USally wayenenkathazo yokutya. Wayesoloko ecinga ukuba ukutya kwakunyanzeliswa xa esitya, okwamenza angakhululeki. UAdam owayeneminyaka emine wayekhula kakuhle, wayehlala ephazamiseka kwisitya sokudla, kwaye wayehlala engafuni ukudla. Kuvela ukuba bobabini uSally noAdam banesimo esifanayo: i-eosinophilic esophagitis (EoE).
Yintoni i-Eosinophilic Esophagitis (EoE)?
I-eosinophilic esophagitis iyingxenye yokutya, ukuxhamla ingxaki.
I-EoE yimeko yesigulo esasigxina somzimba, esandula kutshatyalaliswa luluntu lonyango. Iimali zokuxilonga ziye zanda ngaphezu kweminyaka eyi-10 edlulileyo, ezifana nezinga lokunyuka kwamayeza kunye nokufumanisa i-asthma.
Ama-eosinophil ayenziwa ngamaseli egazi amhlophe ngokuqhelekileyo atholakala kwindlela yakho yokugaya, kodwa e-EoE, bayakha kwi-esophagus (ityhubhu edibanisa umqala emlonyeni; I-eosinophil ivelisa iprotheni, ebangela ukuvuvukala okanye ukuvuvukala. Oku kunokukhokelela ekunqandeni nasekunciphiseni i-esophagus malunga nexesha kunye nokwakhiwa kwezicubu ezinobumba kwi-lining of your oopopus.
I-Eosinophil yakha kwi-oophagus ngenxa yokuba umzimba uyasabela kwi-allergen yokutya, nezinye izifo ezifana ne-pollen, okanye zihlobene ne-acid reflux. Phantse ama-50% abantu abane-EoE nabo banamaxesha aphelileyo okanye i-asthma. Umonakalo kwisigxu kwenza kube nzima ukugwinya okanye kunokukhokelela ekuveleleni kokutya.
Iimpawu
Abantwana kunye nabantu abadala banokufumana iimpawu ezinxulumene neEoE ngokuhlukileyo.
Abantu abadala bangaba neempawu ezahlukahlukeneyo, kuquka :
- Unzima ukugwinya, owaziwa nangokuthi yi-dysphagia
- Ukutya kokutya (ukutya kufakwa emva kokugwinya)
- Intlungu yesifuba efana nokugquma, engayisombululi kunye ne-antacids
- Ubuhlungu besisu esiswini
- Iimpawu ezingasombululi ngesifo se-reflux (GERD) segastroesophageal
- Ukuphindaphinda (ukuhamba komva kokutya okungaphelelwanga)
Izimpawu zezingane zingaquka oku kulandelayo:
- Ukutshatyalaliswa
- Iingxaki ngokutya
- Ukuvutha
- Intlungu zesisu
- Ingxaki yokugwinya
- Ingqiqo yokutya ifakwe
- Ukunciphisa ubunzima kunye nokukhula (umzekelo, ukungaphumeleli ukukhula, ukungondleki, ukungaphumeleli kwezondlo)
- Ukungaphenduli kwiyeza zeGERD
Izinto zobungozi
Kukho iimbalwa ezimbalwa ezenza ukuba i-EoE iphuhlise ngakumbi, kodwa ubungqina obuqhagamshelanisa indlela, nini na ukuba i-EoE iya kwenzeka. Nangona kunjalo, izinto ezinobungozi ezimbalwa ziye zachongwa:
- Ubulili : I-EOE ixhaphake kakhulu kwindoda kunabesifazane.
- I-Genetics : I-EoE ibonakala ihambelana nomzimba; Ukuba ilungu lentsapho li-EoE, umngcipheko uphezulu ekuphuhliseni i-EoE.
- Ubomi be-asthma : Abo bantu abanezondlo zokutya, ezinye izifo, kunye ne-asthma zisengozini enkulu yokuphuhlisa i-EoE.
- Apho uhlala khona : Ukuhlala kwimozulu ebandayo okanye ebomileyo kwandisa umngcipheko we-EoE.
- Ixesha lonyaka : Abantu banokuthi bafumaneke phakathi kwentwasahlobo kunye nokuwa xa izilwanyana zendalo ziphezulu kwaye abantu bahlala ngaphandle.
Ukuxilongwa
Iimvavanyo eziliqela zenziwa ukuxilonga i-EoE kunye nokuquka i-endoscopy ephezulu kunye ne-biopsy.
