Loaʻa iā ʻoe kēia pilikia i loko o kou ʻōpū? E aʻo kākou e pili ana i ka Sclerosing Mesenteritis!

Ua lohe paha ʻoe i kēia maʻi i kapa ʻia ʻo Sclerosing Mesenteritis? ʻAʻole paha, ʻeā? He maʻi kakaikahi loa ia, ʻo ia hoʻi, ʻaʻole nui ka poʻe e loaʻa iā ia. Akā, he mea maikaʻi ke ʻike iki e pili ana i ia mea. No ka mea, i kekahi manawa, lohe paha mākou, a i ʻole kekahi mea a mākou i ʻike ai, e pili ana i nā mea e like me kēia. E nānā kākou i ke ʻano o ia mea, pehea e hana ʻia ai, he aha nā hōʻailona, ​​a aia kekahi lāʻau lapaʻau.

He aha kēia sclerosing mesenteritis?

I ka ʻōlelo maʻalahi, ʻo ka sclerosing mesenteritis kahi maʻi laha ʻole e hoʻopilikia i kahi ʻāpana o kou mesentery. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka mesentery. ʻO ia ka ʻiʻo e kōkua i ka hoʻopaʻa ʻana i kou mau ʻōpū i ka paia hope o kou ʻōpū. Ua like ia me ka pale, e pololei. ʻO "Mesenteritis" e pili ana i ka mumū, ʻo ia hoʻi ka pehu ʻana, ma kēia mesentery. ʻO "Sclerosing" e pili ana i ka ʻeha a me ka paʻakikī. No laila, i ka sclerosing mesenteritis, aia kahi mumū lōʻihi o kēia mesentery. I ka hala ʻana o ka manawa, hoʻoulu kēia mumū i ka ʻeha (fibrosis) i loko o ka ʻiʻo, kahi e paʻakikī mālie ai. ʻO kou mesentery kekahi ʻāpana o ka visceral peritoneum, ka mea e hoʻopuni ana i nā ʻōpū i loko o kou ʻōpū a kōkua i ka hoʻopaʻa ʻana iā lākou ma kahi. Hana ʻia ia me ʻelua papa o ka membrane (peritoneum) i pelu ʻia i ʻelua, me kahi papa o ka ʻiʻo momona (adipose tissue) ma waena. I ka sclerosing mesenteritis, hoʻopilikia kēia mumū i ka papa ʻiʻo momona ma waena. ʻO ia ke kumu e mānoanoa ai a paʻakikī kēlā ʻāpana. I kekahi manawa hiki ke hana ʻia kēia ma kahi hoʻokahi a i ʻole ma kekahi mau wahi. Ke nānā ʻia ma nā hoʻokolohua radiological, hiki i kēia ke nānā aku e like me nā puʻupuʻu.

He maʻi mau anei kēia?

ʻAe, he maʻi mau loa ia. No ka mea, i mea e lilo ai ka ʻiʻo i ʻeha a paʻakikī (sclerosis), pono e loaʻa ka mumū no ka manawa lōʻihi. ʻAʻole hana kēia i ka manawa hoʻokahi, hana ia ma nā pae. ʻO ka mua, wāwahi iki ka papa momona. A laila, hele mai nā ʻano ʻano like ʻole a hui pū me ka ʻiʻo. ʻO ka hope, hana ʻia nā ʻiʻo ʻeha. No laila, ma ia ʻano, he maʻi mau ka sclerosing mesenteritis a holomua. Akā naʻe, ʻaʻole ia e ʻoi aku ka ʻino. I ka hapa nui o nā hihia, hiki iā ia ke nalo aku iā ia iho.

He like anei ka Sclerosing Mesenteritis a me ka Mesenteric Panniculitis?

