Environmental, Genetic, ne-Allergic Factors
I-eosinophilic esophagitis, noma i-EoE, yayivame ukubhekwa njengesifo esingavamile. Kodwa-ke, ngezindlela ezingcono zokuhlola nokuqonda kangcono umehluko phakathi kwe-GERD ne-EoE , manje sekubhekwa njengesifo esivamile sezingane kanye nabantu abadala abanezinkinga zokugwinya. Akucaci ukuthi ukusabalala kwe-EoE kuyanda noma sesivele siqaphele kakhulu i-eosinophilic esophagitis.
I-eosinophilic esophagitis itholakala ngokuthola i-biopsy ye-esophagus nokubona ama-eosinophil angu-15 ngaphansi kwe-microscope yensiza ephezulu. Ama-eosinophils amangqamuzana egazi amhlophe (ingxenye yesistimu yethu yegciwane lengculazi) engase ihlotshaniswe nokuvuvukala futhi ehlobene nemithi. Ukuqonda kwe-EoE ekuqaleni kwakuhamba kancane, ngoba kwakuhlotshaniswa nesinye isimo se-reflux isifo futhi siphathwa kuphela nge-proton-pump inhibitors (uhlobo lwemithi ye-reflux isifo), njenge-Prilosec.
Ukuqhathaniswa Nezimpawu
Kukhona ucwaningo oluqhubekayo oluzosiza ekunqumeni kangcono kokubili ukusabalalisa kanye nezici eziyingozi ezihlobene ne-eosinophilic esophagitis. Amadoda abonakala abe namathuba angaphezu kuka-3 kunabesifazane ukuba babe ne-EoE futhi bangatholakala ezinganeni, kubantu abadala, nakubantu abadala. Izikhalazo ezivame kakhulu ukuthi abantu abanakho uma befuna ukwelashwa yizi:
- Kunzima ukugwinya (dysphagia)
- Ukuguquka kwenhliziyo
- Ukuzithoba
Ingabe I-Acid Can Acusxause Eosinophilic Esophagitis?
Imicabango yokuqala eyayizungezile ngenxa ye-eosinophilic esophagitis yayihlanganisa umonakalo we-esophagus obangelwa i- GERD noma i- reflux ye-asidi kusukela esiswini kuya endaweni.
I-asidi ingalimaza ububanzi bendawo futhi ivumele ama-eosinophil ukuba ahlasele. Akuzange kube phakathi neminyaka ka-1990 lapho le ndlela iqala ukukhishwa. I-GERD ayisakholwa ukuthi iyimbangela ye-EoE.
Izingozi Zezemvelo
Izimo zemvelo ziye zabonakala njengento engenzeka ekutholeni i-eosinophilic esophagitis.
Isizathu salokhu sifana nezingozi zemvelo ezihambisana nezifo zesikhumba nesifo sokuvuvukala. Kucatshangwa ukuthi ukungabi nokutholakala ngokwanele kuma-bacterium nezinye izifo ezincane ekuqaleni kokuphila kungaba yisisekelo esiyinhloko se-EoE. Izimo ezingahle zilinganise izinsana ezingeni elifanele lama-bacterium zihlanganisa:
- Isigaba se-Caesarea ngokulethwa kwesisu
- Ukuzalwa kwangaphambi kwesikhathi
- Isidingo sokuqala sama-antibiotic ngesikhathi sokusana
- I-Formula-fed vs isondlo
- Ukuhlala endaweni ephansi yabantu
Phakathi nenkathi yokukhulelwa, ingane yakho isifo esisinyumba (inkolelo evamile, kodwa ingxabano encane ngalokhu) noma ukuvezwa okuncane kakhulu kubhaktheriya. Ngesikhathi sokubeletha kwesisu, ingane yakho iyavezwa kuma-bacteria okuzosebenza njengesiqalo sokuqala ekuthuthukiseni amabhaktheriya efanele emathunjini. Lokhu kuvezwa akukwenzeki ngesikhathi se-cearean. Kubalulekile ukuqaphela ukuthi kunezizathu eziningi ezinhle zokuba nesigaba sokugcina kanye nendlela efanele yokulethwa kwezidingo kufanele kukhulunywe ngayo nesibhedlela sakho.
