Dzimwe nguva unonzwa sekuti chikafu chako chakamira pahuro pako paunodya, zvichiita kuti zviome kumedza here? Kana kuti unongonzwa kurwadziwa pachipfuva kana kusagadzikana mudumbu here? Vanhu vazhinji vanofunga kuti izvi zvakajairika, pamwe chirwere chegastritis, asi izvi zvingave zvakasiyana uye chimwe chinhu chekufunganya nezvacho. Tiri kutaura nezvechirwere chakadaro nhasi. IEosinophilic Esophagitis, kana kuti EoE muchidimbu.
Chii chaizvo chinonzi EoE?
Zvichitaurwa zviri nyore, Eosinophilic Esophagitis (EoE) idambudziko rinokonzerwa neallergy kune gumbo redu, chubhu inotakura chikafu kubva pahuro kuenda mudumbu redu. Funga nezvazvo nenzira iyi: kana uine allergy kune chimwe chinhu chakadai senzungu, unowana mapundu uye kuvaviwa paunochidya. Saizvozvowo, kana munhu ane EoE akasangana nechinhu chinokonzera, gumbo rake rinoita allergy. Chinhu chinokonzera chinogona kunge chiri chikafu (senge mukaka, mazai, kana soya) kana mukume uri munharaunda.
Kana chimwe chinhu chakadai chikapinda mumuviri, rudzi rwemasero machena eropa anonzi eosinophils, ayo ari chikamu chemuviri wedu wekudzivirira muviri, anoungana akawanda mumadziro enzira dzekufema, sekunge ari kuenda kuhondo. Kana masero aya aungana, anoburitsa makemikari anoita kuti mukati menzira dzekufema muzvimbe uye mutsvukire (kuzvimba) .
Kungofanana nepombi yemvura ichizvimba mukati, zvinoita kuti zviomere mvura kupfuura nepakati. Kana pombi iyi ichizvimba, zvinoita kuti zviomere chikafu kupfuura nepakati. Nekufamba kwenguva, izvi zvinogona kuita kuti zvive zvitete. Izvi zvinokonzerwa nekuti:
- Kuoma kumedza chikafu (dysphagia).
- Kukanganiswa kwechikafu.
- Kurutsa.
- Kurwadziwa kwemudumbu.
- Kurwadziwa kwechipfuva.
Zviratidzo zvakaita seEoE zvinogona kuva dambudziko rakaoma, asi zvinogona kurapwa zvakanaka nerubatsiro rwachiremba wako.
Zviratidzo zvinovhiringidza zvikuru!
Chikonzero chikuru chinoita kuti EoE iome zvishoma kuziva ndechekuti zviratidzo zvayo zvakafanana nezvirwere zveGastroesophageal Reflux Disease (GERD) . Sezvatinoziva tese, izvi ndizvo zvinozivikanwawo se'acid reflux' kana kuti chirungurira. Sezvo zvirwere izvi zvese zvine zviratidzo zvakaita sekurwadziwa pachipfuva, kuoma kumedza, uye kurutsa, zviri nyore kwazvo kuvhiringidza zviviri izvi.
Asi zvikonzero zvekuitika kweizvi zviviri zvakasiyana zvachose.
- GERD inokonzerwa neacid yemudumbu inoyerera ichipinda mugurokuro. Izvi zvinoitika kana tsandanyama, sevharuvhu iri pakati pedumbu negurokuro, isingavharike zvakanaka.
- EoE haisi chinhu chinokonzerwa neacid yemudumbu, asi imhedzisiro yemasoja emuviri inokonzerwa neallergy.
