Environmental, Genetic, uye Allergic Factors
Eosinophilic esophagitis, kana EoE, yakashandiswa kuonekwa sechirwere chisingawanzoitiki. Zvisinei, nekunzvera nzira dzakanaka nekunyatsonzwisiswa kwekusiyana pakati peGERD neEoE , iko zvino yava kufungidzirwa sechirwere chakajairika chevana nevakuru vane matambudziko ekumedza. Hazvina kujeka kana kupararira kweEoE kuri kuwedzera kana isu tangobva tava kunyatsoziva nezvemashoko eosinophilic esophagitis.
Eosinophilic esophagitis inoratidzwa nekutora biopsy yeeophagus uye kuona 15 eosinophils pasi pesimba guru remasimba microscope. Eosinophils ichena masero eropa (chikamu chemuviri wedu wezvirwere) izvo zvinogona kusanganiswa nekuvhiringidza uye zvine chokuita neutachiona. Kunzwisisa kweEoE kwaimbova kunonoka, sezvo kwaibatanidza neimwe nzira yezvirwere zve reflux uye yakarapwa chete neproton-pump inhibitors (rudzi rwemishonga yezvirwere zve reflux), saPlosec.
Kuwanda uye Zviratidzo
Icho chiri chichiri kuenderera mberi kutsvakurudza kubatsira kubatsira zviri nani kuwirirana nekupararira kwezvinhu zvinosanganiswa nemasikiriti eosinophilic. Varume vanoita sevanowanikwa katatu kupfuura vakadzi kuti vave neEEE uye vanogona kuwanikwa muvana, vaduku vakuru, pamwe chete nevanhu vakuru. Kunyunyuta kunowanzoitwa nevanhu pavanenge vachitsvaga kurapwa ndevaya:
- Dambudziko rokuedza (dysphagia)
- Kushungurudza
- Indigestion
Ko Acid Can Reflux Cause Eosinophilic Esophagitis?
Pfungwa dzepakutanga dzakapoteredzwa nehutachiona hwekusagadzikana dzinosanganisira kukanganisa kwehutano hunokonzerwa neGERD kana kuti asidi reflux kubva mudumbu kusvika mukati.
Idaiti inogona kukuvadza bhandi rehangu uye inobvumira eosinophils kuti iparadze. Yakanga isiri iyo pakati pemakore ekuma 1990 apo nzira iyi yakatanga kuzarurwa. GERD haisisiri kutendwa kuti ndiyo inokonzera EoE.
Dambudziko rekuchengetedzwa kwepanyika
Zvimwe zvinhu zvakasikwa zvakasarudzwa sechinhu chinokonzerwa nekuwana zvisizvo zvemasimba eophagitis.
Chikonzero cheizvi chakafananawo nehutachiona hunokonzerwa nehutachiona uye nekuvhiringidza kweganda reganda. Inofungidzirwa kuti kusava nekuwana kwakakwana mabhakitiriya nemamwe machakirwo mapeji ehupenyu kunogona kuva chikonzero chinokonzera EoE. Mamiriro ezvinhu anogona kudzivirira vana vaduku kune mabhakitiriya akakodzera anosanganisira:
- Chikamu cheCesarean vs vaginal delivery
- Kuberekwa kwekutanga
- Kutanga kudiwa kwemishonga inorwisa mabhakitiriya mucheche
- Mufaro-wakakodzwa kana wakamwisa
- Kurarama munzvimbo shoma yehuwandu hwevanhu
Munguva yekutora pamuviri, fetus yako inenge yakashata yakawanda (inowanzove yakatenda, asi zvishoma nezvakavhiringidza pamusoro peizvi) kana kuti zvishoma zvishoma kune mabhakitiriya. Munguva yekuberekwa kwemukadzi, mwana wako anowanikwa pachena kune mabhakitiriya ayo achange achishanda sekutanga kwekuvandudzwa kwemakiriniya emukati akanaka. Izvi zvinenge zvisingaitiki panguva yechikamu chekusiya. Zvakakosha kuziva kuti kune zvikonzero zvakawanda zvakanaka zvekuita chikamu chekudzivirira uye nzira yakakodzera yekupa iyo inofanira kukurukurwa pamwe nemudzidzisi wako.
