Ingabe uzizwa sengathi ukudla kubhajwe emphinjeni wakho uma udla? Noma uhlala ulwa nesilungulela kanye nobuhlungu besifuba? Ngezinye izikhathi sicabanga ukuthi lezi zinto zivamile, kodwa namuhla sizokhuluma ngesimo sezokwelapha esibangela lokhu. Lokhu kuyinto abantu abaningi abangakaze bayizwe, kodwa kubaluleke kakhulu ukuyazi.
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Kalula nje, iyini i-Eosinophilic Esophagitis (EoE)?
Leli gama lide kancane futhi kunzima ukulibiza, akunjalo? Kodwa ake silichaze kahle futhi siliqonde kalula.
- I-Esophagitis: Lokhu kusho ukuthi "ipayipi lethu lokudla" noma "umquba" (umphimbo) wethu usuvuvukele futhi uvuvukele. Ukudla esikudlayo kuhamba kusuka emlonyeni wethu kuye esiswini sethu ngaleli payipi lokudla. Ngakho kwenzekani uma livuvukele? Kufana nepayipi lamanzi elibhajwa ngaphakathi, futhi ukudla akuweli kalula.
- I-Eosinophilic: Lokhu kubhekisela ohlotsheni lweseli elimhlophe legazi emzimbeni wethu. Lawa abizwa ngokuthi "ama-Eosinophils." Lawa maseli ayingxenye yesimiso sethu somzimba sokuzivikela. Ngokuvamile asebenza ngokumelene nezinambuzane kanye nokungezwani komzimba.
Manje ake sihlanganise lokhu okubili. I-Eosinophilic Esophagitis (EoE) yisimo lapho la maseli abizwa ngokuthi Eosinophils, ashukunyiswa yi-allergy, eqoqana ezindongeni zomhubhe wethu, okwenza umhubhe uvuvuke futhi unciphe. Kalula nje, lesi yisimo sokungezwani komzimba esithinta umhubhe.
Akusona isifo esithelelanayo. Futhi akuyona into engathi sína njengomdlavuza. Kodwa-ke, uma ingaphathwa kahle, ingaphazamisa kakhulu impilo.
Kunjani ngempela ukuhlala ne-EoE? - Ake sifunde endabeni kaRyan
URyan uyinsizwa ehlala ne-EoE. Watholakala enalesi simo eneminyaka emibili ubudala. Ngokusho kukanina, "Wayegula kakhulu kusukela ngosuku azalwa ngalo. Akazange akhuluphale, akakhulanga kahle (ukwehluleka ukukhula), wayehlanza lapho ephakelwa, wenqaba ukudla." Lezi yizimpawu zokuqala ingane encane engase izibonise uma ine-EoE.
Kodwa ingxenye engcono kakhulu ukuthi, kuyisimo esingelapheka. URyan manje ungumuntu ophumelelayo nojabule. Uthi: "Abantu abane-EoE bangaphila impilo ejabulisayo nenempilo. Kubalulekile ukuqonda ukuthi akusikho ukuphela komhlaba. Akuyona into okufanele iphazamise impilo yakho. Ungaphila impilo oyifunayo. I-EoE imane ikwenze ucabange ngezinto ezithile kakhudlwana."
Indaba kaRyan isinika ithemba elikhulu nesibindi, akunjalo?
Yiziphi izimpawu ezivamile ze-EoE?
Izimpawu ze-EoE zingahluka kancane kuye ngokuthi uneminyaka emingaki, kodwa nansi ezinye zezimpawu ezivamile:
| Isibonakaliso | Kalula nje... |
|---|---|
| Ubunzima bokugwinya (i-Dysphagia) | Ukuzwa ukuminyana, ubuhlungu, noma ukugwinya kancane kancane lapho ugwinya ukudla. |
| Umthelela Wokudla | Into yokudla inamathele ngokuphelele emphinjeni, ayiweli phansi noma phezulu. Lesi yisimo esiphuthumayo sezokwelapha. |
| Isilungulela | Ubuhlungu besifuba obuqhubekayo obungapheli naphezu kokuthatha imithi ye-gastritis. |
| Ubuhlungu besifuba | Ukuqina kwesifuba noma ubuhlungu, ikakhulukazi uma udla. |
| Ukubuyela emtholampilo | Ukudla okungagayiwe kubuyela emphinjeni. |
| Izici zezingane ezincane | Ukwenqaba ukudla, ukuhlanza, ukwehluleka ukukhuluphala, kanye nokukhula kabi. |
Wenzani uma ukudla kubhajwa?