Manaʻo ka nui o nā kauka he like nā kūlana ʻelua. Wehewehe lākou i nā mea ʻelua he "idiopathic" mumū o ka mesentery. ʻO ia hoʻi, ʻike ʻia ka mumū e hiki koke mai ana, me ke kumu ʻole. Eia naʻe, ke hoʻopaʻapaʻa nei kekahi e hoʻohana ʻia ka inoa "sclerosing mesenteritis" e wehewehe i kahi ʻano ʻoi aku ka ʻino o ka maʻi, a i ʻole kahi ʻano paʻakikī i loaʻa ai nā hōʻailona no ka manawa lōʻihi. ʻO "Mesenteric panniculitis" ʻo ia hoʻi "ka mumū o ka ʻiʻo momona o ka mesentery." ʻOiai ʻaʻole pili kēia inoa i ka ʻeha (sclerosis), ke hoʻopaʻapaʻa nei kekahi e hoʻohana ʻia ka inoa "mesenteric panniculitis" e wehewehe i ke kahua mua o ka mumū, ʻo ia hoʻi, ke kahua ma mua o ka hiki ʻana mai o ka ʻeha. Wahi a lākou i ka wā e hoʻomaka ai nā ʻeha e hana, ʻo ia hoʻi ua holomua loa ka maʻi a he mea paʻakikī iki paha ke mālama.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

He maʻi laha ʻole ka Sclerosing mesenteritis. Hoʻopilikia ia ma kahi o 0.6% o ka heluna kanaka. Me kahi o 200 mau hihia i hōʻike ʻia a hiki i kēia manawa, ke aʻo nei mākou e pili ana i ia mea. Hoʻopilikia pinepine ia i ka poʻe ma luna o 50 mau makahiki. He nui ka poʻe i loaʻa i ka maʻi he moʻolelo ʻohana o nā maʻi autoimmune. Eia kekahi, hōʻike ka noiʻi he 60% o nā maʻi i loaʻa a i loaʻa paha i ka maʻi kanesa, ʻoiai ʻo lymphoma.

He maʻi ʻaʻai anei ka Sclerosing Mesenteritis?

ʻAʻole, ʻaʻole kēia he maʻi kanesa ma kāna iho. Akā pili pinepine ia me ke kanesa. ʻO kekahi kumu o ka mumū mau loa ʻo ia ka maʻi kanesa. A ʻo nā maʻi ʻē aʻe kekahi. Hōʻike ka noiʻi ʻana he ʻoi aku ka nui o ka poʻe i loaʻa i ka mumū ma muli o kēia kumu e loaʻa i ka sclerosing mesenteritis. Me he mea lā "lawe" ko lākou mesentery i ka mumū a hoʻomau i ka hana pēlā. Ulu ka ʻiʻo ʻeha e like me ke kanesa, akā ʻaʻole ia e pālahalaha. Akā i kekahi manawa hiki ke nānā aku me he mea lā "e pālahalaha ana." Hiki ke nānā aku e like me ke kanesa ma nā x-ray. I ka sclerosing mesenteritis, ʻike pinepine ʻia kahi puʻupuʻu paʻa a paʻakikī o ka ʻiʻo ʻeha ma kahi hoʻokahi o ka mesentery, e like me ka puʻupuʻu. Hiki ke like nā hōʻailona o nā kūlana ʻelua i kekahi manawa. No laila pono nā kauka e hoʻolōʻihi i kekahi manawa a hana i kekahi mau hoʻāʻo e hoʻokaʻawale ma waena o nā mea ʻelua.

He aha nā hōʻailona?

E noʻonoʻo e pili ana i ia mea, hiki i nā poʻe he nui ke loaʻa i kēia maʻi me ka ʻole o nā hōʻailona , ​​​​a ʻaʻole lākou i ʻike he loaʻa iā lākou. ʻO nā hōʻailona maʻamau ka ʻeha o ka ʻōpū a me ka pehu.Inā koʻikoʻi ka mumū, loaʻa paha iā ʻoe ka maʻi pākī a i ʻole ke kuni. Hiki paha iā ʻoe ke manaʻo i kahi puʻupuʻu i loko o kou ʻōpū. He mea kākaʻikahi loa, hiki i kēia puʻupuʻu ke hana i kahi paʻa i loko o kou ʻōpū liʻiliʻi. Hiki i kēia ke hana i nā hōʻailona hou aʻe e like me ka nausea, ka luaʻi ʻana, a me ka pohō kaumaha.

He aha ke kumu o kēia?

