Ngaba wakha waziva iqhuma emqaleni okanye intlungu esifubeni sakho ngelixa usitya? Mhlawumbi umntwana wakho omncinci akathandi ukutya, aze athi kunzima ukutya. Sihlala sicinga ukuba le yingxaki ye-gastritis okanye ukudinwa. Kodwa ngamanye amaxesha isizathu soku singaba yimeko esingakayiva kangako, kodwa esifanele siyixhalabele kancinci. Namhlanje sithetha ngemeko enjalo, i-Eosinophilic Esophagitis, okanye i-EoE ngamafutshane.
Ngamafutshane, yintoni i-Eosinophilic Esophagitis (EoE)?
Kulungile, masiyibeke ngokulula le nto. Sinetyhubhu, efana netyhubhu, ethwala ukutya emlonyeni wethu ukuya esiswini sethu. Oku sikubiza ngokuba yi-esophagus. Ngamafutshane, "yipayipi yokutya" yethu. I-EoE yimeko yokudumba engaqhelekanga, enxulumene ne-allergy eyenzeka ngaphakathi kule pipe yokutya.
Ngoku khangela, imizimba yethu ineentlobo ezahlukeneyo zeeseli ezisikhusela kwizifo. Kufana nomkhosi emizimbeni yethu. Ii-Eosinophils luhlobo olunye lweeseli ezimhlophe zegazi. Ngokwesiqhelo, aba bantu balwa nee-allergies kunye nosulelo lwe-parasites. Kodwa kumntu one-EoE, kukho into engalunganga. Ezi seli ze-Eosinophil, ngaphandle kwesizathu, ziqokelelana ngamanani amakhulu kuloo mbhobho wokutya. Kufana nomkhosi wazo uhlasela inxalenye yelizwe lawo.
Xa iiseli ze-eosinophil ziqokelelana ngale ndlela, ingaphakathi le-esophagus liyadumba, libe bomvu, kwaye liqale ukonakala. Oku kubizwa ngokuba kukudumba . Oku kubangelwa bubunzima bokuginya, ukunamathela kokutya, kunye nentlungu yesifuba.
Ingakumbi xa oku kusenzeka kubantwana abancinci, abafumani izondlo ezifanelekileyo abazidingayo. Ngenxa yoko, ukukhula kwabantwana kunokudodobala. Kwaye kufuneka baphile nentlungu ixesha elide.
Ngawaphi amayeza anikwa ngoogqirha ukulawula i-EoE?
Okokuqala, akukho nyango lwe-EoE. Kodwa ungakhathazeki! Kukho unyango olusebenzayo kakhulu lokulawula iimpawu, ukunciphisa ukudumba kwi-esophagus, kunye nokuthintela umonakalo ongakumbi.
Amaxesha amaninzi, kunye nala mayeza, ugqirha wakho angakuxelela ukuba uphephe ukutya okuthile (njengobisi, amaqanda, kunye nesoya) okwethutyana, kuba okunye ukutya kunokubangela ukuba imeko ibe mandundu. Xa amayeza kunye nokutya zidityanisiwe, iziphumo ziba zintle kakhulu.
Ngoku makhe sijonge iintlobo eziphambili zamayeza anikwa i-EoE.
| Uhlobo lweyeza | Kalula nje, kwenzeka ntoni? | Amanqaku abalulekileyo |
|---|---|---|
| Izithinteli zeProton Pump (iiPPI) | Iyanciphisa ukuveliswa kwe-asidi esiswini, nto leyo enciphisa ukudumba kwi-esophagus. | Olu lunyango lokuqala oluqala ngalo. Olu nyango lukwanikwa nakwi-gastritis (i-acid reflux). |
| Ii-Corticosteroids (ii-steroids zendalo) | Ilawula ngokuthe ngqo ukudumba (ukudumba, ukuba bomvu) okubangelwa kukuqokelelwa kweeseli ze-eosinophil kwimibhobho yomoya. | Unyango olusebenza kakuhle kakhulu. Izigulana ezininzi zisabela kakuhle kolu nyango. |
1. Iinkcukacha ezithe vetshe malunga neProton Pump Inhibitors (PPIs)
Ukuba wakha wathatha amayeza e-gastritis, usenokuba uqhelene negama elithi PPIs. Umsebenzi wawo ophambili kukulawula ukuveliswa kwe-asidi yesisu esiswini. Ekubeni uninzi lwezigulane ze-EoE nazo zine -acid reflux (acid reflux), oogqirha baya kuqala bazame la mayeza. Ngamanye amaxesha, ukunciphisa i-asidi yesisu kunokunciphisa ukudumba kwi-esophagus.
Lwenziwa njani unyango?
Ngokwesiqhelo, ugqirha wakho uya kukunika i-PPI kanye ngemini kangangeeveki ezisi-8. Ukuba iimpawu zakho aziphucuki emva kwenyanga, ugqirha wakho unokunyusa idosi ibe kabini ngemini.
