Ngaba kunzima ukuginya ukutya? Ingaba kunamathele emqaleni? Ingaba le yi-Eosinophilic Esophagitis? (EOSINOPHILIC ESOPHAGITIS)

Ngaba uziva ngathi ukutya kwakho kunamathele emqaleni endaweni yokuba kungene emqaleni? Okanye udla ngokuba nemvakalelo yokutsha esifubeni sakho, iintlungu, kunye nokuphelelwa ngumdla wokutya? Abantu abaninzi bacinga ukuba ezi mpawu yingxaki eqhelekileyo yegesi (i-gastritis), kodwa ngamanye amaxesha kunokubakho esinye isizathu emva koku. Namhlanje siza kuthetha ngesimo esitsha, kodwa ngoku esixhaphakileyo. Le yi-Eosinophilic Esophagitis.

Ngamafutshane, yintoni i-Eosinophilic Esophagitis?

Eli gama lisenokubonakala lide kwaye liyinkimbinkimbi, kodwa masiligcine lilula.

Ityhubhu ethwala ukutya emlonyeni wethu ukuya esiswini ibizwa ngokuba yi-esophagus . Ifana nombhobho wamanzi. Inxalenye "ye-eosinophilic" ivela kuhlobo lweseli emhlophe yegazi emzimbeni wethu ebizwa ngokuba yi- "eosinophils." "I-Esophagitis" kukudumba komqala, oko kuthetha ukudumba okanye ukwenzakala.

Ngoko ke, ukuyibeka ngokulula, i-Eosinophilic Esophagitis (EoE) kuxa uhlobo lweseli emhlophe yegazi ebizwa ngokuba yi-eosinophils iqokelelana ngamanani amakhulu kwi-esophagus yethu, nto leyo ebangela ukudumba ngaphakathi kuloo tube. Oku kufana ne-allergy eyenzeka eluswini lwethu, kodwa oku kwenzeka ngaphakathi emzimbeni, kumbhobho wokutya.

Ekuhambeni kwexesha, oku kuvutha kubangela ukuba kubekho izicubu ezincinci zesilonda ngaphakathi emqaleni, kwaye umbhobho uyancipha kancinci kancinci. Cinga ngawo njengombhobho wamanzi ovalwe ngumhlwa. Kwenzeka ntoni ke ngoko? Xa uginya ukutya okuzeleyo, akuhli lula. Usenokuziva ngathi ukutya kubambekile, okanye kunokuziva ngathi kuyehla kancinci.

Zithini iimpawu zale meko?

Iimpawu zingahluka kancinci ngokuxhomekeke kwiminyaka yakho. Iimpawu aziqhelekanga kubantwana abancinci njengoko zinjalo nakubantu abadala.

Ukongeza kwezi mpawu ziphambili, abantu bayo nayiphi na iminyaka banokuzibona ezi mpawu:

• Intlungu yesisu: Intlungu kwindawo yesisu.
• Isicaphucaphu nokuhlanza: Ukuziva ugula kwaye uhlanza emva kokutya.
• Ukubuyela esiswini: Ukubuyela kokutya okuginyiweyo okanye ulwelo lwesisu emqaleni okanye emlonyeni.
• Ukuchaphazeleka kokutya: Le yingxakeko yezonyango . Iqhekeza lokutya linamathela kwindawo encinci yomqala, nto leyo eyenza kube nzima ukuphefumla. Kwimeko enjalo, kubalulekile ukuya kwigumbi likaxakeka lesibhedlele (ETU) ngoko nangoko. Ngamanye amaxesha, oku kuvimbeka kunokubangela ukuba umqala uqhume.

Abanye abantu abanazo ezi mpawu rhoqo. Zisenokuphela okwethutyana zize ziphinde zibuye.

Kutheni oku kusenzeka? Zithini izizathu?

Nangona unobangela ochanekileyo ungekaziwa okwangoku, kukholelwa ukuba kungenxa yokungasebenzi kakuhle kwenkqubo yethu yokuzikhusela komzimba . Inkqubo yethu yokuzikhusela komzimba ifumanisa ngempazamo into engenabungozi, njengokutya esikutyayo, njengotshaba.

Xa oku kungachazwanga kakuhle, inani elikhulu leeseli ezibizwa ngokuba zii-eosinophils zithunyelwa kwi-esophagus ukuze ziphendule. Ezi seli ziqokelelana apho zize zibangele ukudumba okukhankanyiweyo ngaphambili.

Zeziphi ukutya ezibangela le meko kakhulu?

Amaxesha amaninzi, ezi ziphumo zokunganyamezelani komzimba zibangelwa kukutya esikutyayo. Ukutya okuxhaphakileyo okuchaphazeleka zezi:

• Ubisi kunye neemveliso zobisi (Ubisi)
• Iqanda
• Ingqolowa
• Isoya
• Ukutya kwaselwandle/intlanzi yeqokobhe
• Iinati nezinye iinati (iinati, iinati zomthi)

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Sibiza izinto ezandisa umngcipheko wokuba nesifo esiyingozi. Abantu abaninzi abane-EoE nabo banenye okanye ngaphezulu kwezi meko zokunganyamezelani.

• Isifuba
• Umkhuhlane oqhelekileyo (i-Allergic rhinitis)
• I-Eczema kunye nerhashalala (i-Eczema / i-Atopic dermatitis)
• Ezinye izinto ezibangela ukunganyamezelani nokutya

Kwakhona, ukuba umntu kusapho lwakho, ingakumbi umntakwenu okanye umzali, unesi sifo, nawe usemngciphekweni omkhulu wokuba naso.

