Eosinophilic Esophagitis

Ko te esophagitis he pupuhi me te mamae, e kiia ana ko te mumura, o ngā kiko e whakakapi ana i te esophagus. He pūtu e roa ana, he ngawari hoki te whakamahi, kei runga i te kamera, e kiia ana ko te endoscope, ka taea te whakamahi hei tiro i roto i te esophagus. Ko tēnei whakaahua endoscopic o te eosinophilic esophagitis e whakaatu ana i ngā mowhiti mamae o ngā kiko koretake e puta mai ana i te mumura haere tonu. E mohiotia ana enei ko ngā mowhiti esophageal.

Ko te eosinophilic esophagitis (e-o-sin-o-FILL-ik uh-sof-uh-JIE-tis) he mate pūnaha ārai mate roa. Ki tēnei mate, he momo pūtau toto ma, e kiia ana ko te eosinophil, ka hangaia ki te papanga o te pūtu e hono ana i tō waha ki tō kopu. E kiia ana hoki tēnei pūtu ko te esophagus. Ko tēnei hanga, he āhuatanga ki ngā kai, ngā mea pāwera, te rere o te waikawa ranei, ka taea te mumura, te whara ranei i te kiko esophageal. Ka taea e te kiko esophageal i pakaru te uaua ki te horomi, te mau ranei o te kai ina horomi koe.

Kua kitea te eosinophilic esophagitis mai i ngā tau tīmata o te tekau tau atu i 1990, engari e whakaarohia ana inaianei he take nui mō te mate pūnaha kai. Kei te haere tonu te rangahau, ā, ka āhei pea te whakatikatika i te whakatau me te maimoatanga o te eosinophilic esophagitis.

Ngā tohu me ngā tohu whai pānga: Pērā i te pakeke: Te raruraru ki te horomi, e kiia ana hoki ko te dysphagia Te mau i te kai i roto i te esophagus i muri i te horomi, e kiia ana hoki ko te impaction Te mamae o te uma e noho ana i te pokapū, ā, kāo te whakautu ki ngā antacids Te hoki mai o te kai kāore i ngākau, e kiia ana ko te regurgitation Pērā i ngā tamariki: Te raruraru ki te whāngai, i ngā pēpi Te raruraru ki te kai, i ngā tamariki Te ruaki Te mamae o te kopu Te raruraru ki te horomi, e kiia ana hoki ko te dysphagia Te mau i te kai i roto i te esophagus i muri i te horomi, e kiia ana hoki ko te impaction Kāore he whakautu ki te rongoā GERD Te kore e tupu, tae atu ki te ngoikore o te tipu, te kai ngoikore me te ngaro o te taumaha Rapua te awhina hauora tūturu mena ka pāngia koe e te mamae o te uma, ina koa ki te whai koe i te poto o te manawa, te mamae rānei o te kauae, te ringa rānei. Ā, ko ēnei pea ngā tohu o te ngākau. Whakaritea he whakatau ki tō kaiwhakarato hauora mena ka pāngia koe e ngā tohu eosinophilic esophagitis nui, te maha rānei. Mena ka inu koe i ngā rongoā kore-whakahaunga mō te mamae o te ngakau neke atu i te rua i te wiki, tirohia tō kaiwhakarato hauora.

Rapua te tiaki hauora tūturu mena ka pāngia koe e te mamae uma, ā, tino nui atu mēnā kei a koe anō te ngohe o te manawa, te mamae i te kauae, i te ringa rānei. Pea ko ēnei ngā tohu o te ngākau pakaru. Whakatau rātou ki tō kaiwhakarato hauora mena ka pāngia koe e ngā tohu eosinophilic esophagitis nui, te maha rānei. Mēnā ka inu koe i ngā rongoā kore-tūtohu mō te ngakau tahanga neke atu i te rua i te wiki, tirohia tō kaiwhakarato hauora.

