Wake wezwa ngesimo esibizwa ngokuthi i-Sclerosing Mesenteritis? Mhlawumbe akunjalo, ngoba asivamile futhi asibathinti abantu abaningi. Kodwa-ke, ukwazi ngaso kuyazuzisa, njengoba wena noma umuntu omaziyo ningahlangana nolwazi mayelana nalezi zimo. Ake sihlole ukuthi siyini, ukuthi senzeka kanjani, izimpawu zaso, nokuthi ngabe kukhona yini ukwelashwa okusebenzayo, konke kuchazwe ngamagama alula nacacile nguNirogi Lanka.
Kuyini i-Sclerosing Mesenteritis?
Kalula nje, i-Sclerosing Mesenteritis yisimo esingavamile esithinta i-mesentery yakho. Ungase uzibuze: iyini i-mesentery? Yizicubu ezibopha amathumbu akho odongeni lwangemuva lwesisu sakho, zisebenza njengekhethini elivikelayo nelisekelayo. Igama elithi "Mesenteritis" libhekisela ekuvuvukeni kwalesi zicubu, kanti elithi "sclerosing" lichaza inqubo lapho izibazi ziholela ekuqineni noma ekuqineni. Empeleni, i-Sclerosing Mesenteritis ihilela ukuvuvukala okungapheli kwe-mesentery; ngokuhamba kwesikhathi, lokhu kuvuvukala kuholela ku-fibrosis (izibazi), okubangela ukuthi izicubu ziqine kancane kancane.
I-mesentery yakho iyingxenye ye-visceral peritoneum, egoqa izitho zakho zesisu ukuze zihlale zisendaweni yazo. Yakhiwe izingqimba ezimbili ezigoqiwe ze-peritoneum enengqimba yezicubu zamafutha (ezinamafutha) phakathi. Ku-Sclerosing Mesenteritis, ukuvuvukala kuhlose ngqo le ngqimba ephakathi yamafutha, okubangela ukuba iqine futhi iqine. Lokhu kungenzeka endaweni eyodwa noma eziningi. Ekuhlolweni kwezithombe, lezi zindawo ngezinye izikhathi zingabonakala njengezinqwaba.
Ingabe kuyisifo esingamahlalakhona?
Yebo, ngempela kuyisimo esingamahlalakhona. Ngenxa yokuthi inqubo ye-"sclerosis" (izibazi) ithatha isikhathi, ukuvuvukala kumele kuqhubeke isikhathi eside. Akwenzeki ngobusuku obubodwa kodwa kuqhubeka ngezigaba: okokuqala, ungqimba lwamafutha luqala ukuwohloka; okulandelayo, izinhlobo ezahlukene zamaseli okuvuvukala zingena ezicutshini; futhi ekugcineni, kwakheka izibazi. Ngale ndlela, i-Sclerosing Mesenteritis iyisifo esingamahlalakhona, esingase siqhubeke. Kodwa-ke, kubalulekile ukuqaphela ukuthi ayibi yimbi njalo; ezimweni eziningi, ingaxazululeka yodwa.
Ingabe i-Sclerosing Mesenteritis kanye ne-Mesenteric Panniculitis ziyinto efanayo?
Odokotela abaningi baphatha la magama njengashintshashintshayo, njengoba womabili echaza ukuvuvukala kwe-mesentery “okungaqondakali” (okubangelwa imbangela engaziwa)—okusho ukuthi ukuvuvukala kubonakala sengathi kwenzeka ngokuzumayo ngaphandle kwesizathu esicacile.
Kodwa-ke, abanye basikisela ukusebenzisa i-“Sclerosing Mesenteritis” ukuchaza izimo ezithuthukile, ezinzima, noma eziyinkimbinkimbi ezinezimpawu zesikhathi eside.
Igama elithi “Mesenteric Panniculitis” lisho ngqo “ukuvuvukala kwezicubu zamafutha ze-mesenteric.” Ngenxa yokuthi leli gama alisho “i-sclerosis” (izibazi), abanye bathi kufanele kugcinwe ezigabeni zokuqala zokuvuvukala, ngaphambi kokuba kube nezibazi ezinkulu. Basikisela ukuthi uma izibazi seziqalile, lesi sifo sesiqhubekele phambili futhi kungaba nzima kakhulu ukwelapha.
Ubani othinteka kakhulu?
I-Sclerosing Mesenteritis ayivamile kakhulu, ithinta cishe u-0.6% wabantu. Njengoba kunamacala angaba ngu-200 kuphela abikiwe kwezinye izimo, sisesezigabeni zokuqala zokuqonda lesi simo. Sivame ukuthinta abantu abangaphezu kweminyaka engu-50. Iziguli eziningi zinomlando womndeni wezifo zokuzivikela komzimba. Ngaphezu kwalokho, ucwaningo lubonisa ukuthi cishe u-60% weziguli zinomlando, noma umdlavuza wamanje, ikakhulukazi umdlavuza ofana ne-lymphoma.
