Dzimwe nguva unonzwa kurwadziwa kusinganzwisisike mudumbu rako rezasi kunowedzera zvishoma nezvishoma zuva nezuva, pamwe nekurwadziwa kwemusana here? Pamwe wava kuita weti shoma, gumbo rimwe rakazvimba, uye ruvara rweganda rako rwachinja here? Kunyangwe izvi zvingaita sezvinowanzoitika, dzimwe nguva zvinogona kuva zviratidzo zvechirwere chisingawanzoitiki asi chakakosha. Nhasi tiri kutaura nezvechimwe chirwere chakadaro - Retroperitoneal Fibrosis . Kunyangwe zita racho ringave rakaoma, ngatirambei takariverenga.
Chii chinonzi Retroperitoneal Fibrosis?
Zvichitaurwa zviri nyore, uku ndiko kukura kwenyama ine fibrous kumashure (shoko rekuti retro rinoreva 'kumashure') membrane inodzivirira (peritoneum) inokomberedza nhengo dzakadai seura mudumbu medu. Kunyanya, nyama iyi inokura yakatenderedza tsinga huru yeropa iri mudumbu medu (abdominal aorta) nedzimwe tsinga dzinobva mairi.
Fungidzira zvinoitika kana nyama iyi isingadiwi ikakura. Nyama iyoyo inogona kuvharira ureter, machubhu anotakura weti kubva kuitsvo dzedu kuenda kudundira redu. Izvi zvinogona kuvharira kuyerera kweweti. Zvinogonawo kukanganisa dzimwe nhengo dziri mudumbu. Dambudziko iri rinozivikanwawo sechirwere cheOrmond.
Nyama inokura nenzira iyi inogona kunge iine kenza kana kuti isiri kenza. Ichi chirwere chinowanzoitika. Chinonyanya kuitika muvarume vane makore epakati nepakati. Asi kunyangwe pakati pavo, hazviwanzoitiki.
Chii chinokonzera mamiriro ezvinhu aya?
Vanachiremba havasati vaziva chikonzero chaicho, asi vamwe nyanzvi vanotenda kuti zvine chekuita nechimwe chinhu chiri mumasoja edu ekudzivirira muviri . Kureva kuti, masoja emuviri wedu ari kutirwisa.
Pamusoro pezvo, zvimwe zvinhu zvakati wandei zvakaonekwa zvinogona kukonzera chirwere ichi.
| Chikonzero | Tsananguro |
|---|---|
| Kusvuta fodya | Kusvuta kunoonekwa sechikonzero chikuru cheizvi. |
| Kukuvara kwemuviri (Kukuvara) | Kukuvara kwakanyanya mudumbu kana munzvimbo yakapoteredza. |
| Kuvhiya | Zvinogona kuitika mushure mekuvhiyiwa kwemudumbu. |
| Mamwe makemikari | Kusangana nezvinhu zvakaita seasbestos. |
| Utachiona | Zvimwe zvirwere zvebhakitiriya kana fungus. |
| Mabundu/Matumbu | Semhedzisiro yemamwe mamiriro ekenza. |
| Kurapa neRadiotherapy | Kurapa kenza nemwaranzi. |
| Mimwe mishonga | Mimwe mishonga yekare yaishandiswa pakurapa migraine. |
| Kushandisa zvinodhaka | Kushandisa zvinodhaka zvisiri pamutemo zvakaita secocaine. |
Hapana humbowo hwakajeka hunoratidza kuti chirwere ichi chinopfuudzwa kubva kuchizvarwa kuenda kune chimwe chizvarwa . Kazhinji, chinoitika zvisina tsarukano.
Ndezvipi zviratidzo zvechirwere ichi?
Zviratidzo zvinogona kusiyana kubva pamunhu kusvika pamunhu. Zvakare, zviratidzo zvinosiyana zvichienderana nekuti nyama isingadiwe yandataura yapararira kusvika papi uye kuti yavapo kupi.
Mumazuva ekutanga, unogona kunzwa kurwadziwa kwakanyanya, kusinganyatsooneki mudumbu rako rezasi. Kurwadziwa uku kunogona kuwedzera zuva nezuva. Panguva imwe chete, ropa rinosvika kumakumbo ako rinogona kuderera.Painodzikira, unogona kuona shanduko muruvara rwetsoka dzako kana kuzvimba kwegumbo rimwe chete .
Chinhu chinonyanya kukosha ndechekuteerera zviratidzo izvi nekukurumidza paunozviona. Kana uinewo kurwadziwa kwemudumbu kana kumusana, kunyanya kana huwandu hweweti yawakabuda hwakaderera zvakanyanya, ona chiremba wako nekukasika.
| Zvimwe Zviratidzo Zvinobatanidzwa neRetroperitoneal Fibrosis | |
|---|---|
| - Kusvotwa nekurutsa | - Kupindwa nechando |
| – Marwadzo mumachende (kuvarume) | – Nyota kupfuura zvakajairika |
| - Kunzwa kwekushaya hupenyu mumuviri | - Kurwadziwa kwemusana |
| - Kuderedza huremu | – Kuomerwa nekuita weti (kutadza kuita weti, kubuda ropa, kuita weti kakawanda husiku) |
Chiremba anowana sei izvi?
