Kua rongo koe i tētahi puku i roto i tō korokoro, i tētahi mamae rānei i roto i tō uma i a koe e kai ana? Tērā pea kei te tino āwangawanga tō tamaiti ki te kai, ā, e mea ana he uaua ki te kai. He maha ngā wā ka whakaaro tātou he raruraru tēnei nō te gastritis, te hoha rānei. Engari i ētahi wā ko te take o tēnei he āhuatanga kāore anō kia rangona whānuitia, engari me āwangawanga tātou. I tēnei rā ka kōrero tātou mō tētahi o aua āhuatanga, ko te Eosinophilic Esophagitis, ko te EoE rānei te whakarapopototanga.

He aha te Eosinophilic Esophagitis (EoE)?

Āe, me whakamāmā noa iho tēnei. He ngongo tō tātou, pērā i te ngongo, e kawe ana i te kai mai i tō tātou waha ki tō tātou puku. Ka kiia tēnei ko te esophagus. He whakamāmā noa iho, ko tā tātou "paipa kai". He mate mumura onge te EoE, he mate pāwera e pā ana ki te mate pāwera, e puta ana i roto i tēnei paipa kai.

Titiro mai, he rerekē ngā momo pūtau o roto i ō tātou tinana hei tiaki i a tātou mai i te mate. He rite ki tētahi ope taua i roto i ō tātou tinana. Ko ngā Eosinophil tētahi momo toto mā. I te nuinga o te wā, ka whawhai ēnei tāngata ki ngā mate pāwera me ngā mate pirinoa. Engari i roto i tētahi tangata he EoE, he hē tetahi mea. Ko ēnei pūtau Eosinophil, kāore he take, ka kohikohi nui i roto i taua paipa kai. He rite ki tā rātou ake ope taua e whakaeke ana i tētahi wāhanga o tō rātou ake whenua.

Ina kohia ngā pūtau eosinophil pēnei, ka pupuhi te roto o te korokoro, ka whero, ka tīmata te pakaru. Koinei te mea e kīia nei e tātou he mumura . Koinei te mea e uaua ai te horomi, te piri o te kai, me te mamae o te uma.

He aha ngā rongoā e tohua ana e ngā tākuta hei whakahaere i te EoE?

Tuatahi, kāore he rongoā mō te EoE. Kaua e manukanuka! He tino whai hua ngā maimoatanga hei whakahaere i ngā tohu, hei whakaiti i te mumura i roto i te korokoro, me te ārai i ngā kino atu.

I ētahi wā, me tēnei rongoā, ka kī atu pea tō tākuta kia karohia e koe ētahi kai (pērā i te miraka, te hua manu, me te pīni soya) mō tētahi wā, nā te mea ka taea e ētahi kai te whakararu i te mate. Ina whakakotahihia te rongoā me te kai, he tino pai ngā hua.

Kia titiro tātou ki ngā momo rongoā matua e hoatu ana mō te EoE.

1. He kōrero anō mō ​​ngā Ārai Papu Porotini (PPI)

Mena kua tangohia e koe he rongoā mō te gastritis, tera pea e mōhio ana koe ki te ingoa PPI. Ko tā rātou mahi matua he whakahaere i te hanga o te waikawa puku i roto i te puku. Nā te mea he maha ngā tūroro EoE e pāngia ana e te reflux waikawa (reflux waikawa), ka whakamātau tuatahi ngā tākuta i ēnei rongoā. I ētahi wā, ko te whakaiti i te waikawa puku ka taea hoki te whakaiti i te mumura i roto i te esophagus.

Me pēhea te whakahaere i te maimoatanga?

I te nuinga o te wā, ka tohua e tō tākuta he PPI kotahi i te rā mō te 8 wiki pea. Ki te kore ō tohumate e pai ake i muri i te kotahi marama pea, ka whakanuia pea e tō tākuta te horopeta ki te rua i te rā.

I muri i ngā marama e rua, ka tirohia anō e te tākuta ō tohumate. I ētahi wā, ka mahia pea e rātou he endoscopy o runga .

• He aha te Endoscopy o Runga?

Ko te tikanga o tēnei ko te whakauru i tētahi ngongo angiangi, ngāwari me tētahi kāmera iti e piri ana ki roto i tō waha, me te tirotiro i te roto o tō korokoro (paipa kai) me tō puku. Mā tēnei ka taea e tō tākuta te kite tika i te mumura o tō korokoro me te maha o ngā eosinophil kei a koe. Ka whakamahia tēnei whakamātautau hei whakaū i te EoE mā te tango i tētahi tauira iti (biopsy) me te tirotiro.

Mena kua tino pai ake ō tohu, ka kī atu tō tākuta kia whakamahia tonutia e koe te horopeta iti rawa o te PPI e whakahaere ana i ō tohu.

2. Corticosteroids - he rongoā kaha hei whakahaere i te mumura

Ki te kore e mahi ngā PPI, ki te kino rānei te āhua, ka huri ngā tākuta ki tētahi momo rongoā e kiia nei ko ngā corticosteroids. Ka mahi tika ēnei hei whakahaere i te mumura me te hanga pūtau eosinophil i roto i te esophagus. He tino pai te urupare a te nuinga o ngā tūroro ki tēnei maimoatanga.

Kāore ēnei steroids e hoatu hei pire e pā ana ki te tinana katoa, engari kua hoatu inaianei i roto i ngā huarahi hou e pā ana ki te korokoro anake. Hei tauira:

• Horomia te Pūtaiaki Manu: Ko te whakamahi i te pūtaiaki mō te mate huango ko te rehu i tētahi iti o te rongoā ki roto i te waha, ka whakaranua ki te huware, kātahi ka horomia, kaua e manawahia. Ko te tikanga ka manawahia tika te rongoā ki roto i te korokoro.
• Papa Whakarewa Waha: He momo papa motuhake anō hoki kua hangaia hei whakatakoto ki te arero, hei whakarewa, hei whakaranu ki te huware, kātahi ka horomia.

Nā ēnei tikanga, he tino iti te mimiti o te rongoā ki ētahi atu wāhanga o te tinana. Nō reira, he tino iti hoki ngā pānga taha.

Ngā mea me maumahara tonu koe

He uaua te noho me te EoE i ētahi wā, engari mā te whakahaere tika, kāore he arai ki te noho i te oranga noa.

• Kōrero ki tō tākuta i ngā wā katoa: Kōrerohia ki tō tākuta mō ō pātai, āwangawanga mō ngā rongoā, ngā huringa rānei o ngā tohu.
• Kaua e mutu te tango i ō rongoā: Kaua e mutu te tango i ō rongoā me te kore e kōrero ki tō tākuta, nā te mea ka hoki mai anō ō tohumate.
• He mea nui te manawanui: Tērā pea ka roa te wā ki te kimi i te rongoā me te horopeta tika māu, nō reira kia manawanui ki tō maimoatanga.
• Kia tūpato ki tāu kai: Ki te kī atu tō tākuta kia mutu te kai i ētahi kai, me whai i aua tohutohu kia tika. He wāhanga tino nui tēnei o te maimoatanga.

Ehara te EoE i te mea hei wehi, engari he mate tēnei me whakahaere i raro i te tohutohu a te taote. Mā te maimoatanga tika me ngā huringa momo noho, ka taea e koe te whakahaere pai i tēnei mate, ā, ka noho hauora tonu.