Unonzwa kamwe kamwe kunge pahuro pako pakavharwa here paunodya? Kana kuti une kunzwa kupisa muchipfuva chako kusingapere zvisinei nekuti unotora mushonga wakawanda sei? Ungafunga kuti iri idambudziko rinowanzoitika regastritis . Asi kana uine zviratidzo izvi, usangozvifuratira. Nekuti ichi chingave chiratidzo cheimwe chirwere chatisinganzwe zvakawanda nezvacho, asi chinofanira kunge chichinetsa zvishoma nezvacho. Nhasi tiri kutaura nezvechimwe chirwere chakadai, Eosinophilic Esophagitis (EoE).
Chii chinonzi Eosinophilic Esophagitis (EoE)?
Zvakanaka, zita iri ringanzwika serakaoma zvishoma, asi ngatirichengetedzei riri nyore.
Zvichitaurwa zviri nyore, Eosinophilic Esophagitis (EoE) chirwere chinokonzerwa neallergy inokonzerwa neimmune system reaction. Chinonyanya kukanganisa esophagus , iyo tsandanyama dzinotakura chikafu kubva mumuromo kuenda mudumbu.
Zvino, tarisai, eosinophils rudzi rwemasero machena eropa muropa redu. Masero aya anowanzo kuwedzera mumuviri wedu kana tiine allergy kana hutachiona hweparasite. MuEoE, huwandu hwakawanda hwemasero aya eosinophil, nekuda kwechimwe chikonzero, anoungana mukati menyama yegurokuro redu. Paanoungana, mukati megurokuro rinozvimba, ritsvuku, uye rinotanga kukuvara. Kuzvimba uku kunoita kuti gurokuro rimire kushanda zvakanaka. Ndosaka tichiomerwa nekumedza chikafu, uye chikafu chinomira.
Chinhu chakakosha ndechekuti EoE haisi chinhu chinouya choenda. Ichirwere chisingaperi , chinogara kwenguva refu. Chinogona kuonekwa kuvana nevakuru, kunyanya kuvarume.
Ndezvipi zviratidzo zvikuru zveEoE?
Munhu ane EoE anogona kusangana nezviratidzo zvakasiyana-siyana. Zvimwe zvezviratidzo zvakafanana zvikuru nechirwere chegastritis, ndosaka vanhu vachichivhiringa. Ngatitarisei zviratidzo zvikuru.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kuoma kumedza (Dysphagia) | Kunzwa sekuti chikafu chanamira pahuro pane kuti chidzike pasi pacho paunenge uchidya. Kunonzwa sekuti gurokuro rava kutetepa. |
| Kukanganiswa Kwechikafu | Iyi inyaya yekurapwa . Chikafu chinonamira chose mugurokuro, zvichiita kuti zvisakwanise kumedza kunyange donhwe remate. Kana izvi zvikaitika, unofanira kuenda kuEmergency Treatment Unit (ETU) yechipatara nekukasika. |
| Kurwadziwa pachipfuva kana kuzvimba | Sezvakaita chirwere chegastritis, pane kutsva kana kurwadziwa pakati pechipfuva. Asi chinhu chakakosha ndechekuti kurwadziwa uku hakudziki kunyangwe mushure mekutora mishonga yakaita semishonga inorwisa asidhi, iyo inopihwa chirwere chegastritis. |
| Kurutsa uye kurwadziwa mudumbu | Chiratidzo ichi chinowanzoonekwa kuvana vadiki. Chinogona kukonzera kurasikirwa nechido chekudya, kurwadziwa mudumbu, uye kurutsa. |
Sei EoE ichiitika? Ndezvipi zvikonzero?
Nekuti EoE chirwere chitsva, zvikonzero zvayo hazvisati zvazivikanwa zvizere. Zvisinei, kune zvinhu zvishoma zvinokosha zvinotendwa nevaongorori ndeizvi:
- Mhinduro yeSimba reMuviri: Maonero aripo iye zvino ndeekuti masoja edu emuviri anopindura zvakanyanya kune zvimwe zvinhu (kunyanya zvekudya). Zvikuru sei, muviri wedu unokanganisa zvimwe zvekudya (semuenzaniso, mukaka, mazai , soya, gorosi) kana zvinhu zviri munharaunda (semuenzaniso, mukume, guruva, chakuvhuvhu) se "vavengi" uye unotumira eosinophils muropa kuti dzizvirwise.
