Ngaba ngamanye amaxesha uziva ngathi ukutya kwakho kunamathele emqaleni xa usitya, nto leyo eyenza kube nzima ukuginya? Okanye ngaba uneentlungu esifubeni okanye isisu esibuhlungu? Abantu abaninzi bacinga ukuba oku kuqhelekile, mhlawumbi isifo se-gastritis, kodwa oku kusenokuba yinto eyahlukileyo kwaye into ekufuneka ixhalatyelwe. Sithetha ngemeko enjalo namhlanje. Yi-Eosinophilic Esophagitis, okanye i-EoE ngamafutshane.
Yintoni kanye kanye i-EoE?
Ngamafutshane, i-Eosinophilic Esophagitis (EoE) yi -allergy reaction kwi-esophagus yethu, ityhubhu ethwala ukutya ukusuka emqaleni ukuya esiswini sethu. Cinga ngale ndlela: ukuba une-allergy kwinto efana neepinati, uya kuba nerhashalala kwaye urhawuzelele xa uyitya. Ngokufanayo, xa umntu one-EoE evezwa kwi-trigger, i-esophagus yakhe iya kusabela. I-trigger inokuba kukutya (njengobisi, amaqanda, okanye i-soy) okanye i-pollen kwindawo esingqongileyo.
Xa into efana nale ingena emzimbeni, uhlobo lweseli emhlophe yegazi ebizwa ngokuba yi-eosinophils, eyinxalenye yenkqubo yethu yokuzikhusela, iqokelelana ngamanani amakhulu eludongeni lwendlela yomoya, ngokungathi iya edabini. Xa ezi seli ziqokelelana, zikhupha iikhemikhali ezibangela ukuba ingaphakathi lendlela yomoya lidumbe kwaye libe bomvu (ukudumba) .
Njengokuba umbhobho wamanzi uvuvukala ngaphakathi, kwenza kube nzima ukuba amanzi adlule. Xa lo mbhobho uvuvukala, kwenza kube nzima ukuba ukutya kudlule. Ekuhambeni kwexesha, oku kunokuba nzima. Oku kungenxa yokuba:
- Ubunzima bokuginya ukutya (dysphagia).
- Impembelelo yokutya.
- Ukuhlanza.
- Intlungu yesisu.
- Iintlungu zesifuba.
Iimpawu ezifana ne-EoE zinokuba yimeko enzima, kodwa zinokulawulwa kakuhle ngoncedo lukagqirha wakho.
Iimpawu ziyadida kakhulu!
Eyona nto ibangela ukuba i-EoE ibe nzima ukuyifumanisa kukuba iimpawu zayo zifana kakhulu nezo zeGastroesophageal Reflux Disease (GERD) . Njengoko sonke sisazi, oku kukwaziwa ngokuba yi-'acid reflux' okanye isitshiso sentliziyo. Ekubeni zombini ezi zifo zineempawu ezifana neentlungu zesifuba, ubunzima bokuginya, kunye nokuhlanza, kulula kakhulu ukuzibhidanisa zombini ezi mpawu.
Kodwa izizathu zezi ziganeko zimbini zahlukile ngokupheleleyo.
- I-GERD ibangelwa yi-asidi yesisu ephuma iye kwi-esophagus. Oku kwenzeka xa izihlunu, njengevalvu ephakathi kwesisu kunye ne-esophagus, zingavali kakuhle.
- I-EoE ayibangelwa yi-asidi yesisu, yimpendulo yenkqubo yomzimba yokuzikhusela ebangelwa yi-allergy.
