Endobrachyesophagus, ama hunguriga Barrett, waa cillad anatomical ah oo saameysa hunguriga hoose kaas oo unugyada dahaarka ay si tartiib tartiib ah isu beddelaan unugyada xiidmaha. Isbeddelkan waxa loo yaqaan metaplasia. Ilaa hadda sababta ugu badan waa cudurka reflux gastroesophageal. Haddii cilad-sheegashadu ay tahay inay degdegto si looga fogaado faafitaanka metaplasia ee hunguriga, endobrachyesophagus kaliya waxay u xumaanaysaa kansar 0,33% kiisaska.

Qeexida endobrachyesophagus

Endobrachyesophagus (EBO), ama hunguriga Barrett, waa cillad anatomical ah oo saameeya hunguriga hoose ee unugyada xuubka xuubka si tartiib tartiib ah u beddelo unugyada xiidmaha. Isbeddelka gacanta waxa loo yaqaan metaplasia.

Noocyada endobrachyesophagus

Waxa jira hal nooc oo ah endobrachyesophagus.

Sababaha endobrachyesophagus

Ilaa hadda sababta ugu badan waa cudurka reflux gastroesophageal. Marka ay daba-dheeraato, waxay dhaawici karaan xuubka hunguriga waxayna sababi karaan barar keena metaplasia.

Laakiin sababaha kale waxay u badan tahay inay yihiin asalka endobrachyesophagus:

• dheecaanka Bile;
• Dib-u-celinta enterogastric.

Ogaanshaha endobrachyesophagus

Cilad-sheegidda hunguriga Barrett waxay ku lug leedahay laba tallaabo:

• Gastroscopy oo u oggolaanaysa in lagu sawiro iyadoo la isticmaalayo tuubo dabacsan oo ku qalabaysan kamarad gidaarka gudaha ee caloosha, hunguriga iyo duodenumka. hunguriga Barrett ayaa la tuhunsan yahay marka ay ka muuqato hunguriga hunguriga xuubka-carrabka, midabka casaanka ah ee ka weyn 1 cm oo cabbirkiisu yahay xuubka caloosha. endoscopy-gan waxa kale oo ka mid ah cabbiraadda dhererka nabarada looga shakisan yahay metaplasia;
• Biopsi si loo xaqiijiyo joogitaanka metaplasia.

Boogta bararka (nabarka xuubka xuubka) ee hunguriga ama hunguriga stenosis (cidhiidhiga hunguriga) waa calaamado caafimaad oo xoojiya ogaanshaha.

Dhawaan, koox cilmi-baarayaal Mareykan ah ayaa sidoo kale sameeyay baaritaan fudud oo la liqi karo si loogu oggolaado ogaanshaha hore ee hunguriga Barrett, kaas oo noqon kara beddelka endoscopy.

Dadka ay saameeyeen endobrachyesophagus

Endobrachyesophagus waxay si joogta ah u dhacdaa ka dib da'da 50 waxayna ku dhawaad ​​labanlaab ku badan tahay ragga marka loo eego dumarka. 10-15% bukaanada qaba cudurka reflux gastroesophageal waxay yeelan doonaan hunguriga Barrett mar dhow ama ka dib.

Waxyaabaha kor u qaada endobrachyesophagus

Xaalado kala duwan ayaa kor u qaadi kara dhacdada endobrachyesophagus:

• Da'da iyo inta uu le'eg yahay sigaarka;
• Jinsiga lab;
• Da'da ka weyn 50;
• index of mass index sare (BMI);
• Joogitaanka korodhka dufanka caloosha ee caloosha;
• Joogitaanka hiatus hernia (maritaanka qayb ka mid ah caloosha oo ka timaadda caloosha una gudubta daloosha iyada oo loo marayo hiatus furitaanka diaphragm, dalool sida caadiga ah ka gudba hunguriga).

Acid kor u qaada

Endobrachyesophagus badanaa waa asymptomatic marka uu bilaabo inuu kobco. Calaamaduhu waxay markaas ku biiraan kuwa gastroesophageal reflux: reflux acid, laabjeex.

Lumid Miisaan

Marka uu sii socdo, endobrachyesophagus wuxuu keeni karaa dhibaatooyin liqitaan, lallabbo, matag, cunto xumo, iyo miisaan lumis.

dhiig-bax

Mararka qaarkood endobrachyesophagus wuxuu keeni karaa dhiig-bax wuxuuna sababi karaa dhiig-yaraan.

Saxaro madow

Daawaynta hunguriga Barrett waxaa loogu talagalay in lagu yareeyo calaamadaha iyo xaddidaadda dib u soo noqoshada aashitada si looga hortago in cudurku ku faafo meel weyn oo ah xuubka hunguriga. Waxay isku daraan qaadashada maalinlaha ah ee daawooyinka antisecretory - proton pump inhibitors iyo H-2 receptor inhibitors - iyo daawooyinka hagaajiya dhaqdhaqaaqa caloosha iyo mindhicirka (prokinetics).

Aad bay u adag tahay in la saadaaliyo in bukaanka hunguriga Barrett uu ku dhici doono kansarka hunguriga iyo in kale, sidaas awgeed gastroscopy-ga daba-galka ah ayaa lagula talinayaa ugu yaraan saddex ilaa shantii sanoba mar. Ogow in dhacdooyinka sanadlaha ah ee hoos u dhaca kansarka hunguriga Barrett ay tahay 0,33%.

Ka-hortagga endobrachyesophagus wuxuu ka kooban yahay dhammaan marka laga fogaado ama la xaddido reflux gastroesophageal:

• Xaddid cuntooyinka iyo cabbitaannada loo yaqaanno inay kor u qaadaan reflux: shukulaatada, reexaanta xooggan, basasha cayriin, yaanyo, kafeyn, theine, khudaar cayriin, suxuunta maraqa, miraha liinta, diyaarinta qani ku ah baruurta iyo khamriga;
• Sigaar la'aan;
• Cun cunto wax ka yar saddex saacadood ka hor wakhtiga jiifka;
• Kor u qaad sabuuradda madaxa labaatan senti mitir si aad uga fogaato soo noqoshada aashitada habeenkii.