Uri kunzwa kurwadziwa kamwe kamwe panzvimbo imwe chete mudumbu mako here? Ingava Epiploic Appendagitis here?

Wakambonzwa kurwadziwa kwakakomba mudumbu mako kamwe kamwe here? Zvinoita sekunge unogona kuinongedza nemunwe wako. Tinowanzo kutya dzimwe nguva dzakadai, handiti? Chimwe chikonzero cheizvi chirwere chisingazivikanwi zvakanyanya, asi chakakosha kuziva nezvacho. Ichi chinonzi Epiploic Appendagitis. Kunyangwe zita racho ringanzwika serisinganzwisisike, ngatitsanangure zviri nyore.

Saka chii chinonzi Epiploic Appendagitis?

Zvichitaurwa zviri nyore, Epiploic Appendagitis chirwere chinongoerekana chatanga kurwadziwa mudumbu. Zita racho rinoreva " kuzvimba kwe epiploic appendix." Zvakanaka, ikozvino uri kushamisika kuti "epiploic appendages" idzi chii. Ndidzo diki dzine mafuta dzinorembera kunze kweura hwedu. Funga nezvadzo semazambiringa madiki anorembera pamuzambiringa.

Saka, chii chinoitika kana kachikamu kadiki kemafuta aka (epiploic appendage) kakangoerekana kachimonera (torsion)? Ipapo ropa rinouya kwariri rinobviswa. Fungidzira pombi yemvura yakamonera zvakasimba panzvimbo imwe chete. Ipapo mvura haizofambi nepakati payo, handiti? Ndizvo zvinoitika kana chikamu ichi chine mafuta chakamonera. Kana chikamu cheropa chikabviswa, chikamu ichocho chinozvimba, zvinoreva kuti chinozvimba, chinotsvuka, uye chinokonzera kurwadziwa. Ndiko kurwadziwa kwaunonzwa mudumbu mako.

Kazhinji, kurwadziwa uku kunouya kamwe kamwe. Unogona kuona panorwadza chaipo. Asi nekuda kwekuti chirwere ichi hachiwanzoitiki, kunyange vanachiremba dzimwe nguva vanogona kuchisanganisa nezvimwe zvirwere zvinokonzera kurwadziwa kwemudumbu. Semuenzaniso:

• Appendicitis - Izvi zvinoreva kuzvimba kweappendix.
• Cholecystitis - Izvi zvinoreva kuzvimba kwenyongo.
• Diverticulitis - Uku kuzvimba kwezvikwama zvidiki zviri pamadziro eura hukuru.

Chirwere cheEpiploic Appendigitis chakajairika zvakadii?

Zvakaoma kutaura kuti izvi zvakajairika sei, nekuti zvinogona kusaonekwa. Vaongorori vanofungidzira kuti vanhu vanosvika 1% vanoiswa muchipatara nekuda kwekurwadziwa kwemudumbu kamwe kamwe vanogona kunge vaine chirwere ichi. Zvakare, vanhu vanosvika 5% vanoonekwa vaine diverticulitis kana appendicitis vane chinonzi epiploic appendagitis. Izvi zvinoreva kuti dzimwe nguva, kunyangwe tichifunga kuti chinhu chakakomba, chikonzero chacho chingave chiri nyore seizvi.

Epiploic Appendagitis chirwere chakakomba here?

Heino chinhu chakakosha: Epiploic appendagitis kazhinji haisi chirwere chakakomba.Asi, sezvambotaurwa, dambudziko nderekuti rinogona kuvhiringidzwa nezvimwe zvirwere zvakakomba. Kusiyana nezvimwe zvirwere, izvi zvinowanzopera pasina kurapwa kwakananga. Bundu rine mafuta rakazvimba (epiploic appendage) rinooma nekufamba kwenguva, rinokora, uye pakupedzisira rinodonha kubva muura. Kuzvimba nekurwadziwa zvinopera.

Saka yeuka, izvi hazvifaniri kukunetsa. Zvisinei, kana uchinzwa kurwadziwa mudumbu, zvakakosha kutsvaga rubatsiro rwechiremba.

Chii chinokonzera izvi?

Kune mhando mbiri huru dzezvikonzero zveEpiploic Appendigitis: zvikonzero zvikuru uye zvikonzero zvechipiri.

Zvikonzero zvikuru

Izvi zvinhu zvinotangira mukati chaimo mechikamu chakakora (appendage).

• Kutenderera: Kazhinji (inenge 75%) chirwere ichi chinokonzerwa nekutenderera kwechikamu chemafuta. Nekuda kwekutenderera uku, ropa rinosvika kwariri rinoda kuvharwa zvachose, uye nyama dzinofa nekuda kwekurasikirwa neropa . Izvi zvinonzi (Infarction) mune zvesainzi yekurapa.
• Thrombosis: Kashoma, ropa rinogwamba mutsinga iri mumafuta aya, zvichivhara kufamba kweropa .

