Loaʻa iā ʻoe kēia ʻeha ʻē a ʻoluʻolu ʻole paha i loko o kou ʻōpū? E kamaʻilio kākou e pili ana i ka Mesenteric Panniculitis!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha iki i loko o kou ʻōpū, kahi manaʻo piha, a i ʻole kekahi mea ʻē i loko o kou ʻōpū? Malia paha ua luhi pū ʻoe, me kahi kuni iki. ʻOiai ʻaʻole mākou e nānā nui i kēlā mau hōʻailona, ​​​​i kekahi manawa hiki iā lākou ke hala ma hope o lākou. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i ʻike ʻole ʻia, akā pono e ʻike e pili ana. ʻO kēia ka mea a nā kauka e kapa nei he mesenteric panniculitis . ʻOiai paha he lōʻihi iki ka inoa, e hoʻomaopopo maʻalahi kākou.

He aha ka Mesenteric Panniculitis? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo ka mesenteric panniculitis kahi mumū o kahi ʻāpana o ko mākou ʻōpū i kapa ʻia ʻo mesentery . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka mesentery. E noʻonoʻo, aia kekahi ʻano pale e kōkua ai i ka mālama ʻana i ko mākou mau ʻōpū i ke ʻano a me ka ʻole o ka hihia ʻana i loko o ka ʻōpū. Ua kapa ʻia kēia ʻo mesentery. Hoʻopili ʻia kēia i ka paia hope o ko mākou lua ʻōpū a paʻa i kahi ʻāpana o ko mākou ʻōpū liʻiliʻi a me ka ʻōpū nui. I ka pololei, he ʻano pili kēia o nā ʻiʻo. Aia i loko o kēia mesentery nā kīʻaha koko a me nā kīʻaha lymph e pono ai ko mākou mau ʻōpū. Eia kekahi, ua hana ʻia kēia mesentery me nā ʻiʻo momona (ʻiʻo adipose a i ʻole ka momona o ke kino) aia ma waena o ʻelua mau pelu o ka membrane i kapa ʻia ʻo peritoneum . I ke ʻano o ka mesenteric panniculitis, aia kahi mumū lōʻihi (ka mumū mau) o ka papa momona o ka mesentery i ʻōlelo ʻia. Hoʻopōʻino kēia mumū i nā hunaola momona ma laila a make lākou. Ua kapa ʻia hoʻi kēia he necrosis momona . I ka hala ʻana o ka manawa, hoʻomaka ka scarring (fibrosis) e hana ma kēia mau wahi i hōʻino ʻia. ʻO ka mea nui, i ka hapanui o nā hihia, ʻaʻohe kumu maopopo no ka mumū ʻana i ka mesenteric panniculitis. ʻO ia hoʻi, me he mea lā e hana wale ʻia me ke kumu ʻole, e like me ka maʻi, ka ʻeha, a i ʻole ke kanesa. I ka lāʻau lapaʻau, ua kapa ʻia nā kūlana i loaʻa ʻole ke kumu he idiopathic .

He ʻelua mau mea like ʻole ka mesenteric panniculitis a me ka sclerosing mesenteritis? He like nō lāua?

He mea hoʻopaʻapaʻa kēia ma waena o nā kauka. Manaʻo ka poʻe he like kēia mau kūlana ʻelua. Wahi a kekahi he ʻano holomua iki a koʻikoʻi paha ka sclerosing mesenteritis o ka mesenteric panniculitis. Manaʻo kekahi he maʻi ʻokoʻa paha ia, me kahi ʻano hana ʻokoʻa. ʻO ka mesenteric panniculitis ka mea maʻamau he paʻa a hiki ke mālama ʻia. Eia nō naʻe, aia kekahi manaʻo e hiki i ka sclerosing mesenteritis ke lilo i mea ʻino i kekahi manawa. ʻO ka pilikia maoli, ʻaʻole mākou i ʻike pono i ke kumu o ka mumū ma lalo o nā kūlana ʻelua. ʻO ia ke kumu he mea hoʻopilikia loa ia no kekahi poʻe a ʻaʻole no kekahi. Eia nō naʻe, hiki iā mākou ke ʻōlelo aku he kūlana paʻa a hiki ke mālama ʻia ka hapa nui o ka poʻe e ulu ana i ka mumū o ka mesentery me ke kumu ʻole. Eia naʻe, no kahi poʻe liʻiliʻi loa, hiki i kēia kūlana ke lilo i mea koʻikoʻi a hiki i ka mumū ke hoʻonui ma mua o ka mesentery.

