Xa usitya, ngaba ukufumanisa kunzima ukuginya ukutya, okanye uziva ngathi kunamathele emqaleni wakho? Okanye unesitshiso okanye intlungu esifubeni sakho? Abantu abaninzi bacinga ukuba oku yi-gastritis, kodwa ngamanye amaxesha unobangela woku unokuba yimeko eyahlukileyo, enxulumene ne-allergy. Ngenxa yesi simo, abanye abantu bade bazive ngathi abafuni ukutya. Namhlanje sithetha ngemeko efanayo, kodwa abantu abaninzi abakaze bayive, ebizwa ngokuba yi-Eosinophilic Esophagitis.
Ngamafutshane, yintoni i-Eosinophilic Esophagitis (EoE)?
Nangona eli gama lisenokuvakala liyinkimbinkimbi kancinci, ibali lilula kakhulu. Masilihlalutye eli gama.
- Umqala ngumphambu othwala ukutya emlonyeni wethu ukuya esiswini. Oku sikubiza ngesiSinhala ngokuthi yimiphunga.
- Ii-Eosinophils luhlobo lweeseli ezimhlophe zegazi emzimbeni wethu. Zihlala zisanda emzimbeni wethu xa sine-allergy.
- Isimamva -itis sithetha "ukudumba" okanye "ukudumba."
Ngamafutshane, i-Eosinophilic Esophagitis (EoE) yi-allergy reaction ebangela ukuba iiseli ezimhlophe zegazi ezibizwa ngokuba zii-eosinophils ziqokelele kwi-esophagus yethu, nto leyo ebangela ukuba i-esophagus idumbe. Cinga ngayo njenge-eczema, apho ulusu luba bomvu, ludumbe, kwaye lurhawuzelele, kodwa into efanayo yenzeka ngaphakathi kwi-esophagus.
Ukuba oku kudumba kuyaqhubeka, izicubu ezibomvu ziyakheka ngaphakathi kwi-esophagus, zinciphise indlela yokutya. Kulapho uqala ukuba nobunzima bokuginya kwaye uzive ngathi ukutya kwakho kubambekile. Ukutya okutyayo kusenokungadluli lula emlonyeni wakho ukuya esiswini sakho, kwaye kunokuvakala ngathi kubambekile. Le yimeko engapheliyo . Oku kuthetha ukuba akuyi kuba bhetele ngobusuku obunye, kwaye kuya kufuneka uthathe unyango ubomi bakho bonke. Kodwa ungakhathazeki, kukho unyango olufanelekileyo olunokukunceda ukuyilawula.
Zithini iimpawu ze-EoE? Ngaba ziyatshintsha ngokuhamba kweminyaka?
Ewe, iimpawu zale meko zinokwahluka ngokuxhomekeke kwiminyaka eyenzeka ngayo. Asikuko iimpawu ezenzeka kusana oluncinci, kodwa kumntu omdala. Masijonge oku ukuze sikuqonde kakuhle oku.
| Iqela leminyaka | Iimpawu eziqhelekileyo |
|---|---|
| Iintsana ezincinci kunye nabantwana abancinci |
|
| Abantwana abadala kunye nabantu abadala |
Ukongeza kwezi mpawu ziphambili, kukho nezinye iimpawu ezininzi ezinokubakho nakweyiphi na iminyaka:
- Intlungu yesisu: Intlungu kwindawo yesisu.
- Isicaphucaphu nokuhlanza: Isicaphucaphu nokuhlanza emva kokutya.
- Ukuphinda utye: Ukuphinda utye ukutya okuginyiweyo emqaleni okanye emlonyeni.
- Impembelelo Yokutya: Le yingxamiseko yezonyango . Iqhekeza lokutya elityiwayo linamathela kwindawo encinci kwi-esophagus, lingahambi emqaleni okanye lingabuyi linyuke. Kwiimeko ezinjalo, kukho umngcipheko wokuqhekeka komqala, ngoko ke kubalulekile ukuya kwigumbi likaxakeka lesibhedlele (ETU) ngoko nangoko.
Abanye abantu abanazo ezi mpawu ngalo lonke ixesha. Basenokuziva bebhetele okwethutyana, baze babuye emva kwexesha elithile. Kodwa kwabanye, ezi ntlungu zisenokuqhubeka.
Kutheni sinjalo? Siyintoni isizathu?
Ngamafutshane, esona sizathu soku kukuba inkqubo yethu yomzimba yokuzikhusela isabela ngokugqithisileyo kwizinto ezithile ezibangela i-allergen. Ngokuchanekileyo, xa izinto ezithile ekutyeni esikutyayo, okanye izinto ezikwindawo efana nothuli, zingena kwimibhobho yethu yomoya, umzimba wethu ucinga ukuba olu lutshaba olukhulu.
