Ke pilikia nei ʻoe i ke ale ʻana i ka meaʻai? He Eosinophilic Esophagitis (EoE) paha kēia!

Ua manaʻo paha ʻoe i kahi puʻu i loko o kou puʻu a i ʻole ka ʻeha i loko o kou umauma i ka wā e ʻai ana? Malia paha ua kānalua loa kāu keiki liʻiliʻi e ʻai, a ʻōlelo ʻo ia he paʻakikī ke ʻai. Manaʻo pinepine mākou he pilikia kēia me ka gastritis a i ʻole ka luhi. Akā i kekahi manawa ʻo ke kumu ma hope o kēia he ʻano i lohe ʻole ʻia e mākou, akā pono mākou e hopohopo iki. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi o ia ʻano, ʻo Eosinophilic Esophagitis, a i ʻole EoE no ka pōkole.

I ka ʻōlelo maʻalahi, he aha ka Eosinophilic Esophagitis (EoE)?

ʻAe, e hoʻomaʻalahi kākou i kēia. Loaʻa iā mākou kahi ʻōmole, e like me ka ʻōmole, e lawe ana i ka meaʻai mai ko mākou waha a i ko mākou ʻōpū. Kāhea mākou i kēia ʻo ka esophagus. I ka maʻalahi, ʻo ia kā mākou "paipu meaʻai." He maʻi mumū kakaikahi ka EoE, pili i ka allergy e kū mai ana i loko o kēia ʻōmole meaʻai.

I kēia manawa, e nānā, he ʻano ʻokoʻa ko ko kākou kino i nā ʻano hunaola e pale aku iā kākou mai nā maʻi. Ua like ia me kahi pūʻali koa i loko o ko kākou kino. ʻO nā Eosinophils kekahi ʻano o nā hunaola koko keʻokeʻo. ʻO ka maʻamau, ke kaua nei kēia poʻe i nā maʻi allergies a me nā maʻi parasitic. Akā i loko o kekahi me EoE, aia kekahi mea hewa. ʻO kēia mau hunaola Eosinophil, me ke kumu ʻole, e hōʻiliʻili nui ana i loko o kēlā paipu meaʻai. Ua like ia me ko lākou pūʻali koa ponoʻī e hoʻouka ana i kahi ʻāpana o ko lākou ʻāina ponoʻī.

Ke hōʻiliʻili nā pūnaewele eosinophil ma kēia ʻano, e pehu ka ʻaoʻao o loko o ka esophagus, ʻulaʻula, a hoʻomaka e hōʻino ʻia. ʻO kēia ka mea a mākou e kapa nei he mumū . ʻO kēia ke kumu o ka paʻakikī o ka ale ʻana, ka paʻa ʻana o ka meaʻai, a me ka ʻeha o ka umauma.

He aha nā lāʻau lapaʻau a nā kauka e kuhikuhi ai e kāohi iā EoE?

ʻO ka mea mua, ʻaʻohe lāʻau lapaʻau no ka EoE. Akā, mai hopohopo! Aia nā lāʻau lapaʻau kūpono loa e kāohi i nā hōʻailona, ​​​​e hōʻemi i ka mumū i loko o ka esophagus, a pale i ka hōʻino hou aʻe.

I ka manawa pinepine, me kēia lāʻau lapaʻau, hiki i kāu kauka ke haʻi aku iā ʻoe e pale i kekahi mau meaʻai (e like me ka waiū, nā hua manu, a me ka soy) no kekahi manawa, no ka mea, hiki i kekahi mau meaʻai ke hoʻonui i ke kūlana. Ke hui pū ʻia ka lāʻau lapaʻau a me ka ʻai, maikaʻi loa nā hopena.

E nānā kākou i nā ʻano lāʻau lapaʻau nui i hāʻawi ʻia no EoE.

1. He mau kikoʻī hou aku e pili ana i nā mea pale o ka pump proton (PPIs)

Inā ua lawe ʻoe i ka lāʻau lapaʻau no ka gastritis, ua kamaʻāina paha ʻoe i ka inoa ʻo PPI. ʻO kā lākou hana nui ka kaohi ʻana i ka hana ʻana o ka waikawa gastric i loko o ka ʻōpū. No ka mea, he nui nā maʻi EoE i loaʻa i ka acid reflux (acid reflux), e hoʻāʻo mua nā kauka i kēia mau lāʻau lapaʻau. I kekahi manawa, hiki i ka hoʻemi ʻana i ka waikawa o ka ʻōpū ke hōʻemi i ka mumū i loko o ka esophagus.

Pehea e hana ʻia ai ka lāʻau lapaʻau?