He mea weliweli anei kēia kūlana? Hiki paha ke hoʻoweliweli i ke ola?

ʻO ka maʻamau, ʻaʻole ia he maʻi hoʻoweliweli i ke ola o ka mesenteric panniculitis . Kākaʻikahi ia e hoʻoulu i nā pilikia koʻikoʻi. Loaʻa i ka hapa nui o ka poʻe nā hōʻailona iki a waena paha. I kekahi manawa, e nalowale paha kēia mau hōʻailona me ka ʻole o ka lāʻau lapaʻau.

Eia nō naʻe, hiki i kēia ke hoʻoulu i kekahi ʻoluʻolu ʻole a me ka ʻeha. No laila, pono kekahi poʻe e lawe i ka lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau no kēia. He mea kākaʻikahi loa, hiki i kēia ʻano ke hoʻopilikia i ka hana o nā ʻōpū . No ka laʻana, inā piʻi nui ka pehu a i ʻole ka ʻiʻo ʻeha i hoʻokumu ʻia e ka mumū, hiki iā ia ke hoʻopilikia i ka neʻe ʻana o ka meaʻai ma o ko mākou ʻōpū liʻiliʻi . Hiki i kēia ke hana i kahi ʻano i kapa ʻia ʻo bowel obstruction . Akā, he mea kākaʻikahi loa kēia e hana.

Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?

ʻAʻole maʻamau loa kēia ʻano. Ua manaʻo ʻia e pili ana i kahi 1.5% o ka heluna kanaka. Eia nō naʻe, no ka mea, ʻaʻole mau nā hōʻailona, ​​a ʻo nā hōʻailona e kū mai ana (e like me ka ʻeha o ka ʻōpū) he mea maʻamau loa ia a he mea maʻamau i nā maʻi ʻē aʻe, hiki i kekahi manawa ke hele ʻole ʻia. ʻO ka mesenteric panniculitis ka mea maʻamau i ka poʻe ma luna o 60 mau makahiki. He mea kākaʻikahi ia i ka poʻe ma lalo o 20 mau makahiki. Hōʻike kekahi mau noiʻi he ʻelua ka nui o ka loaʻa ʻana o nā kāne ma mua o nā wahine.

No ke aha e hana ai ka mumū o ka mesentery? He aha nā kumu?

ʻO ka maʻamau, loaʻa ka mumū ma kekahi wahi o ko mākou kino ma muli o kahi maʻi, ʻeha, a i ʻole ka maʻi ʻino. He mea maʻamau nō hoʻi kēia i loko o ko mākou ʻiʻo mesenteric. ʻO ka mumū kahi pane a kā mākou ʻōnaehana pale.He pane. Aia ia ma laila e kōkua i ka ho'ōla ʻana i nā ʻiʻo a me ke kaua ʻana i nā pathogens e hoʻoulu ai i ka maʻi. Akā he mea kupanaha iki ka hiki ʻana mai o kēia ʻano mumū me ke kumu ʻole, me ka ʻole o kahi ʻeha e pono ai ke ho'ōla. Me he mea lā he hewa kekahi mea me kā mākou ʻōnaehana pale.

Eia kekahi mau mea i manaʻo ʻia e hoʻoulu ai i ka mesenteric panniculitis:

Manaʻo nā kauka he maʻi autoimmune paha ka mesenteric panniculitis. ʻO ke ʻano kēia, hoʻouka kā mākou ʻōnaehana pale ponoʻī, me ke kumu ʻole, i kā mākou mau ʻiʻo ponoʻī. ʻO kēia ʻano maʻi autoimmune e holo pinepine i loko o nā ʻohana. Hiki nō hoʻi ke hana ʻia no ka mea he maʻi manawa pōkole (e like me ka maʻi viral) e hoʻoulu ai i ka ʻōnaehana pale, a hoʻomau ka pane ʻana o ka pale ma hope o ka hoʻopau ʻana o ke ʻano. Ua pili pū ʻia ka mesenteric panniculitis i kēia mau maʻi. Eia kekahi mau laʻana:

• ʻO ke ʻoki kino : Ua hōʻike ʻia ka mesenteric panniculitis e kū mai ana ma kahi o 5% o nā maʻi, ʻoi aku hoʻi ma hope o ke ʻoki ʻana o ka ʻōpū.
• Nā maʻi: Hiki ke hana ʻia kēia ʻano ma muli o kekahi mau maʻi ma mua. Ua ʻike ʻia e ka noiʻi:
• ʻO ka maʻi puʻupuʻu
• Ka maʻi typhoid
• Kolera
• ʻO ka maʻi syphilis
• Hiki i kēia ke hana i nā poʻe me ka mōʻaukala o nā maʻi maʻi mau, e like me ka maʻi ʻo Whipple.
• Ka maʻi ʻaʻai : I kekahi manawa, loaʻa ka mesenteric panniculitis i nā poʻe i mālama mua ʻia no ka maʻi ʻaʻai, a i ʻole ka poʻe i loaʻa i ka maʻi ʻaʻai i kēia manawa, a i ʻole e kokoke ana e ʻike ʻia me ka maʻi ʻaʻai (ka maʻi ʻaʻai ma waho o ka mesentery). Ua hōʻike ʻia e pili ana me kahi maʻi ʻaʻai ma mua a i ʻole i kēia manawa ma kahi o 30% o nā hihia. Nā laʻana:
• ʻO ka maʻi ʻōpū
• Nā puʻupuʻu Carcinoid
• Ka maʻi ʻaʻai kolona
• Ka maʻi ʻaʻai puʻupaʻa
• Ka maʻi ʻaʻai prostate
• Nā kūlana sclerosing ʻē aʻe: I kekahi manawa, hiki i ka mesenteric panniculitis ke hana me nā kūlana ʻē aʻe i ke kino e hoʻoulu ai i ka mumū a me ka scarring (sclerosis a fibrosis paha). Hōʻike kēia e hiki i ke kumu like o ka mesenteric panniculitis ke hana i kahi pane like ma nā wahi ʻē aʻe o ke kino. Nā Laʻana:
• ʻO ka fibrosis retroperitoneal
• ʻO ka maʻi Sjogren
• ʻO ka pancreatitis sclerosing
• ʻO ka panniculitis nodular
• ka maʻi o Crohn

He aha nā hōʻailona o ka Mesenteric Panniculitis?

ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona . Loaʻa paha i kekahi poʻe nā ʻano hōʻailona like ʻole. ʻO ka hōʻailona maʻamau ka ʻeha o ka ʻōpū . Hiki i ka mumū ke hōʻeha i ka ʻōpū. Hiki i nā lymph node i loko o ka mesentery ke pehu. ʻO kēia nā hōʻailona maʻamau o ka mesenteric panniculitis. Loaʻa paha i kekahi poʻe ka ʻeha o ka ʻōpū me kēia mau hōʻailona:

• Pehu ʻōpū
• Pehu ʻōpū
• Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana, nalowale ka makemake (Māʻona mua a nalowale paha ka makemake)
• Ka luaʻi a me ka luaʻi
• Ka paʻa ʻana o ka ʻōpū a i ʻole ka maʻi kahe
• Ka emi ʻana o ke kaumaha

Hiki ke ʻike ʻia kēia mau hōʻailona ke hoʻopilikia ka mumū i nā ʻōpū. Eia kekahi, hiki i kekahi poʻe ke ʻike i nā hōʻailona ʻōnaehana , ʻo ia hoʻi nā hōʻailona e hoʻopilikia i ke kino holoʻokoʻa, ʻaʻole wale ka ʻōpū kahi i loaʻa ai ka mesentery. ʻO nā hōʻailona e like me ke kuni a me ka luhi he mea maʻamau ke pili kā mākou ʻōnaehana pale.

Pehea ʻoe e ʻike pololei ai i kēia maʻi? (Diagnosis)

