Ke manaʻo nei ʻoe ua paʻa kahi puʻu meaʻai i loko o kou puʻu i ka wā e ʻai ai ʻoe? Ke manaʻo nei ʻoe ua paʻa kou umauma i ka wā e inu ai ʻoe i ka wai? ʻO ka poʻe wale nō i loaʻa iā ia ka ʻike i ka paʻakikī o ke ola ʻana me ia ʻano ʻeha. ʻOiai he nui ka poʻe e manaʻo nei he gastritis kēia, i kekahi manawa ʻo ke kumu o kēia maʻi ʻo Eosinophilic Esophagitis, a i ʻole ka mea a mākou e kapa nei he (EoE) no ka pōkole.
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I ka ʻōlelo maʻalahi, he aha ka Eosinophilic Esophagitis (EoE)?
ʻAe, e wehewehe maʻalahi kākou. Loaʻa i ka ʻōnaehana pale o kou kino kahi ʻano cell kūikawā i kapa ʻia he eosinophil. ʻO ka maʻamau, aia kēia mau cell e hakakā i nā mea e like me nā parasites e komo i loko o ko kākou kino. Akā i kekahi manawa, ʻoiai inā he allergy kou, hoʻomaka hewa kēia mau eosinophils e hōʻiliʻili i loko o kou esophagus - ka ʻōmole e lawe ana i ka meaʻai mai kou waha a i kou ʻōpū.
Ke hana ʻia kēia, pehu ka esophagus, ʻulaʻula, a ʻeha mai loko mai. Ua like ia me ka ʻulaʻula ma ka ʻili. Hoʻokumu pinepine ʻia kēia e kekahi mau meaʻai a mākou e ʻai ai. Hoʻopilikia kēia pehu i ka esophagus e wili, e paʻakikī ai ke ale i ka meaʻai, a paʻa ka meaʻai.
I kēia manawa ua hōʻoia kāu kauka ua loaʻa iā ʻoe kēia maʻi, ʻo ka mea mua āu e noʻonoʻo ai, "ʻAe, he aha ka lāʻau lapaʻau maikaʻi loa iaʻu i kēia manawa?" E kamaʻilio kākou e pili ana i kēlā i kēia manawa.
He aha nā lāʻau lapaʻau nui no ka EoE?
ʻAʻohe lāʻau lapaʻau maikaʻi loa no EoE. Ua like ia me kahi lole kūpono i kekahi kanaka ʻaʻole paha e kūpono i kekahi. E noʻonoʻo kāu kauka i nā kumu he nui, me kou kūlana, kou nohona, a me nā makemake, e hana i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe.
ʻEhā mau ʻano lapaʻau nui.
| ʻAno lapaʻau | He aha ka mea e hana ʻia ai? |
|---|---|
| Nā mea pale o ka pamu proton (PPI) | Hoʻomaopopo pinepine ʻia kēia mau mea no ka gastritis, akā hiki iā lākou ke hōʻemi i ka mumū i loko o ka esophagus. I ka manawa pinepine, hoʻomaka mua nā kauka me kēia lāʻau lapaʻau. |
| Nā Steroid Topical | He mau lāʻau lapaʻau kēia i loaʻa i loko o kahi inhaler kūikawā a i ʻole he lozenge. Ke moni ʻoe iā lākou, pili ka lāʻau lapaʻau i nā paia o kou mau ala ea a kāohi pololei i ka pehu i hoʻokumu ʻia e kēlā mau cell eosinophil. |
| Nā Hoʻololi ʻAi | E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui o ka EoE nā maʻi ʻaleka meaʻai. No laila, ʻo ke kī ma ʻaneʻi, ʻo ia ka ʻike ʻana i nā meaʻai āu e maʻi ai a hoʻopau loa iā lākou mai kāu papaʻai. |
| Hoʻonui ʻia ka Esophageal | Inā haiki loa ka esophagus ma muli o ka EoE lōʻihi a paʻa pinepine ka meaʻai, hoʻokomo ʻia kahi mea hana kūikawā e like me ka balloon i ka wā o ka endoscopy e hoʻonui iki i ka esophagus. Hāʻawi kēia i ka hōʻoluʻolu koke mai ka pilikia o ka moni ʻana. |
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Check Availability →Pehea e koho ai ke kauka i ka lāʻau lapaʻau kūpono iā ʻoe?
I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻO wai o kēia mau mea ʻehā e kūpono iaʻu?" E noʻonoʻo pono kāu kauka i kekahi mau mea ma mua o ka hoʻoholo ʻana.
1. Ka mōʻaukala o kāu mau maʻi ʻaleka ʻē aʻe
Ua loaʻa anei iā ʻoe ka hānō, ka eczema, a i ʻole nā maʻi ʻaleka i nā mea e like me ka lepo a me ka pollen mai kou wā kamaliʻi? Inā pēlā, aia kahi manawa kiʻekiʻe e loaʻa pū ana kou maʻi EoE i kahi maʻi ʻaleka meaʻai. I kēlā mau hihia, hiki i kāu kauka ke kau nui aku i nā hoʻololi ʻana i ka meaʻai ma mua o ka lāʻau lapaʻau. Hiki ke kuhikuhi ʻia ʻoe i kahi allergist, he loea i nā maʻi ʻaleka.
2. Ke koʻikoʻi o kou mau hōʻailona
E noʻonoʻo he pilikia iki ko kekahi i ka moni ʻana i ka meaʻai. Hoʻopaʻa mau ʻia ka meaʻai e kekahi kanaka a pono e inu i ka wai e iho ai. I kekahi manawa, paʻa loa ka meaʻai a pono lākou e hele i ka ʻOihana Pōpilikia (ETU).
