Kodi ichi ndi chomwe chimayambitsa kupweteka m'mimba ndi kutupa? Tiyeni tiphunzire za Eosinophilic Gastritis!

Kodi nthawi zambiri mumakhala ndi mavuto am'mimba, kudzimbidwa, komanso kusowa chilakolako cha chakudya? Nthawi zina, kumbuyo kwa zizindikirozi, pakhoza kukhala matenda omwe sitinamvepo zambiri, koma omwe tiyenera kuwadera nkhawa pang'ono. Matenda ena otere ndi Eosinophilic Gastritis . Lero, tikambirana za izi mosavuta, mwanjira yomwe mungamvetse.

Kodi matenda a eosinophilic gastritis (EG) ndi chiyani?

Mwachidule, matenda a gastritis otchedwa eosinophilic gastritis (EG) ndi matenda osowa omwe amakhudza m'mimba mwanu. Ma eosinophils, mtundu wa maselo oyera m'thupi mwathu, amasonkhana m'makoma a m'mimba ndipo amachititsa kutupa , zomwe zikutanthauza kutupa ndi kuwonongeka. Tangoganizirani, khoma lathu la m'mimba limangofiira ndi kutupa.

Zingakhudze aliyense wa msinkhu uliwonse, ndipo ndi matenda osatha , zomwe zikutanthauza kuti amatenga nthawi yayitali. Koma musadandaule, dokotala wanu angakuthandizeni kuthana ndi zizindikirozi. Izi zingaphatikizepo zinthu monga kuyezetsa pafupipafupi ndi kusintha zakudya.

Kodi ma eosinophils awa ndi chiyani?

Tsopano tiyeni tiwone zomwe ma eosinophil awa ali. Awa ndi mtundu wa maselo oyera m'thupi lathu. Ali ngati asilikali ang'onoang'ono m'thupi lathu. Ntchito yawo yayikulu ndikulimbana ndi matenda ndi tizilombo toyambitsa matenda tomwe timalowa m'thupi lathu.

Izi nthawi zambiri zimapangidwa mu mafupa athu, koma pang'ono. Ma eosinophil amenewa amapanga pakati pa 1% ndi 5% ya maselo oyera onse a m'magazi mwa munthu wathanzi.

Komabe, chifukwa cha ziwengo , matenda, mankhwala ena, kapena khansa, ma eosinophils awa amatha kuwonjezeka mwadzidzidzi. Izi ndi zomwe timatcha eosinophilia . Maselo awa amatulutsa mankhwala monga ma enzyme ndi mapuloteni kuti awononge maselo osalimba. Chifukwa chake, ma eosinophils awa m'thupi akawonjezeka, amayamba kuukira minofu yathu. Kenako , kutupa kwa minofu ya m'mimba (gastritis) kapena kutupa kwa ziwalo zina kumatha kuchitika.

Ndani amene amakhudzidwa kwambiri ndi matenda a eosinophilic gastritis (EG)?

Matendawa, otchedwa eosinophilic gastritis (EG), angakhudze anthu azaka zilizonse. Izi zikutanthauza kuti angakhudze makanda ndi okalamba. Komabe, madokotala nthawi zambiri amawazindikira mwa akuluakulu azaka zapakati pa 30 ndi 50. Komanso, malinga ndi ziwerengero, amuna ali ndi mwayi wochuluka wopeza matendawa kuposa akazi.

Ngati muli ndi mbiri ya matenda a ziwengo , kapena ngati wina m'banja mwanu ali nawo, mungakhale pachiwopsezo chachikulu chotenga matenda a EG. Anthu ambiri omwe ali ndi matenda a EG ali ndi ziwengo monga:

• Mphumu
• Kusalolera chakudya kapena ziwengo pa chakudya (monga mkaka, mazira, ufa wa tirigu)
• Matenda a hay fever / allergic rhinitis (matenda omwe amadziwika ndi kutsekereza pafupipafupi komanso mphuno yotuluka madzi)
• Mphuno yothamanga pafupipafupi (rhinitis)
• Ziphuphu pakhungu, matenda monga eczema

Kodi matenda a EGID (eosinophilic intestinal disease) ndi ati?