- Majini: Chirwere ichi chinowanzo itika mumhuri kusvika pamwero wakati. Izvi zvinoreva kuti kana mumwe munhu mumhuri yako aine EoE, asthma, kana allergies dzakadai se eczema, unogona kunge uine mukana wakaderera wekuwana EoE zvakare.
EoE? Kana kuti GERD? Sei uchivhiringidza zviviri izvi?
Iri ndiro dambudziko guru kune vanhu vazhinji. Zviratidzo zveEoE zvakafanana zvikuru nezvatinoziva tese seGERD (Gastroesophageal Reflux Disease) , chirwere apo acid yemudumbu inokwira muhuro. Nekuda kweizvi, vanhu vazhinji vane EoE vanogona kurapwa neGERD kwemakore vasina kana kuvandudzwa.
Ngationei kuti musiyano mukuru uripi pakati pezviviri izvi.
| Pokufananidza | Kurwara kweEosinophilic Esophagitis (EoE) | GERD (Gastric Reflux) |
|---|---|---|
| Chikonzero chikuru | Kusawirirana kwemuviri nemuviri. | Asidhi yemudumbu inokwira pagurokuro. |
| Kuzvimba kwechipfuva | Inogona kuonekwa kakawanda. | Chinhu chikuru. |
| Mhinduro kumishonga inorwisa asidhi | Kazhinji hapana mhinduro kana kuti hapana mhinduro yakawanda. | Kazhinji inodzorwa zvakanaka . |
| Chepfu yechikafu | Zvinowanzoitika uye zvinogona kuva zvakakomba. | Zvakaderera zvishoma. |
| Zvimwe zvirwere zvemuviri | Pane hukama hwakajeka nezvirwere zvakaita seasthma, eczema, uye hay fever. | Kazhinji hapana kubatana kwakananga . |
Chiremba anoona sei izvi chaizvo?
Kana uine zviratidzo zvandataura pamusoro apa, kunyanya kana usina kuzorora nekutora mushonga wechirwere chegastritis, unofanira kuona chiremba wako womuudza nezvazvo. Mushure mekuteerera zviratidzo zvako nokungwarira, achakurudzira kuti uedze kuona kana iri EoE.
Miedzo mikuru inoitwa pakuita izvi ndeye endoscopy uye biopsy .
Izvi zvinosanganisira kuisa chubhu yakatetepa, inochinjika ine kamera diki yakasungirirwa mumuromo mako woongorora mukati megurokuro nemudumbu mako. Usazvidya moyo, unowanzopihwa mushonga wekurwadziwa nekuda kweizvi, saka hauzonzwi kusagadzikana.
Panguva ye endoscopy, chiremba achatora sampuli diki yenyama (biopsy) kubva pagurokuro oitumira ku lab. Nzira chete yekuva nechokwadi chekuti une EoE ndeyekutsvaga huwandu hwakawanda hwe eosinophils munyama.
Mharidzo Yekuenda Nayo Kumba
- Usambofa wakarerutsa zviratidzo zvakaita sekuoma kumedza, kubatwa nechikafu pahuro, kana kurwadziwa pachipfuva kusingapindure kana wanwa mishonga.
- EoE haikonzerwi neacid yemudumbu, asi imhaka yekusawirirana kwemuviri wemuviri.
- Zviratidzo zvako zvinogona kunge zvakafanana neGERD, asi chikonzero nekurapa zvakasiyana zvachose.
- Kuti uzive kuti chirwere chacho chii chaizvo, zvakakosha kuti uone chiremba uye, kana zvichidikanwa, upinzwe endoscopy uye biopsy.
- Pane kuzvirapa wega, taura nachiremba wako pachena nezvezviratidzo zvako. Kuongororwa kwakarurama ndiyo nhanho yekutanga yekurapwa kunobudirira.
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