Une dambudziko iriwo mudumbu mako here? Ngatidzidzei nezveSclerosing Mesenteritis!

Wakambonzwa nezvechirwere ichi chinonzi Sclerosing Mesenteritis here? Pamwe kwete, handiti? Idambudziko risingawanzoitiki, zvinoreva kuti vanhu vashoma vanoriwana. Asi zvakanaka kuziva zvishoma nezvaro. Nekuti dzimwe nguva isu, kana mumwe munhu watinoziva, tinogona kunzwa nezvezvinhu zvakaita seizvi. Ngationei kuti chii, zvinoitika sei, zviratidzo zvacho ndezvipi, uye pane mushonga here.

Chii chinonzi sclerosing mesenteritis iyi?

Zvichitaurwa zviri nyore, sclerosing mesenteritis chirwere chisingawanzoitiki chinokanganisa chikamu chemesentery yako. Iye zvino ungangove uchishamisika kuti mesentery chii. Ndiwo mutezo unobatsira kubata ura hwako kumadziro ekumashure edumbu rako. Zvakafanana neketeni, kutaura chokwadi. "Mesenteritis" zvinoreva kuzvimba, zvinoreva kuzvimba, mumesentery iyi. "Sclerosing" zvinoreva mavanga nekuoma. Saka, mumesenteritis yesclerosing, pane kuzvimba kwenguva refu kwemesentery iyi. Nekufamba kwenguva, kuzvimba uku kunokonzera mavanga (fibrosis) munyama, ayo anooma zvishoma nezvishoma. Mesentery yako chikamu che visceral peritoneum, iyo inokomberedza nhengo dziri mudumbu mako uye inobatsira kudzibata panzvimbo. Inoumbwa nezvikamu zviviri zve membrane (peritoneum) yakapetwa kaviri, ine jira remafuta (adipose tissue) pakati. Mumesenteritis yesclerosing, kuzvimba uku kunokanganisa jira remafuta pakati. Ndokusaka chikamu ichocho chichiva chakakora uye chakaoma. Dzimwe nguva izvi zvinogona kuitika panzvimbo imwe chete kana munzvimbo dzakasiyana-siyana. Kana zvikaonekwa pakuongorora kweX-ray, izvi zvinogona kutaridzika sebundu.

Ichi chirwere chisingaperi here?

Ehe, chirwere chisingaperi. Nekuti kuti nyama ive nemavanga ekuomarara (sclerosis), panofanira kuva nekuzvimba kwenguva yakareba. Izvi hazviitike kamwe chete, zvinoitika muzvikamu. Kutanga, mafuta anopwanyika zvishoma nezvishoma. Zvadaro, marudzi akasiyana emasero anouya obatana nenyama. Pakupedzisira, mavanga anoumbwa. Saka, mupfungwa iyoyo, sclerosing mesenteritis chirwere chisingaperi, chinoenderera mberi. Asi zvakadaro, hachiwanzo kuipa. Kazhinji, chinogona kutopera chega.

Sclerosing Mesenteritis neMesenteric Panniculitis zvakafanana here?

Vanachiremba vazhinji vanoona mamiriro ese ari maviri akafanana. Vanotsanangura ese ari maviri se "idiopathic" kuzvimba kwemesentery. Kureva kuti, kuzvimba kunoita sekunge kunoitika kamwe kamwe, pasina chikonzero chaicho. Zvisinei, vamwe vanoti zita rekuti "sclerosing mesenteritis" rinofanira kushandiswa kutsanangura rudzi rwakanyanya rwechirwere, kana kuti rudzi rwakaomarara umo zviratidzo zvave zviripo kwenguva yakareba. "Mesenteric panniculitis" zvinoreva "kuzvimba kwemafuta emesentery." Sezvo zita iri risingarevi mavanga (sclerosis), vamwe vanoti zita rekuti "mesenteric panniculitis" rinofanira kushandiswa kutsanangura danho rekutanga rekuzvimba, kureva kuti, danho risati raitika mavanga. Vanoti kana mavanga atanga kuumbwa, zvinoreva kuti chirwere chacho chakura uye chingave chakaoma kurapa.

Ndiani anonyanya kukanganiswa nemamiriro ezvinhu aya?

Chirwere cheSclerosing mesenteritis chirwere chisingawanzoitiki. Chinobata vanhu vanosvika 0.6% chete. Nevanhu vanosvika 200 chete vakataurwa kusvika pari zvino, tichiri kudzidza nezvacho. Chinowanzobata vanhu vane makore anopfuura 50. Vanhu vazhinji vanobatwa nechirwere ichi vane nhoroondo yemhuri yezvirwere zve autoimmune. Zvakare, tsvakurudzo inoratidza kuti vanenge 60% yevarwere vakambova nekenza kana kuti parizvino vane lymphoma.

