He aha ka Eosinophilic Esophagitis? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka eosinophilic esophagitis kahi kūlana maʻi lōʻihi kahi e hoʻoulu ai kou ʻōnaehana pale i ka mumū i loko o kou ʻōpū, ʻo ia ka paipa e lawe ai i ka ʻai mai kou waha a i kou ʻōpū. Hana kēia i ka wā e nui ai nā eosinophils (kahi ʻano o nā keʻena koko keʻokeʻo) i kūkulu ʻia i loko o ka papa o ka ʻōpū, e hoʻoulu ai i ka pehu a me ka huhū.

Hiki iā ʻoe ke noʻonoʻo iā ia ma ke ʻano he pane nui loa o kou kino i kekahi mau meaʻai a i ʻole nā mea hoʻoulu mai ke kaiapuni. ʻOiai hiki i kēia kūlana ke manaʻo nui i ka wā mua o ka hōʻike ʻia ʻana, hiki ke mālama ʻia me ke ala lapaʻau kūpono a me nā hoʻololi meaʻai.

He aha nā hōʻailona o ka eosinophilic esophagitis?

ʻO nā hōʻailona āu e ʻike ai e hilinaʻi nui ana i kou makahiki, akā, mai ka mumū a pau lākou e hoʻoliʻiliʻi ai i kou ʻōpū a emi iho ka palupalu. I nā mākua, ʻo ka hōʻailona maʻamau loa ka pilikia o ka ʻai ʻana, ʻoi aku hoʻi nā meaʻai paʻakikī e like me ka ʻiʻo a i ʻole ka berena.

Eia nā hōʻailona i ʻike pinepine ʻia e nā mākua:

• ʻO ka ʻai e paʻa ana i kou ʻāʻī a i ʻole ka umauma (i kapa ʻia ʻo ka ʻai impaction)
• Pilikia i ka ʻai ʻana i nā meaʻai paʻakikī
• ʻEha umauma, ʻoi aku hoʻi ma hope o ka ʻai ʻana
• Heartburn ʻaʻole pane i nā lāʻau lapaʻau acid reflux
• Hoʻihoʻi ʻana i ka ʻai ʻole i hoʻoheheʻe ʻia
• Pau ke kaupaona mai ka pale ʻana i kekahi mau meaʻai

Hōʻike pinepine nā keiki a me nā ʻōpio i nā hōʻailona ʻokoʻa e maʻalahi ke nānā ʻole ʻia. Hiki iā lākou ke ʻike i ka luaʻi pinepine, ʻeha ʻōpū, a i ʻole ke hōʻole wale nō e ʻai i kekahi mau meaʻai me ka hiki ʻole ke wehewehe i ke kumu.

ʻO nā hōʻailona maʻamau i nā poʻe ʻōpio:

• Lohi ka loaʻa ʻana o ke kaupaona a i ʻole ka ulu ʻana
• Luaʻi, ʻoi aku hoʻi ma hope o nā ʻaina
• ʻEha ʻōpū a i ʻole ʻeha umauma
• Ke hōʻole nei e ʻai a i ʻole ke koho nui loa i ka meaʻai
• Cough maʻi a i ʻole wheezing
• Nā pilikia hiamoe ma muli o ka ʻoluʻolu ʻole

Hoʻomohala mālie kēia mau hōʻailona i nā mahina a i ʻole nā makahiki, ʻo ia ke kumu e hoʻololi ai nā poʻe he nui i kā lākou mau ʻano ʻai ʻana me ka ʻike ʻole ʻana i kahi mea hewa. Hiki iā ʻoe ke ʻike iā ʻoe iho e ʻai lōʻihi ana i ka ʻai, inu nui ana i nā wai me nā ʻaina, a i ʻole ke pale ʻana i kekahi mau ʻano āpau.

He aha nā kumu o ka eosinophilic esophagitis?

Hoʻomohala kēia kūlana i ka wā e ʻike hewa ai kou ʻōnaehana pale i kekahi mau mea e like me nā mea weliweli a hoʻouna aku i nā eosinophils e hakakā iā lākou i loko o kou ʻōpū. ʻO ke kumu pololei e ʻokoʻa ana mai ke kanaka a i ke kanaka, akā ʻo nā meaʻai alergenic nā mea lawehala maʻamau loa.