Matenda a Eosinophilic gastritis (EG) ndi mtundu umodzi chabe wa matenda ambiri otchedwa Eosinophilic Gastrointestinal Disease (EGID) . Matenda a EGID amenewa amatha kukhudza ziwalo zosiyanasiyana za m'mimba mwanu. Izi zikutanthauza kuti maselo a eosinophil amenewa amatha kudziunjikira ndikuyambitsa kutupa kulikonse kuyambira kummero mpaka m'matumbo.

Nthawi zina, pamene pali ma eosinophils ambiri, matenda angapo amatha kuchitika nthawi imodzi. Pali mitundu ikuluikulu isanu ndi umodzi ya EGID:

• Eosinophilic Colitis (EC): Izi zimakhudza matumbo anu akuluakulu (colon) .
• Eosinophilic Duodenitis: Izi zimakhudza gawo loyamba la matumbo anu ang'onoang'ono .
• Eosinophilic Enteritis (EoN): Izi zimakhudza matumbo anu ang'onoang'ono .
• Eosinophilic Esophagitis (EoE): Iyi ndi mtundu wofala kwambiri wa EGID. Umakhudza mmero wanu.
• Eosinophilic Gastritis (EG): Uwu ndi mtundu wa matenda omwe tikukamba, omwe amakhudza mimba.
• Eosinophilic Gastroenteritis (EGE): Izi zimakhudza kwambiri m'mimba ndi m'matumbo ang'onoang'ono.

Palinso mitundu ina ya matenda a eosinophilic omwe angakhudze dongosolo la m'mimba, koma ndi ochepa kwambiri:

• Matenda a Hypereosinophilic: Izi zingakhudze magazi ndi chiwalo chilichonse.
• Eosinophilic Granulomatosis yokhala ndi Polyangiitis (EGPA): Izi zitha kukhudza ziwalo zambiri, kuphatikizapo mtima .

Kodi gastritis ya eosinophilic ndi yofala bwanji?

Ndipotu, madokotala amaganiza kuti matenda a eosinophilic gastritis ndi matenda osowa kwambiri . Izi zikutanthauza kuti, si matenda omwe amakhudza aliyense. Komabe, zizindikiro zake - monga kupweteka m'mimba ndi nseru - zimafanana kwambiri ndi za matenda ena ambiri ofala. Chifukwa chake, nthawi zina zimakhala zosavuta kuzizindikira (sizinadziwike mokwanira) .

Kodi n’chiyani chimayambitsa matenda a eosinophilic gastritis?

Matenda a gastritis otchedwa eosinophilic gastritis amayambaMadokotala nthawi zambiri sadziwa chomwe chimayambitsa vutoli. Izi zikutanthauza kuti n'zovuta kunena kuti "ichi ndiye chifukwa chake." Koma, nthawi zambiri, amaganiziridwa kuti vutoli limachitika chifukwa chitetezo chathu cha mthupi chimakhudzidwa kwambiri ndi zakudya zina (zoyambitsa ziwengo) . Zili ngati chitetezo cha thupi lathu chikuukira m'mimba mwake molakwika.

Kodi zizindikiro za gastritis ya eosinophilic ndi ziti?

Zizindikiro za gastritis ya eosinophilic nthawi zambiri zimakhala zochepa mpaka zochepa. Izi zikutanthauza kuti anthu ena sangavutike kwambiri, pomwe ena angavutike pang'ono. Zizindikiro zodziwika bwino ndi izi:

• Kupweteka m'mimba kapena ascites (kumva ngati mimba yatupa)
• Kutsegula m'mimba ( kusanza)
• Kuvutika kudya ( kusowa chilakolako cha chakudya ) kapena kuvutika kumeza (dysphagia)
• Kumva kutopa nthawi zonse (Kutopa)
• Kutentha pamtima (kutentha komwe kumamveka ngati kukuchokera pachifuwa)
• Kuchepa kwa magazi m'thupi , zomwe zikutanthauza kuchepa kwa maselo ofiira a m'magazi abwinobwino (izi zingayambitsenso kutopa ndi kufiira)
• Kusanza ndi kusanza
• Kuchepetsa thupi kapena kukula koipa kwa ana aang'ono

Ngati muli ndi chimodzi kapena zingapo mwa zizindikirozi, musaganize kuti ndi EG. Izi zitha kukhalanso zizindikiro za matenda ena am'mimba. Chifukwa chake, ndikofunikira kuwona dokotala kuti mudziwe chomwe chikuvuta.