No ka mea he maʻi laha ʻole ia a he maopopo ʻole nā ​​hōʻailona (ua like lākou me nā kūlana ʻē aʻe he nui), he mea paʻakikī ke ʻike pinepine. Pono paha kāu kauka e kāpae i kekahi mau kūlana ʻē aʻe, ʻoi aku ka maʻamau ma mua o ka manaʻo ʻana he mesenteric panniculitis. ʻO ka mea mua, hana paha lākou i kahi hoʻāʻo koko . Hiki i kēia ke hōʻike i nā hōʻailona o ka mumū. A laila, inā kānalua ʻia ka mesenteric panniculitis, hoʻohana ʻia nā hoʻokolohua kiʻi (radiology) e nānā i nā hōʻailona hiʻohiʻona. Hoʻomaopopo pinepine ʻia ka mesenteric panniculitis me kahi scan MRI (Magnetic Resonance Imaging) a i ʻole kahi scan CT (Computed Tomography) . E nānā ka radiologist i ka mānoanoa o ka mesentery, nā hōʻailona o ka make ʻana o nā cell momona (fat necrosis), a me ka scarring (fibrosis). I kekahi manawa hiki i ka ʻiʻo momona ke lilo i mānoanoa loa ma kahi hoʻokahi, e like me ka puʻupuʻu. Inā pehu nā lymph nodes ma ka mesentery, akā ʻaʻole i hoʻopilikia ʻia nā kīʻaha koko, ʻo ia kekahi ala e hoʻokaʻawale ai i ka mesenteric panniculitis mai ka maʻi kanesa. ʻO ke ala wale nō e ʻike pono ai i kēia maʻi me ka biopsy.ʻO ke ʻano kēia, ua wehe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mesenteric i ka wā o ke ʻoki ʻana a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Eia naʻe, ʻaʻole pono nā kānaka a pau i kēia ʻano hōʻoia paʻa. Loaʻa paha i kāu kauka ka ʻike lawa e kuhikuhi i ka lāʻau lapaʻau e mālama ai i ka panniculitis mesenteric. Inā kōkua ka lāʻau lapaʻau i ka hōʻoluʻolu i kāu mau hōʻailona, ​​​​​​e hōʻoia pū ana kēlā i ka hōʻoia.

Pehea e hana ʻia ai ka lāʻau lapaʻau? Pono anei nā kānaka a pau i ka lāʻau lapaʻau?

ʻO kaʻoiaʻiʻo, ʻaʻole pono ka lāʻau lapaʻau i nā kānaka a pau me ka mesenteric panniculitis. Inā ʻaʻohe ou hōʻailona a i ʻole nā ​​hōʻailona liʻiliʻi loa, e hoʻoholo paha kāu kauka e kali a nānā e ʻike inā e hoʻomaikaʻi kou kūlana. ʻAʻole e ʻoi aku ka ʻino o ka mesenteric panniculitis i ka hala ʻana o ka manawa, a nalo pinepine ia ma kāna iho . Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona, ​​​​aia kekahi mau lāʻau lapaʻau maʻamau a nā kauka e hoʻohana ai e mālama iā lākou.

• Corticosteroids: He mau lāʻau lapaʻau kēia e hōʻemi ai i ka mumū. I ka hapanui o nā hihia, hiki i kēia mau lāʻau lapaʻau ke kāohi i nā hōʻailona. ʻO kēia ka lāʻau lapaʻau mua.
• I kekahi mau hihia, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau hou e kōkua i nā hopena ʻaoʻao, e like me ka nausea. Hana mālie kēia mau lāʻau lapaʻau, no laila hiki ke hala kekahi mau pule no ka nalo loa ʻana o nā hōʻailona.

Inā ʻaʻole hana nā corticosteroids, hiki i kāu kauka ke kuhikuhi i nā immunosuppressants . Hana kēia mau lāʻau lapaʻau ma ke kāohi ʻana i kāu ʻōnaehana pale ikaika loa. A i ʻole, hiki iā ʻoe ke hoʻāʻo i kahi lāʻau i kapa ʻia ʻo low-dose naltrexone (LDN) . Hana pū kēia ma ka hoʻololi ʻana i ka ʻōnaehana pale, akā ma ke ʻano ʻokoʻa. Hoʻohana nā kauka i kahi kaʻina hana hoʻāʻo-a-hewa e ʻike i ka mea e hana maikaʻi loa no kāu mau hōʻailona.

He aha ka mea e hiki mai ana i kēia kūlana? (Outlook)

Ma keʻano laulā, he maʻi pōkole ka mesenteric panniculitis. Hiki iā ʻoe ke hoʻōla me ka ʻole o nā pilikia, a i ʻole me nā pilikia liʻiliʻi wale nō. Inā ʻo ʻoe kekahi o ka poʻe kakaikahi i loaʻa nā hōʻailona lōʻihi, e pane maikaʻi paha kāu mau hōʻailona i ka lāʻau lapaʻau. He kakaikahi wale nō ka poʻe e loaʻa i nā pilikia koʻikoʻi, e like me ke ālai ʻana o ka ʻōpū liʻiliʻi . I kēia hihia, pono paha ke ʻoki ʻana e wehe i ka ālai ʻana.

