Ngaba ngequbuliso uziva ngathi umqala wakho uvalekile xa usitya? Okanye ngaba unesitshiso esingapheliyo esifubeni sakho nokuba uthatha amayeza angakanani na? Usenokucinga ukuba le yingxaki eqhelekileyo ye-gastritis . Kodwa ukuba unale mpawu, musa ukuyityeshela nje. Kuba oku kusenokuba luphawu lwenye imeko yempilo esingayivayo kangako, kodwa esifanele sikhathazeke ngayo. Namhlanje sithetha ngesinye sezi meko, i-Eosinophilic Esophagitis (EoE).
Yintoni i-Eosinophilic Esophagitis (EoE)?
Kulungile, eli gama lisenokuvakala liyinkimbinkimbi kancinci, kodwa masiligcine lilula.
Ngamafutshane, i-Eosinophilic Esophagitis (EoE) yimeko ye-allergy ebangelwa kukusabela kwenkqubo yomzimba yokuzikhusela. Ichaphazela kakhulu i -esophagus , ityhubhu yemisipha ethwala ukutya ukusuka emlonyeni ukuya esiswini.
Ngoku, khangela, ii-eosinophils luhlobo lweeseli ezimhlophe zegazi egazini lethu. Ezi seli zihlala zisanda emzimbeni wethu xa sine-allergy okanye usulelo olubangelwa zizinambuzane. Kwi-EoE, inani elikhulu lezi seli ze-eosinophil, ngesizathu esithile, liqokelelana ngaphakathi kwezicubu ze-esophagus yethu. Xa ziqokelelana, ingaphakathi le-esophagus liyadumba, libomvu, kwaye liqala ukonakala. Oku kudumba kubangela ukuba i-esophagus iyeke ukusebenza kakuhle. Yiyo loo nto sinobunzima bokuginya ukutya, kwaye ukutya kuyabambeka.
Into ebalulekileyo kukuba i-EoE ayisiyonto ifika ize idlule. Yimeko engapheliyo , ehlala ixesha elide. Inokubonwa kubantwana nakubantu abadala, ingakumbi kumadoda.
Ziziphi iimpawu eziphambili ze-EoE?
Umntu one-EoE unokufumana iimpawu ezahlukeneyo. Ezinye zeempawu zifana kakhulu nezo ze-gastritis eqhelekileyo, yiyo loo nto abantu beyibhidanisa. Makhe sijonge iimpawu eziphambili.
| Uphawu | Ingcaciso elula |
|---|---|
| Ubunzima bokuginya (i-Dysphagia) | Ukuziva ngathi ukutya kubambekile emqaleni endaweni yokuba uye phantsi xa usitya. Uziva ngathi umphimbo unciphile. |
| Impembelelo yokutya | Le yingxamiseko yezonyango . Iqhekeza lokutya linamathele ngokupheleleyo emqaleni, nto leyo eyenza kube nzima ukuginya nethontsi lamathe. Ukuba oku kuyenzeka, kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko. |
| Intlungu yesifuba okanye ukudumba | Njengakwi-gastritis, kukho ukutsha okanye intlungu embindini wesifuba. Kodwa into ekhethekileyo kukuba le ntlungu ayinciphi nasemva kokuthatha amayeza afana ne-antacids, anikwa i-gastritis. |
| Ukuhlanza kunye nentlungu yesisu | Olu phawu luxhaphake kakhulu kubantwana abancinci. Lunokubangela ukungabi namdla wokutya, iintlungu zesisu, kunye nokuhlanza. |
Kutheni i-EoE isenzeka? Zithini izizathu?
Ngenxa yokuba i-EoE yimeko entsha yezonyango, izizathu zayo azikaziwa nge-100%. Nangona kunjalo, kukho amanqaku ambalwa aphambili abaphandi abakholelwa ukuba zezi:
- Impendulo yenkqubo yomzimba yokuzikhusela: Imbono yangoku eyamkelekileyo kukuba inkqubo yethu yomzimba yokuzikhusela isabela ngokugqithisileyo kwizinto ezithile (ingakumbi ukutya). Ngokukodwa, umzimba wethu ujonga ukutya okuthile (umz., ubisi, amaqanda , isoya, ingqolowa) okanye izinto ezikwindawo esingqongileyo (umz., impova, uthuli, umngundo) njenge "ntshaba" kwaye ithumela ii-eosinophils egazini ukuze zilwe nazo.
- I-Genetics: Le meko idla ngokuxhaphaka kwiintsapho ukuya kuthi ga kwinqanaba elithile. Oku kuthetha ukuba ukuba umntu kusapho lwakho une-EoE, i-asthma, okanye i-allergies efana ne-eczema, unokuba nomngcipheko omncinci wokufumana i-EoE.
EoE? Okanye iGERD? Kutheni ubhidanisa ezi zimbini?
Le yeyona ngxaki inkulu kubantu abaninzi. Iimpawu ze-EoE zifana kakhulu nento esiyaziyo sonke njenge -GERD (Gastroesophageal Reflux Disease) , imeko apho i-asidi yesisu inyuka iye emqaleni. Ngenxa yesi sizathu, abantu abaninzi abane-EoE banokuya kunyango lwe-GERD iminyaka emininzi ngaphandle kokuphucula.
Makhe sibone ukuba zeziphi izinto eziphambili ezahlukileyo phakathi kwezi zimbini.
| Ingongoma yokuthelekisa | I-Eosinophilic Esophagitis (EoE) | I-GERD (i-Gastric Reflux) |
|---|---|---|
| Unobangela oyintloko | Impendulo ye-allergy yenkqubo yomzimba yokuzikhusela. | I-asidi yesisu iphuma kwi-esophagus. |
| Ukudumba kwesifuba | Inokubonwa rhoqo. | Uphawu oluphambili. |
| Impendulo kwi-antacids | Kudla ngokungabikho mpendulo okanye kubekho impendulo encinci kakhulu. | Ihlala ilawulwa kakuhle . |
| Ityhefu yokutya | Kuqhelekile kakhulu kwaye kunokuba nzima. | Iphantsi kakhulu. |
| Ezinye izinto ezibangela ukuba umntu angabi naso i-aleji | Kukho unxibelelwano olucacileyo neemeko ezifana ne-asthma, i-eczema, kunye ne-hay fever. | Ngokwesiqhelo akukho nxibelelwano ngqo . |
Ugqirha uyifumana njani kanye kanye le nto?
Ukuba uneempawu endizikhankanyileyo apha ngasentla, ingakumbi ukuba awukhululeki ngokuthatha amayeza e-gastritis, ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho umxelele ngayo. Emva kokumamela iimpawu zakho ngononophelo, uya kucebisa ukuba kwenziwe uvavanyo ukuqinisekisa ukuba le yi-EoE na.
Iimvavanyo eziphambili ezenzelwe oku yi -endoscopy kunye ne-biopsy .
Oku kuquka ukufaka ityhubhu encinci nethambileyo enekhamera encinci enamathele emlonyeni wakho kwaye uhlolisise ingaphakathi lomqala wakho nesisu. Ungakhathazeki, uhlala unikwa i-anesthesia ngenxa yoku, ukuze ungaziva ungonwabanga.
Ngexesha le-endoscopy, ugqirha uza kuthatha isampuli encinci yezicubu (i-biopsy) kwi-esophagus aze ayithumele kwilebhu. Eyona ndlela yokuqiniseka ngokupheleleyo ukuba une-EoE kukujonga inani eliphezulu kakhulu lee-eosinophils kwizicubu.
Umyalezo Wokuya Ekhaya
- Ungaze uzithathe lula iimpawu ezinje ngobunzima bokuginya, ukutya okubambekayo emqaleni, okanye iintlungu zesifuba ezingaphenduliyo kumayeza.
- I-EoE ayibangelwa yi-asidi yesisu, yimpendulo ye-allergy yenkqubo yomzimba yokuzikhusela.
- Iimpawu zakho zisenokufana nezeGERD, kodwa unobangela kunye nonyango zahlukile ngokupheleleyo.
- Ukuze ufumane ukuba siyintoni kanye kanye esi sifo, kubalulekile ukubona ugqirha , kwaye ukuba kuyimfuneko, wenze i-endoscopy kunye ne-biopsy.
- Endaweni yokuzinyanga ngokwakho, thetha ngokukhululekileyo nogqirha wakho malunga neempawu zakho. Ukuxilongwa ngokuchanekileyo linyathelo lokuqala lonyango oluphumelelayo.
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