Eosinophilic esophagitis

Eosinophilic esophagitis ya hada da tara farin kwayoyin halitta, wanda ake kira eosinophils, a cikin murfin esophagus dinka. Hanji shine bututun da ke ɗaukar abinci daga bakinka zuwa cikinka. Ginin fararen ƙwayoyin jini saboda halayen abinci ne, abubuwan da ke haifar da cutar, ko ƙoshin acid.

Ba a san ainihin dalilin esophagitis na eosinophilic ba. An yi imanin cewa haɓakar rigakafi ga wasu abinci yana haifar da haɓaka eosinophils. A sakamakon haka, layin esophagus ya zama kumbura ya kumbura.

Mafi yawan mutanen da ke wannan cuta suna da iyali ko tarihin kansu na rashin lafiyar jiki ko asma. Trarairai kamar fure, fure, da ƙurar ƙura na iya taka rawa.

Eosinophilic esophagitis na iya shafar yara da manya.

Kwayar cututtuka a cikin yara sun haɗa da:

• Matsalar ciyarwa ko cin abinci
• Ciwon ciki
• Amai
• Matsaloli haɗiyewa
• Abinci yana makalewa a cikin makoshin hanji
• Rashin nauyi ko rashi, rashin ci gaba, da rashin abinci mai gina jiki

Kwayar cututtuka a cikin manya sun haɗa da:

• Abinci yana makale yayin haɗiye (dysphagia)
• Ciwon kirji
• Bwannafi
• Ciwan ciki na sama
• Sake dawo da abincin da ba a sha ba (regurgitation)
• Reflux wanda baya samun sauki da magani

Mai ba da lafiyar ku zai ɗauki cikakken tarihi kuma ya yi gwajin jiki. Ana yin wannan don bincika rashin lafiyar abinci da kuma kawar da wasu sharuɗɗa, kamar cututtukan reflux gastroesophageal (GERD).

Gwajin da za a iya yi sun hada da:

• Gwajin jini
• Gwajin fata na rashin lafiyan
• Endarshen endoscopy
• Biopsy na murfin esophagus

Babu magani kuma babu takamaiman magani ga esophagitis na eosinophilic. Jiyya ya haɗa da sarrafa abincinku da shan magunguna.

Idan kun gwada tabbatacce don rashin lafiyar abinci, ana iya gaya muku ku guji waɗannan abincin. Ko kuma kuna iya guje wa duk abincin da aka san shi da haifar da wannan matsalar. Abincin gama gari don kaucewa sun haɗa da abincin teku, ƙwai, kwayoyi, waken soya, alkama, da kiwo. Gwajin rashin lafiyar na iya gano takamaiman abinci don kaucewa.

Proton pump inhibitors na iya taimakawa wajen sarrafa alamomin, amma ba sa taimaka matsalar da ke haifar da alamomin.

Mai ba da sabis ɗinku na iya ƙayyade magungunan steroid na yau da kullun waɗanda aka sha ta baki ko shaƙa. Hakanan zaka iya shan magungunan steroid na ɗan gajeren lokaci. Magungunan steroids na yau da kullun basu da tasiri iri ɗaya kamar maganin baka na baka.

Idan kun inganta takurawa ko tsanantawa, ana iya buƙatar hanyar buɗewa ko faɗaɗa yankin.

Ku da mai ba ku sabis za ku yi aiki tare don neman tsarin maganin da zai fi dacewa a gare ku.

Kungiyoyin tallafi irin su Kawancen Amurka don Ciwon Cutar Eosinophilic na iya taimaka muku fahimtar ƙarin game da eosinophilic esophagitis. Hakanan zaka iya koyon hanyoyin da za a iya kula da yanayinka da jimre wa cutar.

Eosinophilic esophagitis cuta ce ta dogon lokaci (na kullum) wanda ke zuwa kuma yakan wuce rayuwar mutum.

Matsalolin da ka iya faruwa sun hada da:

• Naruntataccen esophagus (mai tsananin ƙarfi)
• Abinci yana makalewa a cikin esophagus (gama gari ga yara da manya)
• Tsanani kumburi da haushin esophagus

Tuntuɓi mai ba ku sabis idan kuna da alamun cutar eosinophilic esophagitis.

• Maganin ciki
• Allergy fatar jiki ko gwajin karce
• Hanyoyin gwajin rashin lafiyar intradermal

Chen JW, Kao JY. Eosinophilic esophagitis: sabuntawa akan gudanarwa da rikice-rikice. BMJ. 2017; 359: j4482. PMID: 29133286 pubmed.ncbi.nlm.nih.gov/29133286/.

Falk GW, Katzka DA. Cututtukan hanta. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 129.

Groetch M, Kasuwanci V, Skypala I, et al; Eosinophilic Cutar Cutar Cutar Cibiyar Nazarin Allergy, Asthma da Immunology na Amurka. Magungunan abinci da sarrafa abinci mai gina jiki na eosinophilic esophagitis: rahoton ƙungiyar aiki na Cibiyar Nazarin Allergy, Asthma, da Immunology ta Amurka. J Rashin lafiyar Clin Immunol Pract. 2017; 5 (2): 312-324.e29. PMID: 28283156 pubmed.ncbi.nlm.nih.gov/28283156/.

Khan S. Eosinophilic esophagitis, kwayar esophagitis, da cutar esophagitis. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 350.