I chaw ei laiin i chaw ei kha i rilruah a tang a, ei harsa i ti fo thin em? A nih loh leh i rilru natna emaw, pum na emaw i nei mai mai em ni? Mi tam tak chuan hei hi thil pangngai niin an ngai a, gastritis pawh a ni mai thei, mahse hei hi thil danglam tak leh ngaihtuahawm tak a ni thei. Vawiin hian chutiang dinhmun chu kan sawi a ni. Eosinophilic Esophagitis, a tawi zawngin EoE a ni.
EoE hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Eosinophilic Esophagitis (EoE) hi kan esophagus, kan rilru atanga kan pum thlenga ei tur phurtu tube atanga allergic reaction a ni. Hetiang hian han ngaihtuah teh: buh ang chi thil i allergy i neih chuan i ei chuan i vun a, i hrual ang. Chutiang bawkin EoE vei mi pakhatin trigger a tawk a nih chuan an chaw kawng (esophagus) pawhin a chhang let ang. A tibuaitu chu ei tur (bawnghnute, artui, emaw soy ang chi) emaw, boruak chhunga pollen emaw a ni thei.
Hetiang thil hi taksaa a luh chuan thisen var chi khat, eosinophils an tih, kan immune system-a tel ve chu thawkna kawng bang-ah nasa takin a pungkhawm a, indonaa kal ang maiin a awm a ni. Heng cell te hi an inzawm khawm chuan chemical an chhuah a, chu chuan thawkna kawng chhungril chu a ti hring a, a sen (inflammation) .
Tui pipe chhunga a lo hring chhuak ang bawkin tui kal tlang a harsa hle. He tube hi a lo hring chhuak chuan ei tur chu hnuai lam pan a harsa thin. Hun kal zelah hei hi a zim thei hle. Hei hi a chhan chu:
- Chaw ei harsa (dysphagia).
- Chaw ei tur impaction.
- Luak chhuak.
- Pum natna.
- A rilru a na.
EoE ang chi symptoms hi thil harsa tak a ni thei a, mahse doctor puihnain a enkawl tha thei a ni.
A symptoms hi a buaithlak hle mai!
EoE hi hriat harsa deuh a nih theih chhan ber chu a natna lan chhuah dan hi Gastroesophageal Reflux Disease (GERD) nen a inang hle a ni. Kan hriat vek angin hei hi ‘acid reflux’ emaw heartburn emaw tia hriat bawk a ni. Heng natna pahnihte hian rilru natna, ei harsa, leh luak chhuak ang chi symptom an neih avangin an pahnih hi inthlau a awlsam hle.
Mahse heng thil pahnih thleng chhan hi a inang lo tak zet a ni.
- GERD hi chaw kawng chhunga acid luang chhuak atanga lo awm a ni. Hei hi chaw kawng leh chaw kawng inkar valve ang chi muscle hi a khar tha loh chuan a thleng thin.
- EoE hi stomach acid avanga lo awm a ni lo va, allergy avanga immune system reaction a ni.
Thil dang chu GERD vei thenkhat pawhin an chaw kawng (esophagus)-ah eosinophils engemaw zat an nei a, hei hian diagnosis a ti buai zual hle.
| Mihring ziarang | Eosinophilic Esophagitis (EoE) natna hi a awm thei lo. | GERD (thinlung natna) . |
|---|---|---|
| A bulpui ber chu | Allergy avanga immune system chhanna. | Esophagus chhunga stomach acid lo lut. |
| A lan chhuah dan ber | Chaw ei harsatna nasa tak, chaw ei khauh, luak chhuak, rilru na. | Chhung na, kawchhunga thlum thlum, rilru na, ei harsa. |
| Damdawi ei chhanna | Gastritis damdawi hman tlanglawn (acid blockers) hian a tidam lo fo thin. | Gastritis hian damdawi (acid blockers) a dawng tha tlangpui. |
Mahse, hriat reng tur pawimawh tak pakhat a awm! Chest na hi heart attack chhinchhiahna a ni thei bawk. Chuvangin thawk hah loh ruala i rilru natna, i kut hnuai lama natna radiating, emaw, thawmhnaw hak i neih chuan doctor hmu la, damdawi in hnai ber Emergency Department (ETU)-ah kal la, nghak suh. Hei hi a pawimawh hle.
Chuti a nih chuan engtin tak nge doctor hian hei hi a hmuh theih?
I natna lan chhuah dan a ngaihthlak hnuah i doctor chuan GERD, EoE emaw thil dang emaw a nih leh nih loh hriat tumin test eng emaw zat a kalpui mai thei.
1. A chipchiar zawka zawh che
A hmasa berin i doctor chuan i symptoms chungchang tam tak a zawt ang che. Eng chen nge i neih tawh, engtikah nge an na zual, ei tur thenkhat i ei hnuah a lo awm em, leh i chhungte zingah allergy emaw asthma emaw nei an awm em tih te.
2. Endoscopy hmanga test neih a ni
Hei hi diagnosis-a step pawimawh ber a ni. Endoscopy-ah chuan tube te tak te, flexible tak, camera leh light hmangin i ka kaltlangin i esophagus chhung, i pum leh i small intestine hmun hmasa ber enfiah a ngai a ni. Hetiang tih lai hian anesthesia hi i rilru a hahdam theih nan hman a ni. Hei hian doctor chuan i esophagus-a swelling, narrowing, white spots emaw, thil dang emaw a awm leh awm loh chu mitin a enfiah thei a ni.
3. Biopsy test neih a ni ang
Endoscopy an tih lai hian doctor chuan chaw kawng bang atanga tissue sample te tak te a la a, lab-ah a thawn thin. Hei hi biopsy an ti a. He tissue sample hi microscope hmangin an enfiah a , eosinophils hi a tam lo hle em tih an enfiah a, hei hi a hmaa kan sawi tawh kha a ni. EoE i neih chuan heng cell te hi a tam hle ang. He test hian natna hi a finfiah theih nan 100% a chiang a ni.
EoE i vei tih hmuhchhuah a nih hnuah chuan ngaihtuahawm tur a awm tawh lo. I doctor nen thawk hovin i enkawl thei ang. I allergy nei ei tur te chu hriatchhuah tumin an bei mai thei a, elimination diet an rawt mai thei bawk. A nih loh leh i chaw kawng (esophagus)-a hliam tihziaawmna tur damdawi an pe thei bawk. A pawimawh ber chu i doctor thupek dik taka zawm hi a ni.
Take-Home Thuchah a ni
- Eosinophilic Esophagitis (EoE) hi gastritis emaw GERD (gastroesophageal reflux disease) chauh a ni lo va, allergic condition a ni a, esophagus-ah a awm a ni.
- Chaw ei harsat, chaw ei tur a innghah, rilru natna te hi a lan chhuahna ber a ni. Hengte hi ngaihthah suh.
- I rilru na i neih chuan heart attack ang chi natna khirh tak i neih loh nan doctor pan vat a pawimawh.
- Natna dik taka hriat theih nan endoscopy leh biopsy hi a pawimawh hle.
- Hei hi hlauh tur a ni lo va, i doctor kaihhruaina hnuaiah ei leh in thlak danglam leh damdawi hmanga control tha thei a ni.
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