Inā ʻaʻole koʻikoʻi loa kāu mau hōʻailona, hiki i kāu kauka ke hoʻomaka me kahi mea maʻalahi e like me ka PPI. Eia nō naʻe, inā ʻoe e ʻike pinepine nei i ka makemake i ka meaʻai a i ʻole ke manaʻo nei ua haiki loa kou esophagus, hiki i kāu kauka ke kuhikuhi i kahi hoʻolālā lapaʻau e komo pū ana me ka hoʻonui ʻana o ka esophageal.
3. Kou nohona a me kou mau makemake
He mea nui loa kēia. E kamaʻilio ke kauka me ʻoe a e nīnau iā ʻoe e pili ana i kēia mau mea.
- Hiki ke kāohi i kāu ʻai?E noʻonoʻo ʻoe he kanaka hana nui ʻoe e ʻai nui ana i waho. No ia kanaka, ʻo ka hoʻopau ʻana i nā meaʻai nui 6 (waiū, hua manu, soy, palaoa, iʻa/kai, nati) a me ka ʻai ʻana iā lākou (Elimination Diet) hiki ke paʻakikī loa. I ia hihia, ʻoi aku ka maʻalahi iā ʻoe ke hoʻohana i kahi pila āu e ale ai i hoʻokahi manawa i ka lā.
- Makemake ʻoe i ka lāʻau lapaʻau? ʻAʻole makemake kekahi poʻe i ka lawe ʻana i ka lāʻau lapaʻau i ka wā lōʻihi. Makemake lākou e ʻimi i ke kumu o ka maʻi a kāohi iā ia ma o ka ʻai ʻana. No ia kanaka, ʻo ka kaohi ʻana i ka ʻai paha ke koho maikaʻi loa.
ʻO ia hoʻi, he hoʻoholo kēia na ʻoe a me ke kauka e hana pū ai.
Hiki i ka papaʻai ke ho'ōla i ka EoE?
ʻO kēia ka pilikia nui loa no nā kānaka he nui. ʻOiai ʻo ke kumu o ka EoE ka ʻai, inā hiki iā ʻoe ke ʻike i ka meaʻai pololei e hoʻoulu ai a hoʻōki iā ia, hiki iā ʻoe ke ho'ōla loa i nā hōʻailona. Akā ʻo ka pilikia ka ʻike ʻana i ka meaʻai.
He mea paʻakikī ke loaʻa ka meaʻai e hoʻoulu ai i ka EoE me nā hoʻāʻo allergy maʻamau, e like me nā hoʻāʻo prick ʻili. No ka mea he ʻano ʻokoʻa iki ka EoE o ka hopena allergy, hoʻohana nā kauka i ʻelua mau ʻano kūikawā.
1. ʻAi Hoʻopau: Pili kēia i ka hoʻopau loa ʻana i kekahi mau meaʻai koʻikoʻi (ʻo ka maʻamau he 6) i ʻike ʻia ʻo ia ke kumu maʻamau o ka EoE no kekahi mau pule. A laila, hoʻolauna hou mākou iā lākou i hoʻokahi e ʻike inā e hoʻomaikaʻi nā hōʻailona. A laila hiki iā mākou ke ʻike i nā meaʻai e hoʻihoʻi mai ai nā hōʻailona.
2. ʻAi Elemental: He ʻoi aku ka paʻakikī o kēia. Maanei, hoʻōki ʻoe i ka ʻai ʻana i kāu meaʻai maʻamau a inu wale i kahi mea inu wai kūikawā (amino acid formula). Hāʻawi kēia i kou esophagus i kahi hoʻomaha piha a ho'ōla loa ka pehu. A laila, hoʻohui hou ʻoe i nā meaʻai i hoʻokahi.
Pono e hana ʻia kēia mau ʻano ʻelua ma lalo o ke aʻo a ke kauka a me ka meaʻai . ʻO ka hana wale ʻana hiki ke alakaʻi i nā hemahema meaʻai.
| ʻO nā meaʻai e hoʻoulu pinepine ai i ka EoE | |
|---|---|
| Waiū a me nā huahana waiū | Palaoa (berena, pasta, keke) |
| Nā hua manu | Soy |
| Nā nati (e like me ka cashews, peanuts) | Iʻa a me nā meaʻai kai |
| Pipi | Kulina |
ʻO ka mea hope loa, ʻaʻohe mea e hopohopo ai ʻo EoE. He kūlana hiki ke hoʻokele ʻia. ʻO ka mea nui loa, ʻo ke kamaʻilio ākea me kāu kauka a hana pū e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono loa i kou nohona, nā makemake, a me ke kūlana.
Leka Lawe-Home
- He maʻi allergies ka Eosinophilic Esophagitis (EoE) e hoʻopilikia ana i ka esophagus. Hiki iā ia ke paʻakikī i ka ale ʻana i ka meaʻai.
- ʻEhā mau lāʻau lapaʻau nui no kēia: ka lāʻau PPI, nā steroid waha, ka ʻai, a me ka hoʻonui ʻana i ka esophageal.
- E koho kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe, e noʻonoʻo ana i nā mea e like me kou mau hōʻailona, nā maʻi allergies ʻē aʻe, a me kou nohona.
- ʻOiai ʻo ka ʻai ke kumu nui o EoE, ʻo ka ʻike ʻana a me ka pale ʻana i nā meaʻai hōʻino he lāʻau lapaʻau maikaʻi loa ia.
- Ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau, e kamaʻilio pono me kāu kauka e pili ana i ia mea. He hana like ke kaʻina hana lapaʻau ma waena ou a me kāu kauka.
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