Ukuqondwa kwe-Eosinophilic Esophagitis: Izimpawu, Izimbangela, Nokwelashwa

I-Eosinophilic esophagitis yisimo esingapheli lapho uhlelo lwakho lokugcina umzimba ukhuluphala khona esibindini sakho, umphunga odlulisa ukudla emlonyeni wakho siye esiswini. Lokhu kwenzeka lapho ama-eosinophils amaningi (uhlobo lweselula elimhlophe legazi) eqokelela ekuqaleni kwesibindini, okwenza lube bukhulu futhi lubhlungu.

Ungacabanga ngakho njengokuphendula okukhulu komzimba wakho ezintweni ezithile zokudla noma izinto ezikwenza ube nomfutho. Nakuba lesi simo singase sizizwe sinzima uma uqala ukuxilongwa, singaphathwa ngendlela efanele yokwelapha nokushintsha kokudla.

Ziyini izimpawu ze-eosinophilic esophagitis?

Izimpawu ozibonayo zincike kakhulu ebudaleni bakho, kodwa zonke zivela ekukhuleni okwenza isibindi sakho sibe lusizi futhi singaguquki. Kubantu abadala, uphawu oluvamile kakhulu ukungakwazi ukugwinya, ikakhulukazi ukudla okuqinile njenginyama noma isinkwa.

Nazi izimpawu abantu abadala abazibona ngokuvamile:

• Ukudla kunamathela ehlombe lakho noma esifubeni (okubizwa ngokuthi ukugwinya ukudla)
• Ukukhuluphala ukugwinya ukudla okuqinile
• Ubuhlungu besifuba, ikakhulukazi ngemva kokudla
• Ukuvuvukala kwesisu okungaphenduli emakhazeni okuvimbela ukukhuluphala kwesisu
• Ukubuyela emuva kokudla okungagayiwe
• Ukulahlekelwa isisindo ngokugwema ukudla okuthile

Abantwana nabantu abasebasha bavame ukubonisa izimpawu ezahlukene ezingase zibe lula ukuziphazamisa. Bangase babe nokuhlanza okuvamile, ubuhlungu besisu, noma nje benqaba ukudla ukudla okuthile ngaphandle kokukwazi ukuchaza ukuthi kungani.

Izimpawu ezivamile kubantu abasebasha zihlanganisa:

• Ukukhula okungekuhle noma ukulibaziseka kokukhula
• Ukuhlanza, ikakhulukazi ngemva kokudla
• Ubuhlungu besisu noma ubuhlungu besifuba
• Ukwenqaba ukudla noma ukukhetha kakhulu ukudla
• Ukuhlanza okungapheli noma ukuphefumula
• Izinkinga zokulala ngenxa yokungakhululeki

Lezi zimpawu zikhula kancane kancane izinyanga noma iminyaka, kungakho abantu abaningi balungisa imikhuba yabo yokudla ngaphandle kokwazi ukuthi kukhona okungalungile. Ungase uzithole uginya ukudla isikhathi eside, uphuze amanzi amaningi ngesikhathi sokudla, noma ugweme izakhiwo ezithile ngokuphelele.

Yini ebangela i-eosinophilic esophagitis?

Lesi simo sikhula lapho uhlelo lwakho lokugcina umzimba luqaphela izinto ezithile njengezingozi futhi luthumela ama-eosinophils ukuthi alwe nazo esibindini sakho. Isizathu esiqondile sihlukahluka kumuntu ngamunye, kodwa izinto ezingabangela ukwanda kokukhuluphala kukudla.

