Esophagitis kuzvimba nekutsamwa, kunonzi kuzvimba, kwezvinyama zvinopfuvura esophagus. Chubhu refu, inogona kubendera, ine kamera pamusoro, inonzi endoscope, inogona kushandiswa kuona mukati meesophagus. Mufananidzo uyu weendoscopic we eosinophilic esophagitis unoratidza zvidzitiro zvakatsamwa zve tishu isina kujairika inobva pakuvhiringidzika kuri kuenderera mberi. Izvi zvinozivikanwa se esophageal rings.
Eosinophilic esophagitis (e-o-sin-o-FILL-ik uh-sof-uh-JIE-tis) chirwere chema immune system chinogara kwenguva refu. Nerwere urwu, rudzi rwe sero jena reruoko, rinonzi eosinophil, rinoumbwa mukati mechubhu inobatanidza muromo wako nesimba rako. Iyi chubhu inonziwo esophagus. Kuwanda uku, kuri kuita semhinduro kune zvekudya, zvinhu zvinokonzera allergies kana acid reflux, kunogona kuzvimba kana kukuvadza tishu ye esophagus. Tishu ye esophagus yakakuvadzwa inogona kukonzera kuoma kumeza kana kuita kuti chikafu chimire kana ukameza.
Eosinophilic esophagitis yakazivikanwa kubva pakutanga kwemakore ekuma 90, asi ikozvino inofungwa sechinokonzera chirwere che digestive system. Kutsvagisa kuri kuenderera mberi uye zvinogona kutungamira pakugadziridzwa kwekuongororwa nekurapwa kwe eosinophilic esophagitis.
Zviratidzo nezviratidzo zvinosanganisira: Vakuru: Kuomera kukwata, kunonziwo dysphagia Chikafu chikabatwa mu esophagus mushure mekukwata, kunonziwo impaction Kurwadziwa kwepfupa iyo kazhinji iri pakati uye haipindure kune antacids Kudzokera kwechikafu chisinganyatsokwata, kunonziwo regurgitation Vana: Kuomera kukupa chikafu, muvana vacheche Kuomera kudya, muvana Kurutsa Kurwadziwa kwemudumbu Kuomera kukwata, kunonziwo dysphagia Chikafu chikabatwa mu esophagus mushure mekukwata, kunonziwo impaction Hapana kupindura kumishonga yeGERD Kukundikana kukura, kusanganisira kukura kusina kunaka, kushomeka kwezvinovaka muviri nekudzikira kweuremu Tsvaka rubatsiro rwekurapa nekukurumidza kana iwe uchinge uine kurwadziwa kwepfupa, kunyanya kana iwe uinewo kushomeka kwekufema kana kurwadziwa kwemuromo kana ruoko. Izvi zvinogona kuva zviratidzo zvekurwisa kwemoyo. Rongai nguva yekushanya nachiremba wenyu kana iwe uchinge uine zviratidzo zvakakomba kana kazhinji zve eosinophilic esophagitis. Kana iwe uchitora mishonga isina kuraira kwechirwere chetsoka kupfuura kaviri pasvondo, ona chiremba wako.
Tsvaka rubatsiro rwekurapa nekukurumidza kana iwe uchinge uine kurwadziwa kwepfupa, kunyanya kana iwe uinewo kufema kwenguva pfupi kana kurwadziwa kwemuromo kana kurwadziwa kwemutsipa. Izvi zvinogona kuva zviratidzo zvekurwisa kwemoyo. Rongai nguva yekushanya nachiremba wenyu kana iwe uchinge uine zviratidzo zvakakomba kana kazhinji zve eosinophilic esophagitis. Kana iwe uchitora mishonga isina kuraira kwechirwere chetsoka kupfuura kaviri pavhiki, ona chiremba wenyu.
Eosinophils rudzi rwema cell machena eropa anowanikwa munzira yako yekudya. Zvisinei, mu eosinophilic esophagitis, une chirwere chekuzvara chinokonzerwa nezvinhu zviri kunze. Chirwere ichi chinogona kuitika seizvi:
Kwave kuwedzera kwakanyanya kwevanhu vakawanikwa vane eosinophilic esophagitis mumakore gumi apfuura. Pakutanga, vatsvakurudzi vaifunga kuti izvi zvakakonzerwa nekuwedzera kwekuziva pakati pevanachiremba uye kuwanikwa kwakawanda kwe bvunzo. Zvisinei, zvidzidzo zvino zvinoratidza kuti chirwere ichi chiri kuwedzera kuwanda, pamwe chete nekuwedzera kwe asthma neallergies.
