ʻEosinophilic Esophagitis
Anter
- Hōʻuluʻulu Manaʻo
- He aha ka esophagitis eosinophilic (EoE)?
- He aha ke kumu o ka esophagitis eosinophilic (EoE)?
- ʻO wai ka makaʻu no ka esophagitis eosinophilic (EoE)?
- He aha nā ʻōuli o ka eosinophilic esophagitis (EoE)?
- Pehea e ʻike ʻia ai ka ezinophilic esophagitis (EoE)?
- He aha nā ʻano lāʻau no ka eosinophilic esophagitis (EoE)?
Hōʻuluʻulu Manaʻo
He aha ka esophagitis eosinophilic (EoE)?
ʻO ka esophagitis ʻo Eosinophilic (EoE) he maʻi maʻi mau ia o ka esophagus. ʻO kou esophagus ka puʻupuʻu muscular e halihali i nā meaʻai a me nā wai mai kou waha a hiki i ka ʻōpū. Inā loaʻa iā EoE, kūkulu nā hunaola koko keʻokeʻo i kapa ʻia ʻo eosinophil i kāu esophagus. ʻO kēia ke kumu o ka hōʻino a me ka mumū, i hiki ke hōʻeha i ka ʻeha a hiki i ke alakaʻi ʻana i ka pilikia i ka ale ʻana a me ka ʻai e paʻa ana i kou ʻāʻī.
Kākaʻikahi ʻo EoE. Akā no ka mea he maʻi ia i ʻike hou ʻia, ʻike ʻia ka nui o ka poʻe me kēia maʻi. ʻO kekahi poʻe e manaʻo nei he reflux kā lākou (GERD) a loaʻa paha iā EoE.
He aha ke kumu o ka esophagitis eosinophilic (EoE)?
ʻAʻole maopopo i nā mea noiʻi e pili ana i ke kumu pono o EoE. Manaʻo lākou he ʻōnaehana pale pale ia / hopena i nā meaʻai a i ʻole nā mea i kou kaiāulu, e like me nā ʻehu lepo, dander holoholona, pollen, a me nā mould. Hiki paha i kekahi genes ke pāʻani i ke kuleana ma EoE.
ʻO wai ka makaʻu no ka esophagitis eosinophilic (EoE)?
Hiki i ka EoE ke hoʻopili i kekahi, akā ʻoi aku ka nui o nā poʻe i
- He kāne
- Keʻokeʻo
- Loaʻa nā maʻi maʻi ʻē aʻe, e like me ka hay fever, eczema, asthma a me nā meaʻai āpau
- Loaʻa i nā lālā o ka ʻohana me EoE
He aha nā ʻōuli o ka eosinophilic esophagitis (EoE)?
Hiki i nā ʻōuli maʻamau o EoE ke hilinaʻi i kou makahiki.
I nā pēpē a me nā kamaliʻi:
- Nā pilikia hānai
- ʻO ka luaʻi
- Loaʻa maikaʻi ʻole ka ulu a me ka ulu ʻana
- Reflux ʻaʻole maikaʻi maikaʻi me nā lāʻau
I nā keiki nui aʻe:
- ʻO ka luaʻi
- Abdominal eha
- Pilikia i ka ale ʻana, ʻoiai hoʻi me nā meaʻai paʻa
- Reflux ʻaʻole maikaʻi maikaʻi me nā lāʻau
- Makemake maikaʻi ʻole
I nā mākua:
- Pilikia i ka ale ʻana, ʻoiai hoʻi me nā meaʻai paʻa
- Paʻa ka meaʻai i ka esophagus
- Reflux ʻaʻole maikaʻi maikaʻi me nā lāʻau
- Puʻuwai puʻuwai
- ʻEha ʻeha
Pehea e ʻike ʻia ai ka ezinophilic esophagitis (EoE)?
E kuhikuhi iā EoE, e kauka kāu kauka
- E nīnau e pili ana i kāu hōʻailona a me ka mōʻaukala olakino. ʻOiai hiki i nā kūlana ʻē aʻe ke loaʻa nā hōʻailona like o EoE, he mea nui i kāu kauka e lawe i kahi mōʻaukala piha.
- Hana i kahi endoscopy gastrointestinal (GI) luna. ʻO kahi endoscope kahi Tube lōʻihi a maʻalahi me kahi kukui a me ka pahu paʻi ma ka hopena. E holo kāu kauka i ka endoscope i lalo i kāu esophagus a nānā iā ia. ʻO kekahi mau hōʻailona e loaʻa iā EoE e komo pū me nā kiko keʻokeʻo, nā apo, ka hoʻopili ʻana, a me ka mumū i ka esophagus. Eia nō naʻe, ʻaʻole kēlā me kēia me EoE kēlā mau hōʻailona, a i kekahi manawa he hōʻailona lākou no ka maʻi esophagus ʻokoʻa.
