Ngaba nawe unayo le ngxaki esiswini sakho? Masifunde ngeSclerosing Mesenteritis!

Ngaba wakha weva ngesi sifo esibizwa ngokuba yiSclerosing Mesenteritis? Mhlawumbi akunjalo, akunjalo? Yimeko engaqhelekanga kakhulu, nto leyo ethetha ukuba abantu abaninzi abayifumani. Kodwa kulungile ukwazi okuncinci ngayo. Kuba ngamanye amaxesha thina, okanye umntu esimaziyo, sinokuva ngezinto ezinje. Makhe sibone ukuba yintoni, kwenzeka njani, zithini iimpawu, kwaye ngaba kukho unyango.

Yintoni le mesenteritis yesclerosing?

Ngamafutshane, i-sclerosing mesenteritis sisifo esingaqhelekanga esichaphazela inxalenye ye-mesentery yakho. Ngoku mhlawumbi uyazibuza ukuba yintoni i-mesentery. Yila zicubu ezinceda ukubamba amathumbu akho eludongeni olungasemva lwesisu sakho. Ifana nekhethini, ukuba nditsho ngqo. Igama elithi "Mesenteritis" libhekisa ekuvuvukeni, okuthetha ukudumba, kule mesentery. Igama elithi "Sclerosing" libhekisa ekuvuvukeni nasekuqineni. Ngoko ke, kwi-sclerosing mesenteritis, kukho ukudumba kwexesha elide kwale mesentery. Ekuhambeni kwexesha, oku kudumba kubangela amanxeba (fibrosis) kwizicubu, eziqina kancinci kancinci. I-mesentery yakho yinxalenye ye-visceral peritoneum, ejikeleze amalungu esiswini sakho kwaye inceda ukuwabamba endaweni yawo. Yenziwe ngamaleya amabini e-membrane (peritoneum) agotywe kabini, kunye nomaleko wezicubu ezinamafutha (izicubu zamafutha) phakathi. Kwi-sclerosing mesenteritis, oku kudumba kuchaphazela umaleko wezicubu ezinamafutha embindini. Yiyo loo nto loo nxalenye iba nkulu kwaye iqine. Ngamanye amaxesha oku kungenzeka kwindawo enye okanye kwiindawo ezininzi. Xa kujongwa kwiimvavanyo ze-radiological, ezi zinokubonakala ngathi ziithumba.

Ingaba le yimeko engapheliyo?

Ewe, eneneni yimeko engapheliyo. Kuba ukuze izicubu zibe namanxeba aneleyo okuqina (i-sclerosis), kufuneka kubekho ukudumba ixesha elide. Oku akwenzeki ngaxeshanye, kwenzeka ngamanqanaba. Okokuqala, umaleko wamafutha uyaqhekeka kancinci kancinci. Emva koko, iintlobo ezahlukeneyo zeeseli ziyafika zize zijoyine izicubu. Ekugqibeleni, kuvela amanxeba. Ngoko ke, ngaloo ndlela, i-sclerosis mesenteritis sisifo esingapheliyo nesiqhubekayo. Kodwa oko kuthethiweyo, ayisoloko isiba mandundu. Kwiimeko ezininzi, inokuphela yodwa.

Ngaba i-Sclerosing Mesenteritis kunye ne-Mesenteric Panniculitis ziyafana?

Oogqirha abaninzi bacinga ukuba zombini ezi meko ziyafana. Bazichaza zombini njengokuvuvukala "okungaqhelekanga" kwe-mesentery. Oko kukuthi, ukudumba kubonakala ngathi kwenzeka ngequbuliso, ngaphandle kwesizathu esithile. Nangona kunjalo, abanye bathi igama elithi "sclerosing mesenteritis" kufuneka lisetyenziswe ukuchaza uhlobo olubi kakhulu lwesifo, okanye uhlobo oluntsonkothileyo apho iimpawu bezikho ixesha elide. Igama elithi "Mesenteric panniculitis" lithetha "ukudumba kwezicubu ezinamafutha ze-mesentery." Ekubeni eli gama lingabhekiseli kwi-scarring (sclerosis), abanye bathi igama elithi "mesenteric panniculitis" kufuneka lisetyenziswe ukuchaza inqanaba lokuqala lokudumba, oko kukuthi, inqanaba ngaphambi kokuba kwenzeke i-scarring. Bathi xa i-scarring iqala ukwakheka, kuthetha ukuba isifo sihambele phambili kwaye kunokuba nzima ukunyanga.

Ngubani ochaphazeleka kakhulu yile meko?

