So wote nka mpofirim sɛ wo menewa asiw bere a wudidi no? Anaasɛ wowɔ wo koko mu hyew a ɛnkɔ ɛmfa ho nnuru dodow a wobɛnom no? Ebia wubesusuw sɛ eyi yɛ yafunu mu yare a ɛtaa ba. Nanso sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mmu w’ani ngu so kɛkɛ. Efisɛ eyi betumi ayɛ akwahosan tebea foforo a yɛnte ho asɛm pii, nanso ɛsɛ sɛ yɛhaw yɛn ho kakra ho sɛnkyerɛnne. Ɛnnɛ yɛreka tebea a ɛte saa biako ho asɛm, Eosinophilic Esophagitis (EoE).
Dɛn ne Eosinophilic Esophagitis (EoE)?
Okay, ebia edin yi bɛyɛ te sɛ nea ɛyɛ den kakra, nanso momma yɛmma ɛnyɛ mmerɛw.
Sɛ yɛbɛka no tiawa a, Eosinophilic Esophagitis (EoE) yɛ tebea a ɛma obi ho yɛ no hyew a nipadua no mu tumi a ɛko tia nyarewa no yɛ adwuma. Ɛka esophagus , ntini a ɛde aduan fi ano kɔ yafunu mu no titiriw.
Afei, hwɛ, eosinophils yɛ mogya mu nkwammoaa fitaa bi a ɛwɔ yɛn mogya mu. Mpɛn pii no saa nkwammoaa yi dɔɔso wɔ yɛn nipadua mu bere a yɛwɔ akisikuru anaasɛ ɔyare mmoawa a wɔde ɔyare mmoawa ba no . Wɔ EoE mu no, eosinophil nkwammoaa yi dodow bi, esiane biribi nti, boaboa ano wɔ yɛn aduan mu ntini mu. Sɛ wɔboaboa ano a, aduan no mu hohoro, ɛyɛ kɔkɔɔ, na efi ase sɛe. Saa ahonhon yi ma ɛwo kotoku no gyae adwumayɛ yiye. Ɛno nti na ɛyɛ den ma yɛn sɛ yɛbɛmene aduan, na aduan akyea.
Adeɛ a ɛho hia ne sɛ EoE nyɛ biribi a ɛba na ɛkɔ. Ɛyɛ tebea a enni sabea , a ɛtra hɔ kyɛ. Wotumi hu no wɔ mmofra ne mpanyimfo nyinaa mu, titiriw wɔ mmarima mu.
Dɛn ne EoE ho sɛnkyerɛnne atitiriw?
Obi a ɔwɔ EoE betumi anya sɛnkyerɛnne ahorow. Nsɛnkyerɛnne no bi te sɛ nea ɛwɔ yafunu mu yare a ɛfata no ara pɛ, na ɛno nti na nkurɔfo adwene tu fra no. Momma yɛnhwɛ sɛnkyerɛnne atitiriw no.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Ɛyɛ den sɛ wobɛmene ade (Dysphagia) . | Sɛ́ wobɛte nka sɛ aduan akɔhyɛ wo menewam mmom sen sɛ wobɛkɔ fam bere a woredidi no. Ɛte sɛ nea ɛwo kotoku no mu ayɛ teateaa. |
| Aduan so Nkɛntɛnso | Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ . Aduan asinasin bi akɔhyɛ aduan no mu koraa, na ɛmma wontumi nmene nnompe ketewaa bi mpo. Sɛ eyi ba a, ɛsɛ sɛ wokɔ ayaresabea hɔ ntɛmpɛ dan (ETU) ntɛm ara. |
| Koko mu yaw anaasɛ ɔfe | Sɛnea ɛte wɔ yafunu mu yare ho no, ɔhyew anaa ɛyaw wɔ koko no mfinimfini. Nanso ade titiriw ne sɛ, ɛyaw yi so ntew bere a wɔanom nnuru te sɛ nnuru a ekum asikre, a wɔde ma yafunu mu yare no mpo akyi. |
| Ɔfe ne yafunu mu yaw | Saa sɛnkyerɛnne yi abu so titiriw wɔ mmofra nkumaa mu. Ebetumi ama aduan ho akɔnnɔ ayera, yafunu ayɛ no yaw, na wafe. |
Dɛn nti na EoE ba? Dɛn na ɛde ba?
Esiane sɛ EoE yɛ yare foforo koraa wɔ aduruyɛ ho nyansahu mu nti, wonnya nhuu nea ɛde ba 100%. Nanso, nsɛntitiriw kakraa bi wɔ hɔ a nhwehwɛmufo gye di:
- Nkwammoaa a ɛko tia nyarewa no mmuae: Adwene a wogye tom mprempren ne sɛ yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ n’ade boro so wɔ nneɛma bi ho (titiriw nnuan). Ne titiriw no, yɛn nipadua no di mfomso wɔ nnuan bi (e.g., nufusu, nkesua , soya, awi) anaa nneɛma a ɛwɔ nneɛma a atwa yɛn ho ahyia mu (e.g., pollen, dust mites, mold) sɛ "atamfo" na ɛde eosinophils kɔ mogya no mu kɔko tia.
