Endobrachyesophagus, kapena Barrett's esophagus, ndi vuto la anatomical lomwe limakhudza kumunsi kwa mmero momwe maselo amkati amasandulika kukhala ma cell am'mimba. Kusintha kumeneku kumatchedwa metaplasia. Zomwe zimayambitsa kwambiri ndi matenda a reflux a gastroesophageal. Ngati matendawa akuyenera kukhala ofulumira kuti apewe kufalikira kwa metaplasia mum'mero, endobrachyesophagus imangowonongeka kukhala khansa mu 0,33% ya milandu.

Tanthauzo la endobrachyesophagus

Endobrachyesophagus (EBO), kapena Barrett's esophagus, ndi vuto la anatomical lomwe limakhudza kum'mero ​​komwe ma cell omwe ali mumzere amasinthidwa kukhala ma cell am'mimba. Kusintha kwa ma cell kumeneku kumatchedwa metaplasia.

Mitundu ya endobrachyœsophages

Pali mtundu umodzi wokha wa endobrachyesophagus.

Zifukwa za endobrachyesophagus

Zomwe zimayambitsa kwambiri ndi matenda a reflux a gastroesophageal. Zikakhala zosatha, zimatha kuwononga khoma lam'mero ​​ndikuyambitsa kutupa komwe kumayambitsa metaplasia.

Koma zifukwa zina zikhoza kukhala chiyambi cha endobrachyesophagus:

• Kutulutsa kwa bile;
• Enterogastric reflux.

Kuzindikira kwa endobrachyesophagus

Kuzindikira kwa Barrett's esophagus kumaphatikizapo njira ziwiri:

• Gastroscopy yolola kuwona m'maganizo pogwiritsa ntchito chubu chosinthika chokhala ndi kamera khoma lamkati lamimba, kummero ndi duodenum. Barrett's esophagus amaganiziridwa ngati mphuno yooneka ngati lilime, yofiyira, yokulirapo kuposa 1 cm kukula komanso yofanana ndi chapamimba pakhosi. Endoscope iyi imaphatikizaponso kuyeza kutalika kwa zotupa zomwe amaganiziridwa kuti ndi metaplasia;
• A biopsy kutsimikizira kukhalapo kwa metaplasia.

Chilonda cham'mimba (chotupa pamzere) cham'mero ​​kapena esophageal stenosis (kuchepetsa kwam'mero) ndizizindikiro zachipatala zomwe zimathandizira kuzindikira.

Posachedwapa, gulu la ofufuza aku America lapanganso mayeso osavuta omwe amatha kumezedwa kuti alole kuzindikira koyambirira kwa esophagus ya Barrett, yomwe ingakhale njira ina yopangira endoscopy.

Anthu omwe amakhudzidwa ndi endobrachyophagus

Endobrachyesophagus imapezeka kawirikawiri pambuyo pa zaka 50 ndipo imapezeka kawiri mwa amuna kuposa akazi. 10-15% ya odwala omwe ali ndi matenda a gastroesophageal reflux amayamba ndi Barrett's esophagus posachedwa.

Zinthu zomwe zimalimbikitsa endobrachyesophagus

Pali zifukwa zingapo zomwe zimathandizira kuti pakhale chitukuko cha endobrachyesophagus:

• Zaka ndi kukula kwa kusuta;
• Kugonana kwachimuna;
• Zaka zoposa 50;
• A high body mass index (BMI);
• Kuchuluka kwa mafuta m'mimba;
• Kukhalapo kwa hiatus hernia (kudutsa kwa gawo la m'mimba kuchokera pamimba kupita ku thorax kudzera pakutsegula kwa diaphragm, kutsegula komwe kumadutsa pakhosi).

Zokwera za Acid

Endobrachyesophagus nthawi zambiri imakhala yopanda zizindikiro ikayamba kukula. Zizindikiro zake zimaphatikizana ndi za gastroesophageal reflux: acid reflux, kutentha pamtima.

kuwonda

Pamene ikupita patsogolo, endobrachyesophagus ingayambitse vuto lakumeza, nseru, kusanza, kusowa chilakolako cha kudya, ndi kuchepa thupi.

magazi

Nthawi zina endobrachyesophagus imatha kutulutsa magazi komanso kuyambitsa kuchepa kwa magazi.

Chopondapo chakuda

Zochizira za Barrett's esophagus cholinga chake ndi kuchepetsa zizindikiro komanso kuchepetsa acid reflux pofuna kupewa matendawa kuti asafalikire kudera lalikulu la mmero. Amaphatikiza kudya kwa tsiku ndi tsiku kwa mankhwala oletsa antisecretory - proton pump inhibitors ndi H-2 receptor inhibitors - ndi mankhwala omwe amathandizira m'mimba motility (prokinetics).

Ndizovuta kwambiri kuneneratu ngati wodwala ndi Barrett's esophagus adzakhala ndi khansa yam'mero ​​kapena ayi, choncho gastroscopy yotsatila imalimbikitsidwa osachepera zaka zitatu kapena zisanu zilizonse. Dziwani kuti zochitika zapachaka za kuwonongeka kwa carcinomatous kwa Barrett's esophagus ndi 0,33%.

Kupewa kwa endobrachyesophagus kumaphatikizapo kupewa kapena kuchepetsa gastroesophageal reflux:

• Chepetsani zakudya ndi zakumwa zomwe zimadziwika kuti zimalimbikitsa reflux: chokoleti, timbewu tating'onoting'ono, anyezi yaiwisi, phwetekere, caffeine, theine, masamba osaphika, mbale za msuzi, zipatso za citrus, zokometsera zodzaza mafuta ndi mowa;
• Musasute ;
• Idyani chakudya pasanathe maola atatu musanagone;
• Kwezani mutuwo ndi masentimita makumi awiri kuti mupewe reflux ya asidi usiku.