Ngaba ukhe uzive ngathi ukutya kunamathela emqaleni wakho ngelixa usitya? Okanye mhlawumbi ubusoloko ujongene nentlungu yesifuba engapheliyo engaphucukiyo, nokuba uthatha amayeza amaninzi esitshisa isicaphucaphu? Usenokucinga ukuba le yimeko eqhelekileyo yesifo se -gastritis . Nangona kunjalo, ukuba ufumana ezi mpawu, kubalulekile ukuba ungazihoyi. Zisenokuba ziimpawu zesimo esingaxutyushwanga rhoqo, kodwa esibalulekileyo esibizwa ngokuba yi-Eosinophilic Esophagitis (EoE).
Yintoni kanye kanye i-Eosinophilic Esophagitis (EoE)?
Eli gama lisenokuvakala liyinkimbinkimbi, kodwa masilichaze ngokulula.
Ngokwenyani, i-Eosinophilic Esophagitis (EoE) sisifo esibangelwa yi-allergy eqhutywa yinkqubo yakho yokuzikhusela komzimba . Sichaphazela kakhulu i-esophagus—ityhubhu yemisipha ethwala ukutya emlonyeni wakho ukuya esiswini sakho.
Egazini lakho, kukho iiseli ezimhlophe zegazi ezithile ezibizwa ngokuba zii-eosinophils . Ezi seli zihlala zisanda xa umzimba wakho ulwa ne-allergy okanye usulelo olubangelwa zizinambuzane . Kwi-EoE, inani elikhulu lezi eosinophils lifudukela kwizicubu ze-esophagus yakho ngezizathu ezingaqondakaliyo ngokupheleleyo. Oku kuqokelelana kubangela ukudumba, ukubomvu, kunye nomonakalo kwi-esophagus lining. Oku kudumba kuphazamisana nomsebenzi oqhelekileyo we-esophagus, okukhokelela ekubeni kube nzima ukuginya okanye ukuziva ukutya kubambekile onokuba uhlangabezana nako.
Okubaluleke kakhulu, i-EoE ayisiyongxaki edlulayo; yingxaki engapheliyo , ehlala ixesha elide. Ingachaphazela abantwana kunye nabantu abadala, kwaye ixhaphake kakhulu kumadoda.
Ziziphi iimpawu eziphambili ze-EoE?
Iimpawu ze-EoE zinokwahluka, kwaye ngenxa yokuba ezinye zidibana kakhulu ne-standard acid reflux, zihlala zingachongwa kakuhle. Nazi iimpawu eziqhelekileyo:
| Uphawu | Inkcazo |
|---|---|
| I-Dysphagia (Ubunzima bokuginya) | Ukuziva ngathi ukutya akuhambisani kakuhle okanye kuyabhajwa. Kudla ngokuvakala ngathi umphimbo unciphile. |
| Impembelelo yokutya | Le yingxamiseko yezonyango . Ukuba ukutya kuthe kwahlala ngokupheleleyo emqaleni wakho, nto leyo ekuthintela nokuba ungaginyi amathe, funa unyango olukhawulezileyo kwicandelo lezonyango lasekuhlaleni. |
| Intlungu Yesifuba Okanye Ukutshisa Intliziyo | Kufana ne-standard acid reflux, kodwa ngokuqhelekileyo ayiphenduli kumayeza aqhelekileyo e-antacid. |
| Ukuhlanza kunye nentlungu yesisu | Ixhaphake kakhulu ebantwaneni, idla ngokuhamba nomnqweno wokutya okanye iintlungu zesisu ezingapheliyo. |
Kutheni i-EoE isenzeka?
Njengengxaki esandul’ ukuchongwa kwisayensi yezonyango, unobangela usaphandwa. Nangona kunjalo, iingcali zigxininisa ezi zinto zibalulekileyo:
- Impendulo Yomzimba: Isivumelwano esiphambili kukuba inkqubo yomzimba yokuzikhusela isabela ngokugqithisileyo kwizinto ezithile ezibangela oku. Umzimba wakho usenokungazichazi kakuhle iiproteni zokutya (umz., ubisi, amaqanda , isoya, ingqolowa) okanye izinto ezibangela ukungezwani komzimba (umz., impova, uthuli, umngundo) njengezisongelo, zithumele ii-eosinophils kwi-esophagus ukuze zilwe nazo.
