ʻO kēia anei ke kumu o kou ʻeha a me ka mumū o ka ʻōpū? E aʻo kākou e pili ana i ka Eosinophilic Gastritis!

Loaʻa pinepine iā ʻoe nā pilikia ʻōpū, ka pehu ʻana, a me ka nalowale o ka makemake? I kekahi manawa, ma hope o kēia mau hōʻailona, ​​aia paha kahi maʻi i lohe ʻole ʻia e mākou, akā pono mākou e hopohopo iki. ʻO kekahi o ia mau maʻi ʻo Eosinophilic Gastritis . I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka gastritis eosinophilic (EG)?

I ka ʻōlelo maʻalahi, ʻo ka gastritis eosinophilic (EG) kahi maʻi kakaikahi e hoʻopilikia ai i kou ʻōpū . ʻO nā Eosinophils, kahi ʻano o ke koko keʻokeʻo i loko o ko mākou kino, e hōʻiliʻili i loko o nā paia o ka ʻōpū a hoʻoulu i ka mumū , ʻo ia hoʻi ka pehu a me ka hōʻino. E noʻonoʻo, lilo ko mākou paia ʻōpū i ʻulaʻula a pehu.

Hiki iā ia ke hoʻopilikia i kekahi o kēlā me kēia makahiki, a he maʻi mau loa ia, ʻo ia hoʻi he lōʻihi kona mau. Akā, mai hopohopo, hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i kēia mau hōʻailona. Hiki paha i kēia ke pili i nā mea e like me nā hoʻokolohua maʻamau a me nā hoʻololi ʻana i ka meaʻai.

He aha kēia mau eosinophils?

I kēia manawa, e nānā kākou i ke ʻano o kēia mau eosinophils. He ʻano koko keʻokeʻo kēia i loko o ko kākou kino. Ua like lākou me nā koa liʻiliʻi i loko o kā kākou ʻōnaehana pale . ʻO kā lākou hana nui ke kaua aku i nā maʻi a me nā parasites e komo i loko o ko kākou kino.

Hoʻopuka pinepine ʻia kēia mau mea i loko o ko kākou iwi iwi , akā i nā nui liʻiliʻi. ʻO kēia mau eosinophils ma waena o 1% a me 5% o ka huina o nā hunaola koko keʻokeʻo i loko o ke kanaka olakino.

Eia nō naʻe, ma muli o kahi maʻi allergy , ka maʻi, kekahi mau lāʻau lapaʻau, a i ʻole ke kanesa, hiki i kēia mau eosinophils ke piʻi koke i ka nui. ʻO kēia ka mea a mākou e kapa nei he eosinophilia . Hoʻokuʻu kēia mau cell i nā kemika e like me nā enzymes a me nā protein e luku i nā cell maikaʻi ʻole. No laila, ke piʻi ka nui o kēia mau eosinophils i loko o ke kino, hoʻomaka lākou e hoʻouka i kā mākou mau ʻiʻo ponoʻī. A laila , hiki ke loaʻa ka mumū o nā ʻiʻo ʻōpū (gastritis) a i ʻole ka mumū o nā ʻōpū ʻē aʻe.

ʻO wai ka mea i hoʻopilikia nui ʻia e ka eosinophilic gastritis (EG)?

ʻO kēia maʻi, i kapa ʻia ʻo eosinophilic gastritis (EG), hiki ke hoʻopilikia i nā kānaka o kēlā me kēia makahiki. ʻO ia hoʻi, hiki ke hoʻopilikia i nā pēpē a me nā poʻe ʻelemakule. Eia nō naʻe, ʻike pinepine nā kauka iā ia i nā pākeke ma waena o 30 a me 50 mau makahiki. Eia kekahi, ma ke ʻano helu helu, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine.

