So ɛyɛ den sɛ wobɛmene aduan? So ebetumi aba sɛ ɛyɛ Eosinophilic Esophagitis (EoE)?

Sɛ wudidi a, ɛyɛ den ma wo sɛ wobɛmene aduan, anaasɛ wote nka sɛ akyea wo menewam? Anaasɛ wo moma so hyew anaasɛ ɛyɛ wo yaw? Nnipa pii susuw sɛ eyi yɛ yafunu mu yare, nanso ɛtɔ mmere bi a nea ɛde eyi ba no betumi ayɛ tebea foforo a ɛfa akisikuru ho. Esiane saa tebea yi nti, nnipa binom mpo te nka sɛ wɔmpɛ sɛ wodidi. Ɛnnɛ yɛreka tebea a ɛte saa ara ho asɛm, nanso nnipa pii ntee ho asɛm, a wɔfrɛ no Eosinophilic Esophagitis.

Sɛ yɛbɛka no tiawa a, dɛn ne Eosinophilic Esophagitis (EoE)?

Bere a ebia edin yi bɛyɛ te sɛ nea ɛyɛ den kakra no, asɛm no yɛ mmerɛw yiye. Momma yɛnsɛe saa din yi.

• Esophagus ne afiri a ɛde aduan fi yɛn anom kɔ yɛn yafunu mu. Yɛfrɛ eyi wɔ Sinhala kasa mu sɛ gullet.
• Eosinophils yɛ mogya mu nkwammoaa fitaa bi a ɛwɔ yɛn nipadua mu. Mpɛn pii no, wɔdɔɔso wɔ yɛn nipadua mu bere a yɛwɔ akisikuru no.
• Nkyɛmu -itis kyerɛ "ɔfe" anaa "ɔhohoro."

Sɛ yɛbɛka no tiawa a, Eosinophilic Esophagitis (EoE) yɛ akisikuru a ɛma mogya mu nkwammoaa fitaa a wɔfrɛ no eosinophils boaboa ano wɔ yɛn aduan mu, na ɛma aduan no mu ahonhon. Fa no sɛ ɛte sɛ eczema, baabi a honam ani yɛ kɔkɔɔ, ahonhon, na ɛyɛ yaw, nanso ade koro no ara na ɛkɔ so wɔ esophaguus no mu.

Sɛ saa ɔfe yi kɔ so a, akuru ntini no ba wɔ aduan no mu, na ɛma ɔkwan a wɔfa so nya aduan no yɛ teateaa. Eyi ne bere a ɛyɛ den ma wo sɛ wobɛmene na wote nka sɛ w’aduan akɔhyɛ. Ebia aduan a wudi no rentumi mfi w’anom nkɔ wo yafunu mu ntɛm, na ebetumi ayɛ te sɛ nea akyeakyea. Eyi yɛ tebea a enni sabea . Eyi kyerɛ sɛ ɛrenyɛ yiye anadwo biako pɛ, na ɛsɛ sɛ wofa ayaresa wo nkwa nna nyinaa. Nanso mma ɛnhaw wo, ayaresa pa bi wɔ hɔ a ebetumi aboa ma woadi so.

Dɛn ne EoE ho sɛnkyerɛnne ahorow? So wɔsakra bere a obi nyin no?

Yiw, tebea yi ho sɛnkyerɛnne betumi ayɛ soronko a egyina mfe a obi adi so. Ɛnyɛ sɛnkyerɛnne ahorow a ɛba akokoaa ketewa mu, na mmom ɔpanyin mu. Momma yɛnhwɛ eyi sɛnea ɛbɛyɛ a yɛbɛte eyi ase yiye.

Wɔ sɛnkyerɛnne atitiriw yi akyi no, sɛnkyerɛnne afoforo pii wɔ hɔ a ebetumi aba wɔ mfe biara mu:

• Yafunu mu yaw: Ɛyaw wɔ yafunu no fã.
• Akisikuru ne ɔfe: Akisikuru ne ɔfe bere a woadi akyi.
• Regurgitation: Aduan a wɔamene a ɛsan kɔ menewa anaa ano.
• Aduan a Ɛka: Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ . Aduan bi a wɔredi no kɔhyɛ baabi a ɛyɛ teateaa wɔ aduan no mu, na ɛnkɔ fam wɔ menewa no mu na ɛnsan mma soro bio. Wɔ tebea horow a ɛtete saa mu no, asiane wɔ hɔ sɛ ɛwo kotoku mu bɛpaapae, enti ɛho hia sɛ wɔkɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu (ETU) ntɛm ara.

Dɛn nti na yɛwɔ eyi? Dɛn nti na ɛte saa?

Sɛ yɛbɛka no tiawa a, ade titiriw nti a ɛte saa ne sɛ yɛn nipadua mu tumi a ɛko tia nyarewa no yɛ ade boro so wɔ nneɛma bi a ɛma yɛn ho yɛ den ho. Sɛ yɛbɛka no pɛpɛɛpɛ a, sɛ nneɛma bi a ɛwɔ aduan a yedi mu, anaa nneɛma bi a ɛwɔ nneɛma a atwa yɛn ho ahyia mu te sɛ mfutuma hyɛn yɛn mframa kwan mu a, yɛn nipadua susuw sɛ eyi yɛ ɔtamfo kɛse.