Izimbangela eziyinhloko zihlanganisa:

• Ukudla okubangela ukwanda kokukhuluphala noma ukungazizwa kahle (ikakhulukazi ubisi, amaqanda, isinkwa, i-soy, amantongomane, kanye nezinhlanzi)
• Izinto ezikwenza ube nomfutho ezizungezile njengophuli, izinambuzane, noma izinwele zezilwane
• Izinto ezihlobene nezakhiwo zakho ezokwenza ube nomfutho olukhulu
• Ezinye izimo ezingabangela ukwanda kokukhuluphala njengokuhlanza noma i-eczema

Okwenza lesi simo sibe nzima ukuthi awudingi ukuba nezinkinga ezicacile zokwanda kokukhuluphala kulezi zinto. Umzimba wakho ungase uphendule ekudleni okuvamile okudlayo ngaphandle kokubangela izimpawu ezivamile zokwanda kokukhuluphala njengezimpumputhe noma ukuphefumula okunzima.

Ezinye izimbangela ezingavamile zingase zihlanganise imithi ethile, ukutheleleka, noma izimo zokungasebenzi kahle komzimba. Noma kunjalo, lezi ziyisigamu esincane kakhulu sezimo uma kuqhathaniswa nezinto zokudla nezinto ezikwenza ube nomfutho.

Nini okufanele ubheke udokotela nge-eosinophilic esophagitis?

Kufanele uxhumane nodokotela wakho uma unezinkinga eziqhubekayo zokugwinya noma uma ukudla kuzwakala sengathi kunamathela ehlombe lakho njalo. Lezi zimpawu akufanele ziganeshwe, ikakhulukazi uma zithinta ikhono lakho lokudla ngokunethezeka.

Funani usizo lokuthi udokotela ngokushesha uma uhlangabezana nalokhu:

• Ukudla okuvimba ngokuphelele isibindi sakho futhi kungaphumi
• Ubuhlungu besifuba obukhulu obungaphuli
• Ukungakwazi ukugwinya amanzi
• Ukulahlekelwa isisindo esikhulu
• Ukuhlanza okuqhubekayo kubantwana

Ngisho noma izimpawu zakho zibonakala zingenamandla, kufanele uzixoxe nodokotela wakho. Ukuxilongwa kwasekuqaleni nokwelashwa kungavimbela izinkinga futhi kukusize ugcine ukudla okuhle kanye nekhwalithi yokuphila.

Ziyini izinto ezingenza ube nomfutho olukhulu nge-eosinophilic esophagitis?

Izinto ezithile zenza kube lula ukuthola lesi simo, nakuba ukuba nalezi zinto ezingenza ube nomfutho olukhulu akusho ukuthi uzokuthola. Ukuqonda ingozi yakho kungakusiza wena nodokotela wakho ukuthi niqaphele izimpawu zokuqala.

Izinto eziyinhloko ezingenza ube nomfutho olukhulu zihlanganisa:

• Ukuba owesilisa (amadoda athinteka kathathu kunabesifazane)
• Ukuba nezinye izimo ezingabangela ukwanda kokukhuluphala njengokuhlanza, i-eczema, noma ukudla okubangela ukwanda kokukhuluphala
• Umlando womndeni we-eosinophilic esophagitis noma ezinye izifo ezingabangela ukwanda kokukhuluphala
• Ukuphila ezindaweni ezinophuli olukhulu noma izinto ezikwenza ube nomfutho olukhulu
• Ukuba ngumuntu omhlophe
• Ubudala (kungenzeka kunoma yiliphi izinga kodwa ngokuvamile kuxilongwa kubantwana nabantu abadala abasebasha)

Ukuba nalezi zinto ezingenza ube nomfutho olukhulu kusho nje ukuthi udokotela wakho angase acabange ngalesi simo ngokushesha uma uthola izinkinga zokugwinya. Abantu abaningi abanezinye izinto ezingenza ube nomfutho olukhulu abazutholi lesi simo, kanti abanye abangenazo izinto ezingenza ube nomfutho olukhulu bayazithola.

Ziyini izinkinga ezingase zenzeke nge-eosinophilic esophagitis?

Uma kushiywa kungaphathwa, ukukhuluphala okungapheli kungadala ukushintsha esakhiweni sesibindini sakho okwenza ukudla kube nzima kakhulu. Izindaba ezinhle ukuthi lezi zinkinga zikhula kancane kancane futhi ngokuvamile zingavikeleka ngokwelashwa okuhle.

