Unenkinga yokugwinya ukudla? Lokhu kungaba yi-Eosinophilic Esophagitis (EoE)!

Wake wazizwa uneqhubu emphinjeni wakho noma ubuhlungu esifubeni sakho ngenkathi udla? Mhlawumbe ingane yakho encane ayithandi ukudla, futhi ithi kunzima ukudla. Sivame ukucabanga ukuthi lokhu kuyinkinga ye-gastritis noma isithukuthezi. Kodwa ngezinye izikhathi isizathu salokhu kungaba yisimo esingakazwa kakhulu ngaso, kodwa okufanele sikhathazeke ngaso kancane. Namuhla sikhuluma ngesinye salezo zimo, i-Eosinophilic Esophagitis, noma i-EoE ngamafuphi.

Kalula nje, iyini i-Eosinophilic Esophagitis (EoE)?

Kulungile, ake sikubeke kalula lokhu. Sinepayipi, njengepayipi, elithwala ukudla kusuka emlonyeni wethu kuya esiswini sethu. Lokhu sikubiza ngokuthi umphimbo. Kalula nje, "yipayipi lethu lokudla." I-EoE yisimo sokuvuvukala esingavamile, esihlobene nokungezwani komzimba esenzeka ngaphakathi kwaleli payipi lokudla.

Manje bheka, imizimba yethu inezinhlobo ezahlukene zamaseli asivikela ezifweni. Kufana nebutho emizimbeni yethu. Ama-Eosinophil uhlobo olulodwa lwamaseli amhlophe egazi. Ngokuvamile, laba bantu balwa nokungezwani komzimba kanye nokutheleleka ngamagciwane. Kodwa kumuntu one-EoE, kukhona okungahambi kahle. Lawa maseli e-Eosinophil, ngaphandle kwesizathu, aqoqana ngobuningi kulowo mbhobho wokudla. Kufana nebutho lawo lihlasela ingxenye yezwe lawo.

Uma amangqamuzana eosinophil eqoqana ngale ndlela, ingaphakathi lomphimbo liyavuvukala, libe bomvu, bese liqala ukonakala. Yilokhu esikubiza ngokuthi ukuvuvukala . Yilokhu okubangela ubunzima bokugwinya, ukubhajwa kokudla, kanye nobuhlungu besifuba.

Yimiphi imithi odokotela abayinikezayo ukulawula i-EoE?

Okokuqala, ayikho ikhambi le-EoE. Kodwa ungakhathazeki! Kunezindlela zokwelapha ezisebenza kahle kakhulu zokulawula izimpawu, ukunciphisa ukuvuvukala emhubheni, nokuvimbela umonakalo owengeziwe.

Ngokuvamile, kanye nalomuthi, udokotela wakho angakutshela nokuthi ugweme ukudla okuthile (njengobisi, amaqanda, kanye nesoya) isikhashana, njengoba okunye ukudla kungenza isimo sibe sibi kakhulu. Uma imithi nokudla kuhlanganiswa, imiphumela iba mihle kakhulu.

Manje ake sibheke izinhlobo eziyinhloko zemithi enikezwa i-EoE.

1. Imininingwane eyengeziwe mayelana nama-Proton Pump Inhibitors (PPIs)

Uma wake wathatha imithi ye-gastritis, ungase ujwayelene negama elithi PPI. Umsebenzi wawo oyinhloko ukulawula ukukhiqizwa kwe-asidi yesisu esiswini. Njengoba iziguli eziningi ze-EoE nazo zine -acid reflux (i-acid reflux), odokotela bazoqala bazame le mithi. Ngezinye izikhathi, ukunciphisa i-asidi yesisu kunganciphisa nokuvuvukala emhubheni.

Kwenziwa kanjani ukwelashwa?

Ngokuvamile, udokotela wakho uzokunikeza i-PPI kanye ngosuku cishe amasonto ayisishiyagalombili. Uma izimpawu zakho zingathuthuki ngemva kwenyanga, udokotela wakho angase andise umthamo ube kabili ngosuku.