Zvinotevera zvinokonzera ngozi zvakabatana ne eosinophilic esophagitis:
Mukati mevamwe vanhu, eosinophilic esophagitis inogona kukonzera zvinotevera:
Endoscopy Wedzera mufananidzo Vhara Endoscopy Endoscopy Panguva ye upper endoscopy, mushandi wehutano anoisa chubhu duku, inotsvedza ine chiedza nekamera pasi petsoka uye mukati meesophagus. Kamera diki inopa maonero e esophagus, mudumbu uye kutanga kweura duku, kunonzi duodenum. Mutirongeri wehutano achafunga zviratidzo zvako nemhedzisiro yekuyedza kuti aone eosinophilic esophagitis. Izvi zvichaisanganisira kuona kana une gastroesophageal reflux disease (GERD). Kuongororwa kwe eosinophilic esophagitis kunosanganisira: Upper endoscopy. Mutirongeri wako achashandisa chubhu refu, yakatetepa (endoscope) ine chiedza nekamera diki ozoiisa mumuromo wako pasi peesophagus. Lining ye esophagus yako ichaongororwa kuti ione kuzvimba nekukura, zvidzitiro zvakafanana, ma grooves akamira, kuomarara (strictures), uye mavara machena. Vamwe vanhu vane eosinophilic esophagitis vachava ne esophagus inotaridzika zvakajairika. Biopsy. Panguva ye endoscopy, biopsy ye esophagus yako ichaitwa. Biopsy inosanganisira kutora chidimbu chiduku che tishu. Zvikamu zvakawanda zve tishu zvinogona kutora kubva ku esophagus yako wozoongororwa pasi pe microscope ye eosinophils. Kuongororwa kweropa. Kana eosinophilic esophagitis ichifungidzirwa, unogona kuita mimwe miedzo yekusimbisa chirwere. Aya miedzo inotsvaga mavambo ekuita kwako kwetsvina, zvinonziwo allergens. Unogona kupihwa bvunzo yeropa kuti uone huwandu hwakakwira kupfuura hwe eosinophil kana huwandu hwe immunoglobulin E, huchiratidza allergy. Esophageal sponge. Iyi bvunzo inoitirwa muhofisi yemupi wehutano. Inosanganisira kunwa kapusuru yakabatana nechinguva. Kapusuru ichaparara mudumbu rako woburitsa sponge iyo mupi achaiburitsa mumuromo wako nechinguva. Sezvo sponge ichibudiswa, icha sampura tishu dzeesophagus. Izvi zvinoita kuti mupi wako azive huwandu hwekuzvimba mu esophagus yako pasina endoscopy. Kutarisirwa paMayo Clinic Timu yedu inokoshesa ye Mayo Clinic nyanzvi inogona kukubatsira nezvinetso zvako zvehutano zvine chekuita ne eosinophilic esophagitis Tanga pano Rumwe ruzivo Kutarisirwa kwe eosinophilic esophagitis paMayo Clinic Kuongororwa kwepfumbu re allergy Upper endoscopy
'Eosinophilic esophagitis inofungidzirwa kuva chirwere chinodzokazveka nguva dzose, zvinoreva kuti vanhu vakawanda vachada kurapwa kunoramba kuripo kuti vagadzirise zviratidzo zvavo. Kurapwa kuchabatsira chimwe kana zvinopfuura izvi: Kurapa kwechikafu Zvichienderana nekubvumirana kwako nemiedzo yezvinhu zvinokonzera allergies, mushandi wako wehutano anogona kukurudzira kuti urege kudya zvimwe zvekudya. Kubvisa zvimwe zvekudya, sekudya mukaka kana zvigadzirwa zvegorosi, kunogona kubatsira kudzikisa zviratidzo uye kuderedza kuzvimba. Dzimwe nguva, zvinogona kukurudzirwa kuti umhande zvakanyanya kudya kwako. Mishonga Proton pump inhibitor (PPI). Mupi wako achakurumidza kunyora mushonga unodzivirira asidhi senge PPI. Kurapwa uku kuri nyore kushandisa, asi zviratidzo zvevanhu vazhinji hazvivandudzeki. Steroid yepamusoro. Kana iwe usingapindure kuPPI, mupi wako