Ke manaʻo nei ʻoe i kekahi manawa ua paʻa kāu meaʻai i loko o kou puʻu ke ʻai ʻoe, e paʻakikī ai ke ale? A i ʻole he ʻeha umauma a ʻeha paha kou ʻōpū? Manaʻo ka poʻe he mea maʻamau kēia, malia paha he gastritis, akā he mea ʻokoʻa paha kēia a he mea e hopohopo ai. Ke kamaʻilio nei mākou e pili ana i ia ʻano maʻi i kēia lā. ʻO ia ka Eosinophilic Esophagitis, a i ʻole EoE no ka pōkole.
He aha maoli ka EoE?
I ka ʻōlelo maʻalahi, ʻo ka Eosinophilic Esophagitis (EoE) he hopena allergic i ko kākou esophagus, ke ʻano o ka paipu e lawe ana i ka meaʻai mai ko kākou puʻu a i ko kākou ʻōpū. E noʻonoʻo i kēia ʻano: inā he allergic ʻoe i kahi mea e like me ka pīnati, e loaʻa iā ʻoe kahi ʻulaʻula a me ka maneʻo ke ʻai ʻoe. Pēlā nō, ke hōʻike ʻia kekahi me EoE i kahi mea hoʻonāukiuki, e pane ana ko lākou esophagus. Hiki i ke kumu ke lilo i meaʻai (e like me ka waiū, nā hua manu, a i ʻole ka soy) a i ʻole ka pollen i ke kaiapuni.
Ke komo kekahi mea e like me kēia i loko o ke kino, ʻākoakoa nui kahi ʻano o ke koko keʻokeʻo i kapa ʻia ʻo eosinophils, ʻo ia kekahi ʻāpana o kā mākou ʻōnaehana pale kino, i loko o nā paia o nā alaloa ea, me he mea lā e hele ana i ke kaua. Ke hōʻuluʻulu kēia mau ʻāpana, hoʻokuʻu lākou i nā kemika e hoʻoulu ai i loko o nā alaloa ea e pehu a lilo i ʻulaʻula (mumū) .
E like me ka wā e pehu ai kahi paipu wai i loko, e paʻakikī ai ka wai ke hele ma waena. Ke pehu kēia paipu, e paʻakikī ai ka meaʻai ke hele i lalo. I ka hala ʻana o ka manawa, hiki i kēia ke lilo i mea haiki. ʻO kēia no ka mea:
- Ka paʻakikī i ka ale ʻana i ka meaʻai (dysphagia).
- Ka hopena o ka meaʻai.
- Ka luaʻi ʻana.
- ʻEha ʻōpū.
- ʻEha ka umauma.
ʻO nā hōʻailona e like me EoE hiki ke lilo i mea paʻakikī, akā hiki ke mālama maikaʻi ʻia me ke kōkua o kāu kauka.
He huikau loa nā hōʻailona!
ʻO ke kumu nui e paʻakikī ai ke ʻike i ka EoE, ʻo ia ka like loa o kona mau hōʻailona me nā maʻi Gastroesophageal Reflux Disease (GERD) . E like me kā kākou e ʻike nei, ʻo ia ka mea i kapa ʻia ʻo 'acid reflux' a i ʻole heartburn. No ka mea, he mau hōʻailona kēia mau maʻi ʻelua e like me ka ʻeha o ka umauma, ka paʻakikī i ka moni ʻana, a me ka luaʻi ʻana, he mea maʻalahi loa ke huikau i nā mea ʻelua.
Akā, he ʻokoʻa loa nā kumu o kēia mau hanana ʻelua.
- Hoʻokumu ʻia ʻo GERD e ka waikawa o ka ʻōpū e kahe ana i luna i loko o ka esophagus. Hana ʻia kēia i ka wā e pani pono ʻole ai ka ʻiʻo, e like me ka valve ma waena o ka ʻōpū a me ka esophagus.
- ʻAʻole ka EoE i hana ʻia e ka waikawa o ka ʻōpū, he hopena ia o ka ʻōnaehana pale i hana ʻia e ka maʻi allergies.
