Ingaba le yimbangela yentlungu kunye nokudumba kwesisu sakho? Masifunde nge-Eosinophilic Gastritis!

Ngaba uhlala uneengxaki zesisu, ukudumba, kunye nokuphelelwa ngumdla wokutya? Ngamanye amaxesha, emva kwezi mpawu, kunokubakho isifo esingazivanga kangako, kodwa esifanele sikhathazeke kancinci ngaso. Esinye sezifo ezinjalo yi- Eosinophilic Gastritis . Namhlanje, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni i-eosinophilic gastritis (EG)?

Ngamafutshane, i-eosinophilic gastritis (EG) sisifo esingaqhelekanga esichaphazela isisu sakho. Ii-Eosinophils, uhlobo lweeseli ezimhlophe zegazi emizimbeni yethu, ziqokelelana eludongeni lwesisu zize zibangele ukudumba , nto leyo ethetha ukudumba nokonakala. Khawuthelekelele, udonga lwesisu sethu luba bomvu luze ludumbe.

Ingachaphazela nabani na wanoma yiphi na iminyaka, kwaye yimeko engapheliyo , oko kuthetha ukuba ihlala ixesha elide. Kodwa ungakhathazeki, ugqirha wakho anokukunceda ulawule ezi mpawu. Oku kunokubandakanya izinto ezifana novavanyo oluqhelekileyo kunye notshintsho kwindlela otya ngayo.

Zithini ezi eosinophils?

Ngoku makhe sibone ukuba zeziphi ezi eosinophils. Ezi luhlobo lweeseli ezimhlophe zegazi emzimbeni wethu. Zifana namajoni amancinci kwinkqubo yethu yokuzikhusela komzimba . Umsebenzi wazo ophambili kukulwa nosulelo kunye neentsholongwane ezingena emizimbeni yethu.

Ezi zivamise ukuveliswa kumongo wethu wethambo , kodwa ngobuninzi obuncinci. Ezi eosinophils zenza phakathi kwe-1% kunye ne-5% yeeseli ezimhlophe zegazi ezipheleleyo kumntu ophilileyo.

Nangona kunjalo, ngenxa ye-allergy , usulelo, amayeza athile, okanye umhlaza, la ma-eosinophil anokwanda ngequbuliso ngenani. Oku sikubiza ngokuba yi-eosinophilia . La maseli akhupha iikhemikhali ezifana nee-enzymes kunye neeproteni ukutshabalalisa iiseli ezingondlekanga. Ngoko ke, xa la ma-eosinophil emzimbeni esanda ngenani, aqala ukuhlasela izicubu zethu. Emva koko , ukudumba kwezicubu zesisu (i-gastritis) okanye ukudumba kwamanye amalungu omzimba kunokwenzeka.

Ngubani ochaphazeleka kakhulu yi-eosinophilic gastritis (EG)?

Le meko, ebizwa ngokuba yi-eosinophilic gastritis (EG), inokuchaphazela abantu bayo nayiphi na iminyaka. Oku kuthetha ukuba inokuchaphazela iintsana kunye nabantu abadala. Nangona kunjalo, oogqirha badla ngokuyixilonga kubantu abadala abaneminyaka ephakathi kwama-30 nama-50. Kwakhona, ngokwezibalo, amadoda anamathuba amancinci okufumana esi sifo kunabasetyhini.

Ukuba unembali yeengxaki ze-allergy , okanye ukuba umntu kusapho lwakho unayo, usenokuba sengozini enkulu yokuba ne-EG. Abantu abaninzi abafumana i-EG bane-allergies ezifana nezi:

• Isifuba
• Ukunganyamezelani nokutya okanye ukunganyamezelani nokutya (umzekelo, ubisi, amaqanda, umgubo wengqolowa)
• Umkhuhlane wengca / i-rhinitis ye-allergy (imeko ebonakaliswa kukuthimla rhoqo kunye nempumlo egobhozayo)
• Impumlo evuza rhoqo (rhinitis)
• Ukurhawuzelela kwesikhumba, iimeko ezifana ne -eczema

Ziziphi iintlobo zesifo samathumbu esibangelwa yi-eosinophilic (EGID)?