Inā he moʻolelo kou o nā maʻi allergies , a inā loaʻa i kekahi o kou ʻohana kekahi, ʻoi aku paha kou pilikia o ka loaʻa ʻana o ka EG. He nui ka poʻe e loaʻa ana i ka EG he mau maʻi allergies e like me:

• Asthma
• ʻAʻole hiki ke hoʻomanawanui i ka meaʻai a i ʻole nā ​​​​​​meaʻai ʻē aʻe (e like me ka waiū, nā hua manu, ka palaoa huita)
• ʻO ka maʻi hay / allergic rhinitis (kahi ʻano i hōʻike ʻia e ka ʻū pinepine ʻana a me ka ihu wai)
• Ihu wai pinepine (rhinitis)
• nā ʻili ʻili, nā kūlana e like me ka eczema

He aha nā ʻano maʻi ʻōpū eosinophilic (EGID)?

ʻO ka Eosinophilic gastritis (EG) kekahi ʻano o kahi hui nui o nā maʻi i kapa ʻia ʻo Eosinophilic Gastrointestinal Disease (EGID) . Hiki i kēia mau kūlana EGID ke hoʻopilikia i nā ʻāpana like ʻole o kāu ʻōnaehana hoʻoheheʻe . ʻO ia hoʻi, hiki i kēia mau cell eosinophil ke hōʻiliʻili a hoʻoulu i ka mumū ma nā wahi āpau mai ka esophagus a i ka colon.

I kekahi manawa, i ka wā he nui loa nā eosinophils, hiki ke ʻoi aku ma mua o hoʻokahi o kēia mau maʻi i ka manawa like. ʻEono ʻano nui o EGID:

• ʻO ka Eosinophilic Colitis (EC): Hoʻopilikia kēia i kou ʻōpū nui (colon) .
• ʻO ka Duodenitis Eosinophilic: Hoʻopilikia kēia i ka ʻāpana mua o kou ʻōpū liʻiliʻi .
• ʻEosinophilic Enteritis (EoN): Hoʻopilikia kēia i kou ʻōpū liʻiliʻi .
• ʻEosinophilic Esophagitis (EoE): ʻO kēia ke ʻano maʻamau o EGID. Hoʻopilikia ia i kou esophagus .
• ʻEosinophilic Gastritis (EG): ʻO kēia ke ʻano a mākou e kamaʻilio nei, kahi e hoʻopilikia ai i ka ʻōpū.
• ʻEosinophilic Gastroenteritis (EGE): Hoʻopilikia nui kēia i ka ʻōpū a me ka ʻōpū liʻiliʻi.

Aia kekahi mau ʻano maʻi eosinophilic ʻē aʻe e hiki ke hoʻopilikia i ka ʻōnaehana hoʻoheheʻe, akā ʻaʻole lākou i maʻamau:

• ʻO ka Hypereosinophilic Syndrome: Hiki i kēia ke hoʻopili i ke koko a me kekahi ʻōkana.
• ʻO ka Eosinophilic Granulomatosis me ka Polyangiitis (EGPA): Hiki i kēia ke hoʻopilikia i nā ʻōpū he nui, me ka puʻuwai .

Pehea ka maʻamau o ka gastritis eosinophilic?

ʻO kaʻoiaʻiʻo, manaʻo nā kauka he maʻi laha ʻole ka gastritis eosinophilic. ʻO ia hoʻi, ʻaʻole ia he maʻi e hoʻopilikia i nā kānaka a pau. Eia nō naʻe, ʻo kona mau hōʻailona - e like me ka ʻeha o ka ʻōpū a me ka nausea - ua like loa ia me nā maʻi maʻamau ʻē aʻe. No laila, i kekahi manawa ʻoi aku ka nui o ka poina ʻia (ʻaʻole i ʻike pono ʻia) .

He aha ke kumu o ka gastritis eosinophilic?

