I-eosinophilic esophagitis: kuyini, izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yini ebangela i-eosinophilic esophagitis
• Yelashwa kanjani
• 1. Ukunakekelwa ekudleni
• 2. Ukusetshenziswa kwemithi

I-eosinophilic esophagitis yisimo esingajwayelekile, esingelapheki somzimba esidala ukuqoqwa kwama-eosinophil kulwelwesi lwe-esophagus. Ama-eosinophil amangqamuzana okuvikela omzimba okuthi, uma etholakala ngobuningi, akhiphe izinto ezidala ukuvuvukala okugcina kudala izimpawu ezifana nobuhlungu, ukuhlanza, isilungulela njalo nobunzima bokugwinya.

Lesi simo singavela kunoma yimuphi unyaka kodwa sikhathaza kakhulu izingane, ngoba singadala ukwehla okuphawulekayo kokudla, okugcina kulimaze yonke inqubo yokukhula nentuthuko.

Yize lungekho ikhambi, i-eosinophilic esophagitis ingalawulwa ngokwelashwa okufanele, okumele kuqondiswe yi-gastroenterologist kanye / noma i-immunoallergologist futhi okuvame ukufaka ushintsho ekudleni nasekusetshenzisweni kwemithi ethile, njenge-antacids kanye ne-corticosteroids.

Izimpawu eziyinhloko

Izimpawu ze-eosinophilic esophagitis ziyahlukahluka kakhulu kumuntu nomuntu, ikakhulukazi ngeminyaka. Kodwa-ke, ezinye izimpawu nezimpawu ezibonakala zivame kakhulu zifaka:

• Ubuhlungu obungapheli e-esophagus;
• Isilungulela, isicanucanu nokuhlanza njalo;
• Kunzima ukugwinya;
• Ukudla kulula ukubambeka emphinjeni;
• Isisu esibuhlungu;
• Ukwehla kwesifiso sokudla.

Ngaphezu kwalokho, esimweni sezingane, esinye isibonakaliso esibaluleke kakhulu ubunzima bokuthola isisindo nokugcina ukukhula kuthathwa njengokujwayelekile.

Njengoba eziningana zalezi zimpawu zifana nalezo ze-reflux ye-gastroesophageal, futhi i-reflux yisimo esivame kakhulu, imvamisa ukuthi amacala e-eosinophilic esophagitis atholakala kuqala njenge-reflux. Kodwa-ke, ngemuva kokuqala kokwelashwa, izimpawu azithuthuki ngokwelashwa kwe-reflux, okugcina kudinga ukuhlolwa okunzima kakhulu kuze kube kutholakala ukuxilongwa kwe-eosinophilic esophagitis.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-eosinophilic esophagitis kuhlala kuqalwa ngokuhlolwa kwezimpawu zezimpawu nomlando wezokwelapha.Kodwa-ke, njengoba izimpawu zifana kakhulu nalezo ze-reflux, kuvamile ukuthi lokhu kube wukuxilongwa kokuqala kwezokwelapha futhi, ngakho-ke, ukwelashwa kwe-reflux kuyaqalwa. Kodwa-ke, izimpawu zivame ukungathuthuki lapho kuqala ukwelashwa futhi izivivinyo eziningi zivame ukucelwa ukukhipha i-reflux futhi zifike ekuhlolweni okulungile.

Ukuhlolwa okunga-odwa kungama-endoscopy aphezulu emathunjini, ukuhlolwa kwegazi nokuhlolwa kokungezwani komzimba, njengoba i-eosinophilic esophagitis ivame ukuthinta abantu abanezinye izinhlobo zokungezwani komzimba. Bona okuningi mayelana nokuhlolwa kokungezwani komzimba nokuthi bathola ini.

Yini ebangela i-eosinophilic esophagitis

Imbangela ngqo ye-eosinophilic esophagitis ayaziwa, kepha-ke, njengoba isimo senzeka ngenxa yokuqoqwa kwama-eosinophils ku-esophagus, kungenzeka ukuthi kubangelwa ukuphendula ngokweqile kwesistimu yomzimba kwezinye izinto ze-allergenic, ikakhulukazi ekudleni .

Ngakho-ke, futhi yize kungenzeka kunoma ngubani, i-eosinophilic esophagitis ivame kakhulu kubantu asebevele benezinye izinhlobo zokungezwani komzimba ezifana nalezi:

• I-Rhinitis;
• Isifuba Somoya;
• I-eczema;
• Ukungezwani kokudla.

I-Eosinophilic esophagitis nayo ivame ukwenzeka kubantu abaningana emndenini ofanayo.

Funda kabanzi mayelana nokuthi kwenzeka kanjani i-esophagitis kuvidiyo elandelayo:

Yelashwa kanjani

Ukwelashwa kwe-eosinophilic esophagitis kufanele kuqondiswe yi-gastroenterologist kanye / noma i-immunoallergologist, kepha ukuqondiswa kwesazi sokudla okunempilo nakho kungadingeka. Lokhu kungenxa yokuthi, cishe kuzo zonke izimo, ukwelashwa kwenziwa ngokudla okuguquliwe kanye nokusetshenziswa kwemithi, ukukhulula izimpawu nokuthuthukisa ikhwalithi yempilo.

1. Ukunakekelwa ekudleni

Ukuvumelanisa nokudla kuvame ukuba yisinyathelo sokuqala ekwelapheni abantu abane-eosinophilic esophagitis futhi kubandakanya ukuqeda ukudla okunamandla amakhulu okubangela ukungezwani komzimba okufana nalokhu:

• Imikhiqizo yobisi;
• Iqanda;
• Ukudla okungenalo i-Gluten;
• Soy;
• Izithelo ezomile, ikakhulukazi amakinati;
• Imbaza.

Ukudla kwalabo abahlushwa i-eosinophilic esophagitis kungaba nemingcele kakhulu, ngakho-ke, kunconywa ukuthi ulandele isazi sokudla ukuze uvikele ukuntuleka kwamavithamini nezakhi zomzimba ezibalulekile.

Imvamisa, ngokubambisana nesazi sokudla okunempilo kanye nodokotela, kungenzeka ukuhlola ukudla okwehlukile, ukuhlola lokho okwenza izimpawu zibe zimbi kakhulu noma kubangele ukuvuvukala okwengeziwe ku-esophagus, kuze kube sekucaca kahle ukuthi yikuphi ukudla okufanele kukugwebe nokuthi yikuphi okungadliwa.

2. Ukusetshenziswa kwemithi

Kanye nezinguquko ekudleni, udokotela futhi angahle anikeze ukusetshenziswa kwemithi ethile ukusiza ukulawula ukuvuvukala nokwenza ngcono izimpawu. Yize ingekho imishanguzo evunyelwe ngokukhethekile ekwelapheni i-eosinophilic esophagitis, kukhona amakhambi abonakala esiza kakhulu ekulawuleni izimpawu ezifana nokuthi:

• Proton pump inhibitors: ukunciphisa ukukhiqizwa kwe-gastric acid, eyehlisa ukuvuvukala komphimbo;
• Ama-Corticosteroids: ngemithamo emincane kusiza ukugcina ukuvuvukala komphimbo kulawulwa.

Ngaphezu kwalokhu, kuphenywa imishanguzo emisha yokusiza ukwelapha i-eosinophilic esophagitis, ikakhulukazi imishanguzo ethembisa ukuvimba amaprotheni abhekene nokuvuvukala komphimbo.