Ngaba uziva ngathi kukho iqhekeza lokutya elinamathele emqaleni xa usitya? Ngaba uziva ngathi isifuba sakho siqinile xa usela amanzi? Ngabo banengxaki yaso kuphela abaziyo ukuba kunzima kangakanani ukuphila nobunzima obunjalo. Nangona abantu abaninzi becinga ukuba oku kubangelwa yi-gastritis, ngamanye amaxesha unobangela wale meko yi-Eosinophilic Esophagitis, okanye oko sikubiza ngokuba yi-`(EoE)` ngamafutshane.
Ngamafutshane, yintoni i-Eosinophilic Esophagitis (EoE)?
Kulungile, masiyibeke ngokulula. Inkqubo yomzimba wakho yokuzikhusela inohlobo oluthile lweseli ebizwa ngokuba yi-eosinophil. Ngokwesiqhelo, ezi seli zikho ukuze zilwe nezinto ezifana neeparasites ezingena emizimbeni yethu. Kodwa ngamanye amaxesha, ingakumbi ukuba une-allergy, ezi eosinophils ziqala ngokungalunganga ukuqokelelana kwi-esophagus yakho - ityhubhu ethwala ukutya ukusuka emlonyeni wakho ukuya esiswini sakho.
Xa oku kusenzeka, umphimbo uyadumba, ubomvu, kwaye ube buhlungu ngaphakathi. Kufana nokudumba eluswini. Oku kudla ngokubangelwa kukutya okuthile esikutyayo. Oku kudumba kubangela ukuba umphimbo ube mxinwa, okwenza kube nzima ukuginya ukutya, kwaye ukutya kubambeke.
Ngoku ekubeni ugqirha wakho eqinisekisile ukuba unale meko, into yokuqala onokucinga ngayo kukuba, "Kulungile, loluphi unyango olungcono kum ngoku?" Makhe sithethe ngaloo nto ngoku.
Ziziphi iindlela eziphambili zonyango lwe-EoE?
Akukho nyango lubalaseleyo lwe-EoE. Kufana nesuti efanela omnye umntu isenokungamfanelanga omnye. Ugqirha wakho uza kuqwalasela izinto ezininzi, kuquka imeko yakho, indlela ophila ngayo, kunye nezinto ozithandayo, ukuze enze isicwangciso sonyango esilungele wena.
Kukho iindlela ezine eziphambili zonyango.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Izithinteli zeProton Pump (iiPPI) | Ezi zihlala zinikwa i-gastritis, kodwa zinokunciphisa ukudumba kwi-esophagus. Amaxesha amaninzi, oogqirha baqala ngolu nyango kuqala. |
| IiSteroids zeTopical | La ngamayeza afika nge-inhaler ekhethekileyo okanye njenge-lozenge. Xa uwaginya, la mayeza anamathela eludongeni lwendlela yakho yomoya kwaye alawule ngokuthe ngqo ukudumba okubangelwa zi-eosinophil cells. |
| Utshintsho lokutya | Njengoko benditshilo ngaphambili, eyona nto ibangela i-EoE kukungezwani nokutya. Ngoko ke, into ephambili apha kukufumanisa ukuba zeziphi ukutya oziva ungenamandla okukutya uze uzisuse ngokupheleleyo ekutyeni kwakho. |
| Ukwanda komlomo wesibeleko | Ukuba umphimbo uncinci kakhulu ngenxa ye-EoE ehlala ixesha elide kwaye ukutya kuhlala kubambekile, kufakwa isixhobo esikhethekileyo esifana nebhaluni ngexesha le-endoscopy ukuze kwandiswe kancinci umphimbo. Oku kunika isiqabu ngokukhawuleza ekubunzimeni kokuginya. |
Ugqirha ukhetha njani unyango olukufaneleyo?
Ngoku usenokuba uzibuza, "Yeyiphi kwezi zine efanelekileyo kum?" Ugqirha wakho uza kuqwalasela izinto ezininzi ngononophelo ngaphambi kokuba enze isigqibo.
1. Imbali yezinye izinto ezibangela ukuba umntu angakwazi ukuzinyamezela
Ngaba ukhe waba ne-asthma, i-eczema, okanye i-allergies kwizinto ezifana nothuli kunye ne-pollen ukususela ebuntwaneni? Ukuba kunjalo, kukho ithuba elikhulu lokuba imeko yakho ye-EoE ibangelwa yi-allergy yokutya. Kwiimeko ezinjalo, ugqirha wakho unokugxila kakhulu kutshintsho lokutya endaweni yamayeza. Ungathunyelwa kwi-allergies, ingcali kwi-allergies.
2. Ubukhali beempawu zakho
Khawucinge ngomntu onengxaki yokuginya ukutya. Omnye umntu uhlala ebambeka ukutya aze asele amanzi ukuze akuthobe. Ngamanye amaxesha, ukutya kuyabambeka ngokupheleleyo aze aye kwiSebe leeNgxamiseko (ETU).
