Sclerosing Mesenteritis tih natna hi i hre tawh em? A ni lo mai thei, a tlem hle a, mi tam tak a nghawng loh avangin. Mahse, hriatna engemaw chen neih chu a hlawkpui a, nangmah emaw, i hriat tu emaw chuan chutiang dinhmun chungchânga thu hriatna i tawk thei a ni. Eng nge a nih, engtin nge a lo awm tih, a natna lan chhuah dan te, enkawlna \ha tak tak a awm em tih te, chu zawng zawng chu Nirogi Lanka-in thu awlsam leh chiang takin a sawifiah vek a ni.
Sclerosing Mesenteritis tih hi eng nge ni?
A awlsam zawngin sawi ila, Sclerosing Mesenteritis hi natna hlauhawm tak a ni a, i mesentery a nghawng thei a ni. I ngaihtuah mai thei: mesentery chu eng nge ni? I pum hnunglam bang-a i intestines anchor tu tissue a ni a, venhimna, thlawptu curtain ang deuhin a thawk a ni. “Mesenteritis” tih hian he tissue inflammation a kawk a, “sclerosing” hian scarring hian hardening emaw stiffening emaw a thlen theihna process a sawi a ni. A bul berah chuan Sclerosing Mesenteritis hian mesentery-a natna awm rei tak a huam a; hun kal zelah he inflammation hian fibrosis (scarring) a thlen a, chu chuan tissue chu a tikhauh zauh zauh thin.
I mesentery hi visceral peritoneum-a tel a ni a, chu chuan i pum chhunga taksa peng hrang hrangte chu a hmunah a awm reng theih nan a khuh a ni. Peritoneum layer pahnih inzawmkhawm a ni a, a inkar ah adipose (fatty) tissue layer a awm bawk. Sclerosing Mesenteritis ah chuan inflammation hian he middle layer of fat hi a bik takin a target a, chu chuan a ti thick a, a ti stiffen thin. Hei hi hmun khatah emaw hmun tam takah emaw a thleng thei a ni. Imaging test-ah chuan heng hmunte hi a chang chuan mass angin a lang thei bawk.
Chronic condition a ni em?
Ni e, natna rei tak a ni tak zet a ni. “Sclerosis” (scarring) awm dan hian hun a duh avangin, inflammation hi hun rei tak chhung a awm reng a ngai a ni. Zan khat thil thuah a thleng lo va, stage hrang hrangah a kal zel a: pakhatnaah chuan thau layer chu a chhe tan a; a dawtah chuan inflammatory cell chi hrang hrang tissue chhungah an lut a; tin, a tawpah chuan scar tissue a lo piang ta a ni. Hetiang a nih avang hian Sclerosing Mesenteritis hi natna rei tak, a zual zel thei a ni. Amaherawhchu, a chhe zual reng reng lo tih hriat a pawimawh a; tam takah chuan a mah chauhin a rel thei a ni.
Sclerosing Mesenteritis leh Mesenteric Panniculitis te hi thil inang an ni em?
Doctor tam tak chuan heng thumalte hi inthlak danglam theih angin an ngai a, an pahnih hian mesentery-a “idiopathic” (a chhan hriat loh) inflammation an sawi a—chu chu inflammation chu a chhan chiang tak awm lovin a lo awm nghal niin a lang tihna a ni.
Mahse, ṭhenkhat chuan “Sclerosing Mesenteritis” hmang hian hun rei tak aṭanga natna lan chhuah tawh, natna khirh zawk, na zawk, a nih loh leh buaithlak zawkte sawina hman an rawt a ni.
“Mesenteric Panniculitis” tih hian a bik takin “mesenteric fat tissue a inflammation” tihna a ni. He hming hian “sclerosis” (scarring) a sawi loh avangin, mi thenkhat chuan inflammation hmasa ber atan chauh dah tur a ni an ti a, chu chu scarring nasa tak a awm hmain a ni. Anni chuan hliam a awm tan chuan natna hi a zual zel a, enkawl a harsa zawk mai thei niin an sawi.
Tu nge a tuar ber?
