Chilengedwe, Zachibadwa, ndi Zowoneka Zonse
Matenda osokoneza bongo, kapena EoE, ankatengedwa ngati vuto losadziwika. Komabe, ndi njira zabwino zoyesera komanso kumvetsetsa bwino kusiyana pakati pa GERD ndi EoE , tsopano akuonedwa kuti ndi matenda ofala a ana ndi akulu omwe ali ndi mavuto omeza. Sindikudziwa ngati kufalikira kwa EoE kukuwonjezeka kapena tangodziwa zambiri za eosinophilic esophagitis.
Matenda osokoneza bongo amapezeka ndi kupeza chiwopsezo cha mthendayi ndi kuwona majeremusi 15 pansi pa microscope. Maosinophils ndi maselo oyera a m'magazi (mbali ya chitetezo chathu cha mthupi) chomwe chingagwirizane ndi kutupa komanso kugwirizana ndi chifuwa. Kumvetsetsa kwa EoE poyamba kunali kochedwa, chifukwa kunkagwiritsidwa ntchito ndi mtundu wina wa matenda a reflux ndipo umatengedwa ndi proton-pump inhibitors (mtundu wa mankhwala a reflux matenda), monga Prilosec.
Kukula ndi Zizindikiro
Palinso kafukufuku wopitilirapo kuti athandizidwe bwino kuwona kufalikira komanso zifukwa zoopsya zokhudzana ndi matenda a eosinophilic esophagitis. Amuna amawoneka kuti amakhala oposa 3 kuposa amayi kuti akhale ndi EoE ndipo amapezeka ana, achikulire, komanso akuluakulu. Zidandaulo zambiri zomwe anthu ali nazo pakufuna chithandizo ndizo:
- Kuvuta kumeza (dysphagia)
- Kuthamangitsani
- Kudzikuza
Kodi Kutupa kwa Aclux Kungayambitse Kutentha Kwambiri kwa Eosinophilic?
Maganizo oyambirira omwe analipo pafupi ndi matenda a eosinophilic epopitis anali ndi kuwonongeka kwa chiwopsezo choyambitsa GERD kapena asidi reflux kuchokera m'mimba kupita m'mimba.
Asidi amatha kuwononga chigawo cha mimba ndipo amalola kuti tizilombo toyambitsa matenda tiwonongeke. Sizinapitirire pakati pa zaka za m'ma 1990 pamene njirayi inayamba kutayidwa. GERD sichikhulupiliranso kukhala chifukwa cha EoE.
Zinthu Zowopsa M'dziko
Zomwe zapangitsa kuti zamoyo ziwonongeke ndizofunikira kuti zithetsere matenda osokoneza bongo.
Cholinga cha izi ndi chimodzimodzi ndi zizindikiro za chilengedwe zomwe zimakhudzana ndi matenda a mphumu ndi kutupa kwa khungu. Zikuganiziridwa kuti kusawona mokwanira mabakiteriya ndi tizilombo tina tiyambe m'moyo kungakhale chifukwa chachikulu cha EoE. Mavuto omwe angachepetse ana ku mabakiteriya oyenerera ndi awa:
- Gawo la Kaisara motsatira zobereka
- Kubadwa msinkhu
- Kufunika koyambirira kwa maantibayotiki paunyamata
- Kudyetsa chakudya ndi mawere
- Kukhala m'dera lochepa la anthu
Panthawi yomwe mayi ali ndi mimba, mwana wanu amatha kukhala m'mimba mwachisawawa (chikhulupiliro chofala, koma kutsutsana pang'ono pa izi) kapenanso kuchepa kwa mabakiteriya. Pa nthawi yobereka, mwana wanu amadziwika ndi mabakiteriya omwe angoyamba kumene kuti akule bwino mabakiteriya omwe ali m'mimba. Kuwonekera uku sikuchitika panthawi yamaseŵera. Ndikofunika kuzindikira kuti pali zifukwa zambiri zokhala ndi gawo lachisokonezo komanso njira yoyenera yoberekera kukambilana ndi dokotala wanu.