Hoʻomohala ʻia ka gastritis EosinophilicʻAʻole ʻike mau nā kauka i ke kumu pololei. ʻO ia hoʻi, he paʻakikī ke ʻōlelo "ʻo kēia ke kumu." Akā, i ka hapanui o nā hihia, ua manaʻo ʻia ua kū mai ke ʻano ma muli o ka pane nui ʻana o kā mākou ʻōnaehana pale i kekahi mau meaʻai (nā mea hoʻonāukiuki i ka meaʻai) . Ua like ia me ka ʻōnaehana pale o ko mākou kino e hoʻouka hewa ana i kona ʻōpū ponoʻī.

He aha nā hōʻailona o ka gastritis eosinophilic?

ʻO nā hōʻailona o ka gastritis eosinophilic he ʻano maʻalahi a kaulike. ʻO ke ʻano kēia, ʻaʻole paha e ʻike nui kekahi poʻe i ka ʻeha, aʻo kekahi poʻe e ʻike iki aʻe. ʻO nā hōʻailona maʻamau:

• ʻEha ʻōpū a i ʻole ascites (manaʻo e like me ka pehu ʻana o ka ʻōpū)
• Ka luaʻi ʻana (diarrhea )
• Paʻakikī i ka ʻai ʻana ( nalowale ka makemake ) a i ʻole ka paʻakikī i ka moni ʻana (dysphagia)
• Manaʻo luhi i nā manawa a pau (Fatigue)
• ʻO ka ʻāʻī (kahi manaʻo wela e like me ke puka mai ana mai ka umauma)
• ʻO ka anemia , ʻo ia hoʻi ka emi ʻana o nā hunaola koko ʻulaʻula olakino (hiki i kēia ke hana i ka luhi a me ka maeʻele)
• Ka luaʻi a me ka luaʻi
• ʻO ka emi ʻana o ke kaumaha a i ʻole ka ulu ʻole ʻana o nā keiki liʻiliʻi

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​mai manaʻo he EG ia. Hiki i kēia ke lilo i mau hōʻailona o nā maʻi ʻōpū ʻē aʻe. No laila, he mea nui e ʻike i ke kauka e ʻike pono i ka mea i pilikia.

Pehea e ʻike ʻia ai ka eosinophilic gastritis (EG)?

E like me kā mākou i ʻōlelo ai ma mua, hiki i ka gastritis eosinophilic ke lōʻihi ka manawa e ʻike ai no ka mea he maʻamau loa kona mau hōʻailona. Ua hele paha ʻoe i nā kauka he nui a ua lawe i nā lāʻau lapaʻau he nui.

ʻIke pinepine ʻia kēia e:

1. Nā hoʻāʻo koko: Hana ʻia kahi helu koko piha (CBC) e nānā i nā pae kiʻekiʻe o nā eosinophils ma mua o ka maʻamau.

2. Endoscopy: Ma kēia hoʻāʻo, hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi i hoʻopili ʻia ma o ka waha a nānā ʻia ka esophagus, ka ʻōpū, a me ka hapa mua o ka ʻōpū liʻiliʻi. Hiki ke nānā ʻia nā paia o ka ʻōpū no ka pehu ʻana, ka ʻulaʻula, a me nā ʻeha liʻiliʻi.

3. Biopsy: I ka wā o ka endoscopy, lawe ʻia nā ʻāpana liʻiliʻi o ka ʻiʻo (biopsies) mai ka paia o ka ʻōpū. A laila e nānā ʻia kēia mau ʻāpana ʻiʻo ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua e ʻike i ka nui o nā eosinophils i loaʻa. Inā he nui aku nā eosinophils ma mua o ka maʻamau, hiki ke lilo i EG.

I kekahi manawa, inā ʻaʻole kēia mau eosinophil keu i loko o ka papa o luna o ka paia o ka ʻōpū, akā i loko o nā papa hohonu, he mea paʻakikī paha ke ʻike iā lākou me kahi biopsy maʻamau. I kēlā hihia, hiki ke lōʻihi ka manawa e ʻike ai i ka maʻi.

