Ingabe unalobu buhlungu obungavamile noma ukungakhululeki esiswini sakho? Ake sixoxe nge-Mesenteric Panniculitis!

Ingabe ngezinye izikhathi uzizwa ubuhlungu obungacacile esiswini sakho, umuzwa wokugcwala, noma into engavamile esiswini sakho? Mhlawumbe nawe uzizwa ukhathele, unomkhuhlane omncane. Nakuba sivame ukunganaki kakhulu izimpawu ezinjalo, ngezinye izikhathi zingaba ngemuva kwazo. Namuhla sizokhuluma ngesifo esingaziwa kakhulu, kodwa okufanele ukwazi ngaso. Yilokhu odokotela abakubiza ngokuthi i-mesenteric panniculitis . Nakuba igama lingase libonakale lide kancane, masiliqonde kalula.

Kuyini i-Mesenteric Panniculitis? Masiyiqonde kalula.

Kalula nje, i-mesenteric panniculitis ukuvuvukala kwengxenye yesisu sethu ebizwa ngokuthi i-mesentery . Manje ungase uzibuze ukuthi iyini i-mesentery. Cabanga nje, kukhona uhlobo lwekhethini olusiza ukugcina amathumbu ethu ehlelekile futhi ngaphandle kokubhajwa ngaphakathi kwesisu. Lokhu kubizwa ngokuthi i-mesentery. Lokhu kunamathele odongeni lwangemuva lwesisu sethu futhi kubamba ingxenye yamathumbu ethu amancane namathumbu amakhulu. Ukuze kube sobala, lokhu kuyisakhiwo sezicubu ezixhumene. Ngaphakathi kwale mesentery kunemithambo yegazi nemithambo ye-lymph edingwa amathumbu ethu. Futhi, le mesentery yakhiwe ngezicubu ezinamafutha (izicubu zamafutha noma amafutha omzimba) ezitholakala phakathi kwemiphetho emibili ye-membrane ebizwa ngokuthi i-peritoneum . Endabeni ye-mesenteric panniculitis, kukhona ukuvuvukala kwesikhathi eside (ukuvuvukala okungapheli) kwengqimba yezicubu ezinamafutha kule mesentery eshiwoyo. Lokhu kuvuvukala konakalisa amaseli amafutha lapho futhi kubangele ukuba afe. ​​Lokhu kubizwa nangokuthi i-fat necrosis . Ngokuhamba kwesikhathi, izibazi (i-fibrosis) ziqala ukwakheka kulezi zindawo ezonakele. Into ebalulekile ukuthi ezimweni eziningi, asikho isizathu esicacile sokuvuvukala kwe-mesenteric panniculitis. Okusho ukuthi, kubonakala sengathi kwenzeka nje ngaphandle kwesizathu esivamile, njengokutheleleka, ukulimala, noma umdlavuza. Kwezokwelapha, izimo ezingenayo imbangela zibizwa ngokuthi i-idiopathic .

Ingabe i-mesenteric panniculitis kanye ne-sclerosing mesenteritis ziyizinto ezimbili ezihlukene? Ingabe ziyinto efanayo?

Empeleni lokhu kuyimpikiswano phakathi kodokotela. Abaningi bakholelwa ukuthi lezi zimo ezimbili ziyafana. Abanye bathi i-sclerosing mesenteritis uhlobo oluthuthuke kancane noma olunzima lwe-mesenteric panniculitis. Abanye bacabanga ukuthi kungaba yisifo esihlukile, esinendlela ehlukile yokwenza izinto. I-Mesenteric panniculitis ivame ukuqina futhi yelapheka. Kodwa-ke, kukhona nomqondo wokuthi i-sclerosing mesenteritis ngezinye izikhathi ingaba yimbi kakhulu. Inkinga yangempela ukuthi asikazi kahle ukuthi kungani ukuvuvukala okuyisisekelo kuzo zombili izimo kwenzeka. Yingakho kukhathaza kakhulu abanye abantu hhayi abanye. Kodwa-ke, singasho ukuthi iningi labantu abathola ukuvuvukala kwe-mesentery ngaphandle kwesizathu esibonakalayo banesimo esizinzile, esingelapheka. Kodwa-ke, enanini elincane kakhulu labantu, lesi simo singaba sibi kakhulu futhi ukuvuvukala kungadlulela ngale kwe-mesentery.