Ko ngā eosinophils tētahi momo pūtau toto ma e noho ana i roto i tō pūnaha kai. Heoi, i te mate eosinophilic esophagitis, ka pā te mate pāwera ki tētahi mea kei waho. Ka puta pea te pāwera pēnei:

• Te pānga o te esophagus. Ka pā te paparinga o tō esophagus ki ngā mea pāwera, pēnei i te kai, i te pōrene rānei.
• Te tini o ngā eosinophils. Ka tini ngā eosinophils i roto i tō esophagus ka hanga he pūmua e pā te mumura.
• Te pakaru o te esophagus. Ka taea e te mumura te arahi ki te toka, te whakaiti, me te hanganga o te kiko muka nui i te paparinga o tō esophagus.
• Te dysphagia me te kōpiko. Ka uaua pea te horomi, e kiia nei ko te dysphagia. Ā, ka mau pea te kai ina horomia. E kiia ana tēnei ko te kōpiko.
• Ngā tohu atu. Ka puta pea ētahi atu tohu, pēnei i te mamae o te uma, i te mamae o te puku rānei.

Kua piki haere te maha o te hunga i tōmua te mate eosinophilic esophagitis i ngā tekau tau kua pahure. I te tīmatanga, i whakaaro ngā kairangahau he piki tēnei i te matauranga i roto i ngā kaiwhakarato hauora me te nui ake o ngā whakamātautau. Heoi, kei te whakaatu ngā rangahau inaianei kei te piki haere te mate, me te piki o te mate huango me ngā mate pāwera.

Ko nga take morearea e whai pānga ana ki te mate pāwera eosinophilic:

• Āhuarangi. He nui ake te tūponotanga o te hunga e noho ana i te āhuarangi makariri, maroke ki te tāpaehia me te mate pāwera eosinophilic, i te hunga kei ētahi atu āhuarangi.
• Wā. He nui ake te tūponotanga o te tāpaehia i waenganui i te puna me te ngahuru, pea no te mea he nui ake te taumata o te paura me ētahi atu mea pāwera, ā, he nui ake te tūponotanga o te hunga ki te noho i waho.
• Ira tangata. He maha ake te mate pāwera eosinophilic i roto i ngā kāne i ngā wāhine.
• Hītori whānau. E whakaaro ana ngā kairangahau he mea tukuwhenua pea te mate pāwera eosinophilic, nā te mea ka puta mai te mate i roto i ngā whānau. Ki te pēnei te mate pāwera eosinophilic o ō whānau, he nui ake tō tūponotanga ki te tāpaehia.
• Ngā mate pāwera me te mate huango. Ki te pēnei ō mate pāwera kai, mate pāwera taiao, mate huango, mate kiri atopic, mate manawa roa rānei, he nui ake tō tūponotanga ki te tāpaehia me te mate pāwera eosinophilic.
• Tau. I te tīmatanga, i whakaarohia ko te mate pāwera eosinophilic he mate tamariki, engari inaianei e mohiotia ana he noa i roto i ngā pakeke. He rerekē te tohu i waenganui i ngā tamariki me ngā pakeke.

I etahi tāngata, ka taea e te mate pāwera eosinophilic te arahi ki ēnei mea e whai ake nei:

• Te whākīia me te whakaiti o te esophagus. Ka uaua ai te horomi me te nui ake te tūpono ka mau te kai.
• Te pakaru o te esophagus. Nō te mumura o te esophagus, ka taea e te endoscopy te pakaru, te motu rānei i te kiko e hipoki ana i te esophagus. Ka taea hoki te motu i te hononga ki te ruaki e pā ana ki ētahi tāngata ina mau te kai ki roto i te esophagus.