I-Eosinophilic gastritis (EG) luhlobo olunye nje lweqela elikhulu lezifo ezibizwa ngokuba yi -Eosinophilic Gastrointestinal Disease (EGID) . Ezi meko ze-EGID zinokuchaphazela iindawo ezahlukeneyo zenkqubo yakho yokugaya ukutya . Oku kuthetha ukuba ezi seli ze-eosinophil zinokuqokelelana zize zibangele ukudumba naphi na ukusuka kumqala ukuya kumathumbu amakhulu.

Ngamanye amaxesha, xa kukho ii-eosinophils ezininzi kakhulu, zininzi kwezi zifo ezinokwenzeka ngaxeshanye. Kukho iintlobo ezintandathu eziphambili ze-EGID:

• I-Eosinophilic Colitis (EC): Oku kuchaphazela amathumbu akho amakhulu (ikholoni) .
• I-Eosinophilic Duodenitis: Oku kuchaphazela inxalenye yokuqala yamathumbu akho amancinci .
• I-Eosinophilic Enteritis (EoN): Oku kuchaphazela amathumbu akho amancinci .
• I-Eosinophilic Esophagitis (EoE): Olu lolona hlobo luqhelekileyo lwe-EGID. Luchaphazela umphimbo wakho.
• I-Eosinophilic Gastritis (EG): Olu luhlobo esithetha ngalo, oluchaphazela isisu.
• I-Eosinophilic Gastroenteritis (EGE): Oku kuchaphazela kakhulu isisu kunye namathumbu amancinci.

Kukho ezinye iintlobo zezifo ze-eosinophilic ezinokuchaphazela inkqubo yokugaya ukutya, kodwa azixhaphakanga kangako:

• I-Hypereosinophilic Syndrome: Oku kunokuchaphazela igazi naliphi na ilungu lomzimba.
• I-Eosinophilic Granulomatosis enePolyangiitis (EGPA): Oku kunokuchaphazela amalungu amaninzi, kuquka nentliziyo .

Ixhaphake kangakanani i-eosinophilic gastritis?

Enyanisweni, oogqirha bacinga ukuba i-eosinophilic gastritis sisifo esingaqhelekanga . Oko kukuthi, asisosifo esichaphazela wonke umntu. Nangona kunjalo, iimpawu zayo - ezinje ngeentlungu zesisu kunye nokucaphuka - zifana kakhulu nezo zezinye izifo ezininzi eziqhelekileyo. Ke ngoko, ngamanye amaxesha kunokwenzeka ukuba iphoswe (ayifumaneki ngokwaneleyo) .

Yintoni ebangela i-eosinophilic gastritis?

I-Eosinophilic gastritis iyakhulaOogqirha abasoloko besazi ukuba yintoni ebangela oku. Oko kuthetha ukuba kunzima ukuthi "ngulo unobangela." Kodwa, kwiimeko ezininzi, kucingelwa ukuba le meko yenzeka kuba inkqubo yethu yokuzikhusela yomzimba isabela ngokugqithisileyo kukutya okuthile (izinto ezibangela i-allergens yokutya) . Kufana nenkqubo yokuzikhusela yomzimba wethu ehlasela isisu sayo ngempazamo.

Ziziphi iimpawu ze-eosinophilic gastritis?

Iimpawu ze-eosinophilic gastritis zihlala zincinci ukuya kweziphakathi. Oku kuthetha ukuba abanye abantu basenokungaziva ntlungu ingako, ngelixa abanye besenokuziva buhlungu ngakumbi. Iimpawu eziqhelekileyo zezi:

• Intlungu yesisu okanye i-ascites (ukuziva ngathi isisu sidumbile)
• Urhudo ( ukuhlanza)
• Ubunzima bokutya ( ukulahlekelwa ngumdla wokutya ) okanye ubunzima bokuginya (dysphagia)
• Ndiziva ndidiniwe ngalo lonke ixesha (Ukudinwa)
• Isitshiso sentliziyo (imvakalelo yokutshisa evakala ngathi ivela esifubeni)
• I-anemia , oko kuthetha ukwehla kweeseli ezibomvu zegazi ezisempilweni (oku kunokubangela ukudinwa kunye nokukhanya)
• Isicaphucaphu nokuhlanza
• Ukwehla kobunzima okanye ukukhula kakubi kwabantwana abancinci

Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukucinga ukuba yi-EG. Ezi zinokuba ziimpawu zezinye iimeko zesisu. Ke ngoko, kubalulekile ukubona ugqirha ukuze ufumane ukuba yintoni kanye kanye ingxaki.

