Ingabe nawe unayo le nkinga esiswini sakho? Ake sifunde nge-Sclerosing Mesenteritis!

Wake wezwa ngalesi sifo esibizwa ngokuthi i-Sclerosing Mesenteritis? Mhlawumbe akunjalo, akunjalo? Yisimo esingavamile kakhulu, okusho ukuthi abantu abaningi ababa naso. Kodwa kuhle ukwazi okuncane ngaso. Ngoba ngezinye izikhathi thina, noma othile esimaziyo, singase sizwe ngezinto ezinjengalesi. Ake sibone ukuthi siyini, kwenzeka kanjani, yiziphi izimpawu, nokuthi kukhona yini ukwelashwa.

Iyini le mesenteritis ye-sclerosing?

Kalula nje, i-sclerosing mesenteritis yisifo esingavamile esithinta ingxenye ye-mesentery yakho. Manje cishe uyazibuza ukuthi iyini i-mesentery. Yizicubu ezisiza ukubamba amathumbu akho odongeni lwangemuva lwesisu sakho. Kufana nekhethini, uma kukhulunywa ngqo. Igama elithi "Mesenteritis" libhekisela ekuvuvukeni, okusho ukuvuvukala, kule mesentery. Igama elithi "Sclerosing" libhekisela ekuvuvukeni nasekuqineni. Ngakho-ke, ku-sclerosing mesenteritis, kukhona ukuvuvukala kwesikhathi eside kwale mesentery. Ngokuhamba kwesikhathi, lokhu kuvuvukala kubangela izibazi (fibrosis) ezicutshini, eziqina kancane kancane. I-mesentery yakho iyingxenye ye-visceral peritoneum, ezungeze izitho esiswini sakho futhi isize ukuzibamba endaweni yazo. Yakhiwe ngezendlalelo ezimbili ze-membrane (peritoneum) ezigoqwe kabili, kanye nengqimba yezicubu ezinamafutha (izicubu zamafutha) phakathi. Ku-sclerosing mesenteritis, lokhu kuvuvukala kuthinta ungqimba lwezicubu ezinamafutha phakathi. Yingakho leyo ngxenye iba nkulu futhi iqine. Ngezinye izikhathi lokhu kungenzeka endaweni eyodwa noma ezindaweni eziningana. Uma kubhekwa ezivivinyweni ze-radiological, lokhu kungabonakala njengezimila.

Ingabe lesi yisifo esingamahlalakhona?

Yebo, empeleni kuyisimo esingamahlalakhona. Ngoba ukuze izicubu zibe nezibazi ezanele ukuqina (i-sclerosis), kufanele kube nokuvuvukala isikhathi eside. Lokhu akwenzeki konke ngesikhathi esisodwa, kwenzeka ngezigaba. Okokuqala, ungqimba olunamafutha luyawohloka kancane kancane. Bese, izinhlobo ezahlukene zamaseli ziyafika zijoyine izicubu. Ekugcineni, kwakheka izicubu zesibazi. Ngakho-ke, ngalowo mqondo, i-sclerosing mesenteritis iyisifo esingamahlalakhona, esiqhubekayo. Kodwa lokho kusho ukuthi, ayibi yimbi njalo. Ezimweni eziningi, ingaphela yodwa.

Ingabe i-Sclerosing Mesenteritis kanye ne-Mesenteric Panniculitis ziyinto efanayo?

Odokotela abaningi babheka zombili lezi zimo njengezifanayo. Bazichaza zombili njengokuvuvukala "okungavamile" kwe-mesentery. Okusho ukuthi, ukuvuvukala kubonakala kwenzeka ngokuzumayo, ngaphandle kwesizathu esithile. Kodwa-ke, abanye bathi igama elithi "sclerosing mesenteritis" kufanele lisetshenziswe ukuchaza uhlobo olubi kakhulu lwesifo, noma uhlobo oluyinkimbinkimbi kakhulu lapho izimpawu bezikhona isikhathi eside. I-"Mesenteric panniculitis" isho "ukuvuvukala kwezicubu ezinamafutha ze-mesentery." Njengoba leli gama lingabhekiseli ekuqhekekeni (sclerosis), abanye bathi igama elithi "mesenteric panniculitis" kufanele lisetshenziswe ukuchaza isigaba sokuqala sokuvuvukala, okungukuthi, isigaba ngaphambi kokuba kuvele izibazi. Bathi lapho izibazi ziqala ukwakheka, kusho ukuthi lesi sifo sesithuthukile kakhulu futhi kungaba nzima ukuselapha.

Ubani othinteka kakhulu yilesi simo?

