He aha kēia ʻeha pinepine o ka ʻōpū? E aʻo kākou e pili ana i ka Sclerosing Mesenteritis ma ke ʻano maʻalahi!

Manaʻo paha ʻoe i kekahi manawa he ʻeha kou ʻōpū a i ʻole he manaʻo piha me ke kumu ʻole? Manaʻo pinepine mākou he pilikia kinoea a he pilikia hoʻoheheʻe liʻiliʻi paha, ʻeā? Akā i kekahi manawa, aia paha kekahi kūlana ma hope o kēia ʻaʻole mākou e kamaʻilio nui e pili ana a he inoa ʻē iki kona. I kēia lā e kamaʻilio mākou e pili ana i kekahi kūlana kakaʻikahi akā koʻikoʻi loa e ʻike ai. ʻO ia ka Sclerosing Mesenteritis.

I ka ʻōlelo maʻalahi, he aha ka Sclerosing Mesenteritis?

He mea weliweli paha kēia inoa, akā e wāwahi kākou a hoʻomaopopo maʻalahi.

E noʻonoʻo ʻaʻole e lana wale ana nā ʻōpū i loko o ko kākou ʻōpū ma ʻō a ma ʻaneʻi, ʻeā? Aia kahi membrane e kōkua ana e mālama iā lākou i ke ʻano a ma kahi hoʻokahi. I ka pololei, ua hoʻopili ʻia ko kākou mau ʻōpū i ka paia hope o ka ʻōpū e kēia membrane. I ka lāʻau lapaʻau, kapa mākou i kēia membrane ʻo ka mesentery . Aia kekahi papa o ka momona (ʻiʻo adipose) i loko o kēia mesentery.

I kēia manawa, e nānā, ʻo "Mesenteritis" e pili ana i ka mumū o ka mesentery. ʻO ia hoʻi ke ʻano o ka pehu ʻana. ʻO ka huaʻōlelo "sclerosing" ʻo ia hoʻi kahi mea e mānoanoa ana, a i ʻole ka hoʻokumu ʻana o nā ʻiʻo ʻeha a mānoanoa. E like me ka wā e loaʻa ai kahi ʻeha ma ko mākou ʻili, ma hope o kona ho'ōla ʻana, mānoanoa iki ka ʻili a koe kahi ʻeha. ʻO kēia ka mea a mākou e kapa nei he fibrosis .

Ke mānoanoa ka mesentery ma kēia ʻano, hiki ke ʻano like me kahi puʻupuʻu ma kahi scan. No laila he mea nui e ʻike pono i ke ʻano o ia mea.

He maʻi mau anei kēia?

ʻAe, ʻoiaʻiʻo nō. No ka mea, no ka loaʻa ʻana o ka ʻōpala āu i ʻōlelo ai a hiki i ke kahua o ka sclerosis, pono e hoʻomau ka mumū no ka manawa lōʻihi. ʻAʻole hana ʻia kēia i ka manawa hoʻokahi. Aia kekahi mau pae i kēia.

1. ʻO ka mea mua, hoʻomaka ka ʻiʻo momona i loko o ka mesentery e wāwahi mālie.

2. A laila, hōʻea nā ʻano pūnaewele like ʻole i kēlā wahi a hoʻomaka e hōʻuluʻulu.

3. Hoʻomaka ka hana ʻana o nā ʻiʻo ʻeha i ka hopena.

No laila, he maʻi lōʻihi a holomua ka Sclerosing Mesenteritis. Akā, hoʻokahi mea maikaʻi e ʻōlelo ai ma ʻaneʻi. ʻAʻole ia e lilo i mea ʻino mau. I ka hapanui o nā hihia, hiki ke hoʻomaikaʻi iā ia iho, me ka ʻole o ka lāʻau lapaʻau. No laila, mai makaʻu e lohe i ka inoa.

Ua kapa ʻia anei kēia he Mesenteric Panniculitis?

Ua lohe paha ʻoe i kēia inoa. Mesenteric PanniculitisPili ia i ka mumū o ka ʻiʻo momona (panniculus) ma ka mesentery. I ka ʻōlelo maʻalahi, manaʻo ka nui o nā kauka he maʻi like nā kūlana ʻelua. No ka mea, ʻaʻohe kumu kikoʻī no nā mea ʻelua, he mau mumū idiopathic lākou.

Eia nō naʻe, manaʻo kekahi mau kauka e hoʻohana ʻia ka inoa ʻo Sclerosing Mesenteritis no ke kahua ʻoi aku ka ʻino a me ka ʻeha o ka maʻi. ʻO Mesenteric Panniculitis e pili ana i ke kahua mua o ka mumū, ma mua o ka hoʻomaka ʻana o ka ʻeha e hana. Eia nō naʻe, ua manaʻo ʻia kēia mau mea ʻelua he mau kahua like ʻole o ka maʻi like.

