Kei te pāngia koe e te mamae puku, te pupuhi, te āhua rānei e kore e taurite ana i roto i tō puku? Tērā pea kei te ngoikore tō tinana, kei te ngenge, kei te pāngia rānei koe e te kirika ngawari. Ahakoa kāore tātou e aro ki ēnei tohu, ka tohu pea ēnei i tētahi āhuatanga e tika ana kia mārama, ahakoa kāore i te mōhiotia whānuitia. I Nirogi Lanka i tēnei rā, kei te kōrero mātou mō te Mesenteric Panniculitis . Ahakoa he uaua te ahua o te ingoa, me wehewehe kia māmā noa iho.
He aha te Mesenteric Panniculitis? Kia māmā noa iho.
Ki te whakarapopoto, ko te Mesenteric Panniculitis he mumura o te mesentery , he hanganga nui i roto i tō puku. Tērā pea kei te whakaaro koe, he aha rawa te mesentery?
Whakaarohia te mesentery he hanganga rite ki te ārai e āwhina ana ki te pupuri i ō whekau kia whakaritea, kia kore ai e ranea. E piri ana ki te pakitara o muri o tō kōhao puku, ka pupuri i ō whekau iti me ō whekau nui kia mau tonu. Ko te tikanga, he hanganga kiko honohono e pupuri ana i ngā oko toto nui me ngā kōpū lymph e whāngai ana ki ō whekau. Ko te nuinga o te mea he kiko ngako (ngako tinana) kei waenganui i ngā takai e rua o te arai peritoneum .
I roto i te Mesenteric Panniculitis, ka pāngia te paparanga ngako o roto i tēnei mesentery e te mumura mau tonu . Ka pakaru ngā pūtau ngako i tēnei mumura, ka mate ai rātou, he tukanga e mōhiotia ana ko te fat necrosis . I roto i te wā, ka tīmata pea tēnei wāhi kua pakaru ki te whakawhanake i te fibrosis (te whara) .
He mea nui, i roto i te nuinga o ngā wā, kāore he tino take e taea te tautuhi mō tēnei mumura. Te āhua nei ka puta mai me te kore he take noa pēnei i te mate pāwera, te whara, te mate pukupuku rānei. I roto i ngā kupu hauora, ina puta mai tētahi āhuatanga me te kore he take mārama, ka kiia e mātou he idiopathic .
He rite tonu te Mesenteric Panniculitis me te Sclerosing Mesenteritis?
He kaupapa tautohetohe tonu tēnei i waenga i ngā tohunga hauora. He tokomaha e whakapono ana he rite tonu ēnei āhuatanga e rua. Ko ētahi e kī ana ko te Sclerosing Mesenteritis he momo Mesenteric Panniculitis kua whanake haere, kua kino rānei. Ko ētahi e whakapae ana he āhuatanga motuhake ēnei me ngā ara whanaketanga rerekē. I te nuinga o te wā, e kiia ana ko te Mesenteric Panniculitis he pumau, ā, ka taea te rongoā, ko ētahi e kī ana he āhua whanaketanga ake pea te Sclerosing Mesenteritis.
Ko te wero tūturu kei te noho tonu, kāore tātou i te tino mārama he aha i puta ai te mumura tuatahi i roto i ngā āhuatanga e rua. Koia te uaua ki te matapae he aha i pāngia ai ētahi tāngata e ngā tohu kino atu i ētahi atu. Ahakoa pēhea, mō te nuinga o te hunga he mumura idiopathic o te mesentery, he pumau, he ngāwari hoki te whakahaere i te mate. Heoi, i roto i te tokoiti o ngā āhuatanga, ka kaha ake te kino o te mate, ka horapa atu te mumura ki tua atu i te mesentery.
He mōrearea tēnei āhuatanga, he mōrearea rānei ki te ora?
Ko te tikanga, ehara te Mesenteric Panniculitis i te mate morearea . He tino onge ngā raruraru kino. Ko te nuinga o te tangata ka pāngia e ngā tohu ngawari ki te āhua taurite, ā, i ētahi wā, ka memeha noa iho ngā tohu me te kore he maimoatanga.
