Kodi n'kovuta kumeza chakudya? Kodi chatsekeredwa pakhosi? Kodi ichi ndi Eosinophilic Esophagitis? (EOSINOPHILIC ESOPHAGITIS)

Kodi mumamva ngati chakudya chanu chatsekedwa pakhosi panu m'malo mopita pakhosi panu? Kapena nthawi zambiri mumakhala ndi kutentha pachifuwa panu, kupweteka, komanso kusowa chilakolako cha chakudya? Anthu ambiri amaganiza kuti zizindikirozi ndi vuto lofala la mpweya (gastritis), koma nthawi zina pangakhale chifukwa china chomwe chikuchititsa izi. Lero tikambirana za vuto latsopano, koma lomwe likuchulukirachulukira. Ilo ndi Eosinophilic Esophagitis.

Mwachidule, kodi Eosinophilic Esophagitis ndi chiyani?

Dzina ili lingawoneke lalitali komanso lovuta pang'ono, koma tiyeni likhale losavuta.

Chubu chomwe chimanyamula chakudya kuchokera pakamwa pathu kupita m'mimba chimatchedwa esophagus . Chili ngati chitoliro cha madzi. Gawo la "eosinophilic" limachokera ku mtundu wa selo loyera la magazi m'thupi lathu lotchedwa "eosinophils." "Esophagitis" ndi kutupa kwa esophagus, kutanthauza kutupa kapena kuvulala.

Mwachidule, Eosinophilic Esophagitis (EoE) ndi pamene mtundu wa maselo oyera a m'magazi otchedwa eosinophils amasonkhana mochuluka m'mero ​​mwathu, zomwe zimayambitsa kutupa mkati mwa chubu chimenecho. Izi zili ngati ziwengo zomwe zimachitika pakhungu lathu, koma izi zimachitika mkati mwa thupi, mu chitoliro cha chakudya.

Pakapita nthawi, kutupa kumeneku kumayambitsa minofu yopyapyala mkati mwa mmero, ndipo chubucho chimachepa pang'onopang'ono. Taganizirani ngati chitoliro chamadzi chomwe chimatsekeka ndi dzimbiri. Ndiye chimachitika ndi chiyani? Mukameza chakudya chodzaza mkamwa, sichimatsika mosavuta. Mungamve ngati chakudyacho chatsekeka, kapena chingamve ngati chikutsika pang'onopang'ono.

Kodi zizindikiro za vutoli ndi ziti?

Zizindikiro zimatha kusiyana pang'ono kutengera zaka zanu. Zizindikiro sizimapezeka kawirikawiri mwa ana aang'ono, koma kwa akuluakulu.

Kuwonjezera pa zizindikiro zazikulu izi, anthu a msinkhu uliwonse akhozanso kukumana ndi zizindikiro izi:

• Kupweteka m'mimba: Kupweteka m'mimba.
• Kusanza ndi kusanza: Kumva kudwala komanso kusanza mukatha kudya.
• Kubwerera m'mimba: Kubwerera kwa chakudya chomwe chamezedwa kapena madzi am'mimba pakhosi kapena pakamwa.
• Kukhudzidwa ndi chakudya: Ichi ndi vuto lachipatala . Chidutswa cha chakudya chimakakamira m'dera lopapatiza la m'mero, zomwe zimapangitsa kuti zikhale zovuta kupuma. Zikatero, ndikofunikira kupita kuchipatala nthawi yomweyo. Nthawi zina, kutsekeka kumeneku kungayambitse kuphulika kwa m'mero.

Anthu ena samakhala ndi zizindikiro zimenezi nthawi zonse. Zitha kutha kwa kanthawi kenako n’kubwereranso.

N’chifukwa chiyani izi zimachitika? Kodi zifukwa zake ndi ziti?

Ngakhale kuti chifukwa chenicheni sichinadziwikebe, akukhulupirira kuti ndi chifukwa cha kusagwira bwino ntchito kwa chitetezo chamthupi chathu. Chitetezo chathu chamthupi chimazindikira molakwika chinthu chomwe nthawi zambiri sichili chovulaza, monga chakudya chomwe timadya, ngati mdani.

Ngati izi sizikudziwika bwino, maselo ambiri otchedwa eosinophils amatumizidwa ku m'mero ​​poyankha. Maselo amenewa amasonkhana pamenepo ndi kuyambitsa kutupa komwe kwatchulidwa kale.

Ndi zakudya ziti zomwe zimayambitsa vutoli kwambiri?

Nthawi zambiri, ziwengo zimenezi zimachitika chifukwa cha zakudya zomwe timadya. Zakudya zomwe zimakhudzidwa kwambiri ndi izi:

• Mkaka ndi zinthu zopangidwa ndi mkaka (Mkaka)
• Dzira
• Tirigu
• Soya
• Zakudya zam'madzi/nsomba zosweka
• Mtedza ndi mtedza wina (Mtedza, mtedza wa mitengo)

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Zinthu zomwe zimawonjezera chiopsezo chotenga matenda ndi zinthu zomwe zimayambitsa matenda. Anthu ambiri omwe ali ndi EoE alinso ndi vuto lina kapena zingapo mwa izi.

• Mphumu
• Chimfine chofala (Allergy rhinitis)
• Eczema ndi ziphuphu (Eczema / Atopic dermatitis)
• Ziwengo zina za chakudya

Komanso, ngati wina m'banja mwanu, makamaka m'bale kapena kholo lanu, ali ndi matendawa, muli pachiwopsezo chachikulu chotenga matendawa.

Kodi dokotala amazindikira bwanji izi?

