Koj puas muaj qhov teeb meem no hauv koj lub plab thiab? Cia peb kawm txog Sclerosing Mesenteritis!

Koj puas tau hnov ​​txog tus kab mob no hu ua Sclerosing Mesenteritis? Tej zaum tsis tau, puas yog? Nws yog ib qho mob tsis tshua muaj, uas txhais tau tias tsis muaj coob tus neeg mob nws. Tab sis nws yog ib qho zoo kom paub me ntsis txog nws. Vim tias qee zaum peb, lossis ib tus neeg uas peb paub, yuav hnov ​​txog tej yam zoo li no. Cia peb saib seb nws yog dab tsi, nws tshwm sim li cas, cov tsos mob yog dab tsi, thiab puas muaj kev kho.

Kab mob sclerosing mesenteritis no yog dab tsi?

Hais yooj yim xwb, mob sclerosing mesenteritis yog ib yam kab mob tsis tshua muaj uas cuam tshuam rau ib feem ntawm koj lub mesentery. Tam sim no tej zaum koj yuav xav paub tias mesentery yog dab tsi. Nws yog cov nqaij uas pab tuav koj cov hnyuv rau ntawm phab ntsa tom qab ntawm koj lub plab. Nws zoo li ib daim ntaub thaiv, kom meej. "Mesenteritis" txhais tau tias o, uas txhais tau tias o, hauv mesentery no. "Sclerosing" txhais tau tias caws pliav thiab tawv. Yog li, hauv sclerosing mesenteritis, muaj kev o ntev ntawm mesentery no. Raws sijhawm, qhov kev o no ua rau muaj caws pliav (fibrosis) hauv cov nqaij, uas maj mam tawv. Koj lub mesentery yog ib feem ntawm visceral peritoneum, uas nyob ib puag ncig cov kabmob hauv koj lub plab thiab pab tuav lawv rau hauv qhov chaw. Nws yog ua los ntawm ob txheej ntawm daim nyias nyias (peritoneum) tais ua ob, nrog ib txheej ntawm cov nqaij rog (adipose tissue) nyob nruab nrab. Hauv sclerosing mesenteritis, qhov kev o no cuam tshuam rau txheej nqaij rog hauv nruab nrab. Yog vim li cas qhov ntawd thiaj li tuab thiab tawv. Qee zaum qhov no tuaj yeem tshwm sim rau ib qho chaw lossis ntau qhov chaw. Thaum saib ntawm kev kuaj mob hluav taws xob, cov no tuaj yeem zoo li qog nqaij hlav.

Qhov no puas yog ib qho mob ntev?

Yog lawm, qhov tseeb tiag, nws yog ib qho mob ntev. Vim tias rau cov nqaij kom ua rau muaj qhov txhab txaus kom tawv (sclerosis), yuav tsum muaj kev o ntev. Qhov no tsis tshwm sim tag nrho ib zaug, nws tshwm sim ua ntu zus. Ua ntej, cov txheej rog tawg me ntsis. Tom qab ntawd, ntau hom hlwb tuaj koom nrog cov nqaij. Thaum kawg, cov nqaij caws pliav tsim. Yog li, hauv qhov kev nkag siab ntawd, sclerosing mesenteritis yog ib qho mob ntev, mob zuj zus. Tab sis hais li ntawd, nws tsis tas li zuj zus. Feem ntau, nws tuaj yeem ploj mus ntawm nws tus kheej.

Sclerosing Mesenteritis thiab Mesenteric Panniculitis puas yog tib yam?