ʻO wai ka mea i loaʻa pinepine i kēia maʻi?

ʻO ka mea mua, he maʻi laha ʻole ka Sclerosing Mesenteritis. Hoʻopilikia ia i kahi poʻe liʻiliʻi loa, ma kahi o 0.6% o ka heluna kanaka. No laila, mai makaʻu nui iā ia.

Wahi a nā ʻikepili i loaʻa, ʻike pinepine ʻia kēia maʻi ma:

• Ma waena o nā kānaka ma luna o 50 mau makahiki .
• Inā loaʻa i kekahi o ka ʻohana nā maʻi autoimmune .
• Wahi a kekahi mau noiʻi, ma kahi o 60% o ka poʻe i ʻike ʻia me kēia maʻi i loaʻa a i loaʻa paha i nā maʻi kanesa ʻē aʻe. Ua hōʻike ʻia e pili ana i kahi ʻano maʻi kanesa i kapa ʻia ʻo lymphoma .

No laila, he maʻi ʻaʻai anei kēia? He nīnau e hopohopo nei i nā poʻe he nui!

ʻO kēia ka mea nui loa āu e hoʻomanaʻo ai. ʻAʻole kēia he maʻi kanesa. Eia nō naʻe, hiki ke pili pū me ke kanesa a i kekahi manawa e like me ke kanesa ma nā scans. E hoʻomaopopo kākou i kēlā.

ʻO nā hunaola kanesa kahi ʻano hunaola e hiki ke māhelehele, ulu, a laha me ke kāohi ʻole ʻia ma ke kino holoʻokoʻa. Eia nō naʻe, ʻaʻole māhelehele a laha ka ʻiʻo ʻeha i hana ʻia ma ka sclerosing mesenteritis ma kēia ʻano. Eia nō naʻe, i ka wā e hōʻiliʻili ai a mānoanoa ka ʻiʻo ʻeha, hiki ke like me ka puʻupuʻu ma kahi scan. Eia kekahi, hiki i kēia mau hōʻailona ke like me kekahi mau hōʻailona kanesa.

No kēia mau kumu, pono i ke kauka ke hana i kekahi mau hoʻokolohua e hoʻokaʻawale pololei ma waena o kēia mau kūlana ʻelua.

He aha nā hōʻailona o kēia maʻi?

ʻO ka mea kupanaha ma ʻaneʻi, ʻaʻohe o ka poʻe he nui i loaʻa i kekahi mau hōʻailona . ʻIke pinepine ʻia ia i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe.

Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​ʻo ka mea maʻamau:

• ʻEha ʻōpū: He manaʻo mau o ka ʻeha iki a i ʻole ka ʻoluʻolu ʻole i loko o ka ʻōpū.
• Pehu: Manaʻo o ka pehu a me ka pehu.
• Ka maʻi kahe a i ʻole ke kuni: Hiki ke ʻike ʻia kēia mau hōʻailona inā koʻikoʻi ka mumū.
• Ke manaʻo nei i kahi puʻu i loko o ka ʻōpū: I kekahi manawa, ke manaʻo ʻoe i ka ʻōpū mai waho mai, hiki i ka ʻāpana mānoanoa ke manaʻo e like me kahi puʻu.
• Ka luaʻi, ka luaʻi ʻana, a me ka pohō kaumaha: He mea kākaʻikahi loa, hiki i kēia ʻiʻo mānoanoa ke ālai i ka ʻōpū liʻiliʻi. ʻO kēia ka manawa e ʻike ʻia ai nā hōʻailona e like me ka luaʻi ʻana, ka luaʻi ʻana, a me ka pohō kaumaha.

No ke aha e loaʻa ai kēia ʻano maʻi? He aha ke kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa ke kumu kikoʻī o kēia , akā ʻo ka manaʻo nui o nā kauka he maʻi autoimmune paha ia.

I ka ʻōlelo maʻalahi, ʻo ka hana a ko kākou ʻōnaehana pale kino, ʻo ia ke kaua aku i nā germs e hoʻoulu ai i nā maʻi. Akā i loko o kahi maʻi autoimmune, hoʻomaka hewa ko kākou ʻōnaehana pale kino ponoʻī e hoʻouka i ko kākou mau ʻiʻo olakino ponoʻī. Hoʻoulu kēia hoʻouka i ka mumū mau loa.