I-sclerosing mesenteritis yisimo esingavamile kakhulu. Sithinta cishe u-0.6% wabantu. Njengoba kubikwe amacala angaba ngu-200 kuphela kuze kube manje, sisafunda ngakho. Sivame ukuthinta abantu abangaphezu kweminyaka engu-50. Abantu abaningi abathola lesi sifo banomlando womndeni wezifo ezizimele. Futhi, ucwaningo lubonisa ukuthi cishe u-60% weziguli wake waba nomdlavuza noma okwamanje unomdlavuza, ikakhulukazi i-lymphoma.

Ingabe i-Sclerosing Mesenteritis ingumdlavuza?

Cha, lokhu akulona umdlavuza ngokwawo. Kodwa kuvame ukuhlotshaniswa nomdlavuza. Esinye sezimbangela zokuvuvukala okungapheli umdlavuza. Futhi ukutheleleka kungenye indlela. Ucwaningo lubonisa ukuthi abantu abanokuvuvukala ngenxa yalesi sizathu banamathuba amaningi okuthola i-sclerosing mesenteritis. Kunjengokungathi i-mesentery yabo "ithatha indawo" yokuvuvukala futhi iqhubeke nokwenza kanjalo. Izicubu zesibazi zikhula njengomdlavuza, kodwa azisabalali. Kodwa ngezinye izikhathi zingabonakala sengathi "ziyasabalala." Zingabonakala futhi njengomdlavuza kuma-x-ray. Ku-sclerosing mesenteritis, inqwaba eqinile, eqinile yezicubu zesibazi ivame ukubonakala endaweni eyodwa ku-mesentery, njengesimila. Izimpawu zazo zombili izimo ngezinye izikhathi zingafana. Ngakho odokotela kudingeka bathathe isikhathi futhi benze izivivinyo ezimbalwa ukuze bahlukanise phakathi kwalezi ezimbili.

Zingaba yini izimpawu?

Cabanga ngakho, abantu abaningi bangaba nalesi simo ngaphandle kwezimpawu , futhi abazi nokuthi banaso. Izimpawu ezivame kakhulu ubuhlungu besisu kanye nokuqunjelwa.Uma ukuvuvukala kukhulu, ungase ube nesifo sohudo noma umkhuhlane. Ungase uzizwe futhi unesicubu esiswini sakho. Akuvamile kakhulu, lesi sicubu singabangela ukuvaleka kwamathumbu akho amancane. Lokhu kungabangela izimpawu ezengeziwe ezifana nokucanuzela kwenhliziyo, ukuhlanza, kanye nokwehla kwesisindo.

Iyini imbangela yalokhu?

Imbangela eqondile ayikakaziwa okwamanje. Kodwa odokotela basola ukuthi kungaba uhlobo lwesifo sokuzivikela komzimba . Okusho ukuthi, ukuvuvukala kubangelwa impendulo engafanele noma esebenzayo ngokweqile yisimiso somzimba wethu sokuzivikela komzimba. Isimiso sakho sokuzivikela komzimba sivame ukusebenzisa ukuvuvukala ukulwa namagciwane angena emzimbeni nokuphulukisa izicubu ezonakele. Lapho isimiso sakho sokuzivikela komzimba siqala ukucindezeleka ngokweqile ngaphandle kosongo olusobala, kubizwa ngokuthi impendulo yokuzivikela komzimba. Kunezinhlobo eziningana zezifo zokuzivikela komzimba ezibangela ukuvuvukala okungapheli ezingxenyeni ezahlukene zomzimba. Asazi kahle ukuthi kungani zikhula, kodwa kubonakala sengathi zinezakhi zofuzo, futhi zingabangelwa ukucindezeleka ngokomzimba, njengokugula noma ukulimala. Abantu abahlakulela i-sclerosing mesenteritis bavame ukuba nomlando womndeni wezifo zokuzivikela komzimba, futhi ngezinye izikhathi bangase babe nezinye izifo zokuzivikela komzimba.

Ungasithola kanjani lesi sifo ngokunembile?

Udokotela ulandela izinyathelo eziningana ukuze axilonge lesi sifo.

Ukuhlolwa Kwezithombe

Udokotela wakho uzothatha izithombe ze-x-ray ze-mesentery ukuze abheke izimpawu ezibonisa i-sclerosing mesenteritis.

• Okokuqala, ungenza i -ultrasound yesisu. Kuyisivivinyo esisheshayo nesilula.
• Uma kukhona ukungabaza ngalesi simo, bazokudlulisela esivivinyweni esibucayi kakhulu. Lokhu kungaba "i- CT scan" (i-computed tomography scan ) noma "i- MRI" (i-magnetic resonance imaging). Lokhu kuhlolwa kubheka i-focal mass kanye nezimpawu zokuphuka kwezicubu kanye nezibazi (i-fibrosis) ezizungezile.
• Uma lezi zivivinyo zingakwazi ukuhlukanisa ngokucacile phakathi kwe-sclerosing mesenteritis kanye nomdlavuza, i-"PET scan" (positron emission tomography) ingasiza ekuqinisekiseni ukuxilongwa. Lokhu kuhilela ukufaka into ephephile, enemisebe "radioactive tracer" emzimbeni. I-"CT scan" noma i-"MRI" isebenzisa le misebe .Izithombe zikhiqizwa njengoba zitholakala. Amaseli omdlavuza amunca lezi zinto ezikhipha imisebe kakhulu kunamanye amaseli.

