He aha te Eosinophilic Esophagitis? Tohutohu, Take, me te Maimoatanga
Created at:1/16/2025
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Ko te eosinophilic esophagitis he mate roa e pā ana ki tō pūnaha mate e pā ana ki te pupuhi o tō esophagus, te pūkaha e kawe ana i te kai i tō waha ki tō kopu. Ka puta mai tenei ina nui rawa nga eosinophils (he momo pūtau toto ma) e hanga ana i te papanga o te esophagus, ka pupuhi, ka mamae.
Āta whakaarohia he whakautu nui rawa atu tēnei nō tō tinana ki ētahi kai, ki ētahi rākau rānei o te taiao. Ahakoa ka raru pea tēnei āhuatanga i te wā e whakamātauhia ana koe, ka taea te whakahaere me te tika o te maimoatanga me te huringa kai.
He aha ngā tohu o te eosinophilic esophagitis?
Ko ngā tohu e pā ana ki a koe e whakawhirinaki ana ki tō tau, engari ko te pupuhi katoa e whakaiti ana i tō esophagus, ka iti ake te ngawari.
Ko ēnei ngā tohu e kitea ana e ngā tāngata pakeke:
- Te mau o te kai i roto i tō korokoro, i tō uma rānei (e kiia nei ko te kī o te kai)
- Te raruraru ki te horomia ngā kai pakeke
- Te mamae o te uma, ina koa i muri i te kai
- Te ngakau wera e kore e whakautu ki ngā rongoā reflux waikawa
- Te whakahoki mai o te kai kaore i konatū
- Te ngaro o te taumaha mai i te karo i ētahi kai
Ko ngā tamariki me ngā taitamariki e whakaatu pinepine ana i ngā tohu rerekē ka ngāwari ake te ngaro. Ka pā pea ki a rātou te ruaki pinepine, te mamae o te kopu, te whakakahore rānei i te kai i ētahi kai kaore e taea te whakamārama he aha.
Ko ēnei ngā tohu noa i roto i ngā tāngata kōhungahunga:
- Te iti o te pikinga o te taumaha, te whakaroa rānei o te tipu
- Te ruaki, ina koa i muri i ngā kai
- Te mamae o te kopu, te mamae rānei o te uma
- Te whakakahore i te kai, te tino whiriwhiri rānei ki te kai
- Te mare o te kōhū, te wheezing rānei
- Ngā raruraru moe nā te kore ngāwari
Ka puta mā te wā ēnei tohu i roto i ngā marama, i ngā tau rānei, koia te take i whakarereke ai te nuinga o te iwi i ō rātou tikanga kai kaore i te mohio he he.
He aha ngā take o te eosinophilic esophagitis?
Ka puta mai tēnei āhuatanga ina whakatau he te pūnaha mate o tō tinana ki ētahi mea hei mate, ka tono i ngā eosinophils ki te whawhai ki a rātou i roto i tō esophagus. Ko te take tika e rereke ana i te tangata ki te tangata, engari ko ngā kai mate pāwera te hunga hara noa.
Ko ēnei ngā take matua:
- Ngā mate pāwera kai, ngā ngoikoretanga rānei (inā koa te miraka, ngā hua manu, te witi, te soya, ngā pīnati, me te kai moana)
- Ngā mate pāwera taiao penei i te paura, ngā mites puehu, te huruhuru kararehe rānei
- Ngā take ira e tino pāwera ai koe
- Ētahi atu āhuatanga pāwera penei i te mate huango, te eczema rānei
Ko te mea e whakawehi ana i tēnei āhuatanga ko te kore e hiahia ana koe ki te whai i ngā tohu pāwera marama ki ēnei whakaohooho. Ka whakautu pea tō tinana ki ngā kai e kai pinepine ana koe kaore e puta ngā tohu pāwera noa penei i ngā hives, te uaua rānei ki te manawa.
Ko ētahi take onge ka uru atu ki ētahi rongoā, ngā mate, ngā āhuatanga autoimmune rānei. Heoi, ko ēnei he iti rawa te nui o ngā take i te whakataurite ki ngā kai me ngā whakaohooho taiao.
Nōhea te haere ki te taote mō te eosinophilic esophagitis?
Me whakapiri atu koe ki tō taote ki te kore e taea e koe te horomia te kai, ki te mau rānei te kai i roto i tō korokoro. Kaua e wareware ki ēnei tohu, ina koa ki te pā ana ki tō kaha ki te kai ngāwari.
