Ua manaʻo paha ʻoe ua paʻa kekahi mea i loko o kou puʻu i ka wā e ʻai ana, a i ʻole he paʻakikī ke iho i lalo o ka meaʻai? Malia paha ʻo ʻoe a i ʻole kekahi āu i ʻike ai he maʻi i kapa ʻia ʻo Eosinophilic Esophagitis, a i ʻole EoE no ka pōkole. ʻOiai he maʻi lōʻihi ia, he mea nui e makaʻala i nā pilikia a i ʻole nā pilikia e hiki mai ana inā ʻaʻole mālama pono ʻia. No laila e kamaʻilio kākou e pili ana i kēia lā, me ka makaʻu ʻole, ma ke ʻano maʻalahi loa.
ʻO ka mea mua, e nānā kākou, he aha ka Eosinophilic Esophagitis (EoE)?
I ka ʻōlelo maʻalahi, ʻo ka EoE ka wā e pehu ai kou esophagus, ka ʻōmole e lawe ana i ka meaʻai mai kou waha a i kou ʻōpū, ma muli o kahi allergy. Loaʻa iā mākou kahi ʻano cell ʻōnaehana pale i loko o ko mākou kino i kapa ʻia ʻo eosinophils. Hoʻāla pinepine ʻia kēia mau cell i ka pane ʻana i nā allergies a me nā maʻi parasitic. Eia nō naʻe, i loko o kekahi me EoE, hōʻiliʻili ka nui o kēia mau eosinophils i loko o ka esophagus, e hoʻoulu ai i ka pehu, a i ʻole ka mumū, i loko o ka esophagus.
E noʻonoʻo e like me ka paipu wai e paʻa ana i ka lepo a e emi ana ka ʻōpū. ʻO ia ka mea e hana ʻia ke pehu kou esophagus. ʻAʻole kēia he mea e hoʻopilikia ai i kou ola, ʻo ia hoʻi, ʻaʻole ia he maʻi e hoʻoweliweli i ke ola. Akā hiki iā ia ke loaʻa ka hopena nui i kou ʻano ola. ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia, inā ʻoe e mālama pono iā ia (me ka lāʻau lapaʻau a me ka ʻai), hiki iā ʻoe ke kāohi piha iā ia a ola i kahi ola maʻamau me ka ʻole o nā pilikia. ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i ka hoʻolālā lapaʻau i hāʻawi ʻia e ke kauka.
Nā pilikia nui e hiki mai ana inā ʻaʻole mālama ʻia
Inā ʻaʻole ʻoe e mālama iā ia, e hoʻomau ka hōʻiliʻili ʻana o kēlā mau eosinophils aʻu i ʻōlelo ai ma mua i loko o ka esophagus a hoʻonui i ka mumū. Hiki i kēia ke alakaʻi i kekahi mau pilikia koʻikoʻi i ka hala ʻana o ka manawa. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono ai i kēia mau pilikia.
| Ka pilikia | He wehewehe maʻalahi |
|---|---|
| Nā pilikia pōkole | Paʻakikī i ka moni ʻana, ka nausea, ka luaʻi ʻana, a me ka ʻeha o ka ʻōpū. ʻAʻole hiki ke iho maʻalahi ka meaʻai no ka mea ua pehu ka esophagus. |
| Ka ʻeha o ka esophagus (Fibrosis) | ʻO ka mumū lōʻihi e hoʻoulu ai i nā paia o ka esophagus e ulu i kahi ʻiʻo mānoanoa a paʻakikī, e like me kahi ʻōpala e hana ʻia i ka wā e ho'ōla ai kahi ʻeha. |
| Ka hāiki ʻana o ka esophagus (Stricture) | Hoʻohaiki kēlā ʻiʻo ʻeha i ke alahele i loko o ka esophagus, e paʻakikī loa ai ke ale i ka meaʻai paʻa. |
| Ka Hoʻopilikia ʻAi | He pilikia olakino kēia. ʻO ka hāiki ʻana o ka esophagus ke kumu o ka paʻa loa ʻana o kahi ʻāpana meaʻai, e hiki ʻole ai ke ale i kahi kulu o ka lawai. |
| Ka puka ʻana o ka esophagus | He mea laha ʻole kēia. Hiki ke loaʻa kahi lua ma ka paia o ka esophagus ma muli o ka pehu nui ʻana, ka luaʻi ʻana, a i ʻole ka ʻai ʻana i ka meaʻai. Hiki nō hoʻi ke loaʻa i kekahi manawa ma ke ʻano he pilikia o kahi hoʻāʻo diagnostic (endoscopy). |
ʻO ka Food Impaction - ʻAʻole kēia he pāʻani!
E kamaʻilio hou kākou e pili ana i kēia, no ka mea, he mea weliweli loa ia. E noʻonoʻo ʻoe e ʻai ana i ka ʻaina ahiahi a ua paʻa koke kahi mea e like me kahi ʻāpana ʻiʻo i loko o kou puʻu, a ʻaʻole hiki iā ʻoe ke inu i kahi wai liʻiliʻi e hoʻopuka ai i waho. ʻAʻole hiki iā ʻoe ke ale, a loaʻa iā ʻoe ka ʻeha o ka umauma.