ʻAʻole ʻike ʻia ke kumu kikoʻī. Akā, ke manaʻo nei nā kauka he ʻano maʻi autoimmune paha ia. ʻO ia hoʻi, ua hoʻokumu ʻia ka mumū e kahi pane kūpono ʻole a i ʻole ka hana nui ʻana o ka ʻōnaehana pale o ko mākou kino. Hoʻohana maʻamau kāu ʻōnaehana pale i ka mumū e hakakā i nā germs e komo i loko o ke kino a e ho'ōla i nā ʻiʻo i hōʻino ʻia. Ke hele nui kāu ʻōnaehana pale i ka wā ʻaʻohe hoʻoweliweli maopopo, ua kapa ʻia ia he pane autoimmune. Aia nā ʻano maʻi autoimmune like ʻole e hoʻoulu ai i ka mumū mau loa ma nā ʻāpana like ʻole o ke kino. ʻAʻole maopopo iā mākou ke kumu o ko lākou ulu ʻana, akā me he mea lā he ʻāpana genetic, a hiki ke hoʻoulu ʻia e ke kaumaha kino, e like me ka maʻi a i ʻole ka ʻeha. ʻO ka poʻe e loaʻa ana i ka sclerosing mesenteritis pinepine he moʻolelo ʻohana o nā maʻi autoimmune, a i kekahi manawa loaʻa paha iā lākou nā maʻi autoimmune ʻē aʻe.

Pehea e ʻike pono ai i kēia maʻi?

Hana kekahi kauka i kekahi mau ʻanuʻu e ʻike ai i kēia maʻi.

Nā Hoʻāʻo Kiʻi

E lawe kāu kauka i nā kiʻi x-ray o ka mesentery e nānā i nā hōʻailona o ka sclerosing mesenteritis.

• ʻO ka mea mua, hiki iā ʻoe ke hana i kahi ultrasound ʻōpū. He hoʻāʻo wikiwiki a maʻalahi hoʻi ia.
• Inā he kānalua e pili ana i kēia kūlana, e kuhikuhi lākou iā ʻoe i kahi hoʻokolohua ʻoi aku ka naʻauao. Hiki i kēia ke lilo i " CT scan" (computed tomography scan ) a i ʻole " MRI" (magnetic resonance imaging). Ke nānā nei kēia mau hoʻokolohua i kahi nui o ka ʻiʻo a me nā hōʻailona o ka haki ʻana o nā ʻiʻo a me ka ʻeha (fibrosis) a puni ia.
• Inā ʻaʻole hiki i kēia mau hoʻokolohua ke hoʻokaʻawale maopopo ma waena o ka sclerosing mesenteritis a me ke kanesa, hiki i kahi "PET scan" (positron emission tomography) ke kōkua i ka hōʻoia ʻana i ka maʻi. Pili kēia i ka hoʻokomo ʻana i kahi mea palekana, radioactive "radioactive tracer" i loko o ke kino. Hoʻohana kahi "CT scan" a i ʻole "MRI" i kēia radiation.Hoʻopuka ʻia nā kiʻi i ka wā e ʻike ʻia ai. ʻOi aku ka omo ʻana o nā hunaola kanesa i kēia mea radioactive ma mua o nā hunaola ʻē aʻe.

Biopsy

Inā ʻaʻole holo pono nā mea āpau, pono paha kāu kauka e lawe i kahi laʻana o ka ʻiʻo mai ka mesentery no kahi biopsy. E nānā kahi pathologist i ka laʻana ʻiʻo a hana i kahi hōʻoia hope loa. Lawe pinepine ʻia kēia laʻana ʻiʻo ma o kahi nila i hoʻokomo ʻia i loko o ka ʻōpū. Pono paha kekahi poʻe e hana i kahi kaʻina hana ʻoi aku ka liʻiliʻi o ka invasive i kapa ʻia ʻo laparoscopy e nānā i ka mesentery a lawe i kahi laʻana. Pili kēia i ke komo ʻana i kahi kāmela ma o kahi ʻoki liʻiliʻi.

He aha nā lāʻau lapaʻau no ka Sclerosing Mesenteritis?

