Funda indlela yokutshela umehluko phakathi kwalababili
Izimpawu eziningi ezitholwa abantu abanesifo se-reflux ye-gastroesophageal (GERD) kanye ne- eosinophilic esophagitis (EoE) . Ngesikhathi izimpawu zifana, izindlela zokwelashwa zihlukile. Ingabe ungaphathwa kahle nge-GERD? Esinye ukuxilongwa ukuze udokotela wakho abheke ukuthi i-eosinophilic isophagitis.
Izimpawu ezabelwana phakathi kwe-GERD ne-EoE
Okulandelayo luhlu lwezimpawu ezabelwana phakathi kwe-GERD ne-eosinophilic esophagitis:
- isiyaluyalu
- ukuhlanza
- ubuhlungu besisu
- ubuhlungu besifuba
- kunzima ukulala
- ubunzima bokugwinya (dysphagia)
Ukuthola iGERD vs EoE
Ukungafani phakathi kwe-GERD ne-EoE kubonakala ngokubuka i-etiology (imbangela noma umsuka) wezinkinga. Nakuba i-GERD ihlotshaniswa nenkinga ye-reflux, imbangela ayiqondi kahle ku-eosinophilic esophagitis. Kodwa-ke, ucwaningo lubonisa ukuthi izifo ezithathelwanayo futhi izimpendulo zamasosha omzimba zingabangela izimbangela ze-eosinophilic esophagitis. Ngenkathi bekuncatshangwa ukuthi kungavamile, i-EoE ikhula ngokweqile. Lokhu kungenzeka ngenxa yokuqonda okwandisiwe kwalesi sifo nokutholakala kokuhlolwa.
Bobabili i-GERD ne-EoE babe nokubandakanyeka kwe- eosinophils endaweni. Umehluko awutholakali ngempela kuze kube yilapho kuqhutshwa i-biopsy. Inani elincanyana lesishukela esivela kulesisindo lithathwa ngesikhathi senqubo ebizwa ngokuthi i- EGD . Ukusebenzisa insimu ephezulu ene-microscope, inani lama-eosinophil angu-15 kulo lonke uhlangothi lihambisana ne-eosinophilic esophagitis.
Inani lezingxenye ezingaphansi kwezingu-10 ze-eosinophil e-distal (ingxenye engezansi) ye-esophagus iyahambisana ne-GERD.
Umehluko Ukwelashwa kwe-GERD ne-EoE
Enye yezokwelapha okukhethwa ku-GERD ukusetshenziswa kweproton pump inhibitors njengo-Protonix, Prilosec , Prevacid, noma Dexilant . Le mithi, kodwa ayivimbeli izimpawu ezise-eosinophilic esophagitis; i-pH (i-acid-base balance) yesisu ijwayelekile kulezi zimo, ngokungafani ne-pH ehlobene ne-GERD.
Okwamanje akakho imithi evunyelwe ukwelapha isifo se- eosinophilic esophagitis . Kodwa-ke, udokotela wakho angase azame ukusebenzisa i-steroids yama-topical kanye nokuphathwa kokudla kwezimpawu. Kunezinhlobo eziningana zokudla okucatshangwa ukuthi kunciphise ukuvezwa kwe-allergen kulesisindo. Ukudla kuyahluka ngokusho kokudla okufutheka okususwa ekudleni kwakho.
Kucatshangwa ukuthi ngokuqeda ukudla okungukuthi ngisho nokugula okuncane kunciphisa izimpawu. Kuhlale kubalulekile ukubandakanya udokotela wakho lapho wenza izinguquko ezinkulu zokudla, njengoba ukungondleki kungenzeka uma uqeda amaprotheni abalulekile, amavithamini, noma amaminerali ekudleni kwakho. Ukuze unciphise ingozi yokungondleki, cabanga ngokuthola indawo yokudla okufana nokudla okunomsoco.
I-Takeaway ebalulekile
Izimpawu eziningi ezifana ne-GERD zibangelwa yi-GERD. Kungase kube khona abanye abantu abane-GERD abangaphenduli emithini yokwelapha empeleni abanesifo se-eosinophilic esophagitis. I-EOE ivame ukuthola ukuxilongwa okubambezelekile ngoba akuyona into ejwayelekile njenge-GERD futhi izimpawu ziyaqhubeka. I-eosinophilic esophagitis ayibulali futhi ayaziwa ukuthi ibangela umdlavuza. Nokho, ukungondleki kuyinkinga enkulu ngenxa yokuhlupheka ukugwinya noma ukwelashwa ngokuqeda ukudla okuvela ekudleni kwakho.
Imithombo:
Ukubambisana kwe-American for Disorder Eosinophilic. EoE. Kufinyelelwe ngo-12/19/2015 kusuka ku- http://apfed.org/about-ead/egids/eoe/.
Nonevski, IT, Downs-Kelly, E. & Falk, GW (2008). I-eosinophilic esophagitis: Isizathu esicacile sokuthi i-dysphagia, ukuphikisana kokudla, nokukhwabanisa kwenhliziyo. I-Clevland Journal Clinical of Medicine. I-Vol. 75 (9): iphe 623-633. http://www.ccjm.org/content/75/9/623.full]http://www.ccjm.org/content/75/9/623.full.
I-Academy ye-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. I-Fact Sheet: I-reflux ye-Gastroesophageal (GERD). http://www.entnet.org/HealthInformation/WhatIsGERD.cfm.