Ingabe lokhu kuyimbangela yobuhlungu besisu sakho nokuvuvukala? Ake sifunde nge-Eosinophilic Gastritis!

Ingabe uvame ukuba nezinkinga zesisu, ukuqunjelwa, kanye nokulahlekelwa yisifiso sokudla? Ngezinye izikhathi, ngemuva kwalezi zimpawu, kungase kube nesifo esingakazwa kakhulu ngaso, kodwa okufanele sikhathazeke ngaso kancane. Esinye sezifo ezinjalo yi- Eosinophilic Gastritis . Namuhla, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini i-eosinophilic gastritis (EG)?

Kalula nje, i-eosinophilic gastritis (EG) yisimo esingavamile esithinta isisu sakho. Ama-Eosinophils, uhlobo lweseli elimhlophe legazi emizimbeni yethu, aqoqana ezindongeni zesisu futhi abangele ukuvuvukala , okusho ukuvuvukala nomonakalo. Cabanga nje, udonga lwesisu sethu luvele lube bomvu futhi luvuvuke.

Kungathinta noma ubani wanoma yimuphi ubudala, futhi kuyisimo esingamahlalakhona , okusho ukuthi sihlala isikhathi eside. Kodwa ungakhathazeki, udokotela wakho angakusiza ukuthi uphathe lezi zimpawu. Lokhu kungase kuhilele izinto ezifana nokuhlolwa okuvamile kanye nokushintsha kokudla.

Ziyini lezi eosinophils?

Manje ake sibone ukuthi lawa ma-eosinophil ayini. Lawa uhlobo lweseli elimhlophe legazi emzimbeni wethu. Afana namasosha amancane ohlelweni lwethu lokuzivikela komzimba . Umsebenzi wawo oyinhloko ukulwa nezifo kanye nezinambuzane ezingena emizimbeni yethu.

Lokhu kuvame ukukhiqizwa emnkantsheni wethu wamathambo , kodwa ngobuningi obuncane. Lawa ma-eosinophil akha phakathi kuka-1% no-5% wamangqamuzana amhlophe egazi aphelele kumuntu ophilile.

Kodwa-ke, ngenxa yokungezwani komzimba , ukutheleleka, imithi ethile, noma umdlavuza, lawa ma-eosinophil anganda ngokuzumayo ngenani. Yilokhu esikubiza ngokuthi i-eosinophilia . Lawa maseli akhipha amakhemikhali afana nama-enzyme namaprotheni ukuze abhubhise amangqamuzana angenampilo. Ngakho-ke, lapho lawa ma-eosinophil emzimbeni ekhula ngenani, aqala ukuhlasela izicubu zethu. Ngemuva kwalokho , ukuvuvukala kwezicubu zesisu (i-gastritis) noma ukuvuvukala kwezinye izitho zomzimba kungenzeka.

Ubani othinteka kakhulu yi-eosinophilic gastritis (EG)?

Lesi simo, esibizwa ngokuthi i-eosinophilic gastritis (EG), singathinta abantu banoma yimuphi ubudala. Lokhu kusho ukuthi singathinta kokubili izinsana kanye nabantu asebekhulile. Kodwa-ke, odokotela bavame ukusixilonga kubantu abadala abaneminyaka ephakathi kuka-30 no-50. Futhi, ngokwezibalo, amadoda anamathuba amancane okuthola lesi sifo kunabesifazane.

Uma unomlando wezinkinga zokungezwani komzimba , noma uma othile emndenini wakho enazo, ungase ube sengozini enkulu yokuba ne-EG. Abantu abaningi abathola i-EG banezinkinga zokungezwani komzimba ezifana nalezi:

• Isifuba somoya
• Ukungabekezelelani kokudla noma ukungezwani nokudla (isibonelo, ubisi, amaqanda, ufulawa kakolweni)
• Umkhuhlane we-hay / i-rhinitis ye-allergy (isimo esibonakala ngokuthimula njalo kanye nekhala eligobhozayo)
• Impumulo egelezayo njalo (i-rhinitis)
• Ukuqubuka kwesikhumba, izimo ezifana ne -eczema

Yiziphi izinhlobo zesifo samathumbu esibangelwa yi-eosinophilic (EGID)?