No ka hōʻoia ʻana i ka EG, e hana kāu kauka i kēia mau mea:

• E hāʻawi ʻia ʻoe i kahi hoʻokolohua kino .
• E nīnau lākou e pili ana i kou mōʻaukala olakino (nā maʻi ma mua, nā maʻi ʻohana, nā lāʻau lapaʻau āu e lawe ai, a pēlā aku).
• E kauoha ʻia nā hoʻāʻo koko, e kōkua ai i ka nānā ʻana i nā mea ʻē aʻe a kāpae i nā maʻi ʻē aʻe.

Nā hoʻokolohua ʻē aʻe e kōkua i ka ʻike ʻana iā EG

ʻO nā hoʻokolohua ʻē aʻe e kauoha ai kāu kauka:

• Hoʻāʻo ʻana i ka maʻi ʻaleka: Hiki i kēia ke kōkua i ka ʻike ʻana i nā allergens i nā meaʻai e hoʻonui ai i kāu eosinophils. No ka laʻana, hiki iā ia ke kōkua i ka hoʻoholo ʻana inā he maʻi ʻaleka ʻoe i kekahi mau meaʻai. ʻO ka ʻike ʻana i kēia mau allergens hiki ke kōkua i ke alakaʻi ʻana i kāu hōʻailona a me ka mālama ʻana.

Aia kekahi lāʻau lapaʻau piha no ka gastritis eosinophilic (EG)?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻO ka ʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau piha no ka gastritis eosinophilic i kēia manawa. ʻO ia hoʻi, ʻaʻole hiki ke ho'ōla mau ʻia me hoʻokahi pila wale nō.

Akā , mai hopohopo! Hiki i nā lāʻau lapaʻau a me nā hoʻololi ʻana i ka meaʻai ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona. Inā ʻoe e hahai pono i kāu mau ʻōlelo aʻoaʻo lapaʻau, hiki iā ʻoe ke ola i kahi ola olakino a ikaika.

He mea hoʻoweliweli anei ke gastritis eosinophilic (EG) i ke ola?

ʻAʻole maʻamau ka maʻi gastritis eosinophilic he maʻi hoʻoweliweli i ke ola e pono ai ka mālama ʻana i ka lāʻau lapaʻau koke. Eia nō naʻe, hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale i nā pilikia koʻikoʻi e like me ka ʻai ʻole . He mea nui loa kēia no nā pēpē a me nā keiki ʻōpio, no ka mea, he mea nui ka meaʻai no ko lākou ulu ʻana.

Pehea e mālama ʻia ai ka gastritis eosinophilic (EG)?

Hoʻōla nui nā kauka i ka gastritis eosinophilic me nā hoʻololi ʻana i ka meaʻai a me nā lāʻau lapaʻau. ʻO ka pahuhopu o kēia mau lāʻau lapaʻau ke mālama i ke kumu kumu (pinepine he allergy) a kāohi i nā hōʻailona. ʻO ka lāʻau lapaʻau no ka EG āu e loaʻa ai e hilinaʻi ia i kāu mau hōʻailona a me ke koʻikoʻi o kou kūlana.

Hiki i kāu kauka ke ʻōlelo aku i nā hoʻololi ʻana i ka meaʻai e pale aku ai i nā allergens meaʻai e hoʻoulu ai i nā hōʻailona gastritis eosinophilic. Hiki i kēia mau mea ke komo pū me:

• ʻAi hoʻopau: Ma kēia, hoʻopau loa ʻoe i kekahi mau meaʻai āu e manaʻo nei he mea ia e hoʻoulu ai i nā maʻi ʻaleka (e laʻa, waiū, soy, hua manu, palaoa, pīnati, meaʻai kai) mai kāu ʻai no kekahi manawa. A laila, hoʻolauna hou ʻoe iā lākou i hoʻokahi e ʻike i nā meaʻai e hoʻoulu ai i ka pilikia.
• ʻAi kumu:He ʻano hana ʻokoʻa iki kēia. Ma kahi o ka meaʻai maʻamau, hoʻohana ʻia kahi wai kūikawā e loaʻa ana nā meaola koʻikoʻi e like me nā waikawa amino e hāʻawi i ka meaʻai. He haʻahaʻa loa kēia ʻano hana i ka pilikia o nā maʻi allergies.

