Ingabe ngezinye izikhathi uzwa ubuhlungu besisu obungacacile, ukuqunjelwa, noma umuzwa ongajabulisi ngaphakathi esiswini sakho? Mhlawumbe uzizwa ubuthakathaka ngokomzimba, ukhathele, noma uphethwe umkhuhlane omncane. Nakuba sivame ukunganaki lezi zimpawu, ngezinye izikhathi zingakhomba isimo, nakuba singaziwa kabanzi, kubalulekile ukusiqonda. Namuhla e -Nirogi Lanka , sixoxa nge -Mesenteric Panniculitis . Nakuba igama lingase lizwakale liyinkimbinkimbi, ake silihlukanise ngamagama alula.
Kuyini i-Mesenteric Panniculitis? Ake sikugcine kulula.
Kalula nje, i-Mesenteric Panniculitis ukuvuvukala kwe- mesentery , isakhiwo esibucayi esiswini sakho. Ungase uzibuze, iyini ngempela i-mesentery?
Cabanga nge-mesentery njengesakhiwo esifana nekhethini esisiza ukugcina amathumbu akho ehlelekile futhi siwavimbele ukuthi angabambeki. Njengoba inamathele odongeni lwangemuva lwesisu sakho, ibamba amathumbu akho amancane namakhulu endaweni yawo. Empeleni, iyisakhiwo sezicubu ezixhumanisayo esigcina imithambo yegazi ebalulekile kanye nama-lymph node ahlinzeka ngamathumbu akho. Yakhiwa ngokuyinhloko izicubu zamafutha (amafutha omzimba) ezitholakala phakathi kwemiphetho emibili ye- peritoneum lining.
Ku-Mesenteric Panniculitis, ungqimba lwamafutha ngaphakathi kwale mesentery luba nokuvuvukala okungapheli . Lokhu kuvuvukala kulimaza amaseli amafutha, okubangela ukuba afe, inqubo eyaziwa ngokuthi i-fat necrosis . Ngokuhamba kwesikhathi, le ndawo eyonakele ingaqala ukukhiqiza i-fibrosis (izibazi) .
Okubaluleke kakhulu, ezimweni eziningi, asikho isizathu esibonakalayo salokhu kuvuvukala. Kubonakala sengathi kwenzeka ngaphandle kwezinto ezivame ukubangela lokhu kuvuvukala njengokutheleleka, ukulimala, noma umdlavuza. Ngokwezokwelapha, lapho kuvela isimo ngaphandle kwesizathu esicacile, sibiza ngokuthi idiopathic .
Ingabe i-Mesenteric Panniculitis kanye ne-Sclerosing Mesenteritis ziyafana?
Lokhu kuyindaba eqhubekayo yempikiswano phakathi kochwepheshe bezokwelapha. Abaningi bakholelwa ukuthi lezi zimo ezimbili ziyafana. Abanye bathi i-Sclerosing Mesenteritis imane nje uhlobo oluthuthuke kakhulu noma olubi kakhulu lwe-Mesenteric Panniculitis. Abanye baze bacabange ukuthi yizimo ezihlukile ezinezindlela ezahlukene zokukhula. Ngokuvamile, i-Mesenteric Panniculitis ibhekwa njengezinzile futhi iyelapheka, kanti abanye basikisela ukuthi i-Sclerosing Mesenteritis ingaba nohlobo oluthuthukayo.
Inselele yangempela isalokhu ukuthi asiqondi ngokugcwele ukuthi kungani ukuvuvukala kokuqala kwenzeka kuzo zombili izimo. Yingakho kunzima ukubikezela ukuthi kungani abanye abantu beba nezimpawu ezinzima kakhulu kunabanye. Noma kunjalo, kubantu abaningi abanokuvuvukala okungavamile kwe-mesentery, lesi simo sizinzile futhi siyalawuleka. Kodwa-ke, ezimweni ezimbalwa, lesi simo singaba sibi kakhulu, sandise ukuvuvukala ngale kwe-mesentery.
Ingabe lesi simo siyingozi noma sisongela ukuphila?
Ngokuvamile, i-Mesenteric Panniculitis akuyona inkinga esongela impilo . Izinkinga ezinkulu azivamile. Iningi labantu liba nezimpawu ezincane kuya kweziphakathi kuphela, futhi kwezinye izimo, izimpawu zingaphela zodwa ngaphandle kokwelashwa.
