Kodi inunso muli ndi vuto ili m'mimba mwanu? Tiyeni tiphunzire za Sclerosing Mesenteritis!

Kodi mudamvapo za matenda awa otchedwa Sclerosing Mesenteritis? Mwina ayi, eti? Ndi matenda osowa kwambiri, zomwe zikutanthauza kuti si anthu ambiri omwe amadwala matendawa. Koma ndibwino kudziwa pang'ono za matendawa. Chifukwa nthawi zina ife, kapena munthu amene timamudziwa, tingamve za zinthu ngati izi. Tiyeni tiwone zomwe zimachitika, momwe zimachitikira, zizindikiro zake ndi ziti, ndipo kodi pali chithandizo?

Kodi matenda a sclerosing mesenteritis ndi chiyani?

Mwachidule, matenda a sclerosing mesenteritis ndi matenda osowa omwe amakhudza gawo la mesentery yanu. Tsopano mwina mukudabwa kuti mesentery ndi chiyani. Ndi minofu yomwe imathandiza kugwira matumbo anu ku khoma lakumbuyo la mimba yanu. Zili ngati nsalu, kunena zoona. "Mesenteritis" imatanthauza kutupa, kutanthauza kutupa, mu mesentery iyi. "Sclerosing" imatanthauza zipsera ndi kuuma. Chifukwa chake, mu mesenteritis ya sclerosing, pamakhala kutupa kwa nthawi yayitali kwa mesentery iyi. Pakapita nthawi, kutupa kumeneku kumayambitsa zipsera (fibrosis) mu minofu, zomwe zimauma pang'onopang'ono. Mesentery yanu ndi gawo la visceral peritoneum, yomwe imazungulira ziwalo m'mimba mwanu ndikuzithandiza kuzigwira. Imapangidwa ndi zigawo ziwiri za nembanemba (peritoneum) yopindika pakati, yokhala ndi minofu yamafuta (minofu yamafuta) pakati. Mu mesenteritis ya sclerosing, kutupa kumeneku kumakhudza minofu yamafuta pakati. Ndicho chifukwa chake gawolo limakhala lolimba komanso lolimba. Nthawi zina izi zingachitike pamalo amodzi kapena m'malo angapo. Mukayang'ana pa mayeso a radiology, izi zingawoneke ngati zotupa.

Kodi iyi ndi matenda osatha?

Inde, kwenikweni ndi matenda osatha. Chifukwa kuti minofu ikhale ndi zipsera zokwanira kuti ikhale yolimba (sclerosis), payenera kukhala kutupa kwa nthawi yayitali. Izi sizichitika nthawi imodzi, zimachitika pang'onopang'ono. Choyamba, mafuta amasweka pang'onopang'ono. Kenako, mitundu yosiyanasiyana ya maselo imabwera ndikugwirizana ndi minofu. Pomaliza, minofu ya zipsera imapangidwa. Chifukwa chake, mwanjira imeneyi, sclerosing mesenteritis ndi matenda osatha komanso opitirira muyeso. Koma ngakhale zili choncho, nthawi zambiri sizimaipiraipira. Nthawi zambiri, imatha kutha yokha.

Kodi matenda a Sclerosing Mesenteritis ndi Mesenteric Panniculitis ndi ofanana?

Madokotala ambiri amaona kuti matenda onsewa ndi ofanana. Amawafotokoza onse ngati kutupa kwa "idiopathic" kwa mesentery. Izi zikutanthauza kuti kutupako kumawoneka kuti kumachitika mwadzidzidzi, popanda chifukwa chenicheni. Komabe, ena amanena kuti dzina lakuti "sclerosing mesenteritis" liyenera kugwiritsidwa ntchito pofotokoza mtundu woopsa kwambiri wa matendawa, kapena mtundu wovuta kwambiri womwe zizindikiro zakhalapo kwa nthawi yayitali. "Mesenteric panniculitis" amatanthauza "kutupa kwa minofu yamafuta ya mesentery." Popeza dzinali silikutanthauza zipsera (sclerosis), ena amanena kuti dzina lakuti "mesenteric panniculitis" liyenera kugwiritsidwa ntchito pofotokoza gawo loyambirira la kutupa, ndiko kuti, gawo lomwe zipsera zisanachitike. Amanena kuti zipsera zikayamba kupangika, zikutanthauza kuti matendawa apita patsogolo kwambiri ndipo zingakhale zovuta kuchiza.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

Matenda a sclerosing mesenteritis ndi matenda osowa kwambiri. Amakhudza pafupifupi 0.6% ya anthu. Popeza pali milandu pafupifupi 200 yokha yomwe yanenedwa mpaka pano, tikuphunzirabe za matendawa. Nthawi zambiri amakhudza anthu azaka zopitilira 50. Anthu ambiri omwe ali ndi matendawa amakhala ndi mbiri ya m'banja lawo ya matenda odziteteza okha. Komanso, kafukufuku akuwonetsa kuti pafupifupi 60% ya odwala adadwalapo khansa kapena pakadali pano, makamaka lymphoma.

