Kodi nthawi zina mumamva ngati chakudya chanu chatsekedwa pakhosi panu mukamadya, zomwe zimapangitsa kuti zikhale zovuta kumeza? Kapena mumangomva kupweteka pachifuwa kapena kusasangalala m'mimba? Anthu ambiri amaganiza kuti izi ndi zachilendo, mwina gastritis, koma izi zitha kukhala zosiyana komanso chinthu chodetsa nkhawa. Tikulankhula za vuto lotere masiku ano. Ndi Eosinophilic Esophagitis, kapena EoE mwachidule.
Kodi EoE ndi chiyani kwenikweni?
Mwachidule, Eosinophilic Esophagitis (EoE) ndi vuto la ziwengo kummero wathu, chubu chomwe chimanyamula chakudya kuchokera pakhosi pathu kupita m'mimba mwathu. Taganizirani izi motere: ngati muli ndi ziwengo ku chinthu monga mtedza, mudzayamba kuyabwa mukadya. Mofananamo, munthu amene ali ndi EoE akakumana ndi choyambitsa, mmero wake umayambanso kuyabwa. Choyambitsa chingakhale chakudya (monga mkaka, mazira, kapena soya) kapena mungu womwe uli m'chilengedwe.
Chinthu chonga ichi chikalowa m'thupi, mtundu wa maselo oyera otchedwa eosinophils, omwe ndi gawo la chitetezo chathu chamthupi, amasonkhana mochuluka m'makoma a njira zopumira, ngati kuti akupita kunkhondo. Maselo amenewa akasonkhana, amatulutsa mankhwala omwe amachititsa kuti mkati mwa njira zopumira zitukuke ndikukhala zofiira (kutupa) .
Monga momwe chitoliro cha madzi chimakulira mkati, zimapangitsa kuti madzi azidutsa mosavuta. Chitolirochi chikakulira, zimapangitsa kuti chakudya chizidutsa mosavuta. Pakapita nthawi, izi zimatha kukhala zochepa. Izi zili choncho chifukwa:
- Kuvuta kumeza chakudya (dysphagia).
- Kukhudzidwa kwa chakudya.
- Kusanza.
- Kupweteka m'mimba.
- Kupweteka pachifuwa.
Zizindikiro monga EoE zitha kukhala zovuta, koma zitha kuthandizidwa bwino ndi dokotala wanu.
Zizindikiro zake n’zosokoneza kwambiri!
Chifukwa chachikulu chomwe EoE ingakhale yovuta kuzindikira ndichakuti zizindikiro zake zimafanana kwambiri ndi za Gastroesophageal Reflux Disease (GERD) . Monga tonse tikudziwira, ichi ndi chomwe chimadziwikanso kuti 'acid reflux' kapena kutentha pamtima. Popeza matenda onsewa ali ndi zizindikiro monga kupweteka pachifuwa, kuvutika kumeza, komanso kusanza, n'zosavuta kusokoneza awiriwa.
Koma zifukwa za zochitika ziwirizi n’zosiyana kwambiri.
- GERD imayamba chifukwa cha asidi m'mimba yomwe imapita m'mimba. Izi zimachitika pamene minofu, monga valavu pakati pa mimba ndi m'mero, siitseka bwino.
- EoE si chinthu chomwe chimayamba chifukwa cha asidi m'mimba, koma ndi momwe chitetezo cha mthupi chimachitira chifukwa cha ziwengo.
Chinthu china n'chakuti anthu ena omwe ali ndi GERD alinso ndi ma eosinophils enaake m'mero mwawo, zomwe zimapangitsa kuti matendawa akhale ovuta kwambiri.