Izinkinga ezivamile ongahlangabezana nazo zihlanganisa:

• Ukuqina kwesibindini (ukuqina kwesibindini)
• Izingqimba zesibindini (izigqimba zezicubu ezicishe isibindi)
• Ukugwinya ukudla okudinga ukususwa okusheshayo
• Ukudla okunganelisayo ngokugwema ukudla okunzima ukugwinya
• Ukulahlekelwa isisindo nokukhula okungekuhle kubantwana

Izinkinga ezingavamile kodwa ezinzima kakhulu zingase zihlanganise ukuqhekeka kwesibindini (ukuqhekeka odongeni lwesi bindi), nakuba lokhu kuyinto engavamile. Abanye abantu bathuthukisa nemiphumela yezingqondo ngenxa yokukhathazeka okuqhubekayo ngokudla nezimimo zokuxhumana ezihilela ukudla.

Into ebalulekile okumele uyikhumbule ukuthi ngokwelashwa okuhle, abantu abaningi bangavimbela lezi zinkinga ngokuphelele. Ngisho noma kukhona ukushintsha kwesakhiwo okwenzekile kakade, ukwelashwa kuvame ukwenza izimpawu zakho zibe ngcono kakhulu.

I-eosinophilic esophagitis ixilongwa kanjani?

Ukuxilongwa kudinga ukuhlanganiswa komlando wakho wezimpawu nenqubo ebizwa ngokuthi i-upper endoscopy nge-biopsy. Udokotela wakho uzoqala afune ukuqonda izimpawu zakho futhi asuse ezinye izimo ezingabangela izinkinga ezifanayo.

Inqubo yokuxilongwa ngokuvamile ihlanganisa:

1. Umlando wezokwelapha oluqondile mayelana nezimpawu zakho kanye nomlando womndeni wokwanda kokukhuluphala
2. I-upper endoscopy ukubuka ngaphakathi kwesibindini sakho
3. I-tissue biopsy ukubala ama-eosinophils ngaphansi komkhiqizo
4. Ukuzama imithi evikela ukukhuluphala kwesisu ukususa isifo sokubuyela emuva kwesisu
5. Ukuhlolwa kokwanda kokukhuluphala ukuthola izinto ezingabangela ukwanda kokukhuluphala

Ngesikhathi se-endoscopy, udokotela wakho angase abone ukushintsha okuqondile njengezingqimba, imigodi, noma amabala amhlophe esibindini sakho. Noma kunjalo, ukuxilongwa okuqinisekile kuvela ekutholeni ama-eosinophils angu-15 noma ngaphezulu ngaphansi komkhiqizo ezingxenyeni ze-biopsy.

Ngezinye izikhathi inqubo yokuxilongwa ithatha isikhathi ngoba udokotela wakho udinga ukususa ezinye izimo kuqala. Lokhu kungase kuzwakale kukhungathekisa, kodwa kuqinisekisa ukuthi uthola ukwelashwa okulungile esimweni sakho esithile.

Ukuphathwa kwe-eosinophilic esophagitis kuyini?

Ukuphathwa kugxile ekunciphiseni ukukhuluphala esibindini sakho nokubona izinto zakho ezikwenza ube nomfutho olukhulu. Indlela iyenza ngokwezifiso kakhulu ngoba lokho okusebenza komunye umuntu kungase kungasebenzi komunye.

Uhlelo lwakho lokwelapha lungase luhlanganise:

• Ukudla okususayo ukuthola ukudla okubangela ukwanda kokukhuluphala
• Ama-corticosteroids athinta indawo (agwinywa kunokuphefumulelwa)
• Ama-proton pump inhibitors ukunciphisa ukukhiqizwa kwesisu
• Imithi ye-biological yezimo ezinzima
• Ukuqina kwesibindini sokuqina kwesakhiwo

Indlela evamile yokuqala ukwelashwa kokudla, lapho uzosebenza khona nodokotela wokudla ukususa nokubuyisela ukudla ngokuhleliwe. Ukudla okususayo kokudla okuyisithupha kususa ubisi, amaqanda, isinkwa, i-soy, amantongomane, kanye nezinhlanzi ekuqaleni.