Ingabe i-Sclerosing Mesenteritis iwuhlobo lomdlavuza?
Cha, akuyona umdlavuza ngokwawo. Kodwa-ke, ivame ukuba nobudlelwano nezimila ezinomdlavuza. Ukuvuvukala okungapheli ngezinye izikhathi kungabangelwa umdlavuza, kanye nezifo ezithelelanayo. Ucwaningo lubonisa ukuthi abantu abaye baba nezimila ezinjalo bangase babe sengozini enkulu yokuthola i-Sclerosing Mesenteritis, njengokungathi i-mesentery “inamathela” ekuvuvukeni futhi ikugcine.
Nakuba izicubu zesibazi zingaphindaphindi noma zisakazeke njengomdlavuza, ngezinye izikhathi zingabonakala sengathi "ziyasabalala." Ezithombeni, zingase zilingise nesimila. I-Sclerosing Mesenteritis ivame ukuveza njengenqwaba yesilonda esijiyile nesiqinile, esingabukeka sifana kakhulu nesimila. Ngenxa yokuthi izimpawu zingaphinde zifane, odokotela bavame ukudinga isikhathi kanye nochungechunge lokuhlolwa ukuze bahlukanise ngokunembile phakathi kwalokhu okubili.
Ziyini izimpawu?
Abantu abaningi abanazo nhlobo izimpawu futhi bangase bangazi ukuthi banalesi simo. Izimpawu ezivame kakhulu ubuhlungu besisu kanye nokuqunjelwa. Uma ukuvuvukala kukhulu, ungase ube nesifo sohudo noma umkhuhlane. Ngezinye izikhathi ungase uzizwe unesicubu esizwakalayo uma ucindezela isisu sakho. Akuvamile kakhulu, lesi sicubu singabangela ukuvaleka kwamathumbu amancane, okuholela ezimpawini ezengeziwe ezifana nesicanucanu, ukuhlanza, kanye nokwehla kwesisindo.
Yini ebangela lokhu?
Okwamanje, imbangela eqondile ayikakatholakali. Kodwa-ke, odokotela basola ukuthi kungaba uhlobo lwesifo sokuzivikela komzimba. Lokhu kusho ukuthi ukuvuvukala kuvela ngenxa yempendulo engafanele noma esebenzayo ngokweqile evela ohlelweni lwakho lokuzivikela komzimba. Uhlelo lwakho lokuzivikela komzimba luvame ukusebenzisa ukuvuvukala ukulwa namagciwane nokuphulukisa izicubu ezonakele. Uma lusebenza ngaphandle kosongo olucacile, lubizwa ngokuthi impendulo yokuzivikela komzimba.
Kunezinhlobo ezahlukene zezifo zokuzivikela komzimba ezibangela ukuvuvukala okungapheli ezingxenyeni ezahlukene zomzimba. Nakuba izizathu eziqondile zokuvela kwazo zingakacaci, kubonakala sengathi kukhona ingxenye yezakhi zofuzo, futhi ukucindezeleka ngokomzimba —njengokugula noma ukulimala—kungabangela noma kubhebhethekise lesi simo. Abantu abathola i-Sclerosing Mesenteritis bavame ukuba nomlando womndeni wezinkinga zokuzivikela komzimba, noma bangase babe nezinye izimo zokuzivikela komzimba.
Kutholakala kanjani?
Udokotela wakho uzolandela izinyathelo eziningana ukuze ahlole lesi simo ngokunembile.
Ukuhlolwa Kwezithombe
Udokotela wakho uzothatha izithombe zezokwelapha ze-mesentery yakho ukuze ahlole izimpawu eziphawulekayo ezihlobene ne-Sclerosing Mesenteritis.
- Udokotela wakho angase aqale asikisele ukuthi kwenziwe i-ultrasound esiswini. Kuyinqubo esheshayo nelula.
- Uma kukhona ukukhathazeka mayelana nemiphumela yakho, ungathunyelwa ukuze uthole izivivinyo zesithombe ezibucayi kakhulu, njenge- CT scan (computed tomography) noma i -MRI (magnetic resonance imaging). Lezi zivivinyo zivumela udokotela wakho ukuthi abheke izinhlayiya eziqondile, umonakalo wezicubu, noma izimpawu ze- fibrosis (izibazi).
- Uma lezi zivivinyo zingakwazi ukuhlukanisa ngokuphelele phakathi kwe-sclerosing mesenteritis nomdlavuza, i -PET scan (positron emission tomography) ingasiza ekuqinisekiseni ukuxilongwa. Phakathi nale nqubo, kufakwa i-tracer ephephile, enemisebe emzimbeni wakho. I-CT noma i-MRI scanner idala izithombe ngenkathi ithola imisebe. Amaseli omdlavuza avame ukumunca okuningi kwalokhu okunemisebe kunamaseli anempilo.