Kodwa-ke, kungabangela ukungakhululeki nobuhlungu, yingakho ezinye iziguli zidinga ukwelashwa. Akuvamile kakhulu, lesi simo singaphazamisa ukusebenza kohlelo lwakho lokugaya ukudla . Isibonelo, uma ukuvuvukala okubangelwa ukuvuvukala noma izicubu zesilonda ziba ziningi, kungase kuvimbele ukudlula kokudla emathunjini akho amancane , okuholela ekuvinjweni kwamathumbu . Sicela uqaphele ukuthi lokhu akuvamile kakhulu.
Kuvame kangakanani lokhu, futhi ubani osengozini enkulu?
Lesi akusona isimo esivamile, esithinta cishe abantu abayi-1.5%Ngenxa yokuthi izimpawu zivame ukungabonakali futhi zifana nezinye izinkinga ezivamile zokugaya ukudla, kungenzeka ukuthi izimo eziningi azitholakali.
I-Mesenteric Panniculitis ivame ukutholakala kubantu abaneminyaka engaphezu kwengu-60 . Ayivamile kakhulu kubantu abangaphansi kweminyaka engu-20. Ezinye izifundo ziphakamisa ukuthi amadoda cishe aphindwe kabili amathuba okuthintwa yilesi simo kunabesifazane.
Kungani lokhu kuvuvukala kwenzeka? Ziyini izimbangela?
Ngokuvamile, ukuvuvukala kuyindlela yokuzivikela yomzimba ekuthelelekeni, ekulimaleni, noma ekuguleni. Lokhu kuhlala kunjalo nasezicutshini ze-mesenteric. Ukuvuvukala kuwumsebenzi wesimiso sakho somzimba sokuzivikela , esisebenza ukwelapha izicubu nokulwa namagciwane .
Kodwa-ke, akuvamile lapho lokhu kuvuvukala kwenzeka ngaphandle kwesizathu esicacile noma ukulimala okudinga ukwelashwa. Kunjengokungathi isimiso somzimba sokuzivikela senze iphutha ekwahluleleni.
Izici ezingenzeka ezihlobene ne-Mesenteric Panniculitis:
Ochwepheshe bezokwelapha basola ukuthi i-Mesenteric Panniculitis ingaba yisifo esibangelwa ukuzivikela komzimba . Lokhu kusho ukuthi isimiso somzimba sokuzivikela komzimba sihlasela ngephutha izicubu zaso ezinempilo ngaphandle kwesizathu esicacile. Izimo ezinjalo zokuzivikela komzimba ngezinye izikhathi zingase zivele emindenini. Ngaphezu kwalokho, isenzakalo sesikhashana, njengokutheleleka ngegciwane, singase sibangele isimiso somzimba sokuzivikela komzimba, okubangela impendulo yokuvuvukala ukuba iqhubeke isikhathi eside ngemva kokuba ukutheleleka kokuqala sekuphelile. I-Mesenteric Panniculitis ihlotshaniswa nokukhubazeka okunjalo kwamasosha omzimba.
Ake sibheke izibonelo ezimbalwa:
- Ukuhlinzwa : Ucwaningo lubonisa ukuthi cishe ama-5% eziguli athola i-mesenteric panniculitis ngemva kokuhlinzwa kwesisu.
- Ukutheleleka: Ukutheleleka kwangaphambilini nakho kungadala lesi simo. Izifundo ziphakamisa ukuxhumana nomlando wokutheleleka okungapheli, okuhlanganisa:
- Isifo sofuba
- Umkhuhlane we-typhoid
- Ikholera
- I-Syphilis
- Isifo sikaWhipple
- Umdlavuza : Ezimweni ezingaba ngu-30%, lesi simo sihlotshaniswa nokuxilongwa komdlavuza kwamanje noma kwangaphambilini (ngokuvamile okutholakala ngaphandle kwe-mesentery). Izibonelo zifaka:
- I-Lymphoma
- Izimila ze-carcinoid
- Umdlavuza wamathumbu amakhulu
- Umdlavuza wezinso
- Umdlavuza we-prostate
- Ezinye Izimo Zokuqhekeka Kwesikhumba: I-Mesenteric panniculitis ingenzeka kanye nezinye izimo ezibonakala ngokuvuvukala kanye nezibazi (i-sclerosis noma i-fibrosis) kwenye indawo emzimbeni. Lokhu kusikisela inqubo eyisisekelo yomzimba. Izibonelo zifaka:
- I-fibrosis ye-Retroperitoneal
- Isifo sikaSjogren
- I-sclerosing pancreatitis
- I-nodular panniculitis
- Isifo sikaCrohn
Ziyini izimpawu ze-Mesenteric Panniculitis?
Abanye abantu abanazo nhlobo izimpawu , kanti abanye bangase babhekane nezinkinga ezahlukahlukene.
Uphawu oluvame kakhulu ubuhlungu besisu. Ukuvuvukala kungabangela ukungakhululeki okukhulu, okuvame ukuhambisana nokuvuvukala kwama-lymph node ku-mesentery.
