Chaw ei hi a harsa em? A rilruah a tang em ni? Hei hi Eosinophilic Esophagitis a ni em? (EOSINOPHILIC ESOPHAGITIS) tih hi a awm lo.

I ei tur chu i rilruah a tlak ai chuan i rilruah a tlakbuak ang tih i hria em? A nih loh leh, i rilruah kang, natna, leh ei duh lohna i nei fo em? Mi tam tak chuan heng symptoms te hi gas problem (gastritis) awm fo niin an ngai a, mahse a chang chuan hei hi chhan dang a awm thei bawk. Vawiin hian dinhmun thar deuh, mahse tunah chuan a lo langsar zual zel chungchang kan sawi dawn a ni. Chu chu Eosinophilic Esophagitis a ni.

A awlsam zawngin, Eosinophilic Esophagitis chu eng nge ni?

He hming hi a sei deuhin a buaithlak deuhin a lang thei a, mahse a awlsam zawngin i dah ang u.

Kan ka atanga kan pum thlenga ei tur phurtu tube chu esophagus an ti a . Tui pipe ang mai a ni. "Eosinophilic" part hi kan taksaa thisen var chi khat "eosinophils" an tih atanga lo chhuak a ni. "Esophagitis" tih hi chaw kawng natna (inflammation) a ni a, chu chu a hring emaw, hliam emaw tihna a ni.

Chuvangin, a awlsam zawngin sawi ila, Eosinophilic Esophagitis (EoE) chu thisen var chi khat eosinophils an tih chu kan chaw kawng chhungah tam takin a pungkhawm a, chu tube chhungah chuan inflammation a siam a ni. Hei hi kan vunah allergy lo awm ang mai a ni a, mahse hei hi taksa chhungah, ei tur pipe-ah a thleng thin.

Hun a kal zel a, he inflammation hian esophagus chhungah scar tissue te tak te a siam a, chu tube chu a zim zauh zauh thin. Tui pipe-a rust-a inkhar ang maiin han ngaihtuah teh. Chuti a nih chuan eng nge thleng? Chaw ei hmui khat i ei chuan awlsam takin a tla lo. Chaw chu a tlakbuak ang maiin i inhria thei a, a hnuai lam pawh a tla zawi hle ang tih i hre mai thei bawk.

Hetiang natna lan chhuah dan hi engte nge ni?

I kum a zirin symptoms hi a inang lo deuh thei. Naupang tê têah hian puitlingah a lan chhuah dan a tam lo hle.

Heng symptom lian ber berte bakah hian kum eng pawha miten heng symptoms te hi an nei thei bawk:

• Pum na: Pum na hmun a na.
• Nausea leh vomiting: Natna hriatna leh ei zawh hnua luak chhuak.
• Regurgitation: Chaw ei tawh emaw, pum chhunga tui emaw chu kawr emaw, ka chhungah emaw a rawn kir leh thin .
• Food impaction: Hei hi damdawi lam emergency a ni . Chaw ei tur pakhat chu chaw kawng (esophagus) hmun zau takah a tang a, thawk a harsa hle. Chutiang a nih chuan damdawi in emergency room (ETU) pan nghal a pawimawh hle. A chang chuan, he blockage hian esophagus a ti puak thei bawk.

Mi thenkhat chuan heng symptoms te hi an nei reng reng lo. Hun engemaw chen an kal bo a, an lo lang leh thei bawk.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

A chhan dik tak hriat ni lo mah se, kan taksa hriselna (immune system) a chhiat vang nia ngaih a ni. Kan taksa chakna (immune system) chuan thil pakhat, a tlangpuiin hlauhawm lo, kan ei tur ang chi chu hmêlma anga a hriat sual a ni.

Hei hi hriat sual a nih chuan eosinophils an tih cell tam tak chu a chhanna atan esophagus-ah an thawn chhuak thin. Chutah chuan heng cell te hi an inkhawm a, a hmaa kan sawi tawh ang khan inflammation an siam thin.

Eng ei tur nge he natna hi thlentu ber?

A tam zawkah chuan heng allergic reaction te hi kan ei leh in atanga lo chhuak a ni. Ei leh in a nghawng tam berte chu:

• Bawnghnute leh bawnghnute atanga siam (Dairy) .
• Artui
• Chhangphut buh
• Soy a ni
• Tuipui lam thil/shellfish
• Peanuts leh nut dangte (Peanuts, tree nuts) .

He natna vei theihna hlauhawm ber chu tute nge ni?

Natna vei theihna tipungtu thilte chu risk factors kan ti a. EoE vei tam tak pawh hian heng allergy dang pakhat emaw a aia tam emaw an nei bawk.

• Asthma natna a ni
• Khawsik fo thin (Allergic rhinitis) .
• Eczema leh vun natna (Eczema / Atopic dermatitis) .
• Ei leh in allergy dangte

Tin, i chhungkuaa mi tu emaw, a bik takin unau emaw nu leh pa emaw hian he natna hi a vei a nih chuan nang pawhin i vei theihna chance a sang deuh hlek bawk.

Engtin nge doctor hian hei hi a hriat chian?

I natna lan chhuah dan i doctor i hrilh chuan zawhna tlemte a zawt ang che.