Rapua te awhina hauora i te wa poto ki te pā atu koe ki:
- Te kai e ārai katoa ana i tō esophagus, e kore e heke iho
- Te mamae nui o te uma e kore e pai ake
- Te kore e taea te horomia ngā wai
- Te ngaro nui o te taumaha
- Te ruaki tonu i ngā tamariki
Ahakoa ngāwari ana ngā tohu, he mea tika te kōrero ki tō kaiwhakarato hauora. Ko te whakamātautau me te maimoatanga wawe ka taea te aukati i ngā raruraru, ka awhina i a koe ki te pupuri i te kai pai me te kounga o te ora.
He aha ngā take morearea mō te eosinophilic esophagitis?
Ko ētahi take ka tino pāwera koe ki tēnei āhuatanga, ahakoa ko te whai i ēnei take morearea kaore e whakamana ka whiwhi koe. Ko te mārama ki tō morearea ka taea te awhina i a koe me tō taote ki te titiro atu ki ngā tohu wawe.
Ko ēnei ngā take morearea tino nui:
- Ko te tane (e toru te nui o ngā tāne i te wāhi atu i ngā wāhine)
- Te whai i ētahi atu āhuatanga pāwera penei i te mate huango, te eczema, ngā mate pāwera kai rānei
- Te hītori whānau o te eosinophilic esophagitis, ngā mate pāwera rānei
- Te noho i ngā wāhi he nui te paura, ngā mate pāwera taiao rānei
- Ko te iwi Pākehā
- Te tau (ka taea te whanake i tetahi tau engari e whakamātauhia ana i ngā tamariki me ngā taitamariki)
Ko te whai i ēnei take morearea he tikanga noa ka whakaaro pea tō taote ki tēnei āhuatanga ki te puta mai ngā raruraru horomia. Ko te nuinga o te iwi he maha ngā take morearea kaore e whanake i te āhuatanga, engari ko ētahi atu kaore he take morearea e kitea ana.
He aha ngā raruraru pea o te eosinophilic esophagitis?
Ki te kore e maimoatia, ka taea e te pupuhi roa te arahi ki ngā huringa i roto i te hanganga o tō esophagus e kaha ake ai te raruraru o te kai. Ko te rongo pai ko ēnei raruraru ka puta mā te wā, ka taea te aukati me te maimoatanga tika.
Ko ēnei ngā raruraru noa ka pā atu ki a koe:
- Ngā strictures esophageal (te whakaiti o te esophagus)
- Ngā mowhiti esophageal (ngā potae porowhita o te kiko e whakaiti ana i te pūkaha)
- Te kī o te kai e hiahia ana ki te tango atu i te wa poto
- Te kore kai pai mai i te karo i ngā kai uaua ki te horomia
- Te ngaro o te taumaha me te iti o te tipu i ngā tamariki
Ko ngā raruraru iti ake, engari nui ake te kino ka uru atu ki te perforation esophageal (he pakaru i te pakitara esophagus), ahakoa he onge rawa tenei. Ko ētahi atu ka whanake i ngā pānga hinengaro mai i te manukanuka tonu mo te kai me ngā ahuatanga pāpori e pā ana ki te kai.
Ko te mea nui kia mahara ko te maimoatanga tika, ka taea e te nuinga o te iwi te aukati katoa i ēnei raruraru. Ahakoa kua puta mai etahi huringa hanganga, ka taea e te maimoatanga te whakapai ake i ō tohu.
Me pēhea te whakamātautau i te eosinophilic esophagitis?
Ko te whakamātautau e hiahia ana ki te whakakotahitanga o tō hītori tohu me te mahi e kiia nei ko te endoscopy o runga me te biopsy. Ka hiahia tuatahi tō taote ki te mārama ki ō tohu, ki te whakakore rānei i ētahi atu āhuatanga e taea ai te puta mai ngā raruraru rite.
Ko te tukanga whakamātautau e whakauru pinepine ana ki:
- Te hītori hauora taipitopito mō ō tohu me ngā mate pāwera whānau
- Te endoscopy o runga ki te titiro ki roto i tō esophagus
- Te biopsy kiko ki te tatau i ngā eosinophils i raro i te microscope
- Te whakamātautau i ngā rongoā aukati waikawa ki te whakakore i te mate reflux
- Te whakamātautau pāwera ki te kimi i ngā whakaohooho pea
I te wā o te endoscopy, ka kite pea tō taote i ngā huringa tohu penei i ngā mowhiti, ngā furrows, ngā wahi ma rānei i roto i tō esophagus. Heoi, ko te whakamātautau tino ka puta mai i te kimi i te 15 neke atu rānei o ngā eosinophils ia marama nui i roto i ngā tauira biopsy.