Ngaphezu kobuhlungu besisu, ungase uzwe:
- Ukuqunjelwa kwesisu
- Ukuvuvukala kwesisu
- Ukusutha kusenesikhathi noma ukulahlekelwa yisifiso sokudla
- Isicanucanu nokuhlanza
- Ukuqunjelwa noma isifo sohudo
- Ukwehlisa isisindo okungachazeki
Lezi zimpawu zivame ukuvela lapho ukuvuvukala kuqala ukuthinta umgudu wokugaya ukudla.
Ngaphezu kwalokho, ungase uqaphele izimpawu zomzimba —lezo ezithinta umzimba wonke hhayi isisu kuphela. Izimpawu ezifana nomkhuhlane nokukhathalakuvamile njengoba amasosha omzimba wakho esabela ekuvuvukeni.
Lesi simo sitholakala kanjani?
Ngenxa yokuthi lesi simo asivamile futhi izimpawu zaso zivame ukulingisa ezinye izifo, ukuxilongwa kungaba nzima. Udokotela wakho cishe kuzodingeka akhiphe izimo ezivame kakhulu kuqala.
Ukuhlolwa kokuqala kuvame ukuhilela ukuhlolwa kwegazi ukuhlola izimpawu zokuvuvukala. Uma udokotela wakho esola i-mesenteric panniculitis, uzosebenzisa izivivinyo ze-imaging (radiology) ukufuna izimpawu ezihlukile.
I -MRI noma i-CT scan ivame ukusetshenziswa ukuhlonza lesi simo. Udokotela we-X-ray uzobheka ukuqina kwe-mesentery, izimpawu ze-fat necrosis, kanye ne-fibrosis. Kwezinye izimo, izicubu ezinamafutha eziqinile zingafana ne-mass. Nakuba ama-lymph node e-mesenteric angase avuvuke, ukungabikho kokubandakanyeka kwemithambo yegazi kuvame ukusiza ukuhlukanisa lokhu nomdlavuza.
Ukuphela kwendlela yokuqinisekisa ukuxilongwa ngokuqinisekile iwukuhlolwa kwe -biopsy , okuhilela ukuthatha isampula encane yezicubu ngokuhlinzwa ukuze kuhlaziywe elebhu. Kodwa-ke, lokhu akudingeki ngaso sonke isikhathi; uma udokotela wakho esola i-mesenteric panniculitis futhi usabela kahle ekwelashweni okunqunyiwe, lokhu kuthuthuka kwezokwelapha kuvame ukuqinisekisa ukuxilongwa.
Iphathwa kanjani? Ingabe imithi iyadingeka njalo?
Akuwona wonke umuntu one-mesenteric panniculitis odinga ukwelashwa. Uma ungenazo izimpawu noma ukungakhululeki okuncane, udokotela wakho angase ancome indlela "yokulinda nokubuka" . I-Mesenteric panniculitis ngokuvamile ayibi yimbi ngokuhamba kwesikhathi futhi, ezimweni eziningi, ingaxazululeka yodwa.
Kodwa-ke, uma unezimpawu, ukwelashwa okujwayelekile kuyatholakala:
- Ama-Corticosteroids: Lawa ayindlela yokuqala yokwelapha ukunciphisa ukuvuvukala nokuphatha izimpawu ngempumelelo.
- Udokotela wakho angase futhi akunikeze imithi esekelayo yemiphumela emibi njengesicanucanu. Sicela uqaphele ukuthi lokhu kwelashwa kusebenza kancane kancane, ngakho kungathatha amasonto ambalwa ukuthi izimpawu ziphele.
Uma ama-corticosteroids engasebenzi kahle, udokotela wakho angase acabangele ama-immunosuppressants ukuze athulise isimiso somzimba sokuzivikela esisebenza ngokweqile noma i-naltrexone (LDN) ephansi , esiza ekulawuleni ukusebenza komzimba. Odokotela bavame ukusebenzisa indlela yokuzama nokuthola amaphutha ukuthola ukwelashwa okuphumelelayo kakhulu kwezimpawu zakho ezithile.
Uyini umbono wesikhathi eside?
Sekukonke, i-mesenteric panniculitis ngokuvamile iyisimo sesikhashana. Iziguli eziningi ziyalulama ngezinkinga ezincane noma ezingenazo nhlobo isikhathi eside.
Uma uphakathi kwabantu abambalwa ababhekana nezimpawu ezingamahlalakhona, isimo sakho cishe sizosabela kahle emithini. Inani elincane kakhulu leziguli liba nezinkinga ezinkulu njengokuvaleka kwamathumbu amancane. Ezimweni ezingavamile, kungadingeka ukuhlinzwa ukuze kususwe ukuvimba okunjalo.
