Eosinophilic esophagitis

Hoʻopili ʻo Eosinophilic esophagitis i kahi kūkulu ʻana o nā hunaola keʻokeʻo, i kapa ʻia ʻo eosinophil, i ka pale o kou esophagus. ʻO ka esophagus ka paipu e lawe i ka meaʻai mai kou waha a hiki i kou ʻōpū. ʻO ke kūkulu ʻia ʻana o nā hunaola keokeo ma muli o ka hopena o nā meaʻai, nā mea āpau āpau, a me nā reflux waikawa.

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka esophagitis eosinophilic. Manaʻo ʻia he hopena immune i kekahi mau meaʻai e alakaʻi ai i ka buildup o eosinophils. A ʻo kahi hopena, pehu a pehu ka pale o ka esophagus.

ʻO ka hapa nui o ka poʻe me kēia maʻi he ʻohana a i ʻole moʻolelo pilikino o nā maʻi āpau a me ka hānō. Hoʻokumu pū paha nā mea hoʻonāuki e like me ka pala, pollen, a me nā ʻehu lepo.

Hiki i ka esophagitis Eosinophilic ke hoʻopili i nā keiki a me nā mākua.

ʻO nā ʻōuli i nā keiki me:

• Nā pilikia e hānai a ʻai ʻana paha
• Abdominal eha
• ʻO ka luaʻi
• Pilikia i ka ale ʻana
• Paʻa ka meaʻai i ka esophagus
• ʻO ka loaʻa ʻole o ke kaumaha a me ka pohō kaumaha, ka ulu maikaʻi ʻole, a me ka hōʻemi kino ʻole

Nā ʻōuli i nā mākua:

• Paʻa ka meaʻai i ka wā e ale (disphagia)
• ʻEha ʻeha
• Puʻuwai puʻuwai
• ʻEha o ka ʻōpū o luna
• Backflow o undigested ʻai (regurgitation)
• Reflux ʻaʻole maikaʻi maikaʻi me ka lāʻau

E lawe kāu kauka olakino i kahi mōʻaukala kikoʻī a hana i kahi hoʻokolohua kino. Hana ʻia kēia e nānā no nā maʻi āpau o ka meaʻai a hoʻopau i nā kūlana ʻē aʻe, e like me ka maʻi reflux gastroesophageal (GERD).

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā hoʻāʻo koko
• Hōʻike ʻili alergi
• Palapala hope kiʻekiʻe
• ʻO Biopsy o ka uhi o ka esophagus

ʻAʻohe lāʻau lapaʻau a ʻaʻohe mālama pilikino no ka esophagitis eosinophilic. Hoʻopili ka mālama ʻana i ka mālama ʻana i kāu papaʻai a me ka lawe ʻana i nā lāʻau.

Inā hōʻoia ʻoe i ka maikaʻi no nā meaʻai āpau o ka meaʻai, ʻōlelo ʻia ʻoe e hōʻalo i kēlā mau meaʻai. A i ʻole pale paha ʻoe i nā meaʻai āpau e ʻike ʻia e hoʻomaka ai kēia pilikia. ʻO nā meaʻai maʻamau e kāpae i ka iʻa iʻa, nā hua, nā lau, ka soy, ka palaoa, a me ka waiū. ʻIke paha ka hoʻowalewale maʻi i nā meaʻai kikoʻī e hōʻalo.

Hiki i nā mea hōʻoki proton pump ke kōkua i ka mālama ʻana i nā ʻōuli, akā ʻaʻole kōkua lākou i ka pilikia e hoʻomaka ana i nā ʻōuli.

Kauoha paha kāu mea hāʻawi i nā steroid topical i lawe waha ʻia a i ʻole hanu ʻia. Hiki iā ʻoe ke lawe i nā steroid oral no kekahi manawa pōkole. ʻAʻohe o nā hopena ʻaoʻao e like me nā steroid oral.

Inā hoʻomohala ʻoe i ka huina a i ʻole nā ​​koʻikoʻi, kahi hana e wehe a ākea ai paha kahi e pono ai.

E hana pū ʻoe a me kāu mea lawelawe e ʻike i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe.

Hiki i nā hui kākoʻo e like me ʻAmelika Hui Pū ʻIa no nā maʻi Eosinophilic ke kōkua iā ʻoe e ʻike hou aʻe e pili ana i ka eosinophilic esophagitis. Hiki iā ʻoe ke aʻo i nā ala e mālama ai i kāu kūlana a kū i ka maʻi.

ʻO ka esophagitis ʻo Eosinophilic kahi maʻi lōʻihi (maʻi mau) e hiki mai ana a hala i ke ola o ke kanaka.

Hiki i nā pilikia hiki ke hoʻopili ʻia:

• Pahu o ka esophagus (kahi koʻikoʻi)
• Hoʻopili ka meaʻai i ka esophagus (maʻa mau i nā keiki a me nā mākua)
• ʻO ka ʻōhū nui a me ka huhū o ka esophagus

Kāhea aku i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o eosinophilic esophagitis.

• ʻEsopago
• ʻO ka ʻili ʻōpala ʻo Allergy a i ʻole ka hoʻowalewale hoʻāʻo
• Nā hopena hōʻike ʻaihue Intradermal

Chen JW, Kao JY. Eosinophilic esophagitis: hōʻano hou i ka hoʻokele a me nā hoʻopaʻapaʻa. BMJ. 2017; 359: j4482. PMID: 29133286 pubmed.ncbi.nlm.nih.gov/29133286/.

ʻO Falk GW, Katzka DA. Nā maʻi o ka esophagus. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 129.

ʻO Groetch M, Venter C, Skypala I, et al; ʻO ke Kōmike ʻo Eosinophilic Gastrointestinal Disorder o ka American Academy of Allergy, Asthma a me Immunology. ʻO ka mālama ʻana i ka meaʻai a me ka mālama pono ʻana i kaʻai eosinophilic: kahi hōʻike pūʻulu hana o ka American Academy of Allergy, Asthma, a me Immunology. Hoʻomaʻamaʻa ʻo J Allergy Clin Immunol. 2017; 5 (2): 312-324.e29. PMID: 28283156 pubmed.ncbi.nlm.nih.gov/28283156/.

ʻO Khan S. Eosinophilic esophagitis, pill esophagitis, a me ka esophagitis infective. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 350.