Lymphadenitis Mesenteric

ʻO ka mesentery kahi līlī o ka membrane e hoʻopili ana i ka ʻōpū i ka paia a puni ka wahi o ka ʻōpū a paʻa iā ia ma kona wahi. ʻO ka mesenteric lymphadenitis ka pehu ʻana o nā lymph nodes i loko o ka mesentery.

ʻO ka lymphadenitis kahi kūlana kahi e pehu ai a mumū ai nā pūʻulu pōʻai liʻiliʻi a i ʻole nā ​​​​ʻano bean-shaped o nā sela, i kapa ʻia ʻo nā lymph nodes. Hiki i ka pehu ke hoʻopili i nā lymph nodes i loko o ka membrane e hoʻopili ana i ka ʻōpū i ka paia a puni ka wahi o ka ʻōpū, i kapa ʻia ʻo ka mesentery. A laila, kapa ʻia ka kūlana he mesenteric lymphadenitis (mez-un-TER-ik lim-fad-uh-NIE-tis).

ʻO ka maʻi i loko o nā ʻōpū, e like me ka maʻi ʻaʻai, ʻo ia ka kumu maʻamau o ka mesenteric lymphadenitis. I kapa ʻia hoʻi ʻo ka mesenteric adenitis, hoʻopili nui ka kūlana i nā keiki a me nā ʻōpio.

Hiki i ka mesenteric lymphadenitis ke hana e like me ka appendicitis a i ʻole kahi kūlana kahi e komo ai kahi ʻāpana o ka ʻōpū i loko o kahi ʻāpana ʻē aʻe o ka ʻōpū, i kapa ʻia ʻo intussusception. ʻAʻole like me ka appendicitis a i ʻole intussusception, hoʻomaʻemaʻe maʻamau ka mesenteric lymphadenitis ma kona iho.

Hōʻailona hiki ke loaʻa i ka mesenteric lymphadenitis: ʻEha i ka ʻōpū, pinepine ma ka ʻaoʻao ʻākau lalo, akā hiki ke pālahalaha aku ka ʻeha. ʻEha maʻamau o ka ʻōpū. Wela. Nui nā lymph nodes mesenteric. Ma muli o ka mea e hoʻoulu ai i ke kūlana, hiki nō hoʻi ke komo nā hōʻailona: ʻAuʻau. ʻŌpū a me ka luaʻi. He mea maʻamau ka ʻeha ʻōpū i nā keiki a me nā ʻōpio. No laila, he paʻakikī ke ʻike i ka wā e ʻimi ai i ka ʻōlelo aʻo lapaʻau. Kāhea koke i kahi limahana mālama ola no kahi keiki i loaʻa: ʻEha koke a nui i ka ʻōpū. ʻEha ʻōpū me ka wela. ʻEha ʻōpū me ka ʻauʻau a i ʻole ka luaʻi. ʻEha ke pā i ka ʻōpū. Pālolo a ʻulaʻula koko paha ka wai ʻauʻau. E kāhea pū i kahi mea mālama ola no kahi keiki i loaʻa ka ʻeha ʻōpū ʻaʻole i maikaʻi i ka manawa pōkole a me: Loli i nā maʻa ʻauʻau. Nalowale ka makemakeʻai. ʻAʻole hiki ke hiamoe.

ʻO ka ʻeha i ka ʻōpū he mea maʻamau ia i nā keiki a me nā ʻōpio. No laila, he mea paʻakikī ke ʻike i ka wā e ʻimi ai i ka ʻōlelo aʻo lapaʻau.

E kāhea koke aku i kahi limahana mālama ola no kahi keiki i loaʻa iā ia:

• ʻEha koke a nui i ka ʻōpū.
• ʻEha ʻōpū me ka maʻi wela.
• ʻEha ʻōpū me ka luaʻi a i ʻole ka luaʻi.
• Hāmama ke pā i ka pā ʻana o ka ʻōpū.
• Wai ʻōpala a ʻulaʻula paha.

E kāhea pū aku i kahi mea hoʻolako mālama ola no kahi keiki i loaʻa i ka ʻeha i ka ʻōpū ʻaʻole i maikaʻi i ka manawa pōkole a nāna hoʻi:

• Loaʻa kahi loli i nā maʻa o ka ʻōpū.
• Loaʻa ka nele o ka makemake i ka ʻai.
• ʻAʻole hiki ke hiamoe.

ʻO ka maʻi viral, e like me ka gastroenteritis, ka kumu maʻamau loa o ka mesenteric lymphadenitis. I ka manawa pinepine, ua kapa ʻia ka gastroenteritis he maʻi ʻōpū. Hoʻopuka kēia maʻi i ka mumū a me ka pehu ʻana o nā lymph nodes i loko o ka ʻiʻo lahilahi e hoʻopili ana i ka ʻōpū i ka paia hope a puni ka wahi ʻōpū, i kapa ʻia ʻo mesentery.

ʻO nā kumu ʻē aʻe o ka mesenteric lymphadenitis, ʻo ia ka maʻi bacterial, ka maʻi mumū o ka ʻōpū, a me ka lymphoma.

ʻO kēlā me kēia maʻi e hoʻoulu ai i ka mumū a me ka pehu i nā lymph nodes i loko o ka pūnaewele e hoʻopili ana i ka ʻōpū i ka paia o ka ʻōpū e hoʻonui ai i ka pilikia o ka mesenteric lymphadenitis.

ʻO nā kūlana e hoʻokiʻekiʻe ai i ka pilikia o ka mesenteric lymphadenitis, ʻo ia:

• Gastroenteritis viral a i ʻole bacterial.
• Inflammatory bowel disease.
• Lymphoma.

Ke ʻimi ʻana i ka maʻi mesenteric lymphadenitis, pono e nīnau i ka mōʻaukala lapaʻau a me ka nānā kino. Loaʻa paha nā hoʻokolohua e like me:

• Nā hoʻokolohua koko. Hiki i kekahi mau hoʻokolohua koko ke kōkua i ka ʻike inā aia kahi maʻi a me ke ʻano o ia maʻi.
• Nā hoʻokolohua kiʻi. Hoʻohana pinepine ʻia ka ultrasound o ka ʻōpū e ʻike i ka mesenteric lymphadenitis. Loaʻa paha ka hoʻohana ʻana i ka CT scan o ka ʻōpū.