Wakambonzwa kurwadziwa kusinganzwisisike mudumbu mako kana pasi pemusana here? Tinogona kufunga kuti chirwere chemwoyo kana kukuvara kudiki kwemusana. Zvisinei, nhasi tichataura nezvechirwere chinogona kuuya nezviratidzo zvakafanana, izvo zvisingawanzoitiki, asi zvakakosha kuti isu tese tizive nezvazvo. Izvi zvinonzi retroperitoneal fibrosis. Dzimwe nguva zvinonziwo chirwere cheOrmond.
Chii chinonzi Retroperitoneal Fibrosis? Zvichitaurwa zviri nyore...
Zvichitaurwa zviri nyore, retroperitoneal fibrosis
kuumbwa kwenyama yakaita sevanga (fibrosis) yakakomberedza nhengo dziri munzvimbo inonzi retroperitoneum, nzvimbo iri kuseri kwedumbu redu. Zvakafanana nevanga rinoumbwa paganda redu, asi zvinoitika mukati memiviri yedu. Nekuti chirwere chinoenderera mberi, zviratidzo zvakaita sekurwadziwa uye kudzikira kweweti zvinogona kuwedzera nekufamba kwenguva.
Zvakanaka, saka chii chinonzi retroperitoneum iyi?
Nhengo zhinji dziri mudumbu redu (sechiropa, dumbu, ura) dzakakomberedzwa neganda rinodzivirira rinonzi peritoneum.
Nzvimbo iri kuseri kweperitoneum iyi, kuenda kumusana, inonzi retroperitoneum. Nzvimbo iyi ndiyo ine:
- Itsvo
- Zvikamu zvehurongwa hweweti
- Mitsipa mikuru yeropa inotakura ropa kuenda nekubva kumakumbo (semuenzaniso, inferior vena cava)
- Nhengo dzakakosha dzakadai sema "adrenal glands" dziripo ipapo.
Izvi zvinokanganisa sei miviri yedu?
Sezvambotaurwa, fibrosis, kana kuti mavanga, anoungana zvishoma nezvishoma, zvichikanganisa nhengo nezvimwe zviri mu retroperitoneum.
Kazhinji, izvi zvinonyanya kukanganisa ureters, machubhu anotakura weti kubva kuitsvo dzedu kuenda kudundira. Fungidzira kuti chii chinoitika kana nyama yakakora iyoyo ikaumbwa yakatenderedza machubhu aya yobva yaoma? Zvakafanana nekudzvanya pombi yemvura, zvichivharira kuyerera kweweti. Kana chirwere ichi chikakura,
matambudziko anotyisidzira hupenyu akadai sekutadza kushanda kweitsvo anogona kuitika.
Ndiani ane mukana mukuru wekuwana retroperitoneal fibrosis?
Chirwere ichi
chinowanzoitika muvarume vane makore ari pakati pe40 ne60. Izvi zvinoreva kuti varume vane makore epakati nepakati vari panjodzi yakakura zvishoma. Pamusoro pezvo, kune zvimwe zvinhu zvakawanda zvinokonzera njodzi:
- Kune avo vanoshanda nezvinhu zvakaita seasbestos (nekuda kwekusangana nazvo).
- Kune vanosvuta uyeKune avo vanoshandisa zvigadzirwa zvefodya .
Chii chinokonzera izvi? Zvikonzero zvechirwere chaOrmond
Kazhinji,
zvakaoma kuwana chikonzero chaicho cheizvi. Mukurapa, tinozviti
idiopathic . Izvi zvinoreva kuti "chikonzero chisingazivikanwe." Zvisinei, kune dzimwe nguva apo zvinoitika sedambudziko rechimwe chirwere. Zvimwe zvezvikonzero zvinosanganisira:
- Mimwe mishonga (tichataura nezvazvo munguva pfupi).
- Mhando dzegomarara , kunyanya Hodgkin lymphoma uye non-Hodgkin lymphoma.
- Mamiriro ehutachiona .
- Kurapa nemwaranzi pazvinhu zvakaita sekenza.
- Kukuvadzwa kwenyama dziri munzvimbo iyoyo, kungave nekuda kwekuvhiyiwa kana imwe tsaona.
Ndeapi marudzi emishonga anogona kukonzera izvi?
Zvakaonekwa kuti chirwere ichi chinogona kuitika kana mimwe mishonga ikashandiswa kwenguva yakareba. Heano mimwe mienzaniso:
- Mishonga yeBeta- blockers imhando yemishonga inoshandiswa kurapa chirwere chemwoyo . Mienzaniso inosanganisira propranolol, metoprolol, uye atenolol.
- Mishonga inodzivirira dopamine inoshandiswa kurapa zvirwere zvepfungwa uye kuda kurutsa. Mienzaniso: methyldopa, pergolide.
- Mapiritsi eHydralazine ekurapa BP yakakwira.