Ifunyanwa njani i-eosinophilic gastritis (EG)?

Njengoko besitshilo ngaphambili, i-eosinophilic gastritis ingathatha ixesha ukuyifumanisa kuba iimpawu zayo ziqhelekile. Usenokuba uye koogqirha abaninzi waza wathatha amayeza amaninzi.

Oku kudla ngokuchongwa ngolu hlobo:

1. Uvavanyo lwegazi: Uvavanyo lwegazi olupheleleyo (CBC) lwenziwa ukujonga amanqanaba aphezulu kunesiqhelo ee-eosinophils.

2. I-Endoscopy: Kolu vavanyo, kufakwa ityhubhu encinci enekhamera encinci eqhotyoshelweyo ngomlomo kwaye kuhlolwa umphimbo, isisu, kunye nenxalenye yokuqala yamathumbu amancinci. Iindonga zesisu zinokujongwa ukuba azidumbanga, zibomvu, kwaye azinazilonda zincinci.

3. I-Biopsy: Ngexesha le-endoscopy, iziqwenga ezincinci zezicubu (ii-biopsies) zithathwa eludongeni lwesisu. Ezi ziqwenga zezicubu emva koko zihlolwa phantsi kwe-microscope kwilebhu ukuze kubonwe ukuba zingaphi ii-eosinophils ezikhoyo. Ukuba kukho ii-eosinophils ezininzi kunesiqhelo, isenokuba yi-EG.

Ngamanye amaxesha, ukuba ezi eosinophils zigqithisileyo azikho kumaleko ongaphezulu wodonga lwesisu, kodwa zikwimaleko enzulu, kunokuba nzima ukuzibona nge-biopsy eqhelekileyo. Kwimeko enjalo, kungathatha ixesha elide ukufumanisa isifo.

Ukuchonga i-EG, ugqirha wakho uya kwenza oku kulandelayo:

• Uza kuhlolwa umzimba .
• Baza kukubuza ngembali yakho yezonyango (izifo zangaphambili, izifo zosapho, amayeza owasebenzisayo, njl.njl.).
• Kuya kufuneka kwenziwe uvavanyo lwegazi, oluya kunceda ukujonga izinto ezingaqhelekanga nokuthintela ezinye izifo.

Ezinye iimvavanyo ezinceda ekuxilongeni i-EG

Ezinye iimvavanyo ugqirha wakho anokuziyalela ziquka:

• Uvavanyo lwe-allergy: Oku kunokunceda ekuchongeni izinto ezibangela i-allergy ekutyeni ezinokubangela ukuba ii-eosinophils zakho zinyuke. Umzekelo, kunokunceda ekuchongeni ukuba ngaba une-allergy kukutya okuthile. Ukwazi ukuba zeziphi ezi zinto ezibangela i-allergy kunokukunceda ukhokele ukuxilongwa kwakho kunye nonyango.

Ngaba ikho indlela yokunyanga i-eosinophilic gastritis (EG) ngokupheleleyo?

Lo ngumbuzo abantu abaninzi abawubuzayo. Ukuba ndithetha inyani, okwangoku akukho nyango lupheleleyo lwe-eosinophilic gastritis. Oko kukuthi, ayinakunyangwa ngonaphakade ngepilisi enye kuphela.

Kodwa ungakhathazeki! Amayeza kunye notshintsho kwindlela otya ngayo kunokukunceda ulawule iimpawu zakho. Ukuba ulandela imiyalelo yakho yonyango ngononophelo, ungaphila ubomi obusebenzayo nobunempilo.

Ngaba isifo se-eosinophilic gastritis (EG) sisongela ubomi?

I-Eosinophilic gastritis ayisoloko iyingozi ebomini kwaye ifuna unyango olungxamisekileyo. Nangona kunjalo, ukufunyaniswa kwangoko kunye nonyango kunokuthintela iingxaki ezinzima ezifana nokungondleki kakuhle . Oku kubaluleke kakhulu kwiintsana kunye nabantwana abancinci, njengoko isondlo sibalulekile ekukhuleni kwabo.

