Ingabe uzizwa sengathi umphimbo wakho uvalekile uma udla? Noma unomuzwa wokushisa esifubeni sakho ongapheli kungakhathaliseki ukuthi uthatha umuthi ongakanani? Ungase ucabange ukuthi lokhu kuyinkinga evamile ye-gastritis . Kodwa uma unalezi zimpawu, ungamane ungayinaki. Ngoba lokhu kungaba uphawu lwesinye isimo sempilo esingazwakali kakhulu ngaso, kodwa okufanele sikhathazeke kancane ngaso. Namuhla sikhuluma ngesinye isimo esinjalo, i-Eosinophilic Esophagitis (EoE).
Kuyini i-Eosinophilic Esophagitis (EoE)?
Kulungile, leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa masiligcine lilula.
Kalula nje, i-Eosinophilic Esophagitis (EoE) yisimo sokungezwani komzimba esibangelwa ukusabela kwesistimu yokuzivikela komzimba. Ithinta kakhulu i -esophagus , ipayipi lemisipha elithwala ukudla kusuka emlonyeni kuya esiswini.
Manje, bheka, ama-eosinophil awuhlobo lwamaseli amhlophe egazini lethu. Lawa maseli avame ukwanda emzimbeni wethu uma sinesifo sokungezwani komzimba noma ukutheleleka yizinambuzane. Ku-EoE, inani elikhulu lala maseli e-eosinophil, ngesizathu esithile, aqoqana ngaphakathi kwezicubu zomhubhe wethu. Uma eqoqana, ingaphakathi lomhubhe liyavuvukala, libomvu, bese liqala ukonakala. Lokhu kuvuvukala kubangela ukuthi umhubhe uyeke ukusebenza kahle. Yingakho sinenkinga yokugwinya ukudla, futhi ukudla kuyabhajwa.
Into ebalulekile ukuthi i-EoE akuyona into efika idlule. Yisimo esingamahlalakhona , sesikhathi eside. Singabonakala kokubili ezinganeni nakubantu abadala, ikakhulukazi kwabesilisa.
Yiziphi izimpawu eziyinhloko ze-EoE?
Umuntu one-EoE angaba nezimpawu ezahlukahlukene. Ezinye zezimpawu zifana kakhulu neze-gastritis evamile, yingakho abantu beyidida. Ake sibheke izimpawu eziyinhloko.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubunzima bokugwinya (i-Dysphagia) | Ukuzwa sengathi ukudla kubhajwe emphinjeni esikhundleni sokuya phansi lapho udla. Kuzwakala sengathi umphimbo unciphile. |
| Umthelela Wokudla | Lesi yisimo esiphuthumayo sezokwelapha . Ukudla kubhajwe ngokuphelele emphinjeni, okwenza kube nzima ukugwinya ngisho neconsi lamathe. Uma lokhu kwenzeka, kufanele uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. |
| Ubuhlungu besifuba noma ukuvuvukala | Njengasesiswini, kukhona ukusha noma ubuhlungu phakathi kwesifuba. Kodwa into ekhethekile ukuthi lobu buhlungu abunciphi ngisho nangemva kokuthatha imithi efana nemithi yokunciphisa i-asidi, enikezwa i-gastritis. |
| Ukuhlanza kanye nobuhlungu besisu | Lolu phawu luvame kakhulu ezinganeni ezincane. Lungabangela ukulahlekelwa yisifiso sokudla, ubuhlungu besisu kanye nokuhlanza. |
Kungani i-EoE yenzeka? Ziyini izimbangela?
Ngenxa yokuthi i-EoE iyisimo sezokwelapha esisha, izimbangela zayo azikaziwa ngokuphelele. Kodwa-ke, kunamaphuzu ambalwa abalulekile abacwaningi abakholelwa ukuthi yilawa:
- Impendulo yesimiso sokuzivikela komzimba: Umbono wamanje owamukelwayo uwukuthi isimiso sethu sokuzivikela komzimba sisabela ngokweqile ezintweni ezithile (ikakhulukazi ukudla). Ngokukhethekile, umzimba wethu uphatha kabi ukudla okuthile (isib. ubisi, amaqanda , isoya, ukolweni) noma izinto ezisendaweni (isib. impova, uthuli, isikhunta) ngokuthi "izitha" futhi uthumela ama-eosinophil egazini ukuze alwe nawo.
