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).
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. |
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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