Ingabe lesi simo siyingozi? Ingabe singasongela ukuphila?

I-Mesenteric panniculitis ngokuvamile ayisona isimo esisongela ukuphila . Ayivamile ukubangela izinkinga ezinkulu. Iningi labantu linezimpawu ezincane noma eziphakathi. Ngezinye izikhathi, lezi zimpawu zingase ziphele ngaphandle kokwelashwa.

Kodwa-ke, lokhu kungabangela ukungakhululeki nobuhlungu. Ngakho-ke, abanye abantu kufanele bathathe imithi yokwelapha lokhu. Akuvamile kakhulu, lesi simo singaphazamisa ukusebenza kwamathumbu . Isibonelo, uma ukuvuvukala noma izicubu zesilonda ezibangelwa ukuvuvukala kwanda kakhulu, kungaphazamisa ukuhamba kokudla emathunjini ethu amancane . Lokhu kungabangela isimo esibizwa ngokuthi ukuvaleka kwamathumbu . Kodwa lokhu kwenzeka kaningi kakhulu.

Sivame kangakanani lesi simo? Ubani onamathuba amaningi okuba naso?

Lesi simo asivamile kakhulu. Kulinganiselwa ukuthi sithinta cishe u-1.5% wabantu. Kodwa-ke, ngenxa yokuthi izimpawu azihlali zikhona, futhi izimpawu ezenzekayo (njengobuhlungu besisu) zivame kakhulu futhi zivamile kwezinye izifo, ngezinye izikhathi zingatholakali. I-Mesenteric panniculitis ivame kakhulu kubantu abaneminyaka engaphezu kuka-60. Ayivamile kubantu abangaphansi kweminyaka engu-20. Ezinye izifundo ziphakamisa ukuthi amadoda anamathuba aphindwe kabili okuba nayo kunabesifazane.

Kungani kwenzeka ukuvuvukala kwe-mesentery? Ziyini izimbangela?

Ngokuvamile, ukuvuvukala kwenzeka endaweni ethile emzimbeni wethu ngenxa yokutheleleka, ukulimala, noma umdlavuza. Lokhu kuvamile nasezicutshini zethu ze-mesenteric. Ukuvuvukala kuyindlela yokusabela kwesistimu yethu yokuzivikela yomzimba.Impendulo. Ikhona ukusiza ukuphulukisa izicubu nokulwa namagciwane abangela ukutheleleka. Kodwa kuyamangaza kancane ukuthi lolu hlobo lokuvuvukala lwenzeka ngaphandle kwesizathu esisobala, ngaphandle kwesilonda esidinga ukuphola. Kufana nokuthi kukhona okungahambi kahle ngesimiso sethu somzimba sokuzivikela.

Nazi ezinye izinto okucatshangwa ukuthi zibangela i-mesenteric panniculitis:

Odokotela bacabanga ukuthi i-mesenteric panniculitis ingaba yisifo sokuzivikela komzimba . Lokhu kusho ukuthi isimiso sethu sokuzivikela komzimba, ngaphandle kwesizathu esibonakalayo, sihlasela izicubu zethu. Lolu hlobo lwesifo sokuzivikela komzimba luvame ukugijima emindenini. Lungavela futhi ngoba isimo sesikhashana (njengokutheleleka ngegciwane) sivuselela isimiso sokuzivikela komzimba, futhi impendulo yokuzivikela komzimba iyaqhubeka ngisho nangemva kokuba isimo sesiphelile. I-Mesenteric panniculitis nayo ixhunywe nalezi zimo. Nazi ezinye izibonelo:

• Ukuhlinzwa : Kubikwa ukuthi i-Mesenteric panniculitis yenzeka cishe ku-5% weziguli, ikakhulukazi ngemva kokuhlinzwa kwesisu.
• Ukutheleleka: Lesi simo singabangelwa nayizifo ezithile zangaphambilini. Ucwaningo luthole ukuthi:
• Isifo sofuba
• Umkhuhlane we-typhoid
• Ikholera
• I-Syphilis
• Lokhu kungenzeka kubantu abanomlando wezifo ezingamahlalakhona njengesifo sikaWhipple.
• Umdlavuza : Ngezinye izikhathi, i-mesenteric panniculitis yenzeka kubantu abake belashwa umdlavuza ngaphambilini, noma abanomdlavuza njengamanje, noma abazotholakala benomdlavuza (umdlavuza ongaphandle kwe-mesentery). Kubikwe ukuthi uhlotshaniswa nomdlavuza wangaphambilini noma wamanje cishe ku-30% wamacala. Izibonelo:
• I-Lymphoma
• Izimila ze-carcinoid
• Umdlavuza wamathumbu amakhulu
• Umdlavuza wezinso
• Umdlavuza we-prostate
• Ezinye izimo ze-sclerosing: Ngezinye izikhathi, i-mesenteric panniculitis ingenzeka nezinye izimo emzimbeni ezibangela ukuvuvukala kanye nezibazi (i-sclerosis noma i-fibrosis). Lokhu kusikisela ukuthi imbangela efanayo ye-mesenteric panniculitis ingabangela nokusabela okufanayo kwezinye izingxenye zomzimba. Izibonelo:
• I-fibrosis ye-Retroperitoneal
• Isifo sikaSjogren
• I-sclerosing pancreatitis
• I-nodular panniculitis
• Isifo sikaCrohn

Ziyini izimpawu ze-Mesenteric Panniculitis?

Abanye abantu bangase bangabi nazimpawu . Abanye bangase babe nezimpawu ezahlukahlukene. Uphawu oluvame kakhulu ubuhlungu besisu . Ukuvuvukala kungabangela ubuhlungu besisu. Ama-lymph node ase-mesentery nawo angavuvukala. Lezi yizimpawu ezivamile ze-mesenteric panniculitis. Abanye abantu bangase babe nobuhlungu besisu kanye nalezi zimpawu:

• Ukuqunjelwa kwesisu
• Ukuvuvukala kwesisu
• Ukuzizwa usuthi ngisho nangemva kokudla kancane, ukulahlekelwa yisifiso sokudla (Ukusutha kusenesikhathi noma ukulahlekelwa yisifiso sokudla)
• Isicanucanu nokuhlanza
• Ukuqunjelwa noma isifo sohudo
• Ukwehlisa isisindo

Lezi zimpawu zingavela uma ukuvuvukala kuthinta amathumbu. Futhi, abanye abantu bangase babe nezimpawu zomzimba , okusho izimpawu ezithinta umzimba wonke, hhayi nje indawo yesisu lapho kukhona khona i-mesentery. Izimpawu ezifana nomkhuhlane nokukhathala zivame kakhulu lapho amasosha ethu omzimba ehilelekile.

Uyithola kanjani ngokunembile lesi sifo? (Ukuxilongwa)