- I-genetics: Kukho umkhwa wosapho. Ukuba unembali yosapho lwakho ye-allergies, i-asthma, okanye i-eczema, unokuba nethuba eliphezulu lokufumana i-EoE.
Ingaba yi-EoE okanye i-GERD? Kutheni kukho ukudideka?
Le yeyona ngxaki inkulu kwizigulane ezininzi. Iimpawu ze-EoE zifana ne -GERD (Gastroesophageal Reflux Disease) , yiyo loo nto abantu abaninzi bechitha iminyaka bethatha amayeza e-reflux ngaphandle kokufumana isiqabu.
Nazi umahluko ophambili:
| Uphawu | I-Eosinophilic Esophagitis (EoE) | I-GERD (i-Acid Reflux) |
|---|---|---|
| Unobangela weengcambu | Impendulo yomzimba yokwaliwa komzimba | I-asidi yesisu ibuyela kwi-esophagus |
| Isitshiso sentliziyo | Okuqhelekileyo | Uphawu oluphambili |
| Impendulo kwi-Antacids | Amaxesha amaninzi akukho mpendulo | Ihlala ilawulwa kakuhle ngamayeza |
| Impembelelo yokutya | Ixhaphake kakhulu | Ayiqhelekanga kangako |
| Ezinye izinto ezibangela ukungezwani komzimba | Ikhonkco elinamandla (isifuba, i-eczema) | Akukho khonkco ngqo |
Oogqirha bayixilonga njani i-EoE?
Ukuba unale mpawu, ingakumbi ukuba unyango lwe-acid reflux aluzange luncede, kubalulekile ukuba ubonane nogqirha wakho. Baza kuvavanya imbali yakho, kwaye ukuze bafumane ukuxilongwa okuqinisekileyo, banokucebisa ukuba wenze i -Endoscopy eneBiopsy .
Ngexesha le-endoscopy, ityhubhu encinci, eguquguqukayo enekhamera iqondiswa entanyeni yakho ukuze kuhlolwe umphimbo wakho nesisu. Uhlala unikwa i-sedative kule nkqubo, ngoko awuyi kuva ntlungu okanye ukungakhululeki.
Ngethuba esenza i-endoscopy, ugqirha uza kuthatha iisampulu ezincinci zezicubu (ii-biopsy) ukuze zivavanyelwe elebhu. Ukufumana uxinano olukhulu lwee-eosinophils kwezi sampulu ngumgangatho ogqwesileyo wokuqinisekisa ukuxilongwa kwe-EoE.
Umyalezo oya nawo ekhaya
- Ungaze uzityeshele iimpawu ezifana nobunzima obungapheliyo bokuginya, ukutya okunamathelayo emqaleni, okanye iintlungu zesifuba ezingaphenduliyo kumayeza aqhelekileyo.
- I-EoE yindlela yokusabela komzimba, kungekhona nje imiba ye-asidi yesisu.
- Nangona iimpawu zifana neGERD, izicwangciso zolawulo kunye nonyango zahlukile kakhulu.
- Ukuxilongwa ngokuchanekileyo kufuna uvavanyo lobuchwephesha lwezonyango, olunokuthi lubandakanye i-endoscopy kunye ne-biopsy.
- Kuphephe ukuzinyanga; thetha ngokukhululekileyo nogqirha wakho malunga neempawu zakho. Ukuxilongwa ngokuchanekileyo linyathelo lokuqala lokunceda ngempumelelo.
I-Eosinophilic Esophagitis, i-EoE, i-GERD, i-dysphagia, iintlungu zesifuba, umphimbo, ii-allergies, isitshiso sentliziyo, i-allergy, ii-allergies , isitshiso sentliziyo
