Ukungena kwezinto ezingenanto
I-eosinophilic esophagitis (EE) isifo esibonakaliswe ukuvuvukala kwesisu (inxalenye yomzimba edibanisa umqala kunye nesisu) esibangelwa iseli legazi elimhlophe, i- eosinophil . Izibonakaliso ze-EE zinokuvela kwiinkcenkceshe ezinzima, kunzima ukugwinya, ukuphazamiseka kokutya kwi-esophagus, i-nausea, ukuhlanza nokulahleka kwesisindo. Kubonakala ngathi kukho ukungqubana kweempawu ezinxulumene neminyaka, kunye nabantwana abancinci abaneempawu ezingaphezulu zokulahlekelwa kwesisindo, kunye nabantwana abadala kunye nabadala abanokutya kunye nobunzima bokugwinya.
Akucaci ukuba yintoni ebangela i-EE, nangona esi sifo sinxulumene nezinye izifo ezigulisayo, ngakumbi i- asthma . Abantu abane-EE kaninzi banembali yomntu okanye yentsapho yezinye izifo eziphazamisayo ezifana nesifo somswakama, ukunyuka kokutya, kunye ne-asthma. Kungekudala, kukho iiphononongo ezibonisa umbutho phakathi kokutya kunye ne-EE.
Ziziphi izinto ezivakalayo ezivakalayo ezivakalayo ngokuqhelekileyo ezenza i-EE?
Izifundo ezahlukeneyo zibonise ukuba izigulane ezine-EE zineempembelelo ezintle zokutya okungafaniyo kunye nokutya ukukhuselwa kwezi zinto zikhokelela kwisisombululo seempawu ze-EE. Ukutya okubikwe ukuba yimbangela ye-EE ibandakanye ubisi, amaqanda, i-shellfish, i-peas, inyama yeenkomo, inkukhu, intlanzi, i-rye, ingqolowa, i-soy, ii-litate, i-oats, itamatato kunye nengqolowa. Phakathi kwezi zinto, ezi zinto zivame ukutya ukutya kubisi, iqanda, ingqolowa, i-rye, kunye nenkomo.
Izilwanyana zendalo, ezifana ne-pollens, i-molds, i-cat, inja kunye ne-dust mite allergens nazo zingabandakanyeka ekuphuhliseni i-EE.
I-EE ichongwa njani?
Ukuxilongwa kwe-EE ngokuqhelekileyo kwenziwa ngokuqhuba i-biopsy ye-esophagus, ngobungqina bokuba i-eosinophil ingena ngaphakathi kwimizimba ye-esophageal. I-biopsy yenziwa nge-endoscopy (ikhamera efakwe kwisigxina), ngokuqhelekileyo yi-gastroenterologist. Kukho ezinye ezininzi izifo ezinokubangela i-eosinophil kwiisisifo zesifo, kuquka isifo se-reflux yesifo se-gastroesophageal (GERD), izifo ezithintekayo, izifo ezithintekayo, izifo zamathumba, ukuhlamba okuqhelekileyo kunye nabanye.
Ezi zifo kufuneka zilawulwe ngaphandle kokuba i-EE ifumaneke.
Emva kokuba i-EE ifunyanwe, i-allergenist iya kwenza uvavanyo olunzulu lokujongana nokunyamezela, kuquka nokukhangela ukutya kokutya kunye nokunyamekela kokusingqongileyo, njengalezo zidweliswe ngasentla.
I-EE ithathwa njani?
Uvavanyo lokuphepheka kokutya apho umntu anemizamo yokunyamezela i-allergies yindlela yokuqala yokwelapha ye-EE. Ukuba umntu unemivavanyo emininzi yokunyamezela, kunjalo, kubalulekile ukuba utshintshe kwisondlo esenziwa kuphela kwifom ye-elemental (iiprotheni zaphulwa phantsi kwiibhloko zakhiwo ezisisiseko, ezibizwa ngokuthi i-amino acids).
I-Corticosteroids isetyenziselwa ukunyanga i-EE xa ukuphepha kwezinto ezikhuselayo eziphulukisayo aziphumelelanga iimpawu. I-Steroids ingasetyenziselwa njengeepilisi, ezifana ne-prednisone, okanye njengonyango lwamaqonga, njengokusebenzisa i-steroids enganyangekanga (umzekelo we-Flovent, umzekelo) ngokuqhelekileyo isetyenziselwa isifo se-asthma, ngaphandle kokuba iyeza ligwinyiwe, alixilwanga. Oku kubangela ukuhanjiswa kweyeza ngokuthe ngqo kwi-esophagus. Ngokuqhelekileyo, unyango lweGERD lunikezelwa nezigulane nge-EE.
Ufuna ukuqhubeka ufunda? Fumana ngeProtein-Induced Enterocolitis Syndrome , isifo esilingana nokutya kokutya kubantwana abancinci.
> Imithombo:
> Norvell JM, Venarske D, Hummell DS. I-Eosinophilic Esophagitis: Indlela ye-Allergist. Ann Annistry Asthma Immunol. 2007; 98: 207-215.
> Rothenberg ME. Iingxaki zoMzimba zesifo se-Eosinophilic. J Allergy Clin Immunol. 2004; 113: 11-28.