Kodi nthawi zina mumamva ngati muli ndi vuto la m'mimba kapena kumva kukhuta popanda chifukwa? Nthawi zambiri timaganiza kuti ndi vuto la mpweya kapena vuto laling'ono logaya chakudya, sichoncho? Koma nthawi zina, pakhoza kukhala vuto lomwe sitilankhula kwambiri ndipo lili ndi dzina lachilendo pang'ono. Lero tikambirana za vuto limodzi losowa koma lofunika kwambiri loti mudziwe. Limenelo ndi Sclerosing Mesenteritis.
Mwachidule, kodi matenda a Sclerosing Mesenteritis ndi chiyani?
Dzinali lingamveke ngati loopsa pang'ono, koma tiyeni tilifotokoze mwachidule.
Tangoganizani kuti matumbo omwe ali mkati mwa mimba yathu sakungoyandama apa ndi apo, sichoncho? Pali nembanemba yomwe imathandiza kuti ikhale bwino komanso pamalo amodzi. Kunena zoona, matumbo athu amalumikizidwa ku khoma lakumbuyo la mimba ndi nembanemba iyi. Malinga ndi zamankhwala timatcha nembanemba iyi kuti mesentery . Palinso mafuta ochepa mkati mwa nembanemba iyi.
Tsopano onani, "Mesenteritis" ikutanthauza kutupa kwa mesentery. Imatanthauza vuto lofanana ndi kutupa. Mawu oti "sclerosing" amatanthauza chinthu chomwe chikukhuthala, kapena minofu ya chilonda yomwe imapanga ndikukhuthala. Monga momwe tingakhalire ndi bala pakhungu lathu, likachira, khungu limakhuthala pang'ono ndipo chilonda chimatsala. Ichi ndi chomwe timachitcha fibrosis .
Matenda a Sclerosing Mesenteritis ndi matenda omwe mesentery, nembanemba yomwe imasunga matumbo athu, imakula pang'onopang'ono ndikupanga minofu ya zipsera chifukwa cha kutupa kwa nthawi yayitali.
Pamene mesentery ikukula motere, nthawi zina imatha kuoneka ngati chotupa pa scan. Ndicho chifukwa chake ndikofunikira kudziwa bwino lomwe chomwe chili.
Kodi iyi ndi matenda osatha?
Inde, ndithudi. Chifukwa kuti zipsera zomwe mwatchulazi zichitike ndikufika pa siteji ya sclerosis, kutupa kuyenera kukhala kopitilira kwa nthawi yayitali. Izi sizichitika nthawi imodzi. Pali magawo angapo a izi.
1. Choyamba, minofu yamafuta mu mesentery imayamba kusweka pang'onopang'ono.
2. Kenako, mitundu yosiyanasiyana ya maselo imafika pamalo amenewo ndikuyamba kusonkhana.
3. Minofu ya zipsera imayamba kupangika pamapeto pake.
Chifukwa chake, matenda a Sclerosing Mesenteritis ndi matenda omwe amapitirira kwa nthawi yayitali. Koma pali chinthu chimodzi chabwino choti munene apa. Sikuti nthawi zonse amakula kwambiri. Nthawi zambiri, amatha kuchira okha, popanda chithandizo chilichonse. Choncho musaope kumva dzinalo.
Kodi izi zimatchedwanso Mesenteric Panniculitis?
Mwina munamvapo dzina ili.Zimatanthauza kutupa kwa minofu yamafuta (panniculus) mu mesentery. Mwachidule, madokotala ambiri amaona kuti matenda onsewa ndi ofanana. Chifukwa onsewa amachitika popanda chifukwa chenicheni, ndi kutupa komwe kumabwera chifukwa cha idiopathic.
Komabe, madokotala ena amakhulupirira kuti dzina lakuti Sclerosing Mesenteritis liyenera kugwiritsidwa ntchito pa gawo loopsa kwambiri la matendawa. Mesenteric Panniculitis imatanthauza gawo loyambirira la kutupa, chilonda chisanayambe kupangika. Komabe, awiriwa nthawi zambiri amaonedwa kuti ndi magawo osiyana a matenda omwewo.
Ndani amene ali ndi mwayi waukulu wopeza matendawa?
Choyamba, matenda a Sclerosing Mesenteritis ndi matenda osowa kwambiri . Amakhudza anthu ochepa kwambiri, pafupifupi 0.6% ya anthu onse. Choncho musachite mantha ndi matendawa mopanda chifukwa.
