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He aha tēnei mate pukupuku sclerosing?
He māmā noa iho, he mate onge te sclerosing mesenteritis e pā ana ki tētahi wāhanga o tō mesentery. Inaianei kei te whakaaro pea koe he aha te mesentery. Ko te kiko tēnei e āwhina ana ki te pupuri i ō whekau ki te pakitara o muri o tō puku. He rite ki te ārai, kia tika. Ko te "Mesenteritis" e pā ana ki te mumura, arā, te pupuhi, i roto i tēnei mesentery. Ko te "Sclerosing" e pā ana ki te whara me te whakapakeketanga. Nō reira, i roto i te sclerosing mesenteritis, he mumura roa o tēnei mesentery. I roto i te wā, ka puta he whara (fibrosis) i roto i te kiko i tēnei mumura, ka whakapakeke haere. Ko tō mesentery he wāhanga o te peritoneum visceral, e karapoti ana i ngā okana i roto i tō puku, ā, e āwhina ana ki te pupuri i a rātou ki te wāhi tika. He mea hanga mai i ngā paparanga e rua o te membrane (peritoneum) kua whakapikohia kia rua, me tētahi paparanga o te kiko ngako kiko) i waenganui. I roto i te sclerosing mesenteritis, ka pā tēnei mumura ki te paparanga kiko ngako i waenganui. Koia te take ka matotoru, ka mārō taua wāhanga. I ētahi wā ka puta tēnei i te wāhi kotahi, i ētahi wāhi rānei. Ina tirohia i roto i ngā whakamātautau hihi-X, ka rite ēnei ki ngā pukupuku.He mate mau tonu tēnei?
Ae, he mate mau tonu tēnei. Nā te mea kia pakari ai te kiko (sclerosis), me roa te mumura. Kāore tēnei e puta katoa i te wā kotahi, engari ka puta i ngā wāhanga. Tuatahi, ka pakaru haere te paparanga ngako. Kātahi ka puta mai ngā momo pūtau rerekē ka hono atu ki te kiko. Hei whakamutunga, ka puta he kiko whara. Nō reira, i roto i taua tikanga, he mate mau tonu, he mate haere tonu te sclerosing mesenteritis. Engari ahakoa tērā, kāore e kino haere tonu. I te nuinga o te wā, ka taea e ia te memeha noa iho.
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Check Availability →He rite tonu te Sclerosing Mesenteritis me te Mesenteric Panniculitis?
He maha ngā tākuta e whakaaro ana he rite tonu ngā āhuatanga e rua. E whakaahua ana rātou i ēnei āhuatanga e rua he mumura "idiopathic" o te mesentery. Arā, ka puta ohorere te mumura, kāore he take motuhake. Heoi, e kī ana ētahi ko te ingoa "sclerosing mesenteritis" me whakamahi hei whakaahua i tētahi momo mate kino ake, i tētahi momo uaua ake rānei kua roa ake ngā tohumate e kitea ana. Ko te tikanga o "Mesenteric panniculitis" ko te "mumura o te kiko ngako o te mesentery." Nā te mea kāore tēnei ingoa e pā ana ki te whara (sclerosis), e kī ana ētahi ko te ingoa "mesenteric panniculitis" me whakamahi hei whakaahua i te wāhanga tōmua o te mumura, arā, te wāhanga i mua i te puta o te whara. E kī ana rātou ina tīmata te hanga o ngā whara, ko te tikanga kua tino pāngia te mate, ā, he uaua pea te rongoā.Ko wai te mea tino pāngia e tēnei āhuatanga?
He tino onge te mate sclerosing mesenteritis. E pāngia ana e te 0.6% o te taupori. E 200 noa iho ngā kēhi kua pūrongohia, ā, kei te ako tonu tātou mō tēnei mate. Ko te nuinga o te wā ka pāngia te hunga neke atu i te 50 tau te pakeke. He maha ngā tāngata e pāngia ana e te mate nei he hītori whānau nō ngā mate pūnaha ārai mate. E whakaatu ana hoki ngā rangahau e 60% o ngā tūroro kua pāngia, kua pāngia rānei e te mate pukupuku, inā koa ko te lymphoma.He mate pukupuku te Sclerosing Mesenteritis?
Kāo, ehara tēnei i te mate pukupuku anake. Engari he maha ngā wā e hono ana ki te mate pukupuku. Ko tētahi take o te mumura mau tonu ko te mate pukupuku. Ā, ko ngā mate pāwera tētahi atu. E whakaatu ana ngā rangahau he nui ake te tūponotanga o te hunga e pāngia ana e te mumura nā tēnei take ki te whakawhanake i te sclerosing mesenteritis. Me te mea nei kei te "whakahaere" tō rātou mesentery i te mumura, ā, kei te haere tonu. Ka tipu te kiko whara pērā i te mate pukupuku, engari kāore e horapa. Engari i ētahi wā ka āhua "horapa" te āhua. Ka āhua rite hoki ki te mate pukupuku i runga i ngā hihi-X. I roto i te sclerosing mesenteritis, he maha ngā wā ka kitea he puranga kiko whara totoka, mārō i te wāhi kotahi o te mesentery, pērā i te pukupuku. He rite tonu ngā tohu o ngā āhuatanga e rua i ētahi wā. Nō reira, me whai wā ngā tākuta ki te mahi i ētahi whakamātautau hei wehewehe i waenga i ngā mea e rua.He aha pea ngā tohu?