Ngemva kwezinyanga ezimbili, udokotela uzohlola izimpawu zakho futhi. Ngezinye izikhathi, bangase benze ne- endoscopy ephezulu .

• Kuyini i-Upper Endoscopy?

Lokhu kuhilela ukufaka ipayipi elincane neliguquguqukayo elinekhamera encane exhunywe ngomlomo wakho bese uhlola ingaphakathi le-esophagus yakho (ipayipi lokudla) kanye nesisu. Lokhu kuvumela udokotela wakho ukuthi abone ukuthi i-esophagus yakho ivuvukele kangakanani nokuthi mangaki ama-eosinophil onawo. Lokhu kuhlolwa kusetshenziselwa ukuqinisekisa i-EoE ngokuthatha isampula encane (i-biopsy) bese uyihlola.

Uma izimpawu zakho sezithuthuke kakhulu, udokotela wakho uzokutshela ukuthi uqhubeke nokusebenzisa umthamo ophansi kakhulu we-PPI olawula izimpawu zakho.

2. Ama-Corticosteroids - umuthi onamandla olawula ukuvuvukala

Uma ama-PPI engasebenzi noma uma isimo sibi kakhulu, odokotela bazophendukela ohlotsheni lomuthi olubizwa ngokuthi ama-corticosteroids. Lawa asebenza ngqo ukulawula ukuvuvukala kanye nokuqongelela kwamaseli e-eosinophil emhubheni. Iningi leziguli lisabela kahle kakhulu kulokhu kwelashwa.

Lawa ma-steroid, esikhundleni sokunikezwa njengamaphilisi athinta umzimba wonke, manje anikezwa ngezindlela zesimanje ezithinta umphimbo kuphela. Isibonelo:

• I-Steroid Ephefumulwayo Egwinyiwe: I-inhaler esetshenziselwa i-asthma ihilela ukufafaza inani elincane lomuthi emlonyeni, ukulixuba namathe bese uligwinya esikhundleni sokuliphefumula. Lokhu kusho ukuthi umuthi ube usuphefumulwa ngqo emphinjeni.
• Iphilisi Elihlukanisayo Ngomlomo: Kukhona nezinhlobo ezikhethekile zamaphilisi ezenzelwe ukufakwa olimini, zincibilike, zixutshwe namathe, bese zigwinywa.

Ngenxa yalezi zindlela, ukumuncwa komuthi kwezinye izingxenye zomzimba kuphansi kakhulu. Ngakho-ke, imiphumela emibi nayo mincane kakhulu.

Izinto okufanele uzikhumbule nakanjani

Ukuphila ne-EoE kungaba yinselele ngezinye izikhathi, kodwa ngokuphathwa kahle, akukho mingcele yokuphila impilo evamile.

• Khuluma nodokotela wakho njalo: Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo onayo, ukukhathazeka ngemithi, noma izinguquko zezimpawu.
• Ungayeki ukuthatha imithi yakho: Ungayeki ukuthatha imithi yakho ngaphandle kokubonisana nodokotela wakho, ngoba lokhu kungabangela ukuthi izimpawu zakho zibuye.
• Ukubekezela kubalulekile: Kungathatha isikhathi ukuthola imithi efanele kanye nomthamo ofanele wena, ngakho-ke yiba nesineke ngokwelashwa kwakho.
• Qaphela ukudla kwakho: Uma udokotela wakho ekutshela ukuthi uyeke ukudla ukudla okuthile, landela leyo miyalelo ngqo. Kuyingxenye ebaluleke kakhulu yokwelashwa.

I-EoE akuyona into okufanele uyesabe, kodwa yisimo okufanele siphathwe ngaphansi kweseluleko sikadokotela. Ngokwelashwa okufanele kanye nokushintsha kwendlela yokuphila, ungasilawula kahle lesi simo futhi uhlale uphilile.