I a koe e kai ana, ka rongo koe i te ahua o te kai e piri ana ki roto i tō korokoro? Tērā pea kua pāngia koe e te mamae tonu o te uma, kāore e pai ake, ahakoa te maha o ngā rongoā mō te mamae o te uma e tangohia ana e koe? Tērā pea ka whakaaro koe he mate gastritis noa iho tēnei. Heoi, ki te pāngia koe e ēnei tohu, he mea nui kia kaua e warewaretia. He tohu pea ēnei mō tētahi mate kāore i te tino kōrerohia, engari he nui te pānga, e kiia nei ko te Eosinophilic Esophagitis (EoE).
He aha rawa te Eosinophilic Esophagitis (EoE)?
Ahakoa te ahua uaua o te ingoa, me whakamārama ngāwari noa iho.
Ko te tikanga, ko te Eosinophilic Esophagitis (EoE) he mate pāwera e peia ana e tō pūnaha ārai mate . Ko te esophagus te mea nui ka pā ki a ia—te ngongo uaua e kawe ana i te kai mai i tō waha ki tō puku.
I roto i ō toto, kei reira ngā pūtau toto mā motuhake e kiia nei ko ngā eosinophil . Ka piki ake ēnei pūtau i te nuinga o te wā ina whawhai tō tinana ki tētahi mate pāwera, ki tētahi mate pirinoa rānei. I roto i te EoE, he nui te maha o ēnei eosinophil ka heke ki roto i te kiko o tō korokoro mō ngā take kāore i te tino mārama. Ka puta te mumura, te whero, me te kino ki te arai korokoro nā tēnei kohikohinga. Ka whakararuraru tēnei pupuhi i te mahi noa o te korokoro, ka puta te uaua ki te horomi, te ahua rānei kei te piri te kai, he mea pea kei te pā ki a koe.
Ko te mea nui, ehara te EoE i te mate pōturi noa; he mate mau tonu , he mate roa. Ka pā ki ngā tamariki me ngā pakeke, ā, he nui ake te kitea o tēnei mate i roto i ngā tāne.
He aha ngā tohu matua o te EoE?
Ka rerekē pea ngā tohu o te EoE, ā, nā te mea he rite tonu ētahi ki te reflux waikawa noa, he maha ngā wā ka hē te tautuhi. Anei ngā tohu tino kitea:
| Tohu | Whakaahuatanga |
|---|---|
| Te Uaua ki te Horomia (Disphagia) | Te āhua kāore te kai e heke tika ana, e mau ana rānei. He maha ngā wā ka rite ki te whaiti o te korokoro. |
| Pānga Kai | He āhuatanga ohorere hauora tēnei. Mēnā ka mau rawa tētahi kai ki roto i tō korokoro, ā, kāore e taea e koe te horomi i te huware, me rapu tonu i te awhina hauora i tō tari ohorere ā-rohe. |
| Mamae o te uma, te ngau rānei | He rite ki te reflux waikawa noa, engari kāore e pai ake ki ngā rongoā antacid paerewa. |
| Te ruaki me te mamae o te puku | He mea tino noa i roto i ngā tamariki, he maha ngā wā ka haere tahi me te kore hiahia kai, te mamae pūmau rānei o te puku. |
He aha te take e puta ai te EoE?
He mate kua kitea tata nei i roto i te pūtaiao hauora, kei te rangahauhia tonutia te tino take. Heoi anō, e whakamārama ana ngā tohunga i ēnei āhuatanga matua:
- Urupare Ārai Mate: Ko te whakaaro matua ko te nui rawa o te urupare a te pūnaha ārai mate ki ētahi mea whakaoho. Tērā pea ka hē te tautuhi a tō tinana i ngā pūmua kai (hei tauira, te miraka, ngā hua manu, te pīni soya, te witi) me ngā mate pāwera taiao (hei tauira, te hae, te puehu mite, te pokepokea ai) hei tūmomo mōrearea, ka tukuna atu ngā eosinophil ki te korokoro hei whawhai.
- Ira: He ia whānau tēnei. Mena he hītori whānau tōu mō ngā mate pāwera, te mate huango, te ekisema rānei, tera pea he nui ake te tūponotanga ka pāngia koe e te EoE.
He EoE, he GERD rānei? He aha te take o te pōhēhētanga?
Koinei te arai nui rawa atu mō te tini o ngā tūroro. He rite ngā tohumate EoE ki te GERD (Gastroesophageal Reflux Disease) , koia te take e pau ai ngā tau maha o te tangata ki te tango rongoā reflux engari kāore i kitea he whakaoranga.
Anei ngā rerekētanga matua:
| Āhuatanga | Te Esophagitis Eosinophilic (EoE) | GERD (Te Whakahokinga Waikawa) |
|---|---|---|
| Pūtake | Te urupare ārai mate pāwera | Te pikinga ake o te waikawa o te puku ki roto i te esophagus |
| Ngau mamae | Noa | Tohu matua |
| Te urupare ki ngā rongoā ārai waikawa | He maha ngā wā kāore he whakautu | I te nuinga o te wā ka whakahaerea paitia mā te rongoā |
| Pānga Kai | Tino noa | He onge noa iho |
| Ētahi atu mate pāwera | Hononga kaha (huango, ekisema) | Kāore he hononga tika |
Me pēhea te tautuhi a ngā tākuta i te EoE?
Mena kei a koe ēnei tohu, ina koa kāore ngā maimoatanga reflux waikawa i āwhina, he mea nui kia toro atu koe ki tō tākuta. Ka arotakehia e rātou tō hītori, ā, kia taea ai te whakatau tika i te mate, ka tūtohu pea rātou i tētahi Endoscopy me te Biopsy .
I te wā o te endoscopy, ka arahina he ngongo angiangi, ngāwari me te kāmera ki raro i tō korokoro hei tirotiro i tō korokoro me tō puku. I te nuinga o te wā ka whakamoea koe mō tēnei tikanga, kia kore ai koe e mamae, e kore hoki e māharahara.
I te wā e whakahaerehia ana te endoscopy, ka tangohia e te tākuta he tauira kiko iti (biopsies) hei whakamātautau taiwhanga. Ko te kimi i te kiato nui o ngā eosinophils i roto i ēnei tauira te paerewa koura hei whakaū i te mate EoE.
Karere Tangohia ki te Kāinga
- Kaua rawa e warewarehia ngā tohu pēnei i te uaua tonu ki te horomi, te mau o te kai i roto i tō korokoro, te mamae rānei o te uma kāore e pai ki ngā rongoā noa.
- He urupare ārai mate te EoE, ehara i te mea ko ngā raruraru waikawa puku anake.
- Ahakoa e ōrite ana ngā tohu ki te GERD, he rerekē rawa ngā mahere whakahaere me te maimoatanga.
- Ko te tautuhi tika i te mate me whai aromatawai hauora ngaio, tae atu ki te endoscopy me te biopsy.
- Kaua e rongoā i a koe anō; kōrero noa ki tō tākuta mō ō tohumate. Ko te tautuhi tika te taahiraa tuatahi ki te whakaora whai hua.
Eosinophilic Esophagitis, EoE, GERD, dysphagia, mamae uma, korokoro, mate pāwera, ngau pōuri, mate pāwera, mate pāwera , ngau pōuri