Kodi matenda a eosinophilic gastritis (EG) amawapeza bwanji?

Monga tanenera kale, matenda a gastritis otchedwa eosinophilic gastritis angatenge nthawi kuti adziwike chifukwa zizindikiro zake n'zofala kwambiri. Mwina munapita kwa madokotala ambiri ndipo munamwa mankhwala osiyanasiyana.

Izi nthawi zambiri zimadziwika ndi:

1. Kuyezetsa magazi: Kuyezetsa magazi konse (CBC) kumachitika kuti muwone ngati pali ma eosinophils ambiri kuposa omwe ali abwinobwino.

2. Endoscopy: Mu mayesowa, chubu chopyapyala chokhala ndi kamera kakang'ono chimayikidwa kudzera pakamwa ndipo m'mero, m'mimba, ndi gawo loyamba la matumbo ang'onoang'ono zimafufuzidwa. Makoma a m'mimba amatha kufufuzidwa ngati pali kutupa, kufiira, ndi zilonda zazing'ono.

3. Biopsy: Pa nthawi ya endoscopy, tinthu tating'onoting'ono ta minofu (biopsy) timatengedwa kuchokera pakhoma la m'mimba. Tinthu ta minofu imeneyi timayang'aniridwa pogwiritsa ntchito maikulosikopu mu labotale kuti tiwone kuchuluka kwa eosinophils zomwe zilipo. Ngati pali eosinophils zambiri kuposa zachizolowezi, zitha kukhala EG.

Nthawi zina, ngati ma eosinophil ochulukirapowa sali pamwamba pa khoma la m'mimba, koma m'zigawo zakuya, zingakhale zovuta kuwaona ndi biopsy yachizolowezi. Zikatero, zingatenge nthawi yayitali kuti adziwe matendawa.

Kuti adziwe matenda a EG, dokotala wanu adzachita izi:

• Mudzayesedwa thupi .
• Adzakufunsani za mbiri yanu yachipatala (matenda omwe mudadwalapo kale, matenda a m'banja, mankhwala omwe mumamwa, ndi zina zotero).
• Mayeso a magazi adzalamulidwa kuti aone ngati pali matenda ena komanso kuti athandize kupewa matenda ena.

Mayeso ena omwe amathandiza kuzindikira EG

Mayeso ena omwe dokotala wanu angakupatseni ndi awa:

• Kuyezetsa ziwengo: Izi zingathandize kuzindikira zinthu zomwe zimayambitsa ziwengo m'zakudya zomwe zingayambitse kuchuluka kwa eosinophils. Mwachitsanzo, zingathandize kudziwa ngati muli ndi ziwengo ku zakudya zina. Kudziwa zomwe zimayambitsa ziwengo kungathandize kutsogolera matenda anu ndi chithandizo chanu.

Kodi pali mankhwala athunthu a matenda a eosinophilic gastritis (EG)?

Funso limene anthu ambiri amafunsa ndi ili. Kunena zoona, pakadali pano palibe mankhwala athunthu a matenda a gastritis otchedwa eosinophilic gastritis. Izi zikutanthauza kuti, sangachiritsidwe kwamuyaya ndi piritsi limodzi lokha.

Koma musadandaule! Mankhwala ndi kusintha zakudya kungakuthandizeni kuthana ndi zizindikiro zanu. Ngati mutsatira malangizo anu a chithandizo mosamala, mutha kukhala ndi moyo wathanzi komanso wokangalika.

Kodi matenda a eosinophilic gastritis (EG) ndi oopsa kwa moyo?

Matenda a Eosinophilic gastritis nthawi zambiri si matenda oopsa omwe amafunikira chithandizo chadzidzidzi. Komabe, kuzindikira msanga ndi kulandira chithandizo kungapewe mavuto akuluakulu monga kusowa zakudya m'thupi . Izi ndizofunikira kwambiri kwa makanda ndi ana aang'ono, chifukwa zakudya ndizofunikira kuti akule bwino.