- Izakhi zofuzo: Lesi simo sivame ukwenzeka emindenini ngezinga elithile. Lokhu kusho ukuthi uma othile emndenini wakho ene-EoE, i-asthma, noma ukungezwani komzimba okufana ne-eczema, ungase ube nengozi ephansi yokuthola i-EoE.
EoE? Noma i-GERD? Kungani udidanisa lokhu okubili?
Lena yinkinga enkulu kubantu abaningi. Izimpawu ze-EoE zifana kakhulu nalokho sonke esikwaziyo njenge- GERD (Gastroesophageal Reflux Disease) , isimo lapho i-asidi yesisu ikhuphukela emphinjeni. Ngenxa yalokhu, abantu abaningi abane-EoE bangaqhubeka nokwelashwa kwe-GERD iminyaka eminingi ngaphandle kokuthuthukiswa.
Ake sibone ukuthi umehluko omkhulu uyini phakathi kwalokhu okubili.
| Iphuzu lokuqhathanisa | I-Eosinophilic Esophagitis (EoE) | I-GERD (i-Gastric Reflux) |
|---|---|---|
| Imbangela eyinhloko | Impendulo yokungezwani komzimba yesimiso somzimba sokuzivikela. | I -asidi yesisu ikhuphuka emphinjeni. |
| Ukuvuvukala kwesifuba | Kungabonakala kaningi. | Isici esiyinhloko. |
| Impendulo kuma-antacid | Ngokuvamile akukho mpendulo noma impendulo encane kakhulu. | Ngokuvamile kulawulwa kahle . |
| Ubuthi bokudla | Kuvamile kakhulu futhi kungaba nzima. | Kuphansi kakhulu. |
| Ezinye izinto ezibangela ukungezwani komzimba | Kukhona ukuxhumana okucacile nezimo ezifana ne-asthma, i-eczema, kanye nomkhuhlane we-hay. | Ngokuvamile akukho ukuxhumana okuqondile . |
Udokotela ukuthole kanjani lokhu ngempela?
Uma unezimpawu engizishilo ngenhla, ikakhulukazi uma ungakhululeki ngokuthatha imithi ye-gastritis, kufanele nakanjani ubone udokotela wakho umtshele ngakho. Ngemva kokulalela izimpawu zakho ngokucophelela, uzoncoma ukuhlolwa ukuqinisekisa ukuthi lokhu kuyi-EoE.
Ukuhlolwa okuyinhloko okwenziwe kulokhu yi -endoscopy kanye ne-biopsy .
Lokhu kuhilela ukufaka ipayipi elincane neliguquguqukayo elinekhamera encane exhunywe ngomlomo wakho bese uhlola ingaphakathi lomphimbo wakho nesisu. Ungakhathazeki, uvame ukunikezwa i-anesthesia ngalokhu, ngakho ngeke uzizwe ungakhululekile.
Ngesikhathi sokuhlolwa kwe-endoscopy, udokotela uzothatha isampula encane yezicubu (i-biopsy) emhubheni bese eyithumela elabhorethri. Okuwukuphela kwendlela yokuqiniseka nge-100% ukuthi une-EoE ukubheka inani eliphakeme kakhulu lama-eosinophil ezicutshini.
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi uzithathele phansi izimpawu ezinjengobunzima bokugwinya, ukudla okubhajwa emphinjeni, noma ubuhlungu besifuba obungaphenduli emithini.
- I-EoE ayibangelwa yi-asidi yesisu, iyimpendulo yokungezwani komzimba kwesimiso somzimba sokuzivikela.
- Izimpawu zakho zingase zifane neze-GERD, kodwa imbangela kanye nokwelashwa kuhluke ngokuphelele.
- Ukuze uthole ukuthi siyini ngempela lesi sifo, kubalulekile ukubona udokotela , futhi uma kudingeka, kwenziwe i-endoscopy kanye ne-biopsy.
- Kunokuba uzenzele imithi, khuluma nodokotela wakho ngokukhululekile ngezimpawu zakho. Ukuxilongwa okunembile kuyisinyathelo sokuqala sokwelashwa okuphumelelayo.
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