I-Eosinophilic gastritis (EG) uhlobo olulodwa nje lweqembu elikhulu lezimo ezibizwa ngokuthi i-Eosinophilic Gastrointestinal Disease (EGID) . Lezi zimo ze-EGID zingathinta izingxenye ezahlukene zesimiso sakho sokugaya ukudla . Lokhu kusho ukuthi la maseli e-eosinophil angaqoqana futhi abangele ukuvuvukala noma kuphi kusukela emhubheni kuya kukholoni.

Ngezinye izikhathi, uma kunezinhlobo eziningi kakhulu zama-eosinophil, izifo ezingaphezu kwesisodwa zingavela ngesikhathi esisodwa. Kunezinhlobo eziyisithupha eziyinhloko ze-EGID:

• I-Eosinophilic Colitis (EC): Lokhu kuthinta amathumbu akho amakhulu (ikholoni) .
• I-Eosinophilic Duodenitis: Lokhu kuthinta ingxenye yokuqala yamathumbu akho amancane .
• I-Eosinophilic Enteritis (EoN): Lokhu kuthinta amathumbu akho amancane .
• I-Eosinophilic Esophagitis (EoE): Lolu uhlobo oluvame kakhulu lwe-EGID. Luthinta umphimbo wakho.
• I-Eosinophilic Gastritis (EG): Lolu uhlobo esikhuluma ngalo, oluthinta isisu.
• I-Eosinophilic Gastroenteritis (EGE): Lokhu kuthinta kakhulu isisu namathumbu amancane.

Kunezinye izinhlobo zezifo ze-eosinophilic ezingathinta uhlelo lokugaya ukudla, kodwa azivamile kangako:

• I-Hypereosinophilic Syndrome: Lokhu kungathinta igazi nanoma yisiphi isitho somzimba.
• I-Eosinophilic Granulomatosis ene-Polyangiitis (EGPA): Lokhu kungathinta izitho eziningi zomzimba, okuhlanganisa nenhliziyo .

Ivame kangakanani i-eosinophilic gastritis?

Eqinisweni, odokotela bacabanga ukuthi i-eosinophilic gastritis iyisifo esingavamile . Okusho ukuthi, akusona isifo esithinta wonke umuntu. Kodwa-ke, izimpawu zayo - njengobuhlungu besisu kanye nesicanucanu - zifana kakhulu nezezinye izifo eziningi ezivamile. Ngakho-ke, ngezinye izikhathi kungenzeka kakhulu ukuthi iphuthelwe (ingahlolwanga kahle) .

Yini ebangela i-eosinophilic gastritis?

I-gastritis ehlala isikhathi eside ikhulaOdokotela abazi njalo ukuthi yini ebangela lokhu. Lokho kusho ukuthi kunzima ukusho ukuthi "lena imbangela." Kodwa, ezimweni eziningi, kucatshangwa ukuthi lesi simo senzeka ngoba amasosha omzimba ethu asabela ngokweqile ekudleni okuthile (izinto ezibangela ukungezwani nokudla) . Kufana nokuthi uhlelo lokuzivikela lomzimba wethu luhlasela isisu salo ngephutha.

Ziyini izimpawu ze-eosinophilic gastritis?

Izimpawu ze-eosinophilic gastritis zivame ukuba zincane kuya kweziphakathi. Lokhu kusho ukuthi abanye abantu bangase bangazizwa kahle kakhulu, kanti abanye bangase babe nomuzwa ongaphezu kwalokho. Izimpawu ezivame kakhulu yilezi:

• Ubuhlungu besisu noma ama-ascites (ukuzwa sengathi isisu sivuvukile)
• Uhudo ( ukuhlanza)
• Ubunzima bokudla ( ukulahlekelwa yisifiso sokudla ) noma ubunzima bokugwinya (i-dysphagia)
• Ukuzizwa ukhathele ngaso sonke isikhathi (Ukukhathala)
• Isishiso senhliziyo (umuzwa oshisayo ozwakala sengathi uphuma esifubeni)
• I-anemia , okusho ukwehla kwamangqamuzana abomvu egazi anempilo (lokhu kungabangela nokukhathala kanye nokukhanya)
• Isicanucanu nokuhlanza
• Ukwehla kwesisindo noma ukukhula kabi ezinganeni ezincane

Uma unesinye noma ngaphezulu salezi zimpawu, ungacabangi ukuthi yi-EG. Lezi zingaba futhi izimpawu zezinye izimo zesisu. Ngakho-ke, kubalulekile ukubona udokotela ukuze uthole ukuthi yini ngempela engalungile.

