Yintoni le ibuhlungu rhoqo esiswini? Masifunde ngeSclerosing Mesenteritis ngendlela elula!

Ngaba ngamanye amaxesha uziva ngathi unesisu esibuhlungu okanye uzive ugcwele ngaphandle kwesizathu? Sihlala sicinga ukuba yingxaki yegesi okanye ingxaki encinci yokugaya ukutya, akunjalo? Kodwa ngamanye amaxesha, kunokubakho imeko emva koku esingathethi kakhulu ngayo kwaye inegama elingaqhelekanga. Namhlanje siza kuthetha ngesifo esingaqhelekanga kodwa esibaluleke kakhulu ekufuneka sazi ngaso. Le yiSclerosing Mesenteritis.

Ngamafutshane, yintoni iSclerosing Mesenteritis?

Eli gama lisenokuvakala lisoyikisa kancinci, kodwa masilihlalutye size siliqonde ngokulula.

Khawucinge ukuba amathumbu angaphakathi esiswini sethu awapheleli nje apha naphaya, akunjalo? Kukho i-membrane enceda ukuba ihlale icwangcisiwe kwaye ikwindawo enye. Ngokuchanekileyo, amathumbu ethu anamathele eludongeni olungasemva lwesisu yile membrane. Ngokwezonyango sibiza le membrane ngokuthi yi-mesentery . Kukwakho nomaleko wamafutha (izicubu zamafutha) ngaphakathi kule mesentery.

Ngoku khangela, igama elithi "Mesenteritis" libhekisa ekuvuvukeni kwe-mesentery. Lithetha imeko efana nokudumba. Igama elithi "sclerosing" lithetha into eqina, okanye izicubu eziqhekekayo neziqina. Njengaxa sinenxeba eluswini lwethu, emva kokuba sipholile, ulusu luqina kancinci kwaye kushiyeke inxeba. Oku sikubiza ngokuba yi -fibrosis .

Xa i-mesentery ikhula ngolu hlobo, ngamanye amaxesha inokufana nethumba kwi-scan. Yiyo loo nto kubalulekile ukwazi ukuba yintoni kanye kanye.

Ingaba esi sisifo esingapheliyo?

Ewe, ngokuqinisekileyo. Kuba ukuze amanxeba owakhankanyileyo avele aze afikelele kwinqanaba le-sclerosis, ukudumba kufuneka kuqhubeke ixesha elide. Oku akwenzeki ngaxeshanye. Kukho amanqanaba aliqela oku.

1. Okokuqala, izicubu ezinamafutha kwi-mesentery ziqala ukuwohloka kancinci kancinci.

2. Emva koko, iintlobo ezahlukeneyo zeeseli zifika kuloo ndawo zize ziqale ukuqokelelana.

3. Izicwili zamanxeba ziqala ukwakheka ekugqibeleni.

Ngoko ke, iSclerosing Mesenteritis sisifo esihlala ixesha elide nesiqhubekayo. Kodwa kukho into elungileyo ekufuneka siyithethe apha. Ayisoloko isiba mandundu. Kwiimeko ezininzi, inokuba ngcono ngokwayo, ngaphandle konyango. Ngoko ke ungoyiki ukuva igama layo.

Ingaba oku kukwabizwa ngokuba yiMesenteric Panniculitis?

Usenokuba ukhe waliva eli gama.Ibhekisa ekuvuvukeni kwezicubu ezinamafutha (i-panniculus) kwi-mesentery. Ngamafutshane, oogqirha abaninzi bacinga ukuba zombini ezi meko zisisifo esifanayo. Ngenxa yokuba zombini zenzeka ngaphandle kwesizathu esithile, zii-idiopathic inflammations.

Nangona kunjalo, abanye oogqirha bakholelwa ukuba igama elithi Sclerosing Mesenteritis lifanele lisetyenziswe kwinqanaba elinzima nelinamanxeba esi sifo. I-Mesenteric Panniculitis ibhekisa kwinqanaba lokuqala lokudumba, ngaphambi kokuba isilonda siqale ukwakheka. Nangona kunjalo, ezi zimbini zihlala zithathwa njengezigaba ezahlukeneyo zesifo esinye.

