Eosinophilic enteropathy
Eosinophilic esophagitis (EE) chirwere chinoratidzirwa nekuputika kwechivako (chikamu chemuviri chinosangana nehuro uye mudumbu) chinokonzerwa nechechi inonzi white cell cell, eosinophil . Zviratidzo zveEE zvinogona kubva pakusuruvara kwakanyanya, kuoma kukumedza, kudya kunobata mukati mehutu, kushungurudza, kusuruvara uye kuora muviri. Ikoko kunoratidzika kuva nezvimwe zvakasiyana-siyana zvakasiyana-siyana muzviratidzo, nevana vaduku vane zviratidzo zvakawanda zvekureruka, uye vana vakwegura nevakuru vane zvokudya zvinokuvadza uye kunetseka kumedza.
Hazvizive zvakajeka zvinokonzera EE, kunyange zvazvo chirwere ichi chinogona kuwirirana nedzimwe zvirwere zvinokonzera zvirwere, zvikurukuru chirwere . Vanhu vane EE kazhinji vane nhoroondo yemunhu kana mhuri yemamwe zvirwere zvinokonzera zvirwere zvakadai sefivha fever, kudya kwemazuva ose, uye chirwere chemafi. Munguva pfupi yapfuura, pakange pane zvidzidzo zvinoratidza kusangana pakati pezvokudya uye kugadzirwa kwezvakatipoteredza uye EE.
Chii chinonzi Allergic Chinowanzokonzera EE?
Kutsvakurudza kwakasiyana-siyana kwakaratidza kuti varwere vane EE vane zvirwere zvakanaka zvezveruzhinji kune zvekudya zvakasiyana-siyana uye kuti kudzivisa kwezvikafu izvi kwakaita kuti kugadziriswa kweEE zviratidzo. Zvokudya zvinonzi ndizvo zvinokonzera EE zvakasanganisira mukaka, mazai, marangi, shellfish, mapea, nyuchi, huku, hove, rye, chibage, soy, mbatatisi, oats, tomate, uye gorosi. Pakati idzi, zvinokonzera kudya zvinokonzerwa nemukaka, zamai, gorosi, rye, uye nyama yemombe.
Zvinhu zvinokonzerwa nehutachiona, zvakadai sepolen, molds, cat, imbwa uye guruva mite allergens inogonawo kubatanidzwa mukugadzirwa kweEE.
EE Inozivikanwa sei?
Kuongororwa kweEE kunowanzoitwa nekuita biopsy yeeophagus, nehuchapupu hwezvinyorwa zvemaosinophil zvinopinda mukati mezvinyorwa zvesophageal. Bhiopsy inoshandiswa kuburikidza ne endoscopy (kamera inopindirwa mumusimba), kazhinji ne gastroenterologist. Kune dzimwe dzakawanda zvirwere zvinogona kukonzera eosinophils mumuviri weeophagus, kusanganisira gastroesophageal reflux chirwere (GERD), zvirwere zvepasita, zvirwere zvefungal, zvirwere zvinoputika, zvirwere zvekenza, kushambidzika kwenguva dzose, nezvimwe.
Zvirwere izvi zvinoda kutarisirwa kunze kweEE zvingaonekwa.
Kana imwe EE ichiongororwa, inonzi allergenist inowanzoita zvirwere zvakakura zvekuongorora, kusanganisira kutsvaga kudya kwezvokudya uye kugadzikana kwezvakatipoteredza, zvakadai sezvinoratidzwa pamusoro apa.
EE Inotarirwa Sei?
Muedzo wekudzivisa kudya izvo munhu wacho ane maitiro ezvimwe zvirwere zvekuongorora zvirwere ndiyo nzira yekutanga yekurapa kweEE. Kana munhu ane dzakawanda zvirwere zvinorwara, asi zvingave zvakakosha kuchinjeka kune kudya kunenge kwechikamu chekutanga chemapurotini (mapuroteni akaputsika mukati mezvinyorwa zvepamusoro, zvinonzi amino acids).
Corticosteroids inowanzoshandiswa kurapa EE apo kudzivisa kwezvinhu zvinokonzerwa nezvinokonzerwa nezvinokonzera zvirwere zvinotadza kugadzirisa zviratidzo. Steroid inogona kushandiswa sepiritsi, yakadai sa prednisone, kana se-topical therapy, zvakadai sokushandisa shaidha inhaled (Flovent, somuenzaniso) inowanzoshandiswa kudimbu, kunze kwekuti mishonga inomedzwa, kwete inhaled. Izvi zvinoguma mukuendeswa kwemishonga zvakananga kudivi. Kazhinji, mishonga yeGERD inopiwawo kune varwere vane EE.
Unoda kuramba uchidzidza? Tsvaga nezveKudya Mapuroteni-Akaita Enterocolitis Syndrome , chirwere chinomirira kudya kwezvokudya muvana vaduku.
> Sources:
> Norvell JM, Venarske D, Hummell DS. Eosinophilic Esophagitis: Nzira yeAllergist. Ann Allergy Chirwere Immunol. 2007; 98: 207-215.
> Rothenberg ME. Kusagadzikana Kwemakumbo Masimba. J Allergy Clin Immunol. 2004; 113: 11-28.