Ingabe kunzima ukugwinya ukudla? Ingabe kungaba yi-Eosinophilic Esophagitis (EoE)?

Uma udla, ingabe ukuthola kunzima ukugwinya ukudla, noma uzizwa sengathi kubhajwe emphinjeni wakho? Noma ingabe unesishiso noma ubuhlungu esifubeni sakho? Abantu abaningi bacabanga ukuthi lokhu kuyisifo sohudo, kodwa ngezinye izikhathi imbangela yalokhu ingaba yisimo esihlukile, esihlobene nokungezwani komzimba. Ngenxa yalesi simo, abanye abantu baze bazizwe sengathi abafuni ukudla. Namuhla sikhuluma ngesimo esifanayo, kodwa ababaningi abantu abake bezwa ngaso, esibizwa ngokuthi i-Eosinophilic Esophagitis.

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

Nakuba leli gama lingase lizwakale liyinkimbinkimbi kancane, indaba ilula kakhulu. Ake sichaze leli gama.

• Umqala yipayipi elithwala ukudla kusuka emlonyeni wethu kuya esiswini sethu. Lokhu sikubiza ngesiSinhala ngokuthi umphimbo.
• Ama-eosinophil awuhlobo lwamaseli amhlophe egazi emzimbeni wethu. Ngokuvamile ayanda emzimbeni wethu uma sinesifo sokungezwani komzimba.
• Isijobelelo esithi -itis sisho "ukuvuvukala" noma "ukuvuvukala."

Kalula nje, i-Eosinophilic Esophagitis (EoE) iwukusabela kokungezwani komzimba okubangela amangqamuzana amhlophe egazi abizwa ngokuthi ama-eosinophils ukuba aqoqeke emgudwini wethu, okubangela ukuba umgudwi uvuvuke. Cabanga ngakho njenge-eczema, lapho isikhumba siba bomvu, sivuvuke, futhi silume, kodwa into efanayo yenzeka ngaphakathi komgudwi.

Uma lokhu kuvuvukala kuqhubeka, kwakheka izicubu zesilonda ngaphakathi komphimbo, kunciphise indlela yokudla. Yilapho uqala ukuba nobunzima bokugwinya futhi uzizwe sengathi ukudla kwakho kubambekile. Ukudla okudlayo kungase kungadluli kalula kusuka emlonyeni wakho kuya esiswini sakho, futhi kungase kuzwakale kubambekile. Lesi yisimo esingamahlalakhona . Lokhu kusho ukuthi ngeke kube ngcono ngobusuku obubodwa, futhi kuzodingeka uthathe ukwelashwa impilo yakho yonke. Kodwa ungakhathazeki, kunezindlela zokwelapha ezinhle ezingasiza ekulawuleni.

Ziyini izimpawu ze-EoE? Ingabe ziyashintsha ngokuguga?

Yebo, izimpawu zalesi simo zingahluka kuye ngokuthi siqala nini. Akuzona izimpawu ezenzeka enganeni encane, kodwa kumuntu omdala. Ake sibheke lokhu ukuze sikuqonde kahle lokhu.

Ngaphezu kwalezi zimpawu eziyinhloko, kunezinye izimpawu eziningana ezingavela kunoma yimuphi ubudala:

• Ubuhlungu besisu: Ubuhlungu esiswini.
• Isicanucanu nokuhlanza: Isicanucanu nokuhlanza ngemva kokudla.
• Ukuphinda ukudla: Ukuphinda ukudla okugwinyiwe kungene emphinjeni noma emlonyeni.
• Umthelela Wokudla: Lesi yisimo esiphuthumayo sezokwelapha . Ukudla okudliwayo kubhajwa endaweni encane emphinjeni, kungahambi emphinjeni noma kubuye kuphakame. Ezimweni ezinjalo, kunengozi yokuqhuma komphimbo, ngakho-ke kubalulekile ukuya ekamelweni lezimo eziphuthumayo esibhedlela (ETU) ngokushesha.

Kungani sinalokhu? Iyini imbangela?

Kalula nje, isizathu esiyinhloko salokhu ukuthi amasosha ethu omzimba asabela ngokweqile ezintweni ezithile ezibangela ukungezwani komzimba. Uma sikhuluma iqiniso, lapho izinto ezithile ekudleni esikudlayo, noma izinto ezisendaweni ezungezile njengothuli, zingena emigudwini yethu yomoya, umzimba wethu ucabanga ukuthi lesi isitha esikhulu.

