Ke manaʻo koke nei ʻoe ua paʻa ka meaʻai i loko o kou puʻu ke ʻai ʻoe? A i ʻole ke hakakā mau nei ʻoe me ka ʻeha puʻuwai a me ka ʻeha umauma? I kekahi manawa manaʻo mākou he mea maʻamau kēia mau mea, akā i kēia lā e kamaʻilio mākou e pili ana i ke kūlana olakino e waiho ana ma hope o kēia. He mea kēia i lohe ʻole ʻia e ka poʻe he nui, akā he mea nui loa ia e ʻike.
I ka ʻōlelo maʻalahi, he aha ka Eosinophilic Esophagitis (EoE)?
He ʻano lōʻihi kēia inoa a paʻakikī hoʻi ke haʻi ʻana, ʻeā? Akā, e wehewehe kākou a e hoʻomaopopo maʻalahi.
- ʻEsophagitis: ʻO ke ʻano kēia ua pehu a mumū ko kākou "paipu meaʻai" a i ʻole "gullet" `(esophagus)`. Hele ka meaʻai a kākou e ʻai ai mai ko kākou waha a i ko kākou ʻōpū ma o kēia paipu meaʻai. No laila he aha ka mea e hana ai ke pehu? Ua like ia me kahi paipu wai e paʻa ana i loko, a ʻaʻole hiki i ka meaʻai ke iho maʻalahi.
- ʻEosinophilic: Pili kēia i kahi ʻano o nā hunaola koko keʻokeʻo i loko o ko mākou kino. Ua kapa ʻia kēia mau mea he "Eosinophils." ʻO kēia mau hunaola he ʻāpana o kā mākou ʻōnaehana pale. Hana pinepine lākou e kūʻē i nā parasites a me nā allergies.
I kēia manawa, e hoʻohui kākou i kēia mau mea ʻelua. ʻO ka Eosinophilic Esophagitis (EoE) kahi kūlana kahi e hōʻiliʻili ai kēia mau cell i kapa ʻia ʻo "Eosinophils", i hoʻoulu ʻia e kahi allergy, i loko o nā paia o ko kākou esophagus, e hoʻoulu ai i ka esophagus e pehu a ololi. I ka ʻōlelo maʻalahi, he kūlana allergy kēia e hoʻopilikia ai i ka esophagus.
ʻAʻole ia he maʻi lele. ʻAʻole hoʻi he mea koʻikoʻi e like me ke kanesa. Eia nō naʻe, inā ʻaʻole mālama pono ʻia, hiki iā ia ke hoʻopilikia nui i ke ola.
Pehea maoli ke ʻano o ka noho ʻana me EoE? - E aʻo kākou mai ka moʻolelo a Ryan
He kanaka ʻōpio ʻo Ryan e noho pū ana me EoE. Ua ʻike ʻia ʻo ia me ke ʻano i kona wā ʻelua makahiki. Wahi a kona makuahine, "Ua maʻi loa ʻo ia mai ka lā i hānau ʻia ai. ʻAʻole ʻo ia i piʻi i ke kaumaha, ʻaʻole ʻo ia i ulu pono (ʻaʻole i ulu pono), ua luaʻi ʻo ia i ka wā i hānai ʻia ai, ua hōʻole ʻo ia e ʻai." ʻO kēia nā hōʻailona mua e hōʻike ʻia e kahi keiki liʻiliʻi ke loaʻa iā lākou ʻo EoE.
Akā ʻo ka mea maikaʻi loa, he kūlana hiki ke mālama ʻia. He kanaka holomua a hauʻoli ʻo Ryan i kēia manawa. Ua ʻōlelo ʻo ia: "Hiki i ka poʻe me EoE ke ola hauʻoli a olakino. He mea nui e hoʻomaopopo ʻaʻole ia ka hopena o ka honua. ʻAʻole ia he mea e hoʻopilikia ai i kou ola. Hiki iā ʻoe ke ola i ke ola āu e makemake ai. Hoʻoikaika wale ʻo EoE iā ʻoe e noʻonoʻo hou aʻe i kekahi mau mea."
Hāʻawi mai ka moʻolelo o Ryan iā kākou i ka manaʻolana nui a me ke koa, ʻeā?
He aha nā hōʻailona maʻamau o EoE?
Hiki ke ʻokoʻa iki nā hōʻailona o EoE ma muli o ka makahiki, akā eia kekahi mau hōʻailona maʻamau:
| Hōʻailona | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka paʻakikī i ka moni ʻana (Dysphagia) | Ke ʻano o ka ʻū ʻana, ka ʻeha, a i ʻole ke ale mālie ʻana i ka meaʻai. |
| Ka Hoʻopilikia ʻAi | Ua paʻa loa kahi meaʻai i loko o ka esophagus, ʻaʻole i lalo a i luna paha. He pilikia olakino kēia. |
| ʻĀʻī puʻuwai | ʻEha mau o ka umauma ʻaʻole i emi iho ʻoiai ke lawe nei i ka lāʻau lapaʻau no ka gastritis. |
| ʻEha umauma | Ka ʻeha a ka umauma paha, ʻoiai hoʻi i ka wā e ʻai ai. |
| Regurgitation | Ka meaʻai i ʻeli ʻole ʻia e hoʻi hou ana i luna i loko o ka puʻu. |
| Nā ʻano o nā keiki ʻōpio | Ka hōʻole ʻana e ʻai, ka luaʻi ʻana, ka nele o ke kaumaha, a me ka ulu maikaʻi ʻole. |
He aha kāu e hana ai inā paʻa ka meaʻai?