- Mishonga yakaita se ergotamine, iyo inoshandiswa kurapa migraines.
- Mimwe mishonga inoderedza marwadzo, kunyanya mishonga inonyaradza marwadzo neNSAIDs .
Zvakakosha: Kana uri kushandisa mushonga werudzi urwu, usavhunduke. Havasi vese vanozosangana nedambudziko iri. Asi zvakakosha kuziva izvi uye kutaura nachiremba wako nezvazvo.
Ndezvipi zviratidzo zveizvi?
Zviratidzo zvinogona kusiyana kubva pamunhu nemunhu. Zvinoenderana nekuti fibrosis iri kupi uye kuti yakanyanya sei.
Pakutanga, unogona kunzwa kurwadziwa mudumbu, pasi pemusana, kana mumativi emusana. Kurwadziwa uku kunogona kunge kusina kujeka, zvichireva kuti zvakaoma kuziva "pano neapo," uye kunogona kuva kurwadziwa kwakajairika. Zvimwe zviratidzo zvinosanganisira:
- Zvakaoma kufambisa makumbo ako uye kufamba-famba.
- Hydrocele: Ichi chirwere chinoita kuti machende evarume azvimbe.
- Kuzvimba kwemakumbo, kurwadziwa kwemakumbo, kana kuchinja kweruvara rweganda pamakumbo.
- Kuderera kwehuwandu hweweti.
Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere chaOrmond?
Kana retroperitoneal fibrosis ikawedzera, zvichireva kuti mavanga anowedzera uye otanga kudzvanya nhengo dzemuviri, matambudziko
akasiyana-siyana anogona kuitika. Mamwe acho ndeaya:
- Anemia: Izvi zvinoreva kudzikira kwehuwandu hwemasero matsvuku eropa mumuviri, kana kungoti "kushomeka kweropa".
- Anuria: Ichi chirwere chekuti weti haibvi zvachose. Ichi chiitiko chekukurumidzira.
- Muviri unokwenya.
- Jaundice: Kutsvuka kwemaziso neganda.
- Kusvotwa nekurutsa.
- Matambudziko etsinga.
- Kufa kwenyama yemudumbu (necrosis).
- Kuderedza huremu.
Kuongororwa kwe retroperitoneal fibrosis kunoonekwa sei?
Kana uine zviratidzo izvi, enda kuna chiremba uye vachakuongorora. Izvi zvinogona kusanganisira:
- Kuongororwa kwemuviri: Chiremba achabata dumbu rako kuti aone kana paine zvinhu zvisina kumira zvakanaka, zvakaita semapundu.
- Kuongororwa kweropa: Izvi zvinogona kuona zviratidzo zvekutanga zvechirwere cheitsvo nematambudziko akadai seanemia.
- Ultrasound yeitsvo (itsvo): Kana zviratidzo zvichiratidza dambudziko reitsvo, bvunzo iyi inogona kuongorora fibrosis nezvimwe zvinetso.
- CT scan: Izvi zvinogona kuyera kuoma kwefibrosis. Zvinogonawo kubatsira kubvisa zvimwe zvirwere, zvakaita sekuzvimba kwema lymph nodes muhudyu kana mamwe mabundu.
Zvinodiwa here kuti munhu apihwe biopsy?
Kazhinji, retroperitoneal fibrosis inogona kuonekwa nekuongororwa kweropa uye bvunzo dzekufungidzira dzataurwa pamusoro apa (ultrasound, CT scan). Zvisinei, mune dzimwe nguva dzakakosha
, biopsy inogona kudiwa. Izvi zvinoreva kutora chidimbu chenyama wochiongorora pasi pemaikorosikopu. Nyaya dzakadaro dzinosanganisira:
- Kana paine fungidziro yekuti pane kenza kana hutachiona.
- Kana kurapwa kwekutanga kukasabudirira.
Rudzii rwekurapwa rwandinoda?
Nzira dzakanakisisa dzekurapa dzinoenderana nenzvimbo uye kuoma kwe fibrosis. Pakutanga kwechirwere chaOrmond, kurapwa kwako kunogona kusanganisira:
- Corticosteroids:Mishonga iyi inokurumidza kuderedza kuzvimba mumuviri uye inomisa kukura kwefibrosis.
- Mishonga yekudzivirira muviri: Mishonga iyi inoshanda nekuchinja mashandiro anoita masoja emuviri. Izvi zvinogona kuderedza njodzi yekudzoka kwe fibrosis mune ramangwana. Zvisinei, sezvo mishonga yekudzivirira muviri inogona kutora mwedzi yakati wandei kuti ishande, inogona kupihwa pamwe chete ne corticosteroids.
- Kutarisira mishonga: Dzimwe nguva, kana fibrosis ichikonzerwa nemishonga yauri kutora, chiremba wako anogona kuchinja mushonga kana kuderedza chiyero.
