Ese wigeze wumva indwara yitwa Sclerosing Mesenteritis? Wenda ntabwo ari yo, kuko idakunze kugaragara kandi ntigira ingaruka ku bantu benshi. Ariko, kuyimenya ni ingirakamaro, kuko wowe cyangwa umuntu uzi ushobora guhura n'amakuru yerekeye izo ndwara. Reka turebe icyo ari cyo, uko ibaho, ibimenyetso byayo, ndetse niba hari uburyo bwo kuvura bukora neza, byose byasobanuwe mu magambo yoroshye kandi asobanutse neza na Nirogi Lanka.
Sclerosing Mesenteritis ni iki?
Mu magambo make, Sclerosing Mesenteritis ni indwara idakunze kugaragara ifata mesenterite yawe. Ushobora kwibaza uti: mesenterite ni iki? Ni ingingo ifata amara yawe ku rukuta rw'inyuma rw'inda yawe, ikora nk'igitambaro gikingira kandi gishyigikira. "Mesenterite" yerekeza ku kubyimba kw'iyi ngingo, naho "sclerosing" isobanura inzira aho inkovu zitera gukomera cyangwa gukomera. Mu by'ukuri, Sclerosing Mesenterite ikubiyemo kubyimba guhoraho kwa mesenterite; uko igihe kigenda gihita, uku kubyimba gutera fibrosis (inkovu), bigatuma ingingo zikomera buhoro buhoro.
Mesentery yawe ni igice cya peritoneum yo mu nda, izunguruka ku bice by'inda byawe kugira ngo bigume mu mwanya wabyo. Igizwe n'ibice bibiri bya peritoneum bifite urwego rw'ibinure hagati yabyo. Mu ndwara ya Sclerosing Mesenterite, ubu bushyuhe bwibasira cyane cyane uru rwego rwo hagati rw'ibinure, bigatuma bikomera kandi bigakomera. Ibi bishobora kubaho ahantu hamwe cyangwa henshi. Mu isuzuma ry'ibishushanyo, utwo duce rimwe na rimwe dushobora kugaragara nk'ibice byinshi.
Ese ni indwara idakira?
Yego, koko ni indwara idakira. Kubera ko inzira ya "sclerosis" (inkovu) bifata igihe, kubyimba bigomba kumara igihe kinini. Ntabwo bibaho mu ijoro rimwe ahubwo bikomeza mu byiciro: icya mbere, urwego rw'ibinure rutangira gusenyuka; icya kabiri, ubwoko butandukanye bw'uturemangingo tw'ububyimbirwe bwinjira mu ngirabuzimafatizo; hanyuma, inkovu zigatangira kubaho. Muri ubu buryo, Sclerosing Mesenteritis ni indwara idakira kandi ishobora gukomeza kwiyongera. Ariko, ni ngombwa kumenya ko idahora irushaho kuba mbi; mu bihe byinshi, ishobora kwikemurira ubwayo.
Ese indwara ya Sclerosing Mesenteritis na Mesenteric Panniculitis ni kimwe?
Abaganga benshi bafata aya magambo nk'aho ashobora guhindurwa, kuko yombi asobanura "idiopathic" (impamvu itazwi) kubyimba kwa mesentery - bivuze ko kubyimba bisa nkaho bibaho mu buryo butunguranye nta mpamvu igaragara.
Ariko, bamwe bavuga ko gukoresha "Sclerosing Mesenteritis" mu gusobanura indwara ziteye imbere, zikomeye, cyangwa zigoye zifite ibimenyetso bimaze igihe kirekire.
“Mesenteric Panniculitis” bisobanura by’umwihariko “kwishima kw’ibinure bya mesenteric.” Kubera ko iri zina ritavuga “sclerosis” (inkovu), bamwe bavuga ko bigomba kwitabwaho mu ntangiriro z’ububyimbirwe, mbere yuko inkovu zikomeye zibaho. Bavuga ko iyo inkovu zitangiye, indwara iba yarakomeje kandi ishobora kugorana kuyivura.
Ni nde wibasirwa cyane?
Indwara ya Sclerosing Mesenteritis ni gake cyane, ikaba yibasira hafi 0.6% by'abaturage. Mu bihe bimwe na bimwe, abantu bagera kuri 200 gusa bagaragaye ko barwaye iyi ndwara, turacyari mu ntangiriro zo gusobanukirwa iyi ndwara. Ikunze kwibasira abantu barengeje imyaka 50. Abarwayi benshi bafite amateka yo kurwara indwara ziterwa n'umubiri wabo mu muryango. Byongeye kandi, ubushakashatsi bwerekana ko abantu bagera kuri 60% bafite amateka yo kurwara kanseri, cyane cyane kanseri nka lymphoma.