Hiki ke hoʻomaha ʻia kēia e ka meaʻai a me ka mea inu? (Kaohi ʻai)

ʻAe, he papaʻai anti-inflammatoryHiki i ka hahai ʻana i kēia ʻai ke kōkua i ka hōʻemi ʻana i ka mumū i loko o kou kino, ʻoi aku hoʻi i loko o kāu ʻōnaehana hoʻoheheʻe. ʻOiai ʻaʻole ia e ho'ōla wale i ka mesenteric panniculitis, hiki iā ia ke hana i kahi ʻokoʻa i kāu mau hōʻailona. ʻO ka ʻai anti-inflammatory e pili ana i ka ʻai ʻana i nā meaʻai holoʻokoʻa, kūlohelohe ma kahi o nā meaʻai i hoʻopili ʻia a hana ʻia. Hoʻoikaika pū ia i nā momona olakino, unsaturated.

E hōʻemi a hoʻōki paha i ka ʻai ʻana i kēia mau meaʻai ke loaʻa iā ʻoe ka mesenteric panniculitis:

• ʻIʻo ʻulaʻula
• Nā ʻiʻo i hana ʻia (e like me nā sausage, meatballs)
• Nā meaʻai palai
• Nā meaʻai māmā i hoʻopaʻa ʻia
• Nā kalapona i hoʻomaʻemaʻe ʻia (e like me ka berena keʻokeʻo i hana ʻia mai ka palaoa berena)
• Nā huahana kō kiʻekiʻe (e like me nā mea inu ʻono)
• Nā momona momona (e like me ka margarine, ka pōkole, nā aila holoholona)
• ʻAila

E hoʻohui i nā meaʻai anti-inflammatory e like me kēia:

• Nā huaʻai a pau, nā palaoa a me nā mea kanu
• Nā lau ʻōmaʻomaʻo lau (e like me ka spinach, kale)
• Iʻa (iʻa waiwai i ka omega-3 e like me ka salmon a me ka tuna)
• Nā aila mea kanu (e like me ka ʻaila ʻoliva, ka ʻaila canola)
• Nā nati (e like me nā ʻalemona, walnuts)
• ʻO ka ʻūlū

He ʻai kūlohelohe ka ʻai Mediterranean no ka anti-inflammatory. Hoʻoikaika ia i nā meaʻai holoʻokoʻa a me nā momona olakino e like me ka iʻa, nā nati, a me ka ʻaila ʻoliva, nona ka nui o nā waikawa momona omega-3 . He ʻano kakaikahi ka mesenteric panniculitis a nui nā mea e aʻo ai. ʻO ka mea pōmaikaʻi, e ola koke ka hapa nui o ka poʻe. Eia nō naʻe, inā hoʻopilikia a hoʻomau paha kāu mau hōʻailona, ​​hiki ke hoʻonāukiuki ke loaʻa kahi ʻano i maopopo ʻole. Aia nō nā lāʻau lapaʻau no ka mesenteric panniculitis i ka pae noiʻi. E hana pū kāu kauka me ʻoe, i kēlā me kēia ʻanuʻu, e ʻimi i kahi lāʻau lapaʻau e kūpono iā ʻoe.

Leka Lawe-Home

ʻO ka mesenteric panniculitis kahi mumū o ka ʻiʻo momona i loko o ka mesentery, kahi ʻāpana o ka ʻōpū.

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* ʻAʻole kēia he mea weliweli , a i ka hapanui o nā hihia hiki ke ho'ōla iā ia iho .

* ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, ua manaʻo ʻia he maʻi autoimmune ia.

* ʻO ka ʻeha o ka ʻōpū ka hōʻailona nui. Eia nō naʻe, hiki nō hoʻi ke pehu, ka nausea, a me ka luhi.

* Hiki i nā scan CT a i ʻole MRI ke kōkua i ka ʻike ʻana. Pono paha kahi biopsy.

* ʻAʻole pono nā kānaka a pau i ka lāʻau lapaʻau. Hiki i ka poʻe me nā hōʻailona ke loaʻa ka hōʻoluʻolu me nā lāʻau lapaʻau e like me corticosteroids .

* ʻO ka hahai ʻana i kahi papaʻai e hōʻemi ana i ka mumū hiki ke kōkua i ka kaohi ʻana i nā hōʻailona.

* Inā hoʻomau ʻoe i kēia mau hōʻailona, ​​e ʻimi pono i ke kōkua lapaʻau . Mai hopohopo, he maʻi hiki ke mālama ʻia.

ʻO ka Panniculitis Mesenteric, Mesenteric Panniculitis, Ka mumū o ka ʻōpū, ʻEha ʻōpū, Mesentery, ʻIʻo momona, Nā maʻi Autoimmune, ʻAi, Lapaʻau, Nā hōʻailona, ​​CT scan, MRI scan