Ngaba unale ntlungu ingaqhelekanga okanye ukungakhululeki esiswini sakho? Masithethe ngeMesenteric Panniculitis!

Ngaba ngamanye amaxesha uziva intlungu engacacanga esiswini sakho, uzive ugcwele, okanye into engaqhelekanga ngaphakathi esiswini sakho? Mhlawumbi nawe uzive udiniwe, unomkhuhlane omncinci. Nangona sihlala singazinaki kakhulu ezi mpawu, ngamanye amaxesha zinokuba ngasemva kwazo. Namhlanje siza kuthetha ngesifo esingaziwayo kangako, kodwa esifanele sazi ngaso. Oku kubizwa ngoogqirha ngokuba yi-mesenteric panniculitis . Nangona igama lisenokubonakala lide kancinci, masiliqonde ngokulula.

Yintoni iMesenteric Panniculitis? Masiyiqonde ngokulula.

Ngamafutshane, i-mesenteric panniculitis kukudumba kwenxalenye yesisu sethu ebizwa ngokuba yi-mesentery . Ngoku usenokuba uzibuza ukuba yintoni i-mesentery. Khawuthelekelele, kukho uhlobo lwekhethini olunceda ukugcina amathumbu ethu ehlelekile kwaye ngaphandle kokubhijeka ngaphakathi kwesisu. Oku kubizwa ngokuba yi-mesentery. Oku kuncamathiselwe eludongeni olungasemva lwesisu sethu kwaye kubamba inxalenye yamathumbu ethu amancinci kunye namathumbu amakhulu. Ukuchaneka, olu lulwakhiwo lwezicubu ezidibeneyo. Ngaphakathi kwale mesentery kukho imithambo yegazi kunye nemithambo ye-lymph efunekayo kumathumbu ethu. Kwakhona, le mesentery yenziwe ngezicubu ezinamafutha (izicubu zamafutha okanye amafutha omzimba) ezikwiindawo ezimbini ezigobileyo ze-membrane ebizwa ngokuba yi-peritoneum . Kwimeko ye-mesenteric panniculitis, kukho ukudumba kwexesha elide (ukudumba okungapheliyo) komaleko wezicubu ezinamafutha kwi-mesentery ekhankanyiweyo. Oku kudumba konakalisa iiseli zamafutha apho kwaye kubangele ukuba zife. Oku kukwabizwa ngokuba yi-fat necrosis . Ekuhambeni kwexesha, amanxeba (i-fibrosis) aqala ukwakheka kwezi ndawo zonakeleyo. Into ebalulekileyo kukuba kwiimeko ezininzi, akukho sizathu sicacileyo sokudumba kwi-mesenteric panniculitis. Oko kukuthi, kubonakala ngathi kwenzeka nje ngaphandle kwesizathu esiqhelekileyo, njengosulelo, ukwenzakala, okanye umhlaza. Kwizonyango, iimeko ezingenasizathu zibizwa ngokuba yi-idiopathic .

Ngaba i-mesenteric panniculitis kunye ne-sclerosing mesenteritis zizinto ezahlukeneyo? Ngaba ziyafana?

Oku ngenene kuyimpikiswano phakathi koogqirha. Abaninzi bakholelwa ukuba ezi meko zimbini ziyafana. Abanye bathi i-sclerosing mesenteritis luhlobo oluphambili okanye olunzima lwe-mesenteric panniculitis. Abanye bacinga ukuba isenokuba sisifo esahlukileyo, esinendlela eyahlukileyo yokwenza izinto. I-Mesenteric panniculitis idla ngokuzinza kwaye iyanyangeka. Nangona kunjalo, kukho nombono wokuba i-sclerosing mesenteritis ngamanye amaxesha inokwanda. Ingxaki yokwenyani kukuba asikazi ukuba kutheni ukudumba okusisiseko kwezi meko zombini kwenzeka. Yiyo loo nto kukhathaza abanye abantu hayi abanye. Nangona kunjalo, singatsho ukuba uninzi lwabantu abafumana ukudumba kwe-mesentery ngaphandle kwesizathu esicacileyo banemeko ezinzileyo nenganyangekayo. Nangona kunjalo, kubantu abambalwa kakhulu, le meko inokuba nzima ngakumbi kwaye ukudumba kunokudlula kwi-mesentery.

