Ke manaʻo nei paha ʻoe ua paʻa ka meaʻai i loko o kou puʻu i kou wā e ʻai ana? A i ʻole ua pilikia paha ʻoe i ka ʻeha mau o ka umauma ʻaʻole i hoʻomaikaʻi ʻia, ʻaʻohe mea i ka nui o nā lāʻau lapaʻau heartburn āu e lawe ai? Manaʻo paha ʻoe he hihia maʻamau kēia o ka gastritis . Eia nō naʻe, inā ʻike ʻoe i kēia mau hōʻailona, he mea nui e hoʻokuke ʻole iā lākou. Hiki iā lākou ke lilo i mau hōʻailona o kahi maʻi i ʻole i kūkākūkā pinepine ʻia, akā koʻikoʻi i kapa ʻia ʻo Eosinophilic Esophagitis (EoE).
He aha ka Eosinophilic Esophagitis (EoE)?
He mea paʻakikī paha ke kani ʻana o ka inoa, akā e wehewehe maʻalahi kākou.
ʻO ke kumu, ʻo ka Eosinophilic Esophagitis (EoE) kahi maʻi allergies i hoʻoulu ʻia e kāu ʻōnaehana pale . Hoʻopilikia nui ia i ka esophagus—ka ʻōmole muscular e lawe ana i ka meaʻai mai kou waha a i kou ʻōpū.
I loko o kou koko, aia nā hunaola koko keʻokeʻo kikoʻī i kapa ʻia ʻo eosinophils . Hoʻonui pinepine kēia mau hunaola i ka wā e hakakā ana kou kino i kahi maʻi allergy a i ʻole kahi maʻi parasitic . I loko o EoE, neʻe ka nui o kēia mau eosinophils i loko o nā ʻiʻo o kou esophagus no nā kumu i maopopo ʻole ʻia. Hoʻoulu kēia hōʻiliʻili i ka mumū, ka ʻulaʻula, a me ka hōʻino ʻana i ka uhi esophageal. Hoʻopilikia kēia pehu i ka hana maʻamau o ka esophagus, e alakaʻi ana i ka paʻakikī o ka ale ʻana a i ʻole ka manaʻo o ka meaʻai e paʻa ana paha iā ʻoe.
ʻO ka mea nui loa, ʻaʻole he pilikia nalowale ka EoE; he maʻi mau loa ia a lōʻihi. Hiki iā ia ke hoʻopilikia i nā keiki a me nā pākeke, a ʻoi aku ka maʻamau o ka ʻike ʻia ʻana i nā kāne.
He aha nā hōʻailona nui o ka EoE?
Hiki ke ʻokoʻa nā hōʻailona o ka EoE, a no ka mea ua pili nui kekahi me ka reflux acid maʻamau, ua kuhi hewa pinepine ʻia. Eia nā hōʻailona maʻamau:
| Hōʻailona | Wehewehena |
|---|---|
| Dysphagia (Paʻakikī i ke ale ʻana) | ʻO ka manaʻo e neʻe pono ʻole ana ka meaʻai i lalo a i ʻole e paʻa ana. Manaʻo pinepine ia me he mea lā ua ʻūlū ka esophagus. |
| Ka Hoʻopilikia ʻAi | He pilikia olakino kēia. Inā paʻa loa kahi ʻāpana meaʻai i loko o kou puʻu, e pale ana iā ʻoe mai ke ale ʻana i ka kuha, e ʻimi koke i ke kōkua ma kāu keʻena pilikia kūloko. |
| ʻEha umauma a i ʻole ka ʻāʻī puʻuwai | Ua like ia me ka reflux acid maʻamau, akā ʻaʻole pane pinepine i nā lāʻau antacid maʻamau. |
| Ka luaʻi ʻana a me ka ʻeha o ka ʻōpū | ʻOi aku ka maʻamau i nā keiki, hele pinepine ʻia me ka makemake ʻole i ka ʻai a i ʻole ka ʻeha mau o ka ʻōpū. |
No ke aha e hana ai ʻo EoE?
