So eyi na ɛma wo yafunu yɛ wo yaw na wo ho yɛ wo hyew? Momma yensua Eosinophilic Gastritis ho ade!

So wo nso taa nya yafunu mu haw, wo ho popo, na w’ani nnye aduan ho? Ɛtɔ da bi a, saa nsɛnkyerɛnne yi akyi no, ebia yare bi wɔ hɔ a yɛntee ho asɛm pii, nanso ɛsɛ sɛ yɛhaw yɛn ho kakra. Yare a ɛte saa no biako ne Eosinophilic Gastritis . Ɛnnɛ, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne eosinophilic gastritis (EG)?

Simply put, eosinophilic gastritis (EG) is a rare condition that affects your stomach . Eosinophils, mogya mu nkwammoaa fitaa bi a ɛwɔ yɛn nipadua mu no boaboa ano wɔ yafunu no afasu mu na ɛma ɔfe , a ɛkyerɛ sɛ ɛhohoro na ɛsɛe. Fa no sɛ, yɛn yafunu fasu yɛ kɔkɔɔ na ɛho ahonhon ara kwa.

Ebetumi aka obiara a wadi mfe biara, na ɛyɛ tebea a enni sabea , a ɛkyerɛ sɛ ɛtra hɔ kyɛ. Nanso mma ɛnhaw wo, wo duruyɛfo betumi aboa wo ma woadi saa sɛnkyerɛnne ahorow yi ho dwuma. Ebia eyi bɛhwehwɛ nneɛma te sɛ nhwehwɛmu a wɔyɛ daa ne nsakrae a wɔyɛ wɔ aduan mu.

Dɛn ne saa eosinophils yi?

Afei ma yɛnhwɛ nea saa eosinophils yi yɛ. Eyinom yɛ mogya mu nkwammoaa fitaa bi a ɛwɔ yɛn nipadua mu. Wɔte sɛ asraafo nkumaa a wɔwɔ yɛn nipadua mu ahoɔden a ɛko tia nyarewa no mu . Wɔn adwuma titiriw ne sɛ wɔbɛko atia nyarewa ne mmoawa a wɔsɛe nnɔbae a wɔhyɛn yɛn nipadua mu.

Mpɛn pii no, wɔyɛ eyinom wɔ yɛn nnompe mu ntini mu , nanso wɔyɛ kakraa bi. Saa eosinophils yi yɛ mogya mu nkwammoaa fitaa a ɛwɔ onipa a ɔwɔ apɔwmuden mu nyinaa mu 1% kosi 5%.

Nanso, esiane akisikuru , ɔyare mmoawa, nnuru bi, anaa kokoram nti, saa eosinophils yi betumi akɔ soro mpofirim. Eyi ne nea yɛfrɛ no eosinophilia . Saa nkwammoaa yi yi nnuru te sɛ enzyme ne protein ahorow fi mu ma wɔsɛe nkwammoaa a enni apɔwmuden. Enti, sɛ saa eosinophils a ɛwɔ nipadua no mu yi dɔɔso a, efi ase tow hyɛ yɛn ankasa ntini so. Afei , yafunu mu ntini a ɛyɛ hyew (gastritis) anaa akwaa afoforo a ɛyɛ hyew betumi aba.

Hena na eosinophilic gastritis (EG) ka no kɛse?

Saa tebea yi a wɔfrɛ no eosinophilic gastritis (EG) no betumi aka nnipa a wɔadi mfe biara. Eyi kyerɛ sɛ ebetumi aka nkokoaa ne wɔn a wɔn mfe akɔ anim nyinaa. Nanso, nnuruyɛfo taa hu sɛ ɛwɔ mpanyimfo a wɔadi fi mfe 30 kosi 50. Afei nso, akontaabu kyerɛ sɛ mmarima betumi anya saa yare yi kakra sen mmea.