I etahi wa ka roa te tukanga whakamātautau na te mea me whakakore e tō taote ētahi atu āhuatanga tuatahi. Ka raru pea tenei, engari ka whakarite kia whiwhi koe i te maimoatanga tika mō tō ahuatanga motuhake.
He aha te maimoatanga mō te eosinophilic esophagitis?
Ko te maimoatanga e aro ana ki te whakaiti i te pupuhi i roto i tō esophagus me te kimi i ō whakaohooho motuhake. Ko te whakaaturanga he tino whaiaro na te mea ko te mea e mahi ana mō tetahi tangata kaore pea e mahi mō tetahi atu.
Ko tō mahere maimoatanga pea ka whakauru ki:
- Ngā kai whakakore ki te kimi i ngā kai whakaohooho
- Ngā corticosteroids topical (e horomia ana kaore i te manawa)
- Ngā inhibitors pump proton ki te whakaiti i te hanga waikawa
- Ngā rongoā biological mō ngā take kino
- Te whakarahi esophageal mō te whakaiti o te hanganga
Ko te whakaaturanga tuatahi noa ko te rongoā kai, ka mahi tahi koe me te kaiwhakaako kai ki te tango me te whakahoki mai i ngā kai. Ko te kai whakakore kai ono-kai e tango ana i te miraka, ngā hua manu, te witi, te soya, ngā pīnati, me te kai moana i te timatanga.
Ka tino whai hua ngā rongoā. Ko ngā steroids topical e horomia ana e koe e awhina ana ki te whakaiti i te pupuhi tika i te wāhi e hiahiatia ana. Kāore i rite ki ngā steroids waha, he iti ake ngā pānga o ēnei na te mea ka mahi tika rātou i roto i tō esophagus.
Mō ngā take onge kaore e whakautu ki ngā maimoatanga noa, ka whakaaro pea tō taote ki ngā rongoā biological hou ake, ki ngā herenga kai whānui ake rānei. Ko te whāinga tonu ko te kimi i te whakaaturanga iti rawa e pupuri ana i ō tohu.
Me pēhea te whakahaere i te eosinophilic esophagitis i te kāinga?
Ko te whakahaere i tēnei āhuatanga i te kāinga e whakauru ana ki te hanga i ngā huringa whakaaro ki te pēhea me te aha e kai ana koe. Ka taea e ēnei whakarereketanga te whakapai ake i tō ngāwari me te aukati i ngā raruraru i waenga i ngā maimoatanga hauora.
Ko ēnei ngā rautaki awhina:
- Te kai i ngā kai iti ake, te maha atu rānei
- Te ngau pai i te kai me te kai mā te wā roa
- Te inu i te wai maha me ngā kai
- Te karo i ngā kai e whakaohooho ana i ō tohu
- Te pupuri i te puka kai ki te aroturuki i ngā whakautu
- Te whai i ngā taapiri kai wai
I te whakamahi i ngā kai, arotahi ki ngā hanganga ngawari ake ka ngāwari ake te horomia. Ko ngā tikanga tunu penei i te braising, te kohua, te tunu mā te wā roa ka taea te whakamahi i ngā kai.
He mea nui hoki te whakahaere i ngā whakaohooho taiao ki te pā ana ki a koe. Ka āhei pea tenei te whakamahi i ngā purifiers hau, te whakahaere i ngā mites puehu i roto i tō moenga, te wā rānei o ngā mahi i waho ki te karo i ngā rā he nui te paura.
Me pēhea te whakarite mō tō hui taote?
Ko te haere ki tō hui whakarite ka awhina i tō taote ki te mārama pai ake ki tō ahuatanga, ki te whakawhanake rānei i te mahere maimoatanga tino whai hua. Tangohia etahi wā i mua i tō haerenga ki te whakarite i ō whakaaro me te kohikohi i ngā korero tika.
I mua i tō hui:
- Tuhia ō tohu katoa me te wā e puta mai ai
- Rārangihia ngā kai e whakaaro ana koe ka whakaohooho i ngā raruraru
- Kawe mai he rārangi o ngā rongoā me ngā taapiri katoa e inu ana koe
- Tātaihia tō hītori whānau o ngā mate pāwera, ngā āhuatanga rite rānei
- Whakaritea ngā pātai mō ngā whiringa maimoatanga
Pupurihia he puka tohu mo te iti rawa i te wiki i mua i tō haerenga ki te taea. Tuhia te mea i kai koe, te wā e puta mai ai ngā tohu, me te nui o te kino. Ka tino whai hua ēnei korero mō tō taote.