Ma ke ʻano he maʻi i ʻike hou ʻia i ka ʻepekema lapaʻau, ke noiʻi ʻia nei ke kumu pololei. Eia nō naʻe, hōʻike nā loea i kēia mau kumu koʻikoʻi:
- Ka Pane ʻana o ka Palekana: ʻO ka manaʻo nui, ʻo ia ka pane nui ʻana o ka ʻōnaehana pale i kekahi mau mea hoʻonāukiuki. Hiki i kou kino ke kuhi hewa i nā protein meaʻai (e like me ka waiū, nā hua manu , ka soy, ka palaoa) a i ʻole nā mea hoʻonāukiuki i ke kaiapuni (e like me ka pollen, nā ʻuku lepo, ka ʻōpala) ma ke ʻano he hoʻoweliweli, e hoʻouna ana i nā eosinophils i ka esophagus e hakakā hou aku.
- ʻIke Hoʻoilina: Aia kahi ʻano ʻohana. Inā he moʻolelo ʻohana kou o nā maʻi allergies, hānō, a i ʻole eczema, ʻoi aku ka nui o ka hiki ke loaʻa iā ʻoe ka EoE.
He EoE a i ʻole GERD paha? No ke aha ka huikau?
ʻO kēia ke keakea nui loa no nā maʻi he nui. Hoʻohālikelike nā hōʻailona EoE i ka GERD (Gastroesophageal Reflux Disease) , ʻo ia ke kumu e hoʻolilo ai ka poʻe he nui i nā makahiki e lawe ana i ka lāʻau reflux me ka loaʻa ʻole o ka hōʻoluʻolu.
Eia nā ʻokoʻa nui:
| Hiʻona | ʻO ka Esophagitis Eosinophilic (EoE) | GERD (ʻAkika Reflux) |
|---|---|---|
| Kumu Kumu | Pane pale maʻi allergies | Ke piʻi nei ka waikawa o ka ʻōpū i loko o ka esophagus |
| ʻĀʻī puʻuwai | Maʻamau | ʻO ka hōʻailona mua |
| Pane i nā Antacids | ʻAʻohe pane pinepine | Hoʻokele maikaʻi ʻia me ka lāʻau lapaʻau |
| Ka Hoʻopilikia ʻAi | Mea maʻamau loa | Kākaʻikahi loa |
| Nā maʻi ʻaleka ʻē aʻe | Loulou ikaika (asthma, eczema) | ʻAʻohe loulou pololei |
Pehea e ʻike ai nā kauka iā EoE?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻoiai inā ʻaʻole i kōkua nā lāʻau lapaʻau reflux acid, he mea nui e nīnau i kāu kauka. E loiloi lākou i kou mōʻaukala a, no ka hiki ʻana i kahi hōʻoia paʻa, e paipai paha i kahi Endoscopy me Biopsy .
I ka wā o ka endoscopy, ua alakaʻi ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i lalo o kou puʻu e nānā i kou esophagus a me kou ʻōpū. Hoʻomaha pinepine ʻia ʻoe no kēia kaʻina hana, no laila ʻaʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha.
ʻOiai e hana ana i ka endoscopy, e lawe ke kauka i nā laʻana ʻiʻo liʻiliʻi (biopsies) no ka hoʻāʻo ʻana i ka hale hana. ʻO ka loaʻa ʻana o ka nui o nā eosinophils i loko o kēia mau laʻana ke kūlana gula no ka hōʻoia ʻana i kahi hōʻailona EoE.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona e like me ka paʻakikī mau i ka ale ʻana, ka paʻa ʻana o ka meaʻai i kou puʻu, a i ʻole ka ʻeha o ka umauma i pane ʻole i nā lāʻau lapaʻau maʻamau.
- He pane palekana ʻo EoE, ʻaʻole wale nā pilikia o ka ʻōpū o ka ʻōpū.
- ʻOiai ke kūlike o nā hōʻailona me GERD, ʻokoʻa loa nā hoʻolālā hoʻokele a me ka mālama ʻana.
- ʻO kahi hōʻoia pololei e pono ai kahi loiloi lapaʻau loea, me ka endoscopy a me ka biopsy paha.
- Mai mālama ponoʻī; e kamaʻilio ākea me kāu kauka e pili ana i kāu mau hōʻailona. ʻO ka hōʻoia pololei ka hana mua i ka hōʻoluʻolu kūpono.
ʻEosinophilic Esophagitis, EoE, GERD, dysphagia, ʻeha umauma, esophagus, allergies, heartburn, allergy, allergies , heartburn
