cov txheej txheem pathological uas twb muaj lawm.
- Kev noj zaub mov kawg yuav tsum yog peb teev ua ntej yuav mus pw.
- Ua tiav pawg tsis sib xws xws li Barrett's esophagus thiab dej cawv. Dej cawv nyob rau hauv ib daim ntawv yuav tsum tau zam kom ntev.
- Koj yuav tsum tsis txhob ua lub cev tam sim ntawd tom qab noj mov, thiab ntxiv rau, tsis txhob tilting lub cev. Tsis xav tauhnav khaub ncaws nrog txoj siv nruj, corset lossis siv thiab lwm yam.
- Cov neeg haus luam yeeb yuav tsum txiav tawm.
- Nws yog ib qho tseem ceeb uas yuav tsum tso cov khoom noj uas lub cev tsis kam ua kom zoo. Cov zaub mov zoo li no, raws li txoj cai, ua rau tsam plab thiab cem quav, tej zaum yuav muaj cov quav tso quav nrog xeev siab thiab kub hnyiab.
Ua ib feem ntawm kev xaiv cov khoom, nws yog ib qho tseem ceeb ua ntej ntawm tag nrho cov yuav tsum tau coj los ntawm lub nuances ntawm tus neeg intolerance. Txhua tus neeg nws tus kheej paub qhov nws ua tau thiab qhov zoo dua kom tsis suav nrog kev noj haus.
Cov tsos mob thiab kev kho mob ntawm Barrett's esophagus feem ntau txuas.
Yuav ua li cas tsis tuaj yeem noj nrog kev kuaj mob?
Cov npe ntawm cov khoom txwv tsis pub nyob rau hauv cov ntaub ntawv no yog deb ntawm me me, tab sis lawv tuaj yeem raug cais tsis tau mus ib txhis, tab sis tsuas yog rau lub sijhawm kho. Dab tsi tuaj yeem noj tsis tau nrog qhov kev kuaj mob no?
- Fatty and kib mov nrog ntsim tais. Nyob rau tib lub sijhawm, hnyuv ntxwm nrog nqaij npuas, nqaij nyuj, ntses rog kuj raug txwv. Tsis tas li ntawd, koj tsis tuaj yeem noj cov kaus poom nrog cov qab zib, cheese, qaub cream, ketchup, mayonnaise thiab margarine.
- Cov zaub hauv kaus poom nrog cov txiv ntoo raug txwv. Koj tsis tuaj yeem noj txiv lws suav, radishes, sauerkraut, sorrel, txiv hmab txiv ntoo thiab txiv hmab txiv ntoo uas muaj fiber ntau, thiab, ntxiv rau, nceb.
- Raws li txoj cai, nplej, hlaws barley, barley thiab pob kws grits, nrog rau cov nplej zom yog cais los ntawm cereals, tshwj tsis yog cov noodles.
- Tsis yog txhua yam khoom noj uas muaj hmoov nplej tau tso cai hauv kev noj haus nrog kev kuaj mob ntawm Barrett's esophagus. Yog li, koj tsis tuaj yeem noj rye lossis lwm yam khob cij tshiab nrog rau cov khoom ua los ntawm cov nplua nuj lossis puff.xeem. Rau lub sijhawm ntawm kev kho mob, pies yuav tsum tau tso tseg, thiab ntxiv rau, ncuav qab zib thiab chocolate.
- Cov dej haus kuj yuav tsum tau xaiv nrog kev nruj tshwj xeeb. Tsis txhob haus cov tshuaj yej muaj zog nrog kas fes thiab cov kua carbonated. Ntawm lwm yam, cov kua txiv hmab txiv ntoo hauv khw muag khoom thiab, ntxiv rau, cov dej haus muaj xim raug txwv.
Tab sis vim li cas thiaj muaj ntau yam zaub mov tsis suav nrog tib neeg noj? Lo lus teb yog tias kev noj zaub mov zoo li no ua rau cov kab mob ntawm txoj hlab pas ua rau mob plab, uas ua rau cov kua qaub ntau ntxiv hauv plab thiab ua rau lub plab zom mov.