Kodi Sclerosing Mesenteritis ndi khansa?

Ayi, iyi si khansa yokha. Koma nthawi zambiri imagwirizanitsidwa ndi khansa. Chimodzi mwa zifukwa zomwe zimayambitsa kutupa kosatha ndi khansa. Ndipo matenda ndi china. Kafukufuku akusonyeza kuti anthu omwe ali ndi kutupa chifukwa cha izi amakhala ndi mwayi waukulu wokhala ndi sclerosing mesenteritis. Zili ngati mesentery yawo "imatenga" kutupa ndipo imapitirira kutero. Minofu ya chilonda imakula ngati khansa, koma siifalikira. Koma nthawi zina imatha kuwoneka ngati "ikufalikira." Imathanso kuwoneka ngati khansa pa x-ray. Mu sclerosing mesenteritis, minofu yolimba, yolimba ya chilonda nthawi zambiri imawoneka pamalo amodzi mu mesentery, ngati chotupa. Zizindikiro za matenda onsewa nthawi zina zimakhala zofanana. Chifukwa chake madokotala amafunika kutenga nthawi ndikuchita mayeso angapo kuti asiyanitse pakati pa awiriwa.

Kodi zizindikiro zake zingakhale zotani?

Taganizirani izi, anthu ambiri amatha kukhala ndi vutoli popanda zizindikiro zilizonse , ndipo sadziwa kuti ali nalo. Zizindikiro zodziwika bwino ndi kupweteka m'mimba ndi kutupa.Ngati kutupa kuli kwakukulu, mungakhale ndi kutsegula m'mimba kapena kutentha thupi. Mungamvenso kuti pali chipolopolo m'mimba mwanu. Nthawi zambiri, chipolopolochi chingayambitse kutsekeka kwa matumbo anu ang'onoang'ono. Izi zingayambitse zizindikiro zina monga nseru, kusanza, ndi kuchepa thupi.

Kodi chifukwa chake ndi chiyani?

Chifukwa chenicheni sichinadziwikebe. Koma madokotala akuganiza kuti mwina ndi mtundu wa matenda odziteteza okha . Izi zikutanthauza kuti, kutupa kumachitika chifukwa cha kuyankha kosayenera kapena kopitirira muyeso kwa chitetezo cha mthupi lathu. Chitetezo chanu cha mthupi nthawi zambiri chimagwiritsa ntchito kutupa kuti chilimbane ndi majeremusi omwe amalowa m'thupi ndikuchiritsa minofu yowonongeka. Chitetezo chanu cha mthupi chikayamba kuchita zinthu mopitirira muyeso popanda chiopsezo chilichonse chodziwikiratu, chimatchedwa chitetezo cha mthupi. Pali mitundu yosiyanasiyana ya matenda odziteteza okha omwe amayambitsa kutupa kosatha m'mbali zosiyanasiyana za thupi. Sitikudziwa chifukwa chake amakula, koma zikuwoneka kuti ali ndi gawo la majini, ndipo amathanso kuyambitsidwa ndi kupsinjika thupi, monga matenda kapena kuvulala. Anthu omwe ali ndi sclerosing mesenteritis nthawi zambiri amakhala ndi mbiri ya banja lawo ya matenda odziteteza okha, ndipo nthawi zina amathanso kukhala ndi matenda ena odziteteza okha.

Kodi mungadziwe bwanji matendawa molondola?

Dokotala amatsatira njira zingapo kuti adziwe matendawa.

Mayeso Ojambula

Dokotala wanu adzajambula zithunzi za x-ray za mesentery kuti aone zizindikiro za sclerosing mesenteritis.

• Choyamba, mutha kuchitidwa ultrasound ya m'mimba. Ndi mayeso achangu komanso osavuta.
• Ngati pali kukayikira kulikonse pa vutoli, adzakutumizirani ku mayeso ovuta kwambiri. Izi zitha kukhala `` CT scan`` (computed tomography scan ) kapena `` MRI`` (magnetic resonance imaging). Mayesowa amafufuza focal mass ndi zizindikiro za kusweka kwa minofu ndi zipsera (fibrosis) kuzungulira.
• Ngati mayesowa sangasiyanitse bwino pakati pa sclerosing mesenteritis ndi khansa, ``PET scan`` (positron emission tomography) ingathandize kutsimikizira matendawa. Izi zimaphatikizapo kubaya mankhwala otetezeka komanso owopsa a ``radioactive tracer`` m'thupi. ``CT scan`` kapena ``MRI`` imagwiritsa ntchito radiation iyi.Zithunzi zimapangidwa pamene zapezeka. Maselo a khansa amayamwa zinthu zowononga mpweyazi kuposa maselo ena.