Heoi, ka pā mai pea te kore whakamarie me te mamae, koia te take e hiahia ana ētahi tūroro ki te rongoā. He tino onge, ka taea e tēnei āhuatanga te whakararuraru i te mahi a tō pūnaha nakunaku . Hei tauira, ki te pupuhi te kiko whara i puta mai i te mumura, ka horapa rānei, ka ārai pea i te haere o te kai mā roto i tō whekau iti , ka arahi ki te aukati i te puku . Kia mahara he tino onge tēnei.
He pēhea te noa o tēnei, ā, ko wai te hunga tino mōrearea?
Ehara tēnei i te āhuatanga noa, e pāngia ana e te tata ki te 1.5% o te tauporiNā te mea he maha ngā wā kāore e tino kitea ngā tohu, ā, he rite tonu ki ētahi atu raruraru nakunaku noa, tera pea he maha ngā mate kāore i te tautuhia.
Ko te Mesenteric Panniculitis te mea e kitea pinepinetia ana i roto i te hunga neke atu i te 60 tau te pakeke . He tino onge i roto i te hunga kei raro iho i te 20 tau te pakeke. E ai ki ētahi rangahau he rua te nui ake o te pānga o tēnei mate ki ngā tāne i ngā wāhine.
He aha i puta ai tēnei mumura? He aha ngā take?
Ko te mumura te urupare tiaki a te tinana ki te mate, ki te whara, ki te mate pukupuku rānei. E mau tonu ana tēnei mō te kiko mesenteric. Ko te mumura he mahi a tō pūnaha ārai mate , e mahi ana ki te whakaora i ngā kiko me te whawhai ki ngā pathogens .
Heoi, he mea onge tēnei ina puta mai tēnei mumura me te kore he pūtake mārama, he whara rānei e hiahia ana kia rongoatia. Me te mea nei kua hē te whakatau a te pūnaha ārai mate.
Ngā āhuatanga pea e pā ana ki te Mesenteric Panniculitis:
E whakapae ana ngā tohunga hauora he mate pūnaha ārai mate te Mesenteric Panniculitis. Ko te tikanga ka whakaekea e te pūnaha ārai mate ōna ake kiko hauora, kāore he take e kitea ana. Ka taea e ēnei āhuatanga pūnaha ārai mate te horapa i roto i ngā whānau. Hei tāpiri, mā tētahi huihuinga rangitahi, pērā i te mate huaketo, ka whakaoho i te pūnaha ārai mate, ka mau tonu te urupare mumura i muri i te wa e memeha ai te mate tuatahi. Kua honoa te Mesenteric Panniculitis ki taua koretake o te pūnaha ārai mate.
Me titiro tātou ki ētahi tauira:
- Pokanga : E whakaatu ana ngā rangahau tata ki te 5% o ngā tūroro ka pāngia e te mesenteric panniculitis whai muri i te pokanga puku.
- Ngā Mate Pukupuku: Tērā pea ka puta ake tēnei mate i ngā mate o mua. E whakaatu ana ngā rangahau i tētahi hononga ki ngā hītori o ngā mate pukupuku mau tonu, tae atu ki:
- Te mate kohi
- Te kirika taipoi
- Kolera
- Te Syphilis
- Te mate a Whipple
- Matepukupuku : Mō te 30% o ngā take, ka honoa tēnei āhuatanga ki tētahi matepukupuku kua kitea i mua, i tēnei wā rānei (kei waho tonu i te mesentery). Hei tauira:
- Lymphoma
- Ngā pukupuku carcinoid
- Matepukupuku koroni
- Matepukupuku whatukuhu
- Matepukupuku prostate
- Ētahi atu Āhuatanga Sclerosing: Ka puta pea te mesenteric panniculitis me ētahi atu āhuatanga e tohuhia ana e te mumura me te whara (sclerosis, fibrosis rānei) i ētahi atu wāhi o te tinana. E tohu ana tēnei i tētahi tukanga pūnaha kei raro. Ko ētahi tauira:
- Te mumura o te puku o muri o te peritoneum
- Te mate a Sjogren
- Te pancreatitis e whakararuraru ana
- Panniculitis nodular
- Te mate a Crohn
He aha ngā tohu o te Mesenteric Panniculitis?
Ko ētahi tāngata kāore he tohu o te mate , ko ētahi ia he maha ngā raruraru ka pā ki a rātou.
Ko te tohu tino kitea ko te mamae o te puku. Ka taea e te mumura te whakararuraru nui, me te pupuhi o ngā kōpū lymph i roto i te mesentery.
