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Chii chinonzi Mesenteric Panniculitis? Ngatinzwisise zviri nyore.
Zvichitaurwa zviri nyore, mesenteric panniculitis kuzvimba kwechikamu chedumbu redu chinonzi mesentery . Iye zvino ungave uchishamisika kuti mesentery chii. Fungidzira, kune rudzi rweketeni rinobatsira kuchengetedza ura hwedu hwakarongeka uye pasina kubatwa mukati medumbu. Izvi zvinonzi mesentery. Izvi zvakabatana nemadziro ekumashure edumbu redu uye zvinobata chikamu cheura hwedu hudiki neura hukuru. Kutaura chokwadi, ichi chimiro chetishu chinobatana. Mukati memesentery iyi mune mitsipa yeropa nemidziyo yelymph inodiwa neura hwedu. Zvakare, mesentery iyi inoumbwa netishu ine mafuta kana mafuta emuviri) iri pakati pemapepa maviri emembrane inonzi peritoneum . Panyaya ye mesenteric panniculitis, pane kuzvimba kwenguva refu (kuzvimba kusingaperi) kwetishu ine mafuta iri mumesentery iyoyo. Kuzvimba uku kunokuvadza masero emafuta aripo uye kunoita kuti afe. Izvi zvinonziwo fat necrosis . Nekufamba kwenguva, mavanga (fibrosis) anotanga kuumbwa munzvimbo idzi dzakakuvara. Chinhu chakakosha ndechekuti kazhinji, hapana chikonzero chakajeka chekuzvimba kwe mesenteric panniculitis. Kureva kuti, zvinoita sekunge zvinongoitika pasina chikonzero chakajairika, senge hutachiona, kukuvara, kana kenza. Mukurapa, zvirwere zvisina chikonzero zvinonzi idiopathic .Mesenteric panniculitis uye sclerosing mesenteritis zvinhu zvakasiyana here? Zvinhu zvakafanana here?
Izvi zvinokakavadzana pakati pevanachiremba. Vazhinji vanotenda kuti zvirwere zviviri izvi zvakafanana. Vamwe vanoti sclerosing mesenteritis imhando ye mesenteric panniculitis yakanyanya kukura kana kuti yakanyanya kuoma. Vamwe vanofunga kuti chingave chirwere chakasiyana, chine nzira yakasiyana yekuita nayo. Mesenteric panniculitis inowanzo gadzikana uye inorapika. Zvisinei, panewo pfungwa yekuti sclerosing mesenteritis dzimwe nguva inogona kuipa. Dambudziko chairo nderekuti hatizivi kuti nei kuzvimba kuripo mumamiriro ese ari maviri kuchiitika. Ndosaka zvichinetsa vamwe vanhu kwete vamwe. Zvisinei, tinogona kutaura kuti vanhu vazhinji vanowana kuzvimba kwe mesentery pasina chikonzero chakajeka vane chirwere chakagadzikana uye chinorapika. Zvisinei, kune vanhu vashoma, chirwere ichi chinogona kuwedzera uye kuzvimba kunogona kupfuura mesentery.
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Check Availability →Mamiriro ezvinhu aya ane njodzi here? Anogona here kuisa hupenyu panjodzi?
Mesenteric panniculitis kazhinji haisi chirwere chinotyisidzira hupenyu . Hachiwanzo kukonzera matambudziko akakomba. Vanhu vazhinji vane zviratidzo zvishoma kana zviri pakati nepakati. Dzimwe nguva, zviratidzo izvi zvinogona kupera pasina kurapwa.Zvisinei, izvi zvinogona kukonzera kusagadzikana nekurwadziwa. Saka, vamwe vanhu vanofanira kutora mishonga senzira yekurapa izvi. Kashoma, chirwere ichi chinogona kukanganisa mashandiro eura. Semuenzaniso, kana kuzvimba kana mavanga anokonzerwa nekuzvimba akawedzera zvakanyanya, zvinogona kukanganisa kufamba kwechikafu nemukati meura hwedu hudiki . Izvi zvinogona kukonzera chirwere chinonzi kuvharika kwematumbo . Asi izvi hazviwanzoitiki.
