So ɛtɔ mmere bi a wote nka sɛ w’aduan akɔhyɛ wo menewam bere a wudidi no, ma ɛyɛ den sɛ wobɛmene? Anaasɛ wo koko yɛ wo yaw anaasɛ wo yafunu mu yɛ wo yaw kɛkɛ? Nnipa pii susuw sɛ eyi yɛ ade a ɛfata, ebia yafunu mu yare, nanso ebia eyi yɛ biribi soronko ne biribi a ɛsɛ sɛ ɛhaw wɔn ho. Yɛreka tebea a ɛte saa ho asɛm nnɛ. Ɛyɛ Eosinophilic Esophagitis, anaasɛ EoE tiawa.
Dɛn ankasa ne EoE?
Sɛ yɛbɛka no tiawa a, Eosinophilic Esophagitis (EoE) yɛ akisikuru a ɛba yɛn esophagus, afiri a ɛde aduan fi yɛn menewam kɔ yɛn yafunu mu no ho. Susuw ho saa kwan yi so: sɛ wo ho nyɛ wo den wɔ biribi te sɛ atoko ho a, wubenya akisikuru na wo ho ayɛ wo yaw bere a wudi no. Saa ara nso na sɛ obi a ɔwɔ EoE nya biribi a ɛkanyan no a, wɔn aduan mu ntini no bɛyɛ n’ade. Nea ɛkanyan no betumi ayɛ aduan (te sɛ nufusu, nkesua, anaa soya) anaasɛ nsu mu nsu a ɛwɔ nneɛma a atwa yɛn ho ahyia no mu.
Sɛ biribi a ɛte sɛɛ hyɛn nipadua no mu a, mogya mu nkwammoaa fitaa bi a wɔfrɛ no eosinophils a ɛyɛ yɛn nipadua mu tumi a ɛko tia nyarewa no fã no boaboa ano pii wɔ mframa kwan no afasu mu, te sɛ nea ɛrekɔ ɔko mu. Sɛ saa nkwammoaa yi boaboa wɔn ho ano a, woyi nnuru a ɛma mframa kwan no mu hohoro na ɛyɛ kɔkɔɔ (ɔfe) .
Te sɛ bere a nsu paipu ahonhon wɔ mu no, ɛma ɛyɛ den sɛ nsu bɛfa mu. Sɛ saa afiri yi hohoro a, ɛma ɛyɛ den sɛ aduan bɛfa fam. Bere kɔ so no, eyi betumi ayɛ teateaa. Eyi te saa efisɛ:
- Aduan a ɛyɛ den sɛ wobɛmene (dysphagia).
- Aduan a ɛma obi nya nkɛntɛnso.
- Ɔfe a wɔfe.
- Yafunu mu yaw.
- Koko mu yaw.
Nsɛnkyerɛnne te sɛ EoE betumi ayɛ tebea a emu yɛ den, nanso wobetumi adi ho dwuma yiye denam wo duruyɛfo mmoa so.
Nsɛnkyerɛnne no yɛ adwenem naayɛ kɛse!
Ade titiriw nti a ebetumi ayɛ den kakra sɛ wobehu EoE ne sɛ ne sɛnkyerɛnne ahorow no te sɛ Gastroesophageal Reflux Disease (GERD) de no ara pɛ . Sɛnea yɛn nyinaa nim no, eyi ne nea wɔsan frɛ no ‘acid reflux’ anaa komayare. Esiane sɛ nyarewa abien yi nyinaa wɔ sɛnkyerɛnne ahorow te sɛ koko mu yaw, ɛyɛ den sɛ ɔbɛmene, ne ɔfe nti, ɛnyɛ den koraa sɛ wobɛma abien no afrafra.
Nanso nea enti a nsɛm abien yi sisii no yɛ soronko koraa.
- GERD fi yafunu mu acid a ɛsen kɔ soro kɔ aduan no mu. Eyi ba bere a ntini no, te sɛ valve a ɛda yafunu ne ɛwo kotoku ntam no, ntumi nto mu yiye no.
- EoE nyɛ biribi a yafunu mu acid na ɛde ba, ɛyɛ nipadua no mu tumi a ɛko tia nyarewa a ɛnam akisikuru so.
Ade foforo ne sɛ nnipa binom a wɔwɔ GERD nso wɔ eosinophils dodow bi wɔ wɔn aduan mu, na ɛma wohu sɛ wɔwɔ yare no mu yɛ den kɛse.
