Eosinophilic txoj hlab nqos mov

Eosinophilic esophagitis cuam tshuam txog kev tsim cov qe ntshav dawb, hu ua eosinophils, nyob rau sab hauv koj txoj hlab pas. Txoj hlab pas yog txoj hlab siv khoom noj los ntawm koj lub qhov ncauj mus rau koj lub plab. Qhov txhim kho cov qe ntshav dawb yog vim muaj cov tshuaj tiv thaiv rau cov khoom noj, cov ua xua, lossis kua qaub rau cov kua qaub.

Qhov tseeb yog vim li cas ntawm eosinophilic esophagitis tsis paub. Nws ntseeg tias qhov tsis haum tawm ntawm qee yam zaub mov ua rau lub luag haujlwm ntawm eosinophils. Raws li qhov tshwm sim, lub plab txoj hlab pas yuav o tuaj thiab o tuaj.

Cov neeg feem ntau uas muaj tus mob no yuav muaj keeb kwm tsev neeg lossis kev ua xua lossis hawb pob. Cov neeg ua kom tawg xws li pwm, paj ntoos, thiab plua plav kuj tseem tuaj yeem ua lub luag haujlwm.

Eosinophilic txoj hlab nqos mov yuav cuam tshuam rau menyuam yaus thiab neeg laus.

Cov tsos mob hauv cov menyuam yaus suav nrog:

• Teeb meem noj mov los yog noj
• Mob plab
• Ntuav
• Cov teeb meem nqos
• Khoom noj tau daig hauv txoj hlab pas
• Lub cev hnyav tsis zoo los yog poob phaus, tsis muaj kev loj hlob tsis zoo, thiab khoom noj tsis txaus

Cov tsos mob rau cov neeg laus muaj xws li:

• Cov zaub mov daig thaum nqos (dysphagia)
• Kev mob hauv siab
• Kev mob siab
• Kev mob duav
• Rov qab ntawm cov zaub mov tsis muaj kev tiv thaiv (kev tsim tawm tshiab)
• Reflux uas tsis zoo dua rau cov tshuaj

Koj tus kws kho mob yuav paub txog keeb kwm ntxaws thiab kuaj lub cev. Qhov no txhawm rau txhawm rau kuaj rau kev phiv zaub mov thiab kom txiav txim siab txog lwm yam mob, xws li lub plab zom zaub mov (GERD).

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Kuaj ntshav
• Kev fab tshuaj tawv nqaij kuaj
• Lub endoscopy
• Biopsy ntawm lub hauv ob sab phlu ntawm txoj hlab pas

Tsis muaj ib txoj kev kho tau thiab tsis muaj kev kho tshwj xeeb rau txoj kev mob caj pas eosinophilic. Txoj kev kho yog suav tswj koj txoj kev noj thiab noj tshuaj.

Yog tias koj sim ntsuas qhov tsis haum rau khoom noj, tej zaum yuav hais kom koj zam cov zaub mov ntawd. Lossis koj tuaj yeem zam txhua yam zaub mov uas muaj tus paub ua rau muaj qhov teebmeem no. Cov khoom noj uas nquag zam kom tsis txhob muaj xws li nqaij ntses, qe, txiv ntoo, noob taum, hom qoob mog, thiab mis nyuj. Kev ntsuam xyuas ua xua tuaj yeem tshawb nrhiav cov khoom noj tshwj xeeb kom tsis txhob.

Proton twj tso kua mis inhibitors tuaj yeem pab tswj cov tsos mob, tab sis lawv tsis pab qhov teeb meem ua rau cov tsos mob.

Koj tus kws kho mob yuav sau ntawv muab cov tshuaj steroids rau tshuaj los yog nqus. Koj kuj tseem noj tau cov tshuaj steroids rau lub sijhawm luv. Cov tshuaj steroids tsis txhob muaj kev phiv tshuaj tib yam li cov tshuaj steroids.

Yog tias koj txhim kho txoj kev nqaim lossis nruj, yuav tsum tau ua tus txheej txheem kom qhib lossis ziab rau thaj chaw.

Koj thiab koj tus kws kho mob yuav ua haujlwm ua ke los nrhiav cov phiaj xwm kev kho mob uas ua hauj lwm zoo tshaj rau koj.

Txhawb pab pawg xws li Asmeskas Kev Koom Tes Nrog Eosinophilic Kev Tsis Txaus Siab tuaj yeem pab koj nkag siab ntau dua txog kev mob caj pas eosinophilic. Koj tseem tuaj yeem kawm txog kev tswj hwm koj tus mob thiab kho nrog tus kabmob.

Eosinophilic esophagitis yog tus mob ntev (ntev) uas los thiab dhau mus rau ib tus neeg lub neej.

Cov teeb meem tshwm sim tuaj yeem suav nrog:

• Qhov nqaim ntawm txoj hlab pas (ib qho me me)
• Cov zaub mov daig rau txoj hlab pas (muaj rau cov menyuam yaus thiab cov neeg laus)
• Kev mob hnyav o thiab mob khaus ntawm txoj hlab pas

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm txoj hlab pas eosinophilic.

• Txoj hlab pas
• Kev fab tshuaj tawv nqaij kuaj los yog khawb
• Intradermal kev fab tshuaj kuaj cov tshuaj tiv thaiv ua xua

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Falk GW, Katzka DA. Kab mob ntawm txoj hlab pas. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 129.

Groetch M, Lub Venter C, Skypala I, li al; Pawg Saib Xyuas Kev Noj Qab Haus Huv Pob Txha Tsis Zoo Eosinophilic ntawm American Academy ntawm Kev Tiv Thaiv Kev Ua Xua, Hawb Pob thiab Ua Yeeb Yam. Kev noj zaub mov zoo thiab kev tswj khoom noj khoom haus ntawm eosinophilic esophagitis: ib pawg sau ua haujlwm ntawm American Academy ntawm Kev Tiv Thaiv, Hawb Pob, thiab Tshuaj Tiv Thaiv. J Kev Cuam Tshuam Clin Immunol PractCov. 2017; 5 (2): 312-324.e29. PMID: 28283156 pubmed.ncbi.nlm.nih.gov/28283156/.

Khan S. Eosinophilic txoj hlab nqos mov, ntsiav tshuaj rau txoj hlab pas, thiab mob hlab pas. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 350.