Emva kweenyanga ezimbini, ugqirha uza kuphinda ajonge iimpawu zakho. Ngamanye amaxesha, banokwenza ne- upper endoscopy .
- Yintoni i-Upper Endoscopy?
Oku kuquka ukufaka ityhubhu encinci, eguquguqukayo enekhamera encinci eqhotyoshelwe emlonyeni wakho kwaye uhlolisise ingaphakathi le-esophagus yakho (umbhobho wokutya) kunye nesisu. Oku kuvumela ugqirha wakho ukuba abone ukuba i-esophagus yakho ivuvukele kangakanani kunye nokuba zingaphi ii-eosinophils onazo. Olu vavanyo lusetyenziselwa ukuqinisekisa i-EoE ngokuthatha isampuli encinci (i-biopsy) kwaye uyihlolisise.
Ukuba iimpawu zakho ziphucuke kakhulu, ugqirha wakho uya kukuxelela ukuba uqhubeke usebenzisa idosi ephantsi ye-PPI elawula iimpawu zakho.
2. Ii-Corticosteroids - iyeza elinamandla elilawula ukudumba
Ukuba ii-PPI azisebenzi okanye ukuba imeko imbi kakhulu, oogqirha baya kujika baye kuhlobo lwamayeza abizwa ngokuba yi-corticosteroids. La mayeza asebenza ngokuthe ngqo ukulawula ukudumba kunye nokwakheka kweeseli ze-eosinophil kwi-esophagus. Uninzi lwezigulana lusabela kakuhle kolu nyango.
Ezi steroid, endaweni yokuba zinikwe njengeepilisi ezichaphazela umzimba wonke, ngoku zinikwa ngeendlela zanamhlanje ezichaphazela kuphela umqala. Umzekelo:
- I-Steroid Efunxwayo Eginyiweyo: I-inhaler esetyenziselwa i-asthma ibandakanya ukutshiza amayeza amancinci emlonyeni, ukuwaxuba namathe uze uwaginye endaweni yokuwaphefumlela. Oku kuthetha ukuba amayeza emva koko afunxwa ngqo emqaleni.
- Ithebhulethi Ecoca Ngomlomo: Kukwakho neentlobo ezikhethekileyo zeethebhulethi ezenzelwe ukufakwa elulwimini, zinyibilike, zidityaniswe namathe, zize ziginywe.
Ngenxa yezi ndlela, ukufunxwa kweyeza kwamanye amalungu omzimba kuphantsi kakhulu. Ngenxa yoko, iziphumo ebezingalindelekanga nazo zincinci kakhulu.
Izinto ekufuneka uzikhumbule ngokuqinisekileyo
Ukuphila ne-EoE kunokuba nzima ngamanye amaxesha, kodwa ngolawulo olufanelekileyo, akukho mqobo wokuphila ubomi obuqhelekileyo.
- Thetha nogqirha wakho rhoqo: Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo onayo, iinkxalabo malunga namayeza, okanye utshintsho kwiimpawu.
- Musa ukuyeka ukuthatha amayeza akho: Musa ukuyeka ukuthatha amayeza akho ngaphandle kokubonisana nogqirha wakho, kuba oku kunokubangela ukuba iimpawu zakho zibuye.
- Umonde ubalulekile: Kungathatha ixesha ukufumana amayeza afanelekileyo kunye nomlinganiselo ofanelekileyo kuwe, ngoko ke yiba nomonde ngonyango lwakho.
- Lumka ngendlela otya ngayo: Ukuba ugqirha wakho ukuxelela ukuba uyeke ukutya ukutya okuthile, landela loo miyalelo ngokuchanekileyo. Yinxalenye ebaluleke kakhulu yonyango.
I-EoE ayisiyonto yokoyika, kodwa yimeko ekufuneka ilawulwe ngokuqinisekileyo phantsi kweengcebiso zonyango. Ngonyango olufanelekileyo kunye notshintsho lwendlela yokuphila, ungayilawula kakuhle le meko kwaye uhlale usempilweni.
Umyalezo Wokuya Ekhaya
- I-Eosinophilic Esophagitis (EoE) yimeko yokudumba komphimbo okubangelwa kukunganyamezelani komzimba.
- Ubunzima bokuginya, iintlungu zesifuba, kunye nokunamathela kokutya zezona mpawu ziphambili. Oku kunokuchaphazela ngakumbi ukukhula kwabantwana.
- Nangona oku kunganyangeki ngokupheleleyo, kunokulawulwa ngempumelelo ngamayeza anjengeProton Pump Inhibitors (PPIs) kunye neCorticosteroids.
- Kunye namayeza, ukulandela ukutya okuchazwe ngugqirha kubaluleke kakhulu ukuze unyango luphumelele.
- Ukuba wena okanye umntwana wakho unezi mpawu, qiniseka ukuba ubona ugqirha ofanelekileyo ukuze akunike iingcebiso.
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