Mesenteritis Esclerosing
Uhlolojikelele
I-mesentery iyinhlanganisela yembovane ehlanganisa amabele emgodini wesisu futhi iwagcine endaweni. I-sclerosing mesenteritis yisimo lapho ithusi elihlanganisa amabele amancane endaweni, ebizwa ngokuthi i-mesentery, liqala ukuvuvukala futhi lenze ithusi le-scar. Lesi simo sibizwa nangokuthi i-mesenteric panniculitis. I-sclerosing mesenteritis iyindlala, futhi akucaci ukuthi iyabangelwa yini. I-sclerosing mesenteritis ingabangela ubuhlungu besisu, ukugabha, ukukhuluphala, isifo sohudo, nomkhuhlane. Kodwa abanye abantu abanawo ama-symptom futhi bangase bangadingi ukwelashwa. Emacaleni amancane, ithusi le-scar eliqanjwe yi-sclerosing mesenteritis lingavimba ukudla ukuthi luhambe ngendlela yokugaya ukudla. Kulesi simo, ungase udinga ukuhlinzwa.
Izimpawu
Izimpawu zesclerosing mesenteritis zihlanganisa ubuhlungu esiswini, ukugabha, ukukhukhula, ukululama nokuqanda. Ngezinye izikhathi abantu abanawo noma yimaphi ama-symptom.
Izimbangela
Imbangela ye-sclerosing mesenteritis ayaziwa.
Ukuxilongwa
Izivivinyo nezinqubo ezisetshenziswa ekutholakala kwesclerosing mesenteritis zihlanganisa: Ukuhlolwa komzimba. Ngesikhathi sokwenza ukuhlolwa komzimba, ilungu leqembu lakho lokunakekelwa kwezempilo libheka izimpawu ezingasiza ekutholeni ukuxilongwa. Ngokwesibonelo, i-sclerosing mesenteritis ivame ukwakha i-mass esiswini esiphezulu engabonakala ngesikhathi sokwenza ukuhlolwa komzimba. Izivivinyo ze-Imaging. Izivivinyo ze-imaging zesisu zingabonisa i-sclerosing mesenteritis. Izivivinyo ze-imaging zingafaka i-computerized tomography (CT) noma i-magnetic resonance imaging (MRI). Ukususa isampula yethishu ukuze kuhlolwe, okuthiwa yi-biopsy. Uma ubhekene nezimpawu zesclerosing mesenteritis, kungase kudingeke i-biopsy ukuze kuqothulwe ezinye izifo nokuze kwenziwe ukuxilongwa okuqinisekile. Isampula ye-biopsy ingase iqoqwe ngesikhathi sokuhlinzwa noma ngokufaka unhlangothi olude ngesikhumba. Ngaphambi kokuthi kuqalwe ukwelashwa, i-biopsy ingaqinisekisa ukuxilongwa futhi iqede ezinye izinto ezingase zibe khona, kufaka phakathi ezinye izifo zekhanda njenge-lymphoma ne-carcinoid. Ukunakekelwa eMayo Clinic Iqembu lethu lochwepheshe abanothando eMayo Clinic lingakusiza ngezinkinga zakho zempilo ezihlobene ne-sclerosing mesenteritis Qala Lapha
Ukwelashwa
Ungase uthola ukuxilongwa nge-sclerosing mesenteritis ngesikhathi uthola ukunakekelwa kwezinye izimo. Uma ungazizwa ubuhlungu nge-sclerosing mesenteritis, ungase ungadingi ukwelashwa. Esikhundleni salokho, ukuhlolwa kwezithombe okungahleliwe kungase kunconywe ukuqapha isimo sakho.
Uma uqala ukuzwa izimpawu ze-sclerosing mesenteritis, ungase ukhethe ukuqala ukwelashwa.
Amakhambi e-sclerosing mesenteritis asebenza ukulawula ukuvuvukala. Amakhambi angafaka:
- I-Corticosteroids. I-Corticosteroids efana ne-prednisone ilawula ukuvuvukala. I-Corticosteroids ingasetshenziswa yodwa kodwa ngokuvamile ihlanganiswa namanye amayeza. Ngokuvamile ayisetshenziswa izinyanga ezingaphezu kwezintathu kuya kwezine ngenxa yemiphumela emibi.
- Ukwelashwa kwamahomoni. Ukwelashwa kwamahomoni njenge-tamoxifen (Soltamox) kungase kucolise ukukhula kwezicubu zezindwangu. I-Tamoxifen ngokuvamile ihlanganiswa ne-corticosteroids noma amanye amayeza futhi ingase isetshenziswe isikhathi eside. I-Tamoxifen iyakwandisa ingozi yezigaxa zegazi futhi ngokuvamile ihlanganiswa ne-aspirin yansuku zonke ukunciphisa le ngozi. I-Progesterone (Prometrium) ingase isetshenziswe njengendlela ehlukile kwi-tamoxifen, kodwa nayo inemiphumela emibi enkulu.
- Amanye amayeza. Amanye amayeza amaningi asebenziselwe ukwelapha i-sclerosing mesenteritis, njenge-azathioprine (Imuran, Azasan), i-colchicine (Colcrys, Mitigare), i-cyclophosphamide ne-thalidomide (Thalomid).
Ungase udinga ukuhlinzwa uma izicubu zezindwangu zivinela ukudla ukunyakaza nge-digestive tract yakho.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.