Ingaba le meko iyingozi? Ngaba ingasongela ubomi?

I-Mesenteric panniculitis ayisoloko isongela ubomi . Ayibangeli iingxaki ezinkulu. Uninzi lwabantu luneempawu ezincinci okanye eziphakathi. Ngamanye amaxesha, ezi mpawu zinokuphela ngaphandle konyango.

Nangona kunjalo, oku kunokubangela ukungakhululeki kunye nentlungu. Ngenxa yoko, abanye abantu kufuneka bathathe amayeza njengonyango loku. Kunqabile kakhulu, le meko inokuphazamisana nokusebenza kwamathumbu . Umzekelo, ukuba ukudumba okanye izicubu ezibangelwa kukudumba zikhula kakhulu, kunokuphazamisana nokuhamba kokutya emathunjini ethu amancinci . Oku kunokubangela imeko ebizwa ngokuba kukuthintelwa kwamathumbu . Kodwa oku kwenzeka rhoqo.

Ixhaphake kangakanani le meko? Ngubani onokuba nayo?

Le meko ayixhaphakanga kangako. Kuqikelelwa ukuba ichaphazela malunga ne-1.5% yabemi. Nangona kunjalo, ngenxa yokuba iimpawu azisoloko zikhona, kwaye iimpawu ezenzekayo (ezifana neentlungu zesisu) zixhaphakile kwaye ziqhelekile kwezinye izifo, ngamanye amaxesha zinokungafunyaniswa. I-Mesenteric panniculitis ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-60 ubudala. Ayixhaphakanga kubantu abangaphantsi kweminyaka engama-20 ubudala. Ezinye izifundo zibonisa ukuba amadoda anamathuba aphindwe kabini okuba nayo kunabasetyhini.

Kutheni kukho ukudumba kwe-mesentery? Zithini izizathu?

Ngokwesiqhelo, ukudumba kwenzeka ndaweni ithile emzimbeni wethu ngenxa yosulelo, ukwenzakala, okanye isifo esibangela umhlaza. Oku kuqhelekile nakwizicwili zethu ze-mesenteric. Ukudumba kukusabela kwenkqubo yethu yomzimba yokuzikhusela.Impendulo. Ikhona ukunceda ukuphilisa izicwili nokulwa neentsholongwane ezibangela usulelo. Kodwa kuyamangaza kancinci ukuba olu hlobo lokudumba lwenzeka ngaphandle kwesizathu esicacileyo, ngaphandle kwesilonda esifuna ukuphola. Kufana nokuba kukho into engalunganga ngenkqubo yethu yomzimba yokuzikhusela.

Nazi ezinye zezinto ekucingelwa ukuba zibangela i-mesenteric panniculitis:

Oogqirha bacinga ukuba i-mesenteric panniculitis isenokuba sisifo sokuzikhusela komzimba . Oku kuthetha ukuba inkqubo yethu yokuzikhusela komzimba, ngaphandle kwesizathu esicacileyo, ihlasela izicwili zethu. Olu hlobo lwesifo sokuzikhusela komzimba ludla ngokusebenza kwiintsapho. Inokwenzeka nokuba imeko yexeshana (njengosulelo lwentsholongwane) ivuselela inkqubo yokuzikhusela komzimba, kwaye impendulo yokuzikhusela komzimba iyaqhubeka nokuba imeko iphelile. I-Mesenteric panniculitis nayo inxulunyaniswe nezi meko. Nazi ezinye zemizekelo:

