Yu dɔn ɛva yɛri bɔt wan sik we dɛn kɔl Sclerosing Mesenteritis? Sɔntɛm nɔto so, bikɔs i nɔ kin apin so ɔltɛm ɛn i nɔ kin afɛkt bɔku pipul dɛn. Bɔt if yu no sɔm kayn tin bɔt am, i go bɛnifit yu, bikɔs yu ɔ pɔsin we yu sabi kin mit infɔmeshɔn bɔt dɛn kayn tin ya. Lɛ wi fɛn ɔndastand wetin i bi, aw i kin apin, di sayn dɛm we i kin gɛt, ɛn if tritmɛnt dɛn de we go wok fayn, ɔl dis na simpul, klia wɔd dɛm we Nirogi Lanka ɛksplen.
Wetin na Sklerosing Mɛsenteritis?
Fɔ tɔk am simpul wan, Sclerosing Mesenteritis na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt yu mɛsenteri. Yu kin wɔnda: wetin na di mɛsentri? Na di tisu we de ankɔr yu insay dɛn na di bak wɔl na yu bɛlɛ, we de wok lɛk kɔtin we de protɛkt yu ɛn we de sɔpɔt yu. “Mɛsenteritis” de tɔk bɔt inflamɛns na dis tisu, ɛn “sclerosing” de tɔk bɔt wan prɔses usay skata de mek i at ɔ stiff. εsεnsial wan, Sclerosing Mesenteritis involv krεse inflameshn na di mεsεntεri; as tεm de go, dis inflameshn de mek di fibrosis (ska), we de mek di tisu at sכmtεm.
yu mεsεntri na pat pan di vishכnal pεritoneum, we de rap rawnd yu bכdi כgan dεm fכ kip dεm na di ples. i kכnsis fכ tu fold layεr dεm fכ di pεritoneum wit wan layεr fכ adipose (fεt) tisu bitwin. insay Sclerosing Mesenteritis, di inflameshn de spεshal tכk to dis midul layεr fכ fεt, we de mek i tik εn stif. Dis kin apin na wan ɔ bɔku say dɛn. pan imej tεst, dεn εria dεm ya kin apin sכmtεm lεk mas.
Yu tink se na sik we nɔ de mɛn?
Yɛs, fɔ tru, na sik we nɔ de mɛn. Bikɔs di prɔses fɔ “sklɛrosis” (ska) kin tek tɛm, di inflamɛns fɔ de fɔ lɔng tɛm. i nכ de apin wan de bכt i de go bifo tru stej dεm: fכs, di fεt layεr de bigin fכ brok dכn; nεks, difrεn kayn inflammatory sεl dεm de insay di tisu; ɛn fɔ dɔn, di ska tisu dɛn kin fɔm. Insay dis sɛns, Sclerosing Mesenteritis na sik we nɔ de mɛn, we kin go bifo. Bɔt i impɔtant fɔ no se nɔto ɔltɛm i kin wɔs; bɔku tɛm, i kin sɔlv fɔ insɛf.
Sklerosing Mesenteritis ɛn Mesenteric Panniculitis na di sem tin?
Bɔku dɔktɔ dɛn kin trit dɛn wɔd ya lɛk se dɛn kin chenj dɛnsɛf, bikɔs dɛn ɔl tu kin tɔk bɔt “idiopathic” (we wi nɔ no wetin mek i gɛt) inflamɛns na di mɛsentri—we min se i tan lɛk se di inflamɛns kin apin wantɛm wantɛm we nɔ gɛt klia trig.
Bɔt sɔm pipul dɛn kin se yu fɔ yuz “Sclerosing Mesenteritis” fɔ tɔk bɔt mɔ advans, siriɔs, ɔ kɔmpleks kes dɛm we gɛt sɔm sayn dɛm we dɔn te.
“Mesenteric Panniculitis” min spɛshal wan “inflammation of the mesenteric fat tissue.” Bikɔs dis nem nɔ tɔk bɔt “sklɛrosis” (ska), sɔm pipul dɛn kin agyu se dɛn fɔ kip am fɔ di fɔs stej dɛn we di inflamɛns de, bifo big skata apin. Dɛn se wans skata bigin, di sik dɔn go bifo ɛn i kin tranga fɔ trit am.
Udat dɛn kin afɛkt mɔ?
Sklerosing Mesenteritis na tin we nɔ kin apin so ɔltɛm, i kin afɛkt lɛk 0.6% pan di pipul dɛn. Wit na lɛk 200 kes dɛm nɔmɔ we dɛn ripɔt na sɔm kɔntɛks, wi stil de na di fɔs stej fɔ ɔndastand dis kɔndishɔn. I kin mɔs afɛkt pipul dɛm wae dɔn pas 50. Bɔrku sik pipul dɛm gɛt famili histri fɔ ɔtoimyun sik dɛm. pan tap dat, risεch sho se lεk 60% pan di sik pipul dεm gεt histri fכ, כ kכrant, malignancy, patikyular kεnsar lεk lymphoma.