Muaj ntau tus kws kho mob xav tias ob qho mob no zoo ib yam. Lawv piav qhia ob qho tib si tias yog "idiopathic" mob ntawm lub mesentery. Qhov ntawd yog, qhov mob zoo li tshwm sim sai sai, tsis muaj laj thawj tshwj xeeb. Txawm li cas los xij, qee tus sib cav tias lub npe "sclerosing mesenteritis" yuav tsum tau siv los piav qhia txog hom mob hnyav dua, lossis hom mob nyuaj dua uas cov tsos mob tau muaj ntev dua. "Mesenteric panniculitis" txhais tau tias "mob ntawm cov nqaij rog ntawm lub mesentery." Vim tias lub npe no tsis hais txog qhov caws pliav (sclerosis), qee tus sib cav tias lub npe "mesenteric panniculitis" yuav tsum tau siv los piav qhia txog theem pib ntawm kev mob, uas yog, theem ua ntej qhov caws pliav tshwm sim. Lawv hais tias thaum cov caws pliav pib tsim, nws txhais tau tias tus kab mob tau mob hnyav heev thiab tej zaum yuav nyuaj me ntsis rau kev kho.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Kab mob Sclerosing mesenteritis yog ib yam mob tsis tshua muaj. Nws cuam tshuam rau kwv yees li 0.6% ntawm cov pej xeem. Tsuas muaj li ntawm 200 tus neeg mob tau tshaj tawm txog tam sim no, peb tseem tab tom kawm txog nws. Feem ntau nws cuam tshuam rau cov neeg hnub nyoog tshaj 50 xyoo. Ntau tus neeg uas muaj tus kab mob no muaj keeb kwm hauv tsev neeg ntawm cov kab mob autoimmune. Tsis tas li ntawd, kev tshawb fawb qhia tau tias kwv yees li 60% ntawm cov neeg mob tau muaj lossis tam sim no muaj mob qog noj ntshav, tshwj xeeb tshaj yog lymphoma.

Puas yog Sclerosing Mesenteritis yog mob qog noj ntshav?

Tsis yog, qhov no tsis yog mob qog noj ntshav nws tus kheej. Tab sis nws feem ntau cuam tshuam nrog mob qog noj ntshav. Ib qho ua rau mob o ntev yog mob qog noj ntshav. Thiab kev kis kab mob yog lwm qhov. Kev tshawb fawb qhia tau tias cov neeg uas muaj mob o vim yog qhov ua rau no yuav muaj feem ntau dua los mob sclerosing mesenteritis. Zoo li lawv cov mesentery "hloov" qhov mob thiab txuas ntxiv ua li ntawd. Cov nqaij caws pliav loj hlob zoo li mob qog noj ntshav, tab sis nws tsis kis mus. Tab sis qee zaum nws zoo li nws "kis mus." Nws kuj zoo li mob qog noj ntshav ntawm cov duab x-ray. Hauv sclerosing mesenteritis, cov nqaij caws pliav khov kho feem ntau pom nyob rau hauv ib qho chaw hauv mesentery, zoo li qog nqaij hlav. Cov tsos mob ntawm ob qho mob qee zaum yuav zoo sib xws. Yog li cov kws kho mob yuav tsum siv sijhawm thiab ua ob peb qhov kev kuaj mob kom paub qhov txawv ntawm ob qho no.

Cov tsos mob yuav yog dab tsi?

Xav txog nws, ntau tus neeg tuaj yeem muaj tus mob no yam tsis muaj tsos mob , thiab lawv tsis paub tias lawv muaj nws. Cov tsos mob feem ntau yog mob plab thiab o.Yog tias qhov o tuaj hnyav heev, koj yuav raws plab lossis kub taub hau. Koj kuj tseem yuav hnov ​​​​​​ib lub qog me me hauv koj lub plab. Tsis tshua muaj, lub qog no tuaj yeem ua rau koj txoj hnyuv me me txhaws. Qhov no tuaj yeem ua rau muaj cov tsos mob ntxiv xws li xeev siab, ntuav, thiab poob phaus.

Vim li cas ho ua li no?

