I ētahi wā ka rongo koe kei te piri tō kai ki roto i tō korokoro ina kai koe, ā, ka uaua ki te horomi? He mamae noa iho rānei tō uma, he mamae rānei tō puku? He tokomaha e whakaaro ana he mea noa tēnei, he gastritis pea, engari he rerekē pea tēnei, ā, he mea hei āwangawanga māu. Kei te kōrero tātou mō tēnei momo mate i tēnei rā. Ko te Eosinophilic Esophagitis, ko te EoE rānei te whakarapopototanga.
He aha rawa te EoE?
I roto i ngā kupu māmā, ko te Eosinophilic Esophagitis (EoE) he mate pāwera ki tō tātou korokoro, te ngongo e kawe ana i te kai mai i tō tātou korokoro ki tō tātou puku. Whakaarohia pēnei: ki te pāwera koe ki tētahi mea pēnei i te pīnati, ka puta he ponana me te mākūkū ina kainga e koe. Waihoki, ina pāngia te tangata whai EoE e tētahi mea e whakaoho ana, ka tauhohe tōna korokoro. Ko te mea e whakaoho ana he kai (pēnei i te miraka, te hua manu, te pīni soya rānei) he hae rānei i roto i te taiao.
Ina uru mai tētahi mea pēnei ki te tinana, ka huihui nui mai tētahi momo toto mā e kiia nei ko ngā eosinophil, he wāhanga o tō tātou pūnaha ārai mate, ki roto i ngā pakitara o ngā ara manawa, me te mea kei te haere ki te pakanga. Ina huihui mai ēnei pūtau, ka tukuna e rātou ngā matū ka pupuhi, ka whero hoki te roto o ngā ara manawa (mumura) .
Pērā i te pupuhi o te paipa wai i roto, ka uaua te haere o te wai. Ina pupuhi tēnei ngongo, ka uaua te haere o te kai ki raro. Ka roa te wā, ka whaiti pea tēnei. Nā te mea:
- Te uaua ki te horomi kai (dysphagia).
- Te pānga ki te kai.
- Te ruaki.
- Mamae puku.
- Mamae o te uma.
He uaua pea ngā tohu pēnei i te EoE, engari ka taea te whakahaere pai mā te awhina a tō tākuta.
He tino pōhēhē ngā tohu!
Ko te take matua he uaua te tautuhi i te EoE he rite tonu ōna tohu ki ērā o te Gastroesophageal Reflux Disease (GERD) . E mōhio ana tātou katoa, koinei te mea e mōhiotia ana ko te 'acid reflux', te heartburn rānei. Nā te mea he tohu kei roto i ēnei mate e rua pērā i te mamae o te uma, te uaua ki te horomi, me te ruaki, he tino ngāwari ki te whakapoauau i ngā mea e rua.
Engari he rerekē rawa ngā take mō ēnei āhuatanga e rua.
- Ka puta te GERD i te pikinga ake o te waikawa o te puku ki roto i te korokoro. Ka puta tēnei ina kore e kati tika te uaua, pērā i te takirere i waenganui i te puku me te korokoro.
- Ehara te EoE i te mea i puta mai i te waikawa o te puku, engari he tauhohenga pūnaha ārai mate i puta mai i te mate pāwera.
Ko tētahi atu mea, he nui ngā eosinophil kei roto i te korokoro o ētahi tāngata whai GERD, ā, ka uaua ake te tautuhi i te mate.
