Eosinophilic esophagitis

Eosinophilic esophagitis inosanganisira kuwanda kwemasero machena eropa, anonzi eosinophils, mune yekumusoro kwesophagus yako. Iyo esophagus ndiyo chubhu inotakura chikafu kubva pamuromo wako kuenda mudumbu rako. Kuvakwa kwemasero machena eropa kunokonzerwa nekuita kune chikafu, allergens, kana acid Reflux.

Chikonzero chaicho cheeosinophilic esophagitis hachizivikanwe. Zvinotendwa kuti immune immune kune zvimwe zvekudya inotungamira kune kuwanda kweeosinophils. Nekuda kweizvozvo, iyo lining yeiyo esophagus inozvimba uye kupisa.

Vazhinji vanhu vane chirwere ichi vane mhuri kana yavo nhoroondo yehosha kana chirwere. Zvinokonzeresa zvakadai seforoma, mukume, uye guruva mite zvinogona zvakare kuita basa.

Eosinophilic esophagitis inogona kukanganisa vese vana nevakuru.

Zviratidzo muvana zvinosanganisira:

• Matambudziko ekudyisa kana kudya
• Marwadzo emudumbu
• Kusvipa
• Matambudziko kumedza
• Chikafu chinonamira mukati medu
• Kurera huremu kana kurasikirwa uremu, kukura kwakashata, uye kushaya zvinovaka muviri

Zviratidzo muvakuru zvinosanganisira:

• Chikafu chinonamira kana uchimedza (dysphagia)
• Kurwadziwa pachifuva
• Kushungurudza
• Kumusoro kurwadziwa kwepamuviri
• Kudzoka kwechikafu chisina kudzikiswa (kudzokazve)
• Reflux iyo isingaite nani nemushonga

Anopa hutano hwako anotora nhoroondo yakazara uye oongorora bvunzo. Izvi zvinoitwa kuti utarise zvekudya zvekudya uye kutonga kunze mamwe mamiriro, senge gastroesophageal Reflux chirwere (GERD).

Miedzo inogona kuitwa inosanganisira:

• Kuongororwa kweropa
• Allergy ganda bvunzo
• Kumusoro endoscopy
• Biopsy yemukati meguropu

Iko hakuna kurapwa uye hapana chaicho kurapwa kwe eosinophilic esophagitis. Kurapa kunosanganisira kugadzirisa kudya kwako uye kutora mishonga.

Kana iwe ukayedza uine hutano hwechikafu chikafu, iwe unogona kuudzwa kuti udzivise izvo zvekudya. Kana iwe unogona kudzivirira zvese zvekudya zvinozivikanwa kukonzera dambudziko iri. Zvokudya zvakajairika zvekudzivirira zvinosanganisira zvegungwa, mazai, nzungu, soya, gorosi uye mukaka. Allergy kuyedza kunogona kutsvaga chaiko chikafu chekudzivirira.

Proton pump pump inhibitors inogona kubatsira kudzora zviratidzo, asi hazvibatsire dambudziko rinokonzera zviratidzo.

Wako mupi anogona kupa mishonga yemusoro steroid inotorwa nemuromo kana inhaled. Iwe zvakare unogona kutora oral steroids kwenguva pfupi. Misoro steroids haina mimwe mhedzisiro senge steroids yemuromo.

Kana iwe ukava nekudzikira kana kusimba, maitiro ekuvhura kana kuwedzera nzvimbo yacho anogona kudikanwa.

Iwe nemupi wako muchashanda pamwechete kuti muwane chirongwa chekurapa chinoshanda zvakanyanya kwauri.

Mapoka ekutsigira akadai seAmerican Partnerhip yeEosinophilic Dambudziko anogona kukubatsira kuti unzwisise zvakawanda nezve eosinophilic esophagitis. Iwe unogona zvakare kudzidza nzira dzekugadzirisa mamiriro ako uye kutsungirira chirwere.

Eosinophilic esophagitis chirwere chenguva refu (chisingaperi) chinouya uye chinopfuura pamusoro pehupenyu hwomunhu.

Zvinogona kuitika zvinogona kusanganisira:

• Kuderedza kwesophagus (yakasimba)
• Chikafu chinonamira mukati medu (chinowanikwa mune vese vana nevakuru)
• Kuzvimba kwakanyanya uye kutsamwa kwegurokuro

Bata mupi wako kana iwe uine zviratidzo zveeosinophilic esophagitis.

• Esophagus
• Allergy ganda kubaya kana kukwenya bvunzo
• Intradermal allergy bvunzo maitiro

Chen JW, Kao JY. Eosinophilic esophagitis: kugadzirisa pane manejimendi uye nharo. BMJ. 2017; 359: j4482. PMID: 29133286 pubmed.ncbi.nlm.nih.gov/29133286/.

Falk GW, Katzka DA. Zvirwere zvegurokuro. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 129.

Groetch M, Venter C, Skypala I, et al; Eosinophilic Gastrointestinal Dambudziko ReKomiti yeAmerican Academy yeAllergy, Asthma uye Immunology. Kurapa kwekudya uye chikafu chekutarisira eosinophilic esophagitis: mushumo weboka rebasa reAmerican Academy yeAllergy, Asthma, uye Immunology. J Allergy Clin Immunol Dzidzira. 2017; 5 (2): 312-324.e29. PMID: 28283156 pubed.ncbi.nlm.nih.gov/28283156/.

Khan S. Eosinophilic esophagitis, piritsi esophagitis, uye inotapukira esophagitis. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 350.