Ke manaʻo nei ʻoe e paʻa ana kou puʻu a i ʻole pilikia ʻoe i ka moni ʻana i ka meaʻai ke ʻai ʻoe? I kekahi manawa hana ia i ka wā e ʻai wikiwiki ai mākou. Akā inā ʻike mau ʻoe i kēia ʻeha, ʻaʻole ia he mea maʻamau. Aia paha he kumu lapaʻau ma hope ona. I kēia lā ke kamaʻilio nei mākou e pili ana i ka Eosinophilic Esophagitis (EoE), kahi ʻano i ʻike ʻole ʻia e ka poʻe he nui, akā ʻo ia ke kumu o ia ʻeha.
He aha ka Eosinophilic Esophagitis (EoE)?
I ka ʻōlelo maʻalahi, ʻo ka Eosinophilic Esophagitis (EoE) kahi maʻi maʻi e kū mai ana i loko o ko mākou esophagus , ka ʻōmole e lawe ai i ka meaʻai mai ka waha a i ka ʻōpū.
E noʻonoʻo i ko kākou ʻōnaehana pale ma ke ʻano he pūʻali koa e pale aku ana i kahi ʻāina. ʻO kekahi ʻano koa kūikawā i loko o kēia pūʻali koa i kapa ʻia ʻo eosinophils . He ʻano koko keʻokeʻo kēia. ʻO kā lākou hana maʻamau ke kaua aku i nā mea ʻino, e like me nā parasites, e komo i loko o ke kino.
Akā, he mea ʻokoʻa ke ʻano o kekahi mea me EoE. Maanei, hele iki ko mākou ʻōnaehana pale maʻi, e kuhihewa ana i kekahi mau meaʻai (nā mea hoʻoulu meaʻai) a i ʻole nā mea i loko o ke kaiapuni (allergens) no ka ʻenemi. Ma muli o kēia hōʻailona kuhihewa, hele mai ka nui o kēlā mau koa eosinophil a ʻākoakoa i loko o ka esophagus. Hele mai lākou i laila a hoʻomaka i kahi hakakā. Ma muli o kēia hakakā, pehu nā paia o ka esophagus a lilo i mumū .
He aha ka mea e hana ʻia ke puka mai kēia pehu? Hoʻololi ka esophagus mai loko mai. E like me ka wā e paʻa ai ka lepo i loko o ka paipu wai, hoʻololi ia. ʻO ia ka manawa e paʻakikī ai iā mākou ke ale i ka meaʻai, a manaʻo ʻia ua paʻa ka meaʻai.
He aha nā hōʻailona nui o kēia maʻi?
Hiki ke ʻokoʻa iki nā hōʻailona o EoE me ka makahiki, akā ʻo kēia nā hōʻailona maʻamau.
| Hōʻailona | Wehewehena |
|---|---|
| Ka paʻakikī i ka moni ʻana (Dysphagia) | ʻO kēia ka hōʻailona nui. He manaʻo paʻakikī i ka ale ʻana i ka meaʻai i ka wā e ʻai ana. Pono e ale mālie. |
| Ke ʻū ʻana i loko o ka paipu meaʻai | Manaʻo e like me kahi puʻu meaʻai e paʻa ana i ka puʻu, ʻaʻole e iho i lalo a ʻaʻole hoʻi e piʻi. I kekahi manawa he pilikia kēia a pono paha ʻoe e hele i ka lumi pilikia. |
| ʻEha umauma a i ʻole ka mumū | Hiki paha iā ʻoe ke loaʻa ka ʻeha puʻuwai a i ʻole ka ʻeha ma ka umauma, e like me ka gastritis. ʻAʻole mālama pinepine ʻia kēia me nā lāʻau lapaʻau gastritis. |
| Ka luaʻi ʻana a i ʻole ka ʻeha o ka ʻōpū | He mea maʻamau kēia mau hōʻailona i waena o nā keiki ʻōpio a me nā ʻōpio. |
ʻO ka mea nui, inā ʻaʻole mālama pono ʻia kēia ʻano, hiki i ka pehu ʻana o ka esophagus ke hoʻonui i ka hala ʻana o ka manawa a hana i nā ʻeha. Hiki i kēia ke hoʻohaiki hou aku i ka esophagus a hoʻonui i nā hōʻailona.
Pehea e mālama ʻia ai kēia me ka lāʻau lapaʻau ʻo Eohilia?
He lāʻau wai ʻo Eohilia i hoʻolauna ʻia e mālama i ka EoE. Loaʻa iā ia kahi lāʻau i kapa ʻia ʻo budesonide . He ʻano corticosteroid ʻo Budesonide. Hana ia ma ka hōʻemi ʻana i ka mumū, a i ʻole ka pehu ʻana, i loko o ke kino.
Ke inu ʻoe iā Eohilia, hele pololei ka wai i nā paia o ka esophagus a komo i loko. Ua like ia me ke kau ʻana i ka lāʻau lapaʻau i kahi ʻeha. Ke komo ʻia, hoʻemi pololei ka lāʻau i ka helu o kēlā mau eosinophils hoʻonāukiuki i loko o ka esophagus. Hoʻomalu pū ia i ka hana makemake ʻole o ka ʻōnaehana pale a hoʻemi i ka mumū.
I ka emi ʻana o ka pehu ʻana, e wehe mālie hou ana ka esophagus, e hōʻemi ana i ka paʻakikī o ka moni ʻana. Pale pū kēia lāʻau lapaʻau i ka hōʻino hou ʻana i ka esophagus.
Pehea e hoʻohana ai iā Eohilia?