Emva koko, inkqubo yomzimba yokuzikhusela ithumela inani elikhulu leeseli, kuquka ii-eosinophils, kwi-esophagus ukuze zihlasele 'utshaba.' Ezi seli ziyaqokelelana zize zibangele ukudumba, okanye ukudumba, ngaphakathi kwi-esophagus.
Ukutya okuphambili okunokubangela i-EoE
Ixesha elininzi, ezi allergies zibangelwa kukutya esikutyayo. Phakathi kwazo kukho izinto ezimbalwa ezibangela ukuba umntu acinge ukuba kukho ingxaki.
| Ukutya okuqhelekileyo okubangela i-allergies |
|---|
| - Ubisi kunye neemveliso zobisi (Ubisi) |
| - Iqanda (Iqanda) |
| - Uflawa wengqolowa |
| - Isoya |
| - Iinati nezinye iinati (iinati, iinati zomthi) |
| - Ukutya kwaselwandle/intlanzi yeqokobhe |
Uninzi lwabantu alunazo zonke ezi ngxaki. Mhlawumbi enye okanye ezimbini kwezi zinokuba ngunobangela wengxaki yakho. Siza kubona indlela yokufumanisa ukuba sithetha nini ngonyango.
Ngubani osengozini enkulu yokuphuhlisa i-EoE?
Nangona nabani na enokuba nesi sifo, abanye abantu basengozini enkulu. Ingakumbi, abantu abanezinye izifo ezibangelwa kukunganyamezelani komzimba basengozini enkulu yokufumana i-EoE.
- Isifuba
- I-allergic rhinitis - impumlo evuza rhoqo, ukuthimla
- Izifo zesikhumba (i-Eczema, i-Atopic dermatitis)
- Ezinye izinto ezibangela ukunganyamezelani nokutya
Ukuba nezi meko kuthetha ukuba inkqubo yakho yomzimba yokuzikhusela idla ngokuba novelwano ngakumbi kwizinto ezibangela i-allergen. Kwakhona, ukuba umntu kusapho lwakho (abazali, abantakwenu noodadewabo) une-EoE, nawe usemngciphekweni omncinci wokuba nayo.
Ungazi njani ngokuqinisekileyo ukuba unesi sifo?
Ukuba uneempawu esizixubushileyo ngaphambili, into yokuqala omawuyenze kukubona ugqirha ofanelekileyo. Ugqirha uza kuqala akubuze imibuzo embalwa aze ajonge imbali yakho yezonyango.
Izinto onokuzibuza ugqirha wakho:
- Indlela otya ngayo: Ngaba uhlafuna ukutya kwakho kakuhle ukuze kube lula ukuginya? Ngaba uyakuphepha ukutya okuthile, okufana nesonka nenyama? Ngaba usela amanzi amaninzi ukuze akuncede uginye ukutya kwakho? Ezi zinto zinokunika ugqirha wakho umbono wendlela ohlangabezana ngayo neempawu zakho ngaphandle kokuqaphela.
- Ezinye iimeko zakho zempilo: Buza ukuba ngaba une-asthma, i-aleji yothuli, okanye iingxaki zolusu.
- Imbali yempilo yosapho lwakho: Buza ukuba kukho nabani na kusapho lwakho onengxaki yokuginya efanayo okanye i-EoE.
Ngokusekelwe kolu lwazi, ukuba ugqirha wakho urhanela ukuba unayo i-EoE, uza kukuthumela kwi-gastroenterologist, eya kwenza iimvavanyo ezimbini eziphambili ukuqinisekisa ukuba unayo.
1. I-Endoscopy okanye i-EGD:Oku kuquka ukufaka ityhubhu encinci, eguquguqukayo enekhamera ekupheleni ngomlomo wakho ukuze uhlole umphimbo wakho, isisu, kunye nenxalenye yokuqala yamathumbu akho amancinci. Uza kunikwa amayeza angenazintlungu ngeli xesha lenkqubo. Ugqirha unokubona izinto ezifana nokudumba, amabala amhlophe, kunye nokuncipha ngaphakathi komphimbo wakho ngekhamera.
2. I-Biopsy: Ngexesha le-endoscopy, ugqirha uthatha isampuli encinci yezicubu ezivela kulwelo lwe-esophagus. Oku kubizwa ngokuba yi-biopsy. Emva koko izicubu zihlolwa phantsi kwe-microscope ukuze kubonwe ukuba kukho inani eliphezulu kakhulu lee-eosinophils. Le biopsy ibalulekile ukuqinisekisa i-EoE.
Ziziphi iindlela zonyango ze-EoE?
Injongo ephambili yokunyanga i-EoE kukulawula ukudumba kwi-esophagus. Zimbini iindlela eziphambili zokwenza oku: amayeza kunye notshintsho kwindlela yokutya. Wena nogqirha wakho niza kugqiba kunye ukuba yeyiphi indlela efanelekileyo kuwe.
Unyango ngamayeza
La mayeza anceda ekunciphiseni ukudumba emqaleni.