Inā loaʻa i kāu pēpē nā hōʻailona o EG, pono paha ʻoe e hoʻololi i ke ʻano o ka waiū umauma āu e hāʻawi ai iā ia (e laʻa, ka waiū umauma hypoallergenic ). I kekahi mau hihia, pono paha i nā keiki a me nā pākeke ke lawe i nā mea hoʻohui hao inā loaʻa iā lākou ka anemia.

Hiki iā ʻoe ke loaʻa nā lāʻau lapaʻau e like me kēia:

• ʻO nā Corticosteroids (e.g., prednisone, budesonide): Hāʻawi ʻia kēia mau mea e hōʻemi i ka mumū i loko o ka ʻōpū. Hāʻawi pinepine ʻia lākou no kahi manawa pōkole.
• Nā Immunosuppressants (e.g. azathioprine): Hoʻohana ʻia kēia mau mea e hōʻemi i nā hopena nui o ka ʻōnaehana pale. Hāʻawi ʻia lākou i ka poʻe i pane ʻole maikaʻi i nā corticosteroids wale nō, a i ʻole ʻaʻole hiki ke hoʻomau i ka lawe ʻana i nā corticosteroids.

Hiki ke hoʻemi ʻia ka pilikia o ka hoʻomohala ʻana i ka gastritis eosinophilic (EG)?

Inā hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o ka gastritis eosinophilic, pili ia i ke kūlana kumu. E like me kā mākou e ʻike nei, ʻo nā maʻi allergies ke kumu maʻamau o nā pae eosinophil kiʻekiʻe.

ʻO nā hoʻololi ʻana i ka meaʻai a, inā pono, hiki i nā lāʻau lapaʻau ke kōkua i ka pale ʻana a i ʻole ka kaohi ʻana i nā hopena alerine o kāu ʻōnaehana pale. Ma ke ʻano laulā, hiki i ka meaʻai olakino a me ke ʻano o ka nohona ke hōʻemi i kou pilikia holoʻokoʻa o ka maʻi. Inā he mau alerine kou a inā he EG kekahi o kou ʻohana, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i ia mea.

He aha ka manaʻo no ka gastritis eosinophilic (EG)?

No ka hapa nui o nā kānaka, maikaʻi ka manaʻo no ka gastritis eosinophilic. ʻO ia hoʻi, hiki iā ʻoe ke noho me ia me ka maikaʻi. Eia nō naʻe, he mea nui e hoʻomanaʻo no ka mea he maʻi mau loa ia, hiki i nā maʻi ke loaʻa i nā ʻōhū , a i ʻole nā ​​wā o ka maʻi ʻoluʻolu.

E hana pū kāu kauka me ʻoe i kou ola a pau e kōkua iā ʻoe e hoʻokele i ka gastritis eosinophilic a hōʻoluʻolu i kāu mau hōʻailona. Pono ʻoe e loaʻa nā endoscopies a me nā biopsies maʻamau e nānā i kou kūlana. E ʻae kēia nānā ʻana i kāu kauka e hoʻoponopono i kāu lāʻau lapaʻau, inā pono, e pale i nā pilikia no ʻoe a i ʻole kāu keiki.

ʻO ka mea nui loa, ʻo ia ke hahai pono i nā ʻōlelo a kāu kauka a hele i kāu mau manawa i ka manawa kūpono. E hōʻoia kēia e loaʻa iā ʻoe ka mālama kūpono i ka manawa kūpono.

Ke hoʻopilikia nei anei ka eosinophilic gastritis (EG) i koʻu ʻano ola?