Afei, nipadua no mu tumi a ɛko tia nyarewa no de nkwammoaa pii a eosinophils ka ho kɔ aduan no mu ma wɔtow hyɛ ‘ɔtamfo’ no so. Nkwammoaa yi boaboa ano na ɛma ɔfe, anaa ɔfe, wɔ aduan no mu.

Nnuan atitiriw a ebetumi akanyan EoE

Mpɛn pii no, nnuan a yedi na ɛde saa akisikuru yi ba. Wɔn mu no, nnipa atitiriw kakraa bi wɔ hɔ a wosusuw sɛ wɔyɛ saa.

Nnipa dodow no ara nni ɔhaw ahorow yi nyinaa. Ebia eyinom mu biako anaa abien betumi de wo haw no aba. Yɛbɛhwɛ sɛnea yebehu no pɛpɛɛpɛ bere a yɛreka ayaresa ho asɛm no.

Hena na ɔwɔ asiane kɛse mu sɛ obenya EoE?

Ɛwom sɛ obiara betumi anya saa yare yi de, nanso nnipa binom tumi nya bi. Titiriw no, nnipa a wɔwɔ nyarewa afoforo a ɛma obi ho yɛ no hyew no wɔ asiane kɛse mu sɛ wobenya EoE.

• Akisikuru
• Allergic rhinitis - a ɛtaa tu hwene, ɛfefe
• Honam ani nyarewa (Eczema, Atopic dermatitis) .
• Aduan ho akisikuru afoforo

Saa tebea horow yi a wubenya no kyerɛ sɛ mpɛn pii no wo nipadua no mu tumi a ɛko tia nyarewa no te nka kɛse wɔ nneɛma a ɛma wo ho yɛ wo hyew ho. Afei nso, sɛ obi a ɔwɔ w’abusua mu (awofo, anuanom) wɔ EoE a, asiane ketewaa bi wɔ hɔ sɛ wo nso wubenya bi.

Wobɛyɛ dɛn ahu sɛ wowɔ saa yare yi?

Sɛ wowɔ sɛnkyerɛnne ahorow a yɛadi kan aka ho asɛm no a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wubehu oduruyɛfo a ɔfata. Oduruyɛfo no bedi kan abisa wo nsɛm kakraa bi na wahwɛ w’ayaresa ho abakɔsɛm.

Nneɛma a wubetumi abisa wo duruyɛfo:

• Ɔkwan a wofa so didi: So wowe w’aduan yiye na ama ayɛ mmerɛw sɛ wobɛmene? So wokwati nnuan bi te sɛ paanoo ne nam? So wonom nsu pii de boa wo ma womene w’aduan? Saa nneɛma yi betumi ama wo duruyɛfo anya sɛnea woregyina wo yare no ho sɛnkyerɛnne ahorow ano a wunnim no ho adwene.
• W’ayaresa mu tebea afoforo: Bisa sɛ wowɔ ayamtu, mfutuma ho akisikuru, anaa honam ani yare anaa.
• W’abusua aduruyɛ ho abakɔsɛm: Bisa sɛ ebia obi wɔ w’abusua mu a ɔwɔ ɔhaw a ɛte saa ara wɔ menewa mu anaa EoE mu anaa.

Sɛ wo duruyɛfo susuw sɛ EoE na egyina saa nsɛm yi so a, ɔde wo bɛkɔ yafunu mu ɔyaresafo nkyɛn, na ɔbɛyɛ nhwehwɛmu atitiriw abien de akyerɛ sɛ woahu sɛ wowɔ yare no.

1. Endoscopy anaa EGD: .Nea ɛka eyi ho ne sɛ wode afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri wɔ n’awiei fa w’anom bɛhyɛ mu de ahwɛ wo menewam, yafunu, ne wo dwensɔtwaa ketewa no fã a edi kan. Wɔbɛma wo nnuru a ɛyaw nnim wɔ saa adeyɛ yi mu. Oduruyɛfo no betumi afa mfoninitwa afiri no so ahu nneɛma te sɛ nea ɛho ahonhon, nsensanee fitaa, ne wo menewam a ɛyɛ teateaa.

2. Biopsy: Bere a oduruyɛfo no reyɛ endoscopy no, ogye ntini ketewaa bi fi aduan no mu. Wɔfrɛ eyi biopsy. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ ntini no mu hwɛ sɛ ebia eosinophils dɔɔso wɔ ɔkwan a ɛnteɛ so anaa. Saa biopsy yi ho hia na ama wɔatumi asi EoE so dua.

Dɛn ne ayaresa ahorow a wɔde sa EoE?

Botae titiriw a ɛwɔ EoE ayaresa mu ne sɛ wobedi ɔfe a ɛwɔ aduan mu no so. Akwan titiriw abien na ɛwɔ hɔ a wobetumi afa so ayɛ eyi: nnuru ne nsakrae a wɔyɛ wɔ aduan mu. Wo ne wo duruyɛfo no bɛbom asi ɔkwan a eye ma wo ho gyinae.

