Muli ndi vuto lomeza? Mwina ndi Eosinophilic Esophagitis (EoE)!

Kodi mumamva ngati pakhosi panu pakuyamba kuuma kapena mukuvutika kumeza chakudya mukamadya? Nthawi zina zimachitika tikamadya mofulumira kwambiri. Koma ngati nthawi zonse mumamva kusasangalala kumeneku, sikwachilendo. Pakhoza kukhala chifukwa chachipatala chomwe chilipo. Lero tikulankhula za Eosinophilic Esophagitis (EoE), vuto lomwe anthu ambiri sadziwa, koma lomwe limayambitsa kusasangalala kotere.

Kodi Eosinophilic Esophagitis (EoE) ndi chiyani?

Mwachidule, Eosinophilic Esophagitis (EoE) ndi vuto la ziwengo lomwe limapezeka m'mero , chubu chomwe chimanyamula chakudya kuchokera pakamwa kupita m'mimba.

Taganizirani za chitetezo chathu chamthupi ngati gulu lankhondo loteteza dziko. Msilikali wina wapadera m'gulu lankhondoli amatchedwa eosinophils . Awa ndi mtundu wa maselo oyera amagazi. Ntchito yawo nthawi zambiri imakhala yolimbana ndi zinthu zovulaza, monga tizilombo toyambitsa matenda, zomwe zimalowa m'thupi.

Koma chinthu china chosiyana chimachitika mwa munthu amene ali ndi EoE. Apa, chitetezo chathu cha mthupi chimasokonekera pang'ono, poganiza kuti zakudya zina (zoyambitsa chakudya) kapena zinthu zomwe zili m'chilengedwe (zimayambitsa ziwengo) ndi mdani. Chifukwa cha chizindikiro cholakwika ichi, asilikali ambiri a eosinophil amabwera ndikusonkhana mu mmero. Amabwera kumeneko ndikuyamba ndewu. Chifukwa cha ndewu iyi, makoma a mmero amatupa ndi kutupa .

Kodi chimachitika n’chiyani kutupa kumeneku kukachitika? M’mero umachepa kuchokera mkati. Monga momwe dothi limakhalira mu chitoliro cha madzi, limachepa. Pamenepo ndi pamene timavutika kumeza chakudya, ndipo timamva ngati chakudya chatsekedwa.

Kodi zizindikiro zazikulu za vutoli ndi ziti?

Zizindikiro za EoE zimatha kusiyana pang'ono ndi zaka, koma izi ndi zizindikiro zodziwika kwambiri.

Kodi mankhwalawa amachiritsidwa bwanji ndi mankhwala a Eohilia?

Eohilia ndi mankhwala amadzimadzi omwe amaperekedwa kuti athetse EoE. Ali ndi mankhwala otchedwa budesonide . Budesonide ndi mtundu wa corticosteroid . Imagwira ntchito pochepetsa kutupa, kapena kutupa, m'thupi.

Mukamwa Eohilia, madziwo amapita molunjika ku makoma a m'mero ​​ndipo amalowa mmenemo. Zili ngati kupaka mankhwala pabala. Akalowa, mankhwalawa amachepetsa mwachindunji kuchuluka kwa ma eosinophils ovutitsa m'mero. Amawongoleranso ntchito yosafunikira ya chitetezo cha mthupi ndikuchepetsa kutupa.

Pamene kutupa kukuchepa, m'mero ​​umatseguka pang'onopang'ono, zomwe zimachepetsa kuvutika kumeza. Mankhwalawa amaletsanso kuwonongeka kwina kwa m'mero.

Kodi Eohilia ingagwiritsidwe ntchito bwanji?

Eohilia ndi mankhwala amadzimadzi. Nthawi zambiri amalimbikitsidwa kuti agwiritsidwe ntchito kawiri patsiku (m'mawa ndi madzulo) kwa milungu 12. Amabwera m'mapaketi ang'onoang'ono (mapaketi omata) omwe ali ndi mlingo umodzi.

Momwe mungagwiritsire ntchito:

1. Konzani: Tengani paketi ya mankhwala ndikuyigwedeza bwino kwa masekondi osachepera 10. Izi zidzasakaniza bwino madzi omwe ali mkati ndikupangitsa kuti atuluke mosavuta.

2. Imwani mankhwala: Tsegulani paketiyo ndikutsanulira madzi onse mkamwa mwanu. Kenako mumezeni kwathunthu.

3. Tsukani pakamwa panu: Mphindi 30 mutameza mankhwala, tsukani pakamwa panu bwino ndi madzi kenako muwalavulire. Izi ndi kupewa mavuto monga mphutsi ya mkamwa.

Komanso, pewani kumwa madzi a mphesa mukamamwa mankhwalawa, chifukwa angasokoneze mphamvu ya mankhwalawa. Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.

Kodi kafukufuku wokhudza mankhwala awa akunena chiyani?

Mayeso awiri azachipatala achitika kuti afufuze momwe Eohilia imagwirira ntchito. Izi zidakhudza anthu azaka 11 kapena kupitirira omwe ali ndi EoE. Anthuwa adagawidwa m'magulu awiri, gulu limodzi linapatsidwa Eohilia ndipo gulu lina linapatsidwa placebo kwa milungu 12.

Zotsatira za kafukufukuyu zinasonyeza momveka bwino kuti omwe adamwa Eohilia anali ndi vuto lochepa kwambiri pomeza poyerekeza ndi omwe adamwa placebo. Zinatsimikizidwanso kuti chiwerengero cha eosinophils m'mero ​​mwa omwe adamwa Eohilia chatsika ndi chiwerengero chachikulu kwambiri . Izi zikusonyeza kuti mankhwalawa amalamulira mwachindunji kutupa komwe kumayambitsa matendawa.

Zimatenga nthawi yayitali bwanji kuti muwone zotsatira za mankhwala?

Zingatenge milungu ingapo kuti muwone zotsatira zonse za Eohilia. Choncho musadandaule ngati simukumva kusiyana kwakukulu nthawi yomweyo. Khalani oleza mtima ndipo pitirizani kugwiritsa ntchito mankhwalawo monga momwe mwalangizidwira. Ngati mukukayikira ngati mankhwalawo akugwira ntchito kapena ayi, lankhulani ndi dokotala wanu za izi.

Kodi pangakhale mavuto ndi mankhwala ena?

Inde, mankhwala ena amatha kusokoneza Eohilia. Choncho mukapita kwa dokotala wanu, muuzeni za mankhwala onse omwe mukumwa panopa. Izi zikutanthauza mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, mankhwala azitsamba, ndi zowonjezera zitsamba.

Mankhwala ena, makamaka omwe amaletsa enzyme ya CYP3A4 m'thupi lathu, sayenera kumwedwa ndi Eohilia. Dokotala wanu adzakulangizani pa izi.

Kodi mumadziwa bwanji ngati mankhwalawo akugwira ntchito?

Njira yabwino yodziwira izi ndikutsatira zizindikiro zanu. Musanayambe kumwa mankhwala, lembani kuchuluka kwa mavuto omwe muli nawo pomeza chakudya ndi zakudya zomwe zalephera. Mukatha milungu ingapo mutamwa mankhwalawo, onani ngati kusapeza bwino kwachepa. Mwanjira imeneyi, kutsatira zizindikiro zanu kudzakuthandizani inu ndi dokotala wanu kudziwa ngati mankhwalawo akugwira ntchito.