• Utyando : I-Mesenteric panniculitis kuthiwa yenzeka kwi-5% yezigulana, ingakumbi emva kotyando lwesisu.
• Usulelo: Le meko inokubangelwa nazizifo ezithile zangaphambili. Uphando lufumanise ukuba:
• Isifo sephepha
• Umkhuhlane weTyphoid
• Ikholera
• I-Syphilis
• Oku kunokwenzeka kubantu abanembali yosulelo olungapheliyo, njengesifo sikaWhipple.
• Umhlaza : Ngamanye amaxesha, i-mesenteric panniculitis iyenzeka kubantu abaye banyangwa umhlaza ngaphambili, okanye abanomhlaza okwangoku, okanye abasele beza kufunyaniswa ukuba banomhlaza (umhlaza ongaphandle kwe-mesentery). Kuye kwaxelwa ukuba inxulunyaniswa nomhlaza wangaphambili okanye wangoku kwiimeko ezimalunga nama-30%. Imizekelo:
• I-Lymphoma
• Iithumba zeCarcinoid
• Umhlaza wamathumbu amakhulu
• Umhlaza wezintso
• Umhlaza weprostate
• Ezinye iimeko ze-sclerosing: Ngamanye amaxesha, i-mesenteric panniculitis inokwenzeka nakwezinye iimeko emzimbeni ezibangela ukudumba kunye namanxeba (i-sclerosis okanye i-fibrosis). Oku kuthetha ukuba isizathu esifanayo se-mesenteric panniculitis sinokubangela impendulo efanayo nakwezinye iindawo zomzimba. Imizekelo:
• I-fibrosis ye-Retroperitoneal
• Isifo sikaSjogren
• I-sclerosing pancreatitis
• I-nodular panniculitis
• Isifo sikaCrohn

Ziziphi iimpawu zeMesenteric Panniculitis?

Abanye abantu basenokungabi nazo naziphi na iimpawu . Abanye banokuba neempawu ezahlukeneyo. Uphawu oluqhelekileyo ziintlungu zesisu . Ukudumba kunokubangela iintlungu zesisu. Ama-lymph nodes kwi-mesentery nawo anokudumba. Ezi ziimpawu eziqhelekileyo ze-mesenteric panniculitis. Abanye abantu banokuba nentlungu yesisu kunye nezi mpawu:

• Ukudumba kwesisu
• Ukudumba kwesisu
• Ukuziva ugcwele nangona sele utye kancinci, ukungabi namdla wokutya (Ukuhlutha kwangoko okanye ukungabi namdla wokutya)
• Isicaphucaphu nokuhlanza
• Ukuqhinwa okanye urhudo
• Ukuhla ukusinda

Ezi mpawu zinokwenzeka xa ukudumba kuchaphazela amathumbu. Kwakhona, abanye abantu banokuba neempawu zomzimba , oko kuthetha ukuba iimpawu zichaphazela umzimba wonke, kungekuphela nje indawo yesisu apho kukho khona i-mesentery. Iimpawu ezifana nomkhuhlane kunye nokudinwa ziqhelekile xa inkqubo yethu yokuzikhusela yomzimba ibandakanyeka.

Ungayixilonga njani ngokuchanekileyo le sifo? (Ukuxilongwa)