Zoopsa Zachibadwa
Kafufuzidwe ka majeremusi ndi malo opitiliza kuphunzira. Malinga ndi zovuta zokhudzana ndi matenda opatsirana, palinso zinthu zambiri zoti tiganizire poyenderana ndi majini. Pali maphunziro omwe amachititsa kuti chiopsezo chokhala ndi EoE chikhale chachikulu ngati mbale kapena kholo ali ndi matendawa.
Pafupifupi mabanja awiri pa 100 ali ndi chiwopsezo cha banja, ngakhale kuti zachilengedwe zinawoneka kukhala ndi mgwirizano wamphamvu. Izi zikutanthauza kuti chiwopsezo cha banja chikhoza kukhala chogwirizana ndi zowonongeka zomwe zalembedwa pamwambapa.
Komabe, palinso kafukufuku amene apeza majeremusi omwe amakhudza chitetezo cha mthupi lanu chomwe chingakuchititseni kuti mukhale ndi matenda osokoneza bongo:
- Kuwonongeka kwapopera
- Kutentha kwakukulu kosavuta
- Kutupa kosatha
Kuwonongeka kwa malo ochepa kwambiri kumathandiza kuti anthu ambiri azitha kulandira mankhwala osokoneza bongo. Kutupa kwakukulu kokhudzana ndi matenda osokoneza bongo kumapanga mphete zozungulira pakati pa mphetezo.
Kumeneko kumawakhalanso ndi madzi omwe amatha kutuluka m'matumbo chifukwa cha kutupa, kotchedwa exudate. Zakale, kapena zosapsa, kutupa kumapeto kumabweretsa fibrosis, kapena kuphulika kapena kupweteka kumene kumapangitsa kuti phokoso likhale lochepa. Fibrosis ndi chimodzi mwa zifukwa zomwe mungakhalire ndi chakudya chokwanira ngati muli ndi EoE.
Zoopsa za Allergen
Imodzi mwazidzidzidzi zomwe zimayambitsa chiopsezo cha chitukuko cha eosinophilic isophagitis ndi chifuwa cha zakudya. Mukakhala ndi zakudya zowonjezera, ENT yanu ikhoza kukuthandizani pa kasamalidwe ka zakudya za zizindikiro zanu. Zakudya zomwe zimagwirizanitsidwa ndi EoE ndizo:
- Zakudya za mkaka
- Mazira
- Soy
- Tirigu
Kuchepetsa chilengedwe kumathandizanso pa chitukuko cha EoE. Zomwe zimayambitsa chiopsezo cha chilengedwe zimaphatikizapo zovuta ku:
- Mafumbi
- Dander wanyama
- Nyongolotsi
- Mitengo
Mutha kuwona kuti zizindikiro zanu za EoE zimakhala zoipitsitsa panthawi yambiri yapamadzi. Mutha kuona munthu wotsutsa kuti apitirize kuyeserera kuti afotokoze mitsempha yonse yomwe ingakhale ikuipitsa zizindikiro zanu. Ngati muli ndi zizindikiro zoopsa za EoE chifukwa cha zowonjezera zachilengedwe, nkofunika kuyesa kuchotsa zoterezi kuchokera kunyumba kwanu .
Zotsatira:
American Academy of Allergy Chifuwa & Immunology. (2015). Eosinophilic Esophagitis (EoE).
Furuta, GT, & Katzka, DA (2015). Ososinophilic Esophagitis. N Engl J Med. 373: 1640-1648. onetsani: 10.1056 / NEJMra1502863.
Kapel, RC, Miller, JK, Torres, C., Aksoy, S., Lash, R. & Katzka, DA (2008). Matenda osokoneza bongo: matenda ofala ku United States omwe amakhudza mitundu yonse ya anthu. Gastroenterology. 134 (5): 1316-21. lembani: 10.1053 / j.gastro.2008.02.016.
Neu, J. & Rushing, J. (2011). Kafukufuku wa Kaisara ndi Kugonjetsa kwa Vaginal: Zotsatira zazing'ono zazing'ono ndi Hygiene Hypothesis. Clin Perinatol. 38 (2): 321-331. lembani: 10.1016 / j.clp.2011.03.008.