Ukuhlolwa kwebhayoloji

Uma konke okunye kwehluleka, udokotela wakho kungadingeka athathe isampula yezicubu ezivela ku-mesentery ukuze kwenziwe i-biopsy. Udokotela wezifo uzohlaziya isampula yezicubu bese enza ukuxilongwa kokugcina. Le sampula yezicubu ivame ukuthathwa ngenaliti efakwe esiswini. Abanye abantu kungadingeka futhi ukuba nenqubo engangenisi kakhulu ebizwa ngokuthi i-laparoscopy ukuze bahlole i-mesentery bese bethatha isampula. Lokhu kuhilela ukufaka ikhamera nge-incision encane.

Yiziphi izindlela zokwelapha i-Sclerosing Mesenteritis?

Izindaba ezinhle ukuthi abantu abaningi abadingi ukwelashwa. I-sclerosing mesenteritis ivame ukuba yisimo esizikhawulelayo, esizikhawulelayo esiba ngcono ngokwaso. Ungase ungabi nazimpawu, noma ungase ube nokungakhululeki okuncane okungalawulwa ngemithi ethengiswa ngaphandle kwemithi kadokotela (OTC). Kodwa-ke, uma unezimpawu eziqhubekayo, udokotela wakho uzokunikeza imithi eyahlukahlukene yokuzelapha. Lokhu kungafaka:

• Ama-corticosteroids, njenge-prednisone, asetshenziselwa ukulawula ukuvuvukala .
• Ama-immunosuppressants, njenge-azathioprine, anciphisa impendulo ye-autoimmune.
• Ukwelashwa ngama-hormone , isibonelo i-tamoxifen.

Into ebaluleke kakhulu ukuthola lezi zindlela zokwelapha ngaphansi kweseluleko sezokwelapha. Kungathatha isikhathi ukuthola ukwelashwa okufanele, ngakho-ke kubalulekile ukuxhumana nodokotela wakho.

Iyini inkomba yokubikezela lesi sifo?

Isibikezelo kubantu abaningi sihle. Okusho ukuthi, abantu abaningi bayalulama. Kodwa lokhu kungahluka kumuntu nomuntu. Abantu abaningi banezimpawu ezincane noma eziphakathi nendawo, noma bangabi nazo nhlobo izimpawu. Kodwa ngezinye izikhathi, kungaba yisimo esibi kakhulu. Kungathatha izinsuku ezimbalwa kuya eminyakeni eyi-10. Esikhathini esiningi kuba ngcono ngokwakho, noma ngemithi, kodwa ngezinye izikhathi akubi ngcono. Kungathatha ukuzama namaphutha ukuthola ukwelashwa okusebenza kahle kuwe.

Ingabe lezi zimpawu zingancishiswa noma zelapheke ngokudla ukudla okunempilo?

Ukulandela ukudla okulwa nokuvuvukala kungasiza ekunciphiseni ukuvuvukala okungapheli emzimbeni wakho, ikakhulukazi ohlelweni lwakho lokugaya ukudla. Nakuba kungase kungelapheki ngokuphelele i-sclerosing mesenteritis, kungenza umehluko ezimpawini zakho. Ukudla okulwa nokuvuvukala ukudla okugxile ekudleni okuphelele kunokudla okupakishwe, okucutshungulwe. Kugcizelela namafutha anempilo, angagcwele njenge-omega-3s.

Okokugcina, izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya)

I-sclerosing mesenteritis iyimfihlakalo kancane, okusho ukuthi yisimo okunzima ukusiqonda. Singakumangaza. Abanye abantu siba naso ngemva kokutheleleka, ukuhlinzwa kwesisu, noma umdlavuza. Abanye siba naso ngaphandle kwesizathu esicacile. Ungase ube nezimpawu, noma udokotela wakho angase asithole ngengozi. Kungaba yinto ephazamisayo kancane ukwazi ukuthi unesifo esingakaqondakali ngokugcwele. Lokho kuvamile. Kodwa ungakhathazeki. Udokotela wakho uzosebenza nawe ukuze akusize usithole. Ukuthola ukuxilongwa okunembile, futhi uma kudingeka, ukuthola ukwelashwa okufanele kuyinto ebaluleke kakhulu. Uma unemibuzo noma ukukhathazeka ngalokhu, ungesabi ukubuza udokotela wakho.