Chaw ei harsatna i nei em? Hei hi Eosinophilic Esophagitis (EoE) a ni thei!

Chaw ei laiin i rilruah lump emaw, i rilruah natna emaw i nei ngai em? I fate hian ei a hreh hle a ni mai thei, ei harsa a tih thu a sawi bawk. Hei hi gastritis emaw boredom emaw avanga harsatna a ni tih kan ngaihtuah fo thin. Mahse a chang chuan hei hi a chhan chu kan hriat tam loh, mahse tlem kan ngaihtuah tur dinhmun a ni thei. Vawiin hian chutiang dinhmun pakhat, Eosinophilic Esophagitis emaw, a tawi zawngin EoE emaw kan sawi dawn a ni.

A awlsam zawngin sawi ila, Eosinophilic Esophagitis (EoE) hi eng nge ni?

Okay, hei hi a awlsam zawngin han sawi ila. Tube kan nei a, tube ang maiin kan ka atanga ei tur kan pum thlengin a phur a. Hei hi chaw kawng (esophagus) kan ti a. A awlsam zawngin kan "food pipe" a ni. EoE hi a awm lo, allergy nena inzawm inflammatory condition a ni a, he food pipe chhungah hian a awm thin.

Tunah en teh, kan taksa hian natna laka min vengtu cell chi hrang hrang a nei a. Kan taksaah sipai awm ang mai a ni. Eosinophils hi thisen var chi khat a ni. A tlangpuiin heng mite hian allergy leh parasitic infection te an do thin. Mahse EoE nei mi pakhatah chuan thil dik lo a awm. Heng Eosinophil cell te hi, chhan awm lovin, chu ei tur pipe-ah chuan nasa takin an pung khawm thin. Anmahni sipaite ngeiin anmahni ram hmun khat an beih ang mai a ni.

Chutianga eosinophil cells an punkhawm chuan chaw kawng chhungril chu a hring a, a sen a, a chhe tan thin. Hei hi inflammation kan tih chu a ni . Hei hian ei harsatna a thlen a, ei tur a tlakbuak a, a rilru a na bawk.

Doctor ten EoE control nan eng damdawi nge an pek?

A hmasa berah chuan EoE hi damdawi a awm lo. Mahse, lungngai suh! A natna lan chhuah dan control nan te, chaw kawng chhunga inflammation tihziaawmna tur te, chhiatna dang a awm loh nan te enkawlna tha tak tak a awm a.

Vawi tam tak chu he damdawi nen hian i doctor chuan ei tur thenkhat (bawnghnute, artui, leh soy ang chi) chu hun engemaw chen ei loh turin a hrilh thei bawk che a, ei tur thenkhat chuan natna a tizual thei a ni. Damdawi leh ei leh in inkawp chuan a rah a tha hle.

Tunah hian EoE atana damdawi chi hrang hrang pek thinte hi han thlir ila.

1. Proton Pump Inhibitors (PPIs) chungchang chipchiar deuh deuh .

Gastritis damdawi i ei tawh a nih chuan PPIs tih hming hi i hre tawh mai thei. An hna ber chu pum chhunga gastric acid siam chhuah control hi a ni. EoE vei tam tak pawhin acid reflux (acid reflux) an neih avangin doctor-te chuan heng damdawi te hi an lo enchhin hmasa ang. A chang chuan stomach acid tihtlem hian chaw kawng chhunga inflammation a tihziaawm thei bawk.

Engtin nge enkawl a nih?

A tlangpuiin i doctor chuan ni khatah vawi khat kar 8 vel PPI a pe ang. Thla khat vel hnuah i symptoms a ṭhat loh chuan i doctor chuan ni khatah vawi hnih thlengin a tipung thei a ni.

Thla hnih hnuah doctor chuan i symptoms te chu a check leh ang. A châng chuan, upper endoscopy pawh an ti thei bawk .

• Upper Endoscopy tih hi eng nge ni?

Hei hian tube te tak te, flexible tak, i hmui atanga camera te tak te dah luh a, i esophagus (food pipe) chhung leh i pum enfiah a huam a ni. Hei hian i doctor chuan i chaw kawng chu engtiang chiahin nge a inflamed tih leh eosinophils i neih zat chiang takin a hmu thei a ni. He test hi sample te tak te (biopsy) lak a, enfiah a, EoE finfiah nan hman a ni.

I natna lan chhuah dan nasa taka a lo ṭhat chuan i doctor chuan i natna lan chhuahna control tu PPI dose hniam ber hmang chhunzawm turin a hrilh ang che.

2. Corticosteroids - damdawi chak tak, inflammation control thei

PPIs hian hna a thawk lo emaw, a natna a nasat chuan doctor-te chuan damdawi chi khat, corticosteroids an tih chu an pan leh ang. Hengte hian chaw kawng chhunga inflammation leh eosinophil cell buildup control turin direct-in hna an thawk a ni. Damlo tam zawk chuan he enkawlna hi an dawng tha hle.

Heng steroid te hi taksa pum tichhe thei pill anga pek ai chuan tunah chuan tunlai kawng hrang hranga pek a ni ta a, chu chuan chaw kawng chauh a nghawng a ni. Entir nan:

• Swallowed Inhaled Steroid: Asthma natna atana hman tur inhaler chu ka chhungah damdawi tlemte theh a, chu chu hmui nen chawhpawlh a, thawk chhuah ai chuan ei a ni a, chu chu damdawi chu ka chhungah direct-in a inhnim lut tihna a ni.
• Orally Disintegrating Tablet: Tablet chi hrang hrang pawh a awm a, chu chu lei chungah dah a, a hmin a, a hmui nen chawhpawlh a, ei tur a siam a ni.

Heng a tih dan avang hian damdawi chu taksa peng dangah a absorption a hniam hle a ni. Chuvangin a side effect pawh a tlem hle.

Thil i hriat reng a ngai tak zet

EoE nena nun hi a chang chuan a harsa thei hle a, mahse enkawl dan dik a nih chuan nun pangngaia nun daltu a awm lo.

• I doctor nen inbiakna neih fo rawh: Zawhna i neih apiang, damdawi chungchanga i lungkhamna te, a nih loh leh i natna lan chhuah dan inthlak danglamna te chu i doctor nen zalen takin sawipui rawh.
• Damdawi ei kha bansan suh: Doctor rawn hmasa lovin i damdawi ei kha titawp suh, hei hian i natna lan chhuah dan a tidanglam thei a ni.
• Dawhtheihna a pawimawh: I tana damdawi leh a dose dik tak zawn nan hun engemaw chen a la ngai thei a, chuvangin i enkawlnaah dawhthei takin awm rawh.
• I ei leh in chungchangah fimkhur rawh: I doctor-in ei tur thenkhat ei tawh lo turin a hrilh che a nih chuan, chu thupekte chu dik takin zawm rawh. Enkawlna atana pawimawh tak a ni.

EoE hi hlauh tur a ni lo a, mahse damdawi lam thurawn hnuaia enkawl ngei ngei tur condition a ni. Enkawlna dik leh nunphung thlak danglam chuan he natna hi i control tha thei a, hrisel takin i awm thei bawk.