Haunga te mamae o te puku, ka pā pea ki a koe:
- Te pupuhi o te puku
- Te pupuhi o te puku
- Te mākona wawe, te ngaro rānei o te hiahia kai
- Whakapairuaki me te ruaki
- Te korere, te mate pāwera rānei
- Te whakahekenga taumaha kāore i te whakamāramahia
Ka puta pinepine ēnei tohu ina tīmata te mumura ki te pā ki te ara nakunaku.
Hei tāpiri atu, tera pea ka kite koe i ngā tohu ā-tinana — arā, ko ngā tohu e pā ana ki te tinana katoa, kaua ki te puku anake. Ko ngā tohu pēnei i te kirika me te ngengehe mea noa i te mea ka tauhohe tō pūnaha ārai mate ki te mumura.
Me pēhea te tautuhi i tēnei mate?
Nā te mea he onge tēnei mate, ā, he rite tonu ōna tohu ki ētahi atu mate, he uaua pea te tautuhi i te mate. Me whakakore pea e tō tākuta ngā mate e kitea whānuitia ana i te tuatahi.
Ko te aromatawai tuatahi he whakamātautau toto hei tirotiro i ngā tohu mumura. Mena kei te whakapae tō tākuta he mesenteric panniculitis, ka whakamahia e rātou ngā whakamātautau whakaahua (radiology) hei rapu i ngā tohu āhuatanga.
Ko te tikanga, ka whakamahia he matawai MRI, he matawai CT rānei hei tautuhi i te mate. Ka tirohia e te tohunga hihi-X te matotoru o te mesentery, ngā tohu o te necrosis ngako, me te fibrosis. I ētahi wā, ka rite te kiko ngako matotoru ki te puranga. Ahakoa ka pupuhi pea ngā kōpū lymph mesenteric, ko te korenga o te hononga o ngā uaua toto ka āwhina i te wehewehe i tēnei mai i te mate pukupuku.
Ko te huarahi anake hei whakaū i te mate ko te whakamahi i te koiora , arā, ko te tango i tētahi tauira kiko iti mā te pokanga hei tātaritanga taiwhanga. Heoi, kāore e tika ana tēnei i ngā wā katoa; ki te whakapae tō tākuta he mesenteric panniculitis koe, ā, ka pai tō urupare ki ngā maimoatanga kua tohua, he maha ngā wā ka whakaū tēnei whakapainga haumanu i te mate.
Me pēhea te rongoā? He mea tika tonu te rongoā?
Kāore e hiahiatia he maimoatanga mō te katoa e pāngia ana e te mesenteric panniculitis. Mena kāore he tohu, he mamae iti noa iho rānei, ka tūtohu pea tō tākuta i tētahi huarahi "tatari me te mātakitaki" . Ko te mesenteric panniculitis kāore e kino haere i roto i te wā, ā, i te nuinga o te wā, ka taea te whakatau i a ia anō.
Heoi, ki te mea he tohu tōu, kei te wātea ngā maimoatanga paerewa:
- Corticosteroids: Koinei ngā rongoā tuatahi hei whakaiti i te mumura me te whakahaere pai i ngā tohu.
- Tērā pea ka tohua e tō tākuta he rongoā tautoko mō ngā pānga taha pēnei i te whakapairuaki. Kia mōhio koe ka āta mahi ēnei maimoatanga, nō reira, ka roa pea ētahi wiki ka memeha haere ngā tohu.
Mena kāore e whai hua ngā corticosteroids, ka whakaarohia pea e tō tākuta ngā rongoā ārai mate hei whakamarie i te pūnaha ārai mate e kaha rawa ana te mahi, te whakamahi rānei i te naltrexone iti-horopeta (LDN) , hei āwhina i te whakatikatika i te mahi ārai mate. He maha ngā wā ka whakamahia e ngā tākuta he huarahi whakamātautau-me-te-hē hei kimi i te maimoatanga tino whai hua mō ō tohumate.
He aha te tirohanga mō te wā roa?
I te nuinga o te wā, he mate poto noa te mesenteric panniculitis. He maha ngā tūroro e ora ana me te iti noa o ngā raruraru mō te wā roa, kāore rānei he raruraru mō te wā roa.
Mena kei roto koe i te hunga tokoiti e pāngia ana e ngā tohumate mau tonu, tera pea ka pai te urupare o tō mate ki te rongoā. He tokoiti noa iho ngā tūroro ka pāngia e ngā raruraru nui pēnei i te aukati o te whekau iti. I ētahi wā onge, me pokanga pea hei whakakore i taua aukati.