He nui ka poʻe i loaʻa i ka sclerosing mesenteritis he moʻolelo ʻohana o nā maʻi autoimmune ʻē aʻe. Ua manaʻoʻiʻo ʻia hoʻi hiki ke hoʻoulu ʻia ke ʻano e ke kaumaha kino, e like me ke ʻoki kino, ka maʻi, a i ʻole ke kanesa.

Pehea e ʻike ai ke kauka i kēia maʻi? (Diagnosis)

Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, ​​​​inā kānalua ke kauka i kēia maʻi, e kuhikuhi ʻo ia iā ʻoe no kekahi mau hoʻokolohua.

1. Nā scan (kiʻi)

• ʻO ke scan Ultrasound: He hoʻāʻo wikiwiki a maʻalahi kēia e hiki ke hana ʻia e ʻike i nā hōʻailona mua.
• CT scan a i ʻole MRI scan: He mau hoʻokolohua koʻikoʻi kēia. Hiki i kēia mau scan ke hōʻike i nā mea e like me ka mānoanoa o ka mesentery a me nā ʻiʻo scar me ka maopopo loa.
• ʻIke PET: I kekahi manawa he mea paʻakikī ke ʻike mai kahi ʻike CT a MRI paha inā he Sclerosing Mesenteritis a i ʻole ke kanesa. I ia mau hihia, hiki i kahi ʻike PET ke kōkua. Maanei, ua hoʻokomo ʻia kahi mea radioactive i loko o ke kino. ʻOiai ʻoi aku ka omo ʻana o nā hunaola kanesa i kēia mea ma mua o nā hunaola maʻamau, hiki ke ʻike maopopo ʻia inā he kanesa.

2. Biopsy

Inā ʻaʻole i maopopo nā hoʻokolohua i luna, ʻo ka hoʻokolohua hope loa he biopsy. Ma kēia, lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka ʻāpana mānoanoa o ka mesentery a nānā ʻia ma lalo o kahi microscope. Lawe pinepine ʻia kēia laʻana ʻiʻo ma ke komo ʻana i kahi nila lahilahi ma o ka ʻōpū. I kekahi poʻe, pono paha e lawe ʻia kēia laʻana ma o kahi hana liʻiliʻi, e like me ka laparoscopy.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, ʻaʻole pono ka hapa nui o ka poʻe i kekahi lāʻau lapaʻau . Hoʻopau pinepine kēia maʻi iā ia iho. Inā ʻaʻohe ou hōʻailona, ​​a i ʻole ke ʻike nei ʻoe i ka ʻoluʻolu iki wale nō, e ʻōlelo paha kāu kauka ʻaʻole ʻoe e lawe i kekahi lāʻau lapaʻau a kali wale.

Eia nō naʻe, inā hoʻomau nā hōʻailona a hoʻopilikia paha i kou ola o kēlā me kēia lā, aia kekahi mau lāʻau lapaʻau e kuhikuhi ai kāu kauka.

• ʻO nā Corticosteroids: No ka laʻana, ʻo Prednisone. Hoʻomalu kēia i ka mumū i loko o ke kino.
• Nā lāʻau pale kino: No ka laʻana, azathioprine. Hana kēia mau mea ma ka hōʻemi ʻana i ka hana o ka ʻōnaehana pale kino e hana hewa ana.
• Hoʻōla Hormonal: Hoʻohana ʻia nā lāʻau lapaʻau e like me Tamoxifen i kekahi manawa.

Hiki ke hoʻomalu ʻia kēia kūlana me ka meaʻai a me ka mea inu?

ʻO ka hahai ʻana i kahi papaʻai anti-inflammatory hiki ke kōkua i ka hōʻemi ʻana i ka mumū i loko o ke kino, ʻoi aku hoʻi i ka ʻōnaehana hoʻoheheʻe. ʻAʻole paha kēia e ho'ōla loa i ka Sclerosing Mesenteritis , akā hiki iā ia ke kōkua i ka kaohi ʻana i nā hōʻailona i kekahi ʻano.

I ka ʻōlelo maʻalahi, ʻo ka papaʻai anti-inflammatory:

• Ke hoʻoikaika nei i nā meaʻai hou a kūlohelohe (nā meaʻai holoʻokoʻa) ma kahi o nā meaʻai i hoʻopili ʻia a hana ʻia.
• ʻAi ʻana i nā meaʻai hou aku i loaʻa nā momona olakino, unsaturated (e.g., omega-3).
• E hoʻohui i nā mea kanu hou, nā huaʻai, a me nā mea kanu i kāu meaʻai.

He mea maikaʻi ke kamaʻilio me kāu kauka e pili ana i kēia a, inā pono, e ʻimi i ka ʻōlelo aʻo a ke kauka meaʻai.