Itholakala kanjani i-eosinophilic gastritis (EG)?

Njengoba sishilo ngaphambili, i-eosinophilic gastritis ingathatha isikhathi ukuyixilonga ngoba izimpawu zayo zivame kakhulu. Kungenzeka ukuthi uke waya kodokotela abaningi futhi wathatha imithi eminingi.

Lokhu kuvame ukubonwa yi:

1. Ukuhlolwa kwegazi: Kwenziwa inani eliphelele legazi (i-CBC) ukuze kuhlolwe amazinga aphezulu kunejwayelekile ama-eosinophils.

2. I-Endoscopy: Kulolu vivinyo, kufakwa ipayipi elincane elinekhamera encane enamathiselwe ngomlomo bese kuhlolwa umphimbo, isisu, kanye nengxenye yokuqala yamathumbu amancane. Izindonga zesisu zingahlolwa ukuthi azivuvukalanga, zibomvu, futhi azinazo izilonda ezincane.

3. I-Biopsy: Ngesikhathi se-endoscopy, kuthathwa izingcezu ezincane zezicubu (ama-biopsies) odongeni lwesisu. Lezi zingcezu zezicubu zibe sezihlolwa ngaphansi kwe-microscope elabhorethri ukuze kubonakale ukuthi zingaki ama-eosinophil akhona. Uma kune-eosinophil amaningi kunokuvamile, kungaba yi-EG.

Ngezinye izikhathi, uma lawa ma-eosinophil amaningi engekho ongqimbeni olungaphezulu kodonga lwesisu, kodwa ezingqimbeni ezijulile, kungaba nzima ukuwabona nge-biopsy evamile. Kuleso simo, kungathatha isikhathi eside ukuthola lesi sifo.

Ukuze uxilonge i-EG, udokotela wakho uzokwenza okulandelayo:

• Uzohlolwa ngokomzimba .
• Bazokubuza ngomlando wakho wezokwelapha (izifo zangaphambilini, izifo zomndeni, imithi oyiphuzayo, njll.).
• Kuzohlolwa ukuhlolwa kwegazi ukuze kuhlolwe ukukhubazeka futhi kusize ekuvimbeleni ezinye izifo.

Ezinye izivivinyo ezisiza ekuxilongeni i-EG

Ezinye izivivinyo udokotela wakho angase aziyale zifaka:

• Ukuhlolwa kokungezwani komzimba: Lokhu kungasiza ekuboneni izinto ezibangela ukungezwani komzimba ekudleni okungase kubangele ukwanda kwama-eosinophil akho. Isibonelo, kungasiza ekuboneni ukuthi unesifo sokungezwani komzimba yini ekudleni okuthile. Ukwazi ukuthi lezi zinto ezibangela ukungezwani komzimba ziyini kungasiza ekuqondiseni ukuxilongwa kwakho kanye nokwelashwa kwakho.

Ingabe ikhona ikhambi eliphelele le-eosinophilic gastritis (EG)?

Lona umbuzo abantu abaningi abawubuzayo. Uma sikhuluma iqiniso, okwamanje akukho ukwelashwa okuphelele kwe-eosinophilic gastritis. Okusho ukuthi, ayinakwelashwa unomphela ngephilisi elilodwa nje.

Kodwa ungakhathazeki! Imithi kanye nokushintsha kokudla kungakusiza ukuthi uphathe izimpawu zakho. Uma ulandela imiyalelo yakho yokwelashwa ngokucophelela, ungaphila impilo esebenzayo nenempilo.

Ingabe i-eosinophilic gastritis (EG) isongela ukuphila?

