Se você tem fibromialgia, pode ter notado que os sintomas que todos imaginam, fadiga crônica, dor e nevoeiro mental, não são a metade de todas as coisas com as quais você luta. A fibromialgia parece torná-lo mais vulnerável a uma série de outras doenças. E muitas vezes são coisas que você não associa à doença, como coceira crônica, micção freqüente e distúrbios autoimunes. Mas há também outra complicação que as pessoas não costumam pensar: DRGE ou doença do refluxo gastroesofágico.
Esta condição, que faz com que o ácido estomacal volte ao esôfago, é doloroso e frustrante de se ter que conviver. Mas também pode levar a uma complicação grave chamada metaplasia intestinal. Nos casos de metaplasia intestinal, as células que revestem o esôfago se transformam no tipo de células que você normalmente vê no intestino. Então, o que exatamente é essa condição e como ela está relacionada à fibromialgia? Quais são os sintomas e riscos? E o que você pode fazer para tratá-lo?
Metaplasia Intestinal e Fibromialgia
Metaplasia é um termo que significa que um tipo de célula se transforma em uma célula diferente. Quando se trata de metaplasia intestinal, as células do esôfago se transformam em células intestinais, resultando em uma condição chamada esôfago de Barrett.
Basicamente, as células do seu corpo se adaptam ao ambiente delas. E quando as células do esôfago percebem constantemente que estão expostas ao ácido gástrico como resultado da DRGE, elas se transformam em células intestinais, uma vez que as células intestinais estão adaptadas a lidar com esse ácido.
E ter fibromialgia coloca você em um risco muito maior de desenvolver DRGE. De fato, quase sessenta por cento das pessoas com fibromialgia sofrem de alguma forma de azia ou doença do refluxo gastroesofágico. Não sabemos por que ter fibromialgia parece aumentar o risco. E pode ser que a dor crônica e a fadiga da fibromialgia tendem a levar as pessoas com fibromialgia a serem incapazes de se exercitar e, portanto, estarem em maior risco de obesidade, o que é um fator de risco significativo para azia.
A DRGE causa um fluxo crônico de ácido no esôfago, tornando a DRGE o fator de risco mais significativo para o desenvolvimento do esôfago de Barrett. E isso pode causar muitas complicações.
Quais são os sintomas e riscos?
A maioria das pessoas com esôfago de Barrett não nota nenhum sintoma no início. Eles, é claro, ainda lutam contra os sintomas da DRGE, mas é difícil dizer se as células do esôfago se deslocaram para as células intestinais. Essa mudança na composição das células não afeta realmente a capacidade do esôfago de fazer o seu trabalho, especialmente quando apenas uma pequena parte das células é afetada.
O perigo real não são os sintomas que o esôfago de Barrett causa, mas o fato de aumentar significativamente o risco de câncer. Ter o esôfago de Barrett faz com que você tenha cinquenta vezes mais chances de desenvolver câncer de esôfago. Isso porque as células mutantes no esôfago têm maior probabilidade de se tornarem cancerosas. E o câncer de esôfago é muito perigoso. Oitenta e dois por cento dos casos de câncer de esôfago acabam sendo terminais. Então, receber tratamento o mais rápido possível é vital.
Como isso é tratado?
O primeiro passo no tratamento é obter um diagnóstico. Como o esôfago de Barrett não leva a nenhum sintoma perceptível, é mais provável que o médico observe a condição durante a verificação de uma condição relacionada ao refluxo ácido. Para diagnosticar a condição, os médicos fazem algo chamado endoscopia. Este é essencialmente um procedimento em que o médico empurra uma câmera pequena e flexível pelo esôfago para fazer uma inspeção visual do dano.
O médico fará uma pequena biópsia do tecido do esôfago e examinará o tecido ao microscópio para verificar se houve metaplasia. Uma vez que você tenha um diagnóstico, existem algumas maneiras de tratar a doença.
O primeiro passo é minimizar o risco de câncer. Isso geralmente envolve tratamentos básicos para refluxo ácido e mudanças de estilo de vida para reduzir o risco. Coisas como fumar e uso de álcool não são apenas um fator significativo no refluxo ácido, mas podem aumentar o risco de câncer. Ao fazer alterações nesses hábitos e na sua dieta, você pode ajudar a reduzir a quantidade de refluxo ácido que você enfrenta e a reduzir o risco de câncer.
Não há uma boa opção para reverter a mudança nas células do esôfago, mas elas podem ser removidas cirurgicamente. No entanto, a maioria dos médicos acha que os riscos dessa cirurgia não valem os benefícios. Em vez disso, os médicos recomendam a combinação de esforços de prevenção com exames regulares de câncer. Neste caso, essa é realmente a melhor opção.
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