Ngenxa yokuba sisifo esingaqhelekanga kakhulu kwaye iimpawu azicacanga (zifana nezinye iimeko ezininzi), kudla ngokuba nzima ukusixilonga. Ugqirha wakho unokufuna ukuthintela ezinye iimeko ezininzi, eziqhelekileyo ngaphambi kokuba acinge ukuba une-mesenteric panniculitis. Okokuqala, banokwenza uvavanyo lwegazi . Oku kunokubonisa iimpawu zokudumba. Emva koko, ukuba kukho i-mesenteric panniculitis ekrokrelwayo, iimvavanyo zomfanekiso (i-radiology) zisetyenziselwa ukukhangela iimpawu eziphawulekayo. I-Mesenteric panniculitis idla ngokufunyaniswa nge-MRI (Magnetic Resonance Imaging) scan okanye i-CT (Computed Tomography) scan . Ingcali ye-radiologist iya kukhangela ukuqina kwe-mesentery, iimpawu zokufa kweeseli zamafutha (fat necrosis), kunye nokukrweleka (fibrosis). Ngamanye amaxesha izicubu zamafutha zinokuba nkulu kakhulu kwindawo enye, zibukeke njengethumba. Ukuba ii-lymph nodes kwi-mesentery zidumbile, kodwa imithambo yegazi ayichaphazeleki, le yindlela enye yokwahlula i-mesenteric panniculitis kumhlaza. Indlela ekuphela kwayo yokuxilonga ngokuqinisekileyo le meko kukusebenzisa i-biopsy.Oku kuthetha ukuba iqhekeza elincinci lezicubu ze-mesenteric liyasuswa ngexesha lotyando lize lithunyelwe kwilebhu ukuze livavanywe. Nangona kunjalo, ayinguye wonke umntu ofuna olu hlobo lokuxilongwa oluchanekileyo. Ugqirha wakho usenokuba sele enolwazi olwaneleyo lokukunika amayeza okunyanga i-mesenteric panniculitis. Ukuba amayeza ayanceda ekunciphiseni iimpawu zakho, oko kuqinisekisa nokuxilongwa.

Unyango lwenziwa njani? Ngaba wonke umntu uyawadinga amayeza?

Enyanisweni, ayinguye wonke umntu one-mesenteric panniculitis ofuna unyango. Ukuba awunazo iimpawu okanye iimpawu ezibuthathaka kakhulu, ugqirha wakho unokugqiba ekubeni alinde aze ajonge ukuba imeko yakho iyaphucuka na. I-Mesenteric panniculitis ayidli ngokuba mandundu ngokuhamba kwexesha, kwaye ihlala iphela yodwa . Nangona kunjalo, ukuba unayo iimpawu, kukho amayeza aqhelekileyo asetyenziswa ngoogqirha ukunyanga.

• IiCorticosteroids: La ngamayeza anciphisa ukudumba. Kwiimeko ezininzi, la mayeza anokulawula iimpawu. La ngamayeza okuqala.
• Kwezinye iimeko, ugqirha wakho unokukunika amayeza ongezelelweyo ukunceda kwimiphumo emibi, efana nokucaphuka. La mayeza asebenza kancinci kancinci, ngoko ke kungathatha iiveki ezininzi ukuba iimpawu ziphele ngokupheleleyo.

Ukuba ii-corticosteroids azisebenzi, ugqirha wakho unokukunika amayeza okunciphisa umzimba . La mayeza asebenza ngokunciphisa umzimba wakho osebenza kakhulu. Okanye, ungazama iyeza elibizwa ngokuba yi-naltrexone (LDN) esezantsi . Oku kusebenza ngokuguqula umzimba wakho, kodwa ngendlela eyahlukileyo. Oogqirha basebenzisa inkqubo yokuvavanya nokulungisa ukuze bafumane elona lisebenza kakuhle kwiimpawu zakho.

Kuza kwenzeka ntoni kule meko? (Imbono)

Ngokubanzi, i-mesenteric panniculitis idla ngokuba yimeko yexesha elifutshane . Ungaphila ngaphandle kweengxaki, okanye ngeengxaki ezincinci kuphela. Ukuba ungomnye wabantu abambalwa abaneempawu zexesha elide, iimpawu zakho ziya kusabela kakuhle kumayeza. Linani elincinci kakhulu labantu elifumana iingxaki ezinkulu, ezifana nokuvaleka kwamathumbu amancinci . Kule meko, kunokufuneka utyando ukuze kususwe ukuvaleka.