I-Sclerosing mesenteritis yimeko engaqhelekanga kakhulu. Ichaphazela malunga ne-0.6% yabemi. Njengoko kuxelwe amatyala angama-200 kuphela ukuza kuthi ga ngoku, sisafunda ngayo. Ihlala ichaphazela abantu abangaphezu kweminyaka engama-50 ubudala. Abantu abaninzi abafumana esi sifo banembali yeentsapho zabo yezifo ezizikhuselayo. Kwakhona, uphando lubonisa ukuba malunga nama-60% ezigulana ziye zanomhlaza okanye ngoku zinomhlaza, ingakumbi i-lymphoma.

Ngaba iSclerosing Mesenteritis ngumhlaza?

Hayi, lo asingomhlaza wodwa. Kodwa udla ngokunxulunyaniswa nomhlaza. Esinye isizathu sokudumba okungapheliyo ngumhlaza. Kwaye usulelo lolunye. Uphando lubonisa ukuba abantu abanokuvuvukala ngenxa yesi sizathu banamathuba amaninzi okufumana i-sclerosing mesenteritis. Kungathi i-mesentery yabo "ithatha indawo" yokudumba kwaye iqhubeke nokwenza njalo. Izicubu zesilonda zikhula njengomhlaza, kodwa azisasazeki. Kodwa ngamanye amaxesha zinokubonakala ngathi "ziyasasazeka." Zinokubonakala njengomhlaza kwi-x-rays. Kwi-sclerosing mesenteritis, inqwaba eqinileyo, eqinileyo yezicubu zesilonda ihlala ibonakala kwindawo enye kwi-mesentery, njengethumba. Iimpawu zazo zombini iimeko ngamanye amaxesha zinokufana. Ngoko oogqirha kufuneka bathathe ixesha kwaye benze iimvavanyo ezimbalwa ukuze bahlukanise phakathi kwezi zimbini.

Zingaba yintoni iimpawu?

Cinga nje, abantu abaninzi banokuba nale meko ngaphandle kweempawu , kwaye abazi nokuba banayo. Iimpawu eziqhelekileyo ziintlungu zesisu kunye nokudumba.Ukuba ukudumba kukhulu, usenokuba norhudo okanye umkhuhlane. Usenokuziva nengqumba evakalayo esiswini sakho. Kunqabile kakhulu, olu ngqumba lunokubangela ukuvaleka kwamathumbu akho amancinci. Oku kunokubangela ezinye iimpawu ezifana nokucaphuka, ukuhlanza, kunye nokwehla kobunzima.

Yintoni isizathu soku?

Isizathu esichanekileyo asikaziwa okwangoku. Kodwa oogqirha bacinga ukuba isenokuba luhlobo lwesifo sokuzikhusela komzimba . Oko kukuthi, ukudumba kubangelwa yimpendulo engafanelekanga okanye egqithisileyo yinkqubo yomzimba yokuzikhusela. Inkqubo yakho yokuzikhusela yomzimba idla ngokusebenzisa ukudumba ukulwa neentsholongwane ezingena emzimbeni nokuphilisa izicwili ezonakeleyo. Xa inkqubo yakho yokuzikhusela yomzimba iqalisa ukusebenza kakhulu ngaphandle komngcipheko ocacileyo, ibizwa ngokuba yimpendulo yokuzikhusela komzimba. Kukho iintlobo ezahlukeneyo zezifo zokuzikhusela komzimba ezibangela ukudumba okungapheliyo kwiindawo ezahlukeneyo zomzimba. Asazi kakuhle ukuba kutheni zikhula, kodwa kubonakala ngathi zinento ethile yemfuza, kwaye zinokubangelwa luxinzelelo lomzimba, njengokugula okanye ukwenzakala. Abantu abafumana i-sclerosing mesenteritis badla ngokuba nembali yosapho yezifo zokuzikhusela komzimba, kwaye ngamanye amaxesha banokuba nezinye izifo zokuzikhusela komzimba.

Indlela yokuxilonga ngokuchanekileyo esi sifo?

Ugqirha ulandela amanyathelo aliqela ukuze afumanise esi sifo.

Uvavanyo lokuFanekisa

Ugqirha wakho uza kuthatha imifanekiso ye-x-ray ye-mesentery ukujonga iimpawu ze-sclerosing mesenteritis.

• Okokuqala, ungenza i -ultrasound yesisu. Luvavanyo olukhawulezayo nolulula.
• Ukuba kukho amathandabuzo malunga nale meko, baya kukuthumela kuvavanyo olunobuzaza ngakumbi. Olu vavanyo lungaba yi-" CT scan" (i-computed tomography scan ) okanye i-" MRI" (i-magnetic resonance imaging). Olu vavanyo lukhangela i-focal mass kunye neempawu zokuqhekeka kwezicubu kunye namanxeba (i-fibrosis) ajikeleze yona.
• Ukuba ezi mvavanyo azikwazi ukwahlula ngokucacileyo phakathi kwe-sclerosing mesenteritis kunye nomhlaza, i-"PET scan" (positron emission tomography) inokunceda ukuqinisekisa ukuxilongwa. Oku kubandakanya ukufaka into ekhuselekileyo, ene-radioactive "radioactive tracer" emzimbeni. I-"CT scan" okanye i-"MRI" isebenzisa le radiation.Imifanekiso iveliswa xa ifunyaniswa. Iiseli zomhlaza zifunxa le nto inemitha ye-radioactive ngaphezu kwezinye iiseli.