Ngubani onokuthi afumane esi sifo?

Okokuqala, i-Sclerosing Mesenteritis yimeko engaqhelekanga kakhulu . Ichaphazela inani elincinci labantu, malunga ne-0.6% yabemi. Ngoko ke musa ukuyoyika ngokungeyomfuneko.

Ngokwedatha ekhoyo, le meko ixhaphake kakhulu kwi:

• Phakathi kwabantu abangaphezu kweminyaka engama-50 ubudala .
• Ukuba kukho nabani na kusapho onesifo sokuzikhusela komzimba .
• Ngokwezinye izifundo, malunga nama-60% abantu abafunyenwe benale sifo banezinye iintlobo zomhlaza okanye bakha baba nazo. Kuye kwabonakala ukuba sinxulumene nohlobo lomhlaza olubizwa ngokuba yi-lymphoma .

Ngaba ke lo ngumhlaza? Umbuzo owoyikisa abantu abaninzi!

Le yeyona nto ibalulekileyo ekufuneka uyikhumbule. Lo asingomhlaza. Nangona kunjalo, unokunxulunyaniswa nomhlaza kwaye ngamanye amaxesha ubonakala njengomhlaza kwiiskeni. Masiqonde loo nto.

Iiseli zomhlaza luhlobo lweeseli ezinokwahlukana, zikhule, kwaye zisasazeke ngokungalawulekiyo emzimbeni wonke. Nangona kunjalo, izicubu zesilonda ezibangelwa yi-sclerosing mesenteritis azihlukani kwaye zisasazeke ngale ndlela. Nangona kunjalo, xa izicubu zesilonda ziqokelelana kwaye zikhula, zinokubonakala ngathi yithumba kwi-scan. Kwakhona, ezi mpawu zinokufana nezinye iimpawu zomhlaza.

Ngenxa yezi zizathu, ugqirha kufuneka enze uvavanyo oluthile ukuze ahlukanise ngokuchanekileyo phakathi kwezi meko zimbini.

Zithini iimpawu zesi sifo?

Into emangalisayo apha kukuba abantu abaninzi abanazo iimpawu . Idla ngokufunyanwa ngengozi ngexesha lokuhlolwa ngesinye isizathu.

Nangona kunjalo, ukuba iimpawu ziyabonakala, ezona zixhaphakileyo zezi:

• Intlungu yesisu: Ukuziva rhoqo intlungu encinci okanye ukungakhululeki esiswini.
• Ukudumba: Ukuziva uqumbile kwaye uqumbile.
• Urhudo okanye umkhuhlane: Ezi mpawu zinokwenzeka ukuba ukudumba kukhulu.
• Ukuva iqhuma esiswini: Ngamanye amaxesha, xa usiva isisu ngaphandle, indawo etyebileyo ingavakala ngathi yiqhuma.
• Isicaphucaphu, ukuhlanza, kunye nokunciphisa umzimba: Kunqabile kakhulu, le tissue ityebileyo ingavimba amathumbu amancinci. Kulapho kuvela khona iimpawu ezifana nesicaphucaphu, ukuhlanza, kunye nokunciphisa umzimba.

Kutheni olu hlobo lwesifo lusenzeka? Yintoni unobangela?

Inyaniso kukuba, unobangela ochanekileyo woku awukafunyanwa , kodwa into ethethwa ngoogqirha kukuba kusenokwenzeka ukuba sisifo esibangelwa kukuzikhusela komzimba .

Ngamafutshane, umsebenzi wenkqubo yethu yokuzikhusela kukuzikhusela kukulwa neentsholongwane ezibangela izifo. Kodwa kwisifo esibangelwa kukuzikhusela komzimba, inkqubo yethu yokuzikhusela komzimba iqala ngempazamo ukuhlasela izicubu zethu eziphilileyo. Olu hlaselo lubangela ukudumba okungapheliyo.

