Kodi muli ndi ululu wachilendo kapena kusapeza bwino m'mimba mwanu? Tiyeni tikambirane za Mesenteric Panniculitis!

Kodi nthawi zina mumamva kupweteka pang'ono m'mimba mwanu, kumva kukhuta, kapena chinthu chachilendo m'mimba mwanu? Mwina mumamvanso kutopa, ndi kutentha thupi pang'ono. Ngakhale kuti nthawi zambiri sitisamala kwambiri ndi zizindikiro zotere, nthawi zina zimakhala kumbuyo kwake. Lero tikambirana za matenda omwe sadziwika bwino, koma oyenera kudziwa. Izi ndi zomwe madokotala amatcha mesenteric panniculitis . Ngakhale dzinali lingawoneke lalitali pang'ono, tiyeni timvetse mosavuta.

Kodi Mesenteric Panniculitis ndi chiyani? Tiyeni timvetse mosavuta.

Mwachidule, mesenteric panniculitis ndi kutupa kwa gawo la m'mimba mwathu lotchedwa mesentery . Tsopano mwina mukudabwa kuti mesentery ndi chiyani. Tangoganizirani, pali mtundu wa nsalu yomwe imathandiza kusunga matumbo athu bwino komanso osagwidwa mkati mwa mimba. Izi zimatchedwa mesentery. Izi zimamangiriridwa ku khoma lakumbuyo la m'mimba mwathu ndipo zimasunga gawo la m'mimba mwathu kakang'ono ndi matumbo akulu. Kunena zoona, iyi ndi kapangidwe ka minofu yolumikizana. M'kati mwa mesentery iyi muli mitsempha yamagazi ndi mitsempha ya lymph yomwe matumbo athu amafunikira. Komanso, mesentery iyi imapangidwa ndi minofu yamafuta (minofu yamafuta kapena mafuta amthupi) yomwe ili pakati pa mapindi awiri a nembanemba yotchedwa peritoneum . Pankhani ya mesenteric panniculitis, pali kutupa kwanthawi yayitali (kutupa kosatha) kwa minofu yamafuta mu mesentery yomwe yatchulidwa. Kutupa kumeneku kumawononga maselo amafuta pamenepo ndikupangitsa kuti afe. ​​Izi zimatchedwanso necrosis yamafuta . Pakapita nthawi, zipsera (fibrosis) zimayamba kupanga m'malo owonongeka awa. Chofunika kwambiri n'chakuti nthawi zambiri, palibe chifukwa chomveka bwino cha kutupa kwa mesenteric panniculitis. Izi zikutanthauza kuti, zimangochitika popanda chifukwa chodziwika bwino, monga matenda, kuvulala, kapena khansa. Mu zamankhwala, matenda omwe alibe chifukwa amatchedwa idiopathic .

Kodi mesenteric panniculitis ndi sclerosing mesenteritis ndi zinthu zosiyana? Kodi ndi chinthu chimodzi?

Izi ndi mkangano pakati pa madokotala. Ambiri amakhulupirira kuti matenda awiriwa ndi ofanana. Ena amati matenda a sclerosing mesenteritis ndi matenda opitirira pang'ono kapena oopsa a mesenteric panniculitis. Ena amaganiza kuti akhoza kukhala matenda osiyana, okhala ndi njira yosiyana yochitira zinthu. Mesenteric panniculitis nthawi zambiri imakhala yokhazikika komanso yochiritsika. Komabe, palinso lingaliro lakuti matenda a sclerosing mesenteritis nthawi zina amatha kuipiraipira. Vuto lenileni ndilakuti sitikudziwabe chifukwa chake kutupa komwe kumayambira m'matenda onsewa kumachitika. Ndicho chifukwa chake zimakhala zovuta kwambiri kwa anthu ena osati kwa ena. Komabe, tinganene kuti anthu ambiri omwe amadwala kutupa kwa mesentery popanda chifukwa chomveka amakhala ndi matenda okhazikika komanso ochiritsika. Komabe, kwa anthu ochepa kwambiri, vutoli likhoza kukhala lalikulu kwambiri ndipo kutupa kumatha kupitirira mesentery.

Kodi izi ndi zoopsa? Kodi zingakhale zoopsa pa moyo?

Matenda a Mesenteric panniculitis nthawi zambiri si matenda oopsa . Samayambitsa mavuto aakulu. Anthu ambiri amakhala ndi zizindikiro zochepa kapena zochepa. Nthawi zina, zizindikirozi zimatha popanda chithandizo chilichonse.