Kodi matenda a eosinophilic gastritis (EG) amachiritsidwa bwanji?

Madokotala amachiritsa gastritis ya eosinophilic makamaka pogwiritsa ntchito kusintha zakudya ndi mankhwala. Mankhwalawa cholinga chake ndi kuchiza chomwe chimayambitsa (nthawi zambiri chifuwa) ndikuwongolera zizindikiro. Chithandizo cha EG chomwe mumalandira chidzadalira zizindikiro zanu komanso kuopsa kwa vuto lanu.

Dokotala wanu angakulangizeni kusintha zakudya kuti mupewe zinthu zomwe zimayambitsa matenda a eosinophilic gastritis. Izi zingaphatikizepo:

• Kuchotsa zakudya: Mu izi, mumachotsa kwathunthu zakudya zina zomwe mukuganiza kuti zimayambitsa ziwengo (monga mkaka, soya, mazira, tirigu, mtedza, nsomba zam'madzi) muzakudya zanu kwa kanthawi. Kenako, mumazibwezeretsanso chimodzi ndi chimodzi kuti muwone zakudya zomwe zimayambitsa vutoli.
• Zakudya zoyambira:Iyi ndi njira yosiyana pang'ono. M'malo mwa chakudya chanthawi zonse, njira yapadera yamadzimadzi yokhala ndi michere yofunika monga amino acid imagwiritsidwa ntchito popereka zakudya. Njirayi ndi yotsika kwambiri pa chiopsezo cha ziwengo.

Ngati mwana wanu ali ndi zizindikiro za EG, mungafunike kusintha mtundu wa fomula yomwe mumamupatsa (monga fomula yosakhala ndi ziwengo ). Nthawi zina, ana ndi akuluakulu angafunikenso kumwa mankhwala owonjezera achitsulo ngati ali ndi vuto la kuchepa kwa magazi m'thupi.

Mukhozanso kulandira mankhwala monga awa:

• Corticosteroids (monga prednisone, budesonide): Izi zimaperekedwa kuti zichepetse kutupa m'mimba. Nthawi zambiri zimaperekedwa kwa kanthawi kochepa.
• Mankhwala oletsa chitetezo chamthupi (monga azathioprine): Mankhwalawa amagwiritsidwa ntchito kuchepetsa kuchuluka kwa zochita za chitetezo chamthupi. Amaperekedwa kwa anthu omwe sanayankhe bwino mankhwala oletsa kutupa okha, kapena omwe sangathe kupitiriza kumwa mankhwala oletsa kutupa.

Kodi chiopsezo chotenga matenda a eosinophilic gastritis (EG) chingachepe?

Kaya mungachepetse chiopsezo chanu chokhala ndi matenda a eosinophilic gastritis zimadalira vuto lomwe limayambitsa matendawa. Monga tikudziwa, ziwengo ndi zomwe zimayambitsa kuchuluka kwa eosinophils m'thupi.

Kusintha zakudya, ndipo ngati pakufunika, mankhwala kungathandize kupewa kapena kulamulira zotsatira za ziwengo m'thupi lanu. Kawirikawiri, kudya zakudya zabwino komanso moyo wathanzi kungachepetse chiopsezo chanu cha matenda. Ngati muli ndi ziwengo kapena ngati wina m'banja mwanu ali ndi EG, ndi bwino kulankhula ndi dokotala wanu za izi.

Kodi chiyembekezo cha matenda a eosinophilic gastritis (EG) ndi chotani?

Kwa anthu ambiri, chiyembekezo cha matenda a gastritis otchedwa eosinophilic gastritis nthawi zambiri chimakhala chabwino. Izi zikutanthauza kuti mutha kukhala ndi moyo wabwino. Komabe, ndikofunikira kukumbukira kuti chifukwa ndi matenda osatha, odwala amatha kudwala kwambiri , kapena nthawi zina matenda osapitirira muyeso.