Inā hana ʻia kēia, mai hoʻāʻo e mālama ma ka home. He pilikia olakino kēia. Pono ʻoe e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
Ma ka ETU, hiki i nā kauka ke hoʻohana i kahi kaʻina hana i kapa ʻia ʻo "endoscopy", ʻo ia hoʻi ke hoʻokomo ʻana i kahi ʻōmole me kahi kāmela, e wehe i ka ʻāpana meaʻai i paʻa. Inā hana ʻia kēia ma hope o ka manawa, aia kahi manawa kūpono e hōʻino ʻia ai ka esophagus.
Nā hopena lōʻihi a me ke olakino noʻonoʻo
Inā makaʻu mau ʻoe i ka ʻai ʻana, a manaʻo ʻoe e ʻūlū ʻia ʻoe ke ʻai ʻoe, pehea lā ka hopena o ia mea i kou noʻonoʻo? ʻO ka EoE kahi maʻi e hoʻopilikia ʻole i kou olakino kino wale nō, akā, i kou olakino noʻonoʻo pū kekahi.
- Makaʻu i ka ʻai ʻana: Hiki i kēlā me kēia ʻai ke manaʻo he paʻakikī.
- Ke pale nei i nā hanana pilikanaka: ʻAʻole paha ʻoe makemake e hele i waho e ʻai me nā hoaaloha a hele paha i kahi pāʻina.
- Kaumaha a me ka hopohopo: ʻO ka noʻonoʻo mau ʻana i ka maʻi a me ka makaʻu i ka meaʻai ʻaʻole ia he mea maikaʻi no kou olakino noʻonoʻo.
Inā ʻoe e ʻike nei i kēia mau manaʻo, mai hilahila e kamaʻilio me kāu kauka. He mea maʻamau kēia mau manaʻo. A, me ka mālama kūpono, e nalo aku kēia mau manaʻo.
No laila, he aha kā mākou e hana ai e pale aku i kēia mau pilikia?
ʻO ka pane maikaʻi loa a me ka pane wale nō i kēia, ʻo ia ka hahai pono ʻana i ka hoʻolālā lapaʻau i hāʻawi ʻia e kāu kauka.
1. E hoʻohana pono i ka lāʻau lapaʻau: Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me nā mea hoʻoheheʻe steroid e hōʻemi i ka mumū i loko o kou mau alaloa. He mea nui e lawe i kēia mau mea e like me ke kauoha, ma ka nui kūpono a no ka lōʻihi kūpono. Mai ho'ōki i ka lawe ʻana i ka lāʻau lapaʻau a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe, ʻoiai inā e nalowale kāu mau hōʻailona.
2. ʻAi: ʻO ke kumu nui o ka EoE nā maʻi ʻaleka meaʻai. ʻO nā mea nui ka waiū, nā hua manu, ka soy, a me ka palaoa. E paipai kāu kauka i kahi ʻai kūpono iā ʻoe. Pono paha ʻoe e hana i ka hoʻāʻo ʻana i ka maʻi e ʻike pono ai i nā meaʻai āu e maʻi ai.
3. Ka nānā mau ʻana i ke kauka: E hoʻomau i ka launa pū ʻana me kāu kauka. Mai hōʻole i nā manawa i ka haukapila. Inā he loli i nā hōʻailona a inā he mau pilikia hou kāu, e hoʻomaopopo i kāu kauka.
E hoʻomanaʻo, ʻaʻole hiki iā ʻoe ke hoʻokele hoʻokahi iā EoE. He hui ia ma waena ou a me kāu kauka. Inā ʻoe e hana pū me ke kūpono, hiki iā ʻoe ke ola i kahi ola olakino a hauʻoli me ka ʻole o kekahi o kēia mau pilikia.
Leka Lawe-Home
- ʻO ka Eosinophilic Esophagitis (EoE) kahi maʻi maʻi lōʻihi e hoʻopilikia ana i ka esophagus, akā hiki ke hoʻomalu maikaʻi ʻia me ka mālama kūpono.
- Inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia koʻikoʻi e like me ka hāiki ʻana o ka esophagus, ka ʻeha, a me ka lāʻau make i ka meaʻai.
- Inā loaʻa iā ʻoe kahi poloka piha i ka wā e moni ai i ka meaʻai, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- ʻO ke ala maikaʻi loa e pale aku ai i nā pilikia, ʻo ia ka hahai pono ʻana i nā lāʻau lapaʻau a me nā ʻōlelo aʻoaʻo meaʻai i hāʻawi ʻia e kāu kauka.
- E kamaʻilio me kāu kauka e pili ana i ke kaumaha i hoʻokumu ʻia e kēia maʻi. ʻAʻole ʻoe hoʻokahi.
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