Ka taea e te kai te āwhina?
Ae, mā te kai ārai-mumura ka āwhina i te whakaiti i te mumura o te pūnaha katoa, inā koa i roto i tō ara nakunaku. Ahakoa kāore pea te kai anake e whakaora i te mesenteric panniculitis, ka taea e ia te whakapai ake i ō kare ā-roto me te āwhina ki te whakahaere i ō tohumate.
Ko te kai ārai-mumura e arotahi ana ki te whakatairanga i ngā kai tūturu, māori, kaua ki ngā kai kua tukatukahia, kua horihori. E whakanui ana hoki i te hiranga o te whakauru i ngā ngako hauora, kore-kukū ki roto i tō mahinga o ia rā.
Mena kei a koe te Mesenteric Panniculitis, ngana ki te whakawhāiti, ki te karo rānei i ngā kai e whai ake nei:
- Mīti whero
- Ngā mīti tukatuka (hei tauira, ngā hōtiti, ngā mītiporo)
- Ngā kai parai
- Ngā kai reka kua tākaihia
- Ngā warowaihā kua parakoretia (hei tauira, te taro mā i hangaia ki te paraoa kua parakoretia)
- Ngā hua he nui te huka (hei tauira, ngā inu huka)
- Ngako kukū (hei tauira, te pata, te hinu whakapoto, ngako kararehe)
- Waipiro
Tāpirihia atu ēnei kai ārai-mumura ki roto i tō kai:
- Ngā hua katoa, ngā witi, me ngā huawhenua
- Huawhenua rau kakariki (hei tauira, pīnihi)
- Ika (hei tauira, te hāmana me te tuna, he nui te Omega-3)
- Ngā hinu tipu (hei tauira, te hinu oriwa, te hinu canola)
- Ngā nati (hei tauira, aramona, nati wōnati)
- Tāmiriki
He tikanga kai ā-taiao te kai Mediterranean hei ārai i te mumura. Ko te kai matua ko ngā kai katoa me ngā puna ngako hauora pērā i ngā waikawa ngako Omega-3 e kitea ana i roto i te ika, i te nati, me te hinu oriwa.
He mate onge te Mesenteric Panniculitis, kei te rangahauhia tonutia. He waimarie, he maha ngā tāngata ka tere te ora. Heoi, he mea maori te manukanuka ina pāngia e ngā tohu pumau, ngā tohu whakarihariha rānei o tētahi mate kāore anō kia tino mārama. Ahakoa kei te whanake tonu ngā maimoatanga mō te Mesenteric Panniculitis, ka mahi tahi tō tākuta i Nirogi Lanka me koe ki te whakawhanake i tētahi mahere whakahaere taahiraa-i-te-taahiraa e hāngai ana ki ō hiahia.
Karere Tangohia ki te Kāinga
Ko te Mesenteric Panniculitis he mumura o te kiko ngako i roto i te mesentery, te kiriuhi e hono ana i ō whekau ki te pakitara o te puku.
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* Kāore i te tino mōrearea , ā, ka memeha haere i ētahi wā.
* Ahakoa kāore anō kia mōhiotia te tino take, e whakaponohia ana he hononga kei waenganui i ngā mate pūnaha ārai mate .
* Ko te tohu matua ko te mamae o te puku , ka haere tahi pea me te pupuhi, te whakapairuaki, te ngenge rānei.
* Ko te tautuhi i te mate ko te whakamahi i ngā matawai CT, MRI rānei ; i ētahi wā, me whai koiora pea.
* Kāore e hiahiatia ana he maimoatanga hauora mō te katoa. Mō te hunga e mau tonu ana ngā tohu, ka taea e ngā rongoā pēnei i te corticosteroids te whakaora.
* Mā te kai ārai-mumura ka āwhina i te whakahaere tika i ō tohumate.
* Ki te pāngia koe e ngā tohumate pumau, tēnā whakapā atu ki tō kaiwhakarato hauora . Kia māia, ka taea te whakahaere i tēnei mate me te tiaki tika.
Te Panniculitis Mesenteric, te mumura o te puku, te mamae o te puku, te mesentery, te kiko ngako, ngā mate pūnaha ārai mate, te whakahaere kai, te maimoatanga, ngā tohu, te matawai CT, te matawai MRI