Komabe, izi zingayambitse kusasangalala ndi kupweteka. Chifukwa chake, anthu ena amafunika kumwa mankhwala ngati chithandizo cha izi. Nthawi zambiri, vutoli lingasokoneze kugwira ntchito kwa matumbo . Mwachitsanzo, ngati kutupa kapena zipsera zomwe zimachitika chifukwa cha kutupa zikuchulukirachulukira, zimatha kusokoneza kayendedwe ka chakudya kudzera m'matumbo athu ang'onoang'ono . Izi zingayambitse vuto lotchedwa kutsekeka kwa matumbo . Koma izi zimachitika kawirikawiri.

Kodi vutoli ndi lofala bwanji? Ndani amene ali ndi mwayi waukulu wolitenga?

Matendawa si ofala kwambiri. Akuti amakhudza pafupifupi 1.5% ya anthu. Komabe, chifukwa zizindikiro sizimapezeka nthawi zonse, ndipo zizindikiro zomwe zimachitika (monga kupweteka m'mimba) ndizofala kwambiri komanso zimafala ku matenda ena, nthawi zina sizimadziwika. Matenda a Mesenteric panniculitis amapezeka kwambiri mwa anthu azaka zopitirira 60. Ndi osowa kwambiri kwa anthu osapitirira zaka 20. Kafukufuku wina akusonyeza kuti amuna ali ndi mwayi wowirikiza kawiri matendawa kuposa akazi.

N’chifukwa chiyani kutupa kwa mesentery kumachitika? Kodi zimayambitsa chiyani?

Kawirikawiri, kutupa kumachitika kwinakwake m'thupi mwathu chifukwa cha matenda, kuvulala, kapena khansa. Izi zimachitikanso m'minofu yathu ya mesenteric. Kutupa ndi momwe chitetezo chathu cha mthupi chimayankhira.Yankho. Lilipo kuti lithandize kuchiritsa minofu ndikulimbana ndi tizilombo toyambitsa matenda tomwe timayambitsa matenda. Koma n'zosadabwitsa kuti kutupa kwamtunduwu kumachitika popanda chifukwa chodziwika bwino, popanda bala lomwe likufunika kuchiritsidwa. Zili ngati kuti pali vuto ndi chitetezo chathu chamthupi.

Nazi zina mwa zinthu zomwe zimaganiziridwa kuti zimayambitsa mesenteric panniculitis:

Madokotala amaganiza kuti mesenteric panniculitis ikhoza kukhala matenda odziyimira pawokha . Izi zikutanthauza kuti chitetezo chathu chamthupi, popanda chifukwa chomveka, chimaukira minofu yathu. Mtundu uwu wa matenda odziyimira pawokha umakonda kuchitika m'mabanja. Zitha kuchitikanso chifukwa cha vuto lakanthawi (monga kachilombo ka HIV) lomwe limayambitsa chitetezo chamthupi, ndipo chitetezo chamthupi chimapitirizabe ngakhale vutoli litatha. Mesenteric panniculitis yalumikizidwanso ndi matenda awa. Nazi zitsanzo zina:

• Opaleshoni : Mesenteric panniculitis imanenedwa kuti imachitika mwa odwala pafupifupi 5% pambuyo pa opaleshoni, makamaka opaleshoni ya m'mimba.
• Matenda: Matendawa amathanso kuchitika chifukwa cha matenda ena omwe adachitika kale. Kafukufuku wapeza kuti:
• Chifuwa chachikulu
• Matenda a typhoid
• Kolera
• Chindoko
• Izi zitha kuchitika mwa anthu omwe ali ndi mbiri ya matenda osatha, monga matenda a Whipple.
• Khansa : Nthawi zina, mesenteric panniculitis imachitika mwa anthu omwe adachiritsidwa kale khansa, kapena omwe ali ndi khansa pakadali pano, kapena omwe ali pafupi kupezeka ndi khansa (khansa kunja kwa mesentery). Zanenedwa kuti imagwirizana ndi khansa yakale kapena yatsopano pafupifupi 30% ya milandu. Zitsanzo:
• Lymphoma
• Matenda a carcinoid
• Khansa ya m'matumbo
• Khansa ya impso
• Khansa ya prostate
• Matenda ena otupa mafupa: Nthawi zina, mesenteric panniculitis imatha kuchitika ndi matenda ena m'thupi omwe amayambitsa kutupa ndi zipsera (sclerosis kapena fibrosis). Izi zikusonyeza kuti chifukwa chomwecho cha mesenteric panniculitis chingayambitsenso kuyankha kofanana m'zigawo zina za thupi. Zitsanzo:
• Fibrosis ya m'mimba
• Matenda a Sjogren
• Matenda a kapamba otchedwa sclerosing
• Nodular panniculitis
• Matenda a Crohn

Kodi zizindikiro za Mesenteric Panniculitis ndi ziti?