He lāʻau lapaʻau wai ʻo Eohilia. Manaʻo pinepine ʻia e hoʻohana ʻia i ʻelua manawa i ka lā (kakahiaka a me ke ahiahi) no ka manawa o 12 pule. Loaʻa ia i loko o nā ʻeke liʻiliʻi (nā ʻeke lāʻau) i loaʻa kahi mahele hoʻokahi.
Pehea e hoʻohana ai:
1. E hoʻomākaukau: E lawe i ka ʻeke lāʻau lapaʻau a lūlū maikaʻi no ka liʻiliʻi he 10 kekona . E hui maikaʻi kēia i ka wai i loko a e puka maʻalahi i waho.
2. E lawe i ka lāʻau lapaʻau: E wehe i ka ʻeke a ninini i ka nui o ka wai i loko o kou waha. A laila e ale loa.
3. Holoi i kou waha: 30 mau minuke ma hope o ke ale ʻana i ka lāʻau lapaʻau, holoi pono i kou waha me ka wai a kuha i waho. ʻO kēia ke pale aku i nā hopena ʻaoʻao e like me ka thrush waha.
He mea nui loa: Mai ʻai a inu paha i kekahi mea no 30 mau minuke ma hope o ka lawe ʻana iā Eohilia. ʻO kēia ka manawa e komo ai ka lāʻau i loko o ke ala ʻai a hana pono.
Eia kekahi, e pale i ka inu ʻana i ka wai huaʻai i ka wā e lawe ana i kēia lāʻau lapaʻau, no ka mea hiki ke hoʻopilikia i ka pono o ka lāʻau lapaʻau. Mai ho'ōki koke i ka lawe ʻana i kēia lāʻau lapaʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
He aha ka ʻōlelo a ka noiʻi e pili ana i kēia lāʻau lapaʻau?
Ua mālama ʻia ʻelua mau hoʻokolohua lapaʻau e noiʻi i ka pono o Eohilia. Ua pili kēia i nā poʻe he 11 makahiki a ʻoi aku me EoE. Ua māhele ʻia kēia poʻe i ʻelua mau pūʻulu, ua hāʻawi ʻia kekahi hui iā Eohilia a ua hāʻawi ʻia kekahi hui i kahi placebo no 12 mau pule.
Ua hōʻike maopopo nā hopena o ke aʻo ʻana ʻaʻole i paʻakikī nui ka ale ʻana o ka poʻe i lawe iā Eohilia ma mua o ka poʻe i lawe i ka placebo. Ua hōʻoia ʻia hoʻi ua emi ka nui o nā eosinophils i loko o ka esophagus o ka poʻe i lawe iā Eohilia ma kahi pakeneka kiʻekiʻe loa . Hōʻike kēia e kāohi pololei ana kēia lāʻau i ka mumū e hoʻoulu ai i ka maʻi.
ʻEhia ka lōʻihi e ʻike ai i nā hopena o ka lāʻau lapaʻau?
He mau pule paha e ʻike ai i nā hopena piha o Eohilia. No laila, mai hopohopo inā ʻaʻole ʻoe e ʻike koke i ka ʻokoʻa nui. E hoʻomanawanui a hoʻomau i ka hoʻohana ʻana i ka lāʻau lapaʻau e like me ke kuhikuhi ʻana. Inā he kānalua kāu e pili ana i ka hana ʻana o ka lāʻau lapaʻau a i ʻole, e kamaʻilio me kāu kauka e pili ana.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, hiki i kekahi mau lāʻau lapaʻau ke launa pū me Eohilia. No laila ke ʻike ʻoe i kāu kauka, e haʻi iā ia e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei. ʻO ia hoʻi nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, nā lāʻau lapaʻau lāʻau, a me nā mea hoʻohui lāʻau.
ʻAʻole pono e lawe pū ʻia kekahi mau lāʻau lapaʻau, ʻoiai nā mea e ālai ana i ka enzyme CYP3A4 i loko o ko kākou kino. Na kāu kauka e aʻo aku iā ʻoe ma kēia.
Pehea ʻoe e ʻike ai inā e hana ana ka lāʻau lapaʻau?
ʻO ke ala maikaʻi loa e ʻike ai i kēia, ʻo ia ke nānā i kāu mau hōʻailona. Ma mua o kou hoʻomaka ʻana e lawe i ka lāʻau lapaʻau, e mālama i kahi moʻolelo o ka nui o ka paʻakikī iā ʻoe ke ale i ka meaʻai a me nā meaʻai i paʻa. Ma hope o kekahi mau pule o ka lawe ʻana i ka lāʻau lapaʻau, e ʻike inā ua emi ka ʻeha. Ma kēia ala, ʻo ka nānā ʻana i kāu mau hōʻailona e kōkua iā ʻoe a me kāu kauka e ʻike inā e hana ana ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻO ka Eosinophilic Esophagitis (EoE) kahi maʻi allergic e hoʻopilikia ai i ka esophagus. I kēia kūlana, lilo ka esophagus i mumū ma muli o ka hana hewa ʻana o ka ʻōnaehana pale.
- ʻO ka paʻakikī i ke ale ʻana, ka paʻa ʻana o ka meaʻai, a me ka ʻeha o ka umauma nā hōʻailona nui.
- He lāʻau corticosteroid wai ʻo Eohilia i hoʻohana ʻia e mālama i kēia ʻano. Hoʻēmi ia i ka pehu ʻana i loko o ka larynx.
- I ka wā e hoʻohana ai i ka lāʻau lapaʻau, he mea nui loa ia e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no 30 mau minuke ma hope o ka lawe ʻana a holoi i kou waha ma hope.
- Inā hoʻomau ʻoe i ka pilikia o ka moni ʻana, mai hoʻowahāwahā iā ia a e ʻimi i ke kōkua mai ke kauka i ka wā hikiwawe loa.
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