Ukuhlolwa kwebhayoloji
Uma ukuxilongwa kungacaci ngemva kokunye ukuhlolwa, udokotela wakho kungadingeka enze i-biopsy ukuthola isampula yezicubu ezivela ku-mesentery. Udokotela wezifo uzohlaziya lesi sampula ukuze anikeze ukuxilongwa okuqondile. Ngokuvamile, lokhu kwenziwa kusetshenziswa inalithi efakwe esiswini. Ezinye iziguli zingadinga ukuhlinzwa okuncane okubizwa ngokuthi i -laparoscopy , lapho kwenziwa khona ukusikwa okuncane ukuze kufakwe ikhamera ukuze ihlolwe.
Yiziphi izindlela zokwelapha i-Sclerosing Mesenteritis?
Izindaba ezinhle ukuthi abantu abaningi abadingi ukwelashwa okusebenzayo. I-Sclerosing mesenteritis ivame ukuba yisimo esizivimbelayo esiziqeda ngokwaso. Ungase ungabi nazimpawu nhlobo, noma ukungakhululeki okuncane okungaphathwa ngemithi ethengiswa ngaphandle kwemithi kadokotela (OTC).
Kodwa-ke, uma unezimpawu eziqhubekayo, udokotela wakho angase akunikeze imithi ehlukahlukene, engafaka:
- Ama-corticosteroids, njenge-prednisone, ukusiza ekulawuleni ukuvuvukala .
- Ama-immunosuppressants, njenge-azathioprine, ukuze kuncishiswe ukusabela okusebenzayo kakhulu kwamasosha omzimba wakho.
- Ukwelashwa ngama-hormone , njenge-tamoxifen.
Kubalulekile ukuthatha lezi zindlela zokwelapha ngaphansi kokuqashwa kwezokwelapha kuphela. Ukuthola uhlelo lokwelashwa olufanele kungathatha isikhathi, ngakho-ke kubalulekile ukuhlala uxhumene nethimba lakho lezempilo.
Iyini iphrojekthi?
Kwabaningi abantu, isibikezelo sibonakala sihle, futhi abaningi bayalulama ngempumelelo. Kodwa-ke, lokhu kungahluka kumuntu nomuntu. Iziguli eziningi zithola izimpawu ezincane kuya kweziphakathi kuphela, noma ngezinye izikhathi zingabi nhlobo nhlobo. Ngezinye izikhathi, lesi simo singaba sibi kakhulu. Singase sithathe izinsuku ezimbalwa kuya eminyakeni eminingana. Nakuba sivame ukuxazululeka sodwa noma ngemithi, lokhu akunjalo ngaso sonke isikhathi, futhi ukuthola ukwelashwa okufanele kungadinga ukuzama nokwenza amaphutha.
Ingabe ukudla kungasiza ekunciphiseni izimpawu noma ekwelapheni lesi simo?
Ukulandela ukudla okulwa nokuvuvukala kungasiza ekulawuleni ukuvuvukala okungapheli emzimbeni wakho, ikakhulukazi ngaphakathi kwendlela yakho yokugaya ukudla. Nakuba lokhu kungeke kuphulukise i-sclerosing mesenteritis, kungasiza ekunciphiseni izimpawu zakho. Ukudla okulwa nokuvuvukala kugxila ekudleni okuphelele kunezinto ezicutshungulwayo noma ezenziwe ngokwenziwa futhi kugcizelela amafutha anempilo, angagcwele njenge-Omega-3 fatty acids.
Umlayezo Wokuya Nawe Ekhaya
I-sclerosing mesenteritis yisimo esiyimfihlakalo esingaba nzima ukusiqonda. Singavela ngokungalindelekile—ngezinye izikhathi ngemva kokutheleleka, ukuhlinzwa kwesisu, noma umdlavuza, kanti kwezinye izimo, sivela ngaphandle kwesizathu esicacile. Ungase ube nezimpawu ezibonakalayo, noma udokotela wakho angase akuthole ngengozi.
Kungokwemvelo ukuzizwa ukhathazekile lapho ubhekene nesimo esingakaqondakali ngokugcwele okwamanje, kodwa sicela ungesabi. Udokotela wakho uzosebenzisana nawe eduze ukuze abhekane nale nselele. Izinyathelo ezibaluleke kakhulu ukuthola ukuxilongwa okunembile nokuthola ukunakekelwa okufanele. Uma unemibuzo noma ukungabaza, sicela ukhululeke ukuxoxa ngakho ngokukhululekile nodokotela wakho.