Ugqirha uyixilonga njani le nto?

Xa uxelela ugqirha wakho ngeempawu zakho, uza kukubuza imibuzo embalwa.

• Indlela otya ngayo: Abantu abaninzi ngokungazi bayaqhelana nezi mpawu. Umzekelo, xa besitya, bahlafuna ukutya kwabo kakuhle baze bakuginye ngamanzi amaninzi. Abanye abantu bayakuphepha ukutya okunzima ukukuginya, njengesonka nenyama. Ugqirha wakho uza kukubuza ngezi zinto.
• Imbali yakho neyentsapho yakho yezonyango: Buza ukuba wena okanye nabani na kusapho lwakho une-allergies, njenge-asthma okanye i-eczema.

Emva kolu lwazi, ukuba ugqirha ukrokrela ukuba une-EoE, uza kukuthumela kwi -gastroenterologist , eya kwenza iimvavanyo ezininzi ukuqinisekisa ukuxilongwa.

1. I-Endoscopy (EGD): Oku kuquka ukufaka ityhubhu encinci, eguquguqukayo enekhamera encinci ekupheleni ngomlomo ukuze kuhlolwe umphimbo, isisu, kunye nokuqala kwamathumbu amancinci. Oku kuvumela ugqirha ukuba ajonge ngaphakathi komphimbo ngamehlo ukuba akakho na ukudumba, ukudumba, amabala amhlophe, kunye nokuncipha.

2. I-Biopsy: Ngexesha le-endoscopy, ugqirha uthatha isampuli encinci yezicubu eludongeni lomqala. Oku akubuhlungu. Emva koko isampuli ihlolwa phantsi kwe-microscope ukubona ukuba kukho inani eliphezulu kakhulu lee-eosinophils. Le biopsy yeyona ndlela yokuchonga ngokuqinisekileyo i-Eosinophilic Esophagitis.

Zithini iindlela zonyango zoku?

Injongo ephambili yonyango kukulawula ukudumba kwi-esophagus. Kukho iindlela ezimbini eziphambili zokwenza oku. Ngamanye amaxesha zombini ezi ndlela zingasetyenziswa kunye. Ungakhetha ukuba yeyiphi indlela efanelekileyo kuwe ngokuthetha nogqirha wakho.

1. Unyango ngamayeza

La mayeza alandelayo asetyenziselwa ukunciphisa ukudumba:

• IiProton Pump Inhibitors (PPIs): La ngamayeza adla ngokunikwa i-gastritis, kodwa akwanako nokunciphisa ukudumba okubangelwa yi-EoE.
• IiCorticosteroids: Ezi zii-steroids eziginyiweyo ezisetyenziswa ngaphakathi kwe-esophagus. Zisebenza ngqo kwindawo yokudumba kwaye zinciphisa ukudumba.
• Iiarhente zebhayoloji:Iigonyo, ezifana neDupilumab (Dupixent®) esandul’ ukwaziswa, nazo ziyasetyenziswa kule njongo. Ezi zichaphazela ngokuthe ngqo inkqubo yokunganyamezelani komzimba kwaye zilawula esi sifo.

2. Unyango lokutya

Oku kuquka ukuyeka kancinci kancinci ukutya ocinga ukuba unokuba ne-allergy kuko.

• Ukutya Okungatyiwayo: Amaqela okutya amathandathu aphambili adla ngokubangela i-allergies, oko kukuthi ubisi, amaqanda, umgubo, isoya, ukutya kwaselwandle, kunye namandongomane, onke asuswa ekutyeni ngaxeshanye.
• Emva koko ugqirha uza kwenza enye i-endoscopy emva kwexesha elithile ukuze abone ukuba ukudumba kuye kwaphela na.
• Xa ukudumba kuphelile, amaqela okutya asusiweyo abuyiselwa ekutyeni ngalinye ngalinye, kangangexesha leeveki ezininzi.
• Emva kokuba iqela ngalinye lokutya longeziwe, kwenziwa i-endoscopy kunye ne-biopsy kwakhona ukuze kubonwe ukuba ukudumba kubuye na. Ngale ndlela, unokufumanisa ukuba loluphi uhlobo lokutya olubangela i-aleji.

Uphila njani nale meko?

Ngenxa yokuba i-Eosinophilic Esophagitis yimeko engapheliyo, ukuhlala nayo ngamanye amaxesha kunokuba nzima. Nangona kunjalo, ngonyango olufanelekileyo, iimpawu zinokulawulwa phantse ngokupheleleyo.

Nangona kunjalo, ingakumbi kumntu okhe wanamathela ekutyeni emqaleni, usenokuba noloyiko lokuginya ukutya kwakhona (i-phagophobia). Usenokoyika ukutya ukutya okuninzi, okanye ukutya izinto ezifana nesonka. La macebiso aya kukunceda ngamaxesha anje.

• Fumana uncedo kwingcali yesondlo: Ingcali yesondlo ingakunceda wenze ukutya okumnandi nokunesondlo usebenzisa ukutya okungekuko okubangela ukuba umntu angabi na-allergen.
• Funa inkxaso yempilo yengqondo: Kubaluleke kakhulu ukufuna uncedo kugqirha wengqondo okanye kwingcali yezengqondo ukuze woyise uloyiko lwakho lokuginya, kunye nokulawula uxinzelelo oluhambisana nesi sifo esingapheliyo.
• Thetha nabantu abaye baba namava afanayo: Buza ugqirha wakho malunga namaqela enkxaso apho unokuthetha khona nabanye abantu abanesi sifo. Kungumthombo wamandla ukwazi ukuba awuwedwa.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uye kwiikliniki ngexesha.