Eosinophilic esophagitis: ndi chiyani, zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zimayambitsa eosinophilic esophagitis
• Momwe mankhwalawa amachitikira
• 1. Kusamalira zakudya
• 2. Kugwiritsa ntchito mankhwala

Eosinophilic esophagitis ndichinthu chosowa, chosafunikira chomwe chimayambitsa kusungunuka kwa eosinophil mkatikati mwa mimbayo. Ma eosinophil ndi maselo achitetezo amthupi omwe, akakhala ochuluka kwambiri, amatulutsa zinthu zomwe zimayambitsa kutupa komwe kumatha kutulutsa zizindikilo monga kupweteka, kusanza, kutentha pa chifuwa nthawi zonse komanso kuvutika kumeza.

Vutoli limatha kuwonekera msinkhu uliwonse koma limadetsa nkhawa kwambiri ana, chifukwa limatha kuyambitsa kuchepa kwa chakudya, komwe kumatha kuwononga njira yonse yakukula ndi chitukuko.

Ngakhale kulibe mankhwala, eosinophilic esophagitis imatha kuwongoleredwa ndi mankhwala oyenera, omwe amayenera kutsogozedwa ndi gastroenterologist ndi / kapena immunoallergologist ndipo nthawi zambiri imaphatikizapo kusintha kwa zakudya komanso kugwiritsa ntchito mankhwala ena, monga maantacid ndi corticosteroids.

Zizindikiro zazikulu

Zizindikiro za eosinophilic esophagitis zimasiyana mosiyanasiyana kuchokera kwa munthu ndi munthu, makamaka ndi msinkhu. Komabe, zizindikilo zina zomwe zimawoneka kuti ndizofala ndi monga:

• Matenda opweteka m'mimba;
• Kutentha pa chifuwa, nseru ndi kusanza pafupipafupi;
• Zovuta kumeza;
• Chosavuta kuti chakudya chigwere pakhosi;
• Kuwawa kwam'mimba;
• Kuchepetsa chilakolako.

Kuphatikiza apo, kwa ana, chizindikiro china chofunikira kwambiri ndikulephera kunenepa ndikusunga chitukuko chomwe chimaonedwa ngati chabwinobwino.

Popeza zingapo mwa zisonyezozi ndizofanana ndi za gastroesophageal Reflux, ndipo Reflux ndizofala kwambiri, nthawi zambiri zimachitika kuti matenda a eosinophilic esophagitis amayamba kupezeka ngati Reflux. Komabe, mankhwalawa atayamba, zizindikilo sizisintha ndi mankhwala a reflux, omwe amafunikira kuyesedwa mwamphamvu mpaka atapeza matenda a eosinophilic esophagitis.

Momwe mungatsimikizire matendawa

Kuzindikira kwa eosinophilic esophagitis nthawi zonse kumayesedwa ndikuwunika zamankhwala komanso mbiri yazachipatala.Komabe, monga zizindikirazo zikufanana kwambiri ndi za reflux, ndizofala kuti ichi chikhale chithandizo choyamba chamankhwala, chifukwa chake, chithandizo cha Reflux chimayambitsidwa. Komabe, zizindikilo sizikhala bwino pakangoyamba kumene kulandira chithandizo ndipo mayesero ambiri amafunsidwa kuti athetse vuto la reflux ndikufika kuchipatala cholondola.

Mayeso omwe atha kuyitanidwa ndi endoscopy chapamwamba m'mimba, kuyesa magazi komanso kuyesa ziwengo, chifukwa eosinophilic esophagitis nthawi zambiri imakhudza anthu omwe ali ndi mitundu ina ya chifuwa. Onani zambiri zamayeso azowopsa ndi zomwe amapeza.

Zomwe zimayambitsa eosinophilic esophagitis

Zomwe zimayambitsa eosinophilic esophagitis sizidziwika, komabe, popeza vutoli limachitika chifukwa cha kuchuluka kwa ma eosinophil pammero, ndizotheka kuti zimayambitsidwa chifukwa cha kuyankha kwambiri kwa chitetezo cha mthupi kuzinthu zina zosafunikira, makamaka chakudya .

Chifukwa chake, ndipo ngakhale zimatha kuchitika kwa aliyense, eosinophilic esophagitis imafala kwambiri mwa anthu omwe ali kale ndi mitundu ina ya chifuwa monga:

• Rhinitis;
• Mphumu;
• Chikanga;
• Zakudya zovuta.

Eosinophilic esophagitis imakonda kuchitika mwa anthu angapo m'banja lomwelo.

Dziwani zambiri za momwe matenda am'mimba amachitikira muvidiyo yotsatirayi:

Momwe mankhwalawa amachitikira

Kuchiza kwa eosinophilic esophagitis kuyenera kutsogozedwa ndi gastroenterologist ndi / kapena immunoallergologist, koma kuyang'aniridwa ndi katswiri wazakudya kungakhale kofunikira. Izi ndichifukwa choti, pafupifupi nthawi zonse, chithandizo chimachitidwa ndi zakudya zosinthidwa komanso kugwiritsa ntchito mankhwala, kuthana ndi zizolowezi ndikukhala ndi moyo wabwino.

1. Kusamalira zakudya

Kusintha mavutowa nthawi yoyamba ndi njira yoyamba yothandizira anthu omwe ali ndi eosinophilic esophagitis ndipo imaphatikizapo kuchotsa zakudya zomwe zingayambitse chifuwa monga:

• Zogulitsa mkaka;
• Dzira;
• Zakudya zopanda gilateni;
• Soy;
• Zipatso zouma, makamaka mtedza;
• Nkhono.

Zakudya za iwo omwe ali ndi vuto la eosinophilic esophagitis zitha kukhala zopanikiza kwambiri, chifukwa chake, tikulimbikitsidwa kuti tizitsatira katswiri wazakudya kuti tipewe kusowa kwa mavitamini ndi michere.

Nthawi zambiri, limodzi ndi katswiri wazakudya komanso adotolo, ndizotheka kuyesa zakudya zosiyanasiyana, kuwunika zomwe zimawonjezera zizindikilo kapena kuyambitsa kutupa kwam'mero, mpaka zitamveka bwino kuti ndi zakudya ziti zomwe mungapewe ndi zomwe zingadye.

2. Kugwiritsa ntchito mankhwala

Pamodzi ndi kusintha kwa zakudya, adokotala amathanso kukupatsani mankhwala ena othandizira kuchepetsa kutupa komanso kusintha zizindikilo. Ngakhale kulibe mankhwala omwe amavomerezedwa kuti azichiza eosinophilic esophagitis, pali mankhwala omwe amawoneka kuti athandiza kwambiri pakuwongolera zizindikilo monga:

• Proton pump pump inhibitors: kuchepetsa kupanga gastric acid, komwe kumachepetsa kutupa kwa kholingo;
• Corticosteroids: pamiyeso yaying'ono imathandizira kuteteza kutupa kwa kholako.

Kuphatikiza pa izi, mankhwala atsopano akufufuzidwa kuti athandizire kuthana ndi eosinophilic esophagitis, makamaka mankhwala omwe amalonjeza kutseka mapuloteni omwe amachititsa kutupa.