Ngemuva kwalokho, isimiso somzimba sokuzivikela sithumela inani elikhulu lamaseli, okuhlanganisa nama-eosinophil, emphinjeni ukuze ahlasele 'isitha.' Lawa maseli ayaqoqana futhi abangele ukuvuvukala, noma ukuvuvukala, ngaphakathi emphinjeni.

Ukudla okuyinhloko okungabangela i-EoE

Esikhathini esiningi, lokhu kungezwani komzimba kubangelwa ukudla esikudlayo. Phakathi kwazo, kunezinsolo ezimbalwa eziyinhloko.

Iningi labantu alinazo zonke lezi zinkinga. Mhlawumbe eyodwa noma ezimbili zalezi zingaba imbangela yenkinga yakho. Sizobona ukuthi singathola kanjani ukuthi sikhuluma nini ngokwelashwa.

Ubani osengozini enkulu yokuthola i-EoE?

Nakuba noma ubani engaba nalesi sifo, abanye abantu basengozini enkulu. Ikakhulukazi, abantu abanezinye izifo zokungezwani komzimba basengozini enkulu yokuthola i-EoE.

• Isifuba somoya
• I-allergic rhinitis - impumulo egelezayo njalo, ukuthimula
• Izifo zesikhumba (i-Eczema, i-Atopic dermatitis)
• Ezinye izinto ezibangela ukungezwani nokudla

Ukuba nalezi zimo kusho ukuthi amasosha omzimba wakho ngokuvamile azwela kakhulu ezintweni ezibangela ukungezwani komzimba. Futhi, uma othile emndenini wakho (abazali, izingane zakini) ene-EoE, nawe usengozini encane yokuba nayo.

Wazi kanjani ukuthi unesi sifo?

Uma unezimpawu esixoxe ngazo ekuqaleni, into yokuqala okufanele uyenze ukubona udokotela ofanelekayo. Udokotela uzoqala ngokukubuza imibuzo embalwa bese ebheka umlando wakho wezokwelapha.

Izinto ongase uzibuze udokotela wakho:

• Indlela odla ngayo: Ingabe uhlafuna ukudla kwakho kahle ukuze kube lula ukugwinya? Ingabe uyakugwema ukudla okuthile, njengesinkwa nenyama? Ingabe uphuza amanzi amaningi ukuze akusize ugwinye ukudla kwakho? Lezi zinto zinganika udokotela wakho umbono wokuthi ubhekana kanjani nezimpawu zakho ngaphandle kokuqaphela.
• Ezinye izimo zakho zezokwelapha: Buza ukuthi une-asthma, ukungezwani nothuli, noma izimo zesikhumba.
• Umlando wezokwelapha womndeni wakho: Buza ukuthi kukhona yini emndenini wakho onezinkinga zokugwinya ezifanayo noma i-EoE.

Ngokusekelwe kulolu lwazi, uma udokotela wakho esola i-EoE, uzokudlulisela kudokotela wezifo zamathumbu, ozokwenza izivivinyo ezimbili eziyinhloko ukuqinisekisa ukuxilongwa.

1. I-Endoscopy noma i-EGD:Lokhu kuhilela ukufaka ipayipi elincane, eliguquguqukayo elinekhamera ekugcineni ngomlomo wakho ukuhlola umphimbo wakho, isisu, kanye nengxenye yokuqala yamathumbu akho amancane. Uzonikezwa imithi engenabuhlungu phakathi nale nqubo. Udokotela angabona izinto ezifana nokuvuvukala, amabala amhlophe, kanye nokuncipha ngaphakathi komphimbo wakho ngekhamera.

2. I-Biopsy: Ngesikhathi se-endoscopy, udokotela uthatha isampula encane yezicubu kusuka olwelwesini lwe-esophagus. Lokhu kubizwa ngokuthi i-biopsy. Izicubu zibe sezihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kunezinombolo eziphakeme kakhulu zama-eosinophils. Le biopsy ibalulekile ukuqinisekisa i-EoE.

Yiziphi izindlela zokwelapha i-EoE?

Umgomo oyinhloko wokwelapha i-EoE ukulawula ukuvuvukala emhubheni. Kunezindlela ezimbili eziyinhloko zokwenza lokhu: imithi kanye nokushintsha kokudla. Wena nodokotela wakho nizonquma ndawonye ukuthi iyiphi indlela engcono kakhulu kuwe.

