I-Endobrachyesophagus, noma i-Barrett's esophagus, iwukungajwayelekile kwe-anatomical okuthinta umphimbo ongezansi lapho amaseli olwelwesi aguqulwa kancane kancane abe amaseli amathumbu. Lokhu kuguqulwa kubizwa ngokuthi i-metaplasia. Isizathu esivame kakhulu isifo se-reflux ye-gastroesophageal. Uma ukuxilongwa kufanele kusheshe ukuze kugwenywe ukusabalala kwe-metaplasia emmizweni, i-endobrachyesophagus izowohloka kuphela ibe umdlavuza ezimweni ezingu-0,33%.

Incazelo ye-endobrachyesophagus

I-Endobrachyesophagus (EBO), noma i-Barrett's esophagus, iyisimo esingavamile se-anatomical esithinta umphimbo ongezansi lapho amaseli olwelwesi eguqulwa abe amaseli amathumbu. Lolu shintsho lwamangqamuzana lubizwa ngokuthi i-metaplasia.

Izinhlobo ze-endobrachyœsophages

Kukhona uhlobo olulodwa kuphela lwe-endobrachyesophagus.

Izinkinga ze-endobrachyesophagus

Isizathu esivame kakhulu isifo se-reflux ye-gastroesophageal. Uma zingamahlalakhona, zingalimaza ulwelwesi lwe-esophageal futhi zibangele ukuvuvukala okuholela ku-metaplasia.

Kodwa ezinye izimbangela kungenzeka zibe semsuka we-endobrachyesophagus:

• Izimfihlo zebile;
• I-Enterogastric Reflux.

Ukuxilongwa kwe-endobrachyesophagus

Ukuxilongwa kwe-Barrett's esophagus kuhilela izinyathelo ezimbili:

• I-gastroscopy evumela ukubona ngeso lengqondo kusetshenziswa ishubhu eliguquguqukayo elifakwe ikhamera udonga lwangaphakathi lwesisu, umminzo kanye ne-duodenum. Umphimbo ka-Barrett usolwa lapho amafinyila amise okolimi, anombala obomvu angaphezu kuka-1 cm ngosayizi futhi afana nolwelwesi lwesisu lubonakala kumminzo. Le endoscopy ihlanganisa nesilinganiso sokuphakama kwezilonda ezisolwa nge-metaplasia;
• I-biopsy yokuqinisekisa ubukhona be-metaplasia.

Isilonda se-peptic (isilonda olwelwesini) somphimbo noma i-esophageal stenosis (ukuncipha kommizo) izimpawu zomtholampilo eziqinisa ukuxilongwa.

Muva nje, ithimba labacwaningi baseMelika nalo lenze ukuhlolwa okulula okungagwinywa ukuze kuvunyelwe ukutholwa kusenesikhathi komminzo ka-Barrett, okungakha enye indlela ye-endoscopy.

Abantu abathintekayo yi-endobrachyesophagus

I-Endobrachyesophagus yenzeka kaningi ngemva kweminyaka yobudala engama-50 futhi cishe ivame kabili emadodeni kunakwabesifazane. I-10-15% yeziguli ezine-reflux ye-gastroesophageal zizoba ne-Barrett's esophagus ngokushesha noma kamuva.

Izinto ezikhuthaza i-endobrachyesophagus

Izici ezahlukahlukene zingakhuthaza ukuvela kwe-endobrachyesophagus:

• Iminyaka nezinga lokubhema;
• Ubulili besilisa;
• Uneminyaka engaphezu kwengu-50;
• I-high body mass index (BMI);
• Ukwanda kokutholakala kwamafutha angaphakathi kwesisu;
• Ukuba khona kwe-hiatus hernia (ukudlula kwengxenye yesisu ukusuka esiswini ukuya esifubeni ngokusebenzisa ukuvulwa kwe-diaphragm, ukuvuleka okuvame ukuwela umminzo).

Ukuphakamisa i-Acid

I-Endobrachyesophagus ngokuvamile ayinazimpawu lapho iqala ukukhula. Izimpawu zayo zibe sezihlangana nalezo ze-reflux ye-gastroesophageal: i-acid reflux, isilungulela.

Weight Loss

Njengoba iqhubeka, i-endobrachyesophagus ingabangela ubunzima bokugwinya, isicanucanu, ukuhlanza, ukungakuthandi ukudla, nokuncipha kwesisindo.

ukuphuma

Ngezinye izikhathi i-endobrachyesophagus ingabangela ukopha futhi ibangele i-anemia.

Indle emnyama

Ukwelashwa kommizo ka-Barrett kuhloswe ngokuyinhloko ekwehliseni izimpawu kanye nokunciphisa i-acid reflux ukuze kuvinjelwe lesi sifo ukuthi singasabalali siye endaweni enkulu yolwelwesi lommizo. Bahlanganisa ukuthathwa kwansuku zonke kwezidakamizwa ze-antisecretory - i-proton pump inhibitors kanye ne-H-2 receptor inhibitors - nezidakamizwa ezithuthukisa ukuhamba kwamathumbu (prokinetics).

Kunzima kakhulu ukubikezela ukuthi isiguli esinomphimbo ka-Barrett sizoba nomdlavuza womminzo noma cha, ngakho-ke i-gastroscopy yokulandelela iyatuswa okungenani njalo eminyakeni emithathu kuya kwemihlanu. Qaphela ukuthi isigameko sonyaka sokuwohloka kwe-carcinomatous ye-esophagus ka-Barrett singu-0,33%.

Ukuvimbela i-endobrachyesophagus kubandakanya ngaphezu kwakho konke ukugwema noma ukukhawulela i-reflux ye-gastroesophageal:

• Nciphisa ukudla neziphuzo ezaziwa ngokukhuthaza i-reflux: ushokoledi, i-mint eqinile, u-anyanisi oluhlaza, utamatisi, i-caffeine, i-theine, imifino eluhlaza, izitsha zesoso, izithelo ze-citrus, amalungiselelo acebile ngamafutha notshwala;
• Akubhenywa ;
• Yidla ukudla okungaphansi kwamahora amathathu ngaphambi kokulala;
• Phakamisa i-headboard ngamasentimitha angamashumi amabili ukuze ugweme i-nocturnal acid reflux.