Sally ainetseka nekudya. Kazhinji aifunga kuti zvokudya zvaive zvakanamatira paakanga achidya, izvo zvakamuita kuti asanetseka. Adhamu ane makore mana akanga achikura zvisina kunaka, aigara achishungurudzwa patafura yezvokudya, uye kazhinji akaramba kudya. Zvinosvika pakuti vose Sally naAdhamu vaiva nemamiriro akafanana: eosinophilic esophagitis (EoE).
Chii Chinonzi Eosinophilic Esophagitis (EoE)?
Eosinophilic esophagitis ine chikamu chekudya kwemazuva ose, chikamu chinowedzera dambudziko.
EoE inorwara zvirwere zvezvirwere zvezvirwere zvezvirwere, izvo zvangobva kuonekwa nevechiremba. Nhamba dzekuongororwa dzakave dzichiwedzera pamusoro pemakore gumi apfuura, zvakafanana nekuwedzera kwehuwandu hwehutachiona uye hwehutachiona hwehutachiona.
Eosinophils masero masero eropa anowanika muhutachiwana chako, asi muEoE, vanovaka mukati mehuputi (iyo tube inobatanidza huroti kusvika mudumbu; inonziwo kudya tube kana gullet). Eosinophils inobereka puroteni, inokonzera kubvunda kana kuputika. Izvi zvinogona kutungamirira kukuraira uye kuderera kwechitemwa kwemazuva nekuumbwa kwezvinyama zve fibrous muchigadziko chemukati wako.
Eosinophils inovaka mumuviri nokuti muviri unopindira kune zvokudya zvekudya, zvimwe zvinokonzera zvipembenene zvakadai semapenene, kana kuti zvakabatana neAxy reflux. Inenge 50% yevanhu vane EoE vanewo chirwere chemazuva kana chirwere. Kukanganisa kwemasopi kunoita kuti zvive zvakaoma kumedza kana kutungamirira kumanzwiro ezvokudya kubata.
Zviratidzo
Vana nevakuru vanogona kuwana zviratidzo zvinosanganiswa neEoE zvakasiyana.
Vakuru vangave vane zviratidzo zvakasiyana-siyana, kusanganisira :
- Dambudziko rokuedza, iro rinozivikanwawo se dysphagia
- Zvokudya zvinokonzera (zvokudya zvinowanikwa mushure mekumedza)
- Hurwa nemapfupa akafanana nekuputika, izvo zvisingagadziriswi nean antacids
- Uturu hwepamusoro hwepamuviri
- Zviratidzo zvisina kugadzirisa ne gastroesophageal reflux chirwere (GERD) mishonga
- Kudzokorora (kumashure kwekuyerera kwezvokudya zvisingadiwi)
Zviratidzo zvevana zvinogona kusanganisira zvinotevera:
- Kusvibiswa
- Matambudziko nekudya
- Kudzora
- Marwadzo emudumbu
- Dambudziko richimedza
- Chirevo chekudya chinoiswa
- Kushaya kuwedzera kukura uye kukura (semuenzaniso, kukundikana kubudirira, kusagadzikana kwezvokudya zvinovaka muviri, kushaya simba kwezvinhu)
- Kwete-kugamuchira mishonga yeGERD
Risk Factors
Pane zvikonzero zvishoma izvo zvinoita kuti EoE iwedzere kuwedzera, asi uchapupu hunobatanidza kuti, sei uye kana EoE ichaitika ichiri kubuda. Zvisinei, zvimwe zvishoma zvinokonzera ngozi zvinowanikwa:
- Gender : EoE inowanzoonekwa kune varume kupfuura vakadzi.
- Genetics : EoE inoratidzika kunge yakabatana nemagetsi; kana nhengo yemhuri ine EoE, njodzi yacho yakakwirira pakuvandudza EoE.
- Kurwara nehutachiona : Vanhu ivavo vane chirwere chekudya, zvimwe zvipembenene, uye chirwere chepamuviri chiri pangozi yakawanda yekuvandudza EoE.
- Kwamunogara : Kurarama munzvimbo inotonhora kana yakaoma inowedzera dambudziko reEoE.
- Nguva yegore : Vanhu vanowanzozivikanwa pakati pemakore echando uye vanowira apo zvipembenene zvezvakatipoteredza zvakakwirira uye vanhu vari panze kakawanda.