Anthu ena sangakhale ndi zizindikiro zilizonse . Ena akhoza kukhala ndi zizindikiro zosiyanasiyana. Chizindikiro chofala kwambiri ndi kupweteka m'mimba . Kutupa kungayambitse kupweteka m'mimba. Ma lymph nodes mu mesentery amathanso kutupa. Izi ndi zizindikiro zofala za mesenteric panniculitis. Anthu ena akhozanso kukhala ndi ululu m'mimba pamodzi ndi zizindikiro izi:

• Kutupa m'mimba
• Kutupa m'mimba
• Kumva kukhuta ngakhale mutadya pang'ono, kutaya chilakolako (Kusakhuta msanga kapena kutaya chilakolako)
• Kusanza ndi kusanza
• Kudzimbidwa kapena kutsegula m'mimba
• Kuchepetsa thupi

Zizindikirozi zimatha kuchitika pamene kutupa kukukhudza matumbo. Komanso, anthu ena amatha kukhala ndi zizindikiro za thupi lonse , kutanthauza zizindikiro zomwe zimakhudza thupi lonse, osati m'mimba momwe muli mesentery. Zizindikiro monga malungo ndi kutopa zimakhala zofala pamene chitetezo chathu cha mthupi chikukhudzidwa.

Kodi mumazindikira bwanji matendawa molondola? (Kuzindikira)

Popeza ndi matenda osowa kwambiri ndipo zizindikiro zake sizikudziwika bwino (zimafanana ndi matenda ena ambiri), nthawi zambiri zimakhala zovuta kuzizindikira. Dokotala wanu angafunike kuchotsa matenda ena ambiri omwe amapezeka nthawi zambiri asanaganize kuti ali ndi mesenteric panniculitis. Choyamba, angachite mayeso a magazi . Izi zitha kuwonetsa zizindikiro za kutupa. Kenako, ngati mesenteric panniculitis ikukayikiridwa, mayeso ojambula zithunzi (radiology) amagwiritsidwa ntchito kufufuza zizindikiro zomwe zimaonekera. Mesenteric panniculitis nthawi zambiri imapezeka ndi MRI (Magnetic Resonance Imaging) scan kapena CT (Computed Tomography) scan . Katswiri wa radiology adzafufuza kukula kwa mesentery, zizindikiro za kufa kwa maselo amafuta (fat necrosis), ndi zipsera (fibrosis). Nthawi zina minofu yamafuta imatha kukhala yokhuthala kwambiri m'dera limodzi, kuwoneka ngati chotupa. Ngati ma lymph nodes mu mesentery atupa, koma mitsempha yamagazi sikhudzidwa, iyi ndi njira imodzi yosiyanitsira mesenteric panniculitis ndi khansa. Njira yokhayo yodziwira vutoli ndi biopsy.Izi zikutanthauza kuti chidutswa chaching'ono cha minofu ya mesenteric chimachotsedwa panthawi ya opaleshoni ndikutumizidwa ku labu kuti akayesedwe. Komabe, si aliyense amene amafunikira mtundu uwu wa matenda. Dokotala wanu akhoza kukhala kale ndi chidziwitso chokwanira cholembera mankhwala ochizira mesenteric panniculitis. Ngati mankhwalawo athandiza kuchepetsa zizindikiro zanu, zimenezo zimatsimikiziranso kuti matendawa ndi otani.

Kodi chithandizo chimachitidwa bwanji? Kodi aliyense amafunika mankhwala?

Ndipotu, si aliyense amene ali ndi mesenteric panniculitis amene amafunika chithandizo. Ngati mulibe zizindikiro kapena zizindikiro zochepa kwambiri, dokotala wanu angaganize zongodikira kuti aone ngati vuto lanu likuyenda bwino. Mesenteric panniculitis nthawi zambiri siimakula pakapita nthawi, ndipo nthawi zambiri imatha yokha . Komabe, ngati muli ndi zizindikiro, pali mankhwala ambiri omwe madokotala amagwiritsa ntchito pochiza matendawa.

• Corticosteroids: Awa ndi mankhwala omwe amachepetsa kutupa. Nthawi zambiri, mankhwalawa amatha kuchepetsa zizindikiro. Awa ndi mankhwala oyamba.
• Nthawi zina, dokotala wanu angakupatseni mankhwala ena kuti athandize ndi zotsatirapo zake, monga nseru. Mankhwalawa amagwira ntchito pang'onopang'ono, kotero zingatenge milungu ingapo kuti zizindikirozo zithe kwathunthu.

Ngati mankhwala oletsa kutupa sagwira ntchito, dokotala wanu angakupatseni mankhwala oletsa kutupa . Mankhwalawa amagwira ntchito poletsa chitetezo chanu chamthupi kugwira ntchito mopitirira muyeso. Kapena, mungayesere mankhwala otchedwa naltrexone (LDN) wochepa . Izi zimagwiranso ntchito posintha chitetezo chamthupi, koma mwanjira ina. Madokotala amagwiritsa ntchito njira yoyesera ndi yolakwika kuti apeze yomwe imagwira ntchito bwino pa zizindikiro zanu.