Genetic Risk Factors
Chirwere chekutsvakurudza inogara iri shanduko yekudzidza. Mukusangana nemasikiriti eosinophilic, pane zvinhu zvakasiyana-siyana zvinofanira kufungidzirwa maererano nejentics. Kune zviongorori zvinoratidza hunyoro huwandu hwekuve neEoE kana mukoma kana mubereki ane chirwere ichi.
Vanenge vaviri mumhuri 100 vaive nehutano hwemhuri, zvisinei nemamiriro ezvinhu ezvakatipoteredza akaonekwa kuti ane kuwirirana kwakasimba. Izvi zvinoreva kuti mungozi yemhuri ingangodaro yave iine ukama kune zvakatipoteredza zvakanyorwa pamusoro apa.
Pane, zvisinei, tsvakurudzo yakaona mageneti anokanganisa maitiro emuviri wako wekuzvidzivirira mumuviri anokwanisa kukugadzirisa iwe kuti uwane zvisizvo zvemasimba:
- Kuora mwoyo muchengeti wechipupuriro
- Izvo zvose zvinokonzerwa neharagic inflammation
- Kurwara kusingaperi
Kuora mwoyo mumucheka wechipupuriro kunobvumira kuwedzera kwemaoinophil kubhadhara kusvika panopera kana paine zvirwere. Kurwisana kwakanyanya kunokonzerwa neasosophilic esophagitis inogadzira zvindori zvidhesi nematanda pakati pezvindori.
Ikoko kunowanzovawo mvura inonaya inodonha kubva mumhutu semugumisiro wekuputika, kunonzi exudate. Yenguva refu, kana isingaperi, kuputika kunotungamirira ku fibrosis, kana kuoma kana kuvhara kunogadzirisa demo. Fibrosis ndechimwe chezvikonzero nei iwe ungave nechikafu chichigadzika muhutano chako kana uine EoE.
Allergen Risk Factors
Chimwe chezvinhu zvakakosha zvinowanikwa pangozi yekusimbiswa kwemashoko eosinophilic esophagitis ndeyekudzivirira kwezvokudya. Muzviitiko zvezvokudya zvekudya, yako ENT inogona kukubatsira mune zvekudya zvekudya kwezviratidzo zvako. Zvokudya zvinowanzobatanidzwa neEoE zvinosanganisira:
- Dairy products
- Eki
- Soy
- Gorosi
Zvokudya zvepakati pezvakatipoteredza zvinogonawo kuita basa mukuvandudzwa kweEoE. Zvose zvinokonzerwa nezvinokonzerwa nezvakatipoteredza zvinosanganisira kurwara kune:
- Dust mites
- Animal dander
- Pollen
- Molds
Iwe unogona kuona kuti zviratidzo zvako zveEoE zvinowedzera kuipa munguva dzepamusoro yemapenene. Iwe unogona kuona aneristist kuti uwedzere kuedzwa kuti ujekese mishonga inogona kuwedzera kuwedzera zviratidzo zvako. Kana uine kuwedzera kwezviratidzo zveEoE nekuda kwezvimwe zvipembenene zvakatipoteredza, Zvakakosha kuedza kubvisa izvi zvinokonzera kubva kumba kwako .
Sources:
American Academy of Allergy Chirwere & Immunology. (2015). Eosinophilic Esophagitis (EoE).
Furuta, GT, & Katzka, DA (2015). Eosinophilic Esophagitis. N Engl J Med. 373: 1640-1648. doi: 10.1056 / NEJMra1502863.
Kapel, RC, Miller, JK, Torres, C., Aksoy, S., Lash, R. & Katzka, DA (2008). Eosinophilic esophagitis: chirwere chinowanikwa muUnited States chinokanganisa mapoka ose emakore. Gastroenterology. 134 (5): 1316-21. doi: 10.1053 / j.gastro.2008.02.016.
Neu, J. & Rushing, J. (2011). Zvinyorwa zveCesarean zvichienderana neVaginal Delivery: Yenguva refu nguva dzevana dzinobuda uye Hygiene Hypothesis. Clin Perinatol. 38 (2): 321-331. doi: 10.1016 / j.clp.2011.03.008.