He paʻakikī anei ke ale i ka meaʻai? Hiki paha iā ia ke ʻano o ka Eosinophilic Esophagitis (EoE)?

Ke ʻai ʻoe, paʻakikī anei iā ʻoe ke ale i ka meaʻai, a i ʻole ke manaʻo nei ʻoe ua paʻa i loko o kou puʻu? A i ʻole he ʻeha a wela paha kou umauma? Manaʻo ka poʻe he gastritis kēia, akā i kekahi manawa ʻo ke kumu o kēia he ʻano ʻokoʻa, pili i ka allergy. Ma muli o kēia ʻano, manaʻo kekahi poʻe ʻaʻole lākou makemake e ʻai. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano like, akā ʻaʻole nui ka poʻe i lohe iā ia, i kapa ʻia ʻo Eosinophilic Esophagitis.

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

ʻOiai paha he mea paʻakikī iki kēia inoa, he maʻalahi loa ka moʻolelo. E wehewehe kākou i kēia inoa.

• ʻO ka esophagus ka ʻōmole e lawe ana i ka meaʻai mai ko mākou waha a i ko mākou ʻōpū. Kāhea mākou i kēia ma Sinhala he gullet.
• He ʻano koko keʻokeʻo nā eosinophils i loko o ko kākou kino. Hoʻonui pinepine lākou i loko o ko kākou kino ke loaʻa iā kākou kahi maʻi allergies.
• ʻO ka huaʻōlelo hope -itis ʻo ia hoʻi "ka mumū" a i ʻole "ka pehu ʻana."

I ka ʻōlelo maʻalahi, ʻo ka Eosinophilic Esophagitis (EoE) kahi hopena maʻi e hoʻoulu ai i nā hunaola koko keʻokeʻo i kapa ʻia ʻo eosinophils e hōʻiliʻili i loko o ko kākou esophagus, e hoʻoulu ai i ka esophagus e pehu. E noʻonoʻo e like me ka eczema, kahi e lilo ai ka ʻili i ʻulaʻula, pehu, a me ka maneʻo, akā hana like ka mea i loko o ka esophagus.

Inā hoʻomau kēia pehu ʻana, e hana ʻia nā ʻiʻo ʻeha i loko o ka esophagus, e hoʻohaiki ana i ke ala no ka meaʻai. ʻO kēia ka manawa e hoʻomaka ai ʻoe e paʻakikī i ka ale ʻana a me ka manaʻo ua paʻa kāu meaʻai. ʻAʻole paha e hele maʻalahi ka meaʻai āu e ʻai ai mai kou waha a i kou ʻōpū, a hiki ke paʻa. He maʻi mau kēia. ʻO ke ʻano kēia, ʻaʻole ia e hoʻomaikaʻi i ka pō hoʻokahi, a pono ʻoe e lawe i ka lāʻau no ke koena o kou ola. Akā, mai hopohopo, aia nā lāʻau lapaʻau maikaʻi e hiki ke kōkua i ka kaohi ʻana.

He aha nā hōʻailona o ka EoE? Ke loli nei lākou me ka makahiki?

ʻAe, hiki ke ʻokoʻa nā hōʻailona o kēia maʻi ma muli o ka makahiki i loaʻa ai. ʻAʻole ia nā hōʻailona e loaʻa i kahi pēpē liʻiliʻi, akā i kahi pākeke. E nānā kākou i kēia i mea e maopopo ai kēia.

Ma waho aʻe o kēia mau hōʻailona nui, aia kekahi mau hōʻailona ʻē aʻe e hiki ke kū i kēlā me kēia makahiki:

• ʻEha ʻōpū: ʻEha ma ka ʻōpū.
• Ka luaʻi a me ka luaʻi ʻana: Ka luaʻi a me ka luaʻi ʻana ma hope o ka ʻai ʻana.
• Regurgitation: ʻO ke komo ʻana o ka meaʻai i loko o ka puʻu a i ʻole ka waha.
• Ka Hopena ʻAi: He pilikia olakino kēia. Hoʻopaʻa ʻia kahi ʻāpana meaʻai e ʻai ʻia ana i loko o kahi ʻāpana haiki o ka esophagus, ʻaʻole e neʻe i lalo i ka puʻu a ʻaʻole hoʻi e piʻi hou mai. I ia mau hihia, aia kahi pilikia o ka haki ʻana o ka esophagus, no laila he mea nui e hele koke i ka lumi pilikia o ka haukapila (ETU).

No ke aha lā kēia iā kākou? He aha ke kumu?

I ka ʻōlelo maʻalahi, ʻo ke kumu nui o kēia, ʻo ia ka pane nui ʻana o ko kākou ʻōnaehana pale i kekahi mau mea hoʻonāukiuki. I ka pololei, i ka wā e komo ai kekahi mau mea i loko o ka meaʻai a kākou e ʻai ai, a i ʻole nā ​​mea i ke kaiapuni e like me ka lepo, i loko o ko kākou mau ala ea, manaʻo ko kākou kino he ʻenemi nui kēia.

