Ingabe ngezinye izikhathi uzizwa sengathi ukudla kwakho kubhajwe emphinjeni wakho uma udla, okwenza kube nzima ukugwinya? Noma ingabe umane uzwa ubuhlungu esifubeni noma ukungakhululeki esiswini? Abantu abaningi bacabanga ukuthi lokhu kuyinto evamile, mhlawumbe isifo sohudo, kodwa lokhu kungaba yinto ehlukile futhi okufanele ukhathazeke ngayo. Sikhuluma ngesimo esinjalo namuhla. Kuyi-Eosinophilic Esophagitis, noma i-EoE ngamafuphi.
Iyini ngempela i-EoE?
Kalula nje, i-Eosinophilic Esophagitis (EoE) iwukusabela kokungezwani komzimba emhubheni wethu, ipayipi elithwala ukudla kusuka emphinjeni wethu liye esiswini sethu. Cabanga ngale ndlela: uma ungezwani nento efana namakinati, uzothola ukuqubuka nokulunywa uma uwudla. Ngokufanayo, uma umuntu one-EoE evezwa yi-trigger, umhubhe wakhe uzosabela. I-trigger ingaba ukudla (njengobisi, amaqanda, noma i-soy) noma impova endaweni ezungezile.
Uma into efana nale ingena emzimbeni, uhlobo lweseli elimhlophe legazi elibizwa ngokuthi ama-eosinophil, okuyingxenye yesimiso sethu somzimba sokuzivikela, luqoqana ngobuningi ezindongeni zendlela yokuphefumula, njengokungathi luya empini. Lapho la maseli eqoqana, akhipha amakhemikhali abangela ukuba ingaphakathi lendlela yokuphefumula livuvuke futhi libe bomvu (ukuvuvukala) .
Njengoba nje lapho ipayipi lamanzi likhukhumala ngaphakathi, kwenza kube nzima ukuthi amanzi adlule. Uma leli payipi likhukhumala, kwenza kube nzima ukuthi ukudla kudlule phansi. Ngokuhamba kwesikhathi, lokhu kungaba mncane. Lokhu kungenxa yokuthi:
- Ubunzima bokugwinya ukudla (i-dysphagia).
- Umthelela wokudla.
- Ukuhlanza.
- Ubuhlungu besisu.
- Ubuhlungu besifuba.
Izimpawu ezifana ne-EoE zingaba yisimo esinzima, kodwa zingaphathwa kahle ngosizo lukadokotela wakho.
Izimpawu ziyadida kakhulu!
Isizathu esiyinhloko sokuthi kungani i-EoE ingaba nzima ukuyixilonga ukuthi izimpawu zayo zifana kakhulu neze-Gastroesophageal Reflux Disease (GERD) . Njengoba sonke sazi, lokhu yilokho okwaziwa nangokuthi 'i-acid reflux' noma isilungulela. Njengoba zombili lezi zifo zinezimpawu ezifana nobuhlungu besifuba, ubunzima bokugwinya, nokuhlanza, kulula kakhulu ukuzidida zombili.
Kodwa izizathu zalezi zenzakalo ezimbili zihluke ngokuphelele.
- I-GERD ibangelwa yi-asidi yesisu egeleza iye emhubheni. Lokhu kwenzeka lapho imisipha, njenge-valve ephakathi kwesisu nomhubhe, ingavali kahle.
- I-EoE akuyona into ebangelwa yi-asidi yesisu, iwukusabela kwamasosha omzimba okubangelwa ukungezwani komzimba.