Sɛ wowɔ abakɔsɛm a ɛkyerɛ sɛ wowɔ allergic disorders , anaasɛ sɛ obi wɔ w’abusua mu a, ebia wowɔ asiane kɛse kakra sɛ wubenya EG. Nnipa pii a wonya EG no wɔ allergy te sɛ:

• Akisikuru
• Aduan a wontumi nnyina ano anaasɛ aduan ho akisikuru (sɛ nhwɛso no, nufusu, nkesua, awi esiam) .
• (Hay fever / allergic rhinitis) ( , )
• Hwene a ɛtaa tu (rhinitis) .
• Wora mu akisikuru, tebea horow te sɛ eczema

Dɛn ne eosinophilic intestinal disease (EGID) ahorow?

Eosinophilic gastritis (EG) yɛ tebea horow kuw kɛse bi a wɔfrɛ no Eosinophilic Gastrointestinal Disease (EGID) no mu biako pɛ . Saa EGID tebea horow yi betumi aka wo aduan mu nhyehyɛe no afã horow . Eyi kyerɛ sɛ saa eosinophil nkwammoaa yi betumi aboaboa ano na ɛde ɔfe aba baabiara fi aduannoa mu kosi akyi berɛmo no mu.

Ɛtɔ mmere bi a, sɛ eosinophils dɔɔso dodo a, nyarewa yi mu bɛboro biako betumi aba bere koro mu. EGID ahorow atitiriw asia na ɛwɔ hɔ:

• Eosinophilic Colitis (EC): Eyi ka wo dwensɔtwaa kɛse (colon) .
• Eosinophilic Duodenitis: Eyi ka wo dwensɔtwaa ketewaa no fã a edi kan .
• Eosinophilic Enteritis (EoN): Eyi ka wo dwensɔtwaa ketewaa no .
• Eosinophilic Esophagitis (EoE): Eyi ne EGID a abu so sen biara. Ɛka wo menewam .
• Eosinophilic Gastritis (EG): Eyi ne nea yɛreka ho asɛm, a ɛka yafunu no.
• Eosinophilic Gastroenteritis (EGE): Eyi ka yafunu ne dwensɔtwaa ketewaa titiriw.

Eosinophilic nyarewa afoforo wɔ hɔ a ebetumi aka aduan a wɔyam no, nanso ɛnyɛ nea ɛtaa ba kakra:

• Hypereosinophilic Syndrome: Eyi betumi aka mogya ne akwaa biara.
• Eosinophilic Granulomatosis with Polyangiitis (EGPA): Eyi betumi aka akwaa pii, a koma no ka ho .

Eosinophilic gastritis abu so dɛn?

Nokwarem no, nnuruyɛfo susuw sɛ eosinophilic gastritis yɛ yare a ɛntaa nsi koraa . Ɛne sɛ, ɛnyɛ yare a ɛka obiara. Nanso, ne sɛnkyerɛnne – te sɛ yafunu mu yaw ne akisikuru – te sɛ nyarewa afoforo pii a ɛtaa ba no ara pɛ. Enti, ɛtɔ mmere bi a ɛda adi sɛ wɔbɛpa (wɔnhu no yiye) .

Dɛn na ɛde eosinophilic gastritis ba?

Eosinophilic gastritis na ɛbaƐnyɛ bere nyinaa na nnuruyɛfo nim nea ɛde ba ankasa. Ɛno kyerɛ sɛ ɛyɛ den sɛ yɛbɛka sɛ "eyi ne nea ɛde ba." Nanso, mpɛn pii no, wosusuw sɛ tebea no ba esiane sɛ yɛn nipadua no mu tumi a ɛko tia nyarewa no yɛ n’ade boro so wɔ nnuan bi ho (aduan mu nneɛma a ɛma obi ho yɛ no hyew) . Ɛte sɛ nea yɛn nipadua no ahobammɔ nhyehyɛe no di mfomso tow hyɛ n’ankasa yafunu so.