Yu tink se Sclerosing Mesenteritis na wan kayn kansa?
Nɔ, i nɔto kansa insɛf. Bɔt bɔku tɛm, i kin gɛt sɔntin fɔ du wit bad bad sik dɛn. Sɔntɛnde, kansa kin mek pɔsin gɛt inflamɛns we nɔ de dɔn, ɛn bak bikɔs ɔf sik dɛn we pɔsin kin gɛt. Stɔdi dɔn sho se pipul dɛn we dɔn gɛt dɛn kayn tin ya kin mek dɛn gɛt Sclerosing Mesenteritis, lɛk se di mɛsentri “lɔk pan” di inflamɛns ɛn sɔpɔt am.
Pan ɔl we di ska tisu nɔ de bɔku ɔ go ɔlsay lɛk kansa, sɔntɛnde i kin tan lɛk se i “de skata.” We dɛn tek pikchɔ, i kin falamakata tumɔs bak. Sklerosing Mesenteritis tipikli prεzεnt lεk wan tik, stif mas fכ ska tisu, we kin luk bכku lεk tכmכro. Bikɔs di sayn dɛn kin ɔvalap bak, bɔku tɛm dɔktɔ dɛn kin nid fɔ tek tɛm ɛn du sɔm tɛst dɛn fɔ no difrɛns bitwin dɛn tu.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Bɔrku pipul dɛn nɔr kin gɛt dis sik at ɔl ɛn dɛn nɔr kin no se dɛn gɛt dis sik. Di sayn dɛm we kin apin mɔ na di bɛlɛ pen ɛn blo. If di inflamɛns rili bad, yu kin gɛt dayarɛa ɔ fiva. Sɔntɛnde yu kin fil wan mas we yu kin si we yu de prɛs yu bɛlɛ. Na smɔl tɛm nɔmɔ, dis mas kin mek di smɔl intestin ɔbstrukshɔn, we kin mek yu gɛt ɔda sayn dɛn lɛk fɔ nɔs, vɔmit, ɛn fɔ lɔs yu wet.
Wetin kin mek i apin?
Naw, dɛn nɔ dɔn no wan patikyula kɔz. Bɔt dɔktɔ dɛn kin tink se i kin bi wan kayn sik we pɔsin kin gɛt we i de fɛt insɛf. dis min se di inflameshn de kכmכt bikoz fכ wan rεspכns we nכ fayn כ ova aktif frכm yu imyun sistεm. Yu imyun sistɛm kin yuz inflamɛns fɔ fɛt di jem dɛn ɛn mɛn di tisu dɛn we dɔn pwɛl. we i aktibכt witout klia trεt, dεn kכl am כtoimyun rεspכns.
Difrɛn kayn ɔtoimyun sik dɛn de we kin mek pɔsin gɛt inflamɛns we nɔ de dɔn na difrɛn pat dɛn na di bɔdi. Pan ɔl we dɛn nɔ klia yet di rayt rizin dɛn we mek dɛn kin gɛt am, i tan lɛk se sɔntin de we dɛn kin gɛt frɔm dɛn jɛnɛtiks, ɛn strɛs na dɛn bɔdi —lɛk sik ɔ injuri — kin mek di sik wɔs ɔ mek i wɔs. Pipul wae gɛt Sclerosing Mesenteritis kin gɛt famili histri fɔ ɔtoimyun prɔblɛm, ɔr dɛnsɛf kin gɛt ɔda ɔtoimyun kɔndishɔn.
Aw dɛn kin no se i gɛt am?
Yu dɔktɔ go fala sɔm tin dɛn fɔ no dis sik kɔrɛkt wan.
Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ
Yu dɔktɔ go tek mɛdikal imej fɔ yu mɛsentri fɔ chɛk fɔ di sayn dɛm we gɛt fɔ du wit Sclerosing Mesenteritis.
- Yu dɔktɔ kin tɛl yu fɔs fɔ mek yu du ɔltrasɔund na yu bɛlɛ . Na kwik ɛn simpul we fɔ du am.
- If ɛnitin de we de mɔna yu bɔt yu rizɔlt, dɛn kin sɛn yu fɔ du mɔ sɛnsitiv imej tɛst, lɛk CT skan (kɔmpyuta tomografi) ɔ MRI (magnɛtik rɛsɔnans imej). Dɛn tɛst ya kin mek yu dɔktɔ luk fɔ di fɔs mas dɛm, di tisu dɛm we dɔn pwɛl, ɔ sayn dɛm fɔ fibrosis (ska).
- If dɛn tɛst ya nɔ ebul fɔ no difrɛns bitwin sklɛrosing mɛsenteritis ɛn kansa, wan PET skan (positron emission tomography) kin ɛp fɔ kɔnfɔm di diagnosis. We dɛn de du dis, dɛn kin injɛkt wan sef, redioaktiv traysa insay yu bɔdi. Di CT ɔ MRI skan kin mek pikchɔ dɛn we i de no di raytin. di kansa sεl dεm kin tεnd fכ abzכp mכr pan dis redioaktiv mεtirial pas di hεlty sεl dεm.