anozokupa steroid, senge fluticasone kana budesonide. Iyi steroid iri mumvura inonwika kurapa eosinophilic esophagitis. Rudzi urwu rwe steroid haruna kunyura muropa, saka hazvibviri kuti uve nezvinhu zvakaipa zvinowanzoenderana ne steroids. Monoclonal antibodies. Food and Drug Administration (FDA) ichangobva kubvuma dupilumab (Dupixent) kurapa vakuru nevana vane makore gumi nemaviri nekupfuura vane eosinophilic esophagitis. Dupilumab rudzi rwemushonga unozivikanwa se monoclonal antibody. Inoshanda kudzivirira basa remaprotein muviri anokonzera kuzvimba. Dupilumab inopiwa vhiki nevhiki nejekiseni. Kuwedzera Kana iwe ukawana kuomarara kwakanyanya, kunozivikanwa se stricture, ye esophagus yako, mupi wako anogona kukurudzira kuwedzera. Kuwedzera, kunonziwo kuwedzera, kunogona kubatsira kuita kuti kunwa kuve nyore. Kuwedzera kunogona kushandiswa kana steroids dzisingabatsiri. Kana kuwedzera kunogona kuva sarudzo yekudzivirira kushandiswa kwemishonga nguva dzose. Kumbira musangano Pane dambudziko neruzivo rwunoratidzwa pazasi uye tumira fomu. Tora ruzivo rwehutano rwakakwana kubva kuMayo Clinic rwunotumirwa mubhokisi rako re email. Nyorera mahara uye gamuchira gwara rako rakazara reNguva. Dzvanya pano kuti uwane email preview. Kero ye email Chikanganiso Munda we email unoda Chikanganiso Isa kero ye email yakakwana Kero 1 Nyorera Dzidza zvakawanda nezvekushandisa kweMayo Clinic data. Kuti tikupe ruzivo rwakakodzera uye runobatsira, uye kunzwisisa kuti ruzivo rwupi runobatsira, tinogona kusanganisa email yako uye ruzivo rwekushandisa webhusaiti neruzivo rwedu rwakawanda pamusoro pako. Kana uri murwere weMayo Clinic, izvi zvinogona kusanganisira ruzivo rwehutano rwakachengetedzwa. Kana tikasanganisa ruzivo urwu neruzivo rwako rwehutano rwakachengetedzwa, tichafambisa ruzivo urwo rwose seruzivo rwakachengetedzwa uye tichashandisa kana kuzarura ruzivo urwu sezvakataurwa mune zvatinozivisa nezve tsika dzekuchengetedza. Unogona kusarudza kubva pakutaurirana kwe email chero nguva nekudzvanya pane unyore link iri mu email. Ndatenda nekubhalisa Gwara rako rakazara rehutano hwekudigestion richave mubhokisi rako re email munguva pfupi. Uchagamuchirawo email kubva kuMayo Clinic pane nhau dzehutano dzichangobva kuitika, tsvakiridzo, nekutarisirwa. Kana iwe usingagamuchire email yedu mukati memaminitsi mashanu, tarisa folda yako yeSPAM, wobva watibata pane [email protected]. Zvinosuruvarisa chimwe chinhu chakashata nekunyorera kwako Ndokumbirawo, edza zvakare mushure memaminitsi mashoma Edza zvakare'
Kana uchifunga kuti une eosinophilic esophagitis, ungangotanga nekuona mushandi wehutano hwako wemazuva ose. Mupi wako wehutano angakurudzira kuti uone nyanzvi yekurapa zvirwere zvekudiridzira (gastroenterologist) kana allergist. Nekuti nguva dzekugara nachiremba dzinogona kunge pfupi, uye nekuda kwekunge kazhinji pane zvakawanda zvekukurukura, zvakakosha kugadzirira zvakanaka. Heano mamwe mashoko anokubatsira kugadzirira, uye zvaunofanira kutarisira. Zvaunogona kuita Iva nechokwadi chechirevo chero chipi zvacho chekutanga. Panguva yauinayo mukana, bvunza kana paine chimwe chinhu chaunofanira kuita usati wasvika, sekudzora kudya kwako. Uya