- IiProton Pump Inhibitors (PPIs): Ezi luhlobo lwamayeza adla ngokunikwa i-gastritis. Zinokunceda ekunciphiseni ukudumba kwi-esophagus kwabanye abaguli be-EoE.
- IiCorticosteroids: La ngamayeza anamandla anciphisa ukudumba. Ahlala enikwa njengesisombululo sangaphandle (njengesitshizi okanye ithebhulethi). La mayeza asebenza ngqo emqaleni, ngoko ke aneziphumo ebezingalindelekanga ezimbalwa.
- Iiarhente zebhayoloji: Kwabanye abantu, xa ezinye iindlela zonyango zingasebenzi, amayeza athile, anjenge-dupilumab (Dupixent®), anikwa njengeenaliti. La mayeza ajolisa kwaye alawula inxalenye ethile yenkqubo yomzimba yokuzikhusela ebangela ukusabela kwe-allergy.
Ukutshintsha ukutya (Ukupheliswa kweQela lokutya)
Olu lunyango olusebenzayo kakhulu. Lubandakanya ukususwa ngokupheleleyo kwamaqela okutya ama-6 aphambili esixoxe ngawo ngaphambili anokubangela i-allergies (ubisi, amaqanda, ingqolowa, i-soy, amantongomane, ukutya kwaselwandle) ekutyeni kwakho.
1. Okokuqala, yeka ukutya zonke ezi ntlobo zokutya okwethutyana.
2. Emva koko, ugqirha uza kwenza enye i-endoscopy kunye ne-biopsy ukuze abone ukuba ukudumba kwi-esophagus kuye kwehla na.
3. Ukuba ukudumba kwehlile, oko kuthetha ukuba enye okanye ngaphezulu kwezi zinto zokutya yimbangela yengxaki yakho.
4. Okulandelayo, yongeza amaqela okutya asusiweyo ekutyeni kwakho, ngalinye ngalinye, kangangeeveki eziliqela.
5. Emva kokongeza iqela ngalinye lokutya, kwenziwa i-biopsy kwakhona ukuze kubonwe ukuba ukudumba kubuye na.
Nangona le ndlela ingabonakala ithatha ixesha kwaye inzima, yeyona ndlela ilungileyo yokufumana ukuba zeziphi ukutya onokuba ne-allergy kuzo. Wakuba ufumanise oko, ungakuphepha nje ezo zinto zokutya uze utye zonke ezinye izinto ngokuqhelekileyo.
Ngaba ukuhlala ne-EoE kuyingxaki?
I-EoE ayisosifo esisongela ubomi, kodwa kuba ihlala ixesha elide, ifuna unyango lobomi bonke okanye ulawulo lokutya.
Kwabaninzi, iimpawu ziyaphela emva kokuba unyango luqalile. Nangona kunjalo, abanye abantu, ingakumbi abo babenamava amabi okutya, banokoyika ukuginya (phagophobia) . Banokoyika nokutya ukutya okuninzi, njengesonka.
Kukho izinto ezimbalwa ezinokukunceda ngexesha elinje:
- Nxibelelana nabanye: Ukuthetha nabanye abantu abaziyo ngesi sifo kwaye banaso kunokuba luncedo olukhulu. Kuya kukunceda uzive ngathi awuwedwa. Ungabuza ugqirha wakho ngamaqela enkxaso.
- Fumana uncedo kwingcali yesondlo: Ingcali yesondlo ingakunceda wenze isidlo esimnandi esinokutya okufanelekileyo kuwe kwaye okungenazo izithako eziyingozi.
- Fumana inkxaso yempilo yengqondo: Ukuba izinto ezifana nokoyika ukuginya ziyayichaphazela ubomi bakho, kubalulekile ukuthetha nogqirha wezempilo yengqondo ngayo.
Khumbula, ukuba ne-EoE akuyongezi umngcipheko wokuba nomhlaza womqala, ngoko ke ungoyiki ngokungeyomfuneko.
Ukuba ufumana iimpawu ezibuyayo emva konyango, okanye ukuba ufumana ubunzima obutsha bokuginya, bonana nogqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Eosinophilic Esophagitis (EoE) ayisiyo gastritis kuphela, kodwa kukudumba okubangelwa kukwalana komqala.
- Ubunzima bokuginya, ukutya okunamathelayo ekutyeni, kunye nentlungu yesifuba zezona mpawu ziphambili.
- I-Endoscopy kunye ne-biopsy zibalulekile ukuqinisekisa isifo.
- Nangona esi sisifo esingapheliyo esinokuhlala ubomi bonke, sinokulawulwa ngempumelelo kakhulu ngamayeza okanye ukutya.
- Ukuba iqhekeza lokutya linamathela emqaleni (ukubetha kokutya), yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngoko nangoko.
- Thetha ngokukhululekileyo nogqirha wakho malunga neempawu okanye uloyiko lwakho malunga nokuginya. Ngonyango olufanelekileyo kunye nenkxaso, ungaphila ubomi obuqhelekileyo.
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