Dokotala wanu adzagwira nanu ntchito moyo wanu wonse kuti akuthandizeni kuthana ndi matenda a eosinophilic gastritis ndikuchepetsa zizindikiro zanu. Muyenera kukhala ndi ma endoscopy ndi biopsy nthawi zonse kuti muwone momwe mulili. Kuwunika kumeneku kudzalola dokotala wanu kusintha chithandizo chanu, ngati kuli kofunikira, kuti apewe mavuto kwa inu kapena mwana wanu.

Chofunika kwambiri ndikutsatira malangizo a dokotala wanu mosamala ndikupita ku nthawi yanu yokumana ndi dokotala. Izi zidzakuthandizani kuti mulandire chithandizo chamankhwala nthawi yake.

Kodi matenda a eosinophilic gastritis (EG) amakhudza moyo wanga?

Kuchuluka kwa EG komwe kumakhudza moyo wanu kumadalira kuopsa kwa zizindikiro zanu, matenda ena omwe amayambitsa matendawa, komanso kupambana kwa chithandizo. Nthawi zambiri, kukhala ndi eosinophilic gastritis kumatanthauza kuti muyenera kusintha zakudya zanu kuti mupewe zinthu zomwe zimayambitsa ziwengo, ndipo mungafunikenso kumwa mankhwala.

Kwa anthu ambiri, kusintha zakudya zawo kungakhale kovuta mwakuthupi komanso m'maganizo. Tangoganizani kuti simungathe kudya zakudya zomwe mumakonda. Zingakhale zovuta kusankha chakudya choyenera mukapita kokacheza ndi anzanu. Kukonzekera chakudya ndi zochitika zina kungakhale kovuta poyamba.

Komabe, potsatira malangizo a chithandizo ndikupeza thandizo mukafuna thandizo (monga katswiri wa zakudya), mutha kukhalabe ndi thanzi labwino komanso kuchita masewera olimbitsa thupi.

Kodi ndi liti pamene muyenera kupeza upangiri wa dokotala pankhani ya gastritis ya eosinophilic (EG)?

Ngati muli ndi zizindikiro monga kupweteka m'mimba kosalekeza, nseru, kusowa chilakolako cha chakudya, kapena ngati zizindikiro zanu zikukulirakulira, ganizirani za eosinophilic gastritis ndikupempha upangiri kwa dokotala. Lankhulani momasuka ndi dokotala wanu za zizindikiro zanu ndi momwe zikuyankhira kusintha kwa zakudya kapena mankhwala. Dokotala wanu angakutumizireni kwa dokotala wa gastroenterologist .

Zinthu zomwe tiyenera kukumbukira kuchokera apa (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikumbukire izi ngati chidule cha zomwe takambirana lero zokhudza matenda a gastritis otchedwa eosinophilic gastritis (EG):

• EG ndi matenda osowa komanso osatha omwe amakhudza mimba yanu.
• Chifukwa chachikulu cha izi ndi chakuti mtundu wa maselo oyera a magazi otchedwa eosinophils umasonkhana m'mimba ndipo umayambitsa kutupa.
• Kawirikawiri zimagwirizanitsidwa ndi ziwengo .
• Popeza zizindikiro zake (kupweteka m'mimba, nseru, kutsegula m'mimba, kusowa chilakolako cha chakudya) zimafanana ndi matenda ena ofala, zingatenge nthawi kuti zitsimikizidwe kuti matendawa ndi otani.
• Endoscopy ndi biopsy ndiye njira zazikulu zodziwira matenda.
• Ngakhale kuti palibe mankhwala okwanira, zizindikiro zimatha kuchepetsedwa kwambiri ndi mankhwala kapena kusintha zakudya (makamaka kuchotsa zinthu zomwe zimayambitsa ziwengo).
• Dokotala wanu adzagwira nanu ntchito limodzi kuti akuthandizeni kupeza bwino chithandizo chanu ndikukweza moyo wanu.

Choncho, ngati muli ndi zizindikiro izi, musaope kulankhula ndi dokotala za izo. Kudziwa chomwe chikuvuta ndikupeza chithandizo choyenera ndiye chinthu chabwino kwambiri chomwe mungachite kuti mukhale ndi thanzi labwino.

` Eosinophilic Gastritis, Eosinophilic Gastritis, Gastritis, Ululu wa M'mimba, Ziwengo, Endoscopy, Zakudya, Eosinophils