Dɛn ne eosinophilic gastritis ho sɛnkyerɛnne ahorow?

Mpɛn pii no, eosinophilic gastritis ho sɛnkyerɛnne yɛ nea emu nyɛ den kosi nea ɛkɔ fam. Eyi kyerɛ sɛ ebia nnipa binom rennya ahotɔ kɛse, bere a afoforo nso betumi anya bi kakra. Nsɛnkyerɛnne a ɛtaa ba ne:

• Yafunu mu yaw anaa ascites (te nka sɛ yafunu no ahonhon) .
• Ɔyare a ɛma obi dwensɔ ( ɔfe) .
• Ɛyɛ den sɛ obedidi ( aduan ho akɔnnɔ a ɛyera ) anaasɛ ɛyɛ den sɛ ɔbɛmene (dysphagia) .
• Ɔbrɛ a wɔte nka bere nyinaa (Ɔbrɛ) .
• Koma a ɛyɛ hyew ( ɔhyew a ɛte sɛ nea efi koko mu) .
• Anemia , a ɛkyerɛ sɛ mogya mu nkwammoaa kɔkɔɔ a ɛte apɔw so tew (eyi nso betumi ama obi abrɛ na ne ho ayɛ fitaa) .
• Akisikuru ne ɔfe
• Mmofra nkumaa mu duru a ɛso tew anaasɛ wonnyin yiye

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, nsusuw sɛ ɛyɛ EG. Eyinom nso betumi ayɛ yafunu mu tebea afoforo ho sɛnkyerɛnne. Enti, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn na ama woahu nea ɛhaw wo ankasa.

Ɔkwan bɛn so na wohu sɛ obi anya eosinophilic gastritis (EG)?

Sɛnea yɛadi kan aka no, eosinophilic gastritis betumi agye bere kakra ansa na wɔahu efisɛ ne sɛnkyerɛnne ahorow abu so. Ebia woakɔ nnuruyɛfo pii nkyɛn na woanom nnuru pii.

Wɔtaa hu eyi denam:

1. Mogya mu nhwehwɛmu: Wɔyɛ mogya dodow a edi mũ (CBC) de hwɛ sɛ eosinophils dodow dɔɔso sen sɛnea ɛte daa.

2. Endoscopy: Wɔ sɔhwɛ yi mu no, wɔde afiri teateaa bi a mfoninitwa afiri ketewaa bi abata ho no fa ano no mu na wɔhwehwɛ aduannoa mu, yafunu, ne dwensɔtwaa ketewa no fã a edi kan no mu. Wobetumi ahwɛ yafunu no afasu mu sɛ ebia ɛho ahonhon, ayɛ kɔkɔɔ, na akuru nketenkete bi wɔ hɔ anaa.

3. Biopsy: Bere a wɔreyɛ endoscopy no, woyi ntini nketenkete (biopsies) fi yafunu no fasu mu. Afei wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ saa ntini ahorow yi mu wɔ aduruyɛdan mu hwɛ sɛnea eosinophils dodow a ɛwɔ mu. Sɛ eosinophils pii wɔ hɔ sen sɛnea ɛte daa a, ebetumi ayɛ EG.

Ɛtɔ mmere bi a, sɛ eosinophils a ɛboro so yi nni yafunu no fasu a ɛwɔ soro no mu, na mmom ɛwɔ nea emu dɔ no mu a, ebia ɛbɛyɛ den sɛ wɔde nipadua mu nhwehwɛmu a wɔyɛ no daa behu. Sɛ ɛba saa a, ebia ebegye bere tenten ansa na wɔahu yare no.

