Mitsempha ya Barrett ndi matenda omwe chimbudzi chake chawonongeka. Kuwonongeka kumeneku kumachitika pamene mbali zina zamagetsi zimayikidwa mobwerezabwereza m'mimba mwa asidi ndipo zimalowetsedwa ndi minofu yomwe ili yofanana ndi yomwe imapezeka m'mimba. Njira imeneyi imatchedwa m'mimba metaplasia.
Pamene mmimba wa asidi umangobwerera m'mimba, imatha kuvulaza pazomwe zimayambira.
Kuvulala kwa opaleshoni ndi kutupa kumatchedwa esophagitis . Ngati kuvulala kumeneku kwapitirira zaka zambiri, kuvulaza kwabwinobwino kwa mimba sikungabwerere. M'malo mwake, amalowetsedwa ndi chophimba chachilendo.
Pakalipano, palibe mankhwala omwe angasokoneze mtundu wa Barrett. Komabe, kupereka chithandizo cha GERD choyambirira, kungachepetse kukula kwa matendawa ndikuthandizani kupewa zovuta.
Njira yabwino yothetsera vuto la Barrett ndiyo kupewa. Anthu akamapezeka kuti ali ndi GERD, madokotala awo amagwira nawo ntchito pa moyo wawo ndi kusintha kwa zakudya ndipo amatha kupereka mankhwala oletsa acid reflux.
Kusintha kwa moyo
- Kudya zakudya zochepa, nthawi zambiri
- Kulepheretsa kudya zakudya zolimbitsa thupi ndi zakumwa
- Osakhala pansi pafupi maola awiri mutatha kudya
- Kukwezera mutu masentimita angapo pamene iwe ugona
- Kusunga kulemera kwake
- Kusiya kusuta
- Kupewa mowa
- Osati kuvala mikanda kapena zovala zomwe ziri zolimba-zomangira mozungulira m'chiuno
- Kutenga mankhwala aliwonse operekedwa ndi dokotala chifukwa cha zizindikiro za asidi reflux
Zakudya zina zolimbitsa thupi ndi zakumwa zomwe ziyenera kuchepetsedwa, kapena kunja kwa, zakudyazo ndizo zotsatirazi.
Zakudya Zomwe Zingasangalatse LES
- Zakudya zokazinga (mafuta)
- Zakudya zamtengo wapatali
- Butter ndi margarine
- Mayonesi
- Masizi obiriwira
- Saladi kuvala
- Mkaka wonse wa mkaka
- Chokoleti
- Peppermint
- Zakumwa za khofi (monga zakumwa zofewa, khofi, tiyi, kaka)
Zakudya Zomwe Zingakulitsire Kujambula kwa Acid ndi Kuonjezera Kutentha Kwambiri
- Zakumwa za khofi
- Zakumwa zakumwa
- Mowa
- Zakudya zokometsera
- Tsabola wakuda
- Citrus zipatso ndi timadziti (mwachitsanzo lalanje, mphesa)
- Madzi a phwetekere
Mndandanda wa Zakudya Zomwe Zili Zosungira Odwala Amtima Otsitsimula Kuti Idye
- Maapulo
- Nthomba
- Mbatata zophika
- Burokoli
- Kaloti
- Zitheba
- Nandolo
- Ng'ombe yowuma
- Nyama ya nkhumba yowonda
- Zosakaniza zokopa za nkhumba
- Wotsamira Turkey
- Yatsamira
- Nsapato za nkhuku zopanda khungu
- Nsomba
- Mazira
- Zakudya zamtengo wapatali (mwazowonongeka)
- Mkate
- Chimake
- Mpunga
- Pasitala
- Zakumwa zonunkhira, zopanda mafuta
- Mankhwala osakhala a citrus
- Madzi
Dokotala akhoza kupatsanso mankhwala osokoneza bongo, proton pump inhibitors, kapena H2 blockers kuti achepetse kupezeka kwa reflux.
Antacids
Antacids ndi othandiza kuthetsa kupweteketsa mtima kwa nthawi ndi nthawi. Chogwiritsidwa ntchito chogwiritsidwa ntchito m'ma antiacids sichikuthandizani m'mimba ya asidi, chomwe chimayambitsa kupweteka. Izi zikuphatikizapo:
H2 Odziletsa
H2 blockers amaletsa asidi kupanga m'mimba. Mankhwala a H2, omwe amatchedwanso kuti H2-receptor antagonists, ndi mankhwala ochepetsetsa asidi omwe amagwiritsidwa ntchito pochiza matenda a reflux ndi odwala matenda opatsirana komanso kuchepetsa zizindikiro za matenda a zilonda zam'mimba .
Ophwanya H2 ndi awa:
Proton Pump Inhibitors
Amatchedwanso proton pump inhibitors (PPIs), izi zimaletsa kuti asidi apange m'mimba. Madokotala amapereka Proton Pump Inhibitors kuti azichitira anthu ndi GERD, zilonda za m'mimba kapena matumbo, kapena matenda ena osokoneza ubongo omwe angayambitse kupweteka kwa m'mimba. Proton Pump Inhibitors ndi awa:
> Zotsatira:
"Barrett's Esophagus" NIH Yofalitsidwa Na. 05-4546 December 2004. Dokotala Wodziteteza Kufufuza Zambiri Zokhudza Ndalama Zachilengedwe (NDDIC).
Ijeoma A. Azodo, Yvonne Romero, MD "BARRETT'S ESOPHAGUS." American College of Gastroenterology.
Kenneth K. Wang, MD ndi Richard E. Sampliner, MD, " Updated Guide 2008 kuti adziwitse, kuyang'anitsitsa, ndi chithandizo cha Barrett's Esophagus. " 2008; 103: 788-797. American Journal of Gastroenterology: Am. Coll. ya Gastroenterology.