Mukauza dokotala wanu za zizindikiro zanu, adzakufunsani mafunso angapo.

• Momwe mumadyera: Anthu ambiri mosadziwa amazolowera zizindikirozi. Mwachitsanzo, akamadya, amatafuna chakudya chawo bwino ndipo amachimeza ndi madzi ambiri. Anthu ena amapewa zakudya zovuta kumeza, monga buledi ndi nyama. Dokotala wanu adzakufunsani za izi.
• Mbiri ya matenda anu ndi a banja lanu: Funsani ngati inu kapena wina aliyense m'banja mwanu ali ndi ziwengo, monga mphumu kapena eczema.

Pambuyo pa izi, ngati dokotala akukayikira kuti muli ndi EoE, adzakutumizani kwa dokotala wa gastroenterologist , yemwe adzakuyesani mayeso angapo kuti atsimikizire matendawa.

1. Endoscopy (EGD): Izi zimaphatikizapo kuyika chubu chopyapyala komanso chosinthasintha chokhala ndi kamera kakang'ono kumapeto kudzera pakamwa kuti kaone m'mero, m'mimba, ndi koyambira kwa matumbo ang'onoang'ono. Izi zimathandiza dokotala kuyang'ana mkati mwa m'mero ​​kuti awone ngati pali kutupa, kutupa, mawanga oyera, ndi kuchepa.

2. Biopsy: Pa nthawi ya endoscopy, dokotala amatenga chitsanzo cha minofu kuchokera pakhoma la mmero. Izi sizipweteka. Kenako chitsanzocho chimawunikidwa ndi maikulosikopu kuti aone ngati pali ma eosinophils ambiri modabwitsa. Biopsy iyi ndiyo njira yokhayo yodziwira Eosinophilic Esophagitis.

Kodi mankhwala ochizira izi ndi otani?

Cholinga chachikulu cha chithandizo ndikuwongolera kutupa kwa m'mero. Pali njira ziwiri zazikulu zochitira izi. Nthawi zina njira zonse ziwiri zingagwiritsidwe ntchito pamodzi. Mutha kusankha njira yomwe ili yoyenera kwa inu polankhula ndi dokotala wanu.

1. Chithandizo ndi mankhwala

Mankhwala otsatirawa amagwiritsidwa ntchito kuchepetsa kutupa:

• Mankhwala Oletsa Pump ya Proton (PPIs): Awa ndi mankhwala omwe nthawi zambiri amaperekedwa kwa gastritis, koma amathanso kuchepetsa kutupa komwe kumachitika chifukwa cha EoE.
• Corticosteroids: Awa ndi ma steroid omwe amamezedwa omwe amapakidwa mkati mwa mmero. Amagwira ntchito mwachindunji pamalo otupa ndipo amachepetsa kutupa.
• Zamoyo:Katemera, monga Dupilumab (Dupixent®) yomwe yangoyambitsidwa kumene, amagwiritsidwanso ntchito pa izi. Izi zimakhudza mwachindunji njira ya ziwengo ndikuwongolera matendawa.

2. Chithandizo cha Zakudya

Izi zikutanthauza kusiya pang'onopang'ono zakudya zomwe mukuganiza kuti zingakhale ndi vuto la ziwengo.

• Zakudya Zochotsa Matenda: Magulu 6 akuluakulu azakudya omwe nthawi zambiri amayambitsa ziwengo, monga mkaka, mazira, ufa, soya, nsomba zam'madzi, ndi mtedza, onse amachotsedwa muzakudya nthawi imodzi.
• Kenako dokotalayo adzapanganso endoscopy ina pakapita nthawi kuti aone ngati kutupa kwachepa.
• Kutupa kukachepa, magulu a zakudya omwe achotsedwa amabwezeretsedwanso muzakudya limodzi ndi limodzi, kwa milungu ingapo.
• Gulu lililonse la chakudya likawonjezedwa, endoscopy ndi biopsy zimachitidwanso kuti zione ngati kutupa kwabwerera. Mwanjira imeneyi, mutha kudziwa mtundu weniweni wa chakudya chomwe muli nacho.

Kodi mukukhala bwanji ndi vutoli?

Popeza Eosinophilic Esophagitis ndi matenda osatha, kukhala ndi matendawa nthawi zina kungakhale kovuta. Komabe, ndi chithandizo choyenera, zizindikiro zimatha kuthetsedwa kwathunthu.

Komabe, makamaka kwa munthu amene chakudya chinamugwira pakhosi, angayambe kuopa kumezanso chakudya (phagophobia). Angaope kudya chakudya chochuluka, kapena kudya zinthu monga buledi. Malangizo awa adzakuthandizani nthawi ngati izi.

• Pezani thandizo kwa katswiri wa zakudya: Katswiri wa zakudya angakuthandizeni kupanga zakudya zokoma komanso zopatsa thanzi pogwiritsa ntchito zakudya zomwe sizimayambitsa ziwengo.
• Funani chithandizo cha thanzi la maganizo: Ndikofunikira kwambiri kufunafuna thandizo kwa dokotala wamaganizo kapena katswiri wa zamaganizo kuti muthane ndi mantha anu omeza, komanso kuthana ndi nkhawa zomwe zimabwera chifukwa cha matenda osatha awa.
• Lankhulani ndi anthu omwe adakumanapo ndi zomwezi: Funsani dokotala wanu za magulu othandizira omwe mungalankhule ndi anthu ena omwe ali ndi matendawa. Ndi mphamvu yayikulu kudziwa kuti simuli nokha.

Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola ndikupita kuzipatala pa nthawi yake.