Qhov ua rau muaj qhov tseeb tseem tsis tau paub meej. Tab sis cov kws kho mob xav tias nws yuav yog ib hom kab mob autoimmune . Ntawd yog, qhov o yog tshwm sim los ntawm kev teb tsis tsim nyog lossis ua haujlwm ntau dhau los ntawm peb lub cev tiv thaiv kab mob. Koj lub cev tiv thaiv kab mob feem ntau siv kev o los tawm tsam cov kab mob uas nkag mus rau hauv lub cev thiab kho cov ntaub so ntswg puas tsuaj. Thaum koj lub cev tiv thaiv kab mob mus rau hauv qhov tsis muaj kev hem thawj pom tseeb, nws hu ua kev teb autoimmune. Muaj ntau hom kab mob autoimmune uas ua rau mob ntev hauv ntau qhov ntawm lub cev. Peb tsis paub meej tias vim li cas lawv thiaj tshwm sim, tab sis nws zoo li muaj ib feem ntawm caj ces, thiab lawv kuj tuaj yeem tshwm sim los ntawm kev ntxhov siab ntawm lub cev, xws li kev mob lossis kev raug mob. Cov neeg uas mob sclerosing mesenteritis feem ntau muaj keeb kwm tsev neeg ntawm cov kab mob autoimmune, thiab qee zaum lawv kuj tseem yuav muaj lwm yam kab mob autoimmune.

Yuav ua li cas thiaj kuaj tau tus kab mob no kom meej?

Tus kws kho mob ua raws li ob peb kauj ruam los kuaj mob no.

Kev Ntsuas Duab

Koj tus kws kho mob yuav thaij duab x-ray ntawm cov mesentery kom nrhiav tau cov cim qhia txog sclerosing mesenteritis.

• Ua ntej, koj tuaj yeem ua qhov kev kuaj mob plab ultrasound . Nws yog ib qho kev kuaj mob sai thiab yooj yim.
• Yog tias muaj kev tsis ntseeg txog qhov mob no, lawv yuav xa koj mus rau qhov kev kuaj mob uas muaj kev nkag siab zoo dua. Qhov no yuav yog " CT scan" (computed tomography scan ) lossis " MRI" (magnetic resonance imaging). Cov kev kuaj mob no nrhiav qhov focal mass thiab cov cim ntawm kev tawg ntawm cov ntaub so ntswg thiab caws pliav (fibrosis) nyob ib puag ncig nws.
• Yog tias cov kev kuaj no tsis tuaj yeem paub qhov txawv ntawm sclerosing mesenteritis thiab mob qog noj ntshav, "PET scan" (positron emission tomography) yuav pab paub tseeb tias kuaj tau. Qhov no suav nrog kev txhaj tshuaj uas muaj kev nyab xeeb, muaj zog radioactive "radioactive tracer" rau hauv lub cev. "CT scan" lossis "MRI" siv cov hluav taws xob noCov duab raug tsim tawm thaum lawv raug kuaj pom. Cov qe ntshav qog noj cov khoom siv radioactive no ntau dua li lwm cov qe ntshav.

Kev kuaj mob

Yog tias txhua yam tsis ua haujlwm, koj tus kws kho mob yuav tsum tau coj ib qho qauv ntawm cov ntaub so ntswg los ntawm mesentery mus rau biopsy. Tus kws kho mob pathologist yuav tshuaj xyuas cov qauv ntaub so ntswg thiab ua qhov kev kuaj mob zaum kawg. Cov qauv ntaub so ntswg no feem ntau yog coj los ntawm ib rab koob uas ntxig rau hauv lub plab. Qee tus neeg kuj tseem yuav tsum tau muaj ib qho txheej txheem uas tsis tshua muaj kev cuam tshuam hu ua laparoscopy los tshuaj xyuas mesentery thiab coj ib qho qauv. Qhov no suav nrog kev ntxig lub koob yees duab los ntawm ib qho kev phais me me.

Cov kev kho mob rau Sclerosing Mesenteritis yog dab tsi?