I-Eosinophilic gastritis akuyona into esongela ukuphila edinga ukwelashwa okuphuthumayo. Kodwa-ke, ukutholakala kusenesikhathi kanye nokwelashwa kungavimbela izinkinga ezinkulu njengokungondleki kahle . Lokhu kubaluleke kakhulu ezinsaneni nasezinganeni ezincane, njengoba ukudla okunomsoco kubalulekile ekukhuleni kwazo.

Iphathwa kanjani i-eosinophilic gastritis (EG)?

Odokotela belapha i-eosinophilic gastritis ikakhulukazi ngokushintsha ukudla kanye nemithi. Lokhu kwelashwa kuhlose ukwelapha imbangela eyinhloko (ngokuvamile ukungezwani komzimba) nokulawula izimpawu. Ukwelashwa kwe-EG okutholayo kuzoncika ezimpawu zakho kanye nobunzima besimo sakho.

Udokotela wakho angase ancome izinguquko ekudleni ukuze ugweme izinto ezibangela ukungezwani kokudla ezibangela izimpawu ze-eosinophilic gastritis. Lokhu kungafaka:

• Ukudla kokuqeda: Kulokhu, ususa ngokuphelele ukudla okuthile ocabanga ukuthi kungabangela ukungezwani komzimba (isib. ubisi, isoya, amaqanda, ukolweni, amakinati, ukudla kwasolwandle) ekudleni kwakho isikhathi esithile. Bese, ubuyisela okunye ngakunye ukuze ubone ukuthi yikuphi ukudla okubangela inkinga.
• Ukudla okuyisisekelo:Lena indlela ehluke kancane. Esikhundleni sokudla okuvamile, kusetshenziswa ifomula ekhethekile yoketshezi equkethe izakhamzimba ezibalulekile njengama-amino acid ukuze kuhlinzekwe ngesondlo. Le fomula incane kakhulu engozini yokuba nokungezwani komzimba.

Uma ingane yakho inezimpawu ze-EG, kungadingeka ushintshe uhlobo lwefomula oyinika yona (isib., ifomula engeyona eye-allergies ). Kwezinye izimo, izingane kanye nabantu abadala kungadingeka bathathe izithasiselo zensimbi uma benesifo sokuntuleka kwegazi.

Ungase futhi uthole imithi efana nale:

• Ama-Corticosteroids (isib. i-prednisone, i-budesonide): Lawa anikezwa ukunciphisa ukuvuvukala esiswini. Ngokuvamile anikezwa isikhathi esifushane.
• Ama-immunosuppressants (isib. i-azathioprine): Lawa asetshenziselwa ukunciphisa ukusabela ngokweqile kwesimiso somzimba sokuzivikela. Anikezwa abantu abangasabelanga kahle kuma-corticosteroids kuphela, noma abangakwazi ukuqhubeka nokuthatha ama-corticosteroids.

Ingabe ingozi yokuthola i-eosinophilic gastritis (EG) ingancishiswa?

Ukuthi ungayinciphisa yini ingozi yakho yokuthola i-eosinophilic gastritis kuncike esimweni esiyisisekelo. Njengoba sazi, ukungezwani komzimba kuyimbangela evame kakhulu yamazinga aphezulu e-eosinophil.

Ukushintsha kokudla kanye, uma kudingeka, imithi kungasiza ekuvimbeleni noma ekulawuleni ukusabela kokungezwani komzimba kwamasosha omzimba wakho. Ngokuvamile, ukudla okunempilo nendlela yokuphila kunganciphisa ingozi yakho yonke yesifo. Uma une-allergies noma uma othile emndenini wakho ene-EG, kuwumqondo omuhle ukukhuluma nodokotela wakho ngakho.

Iyini inhloso yesifo se-eosinophilic gastritis (EG)?

Kwabaningi, umbono we-eosinophilic gastritis ngokuvamile muhle. Lokho kusho ukuthi ungaphila nayo kahle. Kodwa-ke, kubalulekile ukukhumbula ukuthi ngenxa yokuthi iyisimo esingamahlalakhona, iziguli zingase zibhekane nokuvuvukala , noma izikhathi zokugula okuncane.

