Zosakaniza zosasintha
Eosinophilic esophagitis (EE) ndi matenda omwe amadziwika ndi kutupa kwa thupi (mbali ya thupi yomwe imagwirizanitsa mmimba ndi m'mimba) yomwe imayambitsa khungu loyera la magazi, eosinophil . Zizindikiro za EE zimatha kuchoka ku kupsinjika kwa mtima, kuvutika kumeza, kudya zakudya m'thupi, kunyoza, kusanza ndi kutaya thupi. Zikuwoneka kuti zikusiyana ndi zizindikiro za zaka zambiri, ndi ana aang'ono omwe ali ndi zizindikiro zambiri za kuchepa kwa thupi, ndi ana okalamba ndi akuluakulu omwe ali ndi chakudya chokwanira komanso akuvutika kumeza.
Sindidziwone bwino chomwe chimayambitsa EE, ngakhale kuti matendawa akhoza kugwirizana ndi matenda enaake, makamaka mphumu . Anthu omwe ali ndi EE kawirikawiri amakhala ndi mbiri yaumwini kapena achibale ya matenda ena oopsa monga fever, chakudya chokwanira, ndi mphumu. Posachedwapa, pakhala pali maphunziro omwe amasonyeza kusonkhana pakati pa chakudya ndi chilengedwe cha Edzi.
Kodi Zomwe Zimayambitsa Mavitamini Zimayambitsa EE?
Kafukufuku wina wasonyeza kuti odwala omwe ali ndi EE ali ndi mayeso olimbana ndi zovuta ku zakudya zosiyanasiyana komanso kuti kupeŵa zakudya zimenezi kunayambitsa kuthetsa zizindikiro za EE. Zakudya zomwe zimayesedwa kuti ndizo zimayambitsa EE zimaphatikizapo mkaka, mazira, nkhono, nkhono, nandolo, nkhuku, nsomba, rye, chimanga, soya, mbatata, oat, tomato, ndi tirigu. Mwa izi, zoyambitsa chakudya chofala kwambiri ndi mkaka, dzira, tirigu, rye, ndi ng'ombe.
Zomwe zimayambitsa chilengedwe, monga pollens, molds, cat, galu ndi fumbi mite zikhoza kuthandizanso pa chitukuko cha EE.
Kodi EE Amadziwika Bwanji?
Kuzindikira kwa EE kumapangidwa mwa kupanga chidziwitso cha phokoso, ndi umboni wa zamoyo zam'mimba zomwe zimalowa m'mimba. Chiwopsezo chimapangidwa kudzera kumapeto (kamera yomwe imayikidwa m'mimba), kawirikawiri ndi gastroenterologist. Palinso matenda ena ambiri omwe angayambitse matenda a eosinophil mu minofu ya mimba, kuphatikizapo matenda a reflux a gastroesophageal (GERD), matenda a parasitic, matenda a fungal, matenda opatsirana, matenda ena a khansa, kusanza kosalekeza, ndi ena.
Matendawa amafunika kutayika kunja kwa EE isanafike.
Pomwe EE itapezeka, munthu wodwala matendawa amayamba kuchita zoyezetsa zowonjezereka, kuphatikizapo kufunafuna chiwopsezo cha zakudya ndi chiwopsezo cha chilengedwe, monga zomwe zatchulidwa pamwambapa.
Kodi EE Yachitidwa Motani?
Chiyeso chopewa zakudya zomwe munthuyo ali nazo zoyezetsa zowononga ndi njira yoyamba yothandizira EE. Ngati munthu ali ndi zovuta zambiri zoyezetsa matenda, zingakhale zofunikira kuti asinthe zakudya zomwe zimakhala zokhazokha (mapuloteni omwe amathyoledwa kumalo osungirako amino acids).
Corticosteroids imagwiritsidwa ntchito nthawi zambiri pofuna kuthana ndi EE pamene kupeŵa kusokonezeka kwazomwe zimayambitsa matendawa kumachepetsa zizindikiro. Steroids ikhoza kugwiritsidwa ntchito monga mapiritsi, monga prednisone, kapena mankhwala opatsirana, monga kugwiritsa ntchito mankhwala osokoneza bongo (Flovent Mwachitsanzo) omwe amagwiritsidwa ntchito kuti apeze mphumu, kupatula kuti mankhwala amamezedwa, osati osakanizidwa. Izi zimapangitsa kuti mwaperekedwe mankhwalawa mwachindunji ku pulawu. Kawirikawiri, mankhwala a GERD amaperekedwanso kwa odwala omwe ali ndi EE.
Mukufuna kupitiriza kuphunzira? Fufuzani za Zakudya Zakudya Zakudya Zakudya Zakudya Zakudya Zolimbitsa Thupi , matenda omwe amatsanzira chifuwa cha zakudya kwa ana aang'ono.
> Zotsatira:
> Norvell JM, Venarske D, Hummell DS. Osasinophiki Esophagitis: Njira Yowirikiza. Ann Zozizira Nthenda Immunol. 2007; 98: 207-215.
> Rothenberg ME. Kusokonezeka kwa Mimba Zosasunthika. J Zachilombo Zamtundu wa Immunol. 2004; 113: 11-28.