- Hana i kahi biopsy. I ka manawa o ka endoscopy, e lawe ke kauka i nā laʻana pūnaewele liʻiliʻi mai kāu esophagus. E nānā ʻia nā laʻana no ka nui o nā eosinophil. ʻO kēia wale nō ke ala e hana ai i kahi hōʻailona o EoE.
- Hana i nā hoʻokolohua ʻē aʻe inā pono. Loaʻa paha iā ʻoe nā hoʻokolohua koko e nānā ai no nā kūlana ʻē aʻe. Inā loaʻa iā EoE, loaʻa paha iā ʻoe ke koko a i ʻole nā ʻano hoʻokolohua ʻē aʻe e nānā ai no nā maʻi āpau.
He aha nā ʻano lāʻau no ka eosinophilic esophagitis (EoE)?
ʻAʻohe mea ola no EoE. Hiki i nā mālama ke mālama i kāu mau hōʻailona a pale i ka hōʻino hou. ʻO nā ʻano nui ʻelua o nā ʻano lāʻau lapaʻau a me nā papaʻai.
Hoʻohana ʻia nā lāʻau e mālama iā EoE
- ʻO Steroids, hiki ke kōkua i ka mālama ʻana i ka pehu. ʻO kēia mau steroid topical maʻamau, kahi āu e ale ai kekahi mai kahi inhaler a i ʻole he wai. I kekahi manawa kuhikuhi kauka i nā steroid oral (pills) e mālama i ka poʻe i loaʻa i nā pilikia ale nui a i ʻole ka pohō kaumaha.
- ʻAukake mea hoʻoheheʻe e like me nā proteins pump proton (PPI), hiki ke kōkua me nā hōʻailona reflux a hoʻemi i ka pehu.
Pākuʻi ʻia nā hoʻololi meaʻai no EoE
- Papaʻai hoʻopau. Inā ʻoe i ka papaʻai hoʻopau, hoʻopau ʻoe i ka ʻai ʻana a me ka inu ʻana i kekahi mau meaʻai a me nā mea inu no kekahi mau pule. Inā maikaʻi ʻoe, hoʻohui ʻoe i nā meaʻai i kāu papaʻai i kēlā me kēia manawa. Loaʻa iā ʻoe nā endoscopies hou e ʻike ai inā ʻaʻole ʻoe e hoʻomanawanui i kēlā mau meaʻai. Aia kekahi ʻano o nā papa ʻaina hoʻopau.
- Me hoʻokahi ʻano, loaʻa iā ʻoe kahi hōʻike allergy. A laila hooki ʻoe i ka ʻai ʻana a me ka inu ʻana i nā meaʻai āu e maʻi ai.
- No kahi ʻano ʻē aʻe, hoʻopau ʻoe i nā meaʻai a me nā mea inu e kumu pinepine ai i nā maʻi āpau, e like me nā huahana waiū, ka hua manu, ka palaoa, ka soy, ka peanuts, nā hua lāʻau a me nā iʻa / pūpū.
- ʻAiʻai kumu. Me kēia papaʻai, hoʻōki ʻoe i ka ʻai ʻana a me ka inu ʻana i nā protein āpau. Ma kahi o ia mea, inu ʻoe i ka formula amino acid. ʻO kekahi poʻe makemake ʻole i ka ʻono o ka haʻilula e hoʻohana i kahi paipu hānai ma kahi o. Inā hele a haʻalele loa kāu mau ʻōuli a me ka mumū, hiki iā ʻoe ke hoʻāʻo e hoʻohui i nā meaʻai i kēlā me kēia manawa, e ʻike ai inā hiki iā ʻoe ke hoʻomanawanui iā lākou.
ʻO ka lāʻau hea e haʻi ai kāu mea mālama ola e pili ana i nā kumu like ʻole, e like me kou mau makahiki. Hiki paha i kekahi poʻe ke hoʻohana ma mua o hoʻokahi ʻano mālama. Ke hoʻāʻo nei nā mea noiʻi e hoʻomaopopo iā EoE a me ka maikaʻi o ka mālama ʻana iā ia.
Inā ʻaʻole lawa ka maikaʻi o kāu mālama ʻana a ua hoʻopili ʻoe i ka esophagus, pono paha ʻoe i ka dilation. ʻO ke kaʻina hana kēia e hoʻolōʻihi i ka esophagus. ʻOi aku ka maʻalahi iā ʻoe e ale.