• I ei dan: Mi tam tak chuan an hriat lohvin heng natna lan chhuah dan hi an insiamrem thin. Entirnan, an ei lai hian an chaw chu uluk takin an che a, tui tam tak nen an ei thin. Mi thenkhat chuan chaw ei harsa, chhang leh sa te hi an pumpelh thin. I doctor chuan heng thilte hi a zawt ang che.
• Nang leh i chhungte damdawi lam chanchin: Nangmah emaw, i chhungte tu emaw pawhin allergy, asthma emaw eczema emaw an neih leh neih loh zawt rawh.

He thu hriat hnu hian doctor chuan EoE i vei nia a rinhlelh chuan gastroenterologist hnenah a refer ang che , ani chuan test engemaw zat a nei ang a, i natna hmuhchhuah chu a nemnghet ang.

1. Endoscopy (EGD): Hei hian a tawp lamah camera te tak te awmin tube te tak te, flexible tak tak, a tawp lama camera te tak te dahin, eitur kawng, pum leh a bul tanna te chu a enfiah thin a ni. Hei hian doctor chuan chaw kawng chhung lam chu mit ngeiin a enfiah thei a, a hring, a hring, a hring, leh a tawi zawng a awm leh awm loh a enfiah thei a ni.

2. Biopsy: Endoscopy an tih lai hian doctor chuan chaw kawng bang atanga tissue sample te tak te a la a. Hei hi a pawi lo. Chumi hnuah sample chu microscope hmangin an enfiah a, eosinophils chu a pangngai lo zawngin a tam em tih an enfiah a ni. He biopsy hi Eosinophilic Esophagitis hi chiang taka hriat theihna awmchhun a ni.

Hei hi eng enkawlna nge ni?

Enkawlna tum ber chu chaw kawng chhunga inflammation control hi a ni. Chumi atan chuan hmanraw lian pahnih a awm. A châng chuan hmanraw pahnih hi hman dun theih a ni. I doctor nen inbiakna hmangin eng method nge i tana tha ber tih i rel thei ang.

1. Damdawi hmanga enkawl

Inflammation tihziaawm nan a hnuaia damdawi te hi hman a ni:

• Proton Pump Inhibitors (PPIs): Hengte hi gastritis natna atana damdawi an pek tlangpui a ni a, mahse EoE avanga inflammation tihziaawmna tur pawh a nei bawk.
• Corticosteroids: Hengte hi ei leh in (swallowed steroids) a ni a, chaw kawng chhungah hnawih a ni. Inflammation awmna hmunah direct-in hna an thawk a, swelling an ti tlem bawk.
• Biological agents te chu: 1.1.Hemi atan hian tun hnaia an rawn chhuah Dupilumab (Dupixent®) ang chi vaccine te pawh hman a ni bawk. Hengte hian allergic process direct-in a nghawng a, natna a control bawk.

2. Ei leh in lama enkawlna (Dietary Therapy).

Hei hian i allergy nei thei tura i ngaih ei tur te chu zawi zawiin tihbo a huam a ni.

• Elimination Diet: Allergy thlentu ber food group 6, bawnghnute, artui, chhangphut, soy, tuifinriat thil, leh nut te chu vawi khatah ei leh in atang hian paih vek an ni.
• Tichuan doctor chuan rei vak lo hnuah endoscopy dang a ti leh ang a, inflammation chu a reh tawh em tih a en ang.
• Inflammation a reh hnuah chuan ei tur group tihbo tawhte chu pakhat hnu pakhatin ei leh inah an dah leh a, kar engemaw zat chhungin an dah leh thin.
• Food group tin an dah belh hnuah endoscopy leh biopsy an nei leh a, inflammation chu a lo let leh tawh em tih an enfiah leh thin. Chutiang chuan eng ei tur chi nge i allergy tih chiang takin i hre thei ang.

Hetiang dinhmun hi engtin nge i nunpui?

Eosinophilic Esophagitis hi natna rei tak a nih avangin, a nunpui hi a harsa thei hle. Mahse, enkawl dan dik tak chuan a natna lan chhuah dan chu a thunun theih vek tawh mai.

Mahse, a bik takin chaw ei tur a awm tawh tan chuan ei tur ei leh hlauhna (phagophobia) an nei thei a ni. Chaw hmui lian tak tak ei an hlau thei a, chhang ang chi thil ei pawh an hlau thei bawk. Heng tips te hian hetiang hunah hian a pui ang che.

• Nutritionist hnen atangin tanpuina la rawh: Nutritionist chuan allergens ni lo ei tur hmangin eitur tui tak, eitur tha tak siam turin a pui thei che a ni.
• Mental health support zawng rawh: I ei hlauhna hneh turin rilru lam doctor emaw psychologist emaw tanpuina dil a pawimawh hle a, chubakah he natna khirh tak nena lo awm thin stress te pawh enkawl a pawimawh hle bawk.
• Chutiang thil tawn tawhte nen inbiakna nei rawh: I doctor hnenah he natna vei dangte nena inbiakna neih theihna tur support group chungchang zawt rawh. Mahni chauh i ni lo tih hriat hi chakna ropui tak a ni.

A pawimawh ber chu i doctor thupek dik taka zawm a, a hun taka clinic kal hi a ni.