Sɛ wopɛ sɛ wuhu EG a, wo duruyɛfo bɛyɛ nea edidi so yi:

• Wɔbɛma wo nipadua mu nhwehwɛmu .
• Wobebisa w’ayaresa ho abakɔsɛm (nyarewa a woadi kan anya, abusua mu nyarewa, nnuru a wonom, ne nea ɛkeka ho).
• Wɔbɛkra sɛ wɔnyɛ mogya mu nhwehwɛmu, na ɛno bɛboa ma wɔahwɛ sɛ nneɛma bi a ɛnteɛ na wɔayi nyarewa afoforo afi hɔ.

Nhwehwɛmu afoforo a ɛboa ma wohu EG

Nhwehwɛmu afoforo a wo duruyɛfo betumi akra no bi ne:

• Nhwehwɛmu a wɔyɛ wɔ allergy ho: Eyi betumi aboa ma wɔahu nneɛma a ɛma wo ho yɛ wo hyew wɔ nnuan mu a ebia ɛrema wo eosinophils akɔ soro. Sɛ nhwɛso no, ebetumi aboa ma woahu sɛ ebia wo ho yɛ wo hyew wɔ nnuan bi ho anaa. Sɛ wunim nea saa nneɛma a ɛma obi ho yɛ no hyew yi yɛ a, ebetumi aboa ma woakyerɛ wo yare no ne ayaresa kwan.

So aduru bi wɔ hɔ a edi mũ a wɔde sa eosinophilic gastritis (EG)?

Eyi yɛ asɛm a nnipa pii bisa. Sɛ yɛbɛka nokware a, mprempren wonni aduru a edi mũ biara a wɔde bɛsa eosinophilic gastritis. Ɛne sɛ, wontumi mfa aduru biako pɛ nsa no yare daa.

Nanso mma ɛnhaw wo! Nnuru ne nsakrae a wobɛyɛ wɔ aduan mu betumi aboa wo ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma. Sɛ wudi w’ayaresa ho akwankyerɛ akyi yiye a, wubetumi abɔ bra a ɛyɛ nnam na apɔwmuden wom.

So eosinophilic gastritis (EG) de nkwa to asiane mu?

Mpɛn pii no, eosinophilic gastritis nyɛ tebea a ɛde nkwa to asiane mu a ɛhwehwɛ sɛ wɔsa yare ntɛm ara. Nanso, sɛ wohu ntɛm na wɔsa no a, ebetumi asiw nsɛnnennen a anibere wom te sɛ aduan pa a wonnya nni ano . Eyi ho hia ma nkokoaa ne mmofra nkumaa titiriw, efisɛ aduan pa ho hia na ama wɔanyin.

Ɔkwan bɛn so na wɔsa eosinophilic gastritis (EG)?

Nnuruyɛfo de nsakrae a wɔyɛ wɔ aduan mu ne nnuru titiriw na ɛsa eosinophilic gastritis. Saa ayaresa ahorow yi botae ne sɛ wɔbɛsa nea ɛde ba (a mpɛn pii no ɛyɛ akisikuru) na wɔadi sɛnkyerɛnne ahorow no so. EG ayaresa a wo nsa bɛka no begyina wo yare no ho sɛnkyerɛnne ne sɛnea wo tebea no mu yɛ den so.

Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ ɛsɛ sɛ wosakra w’aduan mu na ama woakwati nneɛma a ɛma wo ho yɛ wo hyew wɔ aduan mu a ɛkanyan eosinophilic gastritis ho sɛnkyerɛnne ahorow. Ebia eyinom bi ne:

• Aduan a wɔde yi fi hɔ: Wɔ eyi mu no, wuyi nnuan bi a wususuw sɛ ebia ɛde akisikuru aba (sɛ nhwɛso no, nufusu, soya, nkesua, awi, atoko, ɛpo mu nnuan) fi w’aduan mu koraa bere tenten bi. Afei, wosan de wɔn ba mmiako mmiako de hwɛ nnuan a ɛde ɔhaw no ba.
• Aduan a wɔde di dwuma titiriw:Eyi yɛ ɔkwan soronko kakra. Sɛ́ anka wobedi aduan daa no, wɔde nsu titiriw bi a aduannuru a ɛho hia te sɛ amino acid wom di dwuma de ma aduannuru. Saa aduru yi sua koraa wɔ asiane a ɛwɔ hɔ sɛ obi benya akisikuru no mu.