Sclerosing Mesenteritis hi a tlem hle a, mipui 0.6% velin a vei a ni. Context thenkhatah case 200 vel chauh report a nih avangin he dinhmun hi hriatthiamna hmasa berah kan la awm a ni. Kum 50 chunglam mimal a nghawng tam ber a, damlo tam tak chuan chhungkaw history-ah autoimmune natna an nei a ni. Chubakah, zirchianna atanga a lan dan chuan damlo 60% vel chuan natna tha lo (malignancy) an nei tawh a, a bik takin cancer, lymphoma ang chi an nei tawh bawk.
Sclerosing Mesenteritis hi cancer chi khat a ni em?
Ni lo, a takah chuan cancer a ni lo. Mahse, malignancies nen hian inzawmna a nei fo thin. Chronic inflammation hi a chang chuan cancer vang a ni thei a, chubakah natna hrik kai theih a ni bawk. Zirna hrang hrangah chuan mimal, chutiang trigger nei tawhte chu Sclerosing Mesenteritis vei an hlauhawm zawk thei a, chu chu mesentery chuan inflammation chu “lock onto” in, a sustain ang maiin a ni.
Scar tissue chu cancer angin a pung emaw, a metastasize emaw loh laiin, a châng chuan “a darh” ang maiin a lang thei a ni. Imaging-ah chuan tumor a mimic thei bawk. Sclerosing Mesenteritis hi a tlangpuiin scar tissue thickened, stiffened mass angin a lang a, chu chu tumor nen a inang hle thei. Symptoms pawh a inzawm tlat thei avângin, doctor-te chuan an pahnih dik taka thliar hran theih nân hun leh test hrang hrang an mamawh fo ṭhîn.
Eng nge a lan chhuah dan?
Mimal tam tak chuan symptoms an nei lo tak zet a , he natna hi an nei tih pawh an hre lo mai thei. A lan chhuah dan tlangpui chu pum na leh pum na a ni. Inflammation a nasat chuan diarrhea emaw fever emaw i nei thei. I pum i press hian a chang chuan palpable mass i nei thei. A tlem hle a, he mass hian small intestine obstruction a thlen thei a, chu chuan symptom dang a thlen thei a, chu chu natna hrik, luak chhuak, leh taksa rihna tlahniam te a ni.
Eng thilin nge a thlen?
Tunah hian a chhan chiang tak hriat a la ni lo. Mahse, doctor-te chuan autoimmune disease chi khat a nih an ring. Hei hian inflammation hi i immune system atanga chhanna dik lo emaw, overactive emaw avanga lo awm tihna a ni. I immune system hian inflammation hi germs do nan leh tissue chhia tihdam nan a hmang tlangpui. Threat chiang tak awm lovin a activate chuan autoimmune response tia sawi a ni.
Taksa hmun hrang hranga chronic inflammation thlentu autoimmune natna chi hrang hrang a awm a. An lo awm chhan dik tak chu hriat chian a la ni lo nain, genetic component a awm niin a lang a, taksa lama harsatna —natna emaw, hliam emaw ang chi—chuan chu natna chu a tichhuak thei a, a tizual thei bawk. Sclerosing Mesenteritis vei te hian chhungkaw history-ah autoimmune issue an nei fo a, anmahni mimal pawhin autoimmune condition dang an nei thei bawk.
Engtin nge a hriat chhuah?
I doctor chuan he natna hi dik taka hriat theih nan step engemaw zat a zawm ang.
Imaging Test te pawh a awm
I doctor chuan i mesentery chu medical image a la ang a, Sclerosing Mesenteritis nena inzawm characteristic signs te chu a enfiah ang.
- I doctor chuan abdominal ultrasound tih hmasak phawt a rawt mai thei . Procedure rang leh awlsam tak a ni.
- I result chungchangah ngaihtuahna a awm chuan, CT scan (computed tomography) emaw MRI (magnetic resonance imaging) emaw ang chi imaging test sensitive zawk nei turin refer i ni thei bawk. Heng test te hian i doctor chu focal mass, tissue chhiatna, fibrosis (scarring) chhinchhiahna te a zawng thei a ni.