ʻO ka nūhou maikaʻi, ʻaʻole pono ka hapa nui o ka poʻe i ka lāʻau lapaʻau. ʻO ka sclerosing mesenteritis pinepine he kūlana e hoʻopau ponoʻī ana, e hoʻōla ponoʻī ana, a e hoʻōla ponoʻī ana. ʻAʻole paha ʻoe e loaʻa i kekahi mau hōʻailona, ​​a i ʻole he ʻoluʻolu iki wale nō paha e hiki ke hoʻomalu ʻia me nā lāʻau lapaʻau ma luna o ke kūʻai aku (OTC). Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona mau, e kuhikuhi kāu kauka i nā ʻano lāʻau lapaʻau like ʻole e mālama ai iā lākou. Hiki i kēia mau mea ke komo pū me:

• Hoʻohana ʻia nā Corticosteroids, e like me prednisone, e kāohi i ka mumū .
• Hoʻemi nā immunosuppressants, e like me ka azathioprine, i ka pane autoimmune.
• ʻO ka lāʻau lapaʻau hormonal , no ka laʻana ʻo tamoxifen.

ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o kēia mau lāʻau lapaʻau ma lalo o ke aʻo ʻana a ke kauka. Hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau lapaʻau kūpono nāu, no laila he mea nui e hoʻomau i ka launa pū me kāu kauka.

He aha ka wānana o kēia maʻi?

He maikaʻi ka wānana no ka hapa nui o nā kānaka. ʻO ia hoʻi, hoʻōla ka hapa nui o nā kānaka. Akā hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka. Loaʻa i ka hapa nui o nā kānaka nā hōʻailona iki a waena paha, a ʻaʻohe hōʻailona iki. Akā i kekahi manawa, hiki ke lilo i maʻi ʻoi aku ka koʻikoʻi. Hiki ke mau mai kekahi mau lā a hiki i 10 mau makahiki. ʻO ka hapa nui o ka manawa e hoʻomaikaʻi ia iā ia iho, a i ʻole me ka lāʻau lapaʻau, akā i kekahi manawa ʻaʻole. Pono paha kekahi mau hoʻāʻo a me ka hewa e ʻike ai i ka lāʻau lapaʻau e kūpono loa iā ʻoe.

Hiki ke hoʻēmi ʻia a hoʻōla ʻia paha kēia mau hōʻailona ma o ka ʻai ʻana?

ʻO ka hahai ʻana i kahi papaʻai anti-inflammatory hiki ke kōkua i ka hōʻemi ʻana i ka mumū mau loa i loko o kou kino, ʻoi aku hoʻi i loko o kāu ʻōnaehana hoʻoheheʻe. ʻOiai ʻaʻole paha e ho'ōla loa i ka sclerosing mesenteritis, hiki iā ia ke hana i kahi ʻokoʻa i kāu mau hōʻailona. ʻO ka papaʻai anti-inflammatory kahi papaʻai e kālele ana i nā meaʻai holoʻokoʻa ma mua o nā meaʻai i hoʻopili ʻia a hana ʻia. Hoʻoikaika pū ia i nā momona olakino, unsaturated e like me omega-3s.

ʻO ka mea hope loa, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)

He mea pohihihi iki ka Sclerosing mesenteritis, ʻo ia hoʻi, he ʻano paʻakikī ke hoʻomaopopo. Hiki iā ia ke hoʻohoka iā ʻoe. Loaʻa i kekahi poʻe ma hope o kahi maʻi, ʻoki ʻōpū, a i ʻole ke kanesa. Loaʻa i kekahi me ke kumu ʻole. Loaʻa paha iā ʻoe nā hōʻailona, ​​a i ʻole e ʻike paha kāu kauka iā ia ma ka ulia pōpilikia. Hiki ke hopohopo iki ka ʻike ʻana he ʻano kou i maopopo ʻole. He mea maʻamau kēlā. Akā, mai hopohopo. E hana pū kāu kauka me ʻoe e kōkua iā ʻoe e hoʻomaopopo. ʻO ka loaʻa ʻana o kahi hōʻailona pololei a, inā pono, ʻo ka loaʻa ʻana o ka lāʻau kūpono ka mea nui loa. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, mai makaʻu e nīnau i kāu kauka.