Zvikonzero zvechipiri

Izvi ndizvo zvisingawanzoitiki. Chinoitika ndechekuti mafuta aya anokanganiswa nedambudziko kune imwe nzvimbo.

• Utachiona hunopararira kubva kune imwe nzvimbo: Semuenzaniso, kana paine hutachiona kune imwe nzvimbo mudumbu, hunogona kupararira kusvika pabundu iri rine mafuta.
• Kuzvimba kwenyama yakakomberedza kunokonzera bundu rine mafuta kuputira: Dzimwe nguva, kana nyama yakakomberedza ichizvimba, zvinogona kukonzera bundu rine mafuta kuputira uye kukonzera matambudziko.

Ndiani ari panjodzi huru yeizvi?

Imwe tsvakiridzo yakaratidza kuti vamwe vanhu vane mukana mukuru wekuwana Epiploic Appendigitis. Ngationei kuti ndivanaani.

• Vanhu vane kufuta : Izvi zvinogona kunge zvichikonzerwa nekuti masero aya emafuta anogonawo kukura muvanhu vane mafuta akawanda mumuviri.
• Vanhu vane hernia: Hernia kubuda kwenhengo yemukati kana nyama kuburikidza nenzvimbo isina kusimba mumuviri.
• Vanhu vane diverticulosis (zvikwama zvidiki muura hukuru): Njodzi yacho yakakurawo kana munhu arwara nechirwere ichi.
• Vanhu vanoita maekisesaizi zvakanyanya: Dzimwe nguva, zvinhu zvakaita seizvi zvinogona kuitika kunyangwe kana ukaita maekisesaizi zvakanyanya kupfuura zvaunofunga.
• Vanhu vezera repakati nepakati (pakati pemakore 40-50): Vanhu vari muboka iri vanoona zvakawanda.
• Rutivi rwevarume:Zvinonzi izvi zvinowanzoitika pakati pevarume kupfuura vakadzi.

Asi havasi vese vanowana izvi nekuti vane zvinhu izvi zvinokuvadza , uye zvinogonawo kuitika kune mumwe munhu asina chimwe cheizvi.

Ndezvipi zviratidzo zveizvi?

Chiratidzo chikuru kurwadziwa muchikamu chimwe chedumbu. Izvi zvinogona kutanga kamwe kamwe uye zvinogara kwemavhiki akati wandei. Zvikamu zve epiploic zviri muchikamu chezasi chedumbu redu. Nokudaro, kurwadziwa uku kunowanzoonekwa muchikamu chezasi chedumbu. Vanhu vatatu pavana vanoti vane kurwadziwa muchikamu chezasi chedumbu. Uye vanopfuura hafu vanoti kuri kuruboshwe.

Kurwadziwa uku kunotsanangurwa seizvi:

• Kupinza: Sekubaya nebanga.
• Chisingaperi: Chinoramba chichienderera mberi, kana paine shanduko kana kuti pasina.
• Zvakanyanya: Zvakanyanya zvekuti zvakaoma kutsungirira.

Uyewo, kurwadziwa kunogona kuwedzera panguva dzakadai se:

• Kana uchikosora
• Pakutambanudza muviri
• Paunenge uchifema zvinonzwika

Kuwedzera kune chirwere ichi, zvimwe zviratidzo zvinogona kuonekwa:

• Kuchengetedza: Fungidzira kana mumwe munhu akaedza kubata dumbu rako, unozongozvibata zvakasimba panzvimbo yacho, sokunge waivhara neruoko rwako. Ndizvo zvatinodaidza kuti 'kuchengetedza'.
• Kunyorova kwemuviri: Kana chiremba akakudzvanya padumbu wobva wabvisa ruoko rwake kamwe kamwe, kurwadziwa kunoita sekunowedzera kupfuura kare.
• Chinonzwika: Dzimwe nguva bundu rine mafuta (appendage) rinozvimba rinogona kuzvimba zvekuti rinoita sebundu kana rikabatwa nekunze.

Zviratidzo izvi zvakafanana nezviratidzo zvezvirwere zvambotaurwa zvakaita se appendicitis, cholecystitis, uye diverticulitis. Zvisinei, muzvirwere izvozvo, kazhinji pane zvimwe zviratidzo zvakaita sefivha, kuda kurutsa , uye kurutsa . Saka, kana uine kurwadziwa kwakanyanya panzvimbo imwe mudumbu seizvi, asi usina zvimwe zviratidzo (zvakaita sefivha nekurutsa), chiremba anogona kufungidzira kuti une Epiploic Appendagitis.

Unoona sei izvi?

Nyanzvi yeX-ray inogona kuita ultrasound scan kana CT scan (computed tomography scan).Ziva chirwere ichi seEpiploic Appendagitis.** Epiploic appendix ine hutano haiwanzoonekwa pamaskeni aya. Zvisinei, yakazvimba inogona kuonekwa zvakajeka. Izvi zvinokonzerwa nekuti kuzvimba kunoita kuti izare nemvura uye iite seyakajeka paskeni. Inoonekwa seganda rakaita sedenderedzwa remaonde ipapo chaipo panorwadza.