ʻO kekahi mea ʻē aʻe, ʻo kekahi poʻe me GERD he nui nā eosinophils i loko o ko lākou esophagus, kahi e hoʻopilikia hou ai i ka hōʻailona.
| ʻAno | ʻO ka Esophagitis Eosinophilic (EoE) | GERD (puʻuwai ʻā) |
|---|---|---|
| Ke kumu kumu | He pane a ka ʻōnaehana pale ma muli o kahi maʻi allergies. | Ke komo ʻana o ka waikawa o ka ʻōpū i loko o ka esophagus. |
| Nā hōʻailona nui | Paʻakikī nui i ke ale ʻana, ka ʻū ʻana o ka meaʻai, ka luaʻi ʻana, ka ʻeha o ka umauma. | ʻEha ka umauma, ʻono ʻawaʻawa i ka puʻu, ʻeha ka umauma, paʻakikī ke ale. |
| Pane i ka lāʻau lapaʻau | ʻAʻole ho'ōla pinepine nā lāʻau lapaʻau maʻamau no ka gastritis (nā mea pale waikawa). | Hoʻopale maikaʻi pinepine ka gastritis i nā lāʻau lapaʻau (nā mea pale waikawa). |
Akā, hoʻokahi mea nui e hoʻomanaʻo ai! Hiki i ka ʻeha o ka umauma ke lilo i hōʻailona o ka hāʻule puʻuwai. No laila, inā loaʻa iā ʻoe ka ʻeha o ka umauma me ka pōkole o ka hanu, ka ʻeha e pālahalaha ana i lalo o kou lima, a i ʻole ka hou ʻana, mai kali a ʻike i ke kauka a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa. He mea nui loa kēia.
No laila pehea lā e ʻike ai ke kauka i kēia?
Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, e holo paha kāu kauka i kekahi mau hoʻokolohua e hoʻoholo ai inā he GERD, EoE, a i ʻole kekahi mea ʻē aʻe.
1. Ke noi aku nei iā ʻoe no nā kikoʻī
ʻO ka mea mua, e nīnau nui kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona. Pehea ka lōʻihi o kou loaʻa ʻana iā lākou, i ka manawa hea lākou e ʻoi aku ai ka ʻino, hiki mai ia ma hope o kou ʻai ʻana i kekahi mau meaʻai, a inā he maʻi allergies a hānō paha kekahi o kou ʻohana.
2. Hoʻāʻo Endoscopy
ʻO kēia ke kaʻina hana koʻikoʻi loa i ka hōʻoia ʻana. ʻO ka endoscopy e pili ana i ka hoʻokomo ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela a me ke kukui ma kou waha e nānā i loko o kou esophagus, ʻōpū, a me ka hapa mua o kou ʻōpū liʻiliʻi. Hoʻohana ʻia ka anesthesia e hōʻoluʻolu iā ʻoe i kēia kaʻina hana. Hiki i kēia i ke kauka ke nānā maka no ka pehu ʻana, ka haiki ʻana, nā kiko keʻokeʻo, a i ʻole nā loli ʻē aʻe i loko o kou esophagus.
3. Hoʻāʻo Biopsy
I ka wā o ka endoscopy, lawe ke kauka i kahi hāpana ʻiʻo liʻiliʻi mai ka paia o ka esophagus a hoʻouna aku i ka lab. Ua kapa ʻia kēia he biopsy. Nānā ʻia kēia hāpana ʻiʻo ma lalo o kahi microscope e ʻike inā he nui loa nā helu eosinophils, a mākou i kamaʻilio ai ma mua. Inā loaʻa iā ʻoe ʻo EoE, e kiʻekiʻe loa ka helu o kēia mau cell. He 100% maopopo kēia hoʻāʻo e hōʻoia i ka maʻi.
Ke ʻike ʻia ʻoe me EoE, ʻaʻohe mea e hopohopo ai. Hiki iā ʻoe ke hana pū me kāu kauka e hoʻokele iā ia. E hoʻāʻo paha lākou e ʻike i nā meaʻai āu e maʻi ai a paipai i kahi papaʻai hoʻopau. A i ʻole e kuhikuhi paha lākou i ka lāʻau lapaʻau e hōʻemi i ka pehu ʻana i loko o kou esophagus. ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā ʻōlelo a kāu kauka.
Leka Lawe-Home
- ʻAʻole ʻo Eosinophilic Esophagitis (EoE) wale nō ka gastritis a i ʻole GERD (maʻi reflux gastroesophageal), he maʻi maʻi ia e kū ana i loko o ka esophagus.
- ʻO ka paʻakikī i ke ale ʻana, ka pipili ʻana o ka meaʻai i ka esophagus, a me ka ʻeha o ka umauma nā hōʻailona nui. Mai hoʻowahāwahā i kēia mau mea.
- Inā loaʻa iā ʻoe ka ʻeha o ka umauma, he mea nui e ʻimi koke i ke kōkua lapaʻau e kāpae i kahi maʻi koʻikoʻi e like me ka hāʻule ʻana o ka puʻuwai.
- He mea nui ka endoscopy a me ka biopsy no ka hoʻomaopopo pololei ʻana i ka maʻi.
- ʻAʻole kēia he kūlana e makaʻu ʻia a hiki ke hoʻomalu maikaʻi ʻia me nā loli ʻai a me nā lāʻau lapaʻau ma lalo o ke alakaʻi ʻana a kāu kauka.
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