Sɛ wo ba no wɔ EG ho sɛnkyerɛnne a, ebia ɛho behia sɛ wosakra aduan a wode ma no (e.g., hypoallergenic formula ). Wɔ tebea horow bi mu no, ebia ɛho behia sɛ mmofra ne mpanyimfo nso nom nnuru a wɔde dade ma wɔn sɛ mogya atɔ wɔn a.

Ebia wo nsa bɛka nnuru te sɛ eyinom nso:

• Corticosteroids (e.g., prednisone, budesonide): Wɔde eyinom ma na ama ɔfe a ɛwɔ yafunu no mu no so atew. Wɔtaa de ma bere tiaa bi.
• Nnuru a ɛma nipadua no tumi ko tia nyarewa (e.g. azathioprine): Wɔde eyinom di dwuma de tew nipadua no mu tumi a ɛko tia nyarewa no nneyɛe a ɛboro so no so. Wɔde ma nnipa a wɔanyɛ wɔn ade yiye wɔ corticosteroids nkutoo ho, anaasɛ wontumi nkɔ so nnom corticosteroids.

So wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya eosinophilic gastritis (EG) no so?

Sɛ́ ebia wubetumi atew asiane a ɛwɔ hɔ sɛ wubenya eosinophilic gastritis no so no gyina tebea a ɛwɔ ase no so. Sɛnea yenim no, akisikuru ne ade a ɛtaa ma eosinophil dodow kɔ soro.

Nsakrae a wobɛyɛ wɔ aduan mu ne sɛ ɛho hia a, nnuru betumi aboa ma woasiw wo nipadua no mu tumi a ɛko tia nyarewa no ano anaasɛ wobedi so. Mpɛn pii no, aduan pa ne asetra kwan a ɛfata betumi atew asiane a ɛwɔ hɔ sɛ wubenya yare no nyinaa so. Sɛ wowɔ allergy anaasɛ obi wɔ w’abusua mu wɔ EG a, ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa ho.

Dɛn ne eosinophilic gastritis (EG) ho anidaso?

Wɔ nnipa dodow no ara fam no, mpɛn pii no, anidaso a ɛwɔ hɔ sɛ wobenya eosinophilic gastritis no ye. Ɛno kyerɛ sɛ wubetumi ne no atra ase yiye. Nanso, ɛho hia sɛ yɛkae sɛ esiane sɛ ɛyɛ tebea a enni sabea nti, ayarefo betumi anya yare a ɛyɛ hyew , anaasɛ bere bi a yare a emu nyɛ den bɛba.

Wo duruyɛfo ne wo bɛyɛ adwuma wɔ w’asetra nyinaa mu de aboa wo ma woadi eosinophilic gastritis ho dwuma na woama wo sɛnkyerɛnne ahorow no afi hɔ. Ɛho behia sɛ woyɛ endoscopies ne biopsies daa de hwɛ wo tebea no. Saa nhwehwɛmu yi bɛma wo duruyɛfo atumi ayɛ nsakrae wɔ w’ayaresa mu, sɛ ɛho hia a, na amma nsɛnnennen a ɛbɛba wo anaa wo ba no so.

Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi yiye na woakɔ bere a wɔahyɛ no bere ano. Eyi bɛma woanya ɔhwɛ wɔ bere a ɛsɛ mu.

So eosinophilic gastritis (EG) ka m’asetra pa?

Sɛnea EG ka w’asetra no gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den, tebea afoforo a ɛhyɛ ase, ne sɛnea ayaresa no di yiye so. Mpɛn pii no, sɛ wowɔ eosinophilic gastritis a, ɛkyerɛ sɛ ɛsɛ sɛ woyɛ nsakrae wɔ w’aduan mu na ama woakwati nneɛma a ɛma wo ho yɛ wo hyew wɔ aduan ho, na ebia ebehia sɛ wonom nnuru nso.

