Uke uzizwe sengathi ukudla kubhajwa emphinjeni wakho ngenkathi udla? Noma mhlawumbe ubulokhu ubhekene nobuhlungu besifuba obungapheli obungathuthuki, kungakhathaliseki ukuthi uthatha imithi emingaki yesisu? Ungase ucabange ukuthi lokhu kuyisimo esivamile se- gastritis . Kodwa-ke, uma uhlangabezana nalezi zimpawu, kubalulekile ukungazinaki. Zingaba izimpawu zesimo esingaxoxwa ngaso kakhulu, kodwa esibalulekile esibizwa ngokuthi i-Eosinophilic Esophagitis (EoE).
Iyini ngempela i-Eosinophilic Esophagitis (EoE)?
Leli gama lingase lizwakale liyinkimbinkimbi, kodwa ake silichaze kalula.
Empeleni, i-Eosinophilic Esophagitis (EoE) yisimo sokungezwani komzimba esibangelwa amasosha omzimba wakho. Sithinta kakhulu i-esophagus—ipayipi lemisipha elithwala ukudla kusuka emlonyeni wakho liye esiswini sakho.
Egazini lakho, kunamangqamuzana amhlophe egazi abizwa ngokuthi ama-eosinophils . Lawa maseli avame ukwanda lapho umzimba wakho ulwa nokungezwani komzimba noma ukutheleleka yizinambuzane . Ku-EoE, inani elikhulu lala ma-eosinophils lithuthela ezicutshini zomhubhe wakho ngezizathu ezingaqondakali ngokugcwele. Lokhu kuqoqana kubangela ukuvuvukala, ukubomvu, kanye nomonakalo wolwelwesi lomhubhe. Lokhu kuvuvukala kuphazamisa ukusebenza okuvamile komhubhe, okuholela ebunzima bokugwinya noma umuzwa wokudla okubambekayo okungenzeka ukuthi ubhekene nakho.
Okubaluleke kakhulu, i-EoE akuyona inkinga edlulayo; iyisimo esingamahlalakhona , sesikhathi eside. Ingathinta kokubili izingane kanye nabantu abadala, futhi ivame ukutholakala kwabesilisa.
Yiziphi izimpawu eziyinhloko ze-EoE?
Izimpawu ze-EoE zingahluka, futhi ngenxa yokuthi ezinye zihlangana kakhulu ne-standard acid reflux, zivame ukuhlonzwa kabi. Nazi izimpawu ezivame kakhulu:
| Isibonakaliso | Incazelo |
|---|---|
| I-Dysphagia (Ubunzima Bokugwinya) | Umuzwa wokuthi ukudla akuhambisani kahle noma kubambekile. Ngokuvamile kuzwakala sengathi umphimbo unciphile. |
| Umthelela Wokudla | Lesi yisimo esiphuthumayo sezokwelapha . Uma ukudla kugcwala ngokuphelele emphinjeni wakho, kukuvimbela ngisho nokugwinya amathe, funa usizo oluphuthumayo emnyangweni wezimo eziphuthumayo wendawo yakho. |
| Ubuhlungu Besifuba Noma Ukushisa Kwenhliziyo | Kufana ne-acid reflux ejwayelekile, kodwa ngokuvamile ayiphenduli emithini ejwayelekile ye-antacid. |
| Ukuhlanza kanye nobuhlungu besisu | Kuvamile kakhulu ezinganeni, ngokuvamile kuhambisana nokungabi nesifiso sokudla noma ubuhlungu besisu obuqhubekayo. |
Kungani i-EoE yenzeka?
Njengesimo esisanda kutholakala kwezesayensi yezokwelapha, imbangela eqondile isacwaningwa. Kodwa-ke, ochwepheshe baqokomisa lezi zici ezibalulekile:
- Impendulo Yokuzivikela Emzimbeni: Isivumelwano esiyinhloko ukuthi amasosha omzimba asabela ngokweqile ezintweni ezithile ezibangela lokhu. Umzimba wakho ungase uhlukanise amaprotheni okudla (isb., ubisi, amaqanda , isoya, ukolweni) noma izinto ezibangela ukungezwani komzimba (isb., impova, uthuli, isikhunta) njengezinsongo, okuthumela ama-eosinophil emqaleni ukuze alwe.