Sclerosing Mesenteritis igomarara here?

Kwete, iyi haisi kenza yoga. Asi inowanzobatanidzwa nekenza. Chimwe chinokonzera kuzvimba kwenguva refu ikenza. Uye hutachiona ndechimwewo. Tsvagiridzo inoratidza kuti vanhu vane kuzvimba nekuda kwechikonzero ichi vanowanzova ne sclerosing mesenteritis. Zvinoita sekunge mesentery yavo "inobata" kuzvimba uye inoramba ichiita saizvozvo. Mavanga anokura sekenza, asi haapararire. Asi dzimwe nguva anogona kutaridzika sekuti "ari kupararira." Inogonawo kutaridzika sekenza pa x-rays. Mu sclerosing mesenteritis, mavanga akaomarara eganda anowanzoonekwa panzvimbo imwe mu mesentery, sebundu. Zviratidzo zvezvirwere zvese izvi dzimwe nguva zvinogona kufanana. Saka vanachiremba vanofanira kutora nguva uye kuita bvunzo shoma kuti vasiyanise pakati pezviviri izvi.

Ndezvipi zviratidzo zvinogona kunge zviri?

Funga nezvazvo, vanhu vazhinji vanogona kuva nechirwere ichi vasina zviratidzo , uye havatombozivi kuti vanacho. Zviratidzo zvinowanzoitika kurwadziwa mudumbu uye kuzvimba.Kana kuzvimba kwakanyanya, unogona kunge uine manyoka kana fivha. Unogonawo kunzwa bundu rinonzwika mudumbu mako. Kashoma, bundu iri rinogona kukonzera kuvharika muura hwako hudiki. Izvi zvinogona kukonzera zvimwe zviratidzo zvakaita sekusvotwa, kurutsa, uye kudzikira kwehuremu.

Chikonzero cheizvi chii?

Chikonzero chaicho hachisati chazivikanwa. Asi vanachiremba vanofungidzira kuti chingave rudzi rwechirwere che autoimmune . Kureva kuti, kuzvimba kunokonzerwa nemhinduro isina kukodzera kana yakawandisa ye immune system yemuviri wedu. Masoja emuviri wako anowanzo shandisa kuzvimba kurwisa utachiona hunopinda mumuviri uye kuporesa nyama yakakuvara. Kana masoja emuviri wako akapinda mukunyanyisa pasina chero njodzi iri pachena, inonzi autoimmune response. Kune marudzi akasiyana ezvirwere zve autoimmune zvinokonzera kuzvimba kusingaperi muzvikamu zvakasiyana zvemuviri. Hatizivi kuti nei zvichikura, asi zvinoita sekunge zvine chikamu chemajini, uye zvinogonawo kukonzerwa nekushushikana kwemuviri, senge chirwere kana kukuvara. Vanhu vanowana sclerosing mesenteritis vanowanzova nenhoroondo yemhuri yezvirwere zve autoimmune, uye dzimwe nguva vanogonawo kuva nezvimwe zvirwere zve autoimmune.

Nzira yekuziva chirwere ichi nemazvo sei?

Chiremba anotora matanho akati wandei kuti aongorore chirwere ichi.

Miedzo yeKufungidzira

Chiremba wako achatora mifananidzo ye x-ray ye mesentery kuti aone zviratidzo zve sclerosing mesenteritis.

• Kutanga, unogona kuongororwa ultrasound yemudumbu. Iyi bvunzo inokurumidza uye iri nyore.
• Kana paine kusava nechokwadi nezvechirwere ichi, vachakutumira kune imwe bvunzo inonyanya kunzwisisika. Iyi inogona kunge iri `` CT scan`` (computed tomography scan ) kana `` MRI`` (magnetic resonance imaging). Iyi bvunzo inotsvaga focal mass uye zviratidzo zvekuputsika kwenyama uye mavanga (fibrosis) akaipoteredza.
• Kana bvunzo idzi dzisingakwanisi kusiyanisa zvakajeka pakati pe sclerosing mesenteritis nekenza, "PET scan" (positron emission tomography) inogona kubatsira kusimbisa chirwere ichi. Izvi zvinosanganisira kubaya chinhu chakachengeteka, chine radioactive tracer mumuviri. "CT scan" kana "MRI" inoshandisa radiation iyi.Mifananidzo inogadzirwa painoonekwa. Masero egomarara anonwisa zvinhu izvi zvine mwaranzi kupfuura mamwe masero.

