Iyini i-Sclerosing Mesenteritis? Izimpawu, Izimbangela, & Ukwelashwa

I-Sclerosing mesenteritis yisimo esingavamile lapho i-mesentery ihlunguluka futhi ibe bukhulu. I-mesentery yiyona inyama ehlanganisa amabele akho odongeni lwesisu futhi iqukethe imithambo yegazi, izinzwa, nama-lymph nodes agcina isimiso sakho sokuhlanza sisebenza kahle.

Lesi simo sithinta abantu abangaphansi kuka-1 ku-100,000, okwenza kube yinto engavamile. Nakuba kungase kuzwakale kukhathazayo, abantu abaningi abane-sclerosing mesenteritis baphila impilo evamile ngokunakekelwa komtholampilo okufanele nokuqapha.

Iyini i-Sclerosing Mesenteritis?

I-Sclerosing mesenteritis kwenzeka lapho i-mesentery yakho ithuthukisa ukuvuvukala okuqhubekayo, ukugcwala, nokuhluma. Cabanga ngakho njengesistimu yakho yokulwa nezifo esihlasela ngephutha le nyama ehlanganisa ebalulekile, okubangela ukuba ihlume futhi ibe yefayibha ngokuhamba kwesikhathi.

Lesi simo sibizwa ngamagama amaningana, kuhlanganise ne-mesenteric panniculitis, retractile mesenteritis, ne-mesenteric lipodystrophy. La magama ahlukene abonisa izigaba ezahlukene nokuvela kwesigameko sesifo.

Ukuvuvukala kungaba kusuka kokulingene kuya kokukhulu, futhi izimpawu zingase ziye ziye ngezinyanga noma iminyaka. Abanye abantu abanawo amahloni, kanti abanye bangase babe nokungakhululeki okukhulu kwesisu okubathinta imisebenzi yabo yansuku zonke.

Ziyini Izimpawu ze-Sclerosing Mesenteritis?

Izimpawu ze-sclerosing mesenteritis zingaba zimbi futhi zivame ukulingisa ezinye izimo zokugaya. Lokhu kufana kwenza ukuxilongwa kube nzima, kodwa ukuqonda izimpawu kungakusiza uqonde ukuthi nini kufanele ufune ukunakekelwa komtholampilo.

Izimpawu ezivamile zihlanganisa:

• Ubuhlungu besisu obuqhubekayo obungase bube buthambile noma buqine
• Ukuqina nokubukeka okugcwele
• Ukuphefumula nokuhlanza okungathí sina
• Ukushintsha kwemikhuba yomathumbu, kuhlanganise nokukhuluphala noma ukuvimbela
• Ukwehla kwesisindo okungahloseki
• Ukwehla kwesifiso sokudla
• Ukukhathala nokubukeka okungaphili kahle

Izimpawu ezingavamile kodwa ezingathi sína kakhulu zingase zivele kwezinye izimo:

• Ubuhlungu obukhulu besisu obuphazamisa imisebenzi yansuku zonke
• Izimpawu zokuphahlazeka kwamathumbu njengokuqina okukhulu nokungakwazi ukukhulula igesi
• Ukuvuvukala, okungase kubonise ukuvuvukala okusebenzayo
• Ukulahlekelwa isisindo esikhulu ngesikhathi esifushane

Abantu abaningi abanezimpawu ezincane baye baba nezimpawu eziya futhi ziye, okwenza kube lula ukuzidela njengengxaki yokugaya ukudla evamile. Ikhona into ebalulekile yokunaka izimpawu eziqhubekayo noma ezibi kakhulu ezingaphuli ngezindlela zokwelapha ezivamile.

Iyini Imbangela Ye-Sclerosing Mesenteritis?

Imbangela eqondile ye-sclerosing mesenteritis ayaziwa, okungase kuzwakale kuyadumaza uma ufuna izimpendulo. Noma kunjalo, abacwaningi baye baqaphela izinto eziningi ezingase zifake isandla ekuthuthukiseni kwayo.