Ngenxa yokuthi yisifo esingavamile kakhulu futhi izimpawu azicacile (zifana nezinye izimo eziningi), kuvame ukuba nzima ukusixilonga. Udokotela wakho kungase kudingeke akhiphe ezinye izimo eziningi, ezivame kakhulu ngaphambi kokusola i-mesenteric panniculitis. Okokuqala, angenza ukuhlolwa kwegazi . Lokhu kungabonisa izimpawu zokuvuvukala. Ngemuva kwalokho, uma kusolwa i-mesenteric panniculitis, kusetshenziswa izivivinyo ze-imaging (radiology) ukubheka izimpawu ezihlukile. I-Mesenteric panniculitis ivame ukutholakala nge-MRI (Magnetic Resonance Imaging) scan noma i-CT (Computed Tomography) scan . Udokotela we-radiologist uzobheka ukuqina kwe-mesentery, izimpawu zokufa kwamangqamuzana amafutha (fat necrosis), kanye nezibazi (fibrosis). Ngezinye izikhathi izicubu ezinamafutha zingaba nkulu kakhulu endaweni eyodwa, zibukeke njengesimila. Uma ama-lymph node ku-mesentery evuvukele, kodwa imithambo yegazi ingathinteki, lena enye indlela yokuhlukanisa i-mesenteric panniculitis nomdlavuza. Okuwukuphela kwendlela yokuthola lesi simo ngokuqinisekile nge-biopsy.Lokhu kusho ukuthi ingxenye encane yezicubu ze-mesenteric iyasuswa ngesikhathi sokuhlinzwa bese ithunyelwa elabhorethri ukuze ihlolwe. Kodwa-ke, akuwona wonke umuntu odinga lolu hlobo lokuxilongwa okuqondile. Udokotela wakho kungenzeka ukuthi usenolwazi olwanele lokukunikeza imithi yokwelapha i-mesenteric panniculitis. Uma imithi isiza ekunciphiseni izimpawu zakho, lokho kuqinisekisa nokuxilongwa.

Kwenziwa kanjani ukwelashwa? Ingabe wonke umuntu uyayidinga imithi?

Eqinisweni, akubona bonke abantu abane-mesenteric panniculitis abadinga ukwelashwa. Uma ungenazo izimpawu noma izimpawu ezincane kakhulu, udokotela wakho angase anqume ukulinda nje abheke ukuthi isimo sakho siyathuthuka yini. I-mesenteric panniculitis ngokuvamile ayibi yimbi ngokuhamba kwesikhathi, futhi ivame ukuphela yodwa . Kodwa-ke, uma unezimpawu, kunemithi eminingana ejwayelekile odokotela abayisebenzisayo ukuze babelaphe.

• Ama-Corticosteroids: Lena imithi enciphisa ukuvuvukala. Ezimweni eziningi, le mithi ingalawula izimpawu. Lena yindlela yokwelapha yokuqala.
• Kwezinye izimo, udokotela wakho angase akunikeze imithi eyengeziwe ukusiza ngemiphumela emibi, njengesicanucanu. Le mithi isebenza kancane kancane, ngakho-ke kungathatha amasonto ambalwa ukuthi izimpawu ziphele ngokuphelele.

Uma ama-corticosteroids engasebenzi, udokotela wakho angase akunike ama-immunosuppressants . Le mithi isebenza ngokucindezela isimiso sakho somzimba sokuzivikela esisebenza ngokweqile. Noma, ungazama umuthi obizwa ngokuthi i-naltrexone (LDN) ephansi . Lokhu kusebenza futhi ngokushintsha isimiso somzimba sokuzivikela, kodwa ngendlela ehlukile. Odokotela basebenzisa inqubo yokuzama nokuthola iphutha ukuthola okusebenza kahle kakhulu ezimpawini zakho.

Kuzokwenzekani esikhathini esizayo ngalesi simo? (I-Outlook)

Ngokuvamile, i-mesenteric panniculitis ivame ukuba yisimo sesikhashana . Ungalulama ngaphandle kwezinkinga, noma ngezinkinga ezincane kuphela. Uma ungomunye wabantu abambalwa abanezimpawu zesikhathi eside, izimpawu zakho cishe zizosabela kahle emithini. Inani elincane kakhulu labantu liba nezinkinga ezinkulu, njengokuvaleka kwamathumbu amancane . Kulesi simo, kungadingeka ukuhlinzwa ukuze kususwe ukuvaleka.