Abantu abaninzi abafumana i-sclerosing mesenteritis banembali yosapho lwabo yezinye izifo ezizikhuselayo emzimbeni. Kwakhona kukholelwa ukuba le meko ngamanye amaxesha inokubangelwa luxinzelelo lomzimba, olufana notyando, usulelo, okanye umhlaza.

Ugqirha uxilonga njani esi sifo? (Uxilongo)

Emva kokumamela iimpawu zakho, ukuba ugqirha urhanela ukuba esi sifo sikhona, uza kukuthumela kwiimvavanyo ezininzi.

1. Iiskeni (Umfanekiso)

• I-ultrasound scan: Olu luvavanyo olukhawulezayo nolulula olunokwenziwa ukuchonga iimpawu zakuqala.
• I-CT scan okanye i-MRI scan: Ezi ziimvavanyo ezinobuzaza ngakumbi. Ezi scan zinokubonisa izinto ezinje ngokutyeba kwe-mesentery kunye nezicubu ezibomvu ngokucacileyo.
• I-PET scan: Ngamanye amaxesha kunokuba nzima ukubona kwi-CT okanye kwi-MRI scan ukuba yi-Sclerosing Mesenteritis okanye umhlaza. Kwiimeko ezinjalo, i-PET scan inokunceda. Apha, kufakwa into ene-radioactive emzimbeni. Ekubeni iiseli zomhlaza zifunxa le nto ngaphezu kweeseli eziqhelekileyo, inokuchongwa ngokucacileyo ukuba ngumhlaza.

2. Uvavanyo lwebhayoloji

Ukuba ezi mvavanyo zingasentla azikacaci, uvavanyo lokugqibela luvavanyo lwe-biopsy. Kule meko, kuthathwa iqhekeza elincinci kakhulu lesicubu kwindawo etyebileyo ye-mesentery kwaye lihlolwe phantsi kwe-microscope. Le sampuli yesicubu idla ngokuthathwa ngokufaka inaliti encinci esiswini. Kwabanye abantu, le sampuli inokufuneka ithathwe ngotyando oluncinci, olufana ne-laparoscopy.

Zithini iindlela zonyango zoku?

Iindaba ezimnandi zezokuba uninzi lwabantu aludingi naluphi na unyango . Le meko idla ngokuziphelela. Ukuba awunazo iimpawu, okanye uziva ubuhlungu obuncinci, ugqirha wakho unokucebisa ukuba ungathathi naluphi na unyango kwaye ulinde nje ukuba luphele.

Nangona kunjalo, ukuba iimpawu ziyaqhubeka okanye ziphazamisana nobomi bakho bemihla ngemihla, kukho amayeza aliqela anokuthi ugqirha wakho akunike wona.

• IiCorticosteroids: Umzekelo, iPrednisone. Ezi zilawula ukudumba emzimbeni.
• Izinto ezithintela amasosha omzimba: Umzekelo, i-azathioprine. Ezi zisebenza ngokunciphisa umsebenzi wenkqubo yomzimba yokuzikhusela engasebenzi kakuhle.
• Unyango lweHormonal: Amayeza afana neTamoxifen nawo ngamanye amaxesha ayasetyenziswa.

Ngaba le meko ingalawulwa ngokutya nokusela?

Ukulandela ukutya okulwa nokuvuvukala kunokunceda ukunciphisa ukuvuvukala emzimbeni, ingakumbi kwinkqubo yokugaya ukutya. Oku kusenokungayinyangi ngokupheleleyo iSclerosing Mesenteritis , kodwa kunokunceda ukulawula iimpawu ngandlela ithile.

Kalula nje, ukutya okulwa nokuvuvukala yile:

• Ukubeka phambili ukutya okutsha kwendalo (ukutya okupheleleyo) endaweni yokutya okupakishwe kakuhle, okucutshungulweyo.
• Ukutya ukutya okuninzi okunamafutha asempilweni nangenamafutha (umz., i-omega-3).
• Ukongeza imifuno emitsha, iziqhamo, kunye nemifuno ekutyeni kwakho.

Kungcono ukuthetha nogqirha wakho ngale nto, kwaye ukuba kuyimfuneko, cela ingcebiso kwingcali yesondlo.