- Awosu: Saa tebea yi taa tu mmirika wɔ mmusua mu. Eyi kyerɛ sɛ sɛ obi wɔ w’abusua mu wɔ EoE, ayamtu, anaa akisikuru te sɛ akisikuru a, ebia asiane a ɛwɔ hɔ sɛ wubenya EoE no sua.
EoE? Anaasɛ GERD? Dɛn nti na ɛsɛ sɛ yɛma abien no adwene tu fra?
Eyi ne ɔhaw kɛse ma nnipa pii. EoE ho sɛnkyerɛnne no te sɛ nea yɛn nyinaa nim no sɛ GERD (Gastroesophageal Reflux Disease) , tebea a ɛma yafunu mu acid ba menewa mu no yiye. Esiane eyi nti, nnipa pii a wɔwɔ EoE betumi akɔ GERD ayaresa mfe pii a wonnya nkɔso biara.
Ma yɛnhwɛ nsonsonoe titiriw a ɛda abien no ntam.
| Asɛm a wɔde toto ho | Eosinophilic Esophagitis (EoE) a ɛma obi nya akisikuru (EoE) . | GERD (Yafunu mu Nsu a Ɛma Nkwa Wom) . |
|---|---|---|
| Nea ɛde ba no ntini | Nnuru a ɛko tia nyarewa no mmuae a ɛma obi ho yɛ no hyew. | Yafunu mu acid a ɛreba soro wɔ esophagus no mu. |
| Koko mu ɔfe | Wobetumi ahu no mpɛn pii. | Ade titiriw bi. |
| Mmuae a wɔde ma wɔ nnuru a ekum asikre ho | Mpɛn pii no, mmuae biara mma anaasɛ mmuae kakraa bi pɛ na ɛba. | Mpɛn pii no wɔhyɛ so yiye . |
| Aduan mu awuduru | Ɛtaa ba paa na ebetumi ayɛ den. | Sɛ wɔde toto ho a, ɛba fam. |
| Nneɛma afoforo a ɛma obi ho yɛ no yaw | Abusuabɔ a ɛda adi pefee wɔ tebea horow te sɛ ayamtu, akisikuru, ne sare atiridii ho. | Mpɛn pii no nkitahodi biara nni hɔ tẽẽ . |
Ɔkwan bɛn so ankasa na oduruyɛfo no hu eyi?
Sɛ wowɔ sɛnkyerɛnne ahorow a mekaa ho asɛm wɔ atifi hɔ no, titiriw sɛ woannya ahotɔ denam nnuru a wobɛnom de sa yafunu mu yare so a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ wo duruyɛfo nkyɛn na woka ho asɛm kyerɛ no. Bere a watie wo yare no ho sɛnkyerɛnne no yiye awie no, ɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu de kyerɛ sɛ ebia eyi yɛ EoE anaa.
Nhwehwɛmu atitiriw a wɔyɛ de yɛ eyi ne endoscopy ne biopsy .
Nea ɛka eyi ho ne sɛ wode afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri ketewaa bi fa w’ano abata ho bɛhyɛ mu na woahwɛ wo menewam ne wo yafunu mu. Mma ɛnhaw wo, wɔtaa ma wo aduru bi a wɔde kum wo yare wɔ eyi ho, enti worente nka sɛ wo ho nyɛ wo dɛ.
Bere a wɔreyɛ endoscopy no, oduruyɛfo no bɛfa ntini ketewaa bi (biopsy) afi esophagus no mu na ɔde akɔ lab. Ɔkwan biako pɛ a wobɛfa so anya awerɛhyem 100% sɛ wowɔ EoE ne sɛ wobɛhwehwɛ eosinophils dodow a ɛkɔ soro a ɛnyɛ ne kwan so wɔ ntini no mu.
Nkrasɛm a Wɔde Kɔ Fie
- Mmu sɛnkyerɛnne ahorow te sɛ ɛyɛ den sɛ wobɛmene, aduan a ɛbɛkyere wo menewa mu, anaa wo koko mu yaw a nnuru ntumi nyɛ ho hwee no adewa da .
- Ɛnyɛ yafunu mu acid na ɛde EoE ba, ɛyɛ allergic response a nipadua no mu tumi a ɛko tia nyarewa no de ba.
- Ebia wo sɛnkyerɛnne ahorow no te sɛ GERD, nanso ɛsono nea ɛde ba ne ayaresa koraa.
- Sɛ wubehu nea yare no yɛ ankasa a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn , na sɛ ɛho hia a, wɔyɛ endoscopy ne biopsy.
- Sɛ́ anka wobɛsa wo ho yare no, wo ne wo duruyɛfo nka wo yare no ho sɛnkyerɛnne ho asɛm pefee. Nhwehwɛmu a wɔyɛ no pɛpɛɛpɛ ne ade a edi kan a ɛbɛma wɔatumi ayɛ ayaresa no yiye.
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