Uzizwa sengathi inqwaba yokudla inamathele emphinjeni wakho uma udla? Uzizwa sengathi isifuba sakho siqinile uma uphuza amanzi? Yilabo kuphela abahlushwa yiso abaziyo ukuthi kungaba nzima kangakanani ukuphila nokungakhululeki okunjalo. Nakuba abantu abaningi becabanga ukuthi lokhu kuyisifo sohudo, ngezinye izikhathi imbangela yalesi simo yi-Eosinophilic Esophagitis, noma lokho esikubiza ngokuthi `(EoE)` ngamafuphi.
Kalula nje, iyini i-Eosinophilic Esophagitis (EoE)?
Kulungile, ake sikubeke kalula. Amasosha omzimba wakho anohlobo olukhethekile lweseli elibizwa ngokuthi i-eosinophil. Ngokuvamile, lawa maseli akhona ukulwa nezinto ezifana nezinambuzane ezingena emizimbeni yethu. Kodwa ngezinye izikhathi, ikakhulukazi uma une-allergy, lawa ma-eosinophil aqala ukunqwabelana ngephutha emhubheni wakho - ipayipi elithwala ukudla kusuka emlonyeni wakho liye esiswini sakho.
Uma lokhu kwenzeka, umphimbo uyavuvukala, ubomvu, futhi ube buhlungu ngaphakathi. Kufana nokuqubuka esikhumbeni. Lokhu kuvame ukubangelwa ukudla okuthile esikudlayo. Lokhu kuvuvukala kubangela ukuthi umphimbo ube mncane, okwenza kube nzima ukugwinya ukudla, bese ukudla kubhajwa.
Manje njengoba udokotela wakho eseqinisekisile ukuthi unalesi simo, into yokuqala ongase ucabange ukuthi, "Kulungile, iyiphi indlela engcono kakhulu yokwelapha kimi manje?" Ake sixoxe ngalokho manje.
Yiziphi izindlela zokwelapha eziyinhloko ze-EoE?
Akukho ukwelashwa okungcono kakhulu kwe-EoE. Kufana nokuthi isudi efanela omunye umuntu ingase ingafanelani nomunye. Udokotela wakho uzocabangela izici eziningi, okuhlanganisa isimo sakho, indlela ophila ngayo, kanye nezinto ozithandayo, ukuze akhe uhlelo lokwelashwa olusebenza kahle kuwe.
Kunezindlela ezine zokwelapha eziyinhloko.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Ama-Proton Pump Inhibitors (PPI) | Lezi zivame ukunqunyelwa i-gastritis, kodwa futhi zinganciphisa ukuvuvukala komphimbo. Ngokuvamile, odokotela baqala ngalokhu kwelashwa kuqala. |
| Ama-Steroids Angaphandle | Lena imithi efika nge-inhaler ekhethekile noma njenge-lozenge. Uma uyigwinya, imithi inamathela odongeni lwendlela yakho yokuphefumula futhi ilawula ngqo ukuvuvukala okubangelwa yilawo maseli e-eosinophil. |
| Izinguquko Zokudla | Njengoba ngishilo ekuqaleni, imbangela eyinhloko ye-EoE ukungezwani nokudla. Ngakho-ke, isihluthulelo lapha ukuthola ukuthi yikuphi ukudla okubangela ukungezwani nokudla bese ukukususa ngokuphelele ekudleni kwakho. |
| Ukwanda Komqala | Uma umphimbo umncane kakhulu ngenxa ye-EoE ehlala isikhathi eside futhi ukudla kuvame ukunamathela, kufakwa idivayisi ekhethekile efana nebhaluni ngesikhathi se-endoscopy ukuze kwandiswe kancane umphimbo. Lokhu kunikeza impumuzo ngokushesha ekubunzimeni kokugwinya. |
Udokotela ukhetha kanjani ukwelashwa okufanele wena?
Manje ungase uzibuze, "Yikuphi kwalokhu okune okufanele mina?" Udokotela wakho uzocabangela izici eziningana ngokucophelela ngaphambi kokwenza isinqumo.
1. Umlando wezinye izinto ezikubangela ukungezwani komzimba
Uke waba ne-asthma, i-eczema, noma ukungezwani nezinto ezifana nothuli kanye nempova kusukela ebuntwaneni? Uma kunjalo, kunethuba elikhulu lokuthi isimo sakho se-EoE sibangelwa nokungezwani nokudla. Ezimweni ezinjalo, udokotela wakho angagxila kakhulu ekushintsheni kokudla kunokusebenzisa imithi. Ungathunyelwa kudokotela we-allergy, uchwepheshe we-allergy.
2. Ubukhali bezimpawu zakho
Cabanga ngomuntu onenkinga encane yokugwinya ukudla. Omunye umuntu uhlala ebhajwa ukudla futhi kudingeka aphuze amanzi ukuze akuqede. Ngezinye izikhathi, ukudla kuyabhajwa ngokuphelele bese kudingeka aye eMnyangweni Wezimo Eziphuthumayo (ETU).