Barrett's esophagus noj yuav tsum ua raws li yam tsis tau ua tsis tiav.
Yuav ua li cas pub noj nrog cov kab mob no?
Kuv yuav tsum hais tias tsis yog txhua yam yuav tu siab li qhov zoo li. Qhov tseeb, nws tsis yog cov khoom tseem ceeb, tab sis cov tais diav uas tau npaj los ntawm lawv. Yog li, nrog pathology, nws raug tso cai siv cov khoom noj thiab tais diav hauv qab no:
- nag hmo cov nplej nplej, uas yog me ntsis toasted nrog rau cov crackers, biscuits qhuav, marshmallow thiab marmalade.
- Soups-puree, thawj cov kev kawm los ntawm cov zaub zoo-boiled thiab pureed.
- YButter nrog mis nyuj, yogurt thiab tsev cheese.
- Kefir tsis txwv rau Barrett's esophagus, tab sis nws tuaj yeem ua rau mob siab rau qee qhov, yog li koj yuav tsum ceev faj.
- zaub roj, thiab ntxiv rau, porridge porridge siav hauv dej nrog me me ntawm mis nyuj. Rau qhov no, mov, buckwheat, semolina thiab oatmeal porridges tsis yog instant.
- Nqaij qaib nrog nqaij nyug thiab luav. Qee lub sij hawm, koj tuaj yeem ua noj nqaij nyug nqaij nyug ntau yam, thiab qhia cov hnyuv ntxwm mis nyuj rau hauv koj cov zaub mov (nyiam dua qib siab tshaj).
- qe qe thiab ntses dej.
- qos yaj ywm nrog rau beets, carrots thiab txiv hmab txiv ntoo uas tsis yog acid thiab berries.
Vim li cas cov kws kho mob pom zoo kom noj cov zaub mov saum toj no?
- Lawv tsis ua rau lub plab sphincter lossis esophageal mucosa.
- Ntau tshaj plaws hauv lub cev nrog cov khoom noj tsim nyog nrog kev siv lub zog tsawg, uas yog qhov xav tau ntau dua rau kev rov qab los.
- Tsis txhob ntxhov siab rau lub plab zom mov.
- Tiv thaiv kom tsis txhob muaj kab mob hauv plab hnyuv thiab plab ib yam.
Nrog Barrett's esophagus, lub hauv paus ntsiab lus ntawm kev noj haus tsis zoo yeej tsis ua haujlwm: yog tias koj ua tsis tau, tab sis koj xav tau, koj tuaj yeem ua tau. Qhov kev kuaj mob no yog kab mob uas muaj cov cai nruj. Tau kawg, tsis muaj leej twg yuav ua raws li cov cai no, tab sis yog tias koj ua txhaum lawv, koj tuaj yeem poob koj txoj kev noj qab haus huv mus ib txhis.
Barrett's esophagus treatment
Tus kab mob yuav tsum tau ceev, thiab qhov tseem ceeb tshaj, ua kom tiav kev kho mob los ntawm ib tug neeg, vim nws tuaj yeem degenerate mus rau hauv cov qog malignant. Cov kab mob oncological yooj yim dua los tiv thaiv dua li sim nrhiav kev kho mob rau lawv tom qab. Cia peb tam sim no xav txog cov ntsiab lus tseem ceeb ntawm kev kho mob ntawm qhov kev kuaj mob no.
- Kev noj zaub mov hauv qhov kev kuaj mob no tseem ceebtivthaiv ntawm kev kho mob. Cov ntawv qhia zaub mov yuav tsum tau muab tso ua ke nrog kev pab los ntawm tus kws kho mob tuaj koom. Nrog rau kev noj zaub mov zoo li no, raws li tau piav qhia saum toj no, koj tsis tuaj yeem noj cov zaub mov kib, ntsim, haus luam yeeb thiab qaub. Cov zaub mov yuav tsum tsis txhob kub, nws yuav tsum nyob rau hauv chav tsev kub. Kev noj zaub mov rau cov neeg mob zoo li no yuav tsum dhau los ua txoj hauv kev ntawm lub neej. Nws tsis tuaj yeem nres tom qab kev kho mob phais.