Iphathwa njani i-eosinophilic gastritis (EG)?

Oogqirha banyanga i-eosinophilic gastritis ikakhulu ngokutshintsha indlela yokutya kunye namayeza. Olu nyango lujolise ekunyangeni unobangela oyintloko (odla ngokuba yi-allergy) kunye nokulawula iimpawu. Unyango lwe-EG olufumanayo luya kuxhomekeka kwiimpawu zakho kunye nobunzima bemeko yakho.

Ugqirha wakho unokucebisa utshintsho kwindlela yokutya ukuze uphephe izinto ezibangela i-allergies ekutyeni ezibangela iimpawu ze-eosinophilic gastritis. Ezi zingabandakanya:

• Ukutya okuphelisa ukutya: Kule ndlela, ususa ngokupheleleyo ukutya okuthile ocinga ukuba kunokubangela i-allergies (umz., ubisi, isoya, amaqanda, ingqolowa, amandongomane, ukutya kwaselwandle) ekutyeni kwakho kangangexesha elithile. Emva koko, uphinda ukuvelise nganye nganye ukuze ubone ukuba zeziphi ukutya ezibangela ingxaki.
• Ukutya okusisiseko:Le yindlela eyahlukileyo kancinci. Endaweni yokutya okuqhelekileyo, kusetyenziswa ifomula ekhethekileyo yolwelo equlethe izondlo ezibalulekileyo ezifana nee-amino acids ukubonelela ngesondlo. Le fomula incinci kakhulu kumngcipheko we-allergies.

Ukuba umntwana wakho uneempawu ze-EG, kunokufuneka utshintshe uhlobo lwefomyula omnika yona (umz., ifomula engabi na-allergies ). Kwezinye iimeko, abantwana kunye nabantu abadala banokufuna ukuthatha izongezo zesinyithi ukuba bane-anemia.

Ungafumana amayeza afana nala:

• Ii-Corticosteroids (umz., i-prednisone, i-budesonide): Ezi zinikwa ukunciphisa ukudumba esiswini. Zihlala zinikwa ixesha elifutshane.
• Ii-immunosuppressants (umz. i-azathioprine): Ezi zisetyenziselwa ukunciphisa ukusabela okugqithisileyo kwenkqubo yomzimba yokuzikhusela. Zinikwa abantu abangakhange basabele kakuhle kwii-corticosteroids zodwa, okanye abangakwaziyo ukuqhubeka bethatha ii-corticosteroids.

Ngaba umngcipheko wokuba ne-eosinophilic gastritis (EG) ungancitshiswa?

Ukuba ungayinciphisa na ingozi yakho yokuba ne-eosinophilic gastritis kuxhomekeke kwimeko ebangela oku. Njengoko sisazi, i-allergies zezona zinto zixhaphakileyo ezibangela amanqanaba aphezulu eosinophils.

Utshintsho kwindlela yokutya, kwaye ukuba kuyimfuneko, amayeza anokunceda ekuthinteleni okanye ekulawuleni ukusabela komzimba wakho kwi-allergy. Ngokubanzi, ukutya okunempilo kunye nendlela yokuphila enempilo kunokunciphisa umngcipheko wakho wesifo. Ukuba une-allergies okanye ukuba umntu kusapho lwakho une-EG, licebo elihle ukuthetha nogqirha wakho ngayo.

Iyintoni ingqikelelo ye-eosinophilic gastritis (EG)?

Kubantu abaninzi, ingqikelelo ye-eosinophilic gastritis idla ngokuba ntle. Oko kuthetha ukuba ungaphila nayo kakuhle. Nangona kunjalo, kubalulekile ukukhumbula ukuba kuba yimeko engapheliyo, izigulana zinokuba nengxaki yokudumba okanye amaxesha okugula okungephi.

