Ingabe kunzima ukugwinya ukudla? Ingabe kubhajwe emphinjeni? Ingabe lokhu kuyi-Eosinophilic Esophagitis? (EOSINOPHILIC ESOPHAGITIS)

Uzizwa sengathi ukudla kwakho kubhajwe emphinjeni esikhundleni sokuya emphinjeni? Noma uvame ukuba nomuzwa wokushisa esifubeni sakho, ubuhlungu, kanye nokulahlekelwa yisifiso sokudla? Abantu abaningi bacabanga ukuthi lezi zimpawu ziyinkinga evamile yegesi (i-gastritis), kodwa ngezinye izikhathi kungase kube nesinye isizathu ngemuva kwalokhu. Namuhla sizokhuluma ngesimo esisha, kodwa manje esivame kakhulu. Leso yi-Eosinophilic Esophagitis.

Kalula nje, iyini i-Eosinophilic Esophagitis?

Leli gama lingase libonakale lide futhi liyinkimbinkimbi, kodwa masiligcine lilula.

Ipayipi elithwala ukudla kusuka emlonyeni wethu liye esiswini sethu libizwa ngokuthi i-esophagus . Lifana nepayipi lamanzi. Ingxenye "e-eosinophilic" ivela ohlotsheni lweseli elimhlophe legazi emzimbeni wethu elibizwa ngokuthi "ama-eosinophils." Igama elithi "esophagitis" ukuvuvukala kwe-esophagus, okusho ukuvuvukala noma ukulimala.

Ngakho-ke, ukusho kalula, i-Eosinophilic Esophagitis (EoE) yilapho uhlobo lweseli elimhlophe legazi elibizwa ngokuthi ama-eosinophils liqongelela ngobuningi emhubheni wethu, okubangela ukuvuvukala ngaphakathi kwalelo payipi. Lokhu kufana nokungezwani komzimba okwenzeka esikhumbeni sethu, kodwa lokhu kwenzeka ngaphakathi emzimbeni, emgudwini wokudla.

Ngokuhamba kwesikhathi, lokhu kuvuvukala kubangela ukwakheka kwezicubu ezincane zesilonda ngaphakathi komphimbo, bese ipayipi lincipha kancane kancane. Cabanga ngakho njengepayipi lamanzi elivalekile ngokugqwala. Kwenzekani-ke? Uma ugwinya ukudla okugcwele umlomo, akwehli kalula. Ungase uzizwe sengathi ukudla kubambekile, noma kungase kuzizwe sengathi kwehla kancane kakhulu.

Ziyini izimpawu zalesi simo?

Izimpawu zingase zihluke kancane kuye ngeminyaka yakho. Izimpawu azivamile ezinganeni ezincane njengoba zivamile nakubantu abadala.

Ngaphezu kwalezi zimpawu eziyinhloko, abantu banoma yimuphi ubudala nabo bangabhekana nalezi zimpawu:

• Ubuhlungu besisu: Ubuhlungu esiswini.
• Ukucanuzela nokuhlanza: Ukuzizwa ugula futhi uhlanza ngemva kokudla.
• Ukubuyela emuva: Ukubuyela kokudla okugwinyiwe noma uketshezi lwesisu emphinjeni noma emlonyeni.
• Ukuphazamiseka kokudla: Lesi yisimo esiphuthumayo sezokwelapha . Ucezu lokudla lubhajwa engxenyeni encane yomphimbo, okwenza kube nzima ukuphefumula. Esimweni esinjalo, kubalulekile ukuya ekamelweni lezimo eziphuthumayo esibhedlela (ETU) ngokushesha. Ngezinye izikhathi, lokhu kuvinjelwa kungabangela umphimbo uqhume.

Abanye abantu abanazo lezi zimpawu ngaso sonke isikhathi. Zingase ziphele isikhashana bese ziphinde zibuye.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Nakuba imbangela eqondile ingakaziwa okwamanje, kukholakala ukuthi iyimbangela yokungasebenzi kahle kwesimiso sethu somzimba . Isimiso sethu somzimba siqula ngephutha into evame ukungabi nangozi, njengokudla esikudlayo, njengesitha.

Uma lokhu kungatholakali kahle, inani elikhulu lamaseli abizwa ngokuthi ama-eosinophil athunyelwa emphinjeni ukuze aphendule. Lawa maseli ahlangana lapho futhi abangele ukuvuvukala okukhulunywe ngakho ekuqaleni.

Yikuphi ukudla okubangela lesi simo kakhulu?

Esikhathini esiningi, lokhu kungezwani komzimba kubangelwa ukudla esikudlayo. Ukudla okuvame kakhulu okuthintekayo yile:

• Ubisi nemikhiqizo yobisi (Ubisi)
• Iqanda
• Ukolweni
• Isoya
• Ukudla kwasolwandle/inhlanzi enamagobolondo
• Amantongomane namanye amantongomane (Amantongomane, amantongomane ezihlahla)

Ubani osengozini enkulu yokuthola lesi sifo?

Sibiza izinto ezandisa ingozi yokuthola izifo eziyingozi. Abantu abaningi abane-EoE nabo banesinye noma ngaphezulu salezi zimo zokungezwani komzimba.

• Isifuba somoya
• Umkhuhlane ovamile (i-Allergic rhinitis)
• I-Eczema kanye nokuqubuka (i-Eczema / i-Atopic dermatitis)
• Ezinye izinto ezibangela ukungezwani nokudla

Futhi, uma othile emndenini wakho, ikakhulukazi umfowenu noma umzali, enalesi sifo, nawe usengozini enkulu yokuba naso.

Udokotela uhlonza kanjani lokhu?