Paunoenda kuna chiremba, anotanga abvunza nezvenhoroondo yako yehutano uye oita ongororo yemuviri. Achazobva aita bvunzo dzakawanda kuti aone kana chikonzero chezviratidzo zvako chiri Retroperitoneal Fibrosis kana chimwe chirwere.
Miedzo inotevera inogona kushandiswa pakuita izvi:
- Kuongororwa kweropa : Tsvaga nezvehutachiona mumuviri uye mashandiro eitsvo.
- Kuongororwa kweweti : Tarisa ropa kana zvimwe zvisina kumira zvakanaka muweti.
- Ultrasound yeitsvo: Tarisa mamiriro eitsvo nemaureter.
- Kuongororwa kwedumbu neCT scan:Izvi zvinokutendera kuti uone zvakajeka nzvimbo, saizi, uye kukanganiswa kwenyama yakawedzerwa panhengo dzakapoteredza.
- Kuongororwa kwedumbu neMRI: Kuongororwa kwakafanana neCT scan, asi nemifananidzo yakadzama.
- Kuongororwa kweX-ray: Dzimwe nguva zvingadiwa.
- Kuongororwa kwemuviri: Izvi zvinosanganisira kutora chidimbu chidiki chenyama iri kukura wochiongorora pasi pemaikorosikopu kuti uone kana chiri kenza kana kuti kwete.
Inorapwa sei? Inogona kurapwa here?
Ehe, kune mushonga wechirwere ichi. Nzira yekurapa inoenderana nechikonzero chechirwere, kuoma kwechirwere, uye kukuvara kwatoitika.
Kune nzira dzinoverengeka huru dzekurapa:
- Mishonga yekudzivirira kuzvimba: Mishonga yakawanda yakadai se corticosteroids inopiwa kudzora kuzvimba uye kukura kwenyama mumuviri.
- Kurapa chikonzero chiripo: Kana chirwere chacho chakakonzerwa nehutachiona kana kenza, chikonzero chacho chinorapwa.
- Kuvhiyiwa: Kuvhiyiwa kubvisa bundu. Izvi zvinonyanya kukosha kana urethra yakavharwa.
- Kubvisa weti kubva muitsvo: Kana ureters dzakavharwa zvachose, chubhu diki (stent) inopinzwa nepaganda kuti ibvise weti inoungana muitsvo.
- Mishonga inodzvinyirira masoja emuviri: Kana izvi zvichikonzerwa nekushanda zvakanyanya kwemasoja emuviri, mishonga inopihwa kuti izvi zvisashande.
Mashoko akanaka ndeekuti vanhu vazhinji vanopindura zvakanaka kana varapwa. Mukati memavhiki maviri ekutanga kurapwa, zviratidzo zvekupora kweitsvo zvinotanga kuoneka. Dambudziko iri hariwanzo kufambira mberi kusvika pakukundikana kweitsvo zvachose.
Asi yeukai, kunyangwe mushure mekurapwa uye kupora, zvakakosha kugara uchiona chiremba kuti vatevere. Izvi zvinodaro nekuti kune vamwe vanhu, chirwere ichi chinogona kudzoka kunyangwe mushure memakore akawanda ekurapwa.
Vanhu vane Retroperitoneal Fibrosis isina kenza (isina njodzi) vane mukana uri nani wekupora nekurarama kupfuura avo vane chirwere chekenza (chinouraya).
Pane nzira yekudzivirira izvi here?
Sezvo chirwere ichi chisingawanzoitiki, pane zvinhu zvishoma zvinogona kuitwa kudzivirira chirwere ichi. Asi pane chinhu chimwe chete chakakosha. Tsvagiridzo yakawana kuti kushandisa mushonga we `methysergide` kwenguva refu, unoshandiswa pakurapa migraine, kunogona kukonzera chirwere ichi. Saka, usamboshandisa mushonga uyu kwenguva yakareba usina kurairwa nachiremba.
Chinhu chinonyanya kukosha kutsvaga rubatsiro rwechiremba kana zviratidzo zvangoonekwa. Kana chirwere chikaonekwa nekukurumidza, mikana yekudzivirira matambudziko uye kurapwa kunobudirira inowedzera.
Mharidzo Yekuenda Nayo Kumba
- Retroperitoneal Fibrosis chirwere chisingawanzoitiki apo tishu dzisina kufanira dzinokura kuseri kwenhengo dzedumbu.
- Zviratidzo zvikuru zvinogona kusanganisira kurwadziwa kwemusana nedumbu zvisina tsarukano, kudzikira kweweti, uye kuzvimba kwemakumbo.
- Kana uine chimwe chezviratidzo izvi, usazviregeredza uye enda kuna chiremba wako nekukasika. Kuongororwa kwechirwere nekukurumidza kwakakosha zvikuru.
- Kurapwa kunogona kurapa chirwere ichi, asi kugara uchichitevera kwakakosha sezvo chirwere ichi chichigona kudzoka.
- Dzivisa kushandisa chero mushonga kwenguva refu usina kupiwa mazano nachiremba.
Retroperitoneal Fibrosis, chirwere chaOrmond, Kurwadziwa kwemusana, Kurwadziwa kwedumbu, Zvirwere zvemunzira yeweti, Zvirwere zveitsvo, Hutano hwevarume
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