| Su a ɛwɔ hɔ | Eosinophilic Esophagitis (EoE) a ɛma obi nya akisikuru (EoE) . | GERD (komayare) . |
|---|---|---|
| Nea ɛde ba no ntini | Nkwammoaa a ɛko tia nyarewa no mmuae esiane akisikuru nti. | Yafunu mu acid a ɛreba esophagus no mu. |
| Nsɛnkyerɛnne atitiriw | Ɛyɛ den kɛse sɛ ɔbɛmene, aduan a ɛyɛ menewa, ɔfe, koko mu yaw. | Koko mu yaw, akisikuru a ɛyɛ dɛ wɔ menewa mu, koko mu yaw, ɛyɛ den sɛ ɔbɛmene. |
| Nnuru a wɔde ma ho mmuae | Nnuru a wɔtaa de di dwuma wɔ yafunu mu yare (acid blockers) ntaa nsa. | Mpɛn pii no, yafunu mu yare yɛ n’ade yiye wɔ nnuru (acid blockers) ho. |
Nanso ade biako a ɛho hia wɔ hɔ a ɛsɛ sɛ yɛkae! Koko mu yaw nso betumi ayɛ komayare ho sɛnkyerɛnne. Enti sɛ wo moma so yɛ wo yaw a ɛka ho ne ahome a ɛyɛ tiaa, ɛyaw a ɛhyerɛn kɔ wo nsa so, anaasɛ wo ho fifiri a, ntwɛn na nkɔ oduruyɛfo nkyɛn anaasɛ nkɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) no. Eyi ho hia paa.
Enti ɔkwan bɛn so ankasa na oduruyɛfo no hu eyi?
Sɛ wo tie wo sɛnkyerɛnne ahorow wie a, ɛda adi sɛ wo duruyɛfo no bɛyɛ nhwehwɛmu pii de ahu sɛ ebia ɛyɛ GERD, EoE, anaa biribi foforo anaa.
1. Worebisa wo nsɛm a ɛkɔ akyiri
Nea edi kan no, wo duruyɛfo no bebisa wo nsɛm pii afa wo yare no ho sɛnkyerɛnne ahorow ho. Bere tenten ahe na woanya bi, bere bɛn na ɛyɛ kɛse, so ɛba bere a woadi nnuan bi akyi, ne sɛ ebia obi wɔ w’abusua mu a ɔwɔ akisikuru anaa ayamtu.
2. Endoscopy nhwehwɛmu
Eyi ne anammɔn a ɛho hia sen biara a wɔfa so hu yare no. Nea ɛka endoscopy ho ne sɛ wode afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri ne hann fa w’anom bɛhyɛ mu de ahwehwɛ wo aduan mu, yafunu, ne wo dwensɔtwaa ketewaa no fã a edi kan no mu. Wɔde aduru a wɔde kum nipadua no di dwuma de ma wo ho tɔ wo bere a wɔreyɛ saa oprehyɛn yi. Eyi ma oduruyɛfo no tumi de n’ani hwɛ sɛ ebia wo menewam a ɛho ahonhon, ayɛ teateaa, nsensanee fitaa, anaa nsakrae afoforo bi aba wo menewam anaa.
3. Biopsy nhwehwɛmu
Bere a wɔreyɛ endoscopy no, oduruyɛfo no fa ntini ketewaa bi fi aduannoa no fasu mu na ɔde kɔ aduruyɛdan mu. Wɔfrɛ eyi biopsy. Wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ saa ntini nhwɛsode yi mu hwɛ sɛ ebia eosinophils dodow a ɛnyɛ ne kwan so, a yɛadi kan aka ho asɛm no wɔ hɔ anaa . Sɛ wowɔ EoE a, saa nkwammoaa yi dodow bɛyɛ kɛse yiye. Saa nhwehwɛmu yi yɛ 100% a ɛyɛ nokware sɛ ɛbɛkyerɛ yare no.
Sɛ wohu sɛ wowɔ EoE wie a, biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho. Wubetumi ne wo duruyɛfo ayɛ adwuma de adi ho dwuma. Ebia wɔbɛbɔ mmɔden sɛ wobehu nnuan a wo ho yɛ wo hyew na wɔakamfo aduan a wɔde yi fi hɔ akyerɛ. Anaasɛ ebia wɔbɛkyerɛw nnuru ama wo na ama wo menewam a ɛho ahonhon no so atew. Nea ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
Nkrasɛm a Wɔde Kɔ Fie
- Eosinophilic Esophagitis (EoE) nyɛ gastritis anaa GERD (gastroesophageal reflux disease) kɛkɛ, ɛyɛ tebea a ɛma obi ho yɛ no yaw a ɛba wɔ esophagus mu.
- Ɛyɛ den sɛ ɔbɛmene, aduan a ɛbata aduan no mu, ne koko mu yaw ne sɛnkyerɛnne atitiriw. Mma w’ani ngu eyinom so.
- Sɛ wo koko yɛ wo yaw a, ɛho hia sɛ wokɔ ayaresabea ntɛm ara na ama woayi tebea bi a emu yɛ den te sɛ komayare afi hɔ.
- Endoscopy ne biopsy ho hia na ama wɔahu yare no pɛpɛɛpɛ.
- Eyi nyɛ tebea a ɛsɛ sɛ wusuro na wobetumi adi so yiye denam nsakrae a wɔyɛ wɔ aduan mu ne nnuru a wɔde ma wɔ wo duruyɛfo akwankyerɛ ase so.
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