Izinto ezingase zifake isandla zihlanganisa:

• Ukuhlinzwa kwesisu noma ukulimala okubangela ukuvuvukala
• Isimo sokuzimela komzimba lapho isimo sakho sokuvikela umzimba sihlasela inyama enempilo
• Ukutheleleka, ikakhulukazi lokho okuthinta isisu
• Imithi ethile, yize lobu buhlobo busacwaningwa
• Ukufana kwemfuyo, njengoba ezinye imindeni zibonisa amazinga aphezulu okubangelwa yilo

Kwezinye izimo, i-sclerosing mesenteritis ibonakala ithuthuka ngaphandle kwesizathu esicacile. Lokhu akusho ukuthi wenza into engafanele noma ngabe ukuphepha. Ngezinye izikhathi, imizimba yethu ithuthukisa izimo zokuvuvukala ngezizathu esingaziqondi ngokugcwele.

Isimo sibonakala sithinta amadoda kancane kunabesifazane, futhi sivame ukuxilongwa kubantu abaneminyaka engama-50 kuya kwengu-70. Noma kunjalo, singase sivele kunoma iyiphi iminyaka, kufaka phakathi abantu abadala abancane ngisho nabantwana, yize lokhu kuyinselele kakhulu.

Nini Okufanele Ubone Udokotela Nge-Sclerosing Mesenteritis?

Kufanele uxhumane nodokotela wakho uma uhlushwa yizimpawu eziluhlaza emathunjini isikhathi esingaphezu kwamasonto ambalwa. Nakuba izinkinga eziningi zokugaya ukudla ziyaphela zodwa, izimpawu eziluhlaza zidinga ukuhlolwa yi dokotela ukuze kuvinjwe izimo ezingathi sína.

Funani usizo lokuthi kwesokudla ngokushesha uma uhlushwa yilokhu okulandelayo:

• Ubuhlungu obukhulu esiswini obungapheli ngisho nokuphumula noma imithi yokwelapha ethengekayo ngaphandle kwelayisensi yodokotela
• Izimpawu zokuphahlazeka kwamathumbu, njengokungakwazi ukukhishwa umoya noma ukuya esikhumulweni kanye nobuhlungu obukhulu besiswini
• Ukugabha okuqhubekayo okwenza ungakwazi ukugcina amanzi emzimbeni
• Ukwehla okukhulu kwesisindo ngaphandle kokuzimisela ukulahlekelwa yisisindo
• Ukuqanduseka kanye nobuhlungu besiswini

Unganqikazi ukuhlela i-aphoyintimenti yezimpawu ezincane kodwa eziqhubekayo njengokukhuluphala okuqhubekayo, ukushintsha kwemikhuba yomzimba, noma ukukhathala okungachazeki. Ukuhlolwa okusheshayo kungasiza ekutholeni isimo ngokushesha futhi kuvimbele ukuphazamiseka.

Khumbula ukuthi izimo eziningi zingabangela izimpawu ezifanayo, ngakho-ke ukuthola ukuxilongwa okuqondile kubalulekile ukuthula kwengqondo kanye nokwelashwa okufanele.

Iyini Izingozi Zokuthola I-Sclerosing Mesenteritis?

Ukuqonda izingozi kungakusiza wena nodokotela wakho ukuhlola amathuba okuthola le simo. Noma kunjalo, ukuba nezingozi akusho ukuthi uzokuthola i-sclerosing mesenteritis.

Izingozi ezaziwayo zihlanganisa:

• Ubudala phakathi kweminyaka engama-50 no-70, nakuba kungase kwenzeke kunoma yiliphi iminyaka
• Ubulili besilisa, njengoba amadoda athinteka kancane kunabesifazane
• Umlando wokucutshungulwa kwesisu noma ukulimala
• Izimo zokuzipheka njenge-lupus noma i-rheumatoid arthritis
• Umlando womndeni wezimo zokuvuvukala kwamathumbu
• Ukutheleleka kwesisu noma izimo zokuvuvukala ngaphambili

Ezinye izifundo zikhomba ukuthi amaqembu athile ezinhlanga angaba namanani aphezulu esimo, kodwa ucwaningo olwengeziwe luyadingeka ukuqinisekisa lezi zindlela. Indawo yomhlaba ayibonakali idlala indima ebalulekile engozini.

Kubalulekile ukuphawula ukuthi abantu abaningi abanalezi zinto ezingozi abazitholi i-sclerosing mesenteritis, kanti abanye abangenazo izinto ezingozi ezaziwayo bayithola le simo. Lokhu kungakwazi ukubikezelwa kuyiyingxenye yalokho okwenza izifo ezingavamile zibe nzima ukuvimbela.

