Dzidza Nzira Yokuzivisa Nayo Kusiyana Pakati Peviri
Zvakawanda zvezviratidzo zvinowanikwa nevanhu vane gastroesophageal reflux disease (GERD) uye eosinophilic esophagitis (EoE) inowanikwa. Kunyange zvazvo zviratidzo zvakafanana, kurapa kwakasiyana. Iwe uri kutadza kutarisirwa kuGERD? Chimwe chiongorori kuti chiremba wako aone kuti ndeyeiososophilic esophagitis.
Zviratidzo Zvakagoverana Pakati peGERD neEoE
Izvi zvinotevera urongwa hwezviratidzo zvakagoverwa pakati peGERD uye eosinophilic esophagitis:
- nausea
- kurutsa
- marwadzo emudumbu
- chipfuva chepfu
- kunetseka kurara
- kuoma kunomedza (dysphagia)
Kuongorora GERD vs EoE
Kusiyana pakati peGERD neEoE kunoonekwa pachena nekucherechedza etiology (chikonzero kana kutanga) kwematambudziko. Kunyange zvazvo GERD inobatanidza nechinetso chekudzivisa, chikonzero chacho hachikanzwisiswi mune zvisinganzwisisiki. Kutsvakurudza, zvisinei, kunoratidza kuti kushaya muviri uye mhinduro dzezvirwere zvezvirwere zvezvirwere zvinokonzera kukonzera kwemasimba eosinophilic esophagitis. Kunyange zvazvo imwe nguva inofungidzirwa ishoma, EOE iri kukura mukupararira. Izvi zvinokonzerwa nekuwedzera kuchinzwisisa kwechirwere ichi nekuwanikwa kwekuedzwa.
Vose GERD neEoE vane maitiro eosinophils munharaunda. Misiyano haigoni kunyatsoongororwa kusvikira bhiopsy iri kuitwa. Chinhu chiduku chezvinyuchi kubva pachigamba chinotorwa panguva yekuitwa inonzi EGD . Kushandisa nharaunda yakasimudzirwa mumakroscope, nhamba yemakumi mashanu eosinophil mushure mokuyerera inopindirana nemasikiriti eosinophilic.
Nhamba yezvishoma pane 10 eosinophils pa distal (chikamu chezasi) chesophagus inopindirana neGERD.
Kusiyana Mukurapa kweGERD neEoE
Imwe yemishonga yekusarudza muGERD inoshandiswa neproton pump inhibitors seProtononi, Prilosec , Prevacid, kana Dexilant . Iyi mishonga, zvisinei, haidziviri zviratidzo zvemashoko eosinophilic esophagitis; iyo pH (acid-base balance) yemudumbu inowanzo muzviitiko izvi, kusiyana nepH inosangana neGERD.
Iko hakuchina mishonga ipi zvayo yakagamuchirwa yekurapa maitiro eosinophilic esophagitis . Zvisinei, chiremba wako anogona kuedza kushandisa sodhiyo steroid uyewo kudya kudya kwezviratidzo. Kune marudzi akawanda ezvokudya zvinofungidzirwa kuti kuderedze kubuda kwemhepo kunopupuri. Zvokudya zvakasiyana maererano nekushusha kwezvokudya zvakabviswa kubva pakudya kwako.
Zvinofungidzirwa kuti nekubvisa zvokudya izvo iwe uri kunyorova zvegorosi kunoderedza zviratidzo. Zvinogara zvichikosha kusanganisa chiremba wako paunenge uchishandura kudya kukuru, sekushaya zvokudya zvinovaka muviri kunogona kuitika kana iwe ukabvisa mapuroteni anokosha, mavitamini, kana minerals kubva pane zvaunodya. Kuti udzikise dambudziko rako rekushaya zvokudya zvinovaka muviri, funga kutsvaga zvokudya zvekudya izvo zvakafanana mukudya.
Zvinokosha Kutora
Zvose zviratidzo zveGERD zvinokonzerwa neGERD. Panogona kunge kune vamwe vanhu vane GERD vasingateereri kurapwa avo vanove vane eosinophilic esophagitis. EOE kazhinji inononoka kuongororwa sezvo isiri iyo yakajairika seGERD uye zviratidzo zvinowanikwa. Eosinophilic esophagitis haisi inouraya uye haisati yazivikanwa inokonzera kenza. Zvisinei, kusagadzikana kwezvokudya zvinovaka muviri chinhu chakanyanya kunetseka nekuda kwekutambudzika kumedza kana kurapwa nekubvisa kudya kwekudya kwako.
Sources:
American Partnership for Eosinophilic Disorder. EoE. Yakasvika pana 12/19/2015 kubva pa http://apfed.org/about-ead/egids/eoe/.
Nonevski, IT, Downs-Kelly, E. & Falk, GW (2008). Eosinophilic esophagitis: Chimwe chikonzero chinowedzera chikonzero chekuita dysphagia, kutengesa kudya, uye kukanganisa kuora mwoyo. Clevland Clinical Journal yemishonga. Vol. 75 (9): mapeji 623-633. http://www.ccjm.org/content/75/9/623.full]http://www.ccjm.org/content/75/9/623.full.
The Academy of Otolaryngology - Musoro uye Neck Surgery. Chidimbu Chinyorwa: Gastroesophageal Reflux (GERD). http://www.entnet.org/HealthInformation/WhatIsGERD.cfm.