- Heng test-te hian sclerosing mesenteritis leh cancer hi chiang taka an thliar hrang thei lo a nih chuan PET scan (positron emission tomography) hmangin a diagnosis chu a nemnghet thei a ni. Hetiang tih lai hian i taksaah hian him tak, radioactive tracer an inject a ni. CT emaw MRI scanner hian radiation a hriatchhuah rualin thlalak a siam chhuak thin. Cancer cells hian he radioactive material hi cell hrisel aiin an absorb tam zawk thin.
Biopsy tih a ni
Test dang hnuah pawh diagnosis a chiang lo a nih chuan i doctor chuan mesentery atanga tissue sample lak nan biopsy a tih a ngai mai thei. Pathologist chuan he sample hi a zirchiang ang a, definitive diagnosis a pe ang. A tlangpuiin hei hi pum chhunga needle dah hmanga tih thin a ni. Damlo ṭhenkhat chuan laparoscopy , tih hming pu, enkawlna tûr camera dah tûrin incision tê tê siam a ngai mai thei.
Sclerosing Mesenteritis hi eng enkawlna nge ni?
Thu lawmawm tak chu mi tam tak chuan active treatment an mamawh ngai lo. Sclerosing mesenteritis hi mahni inrintawkna nei, a mah chauhin a reh fo thin. Symptoms engmah i nei lo thei a, over-the-counter (OTC) damdawi hmanga enkawl theih tur natna tlemte chauh i nei thei bawk.
Mahse, natna lanchhuahna awm reng i neih chuan i doctor chuan damdawi chi hrang hrang a pe thei a, chung zingah chuan:
- Corticosteroids, prednisone ang chi, inflammation enkawlna atana puitu .
- Immunosuppressants, azathioprine ang chi te hian i immune system overactive response tihziaawmna tur a siam a ni.
- Hormone therapy , tamoxifen ang chi te hi a ni.
Heng enkawlnate hi damdawi lam enkawlna hnuaia khauh taka lak a pawimawh hle. Enkawlna tur ruahmanna dik tak zawn hian hun a duh rei thei a, chuvangin i healthcare team nen inbiakpawhna tha tak neih a pawimawh hle.
Prognosis chu eng nge ni?
Mi tam zawk tan chuan prognosis hi a tha a, mi tam tak chu hlawhtling takin an dam leh thin. Mahse, hei hi mi tin a inang lo thei. Damlo tam tak chuan symptoms na lo tak tak atanga a hniam lam chauh an nei a, a chang chuan engmah an nei lo. A chang chuan a natna hi a na zual thei bawk. Ni engemaw zat atanga kum engemaw zat thlengin khawi hmunah pawh a daih thei. Amah chauhin emaw, damdawi hmangin emaw a reh fo laiin, chutiang chu a ni ngai lo va, enkawlna dik tak zawn nan chuan enchhin leh tihsual tlem a ngai mai thei.
Diet hian symptoms tihziaawmna emaw, natna tidam emaw a pui thei ang em?
Anti-inflammatory diet zawm hian i taksaa chronic inflammation awmte chu a enkawl thei a, a bik takin i digestive tract chhungah. Hei hian sclerosing mesenteritis a tidam hauh lo nain, i symptoms te chu a tiziaawm thei ngei ang. Anti-inflammatory diet hian processed emaw artificial items aiin whole foods a ngaih pawimawh zawk a, healthy, unsaturated fats Omega-3 fatty acids te a ngaih pawimawh zawk a ni.
Take-Home Thuchah a ni
Sclerosing mesenteritis hi thil mak deuh a ni a, hriatthiam a harsa thei hle. Beisei loh takin a lo chhuak thei a—a châng chuan natna hrik, pum surgery, a nih loh leh cancer hnuah a lo chhuak thei a, a châng chuan a chhan chiang tak awm lovin a lang thung. I natna lan chhuah dan hriat theih tak tak i nei thei a, i doctor pawhin a lo hmuchhuak mai thei bawk.
Condition la hriatthiam kim loh kan hmachhawn hian ngaihtuahna seng hi thil awmdan a ni a, mahse khawngaihin hlauthawng suh. He harsatna hi enkawl turin i doctor chuan hna a thawk dun ang che. A pawimawh ber chu diagnosis dik tak neih leh enkawlna \ha tak dawn hi a ni. Zawhna emaw rinhlelhna emaw i neih chuan i doctor nen zalen takin sawipui rawh.
