Eosinophilic esophagitis

Eosinophilic esophagitis gụnyere imepụta mkpụrụ ndụ ọbara ọcha, a na-akpọ eosinophils, n'ime oghere nke akpịrị gị. Akpịrị akpịrị bụ ọkpọkọ nke na-ebu nri site n’ọnụ gị banye n’afọ gị. Ntughari nke sel ọbara ọcha bụ n'ihi mmeghachi omume na nri, ihe nfụkasị ahụ, ma ọ bụ acid reflux.

Amabeghị ihe kpatara eosinophilic esophagitis. Ekwenyere na mmeghachi ahụ na-adịghị mma na nri ụfọdụ na-eduga n'ịmepụta eosinophils. N’ihi ya, oghere nke akpịrị na-aza aza ma na-ere ọkụ.

Imirikiti ndị nwere nsogbu a nwere ezinụlọ ma ọ bụ akụkọ ntolite nke allergies ma ọ bụ ụkwara ume ọkụ. Ihe ndị na-akpali akpali dị ka ebu, pollen, na aja nwere ike ịrụ ọrụ.

Eosinophilic esophagitis nwere ike imetụta ma ụmụaka ma ndị okenye.

Mgbaàmà nke ụmụaka gụnyere:

• Nsogbu iri nri ma ọ bụ iri nri
• Ime mgbu
• Akpịrị
• Nsogbu ilo
• Nri na-arapara na akpịrị
• Adighi ebu ibu ma obu ibu ibu, eto eto, na erighi ihe na-edozi aru

Mgbaàmà nke ndị okenye gụnyere:

• Nri na-arapara mgbe ilo (dysphagia)
• Obi mgbu
• Nrekasi obi
• Mgbu nke afọ n’afọ
• Nloghachi nke nri a na-edozi edozi (regurgitation)
• Reflux nke na-anaghị aka mma na ọgwụ

Onye nlekọta ahụike gị ga-ewere akụkọ ihe mere eme zuru ezu ma mee nyocha anụ ahụ. Emere nke a ka ịlele maka nri nri na ịwepụ ọnọdụ ndị ọzọ, dịka ọrịa reflux gastroesophageal (GERD).

Ule nke enwere ike ime gunyere:

• Nyocha ọbara
• Ahụ ule nfụkasị ahụ
• Ọgwụgwụ nke elu
• Biopsy nke mkpuchi nke akpịrị

Enweghị ọgwụgwọ na enweghị ọgwụgwọ a kapịrị ọnụ maka esophagitis eosinophilic. Ọgwụgwọ gụnyere ịhazi nri gị na ị medicinesụ ọgwụ.

Y’oburu n’inyocha ihe oma banyere oria nri, enwere ike ịgwa gi ka i zere nri ndia. Ma ọ bụ ị nwere ike izere nri niile a maara na-ebute nsogbu a. Nri a na-erikarị iji zere gụnyere nri mmiri, àkwá, akụ, soy, ọka wit, na mmiri ara ehi. Nnwale nke nfụkasị ahụ nwere ike ịchọpụta nri a kapịrị ọnụ iji zere.

Ndị na-egbochi proton mgbapụta nwere ike inyere aka ịchịkwa mgbaàmà, mana ha anaghị enyere nsogbu na-akpata mgbaàmà aka.

Onye na-enye gị nwere ike ịde ọgwụ steroid nke ana-eji ọnụ ekwu ma ọ bụ iku ume. Alsonwere ike ị takeụ ọgwụ steroid nke obere oge. Topical steroid enweghị otu mmetụta dịka steroid nke ọnụ.

Ọ bụrụ na ị mepee warara ma ọ bụ sie ike, usoro iji mepee ma ọ bụ gbasaa ebe ahụ nwere ike ịdị mkpa.

Gị na onye na-eweta ọrụ gị ga-arụkọ ọrụ ọnụ iji chọta atụmatụ ọgwụgwọ nke kacha dịrị gị mma.

Ndị otu nkwado dịka American Partnership for Eosinophilic Disorders nwere ike inyere gị aka ịmatakwu banyere eosinophilic esophagitis. I nwekwara ike ịmụ ụzọ ị ga-esi na-arịa ọrịa gị ma na-arịa ọrịa ahụ.

Eosinophilic esophagitis bụ ọrịa na-adịte aka (adịghị ala ala) nke na-abịa ma gafee ndụ mmadụ niile.

Nsogbu nwere ike ịgụnye:

• Nkọwa nke esophagus (a nlezianya)
• Nri na-arapara na akpịrị (nke na-abụkarị ma ụmụaka ma ndị okenye)
• Oké ọzịza na iyatesịt nke akpịrị

Kpọtụrụ onye na-eweta gị ma ọ bụrụ na ị nwere mgbaàmà nke esophagitis eosinophilic.

• Esophagus
• Ihe nfụkasị ahụ nke akpụkpọ ahụ ma ọ bụ nke mbụ
• Intradermal allergy ule Jeremaya mere

Chen JW, Kao JY. Eosinophilic esophagitis: melite na njikwa na esemokwu. BMJ. Ọrịa. 2017; 359: j4482. PMID: 29133286 pubmed.ncbi.nlm.nih.gov/29133286/.

Falk GW, Katzka DA. Ọrịa nke akpịrị. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 129.

Groetch M, Oghere C, Skypala I, et al; Kọmitii Nsogbu Ọrịa Eastroinoji Eosinophilic nke American Academy of Allergy, Asthma and Immunology. Usoro ọgwụgwọ na njikwa oriri na ọ nutritionụ ofụ nke eosinophilic esophagitis: akụkọ otu ọrụ nke American Academy of Allergy, Asthma, and Immunology. Ọrịa Ahụike Ọrịa J Allergy. Ọrịa. 2017; 5 (2): 312-324.e29. PMID: 28283156 pubmed.ncbi.nlm.nih.gov/28283156/.

Khan S. Eosinophilic esophagitis, pill esophagitis, na esophagitis na-efe efe. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 350.