Ugqirha wakho uza kusebenza nawe ubomi bakho bonke ukukunceda ukulawula i-eosinophilic gastritis kunye nokunciphisa iimpawu zakho. Kuya kufuneka ube nee-endoscopy kunye ne-biopsies rhoqo ukuze ujonge imeko yakho. Olu hlolo luya kuvumela ugqirha wakho ukuba alungise unyango lwakho, ukuba kuyimfuneko, ukuthintela iingxaki kuwe okanye kumntwana wakho.

Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngononophelo kwaye uye kwiindawo ozikhethileyo ngexesha. Oku kuya kuqinisekisa ukuba ufumana unyango ngexesha elifanelekileyo.

Ngaba i-eosinophilic gastritis (EG) iyawuchaphazela umgangatho wobomi bam?

Ukuba i-EG ichaphazela kangakanani ubomi bakho kuxhomekeke kubukhali beempawu zakho, ezinye iimeko ezisisiseko, kunye nempumelelo yonyango. Kwiimeko ezininzi, ukuba ne-eosinophilic gastritis kuthetha ukuba kufuneka uhlengahlengise indlela otya ngayo ukuze uphephe izinto ezibangela i-allergy yokutya, kwaye unokufuna nokusela amayeza.

Kwabaninzi abantu, ukutshintsha indlela abatya ngayo kunokuba nzima ngokwasemzimbeni nangokwengqondo. Khawuthelekelele ungakwazi ukutya ukutya okuthandayo. Kunokuba nzima ukukhetha ukutya okufanelekileyo xa uphuma nabahlobo. Ukucwangcisa ukutya kunye nemicimbi yoluntu kunokuba nzima ekuqaleni.

Nangona kunjalo, ngokulandela imiyalelo yonyango nokufumana uncedo xa ulufuna (umzekelo, kwingcali yesondlo), unokuhlala uphilile kwaye usebenza.

Ufanele ufune nini ingcebiso kagqirha nge-eosinophilic gastritis (EG)?

Ukuba uneempawu ezifana nentlungu yesisu engapheliyo, isicaphucaphu, ukungabi namdla wokutya, okanye ukuba iimpawu zakho zibonakala zisiba mandundu, cinga nge-eosinophilic gastritis kwaye ufumane ingcebiso kagqirha. Thetha ngokukhululekileyo nogqirha wakho malunga neempawu zakho kunye nendlela ezisabela ngayo kutshintsho lokutya okanye amayeza. Ugqirha wakho unokukuthumela kwi -gastroenterologist .

Izinto ekufuneka sizikhumbule koku (Umyalezo Wokuya Ekhaya)

Kulungile, masikhumbule oku njengesishwankathelo sento esithethe ngayo namhlanje malunga ne-eosinophilic gastritis (EG):

• I-EG sisifo esingaqhelekanga nesingapheliyo esichaphazela isisu sakho.
• Isizathu esiphambili soku kukuba uhlobo oluthile lweeseli ezimhlophe zegazi ezibizwa ngokuba zii-eosinophils luqokelelana esiswini luze lubangele ukudumba.
• Idla ngokunxulunyaniswa ne -allergies .
• Ngenxa yokuba iimpawu (iintlungu zesisu, isicaphucaphu, urhudo, ukuphelelwa ngumdla wokutya) ziyafana nezinye izifo eziqhelekileyo, kungathatha ixesha ukuqinisekisa ukuba unesifo.
• I-Endoscopy kunye ne-biopsy zezona ndlela ziphambili zokuxilonga.
• Nangona kungekho nyango lupheleleyo, iimpawu zinokuncitshiswa kakhulu ngamayeza okanye utshintsho kwindlela otya ngayo (ingakumbi ukususa izinto ezibangela i-allergen).
• Ugqirha wakho uza kusebenzisana nawe ngokusondeleyo ukukunceda ufumane unyango olungcono kwaye uphucule umgangatho wobomi bakho.

Ngoko ke, ukuba unale mpawu, ungoyiki ukuthetha nogqirha ngazo. Ukufumanisa ukuba yintoni kanye kanye engalunganga nokufumana unyango olufanelekileyo yeyona nto ilungileyo onokuyenza kwimpilo yakho.

I- Eosinophilic Gastritis, i-Eosinophilic Gastritis, i-Gastritis, iintlungu zesisu, ii-Allergies, i-Endoscopy, ukutya, ii-Eosinophils