Chimwe chinhu ndechekuti vamwe vanhu vane GERD vanewo huwandu hwakati hwe eosinophils mugumbo ravo, izvo zvinoita kuti kuongororwa kwechirwere kuome.
| Hunhu | Kurwara kweEosinophilic Esophagitis (EoE) | GERD (chipisiro chemoyo) |
|---|---|---|
| Chikonzero chikuru | Kupindura kwemuviri wemuviri nekuda kwekusawirirana. | Asidhi yemudumbu ichiuya mugurokuro. |
| Zviratidzo zvikuru | Kuomerwa zvakanyanya nekumedza, kudzipwa nechikafu, kurutsa, kurwadziwa pachipfuva. | Kurwadziwa pachipfuva, kuravira kunovava pahuro, kurwadziwa pachipfuva, kuoma kumedza. |
| Mhinduro kumishonga | Mishonga inowanzo shandiswa pakurapa gastritis (acid blockers) haiwanzoirapa. | Gastritis inowanzo pindura zvakanaka kumishonga (acid blockers). |
Asi pane chinhu chimwe chete chakakosha chekurangarira! Kurwadziwa pachipfuva kunogonawo kuva chiratidzo chechirwere chemwoyo. Saka kana uine kurwadziwa pachipfuva pamwe chete nekushaya mweya, kurwadziwa kunobva paruoko rwako, kana kudikitira, usamirira woona chiremba kana kuenda kuchipatara chiri pedyo neEmergency Department (ETU). Izvi zvakakosha zvikuru.
Saka chiremba anoona sei izvi chaizvo?
Mushure mekuteerera zviratidzo zvako, chiremba wako angangoita bvunzo dzakawanda kuti aone kana iri GERD, EoE, kana chimwe chinhu.
1. Kukubvunzai ruzivo rwakadzama
Kutanga, chiremba wako achakubvunza zvakawanda nezvezviratidzo zvako. Wava nenguva yakareba sei uine zviratidzo izvi, zvinotowedzera kuipa riini, zvinobuda mushure mekudya zvimwe zvekudya, uye kana paine munhu mumhuri mako ane allergies kana asthma.
2. Kuongororwa kweEndoscopy
Iri ndiro danho rakakosha pakuongorora chirwere. Endoscopy inosanganisira kuisa chubhu yakatetepa, inochinjika ine kamera uye chiedza kuburikidza nemuromo wako kuti uongorore mukati megurokuro, mudumbu, uye chikamu chekutanga cheura hwako hudiki. Anesthesia inoshandiswa kukuita kuti unzwe wakasununguka panguva iyi. Izvi zvinobvumira chiremba kutarisa nemaziso kuzvimba, kutetepa, maronda machena, kana zvimwe shanduko mugurokuro rako.
3. Kuongororwa kwe biopsy
Panguva ye endoscopy, chiremba anotora sampuro diki yenyama kubva pamadziro egurokuro oitumira ku lab. Izvi zvinonzi biopsy. Sampuro iyi yenyama inoongororwa ne microscope kuti ione kana paine huwandu hwakawanda hwe eosinophils, hwatakambotaura nezvahwo. Kana uine EoE, huwandu hwemasero aya huchava hwakakwira zvikuru. Bvunzo iyi ine chokwadi che100% chekusimbisa chirwere.
Kana wangoonekwa uine EoE, hapana chekunetseka nacho. Unogona kushanda nachiremba wako kuti uzvigadzirise. Vanogona kuedza kuona chikafu chausingade uye kukurudzira kudya kwaunoda kubvisa. Kana kuti vanogona kukupa mishonga yekuderedza kuzvimba pagurokuro rako. Chinhu chakakosha ndechekutevedzera mirairo yachiremba wako nemazvo.
Mharidzo Yekuenda Nayo Kumba
- Eosinophilic Esophagitis (EoE) haisi chirwere chegastritis kana GERD (gastroesophageal reflux disease), asi chirwere chinokonzerwa neallergy chinoitika mugurokuro.
- Kuomerwa nekumedza, chikafu chinonamira pagurokuro, uye kurwadziwa pachipfuva ndizvo zviratidzo zvikuru. Usazviregeredza.
- Kana uchinzwa kurwadziwa muchipfuva, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika kuti ubvise chirwere chakakomba chakadai sekurwadziwa kwemoyo.
- Endoscopy uye biopsy zvakakosha kuti chirwere chiongororwe nemazvo.
- Ichi hachisi chirwere chekutyiwa uye chinogona kudzorwa zvakanaka nekuchinja zvekudya uye mishonga uchitungamirirwa nachiremba wako.
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