Ingabe ukudla kungasiza?
Yebo, ukuthatha ukudla okulwa nokuvuvukala kungasiza ekunciphiseni ukuvuvukala komzimba, ikakhulukazi endleleni yakho yokugaya ukudla. Nakuba ukudla kuphela kungase kungayiqedi i-mesenteric panniculitis, kungathuthukisa kakhulu indlela ozizwa ngayo futhi kusize ekuphatheni izimpawu zakho.
Ukudla okulwa nokuvuvukala kugxila ekubekeni phambili ukudla okuphelele, okwemvelo kunezinye izindlela ezicutshunguliwe, ezenziwe ngokwenziwa. Kugcizelela nokubaluleka kokufaka amafutha anempilo, angagcwele ohlelweni lwakho lwansuku zonke.
Uma une-Mesenteric Panniculitis, zama ukunciphisa noma ugweme ukudla okulandelayo:
- Inyama ebomvu
- Inyama ecutshunguliwe (isb. amasoseji, ama-meatball)
- Ukudla okuthosiwe
- Ukudla okulula okupakishiwe
- Ama-carbohydrate acwengisiwe (isib. isinkwa esimhlophe esenziwe ngofulawa ocwengisiwe)
- Imikhiqizo enoshukela omningi (isb., ama-soda anoshukela)
- Amafutha agcwele (isib., imajarini, ukudla okufushane, amafutha ezilwane)
- Utshwala
Faka okunye kwalokhu kudla okulwa nokuvuvukala ekudleni kwakho:
- Izithelo eziphelele, okusanhlamvu, nemifino
- Imifino eluhlaza enamaqabunga (isb. isipinashi)
- Inhlanzi (isib. i-salmon ne-tuna, ezicebile ku-Omega-3)
- Amafutha ezitshalo (isb., amafutha omnqumo, amafutha e-canola)
- Amantongomane (isb., ama-alimondi, ama-walnuts)
- I-Turmeric
Ukudla kwaseMedithera kuyindlela yokudla yemvelo yokulwa nokuvuvukala. Kugxile ekudleni okuphelele kanye nemithombo yamafutha enempilo njenge-Omega-3 fatty acids etholakala ezinhlanzini, amantongomane, namafutha omnqumo.
I-Mesenteric Panniculitis yisimo esingavamile esisacwaningwa. Ngenhlanhla, abantu abaningi bayalulama ngokushesha. Kodwa-ke, kungokwemvelo ukuzizwa ukhathazekile lapho ubhekene nezimpawu eziqhubekayo noma ezikhathazayo zesimo esingaqondwa ngokugcwele. Ngenkathi ukwelashwa kwe-Mesenteric Panniculitis kusathuthuka, udokotela wakho eNirogi Lanka uzosebenzisana nawe eduze ukuthuthukisa uhlelo lokuphatha isinyathelo ngesinyathelo oluhambisana nezidingo zakho ezithile.
Umlayezo Wokuya Nawe Ekhaya
I-Mesenteric Panniculitis ukuvuvukala kwezicubu ezinamafutha ngaphakathi kwe-mesentery, ulwelwesi olunamathisela amathumbu akho odongeni lwesisu.
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* Ngokuvamile akuyona ingozi futhi ivame ukuzixazulula yodwa.
* Nakuba imbangela eqondile ingakaziwa, kukholakala ukuthi ihlobene nezimo zokuzivikela komzimba .
* Uphawu oluyinhloko ubuhlungu besisu , obungase buhambisane nokuqunjelwa, isicanucanu, noma ukukhathala.
* Ukuxilongwa kuvame ukuhilela ukuskena kwe-CT noma i-MRI ; kwezinye izimo, kungase kudingeke i-biopsy.
* Akuwona wonke umuntu odinga ukwelashwa. Kulabo abanezimpawu eziqhubekayo, imithi efana ne-corticosteroids inganikeza impumuzo.
* Ukwamukela ukudla okulwa nokuvuvukala kungasiza ekulawuleni izimpawu zakho ngempumelelo.
* Uma uhlangabezana nezimpawu eziqhubekayo, sicela uxhumane nomhlinzeki wakho wezempilo . Qiniseka ukuthi lesi yisimo esilawulekayo ngokunakekelwa okufanele.
I-Mesenteric Panniculitis, ukuvuvukala kwesisu, ubuhlungu besisu, i-mesentery, izicubu ezinamafutha, izifo zokuzivikela komzimba, ukulawula ukudla, ukwelashwa, izimpawu, i-CT scan, i-MRI scan
