Ke manaʻo koke nei ʻoe ua paʻa kou puʻu i ka wā e ʻai ai ʻoe? A i ʻole he ʻano wela kou i loko o kou umauma ʻaʻole e nalo me ka nui o ka lāʻau āu e lawe ai? Manaʻo paha ʻoe he pilikia gastritis maʻamau kēia. Akā inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻowahāwahā wale iā ia. No ka mea, he hōʻailona paha kēia o kekahi maʻi olakino ʻē aʻe a mākou i lohe ʻole ai, akā pono e hopohopo iki. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi o ia ʻano maʻi, ʻo Eosinophilic Esophagitis (EoE).
He aha ka Eosinophilic Esophagitis (EoE)?
ʻAe, he mea paʻakikī paha kēia inoa, akā e hoʻomaʻalahi kākou.
I ka ʻōlelo maʻalahi, ʻo ka Eosinophilic Esophagitis (EoE) kahi maʻi allergies i hoʻokumu ʻia e kahi hopena o ka ʻōnaehana pale. Hoʻopilikia nui ia i ka esophagus , ka ʻōmole ʻiʻo e lawe ana i ka meaʻai mai ka waha a i ka ʻōpū.
I kēia manawa, e nānā, ʻo nā eosinophils kahi ʻano o nā hunaola koko keʻokeʻo i loko o ko kākou koko. Hoʻonui pinepine kēia mau hunaola i loko o ko kākou kino ke loaʻa iā kākou kahi maʻi allergy a i ʻole kahi maʻi parasitic. I loko o EoE, nui ka nui o kēia mau hunaola eosinophil, no kekahi kumu, e hōʻiliʻili i loko o nā ʻiʻo o ko kākou esophagus. Ke hōʻiliʻili lākou, lilo ka ʻaoʻao o loko o ka esophagus i pehu, ʻulaʻula, a hoʻomaka e hōʻino ʻia. ʻO kēia pehu ke kumu e pau ai ka hana pono ʻana o ka esophagus. ʻO ia ke kumu e paʻakikī ai iā kākou ke ale i ka meaʻai, a paʻa ka meaʻai.
ʻO ka mea nui, ʻaʻole ʻo EoE kahi mea e hele mai a hele aku. He maʻi mau loa ia a lōʻihi. Hiki ke ʻike ʻia i nā keiki a me nā pākeke, ʻoi aku hoʻi i nā kāne.
He aha nā hōʻailona nui o ka EoE?
Hiki i ke kanaka me EoE ke ʻike i nā ʻano hōʻailona like ʻole. Ua like loa kekahi o nā hōʻailona me nā hōʻailona o ka gastritis maʻamau, ʻo ia ke kumu e huikau ai ka poʻe. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka paʻakikī i ka moni ʻana (Dysphagia) | Manaʻo e like me ka paʻa ʻana o ka meaʻai i loko o ka puʻu ma kahi o ka iho ʻana i lalo i ka wā e ʻai ana. Manaʻo ia ua haiki ka esophagus. |
| Ka Hoʻopilikia ʻAi | He pilikia olakino kēia. Ua paʻa loa kahi ʻāpana meaʻai i loko o ka esophagus, a ʻaʻole hiki ke ale i kahi kulu o ka lawai. Inā hana ʻia kēia, pono ʻoe e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. |
| ʻEha umauma a i ʻole ka mumū | E like me ka gastritis, aia kahi ʻā a ʻeha paha ma waenakonu o ka umauma. Akā ʻo ka mea kūikawā, ʻaʻole e emi kēia ʻeha ma hope o ka lawe ʻana i nā lāʻau lapaʻau e like me nā antacids, i hāʻawi ʻia no ka gastritis. |
| Ka luaʻi a me ka ʻeha o ka ʻōpū | He mea maʻamau kēia hōʻailona i waena o nā kamaliʻi ʻōpio. Hiki iā ia ke hoʻemi i ka makemake e ʻai, ʻeha ka ʻōpū, a me ka luaʻi ʻana. |
No ke aha i loaʻa ai ka EoE? He aha nā kumu?
No ka mea, he maʻi lapaʻau hou ʻo EoE, ʻaʻole i ʻike maopopo ʻia kona mau kumu. Eia nō naʻe, aia kekahi mau kumu koʻikoʻi a nā kānaka noiʻi e manaʻoʻiʻo nei:
- Ka pane ʻana o ka ʻōnaehana pale: ʻO ka manaʻo i ʻae ʻia i kēia manawa, ʻo ia ka pane nui ʻana o kā mākou ʻōnaehana pale i kekahi mau mea (ʻoi aku hoʻi nā meaʻai). ʻO ke kikoʻī, kuhi hewa ko mākou kino i kekahi mau meaʻai (e like me ka waiū, nā hua manu , ka soy, ka palaoa) a i ʻole nā mea i ke kaiapuni (e like me ka pollen, nā ʻuku lepo, ka ʻōpala) he "ʻenemi" a hoʻouna i nā eosinophils i loko o ke koko e hakakā iā lākou.