- Raws li kev kho mob ntawm Barrett's esophagus, nws yog tsom rau txo qis acidity ntawm gastric kua txiv, thiab ntxiv rau, tshem tawm Helicobacter Pylori. Cov kev kho mob no feem ntau muaj cov tshuaj inhibitor, uas suav nrog Omeprazole nrog rau Esomeprazole, Pantoprazole, Rabeprazole thiab Lansoprazole. Antacids kuj tuaj yeem raug sau tseg: "Maalox" nrog "Phosphalugel" thiab "Almagel". Raws li ib feem ntawm kev tawm tsam Helicobacter Pylori, ib qho tshuaj tua kab mob raug xaiv rau tus neeg mob.
- Ua haujlwm xov tooj cua ablation. Txoj kev no yog kev phais tshem tawm ntawm cov ntaub so ntswg hloov pauv siv lub nthwv dej tshwj xeeb thiab kub siab. Tawm tsam keeb kwm ntawm radiofrequency ablation, tsis muaj kev puas tsuaj loj ntawm cov ntaub so ntswg, thiab txoj kev no yog qhov tseem ceeb rau qhov kev kuaj mob no. Txawm tias muaj tseeb hais tias radiofrequency ablation yog ib txoj kev tshiab, nws yog dav siv nyob rau hauv niaj hnub kev kho mob xyaum.
- Barrett's esophagus phais feem ntau yog qhia rau cov neeg mob uas muaj qib siab ntawm dysplasia nrog rau qhov loj ntawm cov kab mob hloov pauv. Kev ua haujlwm yog ua nyob rau hauv luv luv intravenous anesthesia. Nrog rau qhov no manipulation, excision ntawm cov cuam tshuammucous. Tsis tas li ntawd, kev ua haujlwm tau muab rau cov neeg mob uas muaj teeb meem hauv daim ntawv ntawm hernia, stenosis, los ntshav thiab qog.
- Kev kho neeg pej xeem ntawm Barrett's esophagus feem ntau yog siv los ua ib txoj hauv kev pab. Qhov feem ntau siv tshuaj yog decoction ntawm flax noob. Cov noob no muaj lub hnab ntim khoom thiab kho kom zoo. Tsis tas li ntawd, koj tuaj yeem haus tshuaj yej nrog calendula. Cov nroj tsuag no yog tshuaj tua kab mob uas muaj zog heev.
Barrett's esophagus reviews
Xav txog tib neeg cov lus hais txog cov kab mob no. Raws li cov neeg tau txais kev kho mob rau tus kab mob no hais tias, qhov kev cia siab rau kev rov zoo yuav zoo yog tias muaj kev kho mob raws sij hawm thiab raug rau cov neeg mob. Hmoov tsis zoo, nrog kev kuaj mob lig, qhov kev kwv yees feem ntau poob siab. Feem ntau, cov neeg mob tsim ib qho teeb meem malignant. Cov teeb meem uas tshwm sim feem ntau yog adenocarcinoma.
Tib neeg sau tias nws yog qhov tseem ceeb heev uas txoj kev kho mob muaj kev noj haus, thiab ntxiv rau, kev kho mob thiab kev phais. Lwm cov txheej txheem yuav tsum tsuas yog siv raws li kev kho mob ntxiv. Nws raug sau tseg tias cov neeg mob no yuav tsum tau ua raws li qee yam kev noj haus rau lub neej, ua cov tshuaj biopsies raws sijhawm.
Peb tau saib yuav ua li cas kho Barrett's esophagus. Qhov tseem ceeb yog ua raws li tus kws kho mob cov lus qhia, tshwj xeeb tshaj yog thaum noj zaub mov.