Ukuba iimpawu zakho azikho qatha kakhulu, ugqirha wakho unokuqala ngento elula efana ne-PPI. Nangona kunjalo, ukuba usoloko unqwenela ukutya okanye ukrokrela ukuba umphimbo wakho unciphile kakhulu, ugqirha wakho unokucebisa isicwangciso sonyango esiquka ukwandiswa komphimbo.
3. Indlela ophila ngayo nezinto ozithandayo
Oku kubaluleke kakhulu. Ugqirha uza kuthetha nawe aze akubuze ngezi zinto.
- Ngaba kunokwenzeka ukulawula ukutya kwakho?Khawuthelekelele ukuba ungumntu oxakekileyo otya kakhulu ngaphandle. Kumntu onjalo, ukuyeka ukutya oku-6 okuphambili (ubisi, amaqanda, isoya, ingqolowa, intlanzi/ukutya kwaselwandle, amantongomane) uze ukutye (Elimination Diet) kunokuba nzima kakhulu. Kwimeko enjalo, kunokuba lula kuwe ukusebenzisa ipilisi oyiginyayo kube kanye ngemini.
- Ngaba uyawathanda amayeza? Abanye abantu abakuthandi ukuthatha amayeza ixesha elide. Bakhetha ukufumana unobangela wesifo baze basilawule ngokutya. Kumntu onjalo, ukulawula ukutya kunokuba lolona khetho lufanelekileyo.
Oko kuthetha ukuba, esi sisigqibo eniza kusenza kunye nogqirha.
Ngaba ukutya kuyayinyanga i-EoE?
Le yeyona ngxaki inkulu kubantu abaninzi. Ekubeni unobangela we-EoE kukutya, ukuba unokuchonga ukutya okubangela loo nto uze uyeke, unokuhlala uphantse unyange iimpawu. Kodwa umngeni kukufumanisa ukuba yintoni na loo nto ityiwayo.
Kunzima ukufumana ukutya okubangela i-EoE ngovavanyo oluqhelekileyo lwe-allergy, njengovavanyo lwesikhumba. Ngenxa yokuba i-EoE luhlobo olwahlukileyo kancinci lwe-allergy reaction, oogqirha basebenzisa iindlela ezimbini ezikhethekileyo.
1. Ukutya Okungangenisi Ingxaki: Oku kuquka ukususa ngokupheleleyo ukutya okumbalwa okubalulekileyo (ngokuqhelekileyo oku-6) okuye kwafunyaniswa ukuba yeyona nto ibangela i-EoE kangangeeveki ezimbalwa. Emva koko, siphinda sikuzise nganye nganye ukuze sibone ukuba iimpawu ziyaphucuka na. Emva koko singabona ukuba zeziphi ukutya ezibangela ukuba iimpawu zibuye.
2. Ukutya Okusisiseko: Oku kunzima ngakumbi. Apha, uyeka ukutya konke ukutya kwakho okuqhelekileyo uze usele isiselo esikhethekileyo esilulwelo (ifomula ye-amino acid). Oku kunika umphimbo wakho ukuphumla ngokupheleleyo kwaye ukudumba kuyaphola ngokupheleleyo. Emva koko, wongeza ukutya ngakunye ngakunye.
Zombini ezi ndlela mazisetyenziswe kuphela phantsi kwengcebiso kagqirha kunye nogqirha wezondlo . Ukwenza oku wedwa kunokubangela ukunqongophala kwezondlo.
| Ukutya okubangela kakhulu i-EoE | |
|---|---|
| Ubisi kunye neemveliso zobisi | Ingqolowa (isonka, ipasta, iikeyiki) |
| Amaqanda | Isoya |
| Amandongomane (afana neecashews, amandongomane) | Intlanzi kunye neentlanzi zaselwandle |
| Inyama yenkomo | Umbona |
Ekugqibeleni, i-EoE ayisiyonto yokuxhalaba ngayo. Yimeko elawulekayo. Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nogqirha wakho kwaye nisebenzisane ekuphuhliseni isicwangciso sonyango esifanelana nendlela yakho yokuphila, izinto ozithandayo, kunye nemeko yakho.
Umyalezo Wokuya Ekhaya
- I-Eosinophilic Esophagitis (EoE) yimeko ye-allergy echaphazela umphimbo. Inokubangela ubunzima bokuginya.
- Kukho iindlela ezine eziphambili zonyango zoku: amayeza e-PPI, ii-steroids zomlomo, ukutya, kunye nokwandisa umphimbo.
- Ugqirha wakho uza kukhetha unyango olulungele wena, ecinga ngezinto ezifana neempawu zakho, ezinye izinto ezibangela ukuba umzimba wakho ungabi namdla, kunye nendlela ophila ngayo.
- Ekubeni ukutya kuyeyona nto iphambili ebangela i-EoE, ukuchonga nokuphepha ukutya okungafanelekanga lunyango olusebenzayo kakhulu.
- Ngaphambi kokuba uqalise naluphi na unyango, thetha nogqirha wakho ngalo ngononophelo. Inkqubo yonyango yintsebenziswano phakathi kwakho nogqirha wakho.
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