| Āhuatanga | Te Esophagitis Eosinophilic (EoE) | GERD (ngā mamae o te ngākau) |
|---|---|---|
| Te pūtake | He urupare a te pūnaha ārai mate nā te mate pāwera. | Te waikawa o te puku e tomo ana ki te esophagus. |
| Ngā tohu matua | He tino uaua ki te horomi, te kōkō o te kai, te ruaki, te mamae o te uma. | Mamae te uma, te reka kawa i te korokoro, te mamae o te uma, te uaua ki te horomi. |
| Te urupare ki te rongoā | He maha ngā wā kāore e taea te whakaora i te gastritis e ngā rongoā noa (ngā aukati waikawa). | He pai te urupare a te gastritis ki ngā rongoā (ngā rongoā aukati waikawa). |
Engari kotahi te mea nui hei maumahara! Ka taea hoki te mamae o te uma te tohu o te mate manawa. Nō reira, ki te mamae tō uma me te poto o te manawa, te mamae e horapa ana ki tō ringa, te werawera rānei, kaua e tatari, engari me toro atu ki te tākuta, kaua hoki e haere ki te Tari Ohotata (ETU) o te hōhipera tata. He mea tino nui tēnei.
Nā, me pēhea rā te kitenga a te tākuta i tēnei?
I muri i te whakarongo ki ō tohumate, ka whakahaerehia pea e tō tākuta ētahi whakamātautau hei whakatau mēnā he GERD, he EoE rānei, he mate pāwera rānei.
1. Te pātai atu ki a koe mō ētahi atu kōrero
Tuatahi, ka pātai atu tō tākuta ki a koe mō ō tohumate. Kia pēhea te roa o te pāngia e ēnei tohumate, āhea ka kino haere, ka puta mai i muri i te kai i ētahi kai, me te mea he mate pāwera, he mate huango rānei tō tetahi o tō whānau.
2. Whakamātautau Endoscopy
Koinei te taahiraa tino nui mō te tātaritanga. Ko te endoscopy he whakauru i tētahi ngongo angiangi, ngāwari me te kāmera me te mārama mā roto i tō waha hei tirotiro i te roto o tō korokoro, te puku, me te wāhanga tuatahi o tō whekau iti. Ka whakamahia te rongoā whakangote hei whakamarie i a koe i tēnei tukanga. Mā tēnei ka taea e te tākuta te tirotiro ā-kanohi mō te pupuhi, te whaiti, ngā ira mā, me ētahi atu huringa rānei i roto i tō korokoro.
3. Whakamātautau koiora
I te wā o te endoscopy, ka tangohia e te tākuta tētahi tauira kiko iti mai i te pakitara o te esophagus ka tukuna ki te taiwhanga. Ka kiia tēnei he biopsy. Ka tirohia tēnei tauira kiko i raro i te karuārai hei tirotiro mēnā he nui rawa te maha o ngā eosinophils, i kōrerohia e tātou i mua ake nei. Mena kei a koe te EoE, ka tino teitei te maha o ēnei pūtau. He tino pono tēnei whakamātautau hei whakaū i te mate.
Kia kitea tō mate EoE, kāore he mea hei manukanuka. Ka taea e koe te mahi tahi me tō tākuta ki te whakahaere i tēnei mate. Ka ngana pea rātou ki te tautuhi i ngā kai e mate pāwera ana koe, ā, ka tūtohu i tētahi kai whakakore. Ka tohua rānei e rātou he rongoā hei whakaiti i te pupuhi i roto i tō korokoro. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta.
Karere Tangohia ki te Kāinga
- Ehara i te mea ko te gastritis, ko te GERD rānei (mate reflux gastroesophageal) te Eosinophilic Esophagitis (EoE), he mate pāwera hoki e puta ana i roto i te esophagus.
- Ko te uaua ki te horomi, te piri o te kai ki te kai, me te mamae o te uma ngā tohu matua. Kaua e warewarehia ēnei.
- Mena ka pāngia koe e te mamae o te uma, he mea nui kia rapu awhina hauora tonu kia kore ai he mate kino pēnei i te mate ngakau.
- He mea nui te endoscopy me te biopsy hei tautuhi tika i te mate.
- Ehara tēnei i te āhuatanga e wehingia ana, ā, ka taea te whakahaere pai mā te whakarerekē i te kai me te rongoā i raro i te arataki a tō tākuta.
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