Kuyini i-eosinophilic esophagitis (EoE)?

I-Eosinophilic esophagitis (EoE) yisifo esingelapheki (sesikhathi eside) esingelapheki esithinta umminzo - ishubhu elithwala amanzi nokudla okugwinya ukuyise esiswini. Uma une-EoE, ama-eosinophils, uhlobo lwengqamuzana elimhlophe legazi, akheka olwelwesini lomminzo.

Ukungezwani komzimba, ikakhulukazi ekudleni, kubangela lokhu kunqwabelana, futhi kungaholela ekuvuvukeni, ekulimaleni, nasekuvuvukeni.

Nge-EoE, ukugwinya kungase kube nzima, noma ungase uzizwe sengathi ukudla kubambeka emphinjeni wakho.(1)

Ososayensi bayazi ukuthi i-EoE ihlobene eduze nokuvuvukala. EoE i uhlobo 2 isifo sokuvuvukala lokho kwenzeka lapho umzimba unokusabela okuqinile kokungezwani komzimba okuthile ngokuvamile okungeyona ingozi. (2) Lapho lezi zinto ezingezwani nomzimba zithinta umminzo, isimiso somzimba sokuzivikela ezifweni esisolwelweni lomgudu womphimbo sithumela izimpawu zokuletha amangqamuzana akhethekile avela egazini nezinye izicubu. Lawa mangqamuzana - ikakhulukazi amangqamuzana amhlophe egazi abizwa ngokuthi ama-eosinophils - abizelwa ukulwa nezifo. Kodwa uma kufika ama-eosinophil amaningi, angalimaza izicubu zomphimbo.(1)

Noma ubani angathola i-EoE, kodwa ivame kakhulu kwabesilisa, abantu abanezinye izimo zokungezwani komzimba, nalabo abanamalungu omndeni ane-EoE.

Izimpawu ezijwayelekile ze-EoE zincike esigabeni sokuphila somuntu.(3)

Abantu abadala:
● Inkinga yokugwinya
● Ukuzwa ukudla kubambeka emphinjeni
● I-acid reflux engezwakali ngemithi
● Ukudla kancane

Izingane:
● Ubuhlungu besisu noma besifuba
● Ukuphalaza
● Ukungathandi ukudla
● I-reflux engazizwa ingcono ngemithi
● Ubunzima bokugwinya

Izingane nezinsana:
● Ukungakhuli ngokwanele
● Ukuphalaza
● I-Reflux
● Izinkinga ngokudla

I-EoE ingathinta kakhulu impilo yansuku zonke yalabo abanalesi simo kanye nabanakekeli babo. Abantu abane-EoE bavame ukuzwa ikhwalithi yempilo encishisiwe (4) kanye namazinga aphezulu okukhathazeka nokudangala. (5) Abantu abanalesi sifo bangase bakugweme ukudla kanye nezimo lapho bengase babe nezimpawu khona phambi kwabanye. (6) Ukuqashwa noma ukuya esikoleni nakho kungase kube nomthelela.

Kubalulekile ukuxhumana nanoma yiziphi izimpawu zempilo yemizwa kuchwepheshe wezokunakekelwa kwempilo ukuze uqinisekise ukuthi zifakiwe ohlelweni lwakho lonke lokwelashwa nokuphatha.

Abanakekeli babantu abanezimo ezingapheli ezifana ne-EoE bangase babe nokucindezeleka okukhulu, ukuhlukaniswa, ukukhathazeka, nokucindezeleka. Uma uhlangabezana nale mizwa noma izimpawu, kubalulekile ukufuna usizo ukuze ugweme ukutubeka komnakekeli. Ukujoyina iqembu lokusekela, ukubuyekeza izinsiza zabanakekeli abathembekile, nokuxhumana nabangane bakho kanye nenethiwekhi yomndeni zonke izindlela zokunciphisa ingcindezi yokunakekela.

Uma i-allergener yokudla ibangela i-EoE yakho, ukugwema ukudla okuthile kungasiza ekuvimbeleni izimpawu zakho.

Ukudla kokuqeda - lapho ususa khona ukudla ngamabomu ekudleni kwakho ngezikhathi ezihlukene - kwenziwa udokotela onguchwepheshe noma isazi sokudla okunomsoco futhi kungakusiza ukuthi uthole ukuthi yikuphi ukudla okudala i-EoE yakho. Ezinye izidlo zokuqeda zigxila ekususeni izibangeli ezivame kakhulu amaviki ambalwa kuze kube yilapho izimpawu zakho ziba ngcono. Izifo ezivame kakhulu zokudla zihlanganisa ubisi, ukolweni, amaqanda kanye nesoya. Ngemva kokugwema okunye kwalokhu kudla amasonto ambalwa, ukuvuvukala kungenzeka kuphelile, futhi ungakwengeza ekudleni kwakho okukodwa ngesikhathi. Umhlinzeki wakho wezempilo angase afune i-endoscopy (ububanzi) ene-biopsy ukuze ahlole ukuvuvukala ngemva kokwengeza ukudla ekubuyiseleni ekudleni kwakho. (7)