A laila, hoʻouna ka ʻōnaehana pale i kahi nui o nā pūnaewele, me nā eosinophils, i loko o ka esophagus e hoʻouka i ka 'ʻenemi.' Hōʻiliʻili kēia mau pūnaewele a hoʻoulu i ka mumū, a i ʻole ka pehu ʻana, i loko o ka esophagus.

ʻO nā meaʻai nui e hiki ai ke hoʻoulu i ka EoE

ʻO ka hapa nui o ka manawa, ʻo kēia mau maʻi allergies ke kumu o nā meaʻai a mākou e ʻai ai. I waena o lākou, aia kekahi mau mea kānalua nui.

ʻAʻole loaʻa i ka hapa nui o ka poʻe kēia mau pilikia āpau. Malia paha hoʻokahi a ʻelua paha o kēia mau mea ke kumu o kou pilikia. E ʻike kākou pehea e ʻike ai i ka wā e kamaʻilio ai kākou e pili ana i ka lāʻau lapaʻau.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka EoE?

ʻOiai hiki i kekahi ke loaʻa i kēia maʻi, ʻoi aku ka maʻalahi o kekahi poʻe. ʻOi aku ka nui o ka pilikia o ka poʻe me nā maʻi allergies ʻē aʻe i ka loaʻa ʻana o ka EoE.

• Asthma
• ʻO ka rhinitis allergic - ka ihu kahe pinepine, ka ʻūhā ʻana
• Nā maʻi ʻili (Eczema, Atopic dermatitis)
• Nā maʻi ʻaleka meaʻai ʻē aʻe

ʻO ka loaʻa ʻana o kēia mau kūlana, ʻo ia hoʻi, ʻoi aku ka maʻalahi o kāu ʻōnaehana pale i nā allergens. Eia kekahi, inā loaʻa kekahi o kou ʻohana (nā mākua, nā kaikaina) i ka EoE, he wahi liʻiliʻi kou pilikia o ka loaʻa ʻana iā ia.

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe kēia maʻi?

Inā loaʻa iā ʻoe nā hōʻailona a mākou i kūkākūkā ai ma mua, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike ʻana i kahi kauka kūpono. E nīnau mua ke kauka iā ʻoe i kekahi mau nīnau a nānā i kāu mōʻaukala olakino.

Nā mea āu e nīnau ai i kāu kauka:

• Ke ʻano o kāu ʻai ʻana: Ke nau pono nei ʻoe i kāu meaʻai i maʻalahi ai ke ale ʻia? Ke pale nei ʻoe i kekahi mau meaʻai, e like me ka berena a me ka ʻiʻo? Ke inu nei ʻoe i ka wai he nui e kōkua iā ʻoe e ale i kāu meaʻai? Hiki i kēia mau mea ke hāʻawi i kāu kauka i kahi manaʻo no ke ʻano o kou hoʻomanawanui ʻana i kāu mau hōʻailona me ka ʻike ʻole.
• Kou mau pilikia olakino ʻē aʻe: E nīnau inā he hānō kou, he maʻi ʻaleka lepo, a he mau pilikia ʻili paha.
• Kou mōʻaukala olakino ʻohana: E nīnau inā loaʻa i kekahi o kou ʻohana nā pilikia like me ka ale ʻana a i ʻole EoE.

Ma muli o kēia ʻike, inā kānalua kāu kauka iā EoE, e kuhikuhi ʻo ia iā ʻoe i kahi gastroenterologist, nāna e hana i ʻelua mau hoʻāʻo nui e hōʻoia i ka hōʻailona.

1. Endoscopy a i ʻole EGD:ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela ma ka hopena ma kou waha e nānā i kou esophagus, ʻōpū, a me ka hapa mua o kou ʻōpū liʻiliʻi. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau ʻeha ʻole i kēia kaʻina hana. Hiki i ke kauka ke ʻike i nā mea e like me ka pehu ʻana, nā kiko keʻokeʻo, a me ka hāiki ʻana i loko o kou esophagus ma o ke kāmela.

2. Biopsy: I ka wā o ka endoscopy, lawe ke kauka i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka uhi o ka esophagus. Ua kapa ʻia kēia he biopsy. A laila nānā ʻia ka ʻiʻo ma lalo o kahi microscope e ʻike inā he nui loa nā eosinophils. He mea nui kēia biopsy e hōʻoia i ka EoE.

He aha nā lāʻau lapaʻau no EoE?

ʻO ka pahuhopu nui o ka mālama ʻana iā EoE ka kaohi ʻana i ka mumū ma ka esophagus. ʻElua mau ala nui e hana ai i kēia: nā lāʻau lapaʻau a me nā hoʻololi ʻana i ka meaʻai. E hoʻoholo pū ʻoe a me kāu kauka i ke ʻano hana kūpono loa iā ʻoe.

Lapaʻau me ka lāʻau lapaʻau

Kōkua kēia mau lāʻau lapaʻau i ka hoʻēmi ʻana i ka pehu ʻana i loko o ka puʻu.