Chirwere ichi chakajairika zvakadii? Ndiani ane mukana mukuru wekuchibata?
Chirwere ichi hachiwanzoitiki. Zvinofungidzirwa kuti chinokanganisa vanhu vanosvika 1.5% . Zvisinei, nekuti zviratidzo hazviwanzoonekwa, uye zviratidzo zvinoonekwa (sekurwadziwa mudumbu) zvakajairika uye zvinowanikwa kune dzimwe zvirwere, dzimwe nguva zvinogona kusaonekwa. Mesenteric panniculitis inonyanya kuitika kuvanhu vane makore anopfuura 60. Haiwanzoitiki kune vanhu vari pasi pemakore 20. Dzimwe ongororo dzinoratidza kuti varume vane mukana wakapetwa kaviri wekubatwa nacho kupfuura vakadzi.Sei kuzvimba kwemesentery kuchiitika? Ndezvipi zvinokonzera?
Kazhinji, kuzvimba kunoitika mumuviri wedu nekuda kwehutachiona, kukuvara, kana chirwere chegomarara. Izvi zvinowanzoitikawo munyama yedu ine mesenteric. Kuzvimba imhinduro yemasoja edu ekudzivirira chirwere.Mhinduro. Iripo kuti ibatsire kuporesa nyama uye kurwisa hutachiona hunokonzera hutachiona. Asi zvinoshamisa kuti rudzi urwu rwekuzvimba runoitika pasina chikonzero chakajeka, pasina ronda rinoda kupora. Zvinoita sekunge pane chisina kumira zvakanaka paimmune system yedu.Heano zvimwe zvinhu zvinofungidzirwa kuti zvinokonzera mesenteric panniculitis:
Vanachiremba vanofunga kuti mesenteric panniculitis inogona kunge iri chirwere che autoimmune . Izvi zvinoreva kuti masoja edu ekudzivirira muviri, pasina chikonzero chakajeka, anorwisa nhengo dzedu. Rudzi urwu rwechirwere che autoimmune runowanzo itika mumhuri. Runogonawo kuitika nekuti chirwere chenguva pfupi (senge hutachiona hwehutachiona) chinomutsa masoja ekudzivirira muviri, uye mhinduro yemasoja ekudzivirira muviri inoramba iripo kunyangwe chirwere chacho chapera. Mesenteric panniculitis yakabatanidzwawo nematambudziko aya. Heano mimwe mienzaniso:- Kuvhiyiwa : Mesenteric panniculitis inonzi inoitika muvanhu vanosvika 5%, kunyanya mushure mekuvhiyiwa mudumbu.
- Utachiona: Chirwere ichi chinogonawo kukonzerwa nehutachiona hwakambovapo. Tsvagiridzo yakawana kuti:
- Tibhii
- Fivha yetyphoid
- Korera
- Sipfuyo
- Izvi zvinogona kuitika kuvanhu vane nhoroondo yezvirwere zvisingaperi, zvakaita sechirwere chaWhipple.
- Kenza : Dzimwe nguva, mesenteric panniculitis inoitika kuvanhu vakamborapwa kenza, kana kuti vane kenza parizvino, kana kuti vava kuda kuonekwa vaine kenza iri kunze kwemesentery). Zvakataurwa kuti ine chekuita nekenza yekare kana yazvino muzviitiko zvinenge 30%. Mienzaniso:
- Lymphoma
- Matumbu ecarcinoid
- Kenza yemudumbu
- Kenza yeitsvo
- Kenza yeprostate
- Zvimwe zvirwere zve sclerosing: Dzimwe nguva, mesenteric panniculitis inogona kuitika pamwe chete nezvimwe zvirwere mumuviri zvinokonzera kuzvimba uye mavanga (sclerosis kana fibrosis). Izvi zvinoratidza kuti chikonzero chimwe chete che mesenteric panniculitis chinogonawo kukonzera mhinduro yakafanana mune dzimwe nhengo dzemuviri. Mienzaniso:
- Kupera kweropa (retroperitoneal fibrosis)
- Chirwere cheSjogren
- Kurwadziwa kwepancreatitis
- Nodular panniculitis
- Chirwere cheCrohn
Ndezvipi zviratidzo zveMesenteric Panniculitis?