Imithi ingasebenza kahle kakhulu. Ama-steroids athinta indawo owagwinyayo asisiza ukunciphisa ukukhuluphala ngqo lapho kudingeka khona. Ngokungafani nama-steroids omdlavuza, lawa anamiphumela emibi emincane ngoba asebenza ngokukhethekile esibindini sakho.

Kwezimo ezingavamile ezingaphenduli ekwelapheni okuvamile, udokotela wakho angase acabange ngezindlela ezintsha ze-biological noma ukunciphisa okukhulu kokudla. Isizathu sihlala ukufuna indlela engathinti kakhulu ehlala ilawula izimpawu zakho.

Indlela yokuphatha i-eosinophilic esophagitis ekhaya?

Ukuphatha lesi simo ekhaya kuhilela ukwenza izinguquko eziqondisiwe endleleni nokudla okuthile okudlayo. Lezi zinguquko zingathuthukisa kakhulu ukunethezeka kwakho futhi zivimbele izinkinga phakathi kokwelashwa kwezokwelapha.

Izindlela eziwusizo zihlanganisa:

• Ukudla ukudla okuncane, okuvamile
• Ukuginya ukudla ngokuphelele nokudla kancane
• Ukuphuza amanzi amaningi ngesikhathi sokudla
• Ukugwema ukudla okubangela izimpawu zakho
• Ukugcina idayari yokudla ukuqapha izimpendulo
• Ukuba nezinsiza zokudla ezingamanzi

Uma ulungiselela ukudla, gxila ezakhiweni ezithambile ezilula ukugwinya. Izindlela zokupheka njengokubilisa, ukubilisa, noma ukupheka kancane zingenza ukudla kube lula. Inyama ehlanganisiwe ngokuvamile ilula kunezingcezu eziphelele.

Kubalulekile futhi ukuphatha izinto ezikwenza ube nomfutho olukhulu uma zikuthinta. Lokhu kungase kusho ukusebenzisa abahlanzi bomoya, ukulawula izinambuzane ezingaphansi kombhede wakho, noma ukuhlela imisebenzi yangaphandle ukugwema izinsuku ezinophuli olukhulu.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukuba ulungile e-aphoyintimenti yakho kusiza udokotela wakho ukuthi aqonde isimo sakho kangcono futhi enze uhlelo lokwelapha oluphumelelayo kakhulu. Thatha isikhathi ngaphambi kokuya kwakho ukuhlela imicabango yakho nokuqoqa ulwazi olufanele.

Ngaphambi kwe-aphoyintimenti yakho:

1. Bhala zonke izimpawu zakho kanye nokuthi zenzeka nini
2. Bala noma yiluphi ukudla ocabanga ukuthi lungase lube yingxaki
3. Letha uhlu lwemithi yonke kanye nezinsiza ozithathayo
4. Qaphela umlando womndeni wokwanda kokukhuluphala noma izimo ezifanayo
5. Lungiselela imibuzo mayelana nezindlela zokwelapha

Gcina idayari yezimpawu okungenani isonto ngaphambi kokuya kwakho uma kungenzeka. Qaphela ukuthi udle ini, izimpawu zenzeke nini, nokuthi zazinzima kangakanani. Lolu lwazi lungaba lubaluleke kakhulu kudo kotela wakho.

Ungangabazi ukuletha ilungu lomndeni noma umngani wokusekela, ikakhulukazi uma uzizwa ukhathazekile nge-aphoyintimenti. Bangakusiza ukuba ukhumbule ulwazi olukhulu nemibuzo ofuna ukuyibuza.