I-Biopsy

Ukuba konke okunye kuyasilela, ugqirha wakho unokufuna ukuthatha isampuli yezicubu ezivela kwi-mesentery ukuze ahlolwe i-biopsy. Ingcali yezifo iya kuhlalutya isampuli yezicubu ize yenze uxilongo lokugqibela. Le sampuli yezicubu idla ngokuthathwa ngenaliti efakwe esiswini. Abanye abantu banokufuna nenkqubo engangenisi kakhulu ebizwa ngokuba yi-laparoscopy ukuze bahlole i-mesentery baze bathathe isampuli. Oku kubandakanya ukufaka ikhamera ngenxeba elincinci.

Ziziphi iindlela zonyango lwe-Sclerosing Mesenteritis?

Iindaba ezimnandi zezokuba uninzi lwabantu aludingi nyango. I-sclerosing mesenteritis idla ngokuba yimeko ezithintelayo, ezithintelayo eziya zisiba ngcono ngokwazo. Usenokungabi nazo naziphi na iimpawu, okanye unokuba nokungonwabi okuncinci okunokulawulwa ngamayeza athengiswa ngaphandle kwe-odolo (OTC). Nangona kunjalo, ukuba uneempawu ezingapheliyo, ugqirha wakho uya kukunika amayeza ahlukeneyo okunyanga. Ezi zinokubandakanya:

• Ii-corticosteroids, ezifana ne-prednisone, zisetyenziselwa ukulawula ukudumba .
• Izinto ezithintela amasosha omzimba, ezifana ne-azathioprine, zinciphisa impendulo ye-autoimmune.
• Unyango lwehomoni , umzekelo i-tamoxifen.

Eyona nto ibalulekileyo kukufumana olu nyango phantsi kwengcebiso kagqirha. Kungathatha ixesha ukufumana unyango olufanelekileyo kuwe, ngoko ke kubalulekile ukuhlala unxibelelana nogqirha wakho.

Ithini ingxelo yokubikezela kwesi sifo?

Ingqikelelo yabantu abaninzi ilungile. Oko kukuthi, uninzi lwabantu luyachacha. Kodwa oku kunokwahluka kumntu nomntu. Uninzi lwabantu luneempawu ezincinci okanye eziphakathi, okanye kungabikho zimpawu kwaphela. Kodwa ngamanye amaxesha, inokuba yimeko enzima ngakumbi. Inokuhlala iintsuku ezimbalwa ukuya kwiminyaka eli-10. Uninzi lwexesha iyaphucuka ngokwayo, okanye ngamayeza, kodwa ngamanye amaxesha ayilunganga. Kusenokuthatha uvavanyo kunye neempazamo ukufumana unyango olusebenza kakuhle kuwe.

Ngaba ezi mpawu zingancitshiswa okanye zinyangeke ngokutya ukutya okunempilo?

Ukulandela ukutya okulwa nokuvuvukala kunokunceda ukunciphisa ukuvuvukala okungapheliyo emzimbeni wakho, ingakumbi kwinkqubo yakho yokugaya ukutya. Nangona kusenokungayinyangi ngokupheleleyo i-sclerosing mesenteritis, kunokwenza umahluko kwiimpawu zakho. Ukutya okulwa nokuvuvukala kukutya okugxile ekutyeni okupheleleyo endaweni yokutya okupakishwe kakuhle. Kukwagxininisa kumafutha asempilweni, angagcwaliyo njenge-omega-3s.

Okokugqibela, izinto ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

I-sclerosing mesenteritis yimfihlakalo, oko kuthetha ukuba yimeko enzima ukuyiqonda. Ingakumangalisa. Abanye abantu bayifumana emva kosulelo, utyando lwesisu, okanye umhlaza. Abanye bayifumana ngaphandle kwesizathu esicacileyo. Usenokuba neempawu, okanye ugqirha wakho angayifumana ngengozi. Kunokuba yinto ephazamisayo ukwazi ukuba unesifo esingaqondwa ngokupheleleyo. Yinto eqhelekileyo leyo. Kodwa ungakhathazeki. Ugqirha wakho uza kusebenza nawe ukukunceda uqonde. Ukufumana uxilongo oluchanekileyo kwaye, ukuba kuyimfuneko, ukufumana unyango olufanelekileyo yeyona nto ibalulekileyo. Ukuba unemibuzo okanye iinkxalabo malunga noku, ungoyiki ukubuza ugqirha wakho.