Esikhathini esedlule, ukuhlolwa kokungezwani komzimba kwasetshenziswa ukuze kutholwe ukungezwani nokudla kwakho. Nokho, lelisu lalingasebenzi kahle ekuhlonzeni ukudla okubangela i-EoE, ngakho-ke akunconywa okwamanje ukwelapha iziguli eziningi nge-EoE.(3)

Odokotela ngezinye izikhathi batusa imithi yokunciphisa ukuvuvukala (ungacabanga ngalokhu njengokuvuvukala ngaphakathi komzimba). (3,7)

  • Corticosteroids: Le mithi isiza ukwehlisa ukuvuvukala nokucasuka emzimbeni wakho. Lokhu bakwenza ngokuthulisa amasosha akho omzimba lapho esebenza kakhulu. Odokotela bangasebenzisa amafomula ama-topical we-corticosteroids uma i-esophagus yakho ivuvukele.
  • I-Proton Pump Inhibitors (PPIs): Le mithi yenzelwe ukunciphisa i-asidi ekhiqizwa yisisu sakho. Kodwa-ke, baphinde babe nomphumela wokulwa nokuvuvukala ozimele kulowo we-anti-acid. Ama-PPI asiza ukumisa ukuvuvukala okuvumela ukuthi umphimbo wakho uphole.
  • I-Biologics (Ama-Monoclonal Antibodies): Lena imithi emisha ehamba ngemva kwezingxenye zesistimu yakho yokuzivikela ezifweni ezibangela ukuvuvukala. Uma amasosha akho omzimba enza umphimbo wakho ukhukhumale kakhulu, i-biologics ingasiza ekunciphiseni ukuze ukugwinya kuzizwe kungcono.
  • Ukunwetshwa kwe-Esophageal: Uma, ngenxa yokuvuvukala okuhlala isikhathi eside, i-esophagus yakho inciphile, ngaphezu kokwelashwa okulwa nokuvuvukala, udokotela wakho angase akhulise izinga lakho le-esophageal ngokusebenzisa i-endoscopy ene-dilation.

Khuluma nochwepheshe bakho bezempilo mayelana nenketho engcono kakhulu kuwe.

Usuku Lwe-EoE Lomhlaba

Usuku Lomhlaba Lwe-Eosinophilic Esophagitis (EoE) lugujwa minyaka yonke Kwangathi 22nd ukuqwashisa ngalesi simo esingalapheki nesivame ukungaqondakali kahle. Ukuze uthole ulwazi olwengeziwe ngalolu suku lokuqwashisa nokuthi ungazibandakanya kanjani, vakashela EoEday.org bese ulandela ezinkundleni zokuxhumana usebenzisa i-hashtag #EoEDay.

Registry

I-EoE Connect (EU)

ukucashunwa

  1. Muir A, Falk GW. I-Eosinophilic Esophagitis. JAMA. 2021;326(13):1310-1310. https://doi.org/10.1001/jama.2021.14920
  2. Chehade M, Falk GW, Aceves S, et al. Ukuhlola Iqhaza Lohlobo Lwesibili Lokuvuvukala ku-Eosinophilic Esophagitis. I-Gastro Hep Intuthuko. 2;2022(1):5-720. https://doi.org/10.1016/j.gastha.2022.05.004
  3. Igolide BD, Goodwin B, Davis K, et al. Ikhwalithi Yempilo Ehlobene Nezempilo kanye Nokucwaswa Okubonwayo ku-Eosinophilic Esophagitis: I-Real-World, US, Ucwaningo Olusekelwe Kuwebhu. I-Gastro Hep Intuthuko. 2024;3(8):1087-1097. https://doi.org/10.1016/j.gastha.2024.07.015
  4. U-Taft TH, u-Guadagnoli L, u-Edlynn E. Ukukhathazeka Nokucindezeleka ku-Eosinophilic Esophagitis: Ukubuyekezwa Kwe-Scoping kanye Nezincomo Zocwaningo Lwesikhathi esizayo. Ijenali Ye-Asthma Ne-Allergy. 2019; Umqulu 12:389-399. https://doi.org/10.2147/jaa.s193045
  5. de E, Floor Bennebroek Evertsz, Lei A, Bredenoord AJ. Amasu Okuphila Okujwayelekile Nokubhekana Nezifo Ezigulini Zabantu Abadala I-Eosinophilic Esophagitis. Ijenali ye-Neurogastroenterology ne-Motility. 2022;28(3):390-400. https://doi.org/10.5056/jnm21143
  6. I-Eosinophilic Esophagitis: Kuyini, Izimpawu Nokwelashwa. Umtholampilo waseCleveland. Ishicilelwe 29 Agasti 2023.
  7. Kufinyelelwe ngoMashi 24, 2025. https://my.clevelandclinic.org/health/diseases/14321-eosinophilic-esophagitis

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