ʻO nā kumu nui e komo pū ana:

• Nā meaʻai alergenic a i ʻole nā mea maʻi (ʻoi aku ka waiū, nā hua manu, ka palaoa, ka soya, nā pīni, a me nā mea kai)
• Nā mea hoʻoulu mai ke kaiapuni e like me ka pollen, nā mite lepo, a i ʻole ka huluhulu holoholona
• Nā kumu genetic e hoʻolilo iā ʻoe i mea maʻalahi i nā pane alergenic
• Nā kūlana alergenic ʻē aʻe e like me ka asthma a i ʻole ka eczema

ʻO ka mea e paʻakikī ai kēia kūlana ʻaʻole pono ʻoe e loaʻa nā pane alergenic maopopo i kēia mau mea hoʻoulu. Hiki i kou kino ke pane i nā meaʻai āu e ʻai mau ai me ka hoʻoulu ʻole i nā hōʻailona alergenic maʻamau e like me nā hives a i ʻole ka pilikia o ka hanu.

Hiki i kekahi mau kumu kakaikahi ke komo pū me kekahi mau lāʻau lapaʻau, nā maʻi, a i ʻole nā kūlana autoimmune. Eia naʻe, he hapa liʻiliʻi loa kēia mau mea i hoʻohālikelike ʻia i nā mea hoʻoulu meaʻai a me ke kaiapuni.

I ka wā e ʻike ai i ke kauka no ka eosinophilic esophagitis?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe ka pilikia mau i ka ʻai ʻana a i ʻike ʻia ka ʻai e paʻa ana i kou ʻāʻī. ʻAʻole pono e nānā ʻole ʻia kēia mau hōʻailona, ʻoi aku hoʻi inā e hoʻopilikia ana i kou hiki ke ʻai me ka ʻoluʻolu.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i:

• ʻO ka ʻai e pani loa ana i kou ʻōpū a ʻaʻole e iho
• ʻEha umauma nui ʻaʻole e hoʻomaikaʻi
• Hiki ʻole ke ʻai i nā wai
• Pau ke kaupaona nui
• Luaʻi mau i nā keiki

ʻOiai inā he māmā nā hōʻailona, pono ke kūkākūkā me kāu mea mālama ola. Hiki i ka hōʻike mua a me ka lapaʻau ke pale aku i nā pilikia a kōkua iā ʻoe e mālama i ka ʻai maikaʻi a me ke ola maikaʻi.

He aha nā mea pilikia no ka eosinophilic esophagitis?

ʻO kekahi mau mea e hoʻolilo iā ʻoe i mea maʻalahi e loaʻa i kēia kūlana, ʻoiai ʻo ka loaʻa ʻana o kēia mau mea pilikia ʻaʻole e hōʻoiaʻiʻo e loaʻa iā ʻoe ia. Hiki i ka hoʻomaopopo ʻana i kou pilikia ke kōkua iā ʻoe a me kāu kauka e makaʻala no nā hōʻailona mua.

ʻO nā mea pilikia nui loa e komo pū ana:

• Ke kāne (ʻoi aku ka nui o nā kāne ma mua o nā wāhine ma kahi o ʻekolu manawa)
• Loaʻa nā kūlana alergenic ʻē aʻe e like me ka asthma, eczema, a i ʻole nā meaʻai alergenic
• Mōʻaukala ʻohana o ka eosinophilic esophagitis a i ʻole nā maʻi alergenic ʻē aʻe
• Noho ma nā wahi me nā pollen nui a i ʻole nā mea hoʻoulu mai ke kaiapuni
• ʻO ka lāhui Caucasian
• Makahiki (hiki ke hoʻomohala i kēlā me kēia makahiki akā pinepine i hōʻike ʻia i nā keiki a me nā ʻōpio)

ʻO ka loaʻa ʻana o kēia mau mea pilikia ʻo ia wale nō ke manaʻo o kāu kauka e noʻonoʻo koke i kēia kūlana inā loaʻa iā ʻoe nā pilikia ʻai. ʻAʻole loaʻa i nā poʻe he nui me nā mea pilikia he nui ke kūlana, ʻoiai nā poʻe ʻē aʻe me nā mea pilikia ʻike ʻole ʻia.

He aha nā pilikia hiki ke loaʻa o ka eosinophilic esophagitis?

Ke waiho ʻole ʻia, hiki i ka mumū lōʻihi ke alakaʻi i nā hoʻololi i kou ʻōpū e hoʻoliʻiliʻi ai i ka ʻai ʻana. ʻO ka ʻoiaʻiʻo maikaʻi, hoʻomohala mālie kēia mau pilikia a pinepine ʻia e pale ʻia me ka lapaʻau kūpono.