nemigumisiro yekuongorora. Kana uri kuona nyanzvi itsva mushure mekuita endoscopy kubva kune mumwe mupi wehutano, uya nemhedzisiro newe. Nyora zviratidzo zvese zvaunonzwa, kusanganisira chero zvingaita sekusina hukama nechinangwa chawakagadzira mukana. Nyora ruzivo rwakakosha rwega, kusanganisira kushushikana kukuru kana kuchinja kweupenyu munguva pfupi yapfuura. Gadzira runyorwa rwemishonga yese, mavhitaminzi kana zvinowedzerwa zvaunotora. Funga kutora nhengo yemhuri kana shamwari newe. Dzimwe nguva zvinogona kuoma kunzwisisa ruzivo rwose runopiwa panguva yekugara nachiremba. Munhu anokufambidzana naye angayeuka chimwe chinhu chawakapotsa kana kukanganwa. Nyora mibvunzo yekubvunza mupi wako wehutano. Nguva yako yekugara nachiremba yakaganhurirwa, saka kugadzirira runyorwa rwemibvunzo kunogona kukubatsira kuwana zvakanyanya kubva mariri. Kune eosinophilic esophagitis, mimwe mibvunzo yekubvunza inosanganisira: Chii chinokonzera zviratidzo zvangu? Ndeapi marudzi ekuongorora andinoda? Ndoda endoscopy here? Mamirire angu ane ngozi here kana kuti arambe aripo? Ndeipi nzira yakanakisa yekutevera? Ndeapi mamwe maitiro ekutanga kwauri kuratidza? Ndine mamwe mamirire ehutano. Ndingazviita sei zvakanaka pamwe chete? Pane chero miganho yandinofanira kutevera? Ndinofanira kuona nyanzvi here? Zvichaita marii? Pane imwe mishonga isina mutengo wakakwirira kumushonga waunondipa here? Pane mabhurocha kana mamwe mapepa andingatora neni here? Ndeapi mawebsite aunokurudzira? Ndinofanira kugadzira mukana wekutevera here? Kuwedzera kune mibvunzo yawagadzirira, usambofa wakashamisika kubvunza mimwe mibvunzo panguva yekugara kwako nachiremba. Zvaunofanira kutarisira kubva kumudokotera wako Mupi wako wehutano angangokubvunza mibvunzo yakawanda. Kugadzirira kupindura kunogona kubvumira nguva yakawanda gare gare kuvhara zvinhu zvaunoda kutaura. Ndeapi zviratidzo zvako? Wakazviona rini kekutanga? Zvave zvichienderera mberi here kana kuti dzimwe nguva? Zviratidzo zvako zvakakomba sei? Chii, kana chiripo, chinoita sekunatsa zviratidzo zvako? Chii, kana chiripo, chinoita sekunyanya kuipa zviratidzo zvako? Zviratidzo zvako zvinokumutsa usiku here? Zviratidzo zvako zvakanyanya kuipa mushure mekudya kana mushure mekurara pasi? Une dambudziko rekumera here? Wakambonzwa here zvokudya zvichinamatirana paunenge uchimerera? Zvokudya kana zvinhu zvakasviba zvinobuda here kumashure kwomuromo wako? Une kurwadziwa pabendekete kana kurwadziwa mudumbu? Wakamborapwa ne topical steroid kana kudya kwakabviswa chikafu here? Wakawedzera kana kurasikirwa nehuremu here? Une manyoka kana kurutsa here? Zviratidzo zvako zvakanyanya kuipa panguva dzakati dzegore here? Une asthma kana chero chirwere chekufema chinoramba chiripo here? Une chero allergy kune zvokudya kana kune chimwe chinhu munzvimbo yakakukomberedza, sekupora here? Pane munhu wemhuri yako ane allergy here? Wakambomwa antacid kana anti-reflux mishonga here? Mhedzisiro yacho yakanga iri ipi? Kana uri mubereki wemwana mudiki, mupi wehutano angabvunzawo kana mwana wako ane dambudziko rekudyisa kana kuti akaonekwa aine failure to thrive. Na Mayo Clinic Staff
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