- ʻIke Hoʻoilina: Loaʻa kēia maʻi i nā ʻohana. ʻO ke ʻano kēia, inā loaʻa i kekahi o kou ʻohana ka EoE, ka hānō, a i ʻole nā maʻi ʻaleka, e like me ka eczema, ʻoi aku ka haʻahaʻa o kou pilikia o ka loaʻa ʻana o ka EoE.
EoE? A i ʻole GERD? No ke aha e huikau ai i nā mea ʻelua?
ʻO kēia ka pilikia nui loa no nā kānaka he nui. Ua like loa nā hōʻailona o ka EoE me ka mea a kākou e ʻike nei he GERD (Gastroesophageal Reflux Disease) , kahi kūlana e piʻi ai ka waikawa o ka ʻōpū i loko o ka puʻu. Ma muli o kēia, hiki i nā kānaka he nui me EoE ke hoʻomau i ka mālama ʻana iā GERD no nā makahiki me ka ʻole o ka hoʻomaikaʻi ʻana.
E nānā kākou i nā ʻokoʻa nui ma waena o nā mea ʻelua.
| Wahi hoʻohālikelike | ʻO ka Esophagitis Eosinophilic (EoE) | GERD (ʻŌpū Reflux) |
|---|---|---|
| Ke kumu kumu | He pane alerika o ka ʻōnaehana pale maʻi. | Ke piʻi nei ka waikawa o ka ʻōpū i ka esophagus. |
| ʻO ka mumū o ka umauma | Hiki ke ʻike pinepine ʻia. | He hiʻohiʻona nui. |
| Pane i nā antacids | ʻAʻohe pinepine ka pane a i ʻole he kakaikahi loa ka pane. | Hoʻomalu maikaʻi ʻia ia ma ke ʻano maʻamau . |
| Ka lāʻau make meaʻai | He mea maʻamau loa ia a hiki ke koʻikoʻi. | Haʻahaʻa iki. |
| Nā maʻi ʻaleka ʻē aʻe | Aia kahi pilina maopopo me nā kūlana e like me ka hānō, eczema, a me ka hay fever. | ʻAʻohe pilina pololei maʻamau. |
Pehea lā e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe nā hōʻailona aʻu i ʻōlelo ai ma luna, ʻoiai inā ʻaʻole ʻoe i hōʻoluʻolu ʻia e ka lawe ʻana i ka lāʻau no ka gastritis, pono ʻoe e ʻike i kāu kauka a haʻi iā ia e pili ana i ia mea. Ma hope o ka hoʻolohe pono ʻana i kāu mau hōʻailona, e paipai ʻo ia i kahi hoʻāʻo e hōʻoia inā he EoE kēia.
ʻO nā hoʻokolohua nui i hana ʻia no kēia, ʻo ia ka endoscopy a me ka biopsy .
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 a me ka ʻōpū. Mai hopohopo, hāʻawi pinepine ʻia ʻoe i kahi anesthesia no kēia, no laila ʻaʻole ʻoe e ʻike i kekahi ʻoluʻolu ʻole.
I ka wā o ka endoscopy, e lawe ke kauka i kahi hāpana liʻiliʻi o ka ʻiʻo (biopsy) mai ka esophagus a hoʻouna aku i ka lab. ʻO ke ala wale nō e maopopo ai he 100% kou loaʻa ʻana o ka EoE, ʻo ia ke nānā i nā helu kiʻekiʻe loa o nā eosinophils i loko o ka ʻiʻo.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona e like me ka paʻakikī i ka ale ʻana, ka paʻa ʻana o ka meaʻai i ka puʻu, a i ʻole ka ʻeha o ka umauma i pane ʻole i ka lāʻau lapaʻau.
- ʻAʻole i hana ʻia ka EoE e ka waikawa o ka ʻōpū, he pane maʻi ia o ka ʻōnaehana pale.
- Hiki ke like kāu mau hōʻailona me GERD, akā ʻokoʻa loa ke kumu a me ka lāʻau.
- I mea e ʻike pono ai i ke ʻano o ka maʻi, he mea nui e ʻike i ke kauka a, inā pono, e hana i kahi endoscopy a me ka biopsy.
- Ma mua o ka lāʻau ponoʻī, e kamaʻilio ākea me kāu kauka e pili ana i kāu mau hōʻailona. ʻO ka hōʻoia pololei ka hana mua i ka mālama pono ʻana.
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