• Nā mea pale o ka pamu proton (PPI): He ʻano lāʻau lapaʻau kēia i kuhikuhi pinepine ʻia no ka gastritis. Hiki iā lākou ke kōkua i ka hōʻemi ʻana i ka pehu ʻana i loko o ka esophagus i kekahi mau maʻi EoE.
• Corticosteroids: He mau lāʻau lapaʻau ikaika kēia e hōʻemi i ka mumū. Hāʻawi pinepine ʻia lākou ma ke ʻano he hopena topical (e like me ka pīpī a i ʻole ka papa). Hana pololei kēia mau lāʻau lapaʻau i ka puʻu, no laila he emi ko lākou mau hopena ʻaoʻao.
• Nā mea olaola: No kekahi poʻe, ke holo pono ʻole nā ​​lāʻau ʻē aʻe, hāʻawi ʻia nā lāʻau lapaʻau kikoʻī, e like me ka dupilumab (Dupixent®), ma ke ʻano he inikini. Hoʻopili kēia mau mea a kāohi i ka ʻāpana kikoʻī o ka ʻōnaehana pale e hoʻoulu ai i ka hopena allergies.

Ke hoʻololi nei i ka papaʻai (Hoʻopau ʻana i nā hui meaʻai)

He lāʻau lapaʻau kūpono loa kēia. Pili ia i ka hoʻopau loa ʻana i nā hui meaʻai nui 6 a mākou i kūkākūkā ai ma mua e hiki ai ke hoʻoulu i nā maʻi allergies (waiū, hua manu, palaoa, soy, nati, meaʻai kai) mai kāu papaʻai.

1. ʻO ka mea mua, e hoʻōki i ka ʻai ʻana i kēia mau pūʻulu meaʻai a pau no kekahi manawa.

2. Ma hope o kēlā, e hana hou ke kauka i kahi endoscopy a me ka biopsy e ʻike ai inā ua emi ka pehu ʻana ma ka esophagus.

3. Inā ua emi ka pehu ʻana, ʻo ia hoʻi, hoʻokahi a ʻoi aku paha o kēia mau meaʻai ke kumu o kou pilikia.

4. A laila, e hoʻohui i nā hui meaʻai i hoʻopau ʻia i kāu papaʻai, pākahi, ma luna o kekahi mau pule.

5. Ma hope o ka hoʻohui ʻana i kēlā me kēia hui meaʻai, hana hou ʻia kahi biopsy e ʻike ai inā ua hoʻi mai ka pehu.

ʻOiai paha he mea hoʻopau manawa a paʻakikī kēia ʻano hana, ʻo ia ke ala maikaʻi loa e ʻike pono ai i nā meaʻai āu e maʻi ai. Ke ʻike ʻoe i kēlā, hiki iā ʻoe ke pale aku i kēlā mau meaʻai a ʻai i nā mea ʻē aʻe ma ke ʻano maʻamau.

He pilikia anei ka noho ʻana me EoE?

ʻAʻole ka maʻi EoE he maʻi e hoʻoweliweli ana i ke ola, akā no ka mea he maʻi mau loa ia, pono ia i ka mālama ʻana i ke ola holoʻokoʻa a i ʻole ka mālama ʻana i ka meaʻai.

No nā kānaka he nui, aneane nalowale loa nā hōʻailona ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Eia nō naʻe, hiki i kekahi poʻe, ʻoiai ka poʻe i loaʻa kahi ʻike maikaʻi ʻole me ka impaction meaʻai, ke hoʻomohala i ka makaʻu i ka moni ʻana (phagophobia) . Hiki iā lākou ke makaʻu a hopohopo e pili ana i ka ʻai ʻana i nā nahu nui o ka meaʻai, e like me ka berena.

Aia kekahi mau mea e hiki ke kōkua iā ʻoe i ka manawa e like me kēia:

• E launa pū me nā poʻe ʻē aʻe: ʻO ke kamaʻilio ʻana me nā poʻe ʻē aʻe i ʻike e pili ana i kēia maʻi a loaʻa iā ia he mea kōkua nui ia. E kōkua ia iā ʻoe e manaʻo ʻaʻole ʻoe hoʻokahi. Hiki iā ʻoe ke nīnau i kāu kauka e pili ana i nā hui kākoʻo.
• E kiʻi i ke kōkua mai kahi meaʻai meaʻai: Hiki i kahi meaʻai meaʻai ke kōkua iā ʻoe e hana i kahi pāʻina ʻono me nā meaʻai kūpono iā ʻoe a ʻaʻohe mea ʻino.
• E kiʻi i ke kākoʻo olakino noʻonoʻo: Inā pili nā mea e like me ka makaʻu i ka moni ʻana i kou ola, he mea nui e kamaʻilio me kahi loea olakino noʻonoʻo e pili ana i ia mea.

Inā ʻike ʻoe i ka hoʻi hou ʻana o nā hōʻailona ma hope o ka lāʻau lapaʻau, a inā paha he pilikia hou kāu i ka moni ʻana, e ʻike koke i kāu kauka.