Uma utshela udokotela wakho ngezimpawu zakho, uzokubuza imibuzo embalwa.

• Indlela odla ngayo: Abantu abaningi ngokungazi bazivumelanisa nalezi zimpawu. Isibonelo, uma bedla, bahlafuna ukudla kwabo kahle bese bekugwinya ngamanzi amaningi. Abanye abantu bayakugwema ukudla okunzima ukukugwinya, njengesinkwa nenyama. Udokotela wakho uzokubuza ngalezi zinto.
• Umlando wezokwelapha wakho nowomndeni wakho: Buza ukuthi wena noma omunye umuntu emndenini wakho une-allergies, njenge-asthma noma i-eczema.

Ngemva kwalolu lwazi, uma udokotela esola ukuthi une-EoE, uzokudlulisela kudokotela wezifo zamathumbu , ozokwenza izivivinyo eziningana ukuqinisekisa ukuxilongwa.

1. I-Endoscopy (EGD): Lokhu kuhilela ukufaka ithubhu elincane neliguquguqukayo elinekhamera encane ekugcineni ngomlomo ukuhlola umphimbo, isisu, kanye nokuqala kwamathumbu amancane. Lokhu kuvumela udokotela ukuthi ahlole ingaphakathi lomphimbo ngamehlo ukuze abone ukuvuvukala, ukuvuvukala, amabala amhlophe, kanye nokuncipha.

2. I-Biopsy: Ngesikhathi se-endoscopy, udokotela uthatha isampula encane yezicubu odongeni lomphimbo. Lokhu akubuhlungu. Isampula bese ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kunezinombolo eziphakeme kakhulu zama-eosinophils. Le biopsy iyindlela kuphela yokuthola ukuthi i-Eosinophilic Esophagitis iyatholakala yini.

Yiziphi izindlela zokwelapha lokhu?

Umgomo oyinhloko wokwelashwa ukulawula ukuvuvukala emhubheni. Kunezindlela ezimbili eziyinhloko zalokhu. Ngezinye izikhathi zombili izindlela zingasetshenziswa ndawonye. Unganquma ukuthi iyiphi indlela engcono kakhulu kuwe ngokukhuluma nodokotela wakho.

1. Ukwelashwa ngemithi

Imithi elandelayo isetshenziselwa ukunciphisa ukuvuvukala:

• Ama-Proton Pump Inhibitors (PPI): Lawa imithi evame ukunqunyelwa i-gastritis, kodwa futhi anamandla okunciphisa ukuvuvukala okubangelwa yi-EoE.
• Ama-Corticosteroids: Lawa ama-steroid agwinyiwe afakwa ngaphakathi komphimbo. Asebenza ngqo endaweni yokuvuvukala futhi anciphise ukuvuvukala.
• Izinto eziphilayo:Imithi yokugoma, njenge-Dupilumab (Dupixent®) esanda kwethulwa, nayo isetshenziselwa le njongo. Lokhu kuthinta ngqo inqubo yokungezwani komzimba futhi kulawula lesi sifo.

2. Ukwelashwa Kokudla

Okwenzayo kulesi simo ukuyeka kancane kancane ukudla ocabanga ukuthi kungenzeka ukuthi une-allergy kukho.

• Ukudla Kokuqeda Ukudla: Amaqembu okudla ayisi-6 ayinhloko avame ukubangela ukungezwani komzimba, okungukuthi ubisi, amaqanda, ufulawa, isoya, ukudla kwasolwandle, namantongomane, konke kuqedwa ekudleni ngesikhathi esisodwa.
• Udokotela uzokwenza enye i-endoscopy ngemuva kwesikhashana ukuze abone ukuthi ukuvuvukala sekuphelile yini.
• Uma ukuvuvukala sekuphelile, amaqembu okudla asusiwe aphinde afakwa ekudleni ngalinye ngalinye, esikhathini esingamasonto amaningana.
• Ngemva kokufakwa kweqembu ngalinye lokudla, kwenziwa i-endoscopy kanye ne-biopsy futhi ukuze kubonakale ukuthi ukuvuvukala sekubuyile yini. Ngale ndlela, ungathola ukuthi yikuphi ukudla okubangela ukungezwani nokudla.

Uphila kanjani nalesi simo?

Ngenxa yokuthi i-Eosinophilic Esophagitis iyisifo esingamahlalakhona, ukuhlala nayo kungaba nzima ngezinye izikhathi. Kodwa-ke, ngokwelashwa okufanele, izimpawu zingalawulwa cishe ngokuphelele.

Kodwa-ke, ikakhulukazi kumuntu oke waba nokudla okubhajwe emphinjeni, angase abe nokwesaba ukugwinya ukudla futhi (i-phagophobia). Angase esabe ukudla ukudla okuningi, noma ukudla izinto ezifana nesinkwa. Lawa macebiso azokusiza ezikhathini ezinjengalezi.

• Thola usizo kuchwepheshe wezokudla: Uchwepheshe wezokudla angakusiza ukuthi udale ukudla okumnandi nokunomsoco usebenzisa ukudla okungewona ama-allergen.
• Funa ukwesekwa kwempilo yengqondo: Kubaluleke kakhulu ukufuna usizo kudokotela wezifo zengqondo noma umeluleki ukuze unqobe ukwesaba kwakho ukugwinya, kanye nokulawula ukucindezeleka okuhambisana nalesi sifo esingamahlalakhona.
• Khuluma nabantu abake baba nokuhlangenwe nakho okufanayo: Buza udokotela wakho ngamaqembu okusekelana lapho ungakhuluma khona nabanye abantu abanalesi sifo. Kuyisibusiso esikhulu ukwazi ukuthi awuwedwa.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo nokuya emitholampilo ngesikhathi.