Ka pā mai te āhua o te pūnga o tō korokoro i a koe e kai ana? He mura rānei tō uma, ā, kāore e memeha ahakoa te nui o te rongoā e tangohia ana e koe? Tērā pea ka whakaaro koe he mate gastritis noa tēnei. Engari, ki te pā mai ēnei tohu ki a koe, kaua e wareware noa. Nā te mea he tohu pea tēnei nō tētahi atu mate hauora kāore i te tino rangona, engari me āwangawanga tātou. I tēnei rā, kei te kōrero tātou mō tētahi o aua mate, ko te Eosinophilic Esophagitis (EoE).
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He aha te Eosinophilic Esophagitis (EoE)?
Āe, he ahua uaua pea tēnei ingoa, engari kia māmā noa iho.
He whakarāpopototanga noa iho, ko te Eosinophilic Esophagitis (EoE) he mate pāwera e puta mai ana i te uruparenga a te pūnaha ārai mate. Ko te esophagus te nuinga o te wā e pā ana ki tēnei mate, arā, te ngongo uaua e kawe ana i te kai mai i te waha ki te puku.
Nā, tirohia, ko ngā eosinophil he momo toto mā i roto i ō tātou toto. Ka piki ake ēnei pūtau i roto i ō tātou tinana ina pāngia tātou e te mate pāwera, e te mate pirinoa rānei. I roto i te EoE, he maha ngā pūtau eosinophil nei, mō tētahi take, ka kohia ki roto i ngā kiko o tō tātou korokoro. Ina kohia, ka pupuhi te roto o te korokoro, ka whero, ka tīmata te pakaru. Nā tēnei pupuhi ka mutu te mahi tika o te korokoro. Koia te take e uaua ai tātou ki te horomi kai, ā, ka piri te kai.
Ko te mea nui, ehara te EoE i te mea ka haere mai, ka haere atu. He mate mau tonu , he mate roa. Ka kitea i roto i ngā tamariki me ngā pakeke, inā koa i roto i ngā tāne.
He aha ngā tohu matua o te EoE?
Ka pāngia te tangata e te EoE e ngā momo tohu. He rite tonu ētahi o ngā tohu ki ērā o te gastritis noa, koia te take e pōhēhē ai te tangata. Me titiro tātou ki ngā tohu matua.
| Tohu | He whakamārama māmā |
|---|---|
| Te uaua ki te horomi (Dysphagia) | Te āhua nei kei te mau te kai i roto i te korokoro, kaua e heke iho i te wā e kai ana. Te āhua nei kua whaiti te korokoro. |
| Pānga Kai | He āhuatanga ohorere hauora tēnei. Kua mau katoa tētahi wahi kai ki roto i te korokoro, ā, kāore e taea te horomi ahakoa he pata huware. Mēnā ka puta tēnei, me haere tonu koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. |
| Mamae o te uma, mumura rānei | Pērā i te gastritis, ka puta he wera, he mamae rānei i waenganui o te uma. Engari ko te mea motuhake, kāore tēnei mamae e memeha ahakoa kua tangohia ngā rongoā pēnei i te antacids, e hoatu ana mō te gastritis. |
| Te ruaki me te mamae o te puku | He tino kitea tēnei tohu i waenga i ngā tamariki nohinohi. Ka taea e ia te kore hiahia kai, te mamae o te puku, me te ruaki. |
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Check Availability →He aha te take e puta ai te EoE? He aha ngā take?
Nā te mea he mate hauora hou te EoE, kāore anō kia tino mōhiotia ngā pūtake. Heoi, e whakapono ana ngā kairangahau he iti noa ngā kōrero matua:
- Te urupare a te pūnaha ārai mate: Ko te tirohanga e whakaaetia ana i nāianei ko te nui rawa o te urupare a tō tātou pūnaha ārai mate ki ētahi mea (ina koa ko ngā kai). Ina koa, ka pohehe tō tātou tinana i ētahi kai (hei tauira, te miraka, ngā hua manu , te pīni soya, te witi) me ngā mea rānei o te taiao (hei tauira, te hae, te puehu mite, te pokepokea ai) hei "hoariri" ka tukuna ngā eosinophil ki roto i te toto hei whawhai ki a rātou.