Kodi chidzachitike ndi chiyani mtsogolo ndi vutoli? (Outlook)

Kawirikawiri, mesenteric panniculitis nthawi zambiri imakhala vuto la kanthawi kochepa . Mutha kuchira popanda vuto lililonse, kapena ndi mavuto ang'onoang'ono okha. Ngati ndinu m'modzi mwa anthu ochepa omwe ali ndi zizindikiro za nthawi yayitali, zizindikiro zanu zitha kuyankha bwino mankhwala. Anthu ochepa okha ndi omwe amakhala ndi mavuto akuluakulu, monga kutsekeka kwa matumbo ang'onoang'ono . Pankhaniyi, opaleshoni ingafunike kuti muchotse kutsekekako.

Kodi izi zingatheke ndi chakudya ndi zakumwa? (Kuwongolera zakudya)

Inde, zakudya zotsutsana ndi kutupaKutsatira zakudya izi kungathandize kuchepetsa kutupa m'thupi lanu, makamaka m'mimba mwanu. Ngakhale kuti sizingachiritse matenda a mesenteric panniculitis, zingathandize kusintha zizindikiro zanu. Zakudya zotsutsana ndi kutupa zimaphatikizapo kudya zakudya zachilengedwe m'malo mwa zakudya zokonzedwa bwino. Zimagogomezeranso mafuta abwino komanso osakhuta.

Chepetsani kapena siyani kudya zakudya izi mukakhala ndi mesenteric panniculitis:

• Nyama yofiira
• Nyama zokonzedwa (monga masoseji, mipira ya nyama)
• Zakudya zokazinga
• Zakudya zokhwasula-khwasula zopakidwa m'matumba
• Zakudya zokonzedwa bwino (monga mkate woyera wopangidwa kuchokera ku ufa wa mkate)
• Zakudya zokhala ndi shuga wambiri (monga zakumwa zotsekemera)
• Mafuta okhuta (monga margarine, mafuta ophikira, mafuta a nyama)
• Mowa

Onjezani zakudya zina zotsutsana ndi kutupa monga izi:

• Zipatso zonse, tirigu ndi ndiwo zamasamba
• Ndiwo zamasamba zobiriwira (monga sipinachi, kale)
• Nsomba (nsomba zokhala ndi omega-3 monga salimoni ndi tuna)
• Mafuta a zomera (monga mafuta a azitona, mafuta a canola)
• Mtedza (monga amondi, walnuts)
• Turmeric

Zakudya za ku Mediterranean ndi zakudya zachilengedwe zotsutsana ndi kutupa. Zimagogomezera zakudya zonse ndi mafuta abwino monga nsomba, mtedza, ndi mafuta a azitona, zomwe zili ndi omega-3 fatty acids ambiri. Mesenteric panniculitis ndi matenda osowa omwe akadali ndi zambiri zoti aphunzire. Mwamwayi, anthu ambiri amatha msanga. Komabe, ngati zizindikiro zanu zikuvutitsa kapena zikupitirira, zingakhale zokhumudwitsa kukhala ndi vuto lomwe silikumveka bwino. Mankhwala a mesenteric panniculitis akadali mu gawo lofufuza. Dokotala wanu adzagwira nanu ntchito, pang'onopang'ono, kuti apeze chithandizo chomwe chingakugwireni ntchito.

Uthenga Wopita Nawo Kunyumba

Mesenteric panniculitis ndi kutupa kwa minofu yamafuta mu mesentery, gawo la mimba.

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* Izi nthawi zambiri sizili zoopsa , ndipo nthawi zambiri zimatha kudzichiritsa zokha .

* Ngakhale kuti chifukwa chenicheni sichikudziwika, akuganiziridwa kuti ndi vuto la autoimmune .

* Chizindikiro chachikulu ndi kupweteka m'mimba . Komabe, kutupa m'mimba, nseru, ndi kutopa zimathanso kuchitika.

* Kujambula kwa CT kapena MRI kungathandize kuzindikira matenda. Kujambula kwa biopsy kungafunikenso.

* Si aliyense amene amafunikira chithandizo. Anthu omwe ali ndi zizindikiro angapeze mpumulo ndi mankhwala monga corticosteroids .

* Kutsatira zakudya zomwe zimachepetsa kutupa kungathandize kuchepetsa zizindikiro.

* Ngati mukupitirizabe kukhala ndi zizindikirozi, funsani upangiri kwa dokotala . Musachite mantha, vutoli ndi losavuta kulithetsa.

Mesenteric Panniculitis, Mesenteric Panniculitis, Kutupa kwa m'mimba, Kupweteka m'mimba, Mesentery, Minofu yamafuta, Matenda a autoimmune, Zakudya, Chithandizo, Zizindikiro, CT scan, MRI scan