Enye into kukuba abanye abantu abaneGERD nabo banenani elithile lee-eosinophils kwi-esophagus yabo, nto leyo eyenza kube nzima ngakumbi ukuxilongwa.
| Uphawu | I-Eosinophilic Esophagitis (EoE) | I-GERD (isitshiso sentliziyo) |
|---|---|---|
| Unobangela oyintloko | Impendulo yomzimba yokuzikhusela ngenxa ye-allergy. | I-asidi yesisu ingena kwi-esophagus. |
| Iimpawu eziphambili | Ubunzima obukhulu bokuginya, ukukrwitshwa kukutya, ukuhlanza, iintlungu zesifuba. | Intlungu yesifuba, incasa emuncu emqaleni, intlungu yesifuba, ubunzima bokuginya. |
| Impendulo kumayeza | Amayeza aqhelekileyo e-gastritis (i-asidi blockers) adla ngokungayinyangi. | I-Gastritis idla ngokuphendula kakuhle kumayeza (ii-acid blockers). |
Kodwa kukho into ebalulekileyo ekufuneka uyikhumbule! Iintlungu zesifuba nazo zingaba luphawu lokuhlaselwa yintliziyo. Ngoko ke ukuba uneentlungu zesifuba kunye nokuphefumla nzima, iintlungu eziphuma engalweni yakho, okanye ukubila, musa ukulinda uye kubona ugqirha okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane. Oku kubaluleke kakhulu.
Ngoko ke ugqirha uyifumana njani kanye kanye le nto?
Emva kokumamela iimpawu zakho, ugqirha wakho uya kwenza uvavanyo oluninzi ukuze abone ukuba yi-GERD, i-EoE, okanye enye into.
1. Ukubuza iinkcukacha
Okokuqala, ugqirha wakho uza kukubuza okuninzi malunga neempawu zakho. Unexesha elingakanani unazo, ziba mandundu nini, zivela emva kokuba utye ukutya okuthile, kwaye ingaba kukho umntu kusapho lwakho one-allergies okanye i-asthma.
2. Uvavanyo lwe-Endoscopy
Eli lelona nyathelo libalulekileyo ekuxilongweni. I-endoscopy ibandakanya ukufaka ityhubhu encinci, eguquguqukayo enekhamera kunye nokukhanya ngomlomo wakho ukuze kuhlolwe ingaphakathi le-esophagus yakho, isisu, kunye nenxalenye yokuqala yamathumbu akho amancinci. I-anesthesia isetyenziselwa ukukwenza uzive ukhululekile ngeli xesha lenkqubo. Oku kuvumela ugqirha ukuba ajonge ngamehlo ukudumba, ukuncipha, amabala amhlophe, okanye olunye utshintsho kwi-esophagus yakho.
3. Uvavanyo lwe-biopsy
Ngexesha le-endoscopy, ugqirha uthatha isampuli encinci yezicubu eludongeni lomqala aze ayithumele kwilebhu. Oku kubizwa ngokuba yi-biopsy. Le sampuli yezicubu ihlolwa phantsi kwe-microscope ukubona ukuba kukho inani eliphezulu kakhulu lee-eosinophils, esithethe ngazo ngaphambili. Ukuba une-EoE, inani lezi seli liya kuba phezulu kakhulu. Olu vavanyo luqinisekile nge-100% ukuqinisekisa isifo.
Wakuba ufunyenwe une-EoE, akukho nto ibalulekileyo. Ungasebenzisana nogqirha wakho ukuze uyilawule. Basenokuzama ukuchonga ukutya okubangela ukuba ungabi naso isifo kwaye bakucebise ukuba utye ukutya okungenasiphene. Okanye banokukunika amayeza okunciphisa ukudumba kwi-esophagus yakho. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- I-Eosinophilic Esophagitis (EoE) ayisiyo nje i-gastritis okanye i-GERD (isifo se-gastroesophageal reflux disease), yimeko ye-allergy eyenzeka kwi-esophagus.
- Ubunzima bokuginya, ukutya okunamathelayo emqaleni, kunye nentlungu yesifuba zezona mpawu ziphambili. Musa ukuzityeshela ezi.
- Ukuba ufumana iintlungu esifubeni, kubalulekile ukufuna uncedo lwezonyango ngokukhawuleza ukuze kuthintelwe imeko enzima efana nokuhlaselwa yintliziyo.
- I-Endoscopy kunye ne-biopsy zibalulekile ekuxilongeni ngokuchanekileyo isifo.
- Esi asiyomeko yokoyika kwaye singalawulwa kakuhle ngokutshintsha indlela yokutya kunye namayeza phantsi kwesikhokelo sikagqirha wakho.
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