Whakaarohia, he tokomaha ngā tāngata ka pāngia e tēnei mate, kāore he tohu , ā, kāore rātou e mōhio kei a rātou. Ko ngā tohu tino kitea ko te mamae o te puku me te pupuhi.Mena he nui te mumura, tera pea ka pāngia koe e te mate korere, e te kirika rānei. Tērā pea ka rongo koe i tētahi puranga i roto i tō puku. He onge noa iho, ka āraihia tō whekau iti e tēnei puranga. Ka puta ake pea ētahi atu tohu pēnei i te whakapairuaki, te ruaki, me te ngaronga taumaha.He aha te take mō tēnei?
Kāore anō kia mōhiotia te tino take. Engari e whakapae ana ngā tākuta he momo mate pūnaha ārai mate tēnei . Arā, ko te mumura i puta mai i tētahi urupare kore tika, he urupare kaha rawa rānei a te pūnaha ārai mate o tō tātou tinana. Ko te tikanga, ka whakamahia e tō pūnaha ārai mate te mumura hei whawhai i ngā iroriki e uru ana ki te tinana, hei whakaora hoki i ngā kiko kua pakaru. Ina kaha rawa te pūnaha ārai mate i te korenga o tētahi tūmomo riri e kitea ana, ka kiia he urupare pūnaha ārai mate. He momo mate pūnaha ārai mate rerekē e puta ai te mumura mau tonu i ngā wāhanga rerekē o te tinana. Kāore mātou i te tino mōhio he aha i puta ai, engari te āhua nei he wāhanga ira tōna, ā, ka taea hoki te whakaoho e te ahotea tinana, pērā i te mate, i te whara rānei. Ko te hunga e pāngia ana e te sclerosing mesenteritis he maha ngā wā he hītori whānau o ngā mate pūnaha ārai mate, ā, i ētahi wā ka pāngia hoki rātou e ētahi atu mate pūnaha ārai mate.Me pēhea te tautuhi tika i tēnei mate?
He maha ngā mahi e whaihia ana e te tākuta hei tautuhi i tēnei mate.Ngā Whakamātautau Whakaahua
Ka tangohia e tō tākuta he whakaahua x-ray o te mesentery hei rapu i ngā tohu e pā ana ki te sclerosing mesenteritis.- Tuatahi, ka taea e koe te whakahaere i tētahi tirotiro oro o te puku. He whakamātautau tere, he whakamātautau ngāwari hoki.
- Mena he ruarua mō tēnei āhuatanga, ka tukuna koe e rātou ki tētahi whakamātautau tairongo ake. Tērā pea he " matawai CT" ( matawai tomography rorohiko) he " MRI" rānei (whakaahua aukume). Ka rapua e ēnei whakamātautau he puranga arotahi me ngā tohu o te pakaru me te whara o te kiko (fibrosis) huri noa.
- Mena kāore e taea e ēnei whakamātautau te wehewehe mārama i waenga i te sclerosing mesenteritis me te mate pukupuku, ka āwhina pea te "matawai PET" (positron emission tomography) ki te whakaū i te mate. Ko te tikanga o tēnei ko te werohanga i tētahi matū haumaru, irahiko "radiative tracer" ki roto i te tinana. Ka whakamahia tēnei irahiko e te "matawai CT" me te "MRI" rānei.Ka puta ngā whakaahua i te wā e kitea ana. He nui ake te mimiti a ngā pūtau matepukupuku i tēnei rauemi irahiko i ētahi atu pūtau.
Te koiora
Ki te kore e angitu ngā mahi katoa, me tango pea e tō tākuta tētahi tauira kiko mai i te mesentery mō te koiora. Ka tātarihia e te tohunga mate te tauira kiko, ā, ka whakatauhia he tātaritanga whakamutunga. Ko te tikanga ka tangohia tēnei tauira kiko mā te ngira e werohia ana ki roto i te puku. Tērā pea me whai i tētahi tikanga iti ake te whakaekenga e kiia nei ko te laparoscopy hei tirotiro i te mesentery me te tango tauira. Ko te whakauru i tētahi kāmera mā roto i tētahi tapahi iti.He aha ngā maimoatanga mō te Sclerosing Mesenteritis?
Ko te rongo pai, ko te nuinga o te tangata kāore e hiahia ki te rongoā. He maha ngā wā ka memeha haere te sclerosing mesenteritis, ka ora ake i a ia anō. Kāore pea koe e kite i tētahi tohu, kāore rānei he mamae iti ka taea te whakahaere mā te whakamahi i ngā rongoā hoko kore-tohu (OTC). Heoi, ki te mau tonu ō tohu, ka tohua e tō tākuta he maha ngā rongoā hei rongoā i a rātou. Kei roto i ēnei ko:- Ka whakamahia ngā corticosteroids, pērā i te prednisone, hei whakahaere i te mumura .
- Ka whakaitihia e ngā rongoā ārai mate, pērā i te azathioprine, te urupare ārai mate.
- Te rongoā homoni , hei tauira, te tamoxifen.
Ko te mea nui ko te whiwhi i ēnei maimoatanga i raro i te tohutohu a te taote. Tērā pea ka roa te wā ki te kimi i te maimoatanga tika māu, nō reira he mea nui kia whakapā atu tonu koe ki tō tākuta.
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