Ziyini Izingozi Ezingase Zivele Ze-Sclerosing Mesenteritis?

Abantu abaningi abane-sclerosing mesenteritis banesimiso esilula ngaphandle kwezinkinga ezinkulu. Noma kunjalo, ukuqonda izingozi ezingase zivele kungakusiza ukuthi uqaphele izimpawu zexwayiso bese ufuna ukunakekelwa okufanele uma kudingeka.

Izingozi ezingase zivele zihlanganisa:

• Ukuvimbela kwamathumbu uma ukuvuvukala nokwenzakala kukuphazamisa umsebenzi wamathumbu
• Ukungaqabuli kahle kwezondlo okuholela ekuswelekeni kwezondlo
• Ubuhlungu obuhlala njalo obuthinta ikhwalithi yokuphila
• Ukwenziwa kwama-masses noma ama-nodules esiswini
• Ngokungavamile, ukuqhubekela phambili ekwenzakaleni okukhulu okudinga ukusebenta okuyisikhungo

Izindaba ezinhle ukuthi izingozi ezinkulu azivamile, ikakhulukazi ngokunakekelwa okufanele kwezokwelapha. Abantu abaningi bangaphatha izimpawu zabo ngokuphumelelayo ngokwelashwa okufanele nokuguqulwa kwesitayela sokuphila.

Imihlangano yokulandelela njalo ivumela iqembu lakho lokunakekelwa kwezempilo ukuthi liqaphe isimo sakho futhi lilungise ukwelashwa njengoba kudingeka. Le ndlela yokwenza ngaphambi kwesikhathi ikusiza ukuvimbela izingozi futhi iqinisekise ukuthi uthola ukunakekelwa okungcono kakhulu.

I-Sclerosing Mesenteritis Ihlonishwa Kanjani?

Ukuhlonishwa kwe-sclerosing mesenteritis kudinga ukuhlanganiswa kwezifundo zokwenza izithombe nokulinganiswa ngokucophelela kwezimpawu zakho. Udokotela wakho cishe uzoqala ngomlando wezokwelapha onemininingwane kanye nokuhlolwa komzimba.

Inqubo yokuhlola ngokuvamile ihlanganisa:

• I-CT scan yesisu, ebonisa ukushintsha okufanelekile emesentery
• Izivivinyo zegazi ukuhlola ama-markers okuvuvukala nokukhipha ezinye izimo
• Ngesinye isikhathi i-MRI yokwenza izithombe ezinemininingwane yethishu ezinwebeka
• Ngokuvamile, i-biopsy ingadingeka ukuqinisekisa ukuxilongwa

I-CT scans iyasisiza kakhulu ngoba ingabonisa uphawu oluvamile lwe-“fat ring sign” noma “halo sign” oluphakamisa i-sclerosing mesenteritis. Lezi zithombe, kanye nezimpawu zakho, ngokuvamile zinikeza ulwazi olwanele lokuxilongwa.

Udokotela wakho angase futhi a-ode izivivinyo ukuze akhiphe ezinye izimo ezifana ne-lymphoma, i-Crohn’s disease, noma ezinye izimo ze-inflammatory bowel ezibonakala zifana ezifundweni zezithombe.

Iyini Ukwelashwa kwe-Sclerosing Mesenteritis?

Ukuphathwa kwe-sclerosing mesenteritis kugxile ekuphathweni kokuvuvukala nokulawula izimpawu. Indlela ehlukile kuye ngokubaluleka kwesimo sakho nokuthi kuchaphazela kangakanani impilo yakho yansuku zonke.

Izinketho zokwelapha zifaka:

• Imithi yokulwa nokuvuvukala efana ne-corticosteroids ngokuvuvukala okusebenzayo
• Imithi yokucindezela imisebenzi ye-immune ezimweni ezinzima kakhulu
• Ama-antibiotics uma kukhona ubufakazi bokuqubuka
• Ukulawulwa kobuhlungu ngemithi efanele
• Ukusekelwa kokudla uma kukhona ukungaphathwa kahle kokudla

Abantu abaningi abanezinkinga ezincane abadingi ukwelashwa okunzima futhi bangaphathwa ngokuqapha okucophelelayo nokunakekelwa okusekela. Udokotela wakho uzosebenza nawe ukuthola ibhalansi efanele phakathi kokulawula izimpawu nokunciphisa imiphumela emibi yemithi.