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Endoscopy Whakawhānuihia te whakaahua Kati Endoscopy Endoscopy I te wā o te endoscopy o runga, ka whakauruhia e te kaimahi hauora he pūtuku tōtika, ngawari e whakapaipai ana i te rāmarama me te kāmera ki raro i te korokoro, ka uru ki te esophagus. Ka whakarato te kamera iti ki te tirohanga o te esophagus, te kopu me te tīmatanga o te whekau iti, e kiia nei ko te duodenum. Ka whakaarohia e tō kaiwhakarato hauora ngā tohu me ngā hua whakamātautau hei whakatau i te mate eosinophilic esophagitis. Ka uru atu tenei ki te whakatau he mate pūngāwerewere gastroesophageal reflux disease (GERD) koe. Ko ngā whakamātautau hei whakatau i te mate eosinophilic esophagitis ko: Endoscopy o runga. Ka whakamahi tō kaiwhakarato i te pūtuku roa, ngawari (endoscope) kei roto he rāmarama me te kamera iti, ka whakauru ki tō waha ki raro i te esophagus. Ka tirotirohia te papanga o tō esophagus mō te mumura me te pupuhi, ngā mowhiti pūtahuri, ngā raina whakatōtika, te whakaiti (strictures), me ngā tohu ma. Ko ētahi o te hunga e pangia ana e te mate eosinophilic esophagitis ka rite tonu te ahua o tō rātou esophagus. Biopsy. I te wā o te endoscopy, ka mahia he biopsy o tō esophagus. Ko te biopsy te tango i te wahi iti o te kiko. Ka tino tangohia ngā tauira kiko maha i tō esophagus, ka tirotirohia i raro i te microscope mō ngā eosinophils. Whakamātautau toto. Ki te whakapaehia te mate eosinophilic esophagitis, ka taea e koe te mahi i ētahi atu whakamātautau hei whakau i te whakatau. Ka rapu ēnei whakamātautau i ngā pūtake o tō mate pāwera, e kiia ana hoki ko ngā allergens. Ka taea e koe te whakamātautau toto hei rapu i ngā tau o ngā eosinophil teitei atu i te noa, i ngā taumata immunoglobulin E katoa rānei, e whakaatu ana i te mate pāwera. Pūngāwerewere esophageal. Ka mahia tēnei whakamātautau i te tari o te kaiwhakarato hauora. Ka uru atu ki te horomi i te kapu e hono ana ki te aho. Ka rewa te kapu ki roto i tō kopu, ka tukuna he pūngāwerewere ka toia e te kaiwhakarato mai i tō waha me te aho. I te toia o te pūngāwerewere, ka tātai i ngā kiko esophageal. Ka taea ai e tō kaiwhakarato te whakatau i te taumata o te mumura i roto i tō esophagus kahore he endoscopy. Ngā tiaki i Mayo Clinic Ka taea e tō tātau roopu manaaki o ngā tohunga Mayo Clinic te āwhina i a koe ki ō whakaaro hauora e pā ana ki te mate eosinophilic esophagitis Tīmata konei Ētahi atu mōhiohio Ngā tiaki eosinophilic esophagitis i Mayo Clinic Ngā whakamātautau kiri mate pāwera Endoscopy o runga