He mea nui loa kēia. Inā paʻa loa kahi meaʻai i loko o ka esophagus, ʻo ia hoʻi, ʻaʻole hiki iā ʻoe ke ale iki, he pilikia olakino ia. Pono ʻoe e hele koke i ka lumi pilikia haukapila kokoke loa (ETU). Mai ho'āʻo e wehe iā ia ma ka home.
Pehea e pili ai ʻo EoE i ka ʻai ʻana, ka inu ʻana a me ke ola kaiaulu
ʻO ka meaʻai kekahi o nā pilikia nui loa no kekahi me EoE, ʻoiai ke kumu o ke kūlana e kekahi mau meaʻai. ʻO nā meaʻai maʻamau e hoʻoulu ai i nā maʻi allergies:
- Waiū a me nā huahana waiū
- Palaoa
- Nā hua manu
- Soy
- Nā meaʻai kai
- Nā nati
E noʻonoʻo i ka paʻakikī o ka hele ʻana i kahi pāʻina, kahi male ʻana, a i ʻole kahi pāʻina ma waho me kahi hoaaloha inā ʻaʻole hiki iā ʻoe ke ʻai i kēia mau meaʻai. ʻAʻole hiki iā ʻoe ke ʻai i ka mea a nā poʻe ʻē aʻe e ʻai nei. Ke ʻai ʻoe mai ka hale kūʻai, ʻaʻole ʻoe i ʻike pono i ka mea i komo i ka hana ʻana i ka meaʻai. ʻO ia ke kumu e kaumaha ai ka poʻe he nui a hoʻāʻo e hoʻokaʻawale iā lākou iho mai ke kaiāulu.
Akā, ua lanakila ʻo Ryan i kēia pilikia ma ke ʻano kupaianaha. Ma muli o nā meaʻai hiki ʻole iā ia ke ʻai, ua aʻo ʻo ia e hana i nā meaʻai ʻono me nā mea hiki iā ia ke ʻai pū me kona makuahine. Ua lilo kēia i mea leʻaleʻa nona. A hiki i kēia lā, i kona noho hoʻokahi ʻana, makemake ʻo ia e hana i kāna meaʻai ponoʻī a hoʻāʻo i nā mea hou.
ʻO ka haʻawina hiki iā kākou ke aʻo mai kēia, ʻo ko kākou mau palena hiki ke lilo i ko kākou mau ikaika . Hāʻawi ʻo EoE iā ʻoe i kahi manawa kūpono nui e aʻo nui ai e pili ana i ka meaʻai, hoʻomaʻamaʻa i ka kuke ʻana, a hoʻohana i kahi ʻano ʻai olakino.
Pehea e ʻike ʻia ai a mālama ʻia ai ka EoE?
Inā loaʻa iā ʻoe nā hōʻailona a mākou i kūkākūkā ai ma mua, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i kāu kauka ʻohana. E kuhikuhi ʻo ia iā ʻoe i kahi gastroenterologist, he kauka loea i ka ʻōpū a me nā ʻōpū, inā pono.
ʻO ke ala wale nō e hōʻoia ai inā loaʻa iā ʻoe ka EoE, ʻo ia ka loaʻa ʻana o kahi endoscopy. Pili kēia i ka nānā ʻana i loko o kou esophagus me kahi kāmela ma kahi ʻōmole lahilahi. I ka manawa like , lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo (biopsy) mai ka paia o ka esophagus a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau eosinophils i loko.
ʻElua mau ʻano nui o ka mālama ʻana:
1. Ka Lapaʻau ʻAi: Ke ʻike ʻana i nā meaʻai āu e maʻi ai a hoʻopau loa iā lākou mai kāu papaʻai.
2. Lāʻau lapaʻau: Ke hoʻohana nei i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka e hōʻemi i ka pehu a me ka mumū i loko o ka esophagus.
Pono ʻoe e kamaʻilio me kāu kauka e hoʻoholo i kahi o kēia mau ʻano ʻelua e kūpono loa iā ʻoe, a pehea e hoʻohana ai i nā mea ʻelua.
Leka Lawe-Home
- ʻO ka Eosinophilic Esophagitis (EoE) kahi maʻi allergic hiki ke mālama ʻia e hoʻopilikia ai i ka esophagus.
- ʻO ka paʻakikī i ke ale ʻana, ka pipili ʻana o ka meaʻai i ka meaʻai, a me ka ʻeha o ka umauma nā hōʻailona nui .
- ʻOiai me kēia ʻano, inā ʻoe e hoʻolālā a noʻonoʻo maikaʻi, hiki iā ʻoe ke ola i kahi ola maʻamau a hauʻoli hoʻi.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai hoʻowahāwahā iā lākou a e ʻike pono i kāu kauka.
- Inā paʻa loa kahi ʻāpana meaʻai i loko o ka puʻu, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
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