Udokotela wakho uzosebenza nawe impilo yakho yonke ukuze akusize uphathe i-eosinophilic gastritis futhi anciphise izimpawu zakho. Kuzodingeka ube ne-endoscopy njalo kanye ne -biopsies ukuze uqaphe isimo sakho. Lokhu kuqapha kuzovumela udokotela wakho ukuthi alungise ukwelashwa kwakho, uma kudingeka, ukuze avimbele izinkinga kuwe noma enganeni yakho.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngokucophelela bese uya ezinqumweni zakho ngesikhathi. Lokhu kuzoqinisekisa ukuthi uthola ukunakekelwa ngesikhathi.

Ingabe i-eosinophilic gastritis (EG) iyayithinta ikhwalithi yempilo yami?

Ukuthi i-EG ithinta kangakanani impilo yakho kuncike ebunzimeni bezimpawu zakho, ezinye izimo eziyisisekelo, kanye nempumelelo yokwelashwa. Ezimweni eziningi, ukuba ne-eosinophilic gastritis kusho ukuthi udinga ukulungisa ukudla kwakho ukuze ugweme izinto ezibangela ukungezwani nokudla, futhi kungadingeka ukuthi uthathe imithi.

Kwabaningi, ukushintsha indlela abadla ngayo kungaba nzima ngokomzimba nangokwengqondo. Cabanga nje ungakwazi ukudla okunye kokudla okuthandayo. Kungaba nzima ukukhetha ukudla okufanele uma uphuma nabangani. Ukuhlela ukudla kanye nemicimbi yokuzijabulisa kungaba nzima ekuqaleni.

Kodwa-ke, ngokulandela imiyalelo yokwelashwa nokuthola usizo uma uludinga (isibonelo, kuchwepheshe wezokudla), ungahlala uphilile futhi usebenza kahle.

Kunini lapho kufanele uthole khona iseluleko sezokwelapha nge-eosinophilic gastritis (EG)?

Uma unezimpawu ezifana nobuhlungu besisu obuqhubekayo, isicanucanu, ukuphelelwa yisifiso sokudla, noma uma izimpawu zakho zibonakala ziba zimbi kakhulu, cabanga nge-eosinophilic gastritis bese ucela iseluleko sezokwelapha. Khuluma ngokukhululekile nodokotela wakho ngezimpawu zakho nokuthi zisabela kanjani ekushintsheni kokudla noma emithini. Udokotela wakho angakudlulisela kudokotela wezifo zamathumbu .

Izinto okudingeka sizikhumbule kulokhu (Umyalezo Ofanele Uwuthathe Ekhaya)

Kulungile, ngakho-ke masikhumbule lokhu njengesifinyezo salokho esikhulume ngakho namuhla nge-eosinophilic gastritis (EG):

• I-EG yisifo esingavamile nesingapheli esithinta isisu sakho.
• Isizathu esiyinhloko salokhu ukuthi uhlobo lweseli elimhlophe legazi elibizwa ngokuthi ama-eosinophil luyaqongelela esiswini futhi lubangele ukuvuvukala.
• Ngokuvamile kuhlotshaniswa nokungezwani komzimba .
• Ngenxa yokuthi izimpawu (ubuhlungu besisu, isicanucanu, isifo sohudo, ukulahlekelwa yisifiso sokudla) zifana nezinye izifo ezivamile, kungathatha isikhathi ukuqinisekisa ukuxilongwa.
• I-Endoscopy kanye ne-biopsy yizona zindlela eziyinhloko zokuxilonga.
• Nakuba kungekho ikhambi eliphelele, izimpawu zingadambisa kakhulu ngemithi noma ukushintsha ukudla (ikakhulukazi ukuqeda izinto ezibangela ukungezwani komzimba).
• Udokotela wakho uzosebenzisana nawe eduze ukuze akusize uthole okungcono kakhulu ekwelashweni kwakho futhi uthuthukise ikhwalithi yempilo yakho.

Ngakho-ke, uma unalezi zimpawu, ungesabi ukukhuluma nodokotela ngazo. Ukuthola ukuthi yini ngempela engalungile nokuthola ukwelashwa okufanele kuyinto engcono kakhulu ongayenza empilweni yakho.

I- Eosinophilic Gastritis, I-Eosinophilic Gastritis, I-Gastritis, Ubuhlungu Besisu, Ukungezwani Nomzimba, I-Endoscopy, Ukudla, Ama-Eosinophils