Ingabe lokhu kungaqedwa ukudla neziphuzo? (Ukulawula ukudla)

Yebo, ukudla okulwa nokuvuvukalaUkulandela lokhu kudla kungasiza ekunciphiseni ukuvuvukala emzimbeni wakho, ikakhulukazi ohlelweni lwakho lokugaya ukudla. Nakuba kukodwa kungeke kwelaphe i-mesenteric panniculitis, kungenza umehluko ezimpawini zakho. Ukudla okulwa nokuvuvukala kuhilela ukudla ukudla okuphelele, okwemvelo esikhundleni sokudla okupakishwe, okucutshunguliwe. Kugcizelela namafutha anempilo, angagcwele.

Nciphisa noma uyeke ukudla lokhu kudla uma une-mesenteric panniculitis:

• Inyama ebomvu
• Inyama ecutshunguliwe (njengesoseji, ama-meatball)
• Ukudla okuthosiwe
• Ukudla okulula okupakishiwe
• Ama-carbohydrate acwengisisiwe (njengesinkwa esimhlophe esenziwe ngofulawa wesinkwa)
• Imikhiqizo enoshukela omningi (njengeziphuzo ezimnandi)
• Amafutha agcwele (njenge-margarine, i-shortening, amafutha ezilwane)
• Utshwala

Engeza ukudla okwengeziwe okulwa nokuvuvukala okufana nalokhu:

• Izithelo eziphelele, okusanhlamvu kanye nemifino
• Imifino eluhlaza enamaqabunga (njengesipinashi, i-kale)
• Inhlanzi (inhlanzi ecebile nge-omega-3 njenge-salmon ne-tuna)
• Amafutha ezitshalo (njengamafutha omnqumo, amafutha e-canola)
• Amantongomane (njengama-alimondi, ama-walnuts)
• I-Turmeric

Ukudla kwaseMedithera kuyindlela yokudla yemvelo yokulwa nokuvuvukala. Kugcizelela ukudla okuphelele namafutha anempilo njengezinhlanzi, amantongomane, namafutha omnqumo, acebile ngama -omega-3 fatty acids . I-Mesenteric panniculitis yisimo esingavamile okusadingeka sifundwe. Ngenhlanhla, abantu abaningi balulama ngokushesha. Kodwa-ke, uma izimpawu zakho zikhathaza noma ziqhubeka, kungakhungathekisa ukuba nesimo esingaqondakali ngokugcwele. Ukwelashwa kwe-mesenteric panniculitis kusesesigabeni sokucwaninga. Udokotela wakho uzosebenza nawe, isinyathelo ngesinyathelo, ukuthola ukwelashwa okukusebenzelayo.

Umlayezo Wokuya Nawe Ekhaya

I-Mesenteric panniculitis ukuvuvukala kwezicubu ezinamafutha ku-mesentery, ingxenye yesisu.

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* Lokhu ngokuvamile akulona ingozi , futhi ezimweni eziningi kungaphola ngokwako .

* Nakuba imbangela eqondile ingaziwa, kucatshangwa ukuthi iyisimo sokuzivikela komzimba .

* Uphawu oluyinhloko ubuhlungu besisu . Kodwa-ke, ukuqunjelwa, isicanucanu, kanye nokukhathala nakho kungase kwenzeke.

* I-CT noma i-MRI scan ingasiza ekuxilongweni. Kungadingeka ne-biopsy.

* Akuwona wonke umuntu odinga ukwelashwa. Labo abanezimpawu bangathola impumuzo ngemithi efana nama-corticosteroids .

* Ukulandela ukudla okunciphisa ukuvuvukala kungasiza ekulawuleni izimpawu.

* Uma uqhubeka nokuba nalezi zimpawu, funa iseluleko sezokwelapha nakanjani . Ungesabi, lesi yisimo esilawulekayo.

I-Mesenteric Panniculitis, I-Mesenteric Panniculitis, Ukuvuvukala kwesisu, Ubuhlungu besisu, I-Mesentery, Izicubu ezinamafutha, Izifo ezizimele, Ukudla, Ukwelashwa, Izimpawu, i-CT scan, i-MRI scan