- Izakhi zofuzo: Kukhona ukuthambekela komndeni. Uma unomlando womndeni we-allergies, i-asthma, noma i-eczema, ungase ube nethuba eliphezulu lokuthola i-EoE.
Ingabe yi-EoE noma i-GERD? Kungani kukhona ukudideka?
Lesi yisithiyo esikhulu kunazo zonke ezigulini eziningi. Izimpawu ze-EoE zifana ne -GERD (Gastroesophageal Reflux Disease) , yingakho abantu abaningi bechitha iminyaka bethatha imithi ye-reflux ngaphandle kokuthola impumuzo.
Nazi umehluko oyinhloko:
| Isici | I-Eosinophilic Esophagitis (EoE) | I-GERD (i-Acid Reflux) |
|---|---|---|
| Imbangela | Impendulo yomzimba yokungezwani komzimba | I-asidi yesisu ibuyela emuva ku-esophagus |
| Isilungulela | Okuvamile | Uphawu oluyinhloko |
| Impendulo kuma-Antacid | Ngokuvamile akukho mpendulo | Ngokuvamile kuphathwa kahle ngemithi |
| Umthelela Wokudla | Kuvamile kakhulu | Akuvamile kakhulu |
| Ezinye Izinto Ezibangela Ukungezwani Komzimba | Isixhumanisi esinamandla (i-asthma, i-eczema) | Akukho ukuxhumana okuqondile |
Odokotela bayixilonga kanjani i-EoE?
Uma unalezi zimpawu, ikakhulukazi uma ukwelashwa nge-acid reflux kungasizanga, kubalulekile ukubonisana nodokotela wakho. Bazohlola umlando wakho futhi, ukuze kutholakale ukuxilongwa okuqondile, bangase batuse i -Endoscopy ene-Biopsy .
Ngesikhathi sokuhlolwa kwe-endoscopy, ipayipi elincane neliguquguqukayo elinekhamera liqondiswa emphinjeni wakho ukuze kuhlolwe umphimbo wakho nesisu. Ngokuvamile unikezwa umuthi wokudambisa ngale nqubo, ngakho ngeke uzwe ubuhlungu noma ukungakhululeki.
Ngesikhathi enza i-endoscopy, udokotela uzothatha amasampula amancane ezicubu (ama-biopsies) ukuze ahlolwe elebhu. Ukuthola ukuminyana okuphezulu kwama-eosinophil kula masampula kuyindinganiso yegolide yokuqinisekisa ukuxilongwa kwe-EoE.
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi ungazinaki izimpawu ezifana nobunzima obuqhubekayo bokugwinya, ukudla okubhajwa emphinjeni, noma ubuhlungu besifuba obungaphenduli emithini ejwayelekile.
- I-EoE iyimpendulo yomzimba, hhayi nje izinkinga ze-asidi yesisu.
- Nakuba izimpawu zihambisana ne-GERD, izinhlelo zokuphatha kanye nokwelashwa zihluke kakhulu.
- Ukuxilongwa okunembile kudinga ukuhlolwa kochwepheshe bezokwelapha, okungenzeka kufake phakathi i-endoscopy kanye ne-biopsy.
- Gwema ukuzelapha; khuluma nodokotela wakho ngokukhululekile ngezimpawu zakho. Ukuxilongwa okufanele kuyisinyathelo sokuqala sokuthola impumuzo ephumelelayo.
I-Eosinophilic Esophagitis, i-EoE, i-GERD, i-dysphagia, ubuhlungu besifuba, umphimbo, ukungezwani komzimba, isilungulela, ukungezwani komzimba , isilungulela