Nnuru a wɔde sa yare

Saa nnuru yi boa ma menewam a ɛho ahonhon no so tew.

• Proton Pump Inhibitors (PPIs): Eyinom yɛ nnuru bi a wɔtaa kyerɛw ma yafunu mu yare. Wobetumi nso aboa ma EoE ayarefo binom aduan a ɛho ahonhon no so atew.
• Corticosteroids: Eyinom yɛ nnuru a ano yɛ den a ɛtew ɔfe so. Wɔtaa de ma sɛ aduru a wɔde gu nipadua no so (sɛ aduru a wɔde petepete so anaasɛ aduru a wɔde petepete so). Nnuru yi yɛ adwuma wɔ menewa mu tẽẽ, enti enni nsunsuanso bɔne pii.
• Biologic agents: Wɔ nnipa binom fam no, sɛ ayaresa afoforo ntumi nyɛ adwuma a, wɔde nnuru pɔtee bi te sɛ dupilumab (Dupixent®) ma sɛ nnuru a wɔde twitwiw nipadua no. Eyinom de wɔn ani si nipadua no mu tumi a ɛko tia nyarewa no fã pɔtee a ɛde akisikuru no ba no so na wɔhwɛ so.

Aduan a wɔsakra (Food Group Elimination) .

Eyi nso yɛ ayaresa a etu mpɔn yiye. Ɛhwehwɛ sɛ wubeyi nnuan akuw atitiriw 6 a yɛadi kan aka ho asɛm a ɛda adi kɛse sɛ ɛde akisikuru (nufusu, nkesua, awi, soya, nnuaba, ɛpo mu nnuan) fi w’aduan mu koraa.

1. Nea edi kan no, gyae saa nnuan akuw yi nyinaa di kakra.

2. Ɛno akyi no, oduruyɛfo no bɛyɛ endoscopy ne biopsy foforo de ahwɛ sɛ ebia aduan a ɛho ahonhon no so atew anaa.

3. Sɛ ahurututu no so atew a, ɛkyerɛ sɛ saa nnuan yi mu biako anaa nea ɛboro saa na ɛde wo haw no ba.

4. Afei, fa nnuan akuw a wɔayi afi hɔ no san ka w’aduan ho, mmiako mmiako, wɔ adapɛn pii mu.

5. Sɛ wɔde aduan kuw biara ka ho wie a, wɔsan yɛ biopsy de hwɛ sɛ ebia ɔfe no asan aba anaa.

Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea ɔkwan yi gye bere kakra na ɛyɛ den de, nanso ɛyɛ ɔkwan a eye sen biara a wobɛfa so ahu nnuan a wo ho nyɛ wo den ankasa. Sɛ wuhu saa a, wubetumi akwati saa nnuan no nkutoo na woadi biribiara a aka sɛnea ɛsɛ.

So EoE a wobɛtra no yɛ asɛnnennen?

EoE nyɛ yare a ɛde nkwa to asiane mu, nanso esiane sɛ enni sabea nti, ɛhwehwɛ sɛ wɔsa no nkwa nna nyinaa anaasɛ wɔde di aduan ho dwuma.

Wɔ nnipa pii fam no, ɛkame ayɛ sɛ yare no ho sɛnkyerɛnne no yera koraa bere a wɔafi ayaresa ase akyi. Nanso, nnipa binom, titiriw wɔn a wɔanya osuahu bɔne wɔ aduan a wɔde di dwuma ho no, betumi anya suro sɛ wɔbɛmene (phagophobia) . Ebia wɔbɛte ehu ne dadwen nka sɛ wobedi nnuan akɛse te sɛ paanoo.

Nneɛma kakraa bi wɔ hɔ a ebetumi aboa wo wɔ bere te sɛ eyi mu:

• Wo ne afoforo nni nkitaho: Sɛ wo ne nnipa afoforo a wonim yare yi ho asɛm na wɔwɔ bi bɛkasa a, ebetumi aboa wo kɛse. Ɛbɛboa wo ma woate nka sɛ ɛnyɛ wo nkutoo. Wubetumi abisa wo duruyɛfo no akuw a wɔboa wo ho asɛm.
• Nya mmoa fi aduannuru ho ɔbenfo hɔ: Aduan ho ɔbenfo betumi aboa wo ma woayɛ aduan a ɛyɛ dɛ a wode nnuan a ɛfata wo na nneɛma a epira nnim.
• Nya adwenemyare ho mmoa: Sɛ nneɛma te sɛ suro a wusuro sɛ wobɛmene no renya w’asetra so nkɛntɛnso a, ɛho hia sɛ wo ne adwenemyare ho ɔbenfo kasa fa ho.

Sɛ wuhu sɛ yare no ho sɛnkyerɛnne no san ba bere a woasa wo yare no akyi, anaasɛ ɛyɛ den ma wo foforo sɛ wobɛmene a, kɔ wo duruyɛfo nkyɛn ntɛm ara.