I-endoscopy ephezulu isebenzisa ityhude emide emininzi kunye nekhamera ekugqibeleni ifakwe emlonyeni uze uhlasele umgama wakho. Le nkqubo inika ugqirha ukuba abuke umlenze wakho kwaye abuke ukuvuvukala nokuvuvukala, okanye nayiphi na enye into engafanelekanga ehambelana ne-EoE. I-biopsy iquka ukuthatha isampuli yeesishubhu zakho zokuxhamla kwiindawo ezininzi (ngokuqhelekileyo ezimbini ukuya ezine).
Ukuba uyakrokrelwa ukuba ne-EoE, ugqirha wakho angenza iimvavanyo ezongezelelweyo ezifana nokuhlolwa kwegazi, iimvavanyo zamachiza, uvavanyo lwe-patch yokutya kunye nokuguqulwa kokutya.
Unyango
Ukuba ufumene unyango nge-EoE, uya kufuna unyango oluqhubekayo njengoko i-EoE isifo esingapheliyo, sokubuyela kwakhona.
Ezi zilandelayo zindlela eziqhelekileyo zonyango; zingasetyenziselwa ukudibanisa kwisicwangciso sonyango esibalulekileyo:
Ukutya
Kukho 10-15 ukutya okuqhelekileyo okubangela i-EoE, kodwa umzimba unokusabela kumaphi na ukutya. Ukutya kwe-Trigger kufuneka kususwe ekudleni kwixesha elide ukwenzela ukuba iimpawu zisombulule. Ukugxekwa kwe-EoE kukuba umzimba wakho unokusabela kwisidlo odla kuso yonke imihla-enye engabonakali ingxaki kuwe. Ezinye zezinto eziqhelekileyo zokutya ezivakalayo ezenza ukuba i-EoE ibe nobisi , ingqolowa , iqanda kunye ne- soy .
Ukuba ukutya okanye ukutya okungaphezu kwesinye kubangela iimpawu zakho, ezo zinto ziya kupheliswa ekudleni kwakho. Ezinye iimeko ze-EOE zifuna ukuguqulwa kokutya okubanzi. Ukutya kokunciphisa kunokuba yinxalenye yesicwangciso sonyango. Kwezinye iimeko, iifomula ezikhethekileyo ezibizwa ngokuba yizilwanyana zesisetyenzisi zisetyenziselwa ukuqeda yonke imithombo yokutya yeprotheni ngeli gqubuthelo lweemfuno zondlo, ngokukodwa ukuba ukutya okuninzi kufuneka kususwe ekudleni.
Mayeza
Amachiza amaninzi angasetyenziselwa unyango lwe-EoE. Ngokuqhelekileyo, i-blocker ye-asidi iyazama kuqala, kodwa abanye abantu bangabonakali ukuphucula uphawu. I-static steroid enikezwa njengobumba okanye ixutywe kwi-slurry ingasetyenziswa. Oku kunokukunceda ukukhulula kwabanye abantu ngaphandle kwemiphumo echaphazelekayo ehambisana ne-steroid ngenxa yokuba ayifakwe kwigazi. Ukuba la mayeza ayisebenzi, i-steroids, njenge-prednisone, inokumiselwa. I-Steroids inokunciphisa ukwakhiwa kwama-eosinophil kwaye uvumele umqala wakho ukuba uphilise. Abanye abantu bangaba kwi-steroids ngokuqhubekayo.
Ukuxuba
Kulabo bafumana ubuncinci beempawu (ezibizwa ngokuba yimigangatho), inqubo ebizwa ngokuthi i-dilation inganconywa. Le nkqubo iwandisa i-esophagus kwaye yenza ukugwinya kunzima. Nangona kunjalo, kukho iingozi zokuqhaqha isisu nokugqithisa. Ukuxilwa akuthinteli ukuvuvukala kwangaphakathi.
> Izibonelelo:
> Furuta et al. I-Eosinophilic Esophagitis kwaBantwana nakwaBantu abadala: Uhlolo lokuHlola kunye noVavanyo lweNgcaciso malunga neNgcaciso kunye noTyango. Gastroenterology. 2007. 133: 1342-1363.
> Liacouras CA. I-esospicitis ye-Eosinophilic: Iziphakamiso zokuvakalisa izivumelwano zabantwana nabantu abadala. I-Journal ye-allergies kunye ne-Clinic Immunology. 2011; 128: 3-20.
> I-American Academy ye-Allergy, i-Asthma, kunye ne-immunology: http://www.aaaai.org/conditions-and-treatments/related-conditions/eosinophilic-esophagitis.aspx