Ezimweni ezingavamile lapho kuvela izinkinga ezifana nokuvimbela kwamathumbu, ukusebenta okuyisikhathi eside kungadingeka. Noma kunjalo, ukuhlinzwa kuvame ukugcinelwa izimo lapho ukuphathwa ngokwelapha kunganelisi.

Umgomo wokwelashwa ukukusiza ugcine ikhwalithi yokuphila enhle ngesikhathi uvikela izinkinga. Abantu abaningi bayaphendula kahle ekwelapheni futhi bangaphatha isimo sabo ngokuphumelelayo ngokuhamba kwesikhathi.

Kufanele Uthathe Kanjani Ukwelashwa Ekhaya Ngesikhathi Se-Sclerosing Mesenteritis?

Ukuphatha i-sclerosing mesenteritis ekhaya kuhilela ukuguqulwa kwendlela yokuphila namasu okunakekela kwakho okusiza ukunciphisa izimpawu nokuthuthukisa impilo yakho jikelele. Lezi zindlela zisebenza kangcono uma zidibene nokunakekelwa komtholampilo okufanele.

Amasu okuphatha ekhaya awusizo afaka:

• Ukudla ukudla okuncane, okuvamile ukuze kunciphise ukucindezeleka kokugaya ukudla
• Ukugwema ukudla okubangela izimpawu, okuhlanganisa ukudla okunoshukela, okunemafutha, noma okunefayibha eningi
• Ukuhlala unamanzi amaningi ngamanzi nezinye izinto eziqandayo
• Ukuzivocavoca okulula njengokuhamba, okusiza ekugayeni nasempilweni jikelele
• Amasu okuphatha ukucindezeleka njengokuphefumula okujulile noma ukucamngca
• Ukugcina idayari yezimpawu ukuze kulandelelwe izindlela nezinto ezibangela izimpawu

Abanye abantu bathola ukuthi izinguquko ezithile zokudla zisiza ekuphatheni izimpawu zabo. Cabanga ukusebenza nodokotela wezondlo obhalisiwe ongakusiza ukwakha uhlelo lokudla oluhlangabezana nezidingo zakho ngesikhathi ugwema ukudla okubenza izimpawu zibe zimbi.

Ukwelashwa ngokushisa, njengokubeka iphadi lokushisa elishisayo esiswini sakho, kungasiza ekuqedeni ubuhlungu nokungakhululeki. Landela njalo isiqondiso sodokotela wakho mayelana nokuphatha ubuhlungu futhi ungangabazi ukuxhumana naye uma izimpawu zakho zibe zimbi.

Kufanele Ululungiselele Kanjani Umyalo Wakho Nodokotela?

Ukulungiselela umyalo wakho nodokotela kungasiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi unikeze iqembu lakho lokunakekelwa kwezempilo ulwazi olulidinga ukuze likusize ngokuphumelelayo.

Ngaphambi komyalo wakho:

• Bhala onke amazingo akho, kufaka phakathi ukuthi aqale nini nokuthi avele kangangani.
• Bhala wonke amaphilisi kanye nezinye izinto ozithathayo.
• Lungiselela imibuzo mayelana nesimo sakho nezinketho zokwelashwa.
• Letha noma yimiphi imiphumela yokuhlolwa yangaphambili noma izifundo zokubonisa izithombe.
• Cabanga ukuthi ulethe ilungu lomndeni noma umngani ukuze akusize.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho ihlanganisa indlela lesi simo esingathinta ngayo impilo yakho yansuku zonke, izindlela zokwelapha ezikhona, kanye nendlela yokulandelela izinkinga. Unganqikazi ukucela incazelo uma ungaqondi lutho.

Gcina ulandelela amazingo akho phakathi kwamaqembu usebenzisa idayari elula noma uhlelo lokusebenza lwe-smartphone. Ulwazi olufana nalolu lusiza udokotela wakho ukuthi aqonde ukuthi isimo sakho siqhubeka kanjani nokuthi ukwelashwa kwakho kwamanje kusebenza kahle kangakanani.

Iyini Iphuzu Eliyinhloko Mayelana Ne-Sclerosing Mesenteritis?

