Endobrachyesophagus, kana kuti Barrett's esophagus, is an anatomical abnormality inobata pazasi esophagus umo masero ari mumucheka anoshandurwa zvishoma nezvishoma kuita maseru emudumbu. Shanduko iyi inonzi metaplasia. Kusvika kure, chikonzero chinonyanya kukosha ndeye gastroesophageal reflux chirwere. Kana kuongororwa kuchifanira kukurumidza kuitira kudzivirira kupararira kwemetaplasia mugurokuro, iyo endobrachyesophagus inozongodzikira kuita cancer mu 0,33% yezviitiko.

Tsanangudzo ye endobrachyesophagus

Endobrachyesophagus (EBO), kana kuti Barrett's esophagus, is an atomical abnormality inobata pazasi esophagus umo masero ari mumucheka anoshandurwa zvishoma nezvishoma kuita maseru emudumbu. Kuchinja kwemaserura uku kunonzi metaplasia.

Types d'endobrachyœsophages

Kune mhando imwe chete ye endobrachyesophagus.

Zvikonzero zve endobrachyesophagus

Kusvika kure, chikonzero chinonyanya kukosha ndeye gastroesophageal reflux chirwere. Kana zvisingaperi, zvinogona kukuvadza esophageal lining uye kukonzera kuzvimba kunotungamira metaplasia.

Asi zvimwe zvikonzero zvinogona kunge zviri pamavambo endobrachyesophagus:

• Bile secretions;
• Enterogastric reflux.

Kuongororwa kwe endobrachyesophagus

Kuongororwa kweBarrett's esophagus kunosanganisira matanho maviri:

• Gastroscopy inobvumira kuona uchishandisa chubhu inochinjika ine kamera madziro emukati medumbu, gurokuro uye duodenum. Esophagus yaBarrett inofungidzirwa kuti mucosa ine rurimi, ine ruvara rutsvuku-yakakura kupfuura 1 cm muhukuru uye yakaita segastric mucosa ichionekwa pagurokuro. Iyi endoscopy inosanganisirawo kuyerwa kwehurefu hwemaronda anofungidzirwa metaplasia;
• A biopsy kuratidza kuvepo kwemetaplasia.

A peptic ulcer (lesion on the lining) yesophagus kana esophageal stenosis (kutetepa kwesophagus) zviratidzo zvekiriniki zvinosimbisa kuongororwa.

Munguva pfupi yadarika, boka revatsvagiri vekuAmerica rakagadzirawo bvunzo yakapusa inogona kumedzwa kuitira kuti ibvumidze kuonekwa kweBarrett's esophagus, iyo inogona kuita imwe nzira kune endoscopy.

Vanhu vanobatwa ne endobrachyesophagus

Endobrachyesophagus inowanzoitika mushure memakore makumi mashanu uye inowanzoitika kaviri muvarume sevakadzi. 50-10% yevarwere vane gastroesophageal reflux chirwere vachakura Barrett's esophagus nokukurumidza kana kuti gare gare.

Zvinhu zvinokurudzira endobrachyesophagus

Zvinhu zvakasiyana zvinogona kukurudzira kuitika kwe endobrachyesophagus:

• Zera uye mwero wekusvuta;
• Murume pabonde;
• Zera rinopfuura makumi mana;
• A high body mass index (BMI);
• Kuwedzera kuvapo kwemafuta emukati-mudumbu;
• Kuvapo kwehiatus hernia (kupfuura kwechikamu chedumbu kubva mudumbu kuenda kuchipfuva kuburikidza nekuvhura kwehiatus ye diaphragm, kuvhura kunowanzo kuyambuka nesophagus).

Acid inosimudza

Endobrachyesophagus inowanzoita asymptomatic painotanga kukura. Zviratidzo zvaro zvinobva zvasangana neaya egastroesophageal reflux: acid reflux, heartburn.

Kuonda

Sezvo ichifambira mberi, iyo endobrachyesophagus inogona kukonzera matambudziko ekumedza, kusvotwa, kurutsa, kurasikirwa nechido, uye kurasikirwa nehuremu.

kubuda ropa

Dzimwe nguva endobrachyesophagus inogona kukonzera kubuda ropa uye kukonzera anemia.

Chigaro chakasviba

Kurapa kweBarrett's esophagus kunonangwa zvakanyanya kudzikisa zviratidzo uye kudzikisira acid reflux kuitira kudzivirira chirwere ichi kuti chisapararire kunzvimbo yakakura yesophageal lining. Vanobatanidza kudya kwezuva nezuva kwemishonga inorwisa antisecretory - proton pump inhibitors uye H-2 receptor inhibitors - uye mishonga inovandudza gastrointestinal motility (prokinetics).

Zvakaoma zvikuru kufanotaura kuti murwere ane chirwere cheBarrett's esophagus achaita gomarara resophagus here kana kuti kwete, saka gastroscopy yekutevera inokurudzirwa makore matatu kusvika mashanu. Ziva kuti chiitiko chegore negore checarcinomatous degeneration yeBarrett's esophagus i 0,33%.

Kudzivirirwa kwe endobrachyesophagus kunosanganisira pamusoro pezvese mukudzivirira kana kudzikisira gastroesophageal reflux:

• Kuderedza kudya uye zvinwiwa zvinozivikanwa kukurudzira reflux: chokoreti, mint yakasimba, hanyanisi mbishi, tomato, caffeine, theine, miriwo mbishi, ndiro mumuto, michero yecitrus, gadziriro dzakapfuma mumafuta uye doro;
• Kwete kuputa;
• Idya kudya kwemaawa asingasviki matatu usati warara;
• Simudza headboard nemasentimita makumi maviri kudzivirira nocturnal acid reflux.