Ko te mate pūngāwerewere eosinophilic e whakaarohia ana he mate whakahokinga roa, arā, ka hiahia te nuinga o te iwi ki te rongoā haere tonu hei whakahaere i ō rātou tohu. Ka whakauru te rongoā i tetahi mea rānei atu i ēnei: Rongoā kai I runga i tō whakautu ki ngā whakamātautau mō ngā mate pāwera kai, ka taea pea e tō kaiwhakarato hauora te tūtohutia kia mutu te kai i ētahi kai. Ko te whakakore i ētahi kai, pēnei i ngā hua miraka, i ngā hua witi rānei, ka āwhina pea ki te whakaora i ngā tohu me te whakaiti i te mumura. I etahi wā, ka taea pea te tūtohutia kia whakaitihia atu tō kai. Rongoā Pūnaha pupuri proton (PPI). Ko tō kaiwhakarato pea te mea tuatahi ka tohu i te aukati waikawa pēnei i te PPI. Ko te rongoā tenei te mea ngāwari ki te whakamahi, engari kāore ngā tohu o te nuinga o te iwi e pai ake. Steroid tūturu. Ki te kore koe e whakautu ki te PPI, ka taea pea e tō kaiwhakarato te tohu i tetahi steroid, pēnei i te fluticasone, i te budesonide rānei. Kei roto i tēnei steroid he wai e horomia ana hei whakaora i te mate pūngāwerewere eosinophilic. Kāore tenei momo steroid e tangohia ki roto i te toto, no reira kāore pea koe e whiwhi i ngā pānga taha noa e hono ana ki ngā steroid. Ngā antibodies monoclonal. I whakaaetia e te Food and Drug Administration (FDA) i te wā tata nei te dupilumab (Dupixent) hei whakaora i ngā pakeke me ngā tamariki 12 tau te pakeke me te mate pūngāwerewere eosinophilic. Ko te Dupilumab he momo rongoā e kiia ana he antibody monoclonal. Ka mahi hei aukati i te mahi a ētahi pūmua i roto i te tinana e puta ai te mumura. Ka hoatu te Dupilumab i ia wiki mā te werohanga. Whānui Ki te pāngia koe e te whakaiti nui, e kiia ana he ngohe, o tō esophagus, ka taea pea e tō kaiwhakarato te tūtohutia te whānui. Ko te whānui, e kiia ana hoki ko te totoro, ka āwhina pea ki te ngāwari ake te horomi. Ka taea pea te whakamahi i te whānui ki te kore e whai hua ngā steroid. Rānei, he kōwhiringa pea te whānui hei karo i te whakamahinga haere tonu o te rongoā. Tono kia whakaritea he whakatau He raru kei te korero i raro nei, me tuku anō te puka. Whiwhi i ngā korero hauora hou mai i te Mayo Clinic e tukuna ana ki tō pouakaroto. Ohauru mō te kore utu, ka whiwhi koe i tō aratohu hohonu ki te wā. Pāwhiri konei mō te tirohanga īmēra. Wāhitau īmēra He hapa Te mara īmēra e hiahiatia ana He hapa Tāpirihia he wāhitau īmēra tika Wāhitau 1 Ohauru Ako atu mō te whakamahinga raraunga a te Mayo Clinic. Hei whakarato i ngā korero tino tika me te whai hua ki a koe, me te mārama ki tehea korero te pai, ka taea pea e mātou te whakakotahi i tō īmēra me ngā korero whakamahinga paetukutuku me ētahi atu korero kei a mātou mōu. Ki te mea he turoro koe a te Mayo Clinic, ka uru pea tenei ki ngā korero hauora tiaki. Ki te whakakotahi mātou i ēnei korero me ō korero hauora tiaki, ka tukatuka mātou i aua korero katoa hei korero hauora tiaki, ā, ka whakamahi noa rānei ka whakapuaki i aua korero pera me te whakaritea i roto i tā mātou panui mō ngā tikanga tūmataiti. Ka taea e koe te whakakore i ngā korero īmēra i tetahi wā mā te pāwhiri i te hono whakakore i roto i te īmēra. Mauruuru mō tō ohauru Ka tae mai tō aratohu hauora pūnaha hohonu ki tō pouakaroto i roto i ngā meneti. Ka whiwhi hoki koe i ngā īmēra mai i te Mayo Clinic mō ngā korero hauora hou, ngā rangahau, me te tiaki. Ki te kore koe e whiwhi i tō īmēra i roto i ngā meneti 5, tirohia tō kōpaki SPAM, katahi ka whakapiri mai ki a mātou i [email protected]. Āe, he hapa te mea i puta ki tō ohauru Tēnā, ngana anō i roto i ngā meneti torutoru Whakamātauria anō

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