I-Sclerosing mesenteritis iyisimo esingavamile kodwa esilawuleka esithinta inyama ehlanganisa amabele akho odongeni lwesisu. Nakuba ingabangela amazingo angajabulisi, abantu abaningi abanesimo esinjalo bangaphila impilo evamile, enempilo ngokunakekelwa okufanele kwezokwelapha nokubhekwa.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuxilongwa kwasekuqaleni nokwelashwa okufanele kungasiza ukuvimbela izinkinga futhi kuthuthukise ikhwalithi yempilo yakho. Uma ubhekene namazingo esisu ahlala njalo, unganqikazi ukufuna ukwelashwa kwezokwelapha.

Ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo, ukulandela uhlelo lwakho lokwelashwa, nokwenza ukuguqulwa kwesitayela sempilo okufanele kungakusiza ukuthi ulawule lesi simo ngokuphumelelayo. Khumbula ukuthi ukuba nesimo esingavamile akusho ukuthi uwedwa – iqembu lakho lezokwelapha likhona ukuze likusekele kuzo zonke izinyathelo.

Imibuzo Evamile Ebuzwayo Mayelana Ne-Sclerosing Mesenteritis

Ingabe i-sclerosing mesenteritis yikanseri?

Cha, i-sclerosing mesenteritis akuyona i-kansa. Iyisimo sokuvuvukala esingalimi esithinta i-mesentery. Nakuba ingabangela izimpawu ezinkulu kanye nezinguquko ezifundweni ze-imaging, ayisabalali kwamanye amalunga omzimba njenge-kansa. Noma kunjalo, ukuxilongwa okuqondile kubalulekile ukuqeda ezinye izimo, kufaka phakathi izinhlobo ezithile ze-lymphoma ezingase zibonakale zifana kwi-scans.

Ingaphiliswa yini i-sclerosing mesenteritis?

Ayikho indlela ethile yokwelapha i-sclerosing mesenteritis, kodwa lesi simo singaphathwa kahle ngokwelashwa okufanele. Abantu abaningi bayabona ukuthuthuka okukhulu ezimpawu zabo ngemithi yokulwa nokuvuvukala kanye nokuguqulwa kwendlela yokuphila. Umgomo wokwelapha ukulawula ukuvuvukala, ukuphatha izimpawu, nokuvimbela izinkinga kunokwelapha lesi simo ngokuphelele.

Ingabe ngizodinga ukuhlinzwa ngenxa ye-sclerosing mesenteritis?

Abantu abaningi abane-sclerosing mesenteritis abadingi ukuhlinzwa. Lesi simo sivame ukuphathwa ngemithi kanye nokukhathalela okuqondile. Ukuhlinzwa kucabangelwa kuphela ezimweni ezingavamile lapho izinkinga ezinzima ziveleka, njengokuvinjwa kwesisu esingaphenduli ekwelapheni. Udokotela wakho uzolugcina oluseduze ukuma kwakho futhi ancome ukuhlinzwa kuphela uma kudingeka ngempela.

Ihlala isikhathi esingakanani i-sclerosing mesenteritis?

I-sclerosing mesenteritis ngokuvamile iyisimo esingapheli, okusho ukuthi ingaqhubeka izinyanga noma iminyaka. Noma kunjalo, izimpawu zivame ukuqina bese zibuthakathaka, ngezikhathi zokuthuthuka okulandelelwa yizikhathi zokukhuluphala. Abantu abaningi bayazibona isikhathi eside ngezimpawu ezincane, ikakhulukazi ngokwelashwa okufanele. Ezinye izimo zingase zigcindezele ngokwazo, kanti ezinye zidinga ukuphathwa okuqhubekayo.

Ingabe ukudla kungasiza ekulawuleni izimpawu ze-sclerosing mesenteritis?

Nakuba kungekho ukudla okuqondile okwelapha i-sclerosing mesenteritis, abantu abaningi bathola ukuthi ukuguqulwa kokudla okuthile kusiza ekulawuleni izimpawu zabo. Ukudla ukudla okuncane, okuvamile, nokugwema ukudla okubangela izimpawu kungasiza. Abanye abantu bayazuza ngokunciphisa ukudla okunemafutha noma okushisayo, kanti abanye bathola ukuthi ukudla okunefayibha ephansi ngesikhathi se-flare-ups kunciphisa ubuhlungu. Ukusebenzisana nodokotela wezondlo kungakusiza ukuba uthuthukise uhlelo lokudla oluqondene nawe.