Funda indlela yokuxelela ukuhluka phakathi kwababini
Uninzi lweempawu ezibangelwa ngabantu abane- reflux ye-gastroesophageal disease (GERD) kunye ne- eosinophilic esophagitis (EoE) . Nangona iimpawu zifana, unyango luhlukile. Ngaba ungeyiphumelelwanga ngempumelelo kwiGERD? Okunye ukuxilongwa ukuba ugqirha wakho acinge ukuba yi-eosinophilic esophagitis.
Izimpawu ezabelwana ngazo phakathi kweGERD ne-EoE
Oku kuluhlu lweempawu ezabelwana ngazo phakathi kwe-GERD kunye ne-eosinophilic esophagitis:
- isicaphulelo
- ukuhlanza
- intlungu zesisu
- iintlungu zesifuba
- kunzima ukulala
- ubunzima bokugwinya (dysphagia)
Ukuchonga iGERD vs EoE
Ukwahlukana phakathi kweGERD ne-EoE kubonakala ngokujonga i-etiology (imbangela okanye imvelaphi) yeengxaki. Nangona i-GERD idibene neengxaki ze reflux, isizathu asiqondwa kakuhle kwi-eosinophilic esophagitis. Uphando, nangona kunjalo, lubonisa ukuba ukunyamezela kwaye iimpendulo zendlela yokuzivikela yintsholongwane zinokubangela i-eosinophilic esophagitis. Ngexesha elide libhekwa njengingqabileyo, i-EoE ikhula ngokukhawuleza. Oku kwenzeka ngenxa yokuqonda okongeziweyo kwesi sifo nokufumaneka kovavanyo.
Bobabini i-GERD ne-EoE banokubandakanyeka kwe- eosinophil kwisigxina. Ukwahlukana akunakuthi kufumaneke ukuba kufikelelwe i-biopsy. Inani elincinci leethambo ezisuka kwisigxu lithathwa ngexesha lwenkqubo ebizwa nge- EGD . Ukusebenzisa insimu ephakamileyo enegunya eliphezulu kwi-microscope, inani lama-eosinophil e-15 kulo lonke u-esophagus lihambelana ne-eosinophilic esophagitis.
Inani elingaphantsi kwe-10 ye-eosinophil kwi-distal (inxalenye engezantsi) ye-esophagus iyahambelana ne-GERD.
Ukwahluka kwonyango yeGERD ne-EoE
Enye yezonyango ezikhethiweyo kwiGERD kukusetyenziswa kweproton pump inhibitors njengePro protonix, Prilosec , Prevacid, okanye Dexilant . Le mithi, kodwa, ayithinteli iimpawu kwi-eosinophilic esophagitis; i-pH (i-acid-base balance) yesisu iqhelekile kwezi meko, ngokungafani ne-pH ehambelana neGERD.
Akukho okwangoku naluphi na amayeza avunyelwe ukunyanga i- eosinophilic esophagitis . Nangona kunjalo, ugqirha wakho unokuzama ukusebenzisa i-topical steroids kunye nokuphathwa kokutya kweempawu. Kukho iintlobo zeentlobo ezidliwayo ezicatshangelwe ukunciphisa ukuvezwa kwe-allergen kwisifo. Izidlo zihluke ngohlobo lweendlela ukutya okunomdla kususwa ngayo ekudleni kwakho.
Kucatshangelwa ukuba ngokuphelisa ukutya okunokuba uphelelwe yinyameko yokunciphisa umzimba kuya kunciphisa impawu. Kuhlala kubalulekile ukubandakanya ugqirha wakho xa usenza utshintsho oluthile lokutya, njengoko ukungondleki kungenzeka xa uchitha ama-proteine ​​abalulekileyo, iivithamini, okanye izityela ezivela ekudleni kwakho. Ukuze unciphise umngcipheko wokungondleki, cinga ukufumana indawo yokutya efana nesondlo.
Iimpawu ezibalulekileyo
Uninzi lweempawu zeGERD zibangelwa yi-GERD. Kukho na abantu abathile abaneGERD abangayithobeliyo unyango owenene unesophagitis eosinophilic. I-EOE kaninzi ixilongwa ngokukhawuleza njengoko ingaqhelekanga njenge-GERD kunye neempawu zihamba. I-eosinophilic esophagitis ayibulali kwaye ayiyazi ukuba ibangela umdlavuza. Nangona kunjalo, ukungondleki kuyinkxalabo enkulu ngenxa yobunzima bokugwinya okanye unyango ngokuphelisa ukutya ekudleni kwakho.
Imithombo:
Ukubambisana kweMelika ye-Eosinophilic Disorder. EoE. Kufumaneka ngomhla we-12/19/2015 ukusuka kwi-http: //apfed.org/about-ead/egids/eoe/.
Nonevski, IT, Downs-Kelly, E. & Falk, GW (2008). I-eosinophilic esophagitis: Isizathu esicacileyo sokuba i-dysphagia, ukuphika kokutya kunye nokutshaya kwenhliziyo. I-Clevland Clinical Journal of Medicine. Vol. 75 (9): iphe 623-633. http://www.ccjm.org/content/75/9/623.full]http://www.ccjm.org/content/75/9/623.
I-Academy ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck. Iphepha Lomxholo: I-Reflux ye-Gastroesophageal (GERD). http://www.entnet.org/HealthInformation/WhatIsGERD.cfm.