Enye into ukuthi abanye abantu abane-GERD banenani elithile lama-eosinophil emgogodleni wabo, okwenza kube nzima nakakhulu ukuxilongwa.
| Isici | I-Eosinophilic Esophagitis (EoE) | I-GERD (isilungulela) |
|---|---|---|
| Imbangela eyinhloko | Impendulo yamasosha omzimba ngenxa yokungezwani komzimba. | I-asidi yesisu ingena emphinjeni. |
| Izimpawu eziyinhloko | Ubunzima obukhulu bokugwinya, ukuminyana kokudla, ukuhlanza, ubuhlungu besifuba. | Ubuhlungu besifuba, ukunambitheka okumuncu emphinjeni, ubuhlungu besifuba, ubunzima bokugwinya. |
| Impendulo emithini | Imithi evamile ye-gastritis (ama-acid blocker) ayivami ukuyilapha. | I-Gastritis ivame ukusabela kahle emithini (ama-acid blockers). |
Kodwa kukhona into eyodwa ebalulekile okufanele uyikhumbule! Ubuhlungu besifuba bungaba uphawu lokuhlaselwa yinhliziyo. Ngakho-ke uma unesifo sesifuba kanye nokuphelelwa umoya, ubuhlungu obuphuma engalweni yakho, noma ukujuluka, ungalindi ubone udokotela noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. Lokhu kubaluleke kakhulu.
Ngakho-ke udokotela ukuthola kanjani lokhu?
Ngemva kokulalela izimpawu zakho, udokotela wakho cishe uzokwenza izivivinyo eziningana ukuze anqume ukuthi ngabe yi-GERD, i-EoE, noma okunye.
1. Ukubuza imininingwane
Okokuqala, udokotela wakho uzokubuza okuningi ngezimpawu zakho. Usunesikhathi esingakanani unazo, ziba zimbi nini, zivela ngemva kokudla ukudla okuthile, nokuthi ngabe kukhona yini emndenini wakho one-allergies noma i-asthma.
2. Ukuhlolwa kwe-Endoscopy
Lesi yisinyathelo esibaluleke kakhulu ekuxilongweni. I-endoscopy ihilela ukufaka ithubhu elincane, eliguquguqukayo elinekhamera bese kukhanya ngomlomo wakho ukuhlola ingaphakathi lomphimbo wakho, isisu, kanye nengxenye yokuqala yamathumbu akho amancane. I-anesthesia isetshenziselwa ukukwenza uzizwe ukhululekile phakathi nale nqubo. Lokhu kuvumela udokotela ukuthi ahlole ngokubonakalayo ukuvuvukala, ukuncipha, amabala amhlophe, noma ezinye izinguquko kumphimbo wakho.
3. Ukuhlolwa kwe-biopsy
Ngesikhathi sokuhlolwa kwe-endoscopy, udokotela uthatha isampula encane yezicubu odongeni lomphimbo bese eyithumela elabhorethri. Lokhu kubizwa ngokuthi i-biopsy. Le sampula yezicubu ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kunezinombolo eziphakeme kakhulu zama-eosinophil, esikhulume ngazo ngaphambili. Uma une-EoE, inani lala maseli lizoba phezulu kakhulu. Lokhu kuhlolwa kuqinisekile ngokuphelele ukuthi kuzoqinisekisa lesi sifo.
Uma usuthole ukuthi une-EoE, akukho okufanele ukhathazeke ngakho. Ungasebenzisana nodokotela wakho ukuze bakulawule. Bangase bazame ukuhlonza ukudla okubangela ukungezwani komzimba futhi batuse ukudla okufanele ukukuqede. Noma bangase bakunike imithi yokunciphisa ukuvuvukala komphimbo wakho. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Umlayezo Wokuya Nawe Ekhaya
- I-Eosinophilic Esophagitis (EoE) akuyona nje i-gastritis noma i-GERD (isifo se-gastroesophageal reflux), iyisimo sokungezwani komzimba esenzeka emhubheni.
- Ubunzima bokugwinya, ukudla okunamathela ekudleni, kanye nobuhlungu besifuba yizimpawu eziyinhloko. Ungakuzibi lokhu.
- Uma uzwa ubuhlungu esifubeni, kubalulekile ukufuna usizo lwezokwelapha ngokushesha ukuze kunqunywe isimo esibucayi njengokuhlaselwa yinhliziyo.
- I-Endoscopy kanye ne-biopsy kubalulekile ukuze kutholakale lesi sifo ngokunembile.
- Lesi akusona isimo sokwesaba futhi singalawulwa kahle ngokushintsha ukudla kanye nemithi ngaphansi kwesiqondiso sikadokotela wakho.
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