- Ira: Ka pā tēnei mate ki ngā whānau i ētahi wā. Ko te tikanga, mēnā he mate EoE, he mate huango, he mate pāwera rānei tō tētahi o tō whānau pērā i te ekisema, tera pea he iti ake tō tūponotanga ki te pāngia e te EoE.
EoE? GERD rānei? He aha ai te take e whakapoauau ai i ngā mea e rua?
Koinei te raruraru nui rawa atu mō te tini o te tangata. He rite tonu ngā tohu o te EoE ki te mea e mōhiotia ana e tātou katoa ko te GERD (Gastroesophageal Reflux Disease) , he āhuatanga e piki ake ai te waikawa o te puku ki roto i te korokoro. Nā tēnei, he maha ngā tāngata whai EoE ka taea te haere tonu ki te rongoā GERD mō ngā tau me te kore e pai ake.
Kia tirohia tātou he aha ngā rerekētanga matua i waenganui i ngā mea e rua.
| Te wāhi whakataurite | Te Esophagitis Eosinophilic (EoE) | GERD (Te Whakamuri Puku) |
|---|---|---|
| Te pūtake | He urupare mate pāwera a te pūnaha ārai mate. | Te pikinga ake o te waikawa o te puku ki te korokoro. |
| Mumura o te uma | Ka kitea pinepine. | He āhuatanga matua. |
| Te urupare ki ngā rongoā aukati waikawa | He maha ngā wā kāore he urupare , he iti noa rānei te urupare. | He pai te whakahaere i te nuinga o te wā . |
| te paihana kai | He tino noa , ā, ka taea te kino rawa atu. | He iti noa iho. |
| Ētahi atu mate pāwera | He mārama te hononga ki ngā mate pērā i te huango, te ekisema, me te kirika tarutaru. | Kāore he hononga tika i te nuinga o te wā. |
He pēhea rawa te kitenga a te tākuta i tēnei?
Mena kei a koe ngā tohu i kōrerotia ake nei, ina koa kāore koe i te ora i te tango rongoā mō te gastritis, me toro atu koe ki tō tākuta me te kōrero ki a ia. I muri i te whakarongo pai ki ō tohu, ka tūtohu ia kia whakamātauria koe hei whakaū mēnā he EoE tēnei.
Ko ngā whakamātautau matua mō tēnei ko te endoscopy me te biopsy .
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 me tō puku. Kaua e manukanuka, ka tukuna he rongoā whakamoe ki a koe mō tēnei, kia kore ai koe e pāngia e te mamae.
I te wā o te endoscopy, ka tangohia e te tākuta tētahi tauira iti o te kiko (biopsy) mai i te esophagus ka tukuna ki te taiwhanga. Ko te huarahi anake kia tino mohio ai kei a koe te EoE ko te rapu i te maha o ngā eosinophils i roto i te kiko.
Karere Tangohia ki te Kāinga
- Kaua rawa e whakahawea ki ngā tohu pēnei i te uaua ki te horomi, te mau o te kai i roto i te korokoro, te mamae rānei o te uma kāore e pai ki te rongoā.
- Ehara te waikawa o te puku i te take o te EoE, engari he urupare mate pāwera a te pūnaha ārai mate.
- Ahakoa he rite ō tohu ki te GERD, he rerekē rawa te pūtake me te maimoatanga.
- Hei kimi tika i te āhua o te mate, he mea nui kia kite i te tākuta , ā, ki te tika, me whai i tētahi endoscopy me te biopsy.
- Kaua e rongoā i a koe anō, engari kōrero noa ki tō tākuta mō ō tohumate. Ko te tautuhi tika te taahiraa tuatahi ki te maimoatanga angitu.
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