Ngaba oku kungancitshiswa kukutya nokusela? (Ulawulo lokutya)

Ewe, ukutya okuchasene nokuvuvukalaUkulandela olu hlobo lokutya kunokunceda ukunciphisa ukudumba emzimbeni wakho, ingakumbi kwinkqubo yakho yokugaya ukutya. Nangona kukodwa kungayi kunyanga i-mesenteric panniculitis, kunokwenza umahluko kwiimpawu zakho. Ukutya okulwa nokudumba kubandakanya ukutya ukutya okupheleleyo, kwendalo endaweni yokutya okupakishweyo, okucutshungulweyo. Kukwagxininisa kumafutha asempilweni, angahluthwanga.

Nciphisa okanye uyeke ukutya oku xa une-mesenteric panniculitis:

• Inyama ebomvu
• Inyama ezicutshungulweyo (ezifana neesoseji, iibhola zenyama)
• Ukutya okuqhotsiweyo
• Izidlo ezipakishiweyo
• Iicarbohydrate ezicociweyo (njengesonka esimhlophe esenziwe ngomgubo wesonka)
• Iimveliso ezineswekile ephezulu (ezifana neziselo ezimnandi)
• Amafutha agcweleyo (njenge-margarine, i-shortening, iioyile zezilwanyana)
• Utywala

Yongeza ukutya okuncinci okulwa nokuvuvukala okufana noku:

• Iziqhamo ezipheleleyo, iinkozo kunye nemifuno
• Imifuno eluhlaza enamagqabi (njengespinatshi, ikale)
• Iintlanzi (iintlanzi ezityebileyo kwi-omega-3 njengesalmon kunye ne-tuna)
• Iioyile zezityalo (ezifana neoyile yomnquma, ioyile yecanola)
• Amantongomane (njengee-almond, ii-walnuts)
• I-Turmeric

Ukutya kwaseMeditera kukutya okuchasene nokuvuvukala ngokwendalo. Kugxininisa ekutyeni okupheleleyo kunye namafutha asempilweni afana neentlanzi, amantongomane, kunye neoyile yomnquma, ezityebileyo kwi -omega-3 fatty acids . I-Mesenteric panniculitis yimeko engaqhelekanga apho kusekho okuninzi ekufuneka kufundwe. Ngethamsanqa, uninzi lwabantu luyaphola ngokukhawuleza. Nangona kunjalo, ukuba iimpawu zakho ziyakhathaza okanye zihlala zikho, kunokuba yinto ecaphukisayo ukuba nesifo esingaqondwa ngokupheleleyo. Unyango lwe-mesenteric panniculitis lusesekwisigaba sophando. Ugqirha wakho uza kusebenza nawe, inyathelo ngenyathelo, ukufumana unyango olukusebenzelayo.

Umyalezo Wokuya Ekhaya

I-Mesenteric panniculitis kukudumba kwezicubu ezinamafutha kwi-mesentery, inxalenye yesisu.

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* Oku akusoloko kuyingozi , kwaye kwiimeko ezininzi kunokuziphilisa ngokwako .

* Nangona unobangela ochanekileyo ungaziwa, kucingelwa ukuba yimeko yokuzikhusela komzimba .

* Uphawu oluphambili ziintlungu zesisu . Nangona kunjalo, ukudumba, isicaphucaphu, kunye nokudinwa nako kunokubakho.

* I-CT okanye i-MRI scans zinokunceda ekuxilongweni. Kusenokufuneka ne-biopsy.

* Asinguye wonke umntu ofuna unyango. Abo baneempawu banokufumana isiqabu ngamayeza anjengee-corticosteroids .

* Ukulandela ukutya okunciphisa ukudumba kunokunceda ukulawula iimpawu.

* Ukuba uqhubeka unale mpawu, qiniseka ukuba ufuna ingcebiso kagqirha . Musa ukoyika, le yimeko elawulekayo.

I-Mesenteric Panniculitis, i-Mesenteric Panniculitis, Ukudumba kwesisu, Intlungu yesisu, i-Mesentery, Izicubu ezinamafutha, Izifo ezizikhusela ngokwazo, Ukutya, Unyango, Iimpawu, i-CT scan, i-MRI scan