Kodi mukuvutika kumeza chakudya? Izi zitha kukhala Eosinophilic Esophagitis (EoE)!

Kodi munayamba mwamvapo chotupa pakhosi panu kapena kupweteka pachifuwa panu mukudya? Mwina mwana wanu sakufuna kudya, ndipo amati n'kovuta kudya. Nthawi zambiri timaganiza kuti ili ndi vuto la gastritis kapena kutopa. Koma nthawi zina chifukwa cha izi chingakhale vuto lomwe sitinamvepo zambiri, koma lomwe tiyenera kuda nkhawa nalo pang'ono. Lero tikulankhula za vuto limodzi lotere, Eosinophilic Esophagitis, kapena EoE mwachidule.

Mwachidule, kodi Eosinophilic Esophagitis (EoE) ndi chiyani?

Chabwino, tiyeni tinene mwachidule. Tili ndi chubu, monga chubu, chomwe chimanyamula chakudya kuchokera pakamwa pathu kupita m'mimba mwathu. Timachitcha kuti m'mero. Mwachidule, ndi "chitoliro chathu cha chakudya." EoE ndi matenda otupa omwe amapezeka kawirikawiri komanso okhudzana ndi ziwengo omwe amapezeka mkati mwa chitoliro cha chakudya ichi.

Tsopano taonani, matupi athu ali ndi mitundu yosiyanasiyana ya maselo omwe amatiteteza ku matenda. Zili ngati gulu lankhondo m'thupi lathu. Ma Eosinophils ndi mtundu umodzi wa maselo oyera amagazi. Kawirikawiri, anthuwa amalimbana ndi ziwengo ndi matenda opatsirana. Koma mwa munthu amene ali ndi EoE, pali vuto linalake. Maselo a Eosinophil awa, popanda chifukwa, amasonkhana mochuluka mu chitoliro cha chakudya. Zili ngati gulu lawo lankhondo likuukira gawo la dziko lawo.

Maselo a eosinophil akamasonkhana motere, mkati mwa m'mero ​​mumatupa, kufiira, ndipo mumayamba kuwonongeka. Izi ndi zomwe timatcha kutupa . Izi ndi zomwe zimayambitsa kuvutika kumeza, kutsekeka kwa chakudya, komanso kupweteka pachifuwa.

Makamaka izi zikachitika kwa ana aang'ono, sapeza zakudya zoyenera zomwe amafunikira. Zotsatira zake, kukula kwa ana kumatha kusokonekera. Ndipo amakhala ndi ululu kwa nthawi yayitali.

Ndi mankhwala ati omwe madokotala amapereka kuti athetse EoE?

Choyamba, palibe mankhwala a EoE. Koma musadandaule! Pali mankhwala othandiza kwambiri oletsa zizindikiro, kuchepetsa kutupa m'mero, komanso kupewa kuwonongeka kwina.

Kawirikawiri, pamodzi ndi mankhwala awa, dokotala wanu angakuuzeninso kuti mupewe zakudya zina (monga mkaka, mazira, ndi soya) kwa kanthawi, chifukwa zakudya zina zimatha kukulitsa vutoli. Mankhwala ndi zakudya zikaphatikizidwa, zotsatira zake zimakhala zabwino kwambiri.

Tiyeni tsopano tiwone mitundu ikuluikulu ya mankhwala operekedwa a EoE.

1. Tsatanetsatane pang'ono wokhudza Proton Pump Inhibitors (PPIs)

Ngati mudamwapo mankhwala a gastritis, mwina mukudziwa dzina lakuti PPI. Ntchito yawo yayikulu ndikulamulira kupanga asidi m'mimba. Popeza odwala ambiri a EoE alinso ndi acid reflux (acid reflux), madokotala amayesa kaye mankhwala awa. Nthawi zina, kuchepetsa asidi m'mimba kungathandizenso kuchepetsa kutupa m'mero.

Kodi chithandizochi chimachitidwa bwanji?

Kawirikawiri, dokotala wanu amakulemberani PPI kamodzi patsiku kwa milungu pafupifupi 8. Ngati zizindikiro zanu sizikuchepa patatha pafupifupi mwezi umodzi, dokotala wanu akhoza kuwonjezera mlingowo kawiri patsiku.