Ndeipi nzira yakanakisisa yekurapa izvi?

Vanachiremba vanowanzotanga nekupa mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) . Iyi inoderedza kuzvimba nekurwadziwa. Semuenzaniso, ibuprofen. Kana zvichidikanwa, mimwe mishonga inoderedza marwadzo inogona kupihwa zvakare. Vanhu vazhinji vanowana zororo nekukurumidza nemishonga iyi. Kana izvi zvikasabatsira, mune dzimwe nguva, kuvhiyiwa kunogona kudiwa kuti kubviswe appendix yakazvimba.

Zvinotora nguva yakareba sei kuti Epiploic Appendigitis ipore?

Kunyangwe pasina kurapwa, zviratidzo zveEpiploic Appendagitis hazviwanzogara kwenguva inopfuura vhiki. Mune zvimwe zviitiko, zvinogona kugara kusvika mavhiki mana. Zvisinei, nemishonga, zviratidzo zvinowanzopera mukati memazuva mashoma. Saka, hapana chekunetseka nazvo.

Kuvhiyiwa kunodiwa rini?

Kuvhiyiwa kwe epiploic appendagitis hakuwanzoitiki. Zvisinei, kana zviratidzo zvako zvikasavandudzika zvachose, kana kuti paine kusava nechokwadi nezvekuonekwa kwako, chiremba wako angangoda kutarisa mudumbu mako kuti awane chikonzero chaicho chekurwadziwa kwako kunoramba kuripo.

Vanoshandisa nzira yekuvhiya isinganyanyi kupindira inonzi laparoscopy kuti vaite izvi. Munzira iyi, chiremba anochera dumbu katatu kana mana (anenge hafu yeinchi) uye anoisa kamera diki inonzi laparoscope kuburikidza navo. Chiremba anoshandisa kamera yevhidhiyo kuti aone mifananidzo pachiratidziro uye ozopfuudza zvishandiso zvirefu, zvitete nepakati pezvidimbu zvidiki kuti abvise appendix yakazvimba.

Ndechipi chirevo chako chekupedzisira panyaya iyi?

Epiploic appendagitis inogona kurwadza uye kutyisa. Asi kazhinji, hapana chekunetseka nacho. Kusiyana neappendix yako, gallbladder, kana diverticula, epiploic appendage haisi panjodzi yekuputika nekuda kwekuzvimba. Kazhinji, kuzvimba kunopera zvishoma nezvishoma, bundu rine mafuta rinofa, uye zvese zvinopera mukati mevhiki.

Pane hukama here pakati peEpiploic Appendigitis neCancer?

Hapana hukama hunozivikanwa pakati peEpiploic Appendagitis negomarara, saka musazvidya mwoyo nazvo.

Pane zvekudya here zvekudya kana zvekudzivisa kudzivirira izvi?

Hapana hukama hunozivikanwa pakati peEpiploic Appendagitis nemaitiro ako ekudya. Saka, hapana chikafu chaicho chekudya kana chekurega.

Saka, kana uine Epiploic Appendigit, ingangove nguva yekutanga uye yekupedzisira yaunonzwa nezvazvo. Ungangotya kurwadziwa kamwe kamwe, uye ungazopedzisira waenda kuchipatara, uchifunga kuti chimwe chinhu chakakomba chichaitika. Asi kurapwa kweEpiploic Appendigit kuri nyore kwazvo, uye kuvhiyiwa hakudiwi kakawanda. Ungangodzoka kumba nenyaya isinganzwisisike yekuudza vamwe vese vasati vambonzwa nezvayo.

Zvinhu zvakakosha kuti urangarire (Mharidzo Yekuenda Kumba)

• Epiploic appendagitis kurwadziwa kwemudumbu kamwe kamwe kunokonzerwa nechikamu chidiki chenyama ine mafuta chakarembera kunze kweura hukuru (colon) chichimonyoroka, ropa richipera, uye kuzvimba.
• Kunyangwe izvi zvichiwanzo vhiringidzwa nezvimwe zvirwere zvakaita se appendicitis , zviratidzo zvakaita sefivha nekurutsa hazviwanzo kunyanyisa.
• Ichi hachisi chirwere chakakomba, uye kazhinji kacho chinopora chega mukati mevhiki imwe kana maviri.
• Kurapa kunonyanya kuitwa nemishonga inoderedza marwadzo uye mishonga isingarwisi kuzvimba (NSAIDs). Kuvhiyiwa hakudiwi kakawanda.
• Zvisinei, kana ukanzwa kurwadziwa kwakanyanya mudumbu kamwe kamwe, unofanira kutsvaga rubatsiro rwechiremba, sezvo ichi chingave chiratidzo cheimwe chirwere chakakomba.

Saka ndinovimba kuti munonzwisisa Epiploic Appendagitis zvakanaka. Rambai muine hutano hwakanaka!