Bayopsi we dɛn kin du
If dɛn nɔ no klia wan bɔt di sik afta ɔda tɛst dɛn, yu dɔktɔ kin nid fɔ du bayɔpsi fɔ gɛt tisu sɛmpul frɔm di mɛsentri. Wan patɔlɔjis go analayz dis sampul fɔ gi difinitiv diagnosis. כltu, dεn kin du dis bay we dεn de yuz nidul we dεn put tru di bכdi. Sɔm sik pipul dɛn kin nid fɔ du ɔpreshɔn we nɔ go tek bɔku tɛm we dɛn kɔl laparoscopy , usay dɛn kin kɔt smɔl say fɔ put kamɛra fɔ mek dɛn chɛk dɛn.
Wetin na di tritmɛnt dɛm fɔ Sclerosing Mesenteritis?
Di gud nyus na dat bɔku pipul dɛn nɔ kin ɛva nid fɔ gɛt aktif tritmɛnt. Bɔrku tɛm, sklerɔs mɛsenteritis na wan sik wae de mek pɔrsin nɔr ebul fɔ du insɛf ɛn i kin sɔlv insɛf. Yu kin gɛt nɔr simptom at ɔl, ɔr na smɔl diskɔmfɔt nɔmɔ wae yu kin ebul fɔ mɛn wit mɛrɛsin wae dɛn kin bay na kɔt (OTC).
Bɔt if yu gɛt di sik dɛn we nɔ de chenj, yu dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn, we kin gɛt fɔ du wit:
- Kɔtikosterɔyd, lɛk prɛdnisɔn, fɔ ɛp fɔ kɔntrol di inflamɛns .
- Immunosuppressants, lɛk azathioprine, fɔ ridyus yu imyun sistɛm in ɔva aktiv rispɔns.
- Ɔmon tɛrapi , lɛk tamoxifen.
I rili impɔtant fɔ tek dɛn tritmɛnt ya strikt wan ɔnda dɔktɔ in sɔpɔtishɔn. Fɔ fɛn di rayt tritmɛnt plan kin tek tɛm, so i impɔtant fɔ de nia yu wɛlbɔdi tim.
Wetin na di prɔgnosis?
Fɔ bɔrku pipul dɛm, de prɔgnosis kin fayn, ɛn bɔrku kin wɛl fayn fayn wan. Bɔt dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔrku pasɛnt dɛn kin gɛt sɔm kayn sik wae nɔr kin pasmak, ɔr sɔmtɛm nɔr kin gɛt ɛni wan pan dɛn atɔl. Wan wan tɛm, de sik kin tranga pasmak. I kin las ɛnisay frɔm sɔm dez to sɔm ia. Pan ɔl we bɔku tɛm i kin sɔlv fɔ insɛf ɔ wit mɛrɛsin, dis nɔ kin bi ɔltɛm, ɛn fɔ fɛn di rayt tritmɛnt kin nid fɔ tray smɔl.
Yu tink se it kin ɛp fɔ ridyus di sayn dɛm ɔr fɔ mɛn de sik?
If yu fala di it we nɔ de mek yu bɔdi wam, dat kin ɛp fɔ mek yu ebul fɔ kɔntrol di inflamɛns we nɔ de dɔn na yu bɔdi, mɔ insay yu dijestiv trakt. Pan ɔl we dis nɔ go rili mɛn di sik we dɛn kɔl sclerosing mesenteritis, i kin rili ɛp fɔ mek yu nɔ gɛt di sik. Wan anti-inflammatory diet de pe atɛnshɔn pan ɔl it dɛn pas fɔ prosɛs ɔ atifishal tin dɛn ɛn i de ɛmpɛsh wɛlbɔdi, ɔnsatyuret fat lɛk Omega-3 fatty acid.
Mɛsej we dɛn kin kɛr go na os
Sklerosing mesenteritis na sɔm kayn sik wae nɔr kin izi fɔ ɔndastand ɛn kin kɔmpleks fɔ ɔndastand. I kin kam we yu nɔ bin de tink bɔt am—sɔntɛnde afta we yu gɛt infɛkshɔn, ɔpreshɔn na yu bɛlɛ, ɔ kansa, bɔt ɔda tɛm dɛn, i kin apin we yu nɔ gɛt klia rizin. Yu kin gɛt sɔm sayn dɛn we yu go notis, ɔ yu dɔktɔ kin no bɔt am bay chans.
Na nɔmal tin fɔ fil fɔ wɔri we yu de dil wit wan sik we dɛn nɔ ɔndastand gud gud wan yet, bɔt duya nɔ panik. Yu dɔktɔ go woke klos wit yu fɔ mɛn dis chalenj. Di tin dɛn we impɔtant pas ɔl na fɔ gɛt kɔrɛkt diagnosis ɛn fɔ gɛt di rayt kia. If yu gɛt ɛni kwɛstyɔn ɔ dawt, duya nɔ fred fɔ tɔk bɔt am opin wan wit yu dɔktɔ.