Qhov xov xwm zoo yog tias feem ntau cov neeg yeej tsis xav tau kev kho mob. Sclerosing mesenteritis feem ntau yog ib qho mob uas nws tus kheej txwv tsis pub ua, thiab nws tus kheej yuav zoo dua. Tej zaum koj yuav tsis muaj tsos mob dab tsi li, lossis koj tsuas muaj qhov tsis xis nyob me ntsis uas tuaj yeem tswj tau nrog cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj (OTC). Txawm li cas los xij, yog tias koj muaj cov tsos mob uas kav ntev, koj tus kws kho mob yuav sau ntau yam tshuaj los kho lawv. Cov no yuav suav nrog:

• Cov tshuaj Corticosteroids, xws li prednisone, yog siv los tswj kev o .
• Cov tshuaj immunosuppressants, xws li azathioprine, txo cov lus teb autoimmune.
• Kev kho mob hormones , piv txwv li tamoxifen.

Qhov tseem ceeb tshaj plaws yog kom tau txais cov kev kho mob no raws li kev qhia ntawm kws kho mob. Nws yuav siv sijhawm me ntsis los nrhiav kev kho mob zoo rau koj, yog li nws tseem ceeb heev uas yuav tsum sib txuas lus nrog koj tus kws kho mob.

Yuav ua li cas thiaj paub tias tus kab mob no yuav zoo li cas?

Feem ntau cov neeg feem coob xav tias tus kab mob no yuav zoo. Yog li ntawd, feem ntau cov neeg yuav zoo rov qab los. Tiam sis qhov no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Feem ntau cov neeg muaj cov tsos mob me me lossis nruab nrab, lossis tsis muaj tsos mob li. Tiam sis qee zaum, nws yuav yog ib qho mob hnyav dua. Nws yuav kav ntev li ob peb hnub mus txog 10 xyoo. Feem ntau nws yuav zoo dua ntawm nws tus kheej, lossis nrog tshuaj, tab sis qee zaum nws tsis zoo. Tej zaum yuav siv sijhawm sim thiab ua yuam kev kom nrhiav tau txoj kev kho mob uas zoo tshaj plaws rau koj.

Puas muaj peev xwm txo tau lossis kho tau cov tsos mob no los ntawm kev noj zaub mov?

Kev ua raws li kev noj zaub mov tiv thaiv kev o tuaj yeem pab txo qhov mob o hauv koj lub cev, tshwj xeeb tshaj yog hauv koj lub plab zom mov. Txawm hais tias nws yuav tsis kho tau sclerosing mesenteritis tag nrho, nws tuaj yeem ua qhov sib txawv hauv koj cov tsos mob. Kev noj zaub mov tiv thaiv kev o yog kev noj zaub mov uas tsom mus rau cov khoom noj tag nrho es tsis yog cov khoom noj ntim thiab ua tiav. Nws kuj tseem ceeb rau cov rog noj qab haus huv, unsaturated xws li omega-3s.

Thaum kawg, tej yam uas peb yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kab mob Sclerosing mesenteritis yog ib qho mob uas nyuaj to taub me ntsis. Nws tuaj yeem ua rau koj xav tsis thoob. Ib txhia neeg mob tom qab muaj kab mob, phais plab, lossis mob qog noj ntshav. Lwm tus mob tsis muaj laj thawj pom tseeb. Tej zaum koj yuav muaj cov tsos mob, lossis koj tus kws kho mob yuav pom nws los ntawm kev sib tsoo. Nws tuaj yeem ua rau koj ntxhov siab me ntsis thaum paub tias koj muaj mob uas tseem tsis tau nkag siab tag nrho. Qhov ntawd yog ib txwm muaj. Tab sis tsis txhob txhawj. Koj tus kws kho mob yuav ua haujlwm nrog koj los pab koj nrhiav nws. Kev kuaj mob kom raug thiab, yog tias tsim nyog, kev kho mob kom raug yog qhov tseem ceeb tshaj plaws. Yog tias koj muaj lus nug lossis kev txhawj xeeb txog qhov no, tsis txhob ntshai nug koj tus kws kho mob.