Ukwelashwa ngemithi

Le mithi isiza ekunciphiseni ukuvuvukala emphinjeni.

• Ama-Proton Pump Inhibitors (PPI): Lawa uhlobo lwemithi evame ukunqunyelwa i-gastritis. Angasiza futhi ekunciphiseni ukuvuvukala komphimbo kwabanye abaguli be-EoE.
• Ama-Corticosteroids: Lena imithi enamandla enciphisa ukuvuvukala. Ngokuvamile inikezwa njengesixazululo sangaphandle (njengesifutho noma ithebhulethi). Le mithi isebenza ngqo emphinjeni, ngakho-ke ayinamiphumela emibi eminingi.
• Izinto eziphilayo: Kwabanye abantu, uma ezinye izindlela zokwelapha zingasebenzi, imithi ethile, njenge-dupilumab (Dupixent®), inikezwa njengemijovo. Le mithi ihlose futhi ilawule ingxenye ethile yesistimu yomzimba ebangela ukusabela kokungezwani komzimba.

Ukushintsha ukudla (Ukuqeda Ukudla)

Lokhu futhi kuyindlela yokwelapha ephumelela kakhulu. Kuhilela ukuqeda ngokuphelele amaqembu okudla ayisi-6 ayinhloko esixoxe ngawo ekuqaleni okungenzeka kakhulu ukuthi abangele ukungezwani komzimba (ubisi, amaqanda, ukolweni, isoya, amantongomane, ukudla kwasolwandle) ekudleni kwakho.

1. Okokuqala, yeka ukudla wonke la maqembu okudla isikhashana.

2. Ngemva kwalokho, udokotela uzokwenza enye i-endoscopy kanye ne-biopsy ukuze abone ukuthi ukuvuvukala emhubheni kuye kwehla yini.

3. Uma ukuqunjelwa kwehle, kusho ukuthi okunye noma ngaphezulu kwalokhu kudla kuyimbangela yenkinga yakho.

4. Okulandelayo, engeza amaqembu okudla asusiwe ekudleni kwakho, ngalinye ngalinye, esikhathini esingamasonto amaningana.

5. Ngemva kokufaka iqembu ngalinye lokudla, kwenziwa i-biopsy futhi ukuze kubonakale ukuthi ukuvuvukala sekubuyile yini.

Nakuba le ndlela ingase ibonakale idla isikhathi futhi inzima, iyindlela engcono kakhulu yokuthola ukuthi yikuphi ukudla okubangela ukungezwani komzimba. Uma usukwazi lokho, ungakugwema lokho kudla kuphela bese udla konke okunye ngendlela evamile.

Ingabe ukuphila ne-EoE kuyinselele?

I-EoE ayisona isifo esisongela impilo, kodwa ngoba sihlala isikhathi eside, sidinga ukwelashwa impilo yonke noma ukuphathwa kokudla.

Kwabaningi, izimpawu ziyanyamalala cishe ngokuphelele ngemva kokuqala kokwelashwa. Kodwa-ke, abanye abantu, ikakhulukazi labo abaye baba nokuhlangenwe nakho okubi ngokuthinteka kokudla, bangase babe nokwesaba ukugwinya (i-phagophobia) . Bangase bazizwe besaba futhi bekhathazekile ngokudla ukudla okuningi, njengesinkwa.

Kunezinto ezimbalwa ezingakusiza ngesikhathi esinjengalesi:

• Xhumana nabanye: Ukukhuluma nabanye abantu abazi ngalesi sifo futhi abanaso kungaba usizo olukhulu. Kuzokusiza uzizwe sengathi awuwedwa. Ungabuza udokotela wakho ngamaqembu okusekelana.
• Thola usizo kuchwepheshe wezokudla: Uchwepheshe wezokudla angakusiza ukuthi udale ukudla okumnandi okunokudla okukufanele futhi okungenazo izithako eziyingozi.
• Thola ukwesekwa kwempilo yengqondo: Uma izinto ezifana nokwesaba ukugwinya zithinta impilo yakho, kubalulekile ukukhuluma nochwepheshe wezempilo yengqondo ngakho.

Uma uzwa izimpawu zibuya ngemva kokwelashwa, noma uma uba nobunzima obusha bokugwinya, bona udokotela wakho ngokushesha.