Kaua e whakaroa ki te kawe mai i te mema whānau, i te hoa rānei mō te tautoko, ina koa ki te manukanuka ana koe ki te hui. Ka taea e rātou te awhina i a koe ki te mahara ki ngā korero nui me ngā pātai i hiahia koe ki te ui.
He aha te mea nui mō te eosinophilic esophagitis?
Ko te eosinophilic esophagitis he āhuatanga roa e taea te whakahaere e whakautu pai ana ki te maimoatanga ina whakamātautau tika. Ahakoa ka pā nui pea ki tō kai me te kounga o te ora, ka kite te nuinga o te iwi i te whakaora nui me te whakakotahitanga tika o ngā huringa kai me te rongoā hauora.
Ko te mea nui kia mahara ko tēnei āhuatanga kaore i te mate kino, ka taea e koe te ako ki te whakahaere pai. Ko te mahi tata atu ki tō rōpū hauora, tae atu ki ngā allergists me ngā kaiwhakaako kai, ka hoatu ki a koe te tupono pai ki te kimi i ō whakaohooho me te kimi i ngā maimoatanga e mahi ana.
Me te whakahaere tika, ka taea e te nuinga o te iwi e whai ana i te eosinophilic esophagitis te kai i te kai rerekē me te whakauru katoa ki ngā mahi pāpori e pā ana ki te kai. Ko te matua ko te manawanui i te wā o te whakamātautau me te maimoatanga, na te mea ko te kimi i te whakaaturanga tika mō tō ahuatanga motuhake ka roa.
Ngā pātai e ui pinepinetia ana mō te eosinophilic esophagitis
Ka taea te whakaora i te eosinophilic esophagitis?
I tēnei wā, kaore he rongoā mō te eosinophilic esophagitis, engari ka taea te whakahaere pai. Ko te nuinga o te iwi e whiwhi ana i te mana tohu pai me ngā huringa kai, ngā rongoā rānei, ngā mea e rua rānei. Ko tēnei āhuatanga e hiahia ana ki te whakahaere tonu, engari ko te nuinga o te iwi e ora ana i te ora noa, te mahi rānei me te maimoatanga tika.
He rite te eosinophilic esophagitis ki te reflux waikawa?
Kāo, he rerekē ngā āhuatanga, ahakoa ka taea e rāua te puta mai ngā tohu rite. Ko te reflux waikawa e whakauru ana ki te waikawa kopu e hoki ana ki te esophagus, ko te eosinophilic esophagitis ia e puta ana i te pupuhi pāwera. Heoi, ko ētahi atu ka taea te whai i ngā āhuatanga e rua i te wā kotahi, koia te take he mea nui te whakamātautau tika.
Me karo tonu au i ngā kai?
Kāore pea. Ahakoa ko ētahi e hiahia ana ki te karo tonu i ētahi kai whakaohooho, ka taea e ētahi atu te whakahoki mai i ngā kai i muri i te whakahaere i ō rātou pupuhi. Ka mahi tahi tō taote me tō kaiwhakaako kai ki a koe ki te kimi i te kai iti rawa e pupuri ana i ō tohu.
Ka taea e ngā tamariki te tipu ake i te eosinophilic esophagitis?
Ko ētahi tamariki ka kite i te whakapai ake, te whakakore rānei i ngā tohu i te wā e pakeke ana, engari kāore i te whakamana. Ka taea te mau tonu te āhuatanga ki te pakeketanga, engari ko te maimoatanga wawe e arahi pinepine ana ki ngā hua pai ake i te wā roa. He mea nui te whai i te whai wāhi tonu ki tō taote tamariki ki te aroturuki i ō rātou ahuatanga.
Me pehea te maha o ngā endoscopies whai wāhi ka hiahia ahau?
E whakawhirinaki ana tenei ki ō tohu me te whakautu maimoatanga. I te timatanga, ka hiahia pea koe ki ngā endoscopies i ia toru marama ki te aroturuki i te whai hua o te maimoatanga. Kia pumau tō āhuatanga, ko te nuinga o te iwi e hiahia ana i ia tau, ki te huri nui rānei ngā tohu. Ka whakatau tō taote i te kaupapa tika mō tō ahuatanga.