Matenda a Barrett ndi chimodzi mwa zizindikiro zoopsa kwambiri za matenda a GERD - matenda a reflux a gastroesophageal. GERD ndi matenda aakulu omwe nthawi zambiri amabwerera ndipo amadziwonetsera ngati kuwongolera mobwerezabwereza ndi kubwerezabwereza m'mimba mwa zomwe zili m'mimba chifukwa chotsitsimula kapena kutsekedwa kosatha kwa sphincter.
Kuchita mobwerezabwereza kungachititse kuti zikhale zovuta monga mtundu wa Barrett, zomwe zikutanthauza kupitirira kwa mawonekedwe a epithelium mosiyana ndi ozolowereka - otetezeka komanso amitundu yambiri.
Monga mwambo wamankhwala, dzina la matendawa linachokera ku dzina la munthu amene adalongosola poyamba mu 1957. Anali dokotala wa opaleshoni wa ku England Norman Barrett. Masiku ano, asayansi samatsimikiza kwathunthu ngati angaganizire kuti matenda a Barrett ndi matenda osiyana kapena kuti ayese ngati chizindikiro cha GERD.
Malingana ndi chiwerengero cha chiwerengero, vutoli likupezeka mu 10% la odwala omwe ali ndi HIV, ndipo akulingalira chiŵerengero cha 1%. Matendawa amachitidwa ndi madokotala monga chonchi.
Zomwe zimayambitsa maonekedwe a Barrett
Ngati tikutanthauza kugwirizana pakati pa chigoba cha Barrett ndi GERD, ndiye chifukwa chake chimawonongeka kwa asidi pamakoma a mphuno ndipo zotsatira zake - kutupa kwake.
Ena amaganiza kuti choloŵa choloŵa chawo chimathandiza kwambiri pakukula kwa matendawa.
Kuzindikira kwa chigawo cha Barrett
Nthendayi ya matendawa imaphatikizapo matenda opatsirana panthawi yake, choncho anthu omwe ali ndi matenda a GERD kapena omwe amadwala nthawi zonse, njira yabwino kwambiri ndiyo kuyendera nthawi yochuluka kwa gastroenterologist ndi matenda.
Pofufuza kafukufuku wam'mimba, mapepala a m'mimba amatha kugwiritsidwa ntchito, ndipo ngati zinyama zimadziwika, zimagwiritsidwa ntchito pofuna kufufuza za kukhalapo kwa maselo a khansa.
Kodi mankhwala a Barrett angachiritsidwe?
Matenda a Barrett amatha kuchiritsidwa, koma izi ndizovuta kwambiri pa matendawa, choncho opaleshoni yothetsera opaleshoni ndi yotheka.
Kutsegula kwa bongo la Barrett
Chizindikiro ichi chikhoza kukhala chizindikiro cha khansa kapena kuonjezera mwayi wopita patsogolo. Matendawa amatha kusamalidwa ndi mankhwala oyenera, zakudya ndi moyo wathanzi.
Kodi mungatani kuti muchepetse vuto la Barrett?
Kuchiza kwa matenda a Barrett ndi ofanana ndi chithandizo cha GERD, ndipo chimaphatikizapo kukonza moyo, zakudya ndi mankhwala. Ngati ndalama izi sizipereka zotsatira zabwino, opaleshoni yoperekedwa opaleshoni imayikidwa.
Kukonzekera kwa njira ya moyo:
- kukana zizoloŵezi zoipa;
- kulemera;
- kuthetsa katundu;
- malo okwezeka a kumapeto kwa bedi pamene wagona.
Chombo cha Barrett
Chakudya m'thupi la Barrett ndikulingalira magawo ena: pali zosowa zambiri, koma nthawi zambiri, ndipo ndi zofunika kuti zitsatire boma.
Pambuyo pa kudya, kukhala ndi malo osakanizidwa sikovomerezeka, kuti asayambe kukwiyitsa - vuto lalikulu la GERD, lomwe limayambitsa kuchuluka kwa minofu.
Zotsatira zotsatirazi ndizoletsedwa kuti avomereze:
- kirimu;
- mkaka;
- khofi ndi tiyi;
- mowa;
- mikate;
- nyama ya abakha, tsekwe;
- nkhumba;
- nkhosa;
- zakudya zokazinga ndi mafuta;
- mafuta ndi margarine;
- zipatso za citrus.
Ndi menyu yovuta kwambiri muyenera kuyang'anira thanzi labwino - pali zakudya zambiri zopanda mapuloteni, zochepa, kuphatikizapo zakudya zowonjezera zakudya komanso zosamalira - zakudya. Kudya kwambiri ndi matenda otere sikuletsedwa.
Thandizo la Mankhwala
Mankhwala amasankhidwa payekha, chifukwa ndizovuta kwambiri ndipo izi zimafuna njira yapadera yothandizira pogwiritsa ntchito zotsatira za chiwopsezo, ngati zinali, ndi kuyesa mthendayi pamapeto pake. Zikatero, mankhwala osokoneza bongo omwe amachititsa kuti anthu azikhala motility komanso kuonetsetsa kuti asidi amadziwika bwino. Komanso pazochitika zotere, mankhwala osokoneza bongo ndi othandiza.
Chithandizo cha opaleshoni
Ndi zovuta za GERD - malo otchedwa Barrett, opaleshoni nthawi zambiri amatchulidwa - kufotokozera ndalama mwa njira ya laparoscopic.
Matenda a Barrett - mankhwala ndi mankhwala ochiritsira
Mankhwala a Barrett ndi mankhwala ochiritsira opanda mphamvu komanso ogwirizana ndi dokotala angapangitse mavuto aakulu a matendawa.
Kuti muchepetse kutupa, mugwiritseni ntchito zotsatirazi:
- Sakanizani mofanana ndi maluwa a chamomile, calendula, sage , fulakesi wort St. John's ndi elecampane, ndiyeno perekani msuzi ndipo mulole iwo abwerere pamalo ozizira kwa maora asanu.
- Tengani mankhwalawa chifukwa cha supuni 5. Mphindi 30 asanadye kwa mwezi umodzi.
Komanso pofuna chithandizo cha odziwa mankhwala a mankhwala ovomerezeka amalimbikitsa kutenga supuni 2. mbatata mwatsopano amafinyidwa madzi tsiku lililonse pambuyo pa maola 1.5 mutadya.