ʻO ka maʻamau, e kuhikuhi kāu kauka i kahi PPI i hoʻokahi manawa i ka lā no kahi o 8 mau pule. Inā ʻaʻole e hoʻomaikaʻi kāu mau hōʻailona ma hope o hoʻokahi mahina, hiki i kāu kauka ke hoʻonui i ka nui i ʻelua manawa i ka lā.

Ma hope o ʻelua mahina, e nānā hou ke kauka i kāu mau hōʻailona. I kekahi manawa, hana paha lākou i kahi endoscopy luna .

• He aha ka Endoscopy Kiʻekiʻe?

ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela liʻiliʻi i hoʻopili ʻia ma kou waha a nānā i loko o kou esophagus (paipu meaʻai) a me ka ʻōpū. ʻAe kēia i kāu kauka e ʻike pololei i ke ʻano o ka pehu ʻana o kou esophagus a me ka nui o nā eosinophils āu. Hoʻohana ʻia kēia hoʻāʻo e hōʻoia i ka EoE ma ka lawe ʻana i kahi hāpana liʻiliʻi (biopsy) a nānā iā ia.

Inā ua hoʻomaikaʻi nui ʻia kāu mau hōʻailona, ​​e haʻi aku kāu kauka iā ʻoe e hoʻomau i ka hoʻohana ʻana i ka liʻiliʻi haʻahaʻa loa o PPI e kaohi ana i kāu mau hōʻailona.

2. Corticosteroids - he lāʻau lapaʻau ikaika e kāohi ai i ka mumū

Inā ʻaʻole holo pono nā PPI a inā koʻikoʻi ke kūlana, e huli hou nā kauka i kahi ʻano lāʻau i kapa ʻia ʻo corticosteroids. Hana pololei kēia mau mea e kāohi i ka mumū a me ka hōʻiliʻili ʻana o nā cell eosinophil i loko o ka esophagus. Pane maikaʻi loa ka hapa nui o nā maʻi i kēia lāʻau.

ʻO kēia mau steroids, ma kahi o ka hāʻawi ʻia ʻana he mau pila e hoʻopilikia i ke kino holoʻokoʻa, ua hāʻawi ʻia i kēia manawa ma nā ʻano hou e hoʻopilikia wale ana i ka esophagus. Eia kekahi laʻana:

• ʻO ka Steroid Hanu i Moni ʻia: ʻO kahi inhaler i hoʻohana ʻia no ka hānō e pili ana i ka pīpī ʻana i kahi lāʻau liʻiliʻi i loko o ka waha, e kāwili pū me ka lawai a moni iā ​​ia ma kahi o ka hanu ʻana i loko. ʻO ke ʻano kēia e hanu pololei ʻia ka lāʻau i loko o ka puʻu.
• Papa Hoʻoheheʻe Waha: Aia kekahi mau ʻano papa kūikawā i hoʻolālā ʻia e kau ʻia ma ke alelo, hoʻoheheʻe ʻia, kāwili ʻia me ka lawai, a moni ʻia.

Ma muli o kēia mau ʻano hana, haʻahaʻa loa ka omo ʻana o ka lāʻau lapaʻau i nā ʻāpana ʻē aʻe o ke kino. No laila, liʻiliʻi loa nā hopena ʻaoʻao.

Nā mea āu e pono ai e hoʻomanaʻo

Hiki ke paʻakikī ka noho ʻana me EoE i kekahi manawa, akā me ka hoʻokele kūpono, ʻaʻohe mea keakea i ke ola ʻana i kahi ola maʻamau.

• E kamaʻilio pinepine me kāu kauka: E kamaʻilio ākea me kāu kauka e pili ana i kāu mau nīnau, nā hopohopo e pili ana i nā lāʻau lapaʻau, a i ʻole nā ​​​​loli o nā hōʻailona.
• Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau: Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka, no ka mea, hiki i kēia ke hoʻi hou mai i kāu mau hōʻailona.
• He mea nui ke ahonui: Hiki ke lōʻihi ka manawa e ʻike ai i ka lāʻau lapaʻau kūpono a me ka nui kūpono nou, no laila e ahonui i kāu lāʻau lapaʻau.
• E makaʻala i kāu ʻai: Inā haʻi aku kāu kauka iā ʻoe e hoʻōki i ka ʻai ʻana i kekahi mau meaʻai, e hahai pololei i kēlā mau kuhikuhi. He ʻāpana koʻikoʻi loa ia o ka lāʻau lapaʻau.

ʻAʻole ʻo EoE kahi mea e makaʻu ai, akā he kūlana ia e pono e mālama ʻia ma lalo o ke aʻo ʻana a ke kauka. Me ka mālama kūpono a me nā hoʻololi ʻana i ke ʻano o ka nohona, hiki iā ʻoe ke kaohi pono i kēia kūlana a noho olakino.