Wɔ nnipa pii fam no, wɔn aduan a wɔbɛsakra no betumi ayɛ nea ɛyɛ den wɔ nipadua ne adwene mu. Fa no sɛ wuntumi nni nnuan a w’ani gye ho no bi. Ebetumi ayɛ den sɛ wobɛpaw aduan a ɛfata bere a wo ne wo nnamfo rekɔ abɔnten no. Adidi ne fekubɔ ho nhyehyɛe a wɔbɛyɛ no betumi ayɛ den mfiase no.

Nanso, sɛ wudi ayaresa ho akwankyerɛ akyi na wunya mmoa bere a wuhia (sɛ nhwɛso no, efi aduan ho ɔbenfo hɔ) so no, wubetumi akɔ so ayɛ yiye na woayɛ nnam.

Bere bɛn na ɛsɛ sɛ wohwehwɛ nnuruyɛfo afotu wɔ eosinophilic gastritis (EG) ho?

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ yafunu mu yaw a ɛkɔ so, akisikuru, aduan ho akɔnnɔ a ɛyera, anaasɛ ɛte sɛ nea wo sɛnkyerɛnne no reyɛ kɛse a, susuw eosinophilic gastritis ho na hwehwɛ aduruyɛfo afotu. Wo ne wo duruyɛfo nka wo yare no ho sɛnkyerɛnne ne sɛnea wɔreyɛ wɔn ade wɔ aduan mu nsakrae anaa nnuru a wɔde di dwuma ho pefee. Ebia wo duruyɛfo de wo bɛkɔ yafunu mu yafunu ho oduruyɛfo nkyɛn .

Nneɛma a ɛsɛ sɛ yɛkae fi eyi mu (Take-Home Message) .

Okay, enti momma yɛnkae eyi sɛ nea yɛkaa ho asɛm nnɛ fa eosinophilic gastritis (EG) ho no mu nsɛm tiawa:

• EG yɛ yare a ɛntaa nsi, a enni sabea a ɛka wo yafunu.
• Nea enti titiriw a ɛte saa ne sɛ mogya mu nkwammoaa fitaa bi a wɔfrɛ no eosinophils boaboa ano wɔ yafunu no mu na ɛma ɔfe ba.
• Mpɛn pii no ɛne akisikuru wɔ abusuabɔ .
• Esiane sɛ sɛnkyerɛnne ahorow (yafunu mu yaw, akisikuru, akisikuru, aduan ho akɔnnɔ a ɛyera) te sɛ nyarewa afoforo a ɛtaa nya nti, ebetumi agye bere kakra ansa na wɔahu sɛ obi anya yare no.
• Endoscopy ne biopsy ne akwan titiriw a wɔfa so hu yare no.
• Ɛwom sɛ wonni aduru a edi mũ de, nanso wobetumi de nnuru anaa nsakrae a wɔyɛ wɔ aduan mu (titiriw nneɛma a ɛma obi ho yɛ no yaw fi hɔ) no so tew sɛnkyerɛnne ahorow no kɛse.
• Wo duruyɛfo ne wo bɛyɛ adwuma abɛn na waboa wo ma woanya w’ayaresa no so mfaso kɛse na ama w’asetra atu mpɔn.

Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, nsuro sɛ wo ne oduruyɛfo bɛkasa afa ho. Nea enye ankasa a wubehu na woanya ayaresa a ɛfata no ne ade a eye sen biara a wubetumi ayɛ ama w’akwahosan.

` Eosinophilic Gastritis, Eosinophilic Gastritis, Yafunu mu yare, Yafunu mu yaw, Akisikuru, Endoscopy, Aduane, Eosinophils