| Khalidwe | Eosinophilic Esophagitis (EoE) | GERD (kutentha pamtima) |
|---|---|---|
| Choyambitsa chachikulu | Kuyankha kwa chitetezo cha mthupi chifukwa cha ziwengo. | Asidi wa m'mimba akubwera mu mkodzo. |
| Zizindikiro zazikulu | Kuvuta kwambiri kumeza, kusowa chakudya, kusanza, kupweteka pachifuwa. | Kupweteka pachifuwa, kukoma kowawa pakhosi, kupweteka pachifuwa, kuvutika kumeza. |
| Kuyankha kwa mankhwala | Mankhwala odziwika bwino a gastritis (oletsa acid) nthawi zambiri sachiza. | Matenda a m'mimba nthawi zambiri amayankha bwino mankhwala (acid blockers). |
Koma pali chinthu chimodzi chofunikira kukumbukira! Kupweteka pachifuwa kungakhalenso chizindikiro cha matenda a mtima. Chifukwa chake ngati muli ndi kupweteka pachifuwa limodzi ndi kupuma movutikira, kupweteka kumatuluka m'manja mwanu, kapena kutuluka thukuta, musadikire kuti mukawone dokotala kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi. Izi ndizofunikira kwambiri.
Ndiye kodi dokotalayo amapeza bwanji izi?
Dokotala wanu akamvetsera zizindikiro zanu, mwina adzayesa mayeso angapo kuti adziwe ngati ndi GERD, EoE, kapena china chake.
1. Kukufunsani zambiri
Choyamba, dokotala wanu adzakufunsani zambiri zokhudza zizindikiro zanu. Kodi mwakhala nazo kwa nthawi yayitali bwanji, zimakula liti, zimakula bwanji mutadya zakudya zinazake, komanso ngati pali aliyense m'banja mwanu amene ali ndi ziwengo kapena mphumu.
2. Kuyesa kwa Endoscopy
Iyi ndi sitepe yofunika kwambiri pozindikira matenda. Endoscopy imaphatikizapo kuyika chubu chopyapyala, chosinthasintha chokhala ndi kamera ndikuwunikira kudzera pakamwa panu kuti muwone mkati mwa mmero, m'mimba, ndi gawo loyamba la matumbo anu ang'onoang'ono. Mankhwala oletsa ululu amagwiritsidwa ntchito kuti mukhale omasuka panthawiyi. Izi zimathandiza dokotala kuwona ngati kutupa, kuchepa, mawanga oyera, kapena kusintha kwina kwa mmero.
3. Kuyesa kwa biopsy
Pa nthawi ya endoscopy, dokotala amatenga chitsanzo cha minofu yaying'ono kuchokera pakhoma la mmero ndikutumiza ku labu. Izi zimatchedwa biopsy. Chitsanzo cha minofuchi chimawunikidwa pogwiritsa ntchito maikulosikopu kuti aone ngati pali kuchuluka kwa ma eosinophils ambiri, omwe tidakambirana kale. Ngati muli ndi EoE, chiwerengero cha maselo awa chidzakhala chachikulu kwambiri. Kuyesaku ndikotsimikizika 100% kutsimikizira matendawa.
Mukapezeka ndi EoE, palibe chodetsa nkhawa nacho. Mutha kugwira ntchito ndi dokotala wanu kuti akuthandizeni. Angayese kuzindikira zakudya zomwe muli ndi vuto la ziwengo ndikukulangizani kuti mudye zakudya zochepetsa kutupa. Kapena angakupatseni mankhwala ochepetsa kutupa m'mero. Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola.
Uthenga Wopita Nawo Kunyumba
- Eosinophilic Esophagitis (EoE) si matenda a gastritis kapena GERD (gastroesophageal reflux disease), ndi vuto la ziwengo lomwe limapezeka m'mero.
- Kuvuta kumeza, chakudya chimamatira ku chakudya, ndi kupweteka pachifuwa ndi zizindikiro zazikulu. Musanyalanyaze izi.
- Ngati mukumva kupweteka pachifuwa, ndikofunikira kupeza chithandizo chamankhwala mwachangu kuti mupewe matenda oopsa monga matenda a mtima.
- Endoscopy ndi biopsy ndizofunikira kwambiri kuti mudziwe matendawa molondola.
- Si vuto loyenera kuopedwa ndipo lingathe kulamuliridwa bwino ndi kusintha zakudya ndi mankhwala motsogozedwa ndi dokotala wanu.
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