Kana fibrosis yafambira mberi, mamwe marapirwo angadikanwa:
- Kuvhiyiwa: Kuvhiyiwa kungadiwa kubvisa fibrotic tissue uye kugadzirisa chero kukuvara kwenyama dzakapoteredza.
- Matsinga: Sezvambotaurwa, kana ureter yakavharwa, mudziyo mudiki wakaita sechubhu (stent) unogona kuiswa mukati mayo kuti irambe yakavhurika.
Tingadzivirira sei kukura kwe retroperitoneal fibrosis?
Sezvo chirwere ichi chichiwanzova chisingawanzoitiki,
zvakaoma kudzivirira zvachose. Zvisinei, sezvo mimwe mishonga ichizivikanwa kuti ndiyo inokonzera, chiremba wako angangokutarisa zviratidzo zve fibrosis, kunyanya kana uri kuitora kwenguva yakareba.
Mikana yekuti izvi zviitike zvakare inogona kuderedzwa here mushure mekurapwa?
Kana uchifanira kuvhiyiwa, dzimwe nguva mafuta akawanda anoputirwa muureter panguva yekuvhiyiwa. Izvi zvinonzi zvinoita kuti zviomere kuti fibrosis itangezve.
Ndichanzwa zviri nani kwenguva yakareba sei?
Kana uri kutora mishonga yakaita se corticosteroids, kana mushure mekurapwa kwemishonga
, unogona kutanga kunzwa zviri nani mumavhiki mashoma. Zvisinei, kana uchida mishonga yekudzivirira muviri, stents, kana kuvhiyiwa, zvinotora nguva yakati rebei kuti upore.
Ndeipi tarisiro yevanhu vane retroperitoneal fibrosis?
Vanhu vazhinji vanopora zvizere. Mikana yakanaka yekurapwa inobudirira ndeye
kana chirwere chikaonekwa nekukurumidza. Zvisinei, zvakakosha kuyeuka kuti fibrosis inogona kudzoka mwedzi kana makore mushure mekurapwa.
Zvakaita sei kurarama nechirwere chaOrmond?
Kune avo vane zvirwere zvishoma,
muchafanira kuramba muchitarisirwa nachiremba. Izvi zvinoreva kuti muchafanira kuona chiremba wenyu nguva nenguva kuti muone kana chirwere ichi chadzoka.
Chii chinoitika mushure mekuvhiyiwa kugadzirisa kuvharika kwenzira yeweti?
Hydronephrosis inogona kuitika kana, mukati memazuva mashoma mushure mekuvhiyiwa, vanachiremba vanongoerekana vaburitsa weti yakaungana muitsvo dzako.Ziva dambudziko rinonzi "kuchengetwa kweweti." Kana weti yakavharirwa mumuviri ikangoerekana yabuda, zvinotevera zvinogona kuitika:
- Kusawirirana kwema electrolyte mumuviri.
- Kushaya mvura mumuviri.
- Kuvhunduka kweropa kunokonzerwa nekudzikira kwehuwandu hweropa (hypovolemic shock).
Retroperitoneal fibrosis, kana kuti chirwere chaOrmond, chirwere chinoita semavanga chinoumba kumashure kwedumbu. Vanhu vanotora mimwe mishonga vari panjodzi huru yekuva nechirwere ichi. Kana wakamboonekwa uine chirwere ichi, taura nachiremba wako nezvemibvunzo kana zvinokunetsa. Varipo kuti vakubatsire.
Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)
Saka ikozvino tava kunzwisisa zviri nani kuti chii chinonzi Retroperitoneal Fibrosis.
Kunyangwe iri chirwere chisingawanzoitiki, zvakakosha kuti uzive nezvacho.- Rangarirai, iyi itemplate yakakora inoumbwa yakakomberedza nhengo dzinofanirwa kunge dziri mukati medumbu, kuenda kumusana.
- Kazhinji zvinokanganisa ma ureter uye zvinogona kukuvadza itsvo.
- Chikonzero chacho hachiwanzojeka, asi zvinhu zvakaita semimwe mishonga, kenza, uye hutachiona zvinogonawo kuva zvikonzero.
- Zvakakosha kutsvaga rubatsiro rwechiremba kana uine zviratidzo zvakaita sekurwadziwa kwemudumbu/musana kusinganyatsooneki uye kudzikira kweweti.
- Kune mishonga yakanaka kana ikaonekwa nekukurumidza. Saka usaregeredza zviratidzo.
- Kana muine mibvunzo nezvenyaya iyi, musatya kubvunza chiremba wenyu.
Tinovimba kuti ruzivo urwu ruchakubatsira. Ramba uine hutano!
Retroperitoneal Fibrosis, chirwere chaOrmond, chirwere cheitsvo, kurwadziwa kwemudumbu, matambudziko eweti, fibrosis, kuvhiyiwa
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