Iyini into ebalulekile mayelana ne-eosinophilic esophagitis?

I-Eosinophilic esophagitis yisimo esingapheli esilawuleka esiphendula kahle ekwelapheni uma sixilongwe kahle. Nakuba ingase ibe nomthelela omkhulu ekudleni kwakho nasekhwalithi yokuphila, abantu abaningi bathola impumuzo enkulu ngokuhlanganiswa okulungile kokushintsha kokudla nokwelashwa kwezokwelapha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi lesi simo asiyona ingozi eyingozi, futhi ungafunda ukuyilawula kahle. Ukusebenzisana eduze neqembu lakho lezokwelapha, kuhlanganise ochwepheshe bokugcina umzimba ukhuluphala nodokotela bokudla, kukunika ithuba elihle kakhulu lokuthola izinto zakho ezikwenza ube nomfutho olukhulu nokufumana ukwelashwa okusebenza.

Ngokuphathwa okuhle, abantu abaningi abane-eosinophilic esophagitis bangadla ukudla okuhlukahlukene futhi bahlanganyele ngokugcwele ezimweni zokuxhumana ezihilela ukudla. Isifiso ukuba nesineke ngesikhathi sokuthola ukuxilongwa nokwelashwa, njengoba ukufumana indlela efanele yesimo sakho esithile kuthatha isikhathi.

Imibuzo evamile mayelana ne-eosinophilic esophagitis

Ingase iphiliswe yini i-eosinophilic esophagitis?

Okwamanje, ayikho impilo ye-eosinophilic esophagitis, kodwa ingaphathwa kahle kakhulu. Abantu abaningi bathola ukulawulwa okuhle kwezimpawu ngokushintsha kokudla, imithi, noma kokubili. Lesi simo sidinga ukuphathwa okuqhubekayo, kodwa abantu abaningi baphila impilo evamile, esebenzayo ngokwelashwa okuhle.

Ingabe i-eosinophilic esophagitis ifana nokubuyela emuva kwesisu?

Cha, lezi yizimo ezahlukene, nakuba zingabangela izimpawu ezifanayo. Ukubuyela emuva kwesisu kuhilela ukubuyela emuva kwesisu esibindini, kanti i-eosinophilic esophagitis ibangelwa ukukhuluphala kokwanda kokukhuluphala. Noma kunjalo, abanye abantu bangaba nazo zombili izimo ngesikhathi esisodwa, kungakho ukuxilongwa okuhle kubalulekile.

Ingabe ngizogwema ukudla phakade?

Akuyona into eqinisekile. Nakuba abanye abantu bedinga ukugwema ukudla okuthile okubangela ukwanda kokukhuluphala phakade, abanye bangabuyisela ukudla ngempumelelo ngemva kokuba ukukhuluphala kwabo kulawulwe. Udokotela wakho nodokotela wokudla bazosebenza nawe ukuthola ukudla okungathinti kakhulu okugcina izimpawu zakho zilawulwa.

Ingabe abantwana bangakhula bephephile i-eosinophilic esophagitis?

Abantwana abanye bayabona ukuthuthuka noma ukuxazululwa kwezimpawu njengoba bekhula, kodwa lokhu akuqinisekisiwe. Lesi simo singaqhubeka siye ebudaleni, kodwa ukwelashwa kwasekuqaleni kuvame ukuletha imiphumela emihle yesikhathi eside. Ukulandelela njalo nodokotela womntanakho kubalulekile ukuqapha intuthuko yabo.

Ngazi kanjani ukulandelela i-endoscopy?

Lokhu kuncike ezimpawu zakho nasekuphenduleni kokwelashwa. Ekuqaleni, ungase udinga i-endoscopy izinyanga ezimbalwa ukuqapha ukusebenza kokwelashwa. Uma isimo sakho siqondile, abantu abaningi badinga kuphela unyaka noma lapho izimpawu zishintsha kakhulu. Udokotela wakho uzokunquma isimiso esifanele sesimo sakho.