Izisusa Zezifo Zomzimba
Ucwaningo lwezofuzo luyinkinga yokufunda eqhubeka njalo. Ngokuphathelene ne-eosinophilic esophagitis, kunezinto eziningana okufanele zicatshangelwe ngokuphathelene nezakhi zofuzo. Kunezifundo ezibonisa ingozi enobumnene ekwenzeni i-EoE uma ingane noma umzali enesifo.
Imindeni engaba ngu-2 kwengu-100 yayinengozi yomndeni, nakuba kubonakala sengathi izinto ezibonakalayo zemvelo zinokubambisana okukhulu. Lokhu kusho ukuthi ingozi yomndeni kungenzeka ukuthi ihlotshaniswe nezimo zemvelo ezibalwe ngenhla.
Kodwa-ke, kukhona ucwaningo oluye lwabona izakhi zofuzo ezithinta ukuphendula komzimba wakho komzimba ongakunqanda ukuba uthole i-eosinophilic esophagitis:
- Ukukhubazeka emgqeni wokulinganisa
- Ukuvuvukala okubangelwa yi-allergen
- Ukuvuvukala okungapheli
Ukukhubazeka emgqeni wokugcoba kuvumela ukunyuswa kwe-eosinophil ekuqasheni lapho kutholakala izifo. Ukuvuvukala okunamandla okuhlobene ne-eosinophilic esophagitis kudala izindandatho eziyindilinga ngamathanga phakathi kwamasongo.
Lapho kubuye kube nomswakama ovuza ngenxa yezicubu ngenxa yokuvuvukala okuthiwa i-exudate. Isikhathi eside, noma esingapheliyo, ukuvuvukala ekugcineni kuholela ku-fibrosis, noma ukuqina noma ukukhwabanisa okunciphisa isisu. I-Fibrosis ingenye yezizathu zokuthi kungani ungase ube nokudla okunamandla lapho unayo i-EoE.
Izimo Zengozi Yonke i-Allergen
Enye yezinto ezisemqoka ezibangelwa ingozi yokuthuthukiswa kwesifo se-eosinophilic isophagitis isifo sokudla. Ezimweni zokudla okunomsoco, i-ENT yakho ingakusiza ekulawulweni kokudla kwezimpawu zakho. Ukudla okuvamile okuhlotshaniswa ne-EoE kufaka:
- Imikhiqizo yobisi
- I-egg
- Soy
- Ngokolweni
Ukuphefumula kwemvelo kungasiza futhi ekuthuthukiseni i-EoE. Izimo ezivamile zemvelo zengozi zihlanganisa ukungezwani komzimba:
- Izibungu ezinothuli
- I-dander yezilwane
- Impova
- Izibungu
Ungabona ukuthi izimpawu zakho ze-EoE ziba zimbi nakakhulu ngezikhathi zokubalwa kwamapollen. Ungabona i-allergen ukuze uthole ukuhlolwa okuqhubekayo ukuze ucacise ukushisa okungahle kube kubi kakhulu izimpawu zakho. Uma unezifo eziphuthumayo ze-EEE ngenxa yezifo eziphilayo, kubalulekile ukuzama ukususa lezi zifo ezivela ekhaya lakho .
Imithombo:
I-American Academy Yokuguqulwa Kwesifo Sokuzivocavoca Ne-Immunology. (2015). I-Eosinophilic Esophagitis (EoE).
Furuta, GT, & Katzka, DA (2015). I-Eosinophilic Esophagitis. N Engl J Med. 373: 1640-1648. i-doi: 10.1056 / NEJMra1502863.
Kapel, RC, Miller, JK, Torres, C., Aksoy, S., uLash, R. & Katzka, DA (2008). I-eosinophilic esophagitis: isifo esivame kakhulu e-United States esithinta wonke amaqembu. I-Gastroenterology. 134 (5): 1316-21. doi: 10.1053 / j.gastro.2008.02.016.
Neu, J. & Rushing, J. (2011). Ukuhlinzekwa kwe-Caesarean vs. Delivery Vaginal: Imiphumela yesikhathi eside yenkinga kanye ne-Hygiene Hypothesis. I-Clin Perinatol. 38 (2): 321-331. i-doi: 10.1016 / j.clp.2011.03.008.