Kuziva
Kuongororwa kwakawanda kunoitwa kuti uongorore EoE uye kusanganisira endoscopy kumusoro uye biopsy.
Endoscopy yepamusoro inoshandisa refu yakareba tube pamwe nekamera pakupedzisira inowanikwa mumuromo uye pasi pasi. Iyi nzira inobvumira chiremba kuti aone nheyo yako uye anotarisa kuvhiringidzika uye kupfugama, kana zvimwe zvisiri izvo zvinosanganiswa neEoE. Bhiopsy inosanganisira kutora samuenzaniso yezvinyorwa zvako zvekucheka kubva kune dzimwe nzvimbo (kazhinji kaviri kusvika kune mana).
Kana iwe uchifungidzirwa kuva naEoE, chiremba wako anogona kuita mimwe miedzo yakadai sekuongororwa kweropa, kuedza mishonga, chirongwa chekudya chekudya, uye kudya kwekugadzirisa.
Kurapa
Kana iwe uine chirwere cheEoE, iwe uchada kurapwa kurapwa sezvo EEE inogara isingagumi, kurorazve chirwere.
Izvi zvinotevera nzira dzinowanzoshandiswa pakurapwa; dzinogona kushandiswa mukubatanidza kuitira urongwa hwehutano hwakanyanya:
Kudya
Kune 10-15 zvokudya zvinowanzoita zvinokonzera EoE, asi muviri unogona kuita chero chinhu chipi nechipi chekudya. Trigger zvokudya zvinofanira kubviswa kubva pakudya panguva yakareba kuitira kuti zviratidzo zvigadzirise. Kunyangadza kweEoE ndechokuti muviri wako unogona kunge uchiita zvekudya iwe unodya zuva rega rega-iyo iyo isingaoneki yakanetsa iwe. Zvimwe zvezvokudya zvakajairika zvinokonzera izvo zvinoita kuti EoE ive yehuta , gorosi , mazai uye soy .
Kana chikafu kana zvinopfuura zvekudya chimwe chete zvichikonzera zviratidzo zvako, izvo zvokudya zvichabviswa kubva pakudya kwako. Mamwe matambudziko eEoE anoda zvakawanda zvakagadziriswa zvekudya. Zvokudya zvinopedzisira zvingava chikamu cherongwa hwekurapa. Mune zvimwe zviitiko, mazita anokosha anonzi chikafu chekutanga anoshandiswa kupedza zvese zvezvokudya zveprotini paanofukidza zvinodiwa nemunhu, kunyanya kana zvokudya zvakawanda zvinoda kubviswa kubva pakudya.
Mishonga
Mishonga yakawanda inogona kushandiswa mukurapa kweEoE. Kazhinji, asidi blocker inotanga kutanga, asi vamwe vanhu vangave vasina kuratidza zviratidzo zvishoma nezvishoma. A steroid yechipupuriro yakapiwa seputi kana yakavhenganiswa mune slurry inogona kushandiswa. Izvi zvinogona kubatsira kubvisa kuzvimba kune vamwe vanhu pasina michero ine chokuita ne-steroid nokuti haisi kupinda muropa. Kana mishonga iyi isingashandisi, steroid, zvakadai sa prednisone, inogona kunyorwa. Steroidsi inogona kuderedza kuumbwa kwezvinyorwa zvemaoinophils uye kubvumira kutihuro dzako kupore. Vamwe vanhu vangave vari pane steroidsi nguva dzose.
Dilation
Mune avo vanoona kuderera kwemashoko (anonzi strictures), chirongwa chinonzi dilation chinogona kukurudzirwa. Iyi nzira inowedzera hupenyu uye inoita kumedza nyore. Zvisinei, pane zvipikiso zvekutsvaira kwemasimba uye kupera. Kurwisana hakurevi kuputika kwepasi.
> Resources:
> Furuta et al. Eosinophilic Esophagitis muvana nevakuru: Chirongwa Chekugadzirisa uye Kubvumirana kweKubvumirana kweKutsvaga nekurapa. Gastroenterology. 2007. 133: 1342-1363.
> Liacouras CA. Eosinophilic esophagitis: Ongorora kubvumirana kwezano kune vana nevakuru. The Journal of Allergy and Clinical Immunology. 2011; 128: 3-20.
> American Academy of Allergy, Chirwere, uye Immunology: http://www.aaaai.org/conditions-and-treatments/related-conditions/eosinophilic-esophagitis.aspx