Kufufuza za thupi

Ngati zonse zalephera, dokotala wanu angafunike kutenga chitsanzo cha minofu kuchokera ku mesentery kuti akapimidwe. Katswiri wa matenda adzafufuza chitsanzo cha minofu ndikupeza matenda omaliza. Chitsanzo cha minofuchi nthawi zambiri chimatengedwa kudzera mu singano yomwe imalowetsedwa m'mimba. Anthu ena angafunikenso kuchita njira yochepetsera kufalikira yotchedwa laparoscopy kuti aone mesentery ndikujambula chitsanzo. Izi zimaphatikizapo kuyika kamera kudzera mu kudula pang'ono.

Kodi chithandizo cha matenda a sclerosing mesenteritis ndi chiyani?

Nkhani yabwino ndi yakuti anthu ambiri safuna chithandizo. Matenda a sclerosing mesenteritis nthawi zambiri ndi matenda omwe amadziletsa okha, omwe amachira okha. Mwina simungakhale ndi zizindikiro zilizonse, kapena mungakhale ndi kusasangalala pang'ono komwe kungathetsedwe ndi mankhwala ogulitsidwa kunja kwa chipatala (OTC). Komabe, ngati muli ndi zizindikiro zosatha, dokotala wanu adzakupatsani mankhwala osiyanasiyana kuti awachiritse. Izi zingaphatikizepo:

• Mankhwala a Corticosteroids, monga prednisone, amagwiritsidwa ntchito poletsa kutupa .
• Mankhwala oletsa chitetezo chamthupi, monga azathioprine, amachepetsa mphamvu ya chitetezo chamthupi.
• Chithandizo cha mahomoni , mwachitsanzo tamoxifen.

Chofunika kwambiri ndikupeza chithandizochi motsatira upangiri wa dokotala. Zingatenge nthawi kuti mupeze chithandizo choyenera, choncho ndikofunikira kulankhulana ndi dokotala wanu.

Kodi matenda amenewa akuyembekezeka bwanji?

Matendawa kwa anthu ambiri ndi abwino. Izi zikutanthauza kuti anthu ambiri amachira. Koma izi zimatha kusiyana malinga ndi munthu. Anthu ambiri amakhala ndi zizindikiro zochepa kapena zochepa, kapena alibe zizindikiro konse. Koma nthawi zina, zimatha kukhala zovuta kwambiri. Zitha kukhala kuyambira masiku angapo mpaka zaka 10. Nthawi zambiri zimakhala bwino zokha, kapena ndi mankhwala, koma nthawi zina sizimachitika. Zingatenge nthawi kuti mupeze chithandizo chomwe chingakuthandizeni.

Kodi zizindikirozi zingachepe kapena kuchiritsidwa kudzera mu zakudya?

Kutsatira zakudya zochepetsa kutupa kungathandize kuchepetsa kutupa kosatha m'thupi lanu, makamaka m'mimba mwanu. Ngakhale sizingachiritse matenda a sclerosing mesenteritis kwathunthu, zingathandize kusintha zizindikiro zanu. Zakudya zochepetsa kutupa ndi zakudya zomwe zimayang'ana kwambiri zakudya zonse m'malo mwa zakudya zokonzedwa bwino. Zimagogomezeranso mafuta abwino komanso osakhuta monga omega-3s.

Pomaliza, zinthu zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a sclerosing mesenteritis ndi chinsinsi pang'ono, kutanthauza kuti ndi matenda ovuta kuwamvetsa. Angakudzidzimutseni. Anthu ena amadwala matendawa atalandira matenda, opaleshoni yam'mimba, kapena khansa. Ena amadwala popanda chifukwa chomveka. Mutha kukhala ndi zizindikiro, kapena dokotala wanu angawapeze mwangozi. Zingakhale zosokoneza pang'ono kudziwa kuti muli ndi matenda omwe simunawamvetse bwino. Ndizabwinobwino. Koma musadandaule. Dokotala wanu adzagwira nanu ntchito kuti akuthandizeni kupeza yankho. Kupeza matenda olondola ndipo, ngati kuli kofunikira, kupeza chithandizo choyenera ndicho chinthu chofunikira kwambiri. Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi izi, musaope kufunsa dokotala wanu.