Malinga ndi deta yomwe ilipo, vutoli limapezeka kwambiri mu:
- Pakati pa anthu azaka zopitilira 50 .
- Ngati wina m'banjamo ali ndi matenda a autoimmune .
- Malinga ndi kafukufuku wina, pafupifupi 60% ya anthu omwe apezeka ndi matendawa ali ndi khansa zina kapena adadwalapo. Zawonetsedwa kuti zimagwirizana ndi mtundu wa khansa wotchedwa lymphoma .
| Khalidwe | Kufotokozera |
|---|---|
| Kusowa | Ndi vuto losazolowereka kwambiri. |
| Zaka zomwe zakhudzidwa | Kawirikawiri zimakhudza anthu azaka zopitilira 50. |
| Anthu ena olumikizana nawo | Zimasonyeza kugwirizana ndi matenda odziteteza ku matenda enaake komanso khansa zina (makamaka lymphoma). |
Kodi khansa iyi ndi yotani? Funso lomwe limaopseza anthu ambiri!
Ayi. Sclerosing Mesenteritis si khansa.
Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kukumbukira. Ichi si khansa. Komabe, chingagwirizane ndi khansa ndipo nthawi zina chimawoneka ngati khansa pa scan. Tiyeni timvetse zimenezo.
Maselo a khansa ndi mtundu wa selo lomwe lingagawanike, kukula, ndi kufalikira mosalamulirika m'thupi lonse. Komabe, minofu ya chilonda yomwe imapanga sclerosing mesenteritis sigawanike ndi kufalikira mwanjira imeneyi. Komabe, minofu ya chilonda ikasonkhana ndikukula, imatha kuwoneka ngati chotupa pa scan. Komanso, zizindikiro izi zitha kufanana ndi zizindikiro zina za khansa.
Pazifukwa izi, dokotala ayenera kuchita mayeso enaake kuti asiyanitse bwino pakati pa matenda awiriwa.
Kodi zizindikiro za matendawa ndi ziti?
Chodabwitsa apa ndichakuti anthu ambiri alibe zizindikiro zilizonse . Nthawi zambiri zimapezeka mwangozi panthawi yojambula pazifukwa zina.
Komabe, ngati zizindikiro zikupezeka, zomwe zimafala kwambiri ndi izi:
- Kupweteka m'mimba: Kumva kupweteka pang'ono kapena kusasangalala nthawi zonse m'mimba.
- Kutupa: Kumva kutupa ndi kutupa.
- Kutsegula m'mimba kapena Malungo: Zizindikiro izi zitha kuchitika ngati kutupa kuli kwakukulu.
- Kumva chotupa m'mimba: Nthawi zina, mukamva m'mimba kuchokera kunja, malo okhuthala amatha kumveka ngati chotupa.
- Kusanza, kusanza, ndi kuchepetsa thupi: Nthawi zambiri, minofu yokhuthala imeneyi imatha kutseka matumbo ang'onoang'ono. Apa ndi pamene zizindikiro monga nseru, kusanza, ndi kuchepa thupi zimachitika.
N’chifukwa chiyani matenda amtunduwu amapezeka? Kodi chifukwa chake n’chiyani?
Kunena zoona, chifukwa chenicheni cha izi sichinapezekebe , koma kukayikira kwakukulu kwa madokotala ndikuti kungakhale matenda odziteteza okha .
Mwachidule, ntchito ya chitetezo chathu chamthupi ndi kulimbana ndi majeremusi omwe amayambitsa matenda. Koma pa matenda odziteteza okha, chitetezo chathu chamthupi chimayamba molakwika kuukira minofu yathu yathanzi. Kuukira kumeneku kumayambitsa kutupa kosatha.
Anthu ambiri omwe ali ndi matenda a sclerosing mesenteritis amakhala ndi mbiri ya m'banja lawo ya matenda ena odziteteza ku matenda ena. Amakhulupiriranso kuti vutoli nthawi zina limayamba chifukwa cha kupsinjika maganizo, monga opaleshoni, matenda, kapena khansa.
Kodi dokotala amazindikira bwanji matendawa? (Kuzindikira)
Pambuyo pomvera zizindikiro zanu, ngati dokotala akukayikira kuti muli ndi matendawa, adzakutumizani kuti mukayesedwe kangapo.
1. Kujambula (Kujambula)
- Kujambula kwa Ultrasound: Iyi ndi njira yofulumira komanso yosavuta yomwe ingathe kuchitidwa kuti izindikire zizindikiro zoyambirira.
- Kujambula kwa CT kapena MRI: Izi ndi mayeso ovuta kwambiri. Kujambula kumeneku kumatha kuwonetsa zinthu monga kukhuthala kwa minofu ya m'mimba ndi zipsera momveka bwino.
- Kujambula kwa PET: Nthawi zina zimakhala zovuta kudziwa kuchokera ku CT kapena MRI scan ngati ndi Sclerosing Mesenteritis kapena khansa. Pazochitika zotere, kujambula kwa PET kungathandize. Apa, mankhwala owopsa amalowetsedwa m'thupi. Popeza maselo a khansa amayamwa mankhwalawa kuposa maselo wamba, amatha kuzindikirika bwino ngati ndi khansa.
2. Kufufuza za thupi
Ngati mayeso omwe ali pamwambawa sanatsimikizidwebe, mayeso omaliza ndi biopsy. Pankhaniyi, chidutswa chaching'ono kwambiri cha minofu chimatengedwa kuchokera kudera lokhuthala la mesentery ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu. Chitsanzo cha minofuchi nthawi zambiri chimatengedwa poika singano yopyapyala m'mimba. Mwa anthu ena, chitsanzochi chingafunike kutengedwa kudzera mu opaleshoni yaying'ono, monga laparoscopy.
Kodi mankhwala ochizira izi ndi otani?
Nkhani yabwino ndi yakuti anthu ambiri safuna chithandizo chilichonse . Vutoli nthawi zambiri limatha lokha. Ngati mulibe zizindikiro, kapena mukuvutika pang'ono, dokotala wanu angakulangizeni kuti musamwe mankhwala aliwonse koma kungodikira.
Komabe, ngati zizindikiro zikupitirira kapena zikusokoneza moyo wanu watsiku ndi tsiku, pali mankhwala angapo omwe dokotala wanu angakupatseni.
- Corticosteroids: Mwachitsanzo, Prednisone. Izi zimalamulira kutupa m'thupi.
- Mankhwala oletsa chitetezo chamthupi: Mwachitsanzo, azathioprine. Izi zimagwira ntchito pochepetsa ntchito ya chitetezo chamthupi chomwe sichikugwira ntchito bwino.
- Mankhwala a mahomoni: Mankhwala monga Tamoxifen nthawi zina amagwiritsidwanso ntchito.
Chofunika kwambiri ndichakuti chithandizochi chiyenera kusankhidwa ndi dokotala yekha amene akukufufuzani. Musadzipatse mankhwala okha potengera mphekesera.
Kodi vutoli lingathetsedwe ndi chakudya ndi zakumwa?
Kutsatira zakudya zochepetsa kutupa kungathandize kuchepetsa kutupa m'thupi, makamaka m'mimba. Izi sizingachiritse matenda a Sclerosing Mesenteritis kwathunthu , koma zingathandize kuchepetsa zizindikiro mpaka pamlingo winawake.
Mwachidule, zakudya zotsutsana ndi kutupa ndi izi:
- Kuika patsogolo zakudya zachilengedwe zatsopano (zakudya zonse) m'malo mwa zakudya zokonzedwa m'mabokosi.
- Kudya zakudya zambiri zokhala ndi mafuta abwino komanso osakhuta (monga omega-3).
- Kuwonjezera ndiwo zamasamba zatsopano, zipatso, ndi zitsamba ku zakudya zanu.
Ndi bwino kulankhula ndi dokotala wanu za izi ndipo, ngati kuli kofunikira, funsani upangiri kwa katswiri wa zakudya.
Uthenga Wopita Nawo Kunyumba
- Matenda a Sclerosing Mesenteritis ndi matenda otupa omwe amapezeka kawirikawiri mu mesentery, nembanemba yomwe imagwirira matumbo pamodzi. Izi zingayambitse minofu kukhuthala ndi zipsera.
- Iyi si khansa , koma ingawoneke ngati chotupa pa scan ndipo ingagwirizane ndi khansa.
- Anthu ambiri saona zizindikiro zilizonse. Zizindikiro zake zingakhale kupweteka m'mimba ndi kutupa m'mimba.
- Kawirikawiri matendawa amatha okha popanda chithandizo chilichonse . Dokotala ndiye amene angakupatseni mankhwala pokhapokha ngati pakufunika kutero.
- Ngati mwakhala mukukumana ndi zizindikirozi kwa nthawi yayitali, musachite mantha kapena kuda nkhawa nazo, koma pitani kwa dokotala wodziwa bwino ntchito yanu kuti akalandire upangiri ndi mayeso oyenera.











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