Uma izimpawu zakho zingezimbi kakhulu, udokotela wakho angase aqale ngento elula njenge-PPI. Kodwa-ke, uma uvame ukulangazelela ukudla noma usola ukuthi umphimbo wakho unciphile kakhulu, udokotela wakho angase ancome uhlelo lokwelapha oluhlanganisa nokukhulisa umphimbo.
3. Indlela yakho yokuphila kanye nezinto ozithandayo
Lokhu kubaluleke kakhulu. Udokotela uzokhuluma nawe akubuze ngalezi zinto.
- Kungenzeka yini ukulawula ukudla kwakho?Zicabange ungumuntu omatasa odla kakhulu ngaphandle. Kumuntu onjalo, ukuyeka ukudla okuyisi-6 okuyinhloko (ubisi, amaqanda, isoya, ukolweni, inhlanzi/ukudla kwasolwandle, amantongomane) bese ukukudla (Elimination Diet) kungaba nzima kakhulu. Esimweni esinjalo, kungaba lula ngawe ukusebenzisa iphilisi oligwinya kanye ngosuku.
- Uyayithanda imithi? Abanye abantu abakuthandi ukuthatha imithi isikhathi eside. Bakhetha ukuthola imbangela yalesi sifo bese beyilawula ngokudla. Kumuntu onjalo, ukulawula ukudla kungaba yindlela engcono kakhulu.
Lokho kusho ukuthi, lesi yisinqumo wena nodokotela enizosenza ndawonye.
Ingabe ukudla kuyayelapha i-EoE?
Lena yinkinga enkulu kubantu abaningi. Njengoba imbangela eyinhloko ye-EoE iwukudla, uma ungakwazi ukubona ukudla okubangela lokho bese ukumisa, uvame ukwelapha izimpawu cishe ngokuphelele. Kodwa inselele iwukuthola ukuthi ukudla kuyini.
Kunzima ukuthola ukudla okubangela i-EoE ngokuhlolwa okuvamile kokungezwani komzimba, njengokuhlolwa kokubhoboza isikhumba. Ngenxa yokuthi i-EoE uhlobo oluhlukile kancane lokusabela kokungezwani komzimba, odokotela basebenzisa izindlela ezimbili ezikhethekile.
1. Ukudla Kokuqeda Isifo: Lokhu kuhilela ukususa ngokuphelele ukudla okumbalwa okubalulekile (ngokuvamile okungu-6) okutholakale kuyizimbangela ezivame kakhulu ze-EoE amasonto ambalwa. Bese, siphinde sikubuyisele ngakunye ukuze sibone ukuthi izimpawu ziyathuthuka yini. Singabe sesibona ukuthi yikuphi ukudla okubangela ukuba izimpawu zibuye.
2. Ukudla Okuyisisekelo: Lokhu kunzima kakhulu. Lapha, uyeka ukudla konke ukudla kwakho okuvamile bese uphuza isiphuzo esikhethekile esiwuketshezi (ifomula ye-amino acid). Lokhu kunikeza umphimbo wakho ukuphumula okuphelele futhi ukuvuvukala kuyaphola ngokuphelele. Bese, ufaka ukudla ngakunye ngakunye.
Zombili lezi zindlela kufanele zenziwe kuphela ngaphansi kweseluleko sikadokotela kanye nochwepheshe wezokudla . Ukwenza lokhu wedwa kungaholela ekuntuleni ukudla okunempilo.
| Ukudla okuvame ukubangela i-EoE | |
|---|---|
| Ubisi nemikhiqizo yobisi | Ukolweni (isinkwa, i-pasta, amakhekhe) |
| Amaqanda | Isoya |
| Amantongomane (njenge-cashew, amantongomane) | Inhlanzi nokudla kwasolwandle |
| Inyama yenkomo | Ukolweni |
Ekugcineni, i-EoE ayiyona into okufanele ukhathazeke ngayo. Yisimo esilawulekayo. Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho futhi nisebenzisane ukuthuthukisa uhlelo lokwelashwa olufanelana kahle nendlela yakho yokuphila, okuthandayo, kanye nesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Eosinophilic Esophagitis (EoE) yisimo sokungezwani komzimba esithinta umphimbo. Singabangela ubunzima bokugwinya.
- Kunezindlela ezine zokwelapha eziyinhloko zalokhu: imithi ye-PPI, ama-steroid omlomo, ukudla okunempilo, kanye nokwandisa umthamo.
- Udokotela wakho uzokhetha ukwelashwa okukulungele kangcono, ecabangela izici ezifana nezimpawu zakho, okunye ukungezwani komzimba, kanye nendlela yakho yokuphila.
- Njengoba ukudla kuyimbangela eyinhloko ye-EoE, ukuhlonza nokugwema ukudla okucasulayo kuyindlela yokwelapha ephumelela kakhulu.
- Ngaphambi kokuqala noma yikuphi ukwelashwa, khuluma nodokotela wakho ngakho ngokucophelela. Inqubo yokwelashwa iwukubambisana phakathi kwakho nodokotela wakho.
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