Lokhu kubaluleke kakhulu. Uma into yokudla inamathele ngokuphelele emhubheni, okusho ukuthi awukwazi ukugwinya ngisho nokugwinya okuncane, kuyisimo esiphuthumayo sezokwelapha. Kufanele uye ekamelweni lezimo eziphuthumayo esibhedlela esiseduze (ETU) ngokushesha. Ungazami ukuyisusa ekhaya.
Indlela i-EoE ethinta ngayo ukudla, ukuphuza kanye nokuphila komphakathi
Ukudla kungenye yezinselele ezinkulu kumuntu one-EoE, njengoba lesi simo sibangelwa ukudla okuthile. Ukudla okuvame kakhulu okubangela ukungezwani komzimba yile:
- Ubisi nemikhiqizo yobisi
- Ukolweni
- Amaqanda
- Isoya
- Ukudla kwasolwandle
- Amantongomane
Cabanga ukuthi kungaba nzima kangakanani ukuya ephathini, emshadweni, noma ekudleni ngaphandle nomngane wakho uma ungakwazi ukudla lokhu kudla. Awukwazi ukudla lokho okudlayo wonke umuntu. Uma udla esitolo, awazi kahle ukuthi yini ehilelekile ekwenzeni ukudla. Yingakho abantu abaningi becindezeleka futhi bezama ukuzihlukanisa nomphakathi.
Kodwa uRyan wanqoba le nselele ngendlela emangalisayo. Ngenxa yokudla ayengakwazi ukukudla, wafunda ukwenza ukudla okumnandi ngezinto ayengakudla ndawonye nonina. Lokhu kwaba yinto ayeyithanda kakhulu. Ngisho nanamuhla, lapho ehlala yedwa, uthanda ukuzenzela ukudla nokuzama izinto ezintsha.
Isifundo esingasifunda kulokhu ukuthi ukulinganiselwa kwethu kungaba amandla ethu . I-EoE ikunikeza ithuba elihle lokufunda okuningi ngokudla, ukuzijwayeza ukupheka, kanye nokwamukela iphethini yokudla enempilo.
I-EoE ihlolwa futhi iphathwa kanjani?
Uma unezimpawu esixoxe ngazo ekuqaleni, into engcono kakhulu ongayenza ukubona udokotela womndeni wakho. Uzokudlulisela kudokotela wezifo zamathumbu, udokotela ochwepheshe besisu namathumbu, uma kudingeka.
Ukuphela kwendlela yokuqinisekisa ukuthi une-EoE yini ukwenza i-endoscopy. Lokhu kuhilela ukubuka ngaphakathi komphimbo wakho ngekhamera epayipini elincane. Ngesikhathi esifanayo , kuthathwa ingxenye encane kakhulu yezicubu (i-biopsy) odongeni lomphimbo bese ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini ama-eosinophil kuwo.
Kunezindlela ezimbili eziyinhloko zokwelapha:
1. Ukwelashwa Ngokudla: Ukuthola ukudla okubangela ukungezwani komzimba nokukususa ngokuphelele ekudleni kwakho.
2. Imithi: Ukusebenzisa imithi enqunywe udokotela wakho ukunciphisa ukuvuvukala nokuvuvukala emhubheni.
Kufanele ukhulume nodokotela wakho ukuze anqume ukuthi iyiphi kulezi zindlela ezimbili engcono kakhulu kuwe, noma ukuthi ungazisebenzisa kanjani zombili.
Umlayezo Wokuya Nawe Ekhaya
- I-Eosinophilic Esophagitis (EoE) yisifo esingelapheki esithinta umphimbo.
- Ubunzima bokugwinya, ukudla okunamathela ekudleni, kanye nobuhlungu besifuba yizimpawu eziyinhloko .
- Ngisho noma unalesi simo, uma uhlela futhi ucabanga ngendlela eyakhayo, ungaphila impilo evamile nejabulisayo.
- Uma unezimpawu ezinjengalezi, ungazinaki futhi nakanjani ubone udokotela wakho.
- Uma ukudla kubhajwa ngokuphelele emphinjeni, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
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