Kuyini i-diverticulitis futhi kungani kwenzeka? Izimpawu Nokwelashwa

Lapho amasaka amancane aqhumayo akheka emgudwini wokugaya ukudla kanye nezingxenye zekholoni, aba i-diverticulum ubizwa. Lapho lezi zikhwama zivutha i-diverticulitis ithatha igama layo.

isifo se-diverticulumEnye yezimbangela eziyinhloko zama-shingles ukudla ukudla okuncane kakhulu kwe-fiber. Ukudla ukudla okune-fiber eningi kuzovumela ukuthi lesi simo sikwazi ukuzelapha. Uma isimo siphinda i-diverticulitis kungase kudingeke ukuhlinzwa.

Uma uzibuza ukuthi siyini lesi simo esibuhlungu nokuthi ungasiphatha kanjani, ngezansi i-diverticulitis Uzothola izimpendulo zayo yonke imibuzo yakho mayelana

Iyini i-diverticulum?

i-diverticulumLawa amasaka amancane, avuvukele angase akheke olwelweni lomgudu wokugaya ukudla. Ziyenzeka kakhulu engxenyeni engezansi yamathumbu amakhulu (ikholoni). 

Lapho isikhwama esisodwa noma ngaphezulu sivutha noma singenwa amagciwane, i-diverticulitis Ibizwa. i-diverticulitisIdala ubuhlungu obukhulu besisu, imfiva, isicanucanu, noshintsho emikhubeni yamathumbu.

Izinkinga ze-diverticulitis

Izindawo ezibuthakathaka kukholoni zingaphansi kwengcindezi i-diverticulum iqala ukukhula kwayo. Lokhu kucindezela kubangela ukuthi amasaka aphume odongeni lwamakholoni.

Akucaci ukuthi kungani amasaka aphuma ekoloni. Ukungatholi i-fiber eyanele ekudleni kuvame ukushiwo njengesizathu esikhulu.

Ngenxa yokuthi i-fiber ithambisa isihlalo, uma i-fiber eyanele ingadliwa, isihlalo siba lukhuni. Lokhu kubangela ingcindezi noma ubunzima njengoba indle iphushwa. Lokhu kugasela i-diverticulum kucatshangelwa ukufaka isandla ekuthuthukisweni kwayo.

i-diverticulumAkuvamile ezifundeni lapho i-fiber isetshenziswa khona, njenge-Afrika noma i-South Asia, futhi ivame kakhulu ezifundeni zaseNtshonalanga lapho ukusetshenziswa kwefayibha kuphansi. Ngisho nalokhu kuzimisela kufakazela ukuthi lesi simo sihlobene ne-fiber.

Yiziphi izimpawu ze-diverticulitis?

i-diverticulumlapho ivuvukala i-diverticulitis kwenzeka, bese kuvela izimpawu ezilandelayo:

• Ubuhlungu obuqhubekayo futhi obunzima, ngokuvamile ohlangothini lwesobunxele lwesisu
• umlilo
• ukuchama njalo
• ubuhlungu bokuchama
• Isicanucanu nokuhlanza
• Ukopha ku-rectum

Yiziphi izici zobungozi ze-diverticulum?

Kwabanye abantu i-diverticulitis ubungozi obukhulu bokuthuthuka. Ngoba kunezimo ezandisa ingozi yalesi sifo. i-diverticulitis Izinto ezandisa ubungozi bokukhula yilezi ezilandelayo;

• Ingozi ye-Diverticulitis ikhula ngeminyaka.
• ukukhuluphala, i-diverticulitis kwandisa amathuba okuthuthuka.
• ababhemayo uma beqhathaniswa nabangabhemi i-diverticulitis maningi amathuba okuthi athuthuke.
• Abantu abangazivocavoci noma abangazivocavoci basengozini enkulu.
• Ukudla okunefayibha ephansi kuhlanganiswe namafutha ezilwane aphezulu kwandisa kakhulu ingozi.
• Nakuba uxhumano lungakasungulwa ngokugcwele Ivithamini D abantu abaphezulu ingozi ye-diverticulitiskwatholakala ukuthi iphansi.

Ukuxilongwa kwe-diverticulitis

ukuxilongwa kwe-diverticulitis Okokuqala, udokotela ubuza ngomlando wezokwelapha womuntu. Wenza ukuhlola ngokomzimba ukuze athole ukuthamba esiswini. 

ezinye izifo, i-diverticulitiskubangela izimpawu ezifanayo. ukulawula ezinye izimo, futhi izimpawu ze-diverticulitisUdokotela uzokwenza ezinye izivivinyo ukuze ahlole Ukuhlola kungaba:

• I-ultrasound yesisu, i-MRI scan yesisu, i-CT scan yesisu, noma i-X-ray yesisu ukuze udale izithombe zepheshana lesisu (GI)
• colonoscopy ukuhlola ingaphakathi ipheshana GI
• Clostridium difficile ukuhlolwa kwendle ukuhlola izifo ezifana
• ukuhlolwa komchamo ukuhlola izifo
• Ukuhlolwa kwegazi ukuhlola izimpawu zokuvuvukala, i-anemia, noma izinkinga zezinso noma zesibindi
• Ukuhlolwa kwe-pelvic ukuze kukhishwe izinkinga ze-gynecological kwabesifazane
• Ukuhlolwa kokukhulelwa ukuze kukhishwe ukukhulelwa kwabesifazane

Ukwelashwa kwe-Diverticulitis

Ukwelashwa kwe-Diverticulitiszizohluka kuye ngobukhulu bezimpawu. Imithi yamanje yokungaphatheki kahle ihlanganisa:

i-diverticulitis engavamile

Uma izimpawu zakho zithambile, ngokweseluleko sikadokotela, ukwelashwa kwenziwa ekhaya ngale ndlela elandelayo:

• Ukusetshenziswa kwama-antibiotics ekwelapheni ukutheleleka.
• Ukulandela ukudla okuwuketshezi izinsuku ezimbalwa ngenkathi amathumbu ephulukisa. Uma izimpawu ziba ngcono, ukudla okuqinile kufanele kudliwe kancane.

Lokhu kwelashwa i-diverticulitis engavamile Iyasebenza futhi abantu abaningi belashwa ngale ndlela.

I-diverticulitis eyinkimbinkimbi

Uma ezinye izinkinga zempilo zenzeka ngokuhlaselwa okukhulu, ukulaliswa esibhedlela kungase kudingeke. Ukwelashwa esibhedlela imi kanje:

• Ama-antibiotics emithanjeni
• Ukufaka ishubhu ukuze kukhishwe uma ithumba lesisu selimile

ukuhlinzwa kwe-diverticulitis

Ukwelashwa kwe-Diverticulitis Ukuhlinzwa kuyodingeka ezimweni ezifana nalezi:

• Uma kunenkinga efana nethumba lamathumbu, i-fistula noma ukuvinjelwa, noma imbobo (ukubhoboza) odongeni lwamathumbu
• Ube nesiqephu esingaphezu kwesisodwa se-diverticulitis engaxakile
• Uma amasosha omzimba entekenteke

Ukudla kwe-Diverticulitis

I-LifIwuhlobo lwama-carbohydrate angeke lugaywe abantu. Kunezinhlobo ezimbili ze-fiber encibilikayo kanye ne-insoluble fiber. Kokubili i-fiber encibilikayo nengancibiliki ibalulekile ekugayeni ukudla.

Lokhu kungenxa yokuthi yengeza inqwaba esitulweni, ibambezela ukudlula kokudla okugayiwe ngekholoni, isiza ekumunceni izakhamzimba, icindezela isifiso sokudla, futhi ikhuthaza ukukhula kwamagciwane amahle amathumbu.

Uma ingekho i-fiber, kukhona ukuqunjelwa, okubangela i-diverticulosis, noma ukuvuvukala kodonga lwamakholoni. Ukudla i-fiber kuvimbela ikholoni ekubeni ifake ingcindezi yokukhipha isitulo, ngaleyo ndlela ivimbele ukucasuka kwezindonga zekholoni. 

Nakuba i-fiber inezinzuzo eziningi kangaka, ingabe akukho monakalo kuyo? Okuningi kakhulu kwanoma yini embi, kanjalo ne-fiber. Yiqiniso, udinga ukuqaphela lapho udla i-fiber. Uma umuntu ongakaze adle i-fiber ngokuzumayo eqala ukudla i-fiber ngokweqile, ukucasuka kwekholoni kungase kwenzeke. Ukudla kwe-diverticulitisKufanele kuqashelwe ngokukhethekile kuleli phuzu.

Ukudla kwe-diverticulitis

Ukudla kwe-Diverticulitis udokotela, i-diverticulitis eyingozi uyincoma njengohlelo lokwelapha lwesikhashana lwe i-diverticulitis encane amacala ngokuvamile alashwa ngama-antibiotic kanye nokudla okune-fiber ephansi.

Ukudla kwe-diverticulitisEmpeleni kuyisinyathelo sesikhashana ukunikeza uhlelo lokugaya ukudla ithuba lokuphumula.

Uhlu lokudla kwe-Diverticulitis

Kusetshenziswa uketshezi olucacile kuphela izinsuku ezimbalwa ekudleni. Uketshezi oluhlanzekile kulula ukuba umzimba ugaye futhi lula ukuhlanzwa kwamathumbu. Lolu hlobo lokudla kufanele lusetshenziswe ngaphansi kokuqondisa kukadokotela. Okulandelayo kudliwa ekudleni;

• Inyama Amanzi
• Ijusi le-Apple amajusