I-esoshagophilic esophagitis

I-eosinophilic esophagitis ibandakanya ukwanda kweeseli ezimhlophe zegazi, ezibizwa ngokuba zii-eosinophil, kuludwe lwe-esophagus yakho. I-esophagus yityhubhu ehambisa ukutya emlonyeni wakho ukuya kwisisu sakho. Ukwakhiwa kweeseli ezimhlophe zegazi kungenxa yokuphendula kukutya, i-allergener, okanye i-acid reflux.

Oyena nobangela we-eosinophilic esophagitis awaziwa. Kukholelwa ukuba ukusabela komzimba ekutyeni okuthile kukhokelela ekwakhiweni kweeosinophil. Ngenxa yoko, ulwelwesi lwe-esophagus luyadumba kwaye ludumbe.

Uninzi lwabantu abanale ngxaki banosapho okanye imbali yobuqu yokugula komzimba kunye nesifuba. Izinto ezinokubangela ukungunda, ipollen kunye nothuli nazo zingadlala indima.

I-Eosinophilic esophagitis inokuchaphazela abantwana kunye nabantu abadala.

Iimpawu kubantwana zibandakanya:

• Iingxaki zokondla okanye ukutya
• Intlungu zesisu
• Ukuhlanza
• Iingxaki zokuginya
• Ukutya kuyaxinga kwi-esophagus
• Ukutyeba ubunzima okanye ukunciphisa umzimba, ukukhula kakubi kunye nokungondleki

Iimpawu kubantu abadala zibandakanya:

• Ukutya kuyabambeka xa uginya (iDysphagia)
• Iintlungu zesifuba
• Isitshisa
• Intlungu ephezulu esiswini
• Ukubuyela umva kokutya okungafunekiyo (ukuphinda ubuye)
• Reflux engangcono ngamayeza

Umboneleli wakho wezempilo uya kuthatha imbali eneenkcukacha kwaye enze uvavanyo lomzimba. Oku kwenziwa ukujonga ukutya kokutya kunye nokulawula ezinye iimeko, ezinje ngesifo se-reflux se-gastroesophageal (GERD).

Uvavanyo olunokwenziwa lunokubandakanya:

• Uvavanyo lwegazi
• Uvavanyo lwesikhumba somzimba
• Endoscopy ephezulu
• I-Biopsy yelining ye-esophagus

Akukho lunyango kwaye akukho lonyango oluthile lwe-eosinophilic esophagitis. Unyango lubandakanya ukulawula ukutya kwakho kunye nokuthatha amayeza.

Ukuba uvavanyelwa ukuba une-aleji yokutya, unokuxelelwa ukuba ukunqande oko kutya. Okanye unokukuphepha konke ukutya okwaziwayo ukubangela le ngxaki. Ukutya okuqhelekileyo ukuthintela kubandakanya ukutya kwaselwandle, amaqanda, amandongomane, isoya, ingqolowa kunye nobisi. Ukuvavanywa kokungafuneki komzimba kunokufumana ukutya okuthile okukuphephe.

Iiproton pump inhibitors zinokunceda ukulawula iimpawu, kodwa azincedi ingxaki ebangela iimpawu.

Umboneleli wakho unokumisela i-steroids yezihloko ezithathwa ngomlomo okanye ziphefumlelwe. Kananjalo ungathatha i-steroids yomlomo okwexeshana. I-steroids yezihloko ayinayo imiphumo efanayo ne-steroids yomlomo.

Ukuba uhlakulela ukunciphisa okanye ukunyanzeliswa, inkqubo yokuvula okanye ukunyusa indawo ingafuneka.

Wena kunye nomboneleli wakho niza kusebenza kunye ukufumana isicwangciso sonyango esisebenza kakuhle kuwe.

Amaqela enkxaso afana neAmerican Partnership for Eosinophilic Disorders anokunceda uqonde ngakumbi malunga ne-eosinophilic esophagitis. Unokufunda iindlela zokulawula imeko yakho kwaye ujongane nesi sifo.

I-Eosinophilic esophagitis sisifo sexesha elide (esingapheliyo) esiza kwaye siqhubeke nobomi bomntu.

Iingxaki ezinokubakho zinokubandakanya:

• Ukunciphisa i-esophagus (isiqinisekiso)
• Ukutya kubambekile kwi-esophagus (eqhelekileyo kubantwana nakubantu abadala)
• Ukudumba okukhulu kunye nokucaphuka komqala

Nxibelelana nomboneleli wakho ukuba uneempawu ze-eosinophilic esophagitis.

• Umqala
• Ukwehla kwesikhumba okanye ukuvavanya okokuqala
• Iziphumo zovavanyo lokungabikho komzimba ngaphakathi

UChen JW, uKao JY. I-eosinophilic esophagitis: uhlaziyo kulawulo nakwimpikiswano. BMJ. Ngo-2017; 359: j4482. IINKCUKACHA: 29133286 pubmed.ncbi.nlm.nih.gov/29133286/.

IFalk GW, Katzka DA. Izifo zomqala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 129.

IGroetch M, iVenter C, iSkypala I, et al; I-Eosinophilic Gastrointestinal Disorder Committee ye-American Academy yeAllergy, i-Asthma kunye ne-Immunology. Unyango lokutya kunye nolawulo lwesondlo se-eosinophilic esophagitis: ingxelo yeqela lomsebenzi weAmerican Academy of Allergy, Asthma, kunye ne-Immunology. J Ikliniki ye-Allergy Pract Immun. Ngo-2017; 5 (2): 312-324.e29. IINKCUKACHA: 28283156 pubmed.ncbi.nlm.nih.gov/28283156/.

UKhan S. Eosinophilic esophagitis, ipilisi yesophagitis, kunye ne-esophagitis echaphazelayo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 350.