Vamwe vanhu vanogona kunge vasina zviratidzo . Vamwe vanogona kunge vaine zviratidzo zvakasiyana-siyana. Chiratidzo chinowanzoitika kurwadziwa mudumbu . Kuzvimba uku kunogona kukonzera kurwadziwa mudumbu. Ma lymph nodes ari mu mesentery anogonawo kuzvimba. Izvi zviratidzo zvinowanzoonekwa zve mesenteric panniculitis. Vamwe vanhu vanogonawo kuva nekurwadziwa mudumbu pamwe chete nezviratidzo izvi:- Kuzvimba mudumbu
- Kuzvimba kwedumbu
- Kunzwa kuguta kunyangwe mushure mekudya zvishoma, kurasikirwa nechido (Kutanga kuguta kana kurasikirwa nechido)
- Kusvotwa nekurutsa
- Kuzvimba kana manyoka
- Kuderedza huremu
Ungaongorora sei chirwere ichi nemazvo? (Kuongororwa)
Nekuti chirwere ichi chisingawanzoitiki uye zviratidzo zvacho hazvina kujeka (zvakafanana nezvimwe zvirwere zvakawanda), zvinowanzova zvakaoma kuziva. Chiremba wako angangoda kubvisa zvimwe zvirwere zvakajairika asati afungidzira kuti une mesenteric panniculitis. Kutanga, vanogona kuita bvunzo yeropa . Izvi zvinogona kuratidza zviratidzo zvekuzvimba. Zvadaro, kana mesenteric panniculitis ikafungidzirwa, bvunzo dzekufungidzira (radiology) dzinoshandiswa kutsvaga zviratidzo zvinozivikanwa. Mesenteric panniculitis inowanzoonekwa neMRI (Magnetic Resonance Imaging) scan kana CT (Computed Tomography) scan . Chiremba weX-ray achatsvaga kukobvu kwemesentery, zviratidzo zvekufa kwemasero emafuta (fat necrosis), uye mavanga (fibrosis). Dzimwe nguva mafuta anogona kukobvu zvakanyanya munzvimbo imwe, achitaridzika sebundu. Kana lymph nodes dziri mumesentery dzakazvimba, asi tsinga dzeropa dzisina kukanganiswa, iyi ndiyo imwe nzira yekusiyanisa mesenteric panniculitis nekenza. Nzira chete yekuziva chirwere ichi ndeye biopsy.Izvi zvinoreva kuti chidimbu chidiki chenyama yemesenteric chinobviswa panguva yekuvhiyiwa choendeswa kurabhoritari kunoongororwa. Zvisinei, havasi vese vanoda rudzi urwu rwekuongorora chirwere. Chiremba wako anogona kunge aine ruzivo rwakakwana rwekunyora mishonga yekurapa mesenteric panniculitis. Kana mushonga wacho uchibatsira kuderedza zviratidzo zvako, izvozvo zvinosimbisawo chirwere chacho.Kurapwa kunoitwa sei? Munhu wese anoda mishonga here?
Kutaura zvazviri, havasi vese vane mesenteric panniculitis vanoda kurapwa. Kana usina zviratidzo kana zviratidzo zvisina kusimba, chiremba wako anogona kusarudza kungomirira otarisa kuti aone kana mamiriro ako ari nani. Mesenteric panniculitis kazhinji hainyanyi kuipa nekufamba kwenguva, uye inowanzopera yega . Zvisinei, kana uine zviratidzo, kune mishonga yakawanda inoshandiswa navanachiremba kurapa.- Corticosteroids: Iyi mishonga inoderedza kuzvimba. Kazhinji, mishonga iyi inogona kudzora zviratidzo. Iyi ndiyo mishonga yekutanga.