ʻO ka nui o ka hopena o ka EG i kou ola e pili ana i ke koʻikoʻi o kāu mau hōʻailona, ​​​​nā kūlana ʻē aʻe, a me ka holomua o ka lāʻau. I ka hapanui o nā hihia, ʻo ka loaʻa ʻana o ka gastritis eosinophilic ʻo ia hoʻi pono ʻoe e hoʻoponopono i kāu papaʻai e pale aku i nā mea hoʻonāukiuki meaʻai, a pono paha ʻoe e lawe i ka lāʻau lapaʻau.

No nā kānaka he nui, hiki ke paʻakikī ke hoʻololi i kā lākou ʻai ʻana i ke kino a me ka noʻonoʻo. E noʻonoʻo ʻaʻole hiki iā ʻoe ke ʻai i kekahi o kāu mau meaʻai punahele. Hiki ke paʻakikī ke koho i ka meaʻai kūpono ke hele ʻoe me nā hoaaloha. Hiki ke paʻakikī ka hoʻolālā ʻana a puni nā meaʻai a me nā hanana pilikanaka i ka wā mua.

Eia nō naʻe, ma ka hahai ʻana i nā ʻōlelo kuhikuhi lapaʻau a me ka loaʻa ʻana o ke kōkua i ka wā e pono ai (no ka laʻana, mai kahi meaʻai loea), hiki iā ʻoe ke noho olakino a hana ikaika.

I ka manawa hea ʻoe e ʻimi ai i ke aʻo lapaʻau no ka eosinophilic gastritis (EG)?

Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha mau o ka ʻōpū, ka nausea, ka nalowale o ka makemake, a inā paha e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​​​e noʻonoʻo i ka gastritis eosinophilic a e ʻimi i ke aʻo lapaʻau. E kamaʻilio ākea me kāu kauka e pili ana i kāu mau hōʻailona a pehea lākou e pane ai i nā loli ʻai a i ʻole nā ​​​​lāʻau lapaʻau. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi gastroenterologist .

Nā mea e pono ai kākou e hoʻomanaʻo mai kēia (Leka Lawe-Home)

ʻAe, e hoʻomanaʻo kākou i kēia ma ke ʻano he hōʻuluʻulu manaʻo o kā mākou i kamaʻilio ai i kēia lā e pili ana i ka gastritis eosinophilic (EG):

• He maʻi laha ʻole ka EG a he maʻi mau loa e hoʻopilikia ana i kou ʻōpū.
• ʻO ke kumu nui o kēia, ʻo ia ka hōʻiliʻili ʻana o kahi ʻano keʻokeʻo koko i kapa ʻia ʻo eosinophils i loko o ka ʻōpū a hoʻoulu i ka mumū.
• Hoʻopili pinepine ʻia me nā maʻi allergies .
• Ma muli o nā hōʻailona (ʻeha ʻōpū, nausea, diarrhea, nalowale o ka makemake e ʻai) me nā maʻi maʻamau ʻē aʻe, hiki ke lōʻihi ka manawa e hōʻoia ai i ka hōʻailona.
• ʻO ka endoscopy a me ka biopsy nā ʻano hana nui o ka maʻi.
• ʻOiai ʻaʻohe lāʻau lapaʻau piha, hiki ke hoʻomaha nui ʻia nā hōʻailona me ka lāʻau lapaʻau a i ʻole nā ​​​​loli meaʻai (ʻoi aku ka hoʻopau ʻana i nā allergens).
• E hana pū kāu kauka me ʻoe e kōkua iā ʻoe e loaʻa ka mea nui loa mai kāu lāʻau lapaʻau a hoʻomaikaʻi i kou ola.

No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​mai makaʻu e kamaʻilio me ke kauka e pili ana iā lākou. ʻO ka ʻike pono ʻana i ka mea hewa a me ka loaʻa ʻana o ka lāʻau kūpono ka mea maikaʻi loa hiki iā ʻoe ke hana no kou olakino.

ʻO ka Gastritis Eosinophilic, ʻO ka Gastritis Eosinophilic, Gastritis, ʻEha ʻōpū, Nā maʻi ʻaleka, Endoscopy, ʻAi, Eosinophils