Kuongororwa kwemuviri

Kana zvimwe zvese zvikasashanda, chiremba wako angangoda kutora sampuli yenyama kubva mumesentery kuti apihwe biopsy. Nyanzvi yezvirwere ichaongorora sampuli yenyama uye ichaongorora kekupedzisira. Iyi sampuli yenyama inowanzotorwa netsono inopinzwa mudumbu. Vamwe vanhu vangangodawo kuita nzira isinganyanyi kukuvadza inonzi laparoscopy kuti vaongorore mesentery uye vatore sampuli. Izvi zvinosanganisira kuisa kamera nepaburi diki.

Ndezvipi zvirongwa zvekurapa Sclerosing Mesenteritis?

Mashoko akanaka ndeekuti vanhu vazhinji havambodi kurapwa. Sclerosing mesenteritis inowanzova chirwere chinozvidzora chega, chinovandudzika chega. Ungasambova nezviratidzo, kana kuti ungangove nekusagadzikana kudiki kunogona kudzorwa nemishonga inotengeswa kunze kwemutero (OTC). Zvisinei, kana uine zviratidzo zvinogara zviripo, chiremba wako achakupa mishonga yakasiyana-siyana yekurapa. Izvi zvinogona kusanganisira:

• Corticosteroids, yakadai seprednisone, inoshandiswa kudzora kuzvimba .
• Mishonga inodzvinyirira muviri, yakadai seazathioprine, inoderedza mhinduro yemuviri inorwisa zvirwere zvemuviri.
• Kurapa nemahormone , semuenzaniso tamoxifen.

Chinhu chinonyanya kukosha ndechekuwana mishonga iyi pasi pemazano echiremba. Zvinogona kutora nguva kuti uwane mushonga wakakunakira, saka zvakakosha kuti ugare uchitaurirana nachiremba wako.

Chii chinonzi fungidziro yechirwere ichi?

Kufanotaura kwevanhu vazhinji kwakanaka. Kureva kuti, vanhu vazhinji vanopora. Asi izvi zvinogona kusiyana kubva kumunhu kusvika kumunhu. Vanhu vazhinji vane zviratidzo zvishoma kana zviri pakati nepakati, kana kutoshaya zviratidzo zvachose. Asi dzimwe nguva, zvinogona kuva chirwere chakanyanya kuoma. Chinogona kugara kubva pamazuva mashoma kusvika kumakore gumi. Kazhinji chinopora chega, kana nemishonga, asi dzimwe nguva hachidaro. Zvinogona kutora kuyedza uye kukanganisa kuti uwane mushonga unoshanda zvakanaka kwauri.

Zviratidzo izvi zvinogona kuderedzwa kana kurapwa kuburikidza nekudya here?

Kutevera kudya kunorwisa kuzvimba kunogona kubatsira kuderedza kuzvimba kwenguva refu mumuviri wako, kunyanya mudumbu mako. Kunyange zvazvo kungasarapa sclerosing mesenteritis zvachose, kunogona kuita mutsauko muzviratidzo zvako. Kudya kunorwisa kuzvimba kudya kunotarisa pakudya kwakazara pane zvekudya zvakaputirwa, zvakagadzirwa. Kunosimbisawo mafuta ane hutano, asina kuguta senge omega-3s.

Chekupedzisira, zvinhu zvatinofanira kurangarira (Mharidzo Yekuenda Kumba)

Chirwere cheSclerosing mesenteritis chinhu chakavanzika, zvichireva kuti chirwere chakaoma kunzwisisa. Chinogona kukushamisa. Vamwe vanhu vanochiwana mushure mekutapukirwa nehutachiona, kuvhiyiwa mudumbu, kana kenza. Vamwe vanochiwana pasina chikonzero chakajeka. Ungave uine zviratidzo, kana chiremba wako angachiwana netsaona. Zvinogona kunetsa kuziva kuti une chirwere chisati chanyatsonzwisiswa. Izvozvo zvakajairika. Asi usazvidya mwoyo. Chiremba wako achashanda newe kuti akubatsire kuwana mhinduro yacho. Kuwana chirwere chakarurama uye, kana zvichidikanwa, kuwana kurapwa kwakakodzera ndicho chinhu chakakosha. Kana uine mibvunzo kana zvinokunetsa nezveizvi, usatya kubvunza chiremba wako.