Pakatha miyezi iwiri, dokotala adzayang'ananso zizindikiro zanu. Nthawi zina, amathanso kuchita upper endoscopy .

• Kodi Upper Endoscopy ndi chiyani?

Izi zimaphatikizapo kulowetsa chubu chopyapyala komanso chosinthasintha chokhala ndi kamera kakang'ono kolumikizidwa kudzera pakamwa panu ndikuyang'ana mkati mwa mmero (chitoliro cha chakudya) ndi m'mimba. Izi zimathandiza dokotala wanu kuona momwe mmero wanu ulili wotupa komanso kuchuluka kwa ma eosinophils omwe muli nawo. Kuyesaku kumagwiritsidwa ntchito kutsimikizira EoE mwa kutenga chitsanzo chaching'ono (biopsy) ndikuchiyang'ana.

Ngati zizindikiro zanu zasintha kwambiri, dokotala wanu adzakuuzani kuti mupitirize kugwiritsa ntchito mlingo wochepa kwambiri wa PPI womwe umawongolera zizindikiro zanu.

2. Corticosteroids - mankhwala amphamvu omwe amaletsa kutupa

Ngati ma PPI sagwira ntchito kapena ngati vutoli ndi lalikulu, madokotala adzagwiritsa ntchito mankhwala otchedwa corticosteroids. Mankhwalawa amagwira ntchito mwachindunji kuti athetse kutupa ndi kuchulukana kwa maselo a eosinophil m'mimba. Odwala ambiri amalandira bwino chithandizochi.

Ma steroid awa, m'malo moperekedwa ngati mapiritsi omwe amakhudza thupi lonse, tsopano akuperekedwa m'njira zamakono zomwe zimakhudza mmero wokha. Mwachitsanzo:

• Steroid Yopumira Yomezedwa: Chopumira chomwe chimagwiritsidwa ntchito pa mphumu chimaphatikizapo kupopera mankhwala pang'ono mkamwa, kusakaniza ndi malovu ndikumeza m'malo mopumira. Izi zikutanthauza kuti mankhwalawa amapumira mwachindunji pakhosi.
• Piritsi Lophwanyidwa Pakamwa: Palinso mitundu yapadera ya mapiritsi omwe amapangidwa kuti ayikidwe pa lilime, asungunuke, asakanizidwe ndi malovu, kenako n’kumezedwa.

Chifukwa cha njira zimenezi, kuyamwa kwa mankhwalawa m'ziwalo zina za thupi kumakhala kochepa kwambiri. Chifukwa chake, zotsatira zake zimakhala zochepa kwambiri.

Zinthu zomwe muyenera kuzikumbukira

Kukhala ndi EoE nthawi zina kungakhale kovuta, koma ndi kasamalidwe koyenera, palibe chopinga chokhala ndi moyo wabwinobwino.

• Lankhulani ndi dokotala wanu nthawi zonse: Lankhulani momasuka ndi dokotala wanu za mafunso aliwonse omwe muli nawo, nkhawa zanu zokhudza mankhwala, kapena kusintha kwa zizindikiro.
• Musasiye kumwa mankhwala anu: Musasiye kumwa mankhwala anu popanda kufunsa dokotala wanu, chifukwa izi zingayambitsenso zizindikiro zanu.
• Kuleza mtima n'kofunika: Zingatenge nthawi kuti mupeze mankhwala oyenera komanso mlingo woyenera kwa inu, choncho khalani oleza mtima ndi chithandizo chanu.
• Samalani ndi zakudya zanu: Ngati dokotala wanu akukuuzani kuti musiye kudya zakudya zinazake, tsatirani malangizo amenewo molondola. Ndi gawo lofunika kwambiri la chithandizo.

EoE si chinthu choopa, koma ndi vuto lomwe liyenera kuthandizidwa motsatira upangiri wa dokotala. Ndi chithandizo choyenera komanso kusintha kwa moyo, mutha kuwongolera vutoli bwino ndikukhalabe ndi thanzi labwino.