Ese Sclerosing Mesenteritis ni ubwoko bwa kanseri?
Oya, si kanseri ubwayo. Ariko, akenshi igira isano n'indwara za kanseri. Ububyimbirwe budakira bushobora guterwa na kanseri, ndetse n'indwara zandura. Ubushakashatsi bwerekana ko abantu bahuye n'ibyo bishobora gutuma barwara indwara ya Sclerosing Mesenterite, nk'aho iyo ndwara "ifata" iyo ndwara ikayikomeza.
Nubwo inkovu zidakwirakwira cyangwa ngo zigere ku mubiri nk'indwara ya kanseri, rimwe na rimwe zishobora kugaragara nk'aho "zikwirakwira." Mu ifoto, zishobora no kwigana ikibyimba. Sclerosing Mesenteritis ikunze kugaragara nk'urusobe rw'inkovu rwabyimbye kandi rukomeye, rushobora kugaragara nk'ikibyimba. Kubera ko ibimenyetso nabyo bishobora guhurirana, abaganga bakunze gusaba igihe n'ibizamini byinshi kugira ngo batandukanye neza hagati y'ibi byombi.
Ibimenyetso ni ibihe?
Abantu benshi nta bimenyetso na gato bagira kandi bashobora kuba batazi ko bafite iyo ndwara. Ibimenyetso bikunze kugaragara ni ububabare bwo mu nda no kubyimba. Iyo ububyimbirwe bukabije, ushobora kugira impiswi cyangwa umuriro. Hari igihe ushobora kumva ikibyimba gifatika iyo ukandagiye ku nda yawe. Ni gake cyane, iki kibyimba gishobora gutera kuziba amara mato, bigatera ibindi bimenyetso nko kugira isesemi, kuruka no kugabanya ibiro.
Ni iki kibitera?
Kugeza ubu, impamvu ifatika ntiramenyekana. Ariko, abaganga bakeka ko ishobora kuba ari ubwoko bw'indwara ziterwa n'ubwirinzi bw'umubiri. Ibi bivuze ko uburibwe buterwa n'uko ubudahangarwa bw'umubiri bwawe bukora nabi cyangwa bugakora cyane. Ubusanzwe ubudahangarwa bw'umubiri bwawe bukoresha uburibwe mu kurwanya mikorobe no gukiza ingingo zangiritse. Iyo bukora nta kibazo kigaragara, bwitwa uburyo bwo kwirinda indwara.
Hari ubwoko butandukanye bw'indwara ziterwa n'ubwiyongere bw'umubiri zitera ububyimbirwe budakira mu bice bitandukanye by'umubiri. Nubwo impamvu nyazo zituma zibaho zitarasobanuka neza, bigaragara ko hari igice cy'uturemangingo, kandi stress y'umubiri - nk'indwara cyangwa imvune - ishobora gutera cyangwa ikongera ubukana bw'iyi ndwara. Abantu barwara Sclerosing Mesenteritis akenshi baba bafite amateka yo mu muryango wabo ku bibazo by'ubwiyongere bw'umubiri, cyangwa se bashobora kuba bafite izindi ndwara ziterwa n'ubwiyongere bw'umubiri.
Ipimwa ite?
Muganga wawe azakurikiza intambwe nyinshi kugira ngo amenye neza iyi ndwara.
Ibizamini byo Gushushanya
Muganga wawe azafata amashusho y’indwara ya mesentery yawe kugira ngo arebe ibimenyetso biranga Sclerosing Mesenterite.
- Muganga wawe ashobora kubanza kukugira inama yo gukora ultrasound mu nda. Ni uburyo bwihuse kandi bworoshye.
- Niba hari impungenge ku bisubizo byawe, ushobora koherezwa gukorerwa ibizamini by’ishusho by’ibanga, nka CT scan (computed tomography) cyangwa MRI (magnetic resonance imaging). Ibi bizamini byemerera muganga wawe kureba ibice by’inyuma, ibyangiritse ku mubiri, cyangwa ibimenyetso bya fibrosis (inkovu).
- Niba ibi bizamini bidashobora gutandukanya neza indwara ya sclerosing mesenteritis na kanseri, scan ya PET (positron emission tomography) ishobora gufasha kwemeza ko indwara yanduye. Muri iki gikorwa, umubiri wawe uterwamo agakoresho gafite umutekano kandi gafite imirasire . Scanner ya CT cyangwa MRI ikora amashusho mu gihe cyo kumenya imirasire. Uturemangingo twa kanseri dukunda kwinjiza ibintu byinshi muri iyi mirasire kurusha uturemangingo tuzima.
Isuzuma ry'ibinyabuzima
Iyo indwara idasobanutse neza nyuma y'ibindi bizamini, muganga wawe ashobora gukenera gukora biopsy kugira ngo afate icyitegererezo cy'uturemangingo twavuye muri mesentery. Umuganga w'indwara azasesengura iki cyitegererezo kugira ngo atange igisubizo nyacyo. Ubusanzwe, ibi bikorwa hakoreshejwe urushinge rwinjijwe mu nda. Abarwayi bamwe bashobora gukenera kubagwa mu buryo budakabije bwitwa laparoscopy , aho hakorwa icyuho gito kugira ngo bashyiremo kamera kugira ngo igenzurwe.
Ni ubuhe buryo bwo kuvura indwara ya Sclerosing Mesenteritis?
Inkuru nziza ni uko abantu benshi batigera bakenera kuvurwa. Sclerosing mesenteritis akenshi ni indwara yigenga ubwayo kandi igakira ubwayo. Ushobora kutagira ibimenyetso na gato, cyangwa ububabare buke bushobora gukemurwa n'imiti itangwa na muganga (OTC).
Ariko, niba ufite ibimenyetso bidashira, muganga wawe ashobora kukwandikira imiti itandukanye, ishobora kuba irimo:
- Corticosteroids, nka prednisone, kugira ngo ifashe mu kugabanya ububyimbirwe .
- Imiti igabanya imbaraga z'ubudahangarwa bw'umubiri, nka azathioprine, kugira ngo igabanye imbaraga z'ubudahangarwa bw'umubiri wawe.
- Uburyo bwo kuvura imisemburo , nka tamoxifen.
Ni ngombwa gufata ubu buryo bw'ubuvuzi uyobowe na muganga gusa. Kubona gahunda ikwiye yo kuvura bishobora gufata igihe, bityo ni ngombwa gukomeza kuvugana n'itsinda ry'abaganga.
Ni iki giteganyijwe?
Ku bantu benshi, ubwiyongere bw'indwara buba bwiza, kandi benshi barakira neza. Ariko, ibi bishobora gutandukana bitewe n'umuntu ku giti cye. Abarwayi benshi bagaragaza ibimenyetso byoroheje kugeza ku biri hagati, cyangwa rimwe na rimwe ntibigire na kimwe. Rimwe na rimwe, iyi ndwara ishobora kuba ikomeye kurushaho. Ishobora kumara iminsi mike kugeza ku myaka myinshi. Nubwo akenshi ikemuka ubwayo cyangwa hakoreshejwe imiti, si ko bigenda buri gihe, kandi kubona uburyo bukwiye bwo kuvura bishobora gusaba kugerageza no gukora amakosa.
Ese indyo ishobora gufasha kugabanya ibimenyetso cyangwa gukiza iyo ndwara?
Gukurikiza indyo igabanya ububyimbirwe bishobora gufasha mu kugabanya ububyimbirwe budakira mu mubiri wawe, cyane cyane mu nzira y'igogora. Nubwo ibi bitazakiza indwara ya sclerosing mesenteritis, bishobora kugufasha kugabanya ibimenyetso by'indwara. Indyo igabanya ububyimbirwe yibanda ku biribwa byose aho kuba ibintu byatunganyijwe cyangwa ibikozwe mu buryo bw'ubukorano, kandi yibanda ku binure byiza kandi bidafite ubushyuhe nka aside fatty ya Omega-3.
Ubutumwa bwo kujyana mu rugo
Indwara ya sclerosing mesenteritis ni indwara y’amayobera ishobora kugorana kuyumva. Ishobora kuvuka mu buryo butunguranye—rimwe na rimwe nyuma yo kwandura indwara, kubagwa mu nda, cyangwa kanseri, mu gihe mu bindi bihe, igaragara nta mpamvu isobanutse neza. Ushobora kugira ibimenyetso bigaragara, cyangwa muganga wawe akabivumbura ku buryo butunguranye.
Ni ibisanzwe kumva uhangayitse iyo uhanganye n'ikibazo kitarasobanuka neza, ariko ndakwinginze ntugatinye. Muganga wawe azakorana nawe bya hafi kugira ngo ashobore gukemura iki kibazo. Intambwe z'ingenzi ni ukubona isuzuma ry'indwara neza no guhabwa ubuvuzi bukwiye. Niba ufite ikibazo cyangwa gushidikanya, nyamuneka ubiganireho na muganga wawe mu buryo bweruye.