- Dzimwe nguva, chiremba wako anogona kukupa mimwe mishonga yekubatsira pamigumisiro yakaipa, yakadai sekuda kurutsa. Mishonga iyi inoshanda zvishoma nezvishoma, saka zvinogona kutora mavhiki akati wandei kuti zviratidzo zvipere zvachose.
Chii chichaitika mune ramangwana nemamiriro ezvinhu aya? (Outlook)
Kazhinji, mesenteric panniculitis inowanzova chirwere chenguva pfupi . Unogona kupora pasina matambudziko, kana nematambudziko madiki chete. Kana uri mumwe wevanhu vashoma vane zviratidzo zvenguva refu, zviratidzo zvako zvingangoenderana nemishonga. Vanhu vashoma chete ndivo vanowana matambudziko akakomba, akadai sekuvharika kwematumbu madiki . Muchiitiko ichi, kuvhiyiwa kungadiwa kubvisa kuvharika kwacho.Izvi zvinogona kugadziriswa nekudya nekunwa here? (Kudzora kudya)
Ehe, chikafu chinodzivirira kuzvimbaKutevera kudya uku kunogona kubatsira kuderedza kuzvimba mumuviri wako, kunyanya mudumbu mako. Kunyange zvazvo kusingarape mesenteric panniculitis, kunogona kuita mutsauko muzviratidzo zvako. Kudya kunoderedza kuzvimba kunosanganisira kudya chikafu chose, chechisikigo pane kudya chikafu chakaputirwa, chakagadziriswa. Kunosimbisawo mafuta ane hutano, asina mafuta.Deredza kana kurega kudya zvekudya izvi kana uine mesenteric panniculitis:
- Nyama tsvuku
- Nyama dzakagadzirwa (senge masoseji, meatballs)
- Zvekudya zvakakangwa
- Zvekudya zvakaputirwa
- Makabhohaidhiretsi akacheneswa (sechingwa chichena chakagadzirwa neupfu hwechingwa)
- Zvigadzirwa zvine shuga yakawanda (senge zvinwiwa zvinotapira)
- Mafuta akaguta (senge margarine, mafuta emushonga wefodya, mafuta emhuka)
- Doro
Wedzera zvimwe zvekudya zvinorwisa kuzvimba zvakaita seizvi:
- Michero yese, zviyo nemiriwo
- Muriwo wemashizha akasvibira (senge sipinachi, kale)
- Hove dzakapfuma mu omega-3 dzakadai sesalmon ne tuna)
- Mafuta emiti (senge mafuta emuorivhi, mafuta ecanola)
- Nzungu (dzakaita semaarumondi, walnuts)
- Turmeric
Mharidzo Yekuenda Nayo Kumba
Mesenteric panniculitis kuzvimba kwemafuta ari mudumbu, chikamu chedumbu.>
* Izvi hazviwanzo kuva nengozi , uye kazhinji zvinogona kuporesa zvega .
* Kunyangwe chikonzero chaicho chisingazivikanwi, chinofungidzirwa kuti chirwere che autoimmune .
* Chiratidzo chikuru kurwadziwa mudumbu . Zvisinei, kuzvimba, kuda kurutsa, uye kuneta zvinogonawo kuitika.
* Kuongororwa kweCT kana MRI kunogona kubatsira pakuongorora chirwere. Kuongororwa kwe biopsy kunogonawo kudiwa.
* Havasi vese vanoda kurapwa. Avo vane zviratidzo vanogona kuwana zororo nemishonga yakaita se corticosteroids .
* Kutevera kudya kunoderedza kuzvimba kunogona kubatsira kudzora zviratidzo.
* Kana ukaramba uine zviratidzo izvi, tsvaga rubatsiro rwechiremba . Usavhunduke, chirwere ichi chinogona kugadziriswa.Mesenteric Panniculitis, Mesenteric Panniculitis, Kuzvimba kwedumbu, Marwadzo emudumbu, Mesentery, Mafuta, Zvirwere zve autoimmune, Kudya, Kurapa, Zviratidzo, CT scan, MRI scan
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