ʻO nā pilikia maʻamau āu e hālāwai ai e komo pū ana:

• Nā strictures esophageal (ka hoʻoliʻiliʻi ʻana o ka ʻōpū)
• Nā apo esophageal (nā kāʻei pōʻai o ka ʻiʻo e hoʻoliʻiliʻi i ka paipa)
• ʻAi impaction e pono ai ka wehe ʻana i ka pilikia
• Malnutrition mai ka pale ʻana i nā meaʻai paʻakikī e ʻai ai
• Pau ke kaupaona a me ka ulu ʻole i nā keiki

ʻOi aku ka liʻiliʻi akā ʻoi aku ka pilikia o nā pilikia e komo pū ana me ka perforation esophageal (ka haehae ʻana i ka paia ʻōpū), ʻoiai he mea kakaikahi loa kēia. Hoʻomohala kekahi poʻe i nā hopena psychological mai ka hopohopo mau e pili ana i ka ʻai ʻana a me nā kūlana pilikanaka e pili ana i ka meaʻai.

ʻO ka mea nui e hoʻomanaʻo ai, me ka lapaʻau kūpono, hiki i ka hapa nui o nā poʻe ke pale aku i kēia mau pilikia āpau. ʻOiai inā ua hana mua ʻia kekahi mau hoʻololi ʻano, hiki i ka lapaʻau ke hoʻomaikaʻi pinepine i kou mau hōʻailona.

Pehea ka hōʻike ʻana o ka eosinophilic esophagitis?

Pono ka hōʻike ʻana i ka hui pū ʻana o kāu mōʻaukala hōʻailona a me kahi kaʻina hana i kapa ʻia ʻo ka endoscopy luna me ka biopsy. Makemake mua kāu kauka e hoʻomaopopo i kou mau hōʻailona a kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i nā pilikia like.

ʻO ke kaʻina hana hōʻike e komo pū ana:

1. Mōʻaukala lapaʻau kikoʻī e pili ana i kou mau hōʻailona a me nā alergenic ʻohana
2. Endoscopy luna e nānā i loko o kou ʻōpū
3. Biopsy ʻiʻo e helu i nā eosinophils ma lalo o ka microscope
4. Hoʻāʻo ʻana i nā lāʻau lapaʻau acid-blocking e kāpae i ka maʻi reflux
5. Hoʻāʻo alergenic e ʻike i nā mea hoʻoulu hiki

I ka wā o ka endoscopy, hiki i kāu kauka ke ʻike i nā hoʻololi ʻano e like me nā apo, nā furrows, a i ʻole nā ​​​​papa keʻokeʻo i loko o kou ʻōpū. Eia naʻe, ʻo ka hōʻike maopopo mai ka loaʻa ʻana o 15 a ʻoi aku paha nā eosinophils no kēlā me kēia kahua mana kiʻekiʻe i nā laʻana biopsy.

I kekahi manawa, lawe ka manawa o ke kaʻina hana hōʻike no ka mea pono kāu kauka e kāpae i nā kūlana ʻē aʻe ma mua. Hiki i kēia ke manaʻo huhū, akā e hōʻoiaʻiʻo ana ʻoe e loaʻa i ka lapaʻau kūpono no kāu kūlana kikoʻī.

He aha ka lapaʻau no ka eosinophilic esophagitis?

ʻO ka lapaʻau e kau nui ana i ka hoʻemi ʻana i ka mumū i loko o kou ʻōpū a me ka ʻike ʻana i kāu mau mea hoʻoulu kikoʻī. He mea pilikino loa ke ala, no ka mea, ʻo ka mea e hana ana no kekahi kanaka ʻaʻole paha e hana no kekahi.

Hiki i kāu papahana lapaʻau ke komo pū me:

• Nā meaʻai hoʻopau e ʻike i nā meaʻai hoʻoulu
• Topical corticosteroids (ʻai ʻia ma mua o ka hanu ʻia)
• Proton pump inhibitors e hoʻemi i ka hana ʻana o ka acid
• Nā lāʻau lapaʻau biological no nā hihia koʻikoʻi
• Hoʻonui ʻana i ka ʻōpū no ka hoʻoliʻiliʻi ʻana o ka ʻano

ʻO ke ala mua maʻamau loa ka lapaʻau meaʻai, kahi āu e hana pū ai me kahi dietitian e wehe a hoʻihoʻi hou i nā meaʻai. Hoʻopau ka ʻeono-meaʻai hoʻopau i ka waiū, nā hua manu, ka palaoa, ka soya, nā pīni, a me nā mea kai i ka hoʻomaka.

Hiki i nā lāʻau lapaʻau ke loaʻa ka hopena maikaʻi loa. Kūkulu nā steroids topical āu e ʻai ai i ka hoʻemi ʻana i ka mumū ma kahi pono e pono ai. ʻAʻole like me nā steroids waha, he emi iki nā hopena ma muli o kā lākou hana kūloko i kou ʻōpū.

No nā hihia kakaikahi ʻaʻole pane i nā lapaʻau maʻamau, hiki i kāu kauka ke noʻonoʻo i nā lapaʻau biological hou a i ʻole nā ​​​​palena meaʻai ākea. ʻO ka pahuhopu mau ka loaʻa ʻana o ke ala liʻiliʻi loa e mālama ai i kou mau hōʻailona.

Pehea e mālama ai i ka eosinophilic esophagitis ma ka home?

ʻO ka mālama ʻana i kēia kūlana ma ka home e komo pū ana i ka hana ʻana i nā hoʻololi noʻonoʻo i ke ʻano a me ka mea āu e ʻai ai. Hiki i kēia mau hoʻololi ke hoʻomaikaʻi nui i kou ʻoluʻolu a pale aku i nā pilikia ma waena o nā lapaʻau lapaʻau.

ʻO nā hoʻolālā kōkua e komo pū ana:

• ʻAi ʻana i nā meaʻai liʻiliʻi, pinepine
• ʻAi pono i ka ʻai a ʻai mālie
• Inu nui i ka wai me nā ʻaina
• Pale aku i nā meaʻai e hoʻoulu i kou mau hōʻailona
• Mālama i kahi puke moʻolelo meaʻai e hahai i nā pane
• Loaʻa nā mea hoʻohui meaʻai wai

Ke hoʻomākaukau nei i nā meaʻai, e kau nui i nā ʻano palupalu e maʻalahi ke ʻai. Hiki i nā ʻano kuke e like me ka braising, steaming, a i ʻole ka kuke mālie ke hoʻolilo i nā meaʻai i ʻoi aku ka palupalu. ʻOi aku ka maʻalahi o nā ʻiʻo lepo ma mua o nā ʻāpana āpau.

He mea nui nō hoʻi ke mālama i nā mea hoʻoulu mai ke kaiapuni inā e hoʻopilikia ana lākou iā ʻoe. Hiki i kēia ke manaʻo i ka hoʻohana ʻana i nā mea hoʻomaʻemaʻe ea, ke kāohi ʻana i nā mite lepo i loko o kou lumi moe, a i ʻole ke hoʻonohonoho ʻana i nā hana ma waho e pale aku i nā lā pollen kiʻekiʻe.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hele ʻana i kāu hālāwai me ka hoʻomākaukau e kōkua i kāu kauka e hoʻomaopopo maikaʻi i kou kūlana a hoʻomohala i ka papahana lapaʻau maikaʻi loa. E lawe i ka manawa ma mua o kāu kipa e hoʻonohonoho i kou mau manaʻo a hōʻiliʻili i ka ʻike pili.

Ma mua o kāu hālāwai:

1. E kākau i kou mau hōʻailona a pau a me ka wā e loaʻa ai
2. E papa inoa i nā meaʻai āu e manaʻo ai e hoʻoulu i nā pilikia
3. E lawe mai i ka papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui āu e lawe ai
4. E hoʻomaopopo i kāu mōʻaukala ʻohana o nā alergenic a i ʻole nā ​​​​kūlana like
5. E hoʻomākaukau i nā nīnau e pili ana i nā koho lapaʻau

E mālama i kahi puke moʻolelo hōʻailona no ka liʻiliʻi o hoʻokahi pule ma mua o kāu kipa inā hiki. E hoʻomaopopo i ka mea āu i ʻai ai, i ka wā e loaʻa ai nā hōʻailona, ​​a pehea ka nui o lākou. Hiki i kēia ʻike ke waiwai loa no kāu kauka.

Mai kānalua e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha no ke kākoʻo, ʻoi aku hoʻi inā ʻoe e manaʻo hopohopo e pili ana i ka hālāwai. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui a me nā nīnau āu i makemake ai e nīnau.

He aha ka mea nui e pili ana i ka eosinophilic esophagitis?

ʻO ka eosinophilic esophagitis kahi kūlana maʻi lōʻihi hiki ke mālama ʻia e pane maikaʻi i ka lapaʻau ke hōʻike pololei ʻia. ʻOiai hiki iā ia ke hoʻopilikia nui i kou ʻai ʻana a me ke ola maikaʻi, ʻike ka hapa nui o nā poʻe i ka hoʻomaha nui me ka hui kūpono o nā hoʻololi meaʻai a me ka lapaʻau lapaʻau.

ʻO ka mea nui loa e hoʻomanaʻo ai ʻaʻole kēia kūlana he mea weliweli i ke ola, a hiki iā ʻoe ke aʻo e mālama pono iā ia. ʻO ka hana pū ʻana me kāu hui mālama ola, e komo pū ana nā allergists a me nā dietitians, e hāʻawi iā ʻoe i ka manawa maikaʻi loa e ʻike i kāu mau mea hoʻoulu a loaʻa nā lapaʻau e hana.

Me ka mālama pono, hiki i nā poʻe he nui me ka eosinophilic esophagitis ke ʻai i kahi meaʻai like ʻole a komo piha i nā hana pilikanaka e pili ana i ka meaʻai. ʻO ke kī ka hoʻomanawanui i ka wā o ke kaʻina hana hōʻike a me ka lapaʻau, ʻoiai ʻo ka loaʻa ʻana o ke ala kūpono no kāu kūlana kikoʻī e lawe i ka manawa.

Nā nīnau pinepine e pili ana i ka eosinophilic esophagitis

Hiki ke ho'ōla ʻia ka eosinophilic esophagitis?

I kēia manawa, ʻaʻohe hoʻōla no ka eosinophilic esophagitis, akā hiki ke mālama ʻia me ka maikaʻi loa. Loaʻa i ka hapa nui o nā poʻe ka mālama maikaʻi o nā hōʻailona me nā hoʻololi meaʻai, nā lāʻau lapaʻau, a i ʻole nā ​​​​mea ʻelua. Pono ka kūlana i ka mālama mau, akā nui nā poʻe e ola ana i ke ola maʻamau, ʻoihana me ka lapaʻau kūpono.

Ua like anei ka eosinophilic esophagitis me ka acid reflux?

ʻAʻole, he mau kūlana ʻokoʻa kēia, ʻoiai hiki iā lākou ke hoʻoulu i nā hōʻailona like. ʻO ka acid reflux e komo pū ana me ka acid ʻōpū e hoʻi i loko o ka ʻōpū, ʻoiai ʻo ka eosinophilic esophagitis i hoʻoulu ʻia e ka mumū alergenic. Eia naʻe, hiki i kekahi poʻe ke loaʻa nā kūlana ʻelua i ka manawa like, ʻo ia ke kumu e pono ai ka hōʻike pololei.

Pono anei au e pale aku i nā meaʻai mau loa?

ʻAʻole pono. ʻOiai pono kekahi poʻe e pale mau i kekahi mau meaʻai hoʻoulu, hiki i nā poʻe ʻē aʻe ke hoʻihoʻi hou i nā meaʻai ma hope o ka mālama ʻia ʻana o kā lākou mumū. E hana pū kāu kauka a me ka dietitian me ʻoe e loaʻa i ka meaʻai liʻiliʻi loa e mālama ai i kou mau hōʻailona.

Hiki i nā keiki ke ulu aku i ka eosinophilic esophagitis?

ʻIke kekahi mau keiki i ka hoʻomaikaʻi a i ʻole ka hoʻonā ʻana o nā hōʻailona i ka wā e ulu ai lākou, akā ʻaʻole kēia i hōʻoia ʻia. Hiki i ke kūlana ke hoʻomau i ka wā mākua, akā ke alakaʻi pinepine ka lapaʻau mua i nā hopena lōʻihi maikaʻi. He mea nui ka hahai mau ʻana me ke kauka o kāu keiki e nānā i kā lākou holomua.

Pehea pinepine wau e pono ai i nā endoscopies hahai?

E hilinaʻi kēia i kou mau hōʻailona a me ka pane lapaʻau. I ka hoʻomaka, pono paha ʻoe i nā endoscopies i kēlā me kēia mau mahina e nānā i ka hopena lapaʻau. Ke kūpaʻa kāu kūlana, pono wale nō ka nui o nā poʻe i kēlā me kēia makahiki a i ʻole i ka wā e loli nui ai nā hōʻailona. E hoʻoholo kāu kauka i ka papa manawa kūpono no kāu kūlana.