Phunzirani Mmene Mungadziwire Kusiyanitsa Pakati pa Awiri
Zambiri mwa zizindikiro zomwe anthu omwe ali ndi matenda a reflux (GERD) amachititsa kuti matendawa asamayende bwino . Ngakhale zizindikirozo zikufanana, mankhwalawa ndi osiyana. Kodi mukusamalidwa bwino kwa GERD? Chinthu china chomwe dokotala anu akuganiza kuti ndi chosavuta kumva.
Zizindikiro Zogawana Pakati pa GERD ndi EoE
Zotsatirazi ndi mndandanda wa zizindikiro zomwe zimagwirizanitsidwa pakati pa GERD ndi zamoyo zosagwirizana ndi zamoyo:
- kunyoza
- kusanza
- ululu wamimba
- kupweteka pachifuwa
- zovuta kugona
- vuto lomeza (dysphagia)
Kuzindikira GERD vs. EoE
Kusiyanitsa pakati pa GERD ndi EoE kumawonekera poyang'ana pa etiology (chifukwa kapena chiyambi) cha matenda. Ngakhale kuti GERD imayanjanitsidwa ndi vuto la reflux, chifukwa chake sichimvetsetsedwa bwino mu zosokonezeka. Komabe, kafukufuku amasonyeza kuti kutentha ndi mayankho a chitetezo cha mthupi ndi omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Ngakhale kuti nthawi ina imakhala yosawerengeka, EoE ikukula kwambiri. Izi zikutheka chifukwa cha kuwonjezeka kwakumvetsa kwa matendawa ndi kupezeka kwa kuyesedwa.
GERD ndi EoE ali ndi zochitika zokhudzana ndi zochitika zapadera. Kusiyanasiyana sikungapezekedi kwenikweni mpaka chiwonetsero chikuchitika. Kachilombo kakang'ono kameneka kameneka kamatengedwa pamtundu wotchedwa EGD . Pogwiritsira ntchito makina amphamvu kwambiri pamakina oonera microscope, chiĊµerengero cha majeremusi okwana 15 m'kati mwake chimagwirizana ndi eosinophilic esophagitis.
Chiwerengero cha zamoyo zosachepera 10 pa distal (gawo laling'ono) la chigawocho chimagwirizana ndi GERD.
Kusiyana kwa Chithandizo cha GERD ndi EoE
Imodzi mwa njira zosankha mwa GERD ndiyo kugwiritsa ntchito proton pump inhibitors monga Protonix, Prilosec , Prevacid, kapena Dexilant . Mankhwalawa samapewa zizindikiro zowonongeka; PH (acid-base base balance) ya m'mimba ndi yachilendo m'mayesero amenewa, mosiyana ndi pH yokhudzana ndi GERD.
Pakalipano palibe mankhwala omwe amavomerezedwa kuti athe kuchiza matenda a eosinophilic epophagitis . Komabe, dokotala wanu angayese kugwiritsa ntchito topical steroids komanso zakudya zothandizira zizindikiro. Pali mitundu yambiri ya zakudya zomwe zimaganiziridwa kuti zichepetse mpweya wabwino. Zakudya zimasiyana malinga ndi momwe zakudya zowonongeka zimachotsedwera ku zakudya zanu.
Zimaganiziridwa kuti kuthetsa zakudya zomwe mumakhala nazo mofatsa kumachepetsa zizindikiro. Nthawi zonse zimakhala zofunikira kuti dokotala wanu apange kusintha kwakukulu kwa zakudya, monga kusoĊµa kwa zakudya m'thupi ngati mutachotsa mapuloteni ofunika kwambiri, mavitamini, kapena mchere kuchokera ku zakudya zanu. Pofuna kuchepetsa chiopsezo chanu cha kusowa kwa zakudya m'thupi, ganizirani kupeza malo omwe ali ndi zakudya zofanana.
Chofunika Chofunika
Zizindikiro zambiri za GERD zimayambitsidwa ndi GERD. Pakhoza kukhala anthu ena omwe ali ndi GERD omwe samvera mankhwala omwe kwenikweni ali ndi eosinophilic esophagitis. EoE kawirikawiri imakhala ndi nthawi yoyezetsa matenda nthawi yomwe siidali yowoneka ngati GERD ndi zizindikiro zikupezeka. Matenda osasunthika omwe sagwidwa ndi matendawa sagwidwa ndi khansa ndipo sadziwika. Komabe, kuperewera kwa zakudya m'thupi ndilo vuto lalikulu chifukwa chovuta kumeza kapena kuchiza ndi kuthetsa zakudya zomwe mumadya.
Zotsatira:
Chiyanjano cha American for Eosinophilic Disorder. EoE. Idapezeka pa 12/19/2015 kuchokera pa http://apfed.org/about-ead/egids/eoe/.
Nonevski, IT, Downs-Kelly, E. & Falk, GW (2008). Matenda osasunthika: Chochititsa chidwi kwambiri cha dysphagia, kupatsa chakudya, ndi kutentha kwa mtima. Clevland Clinical Journal of Medicine. Vol. 75 (9): mapepala 623-633. http://www.ccjm.org/content/75/9/623.full]http://www.ccjm.org/content/75/9/623.full.
Academy of Otolaryngology - Mutu ndi Opaleshoni Yopamba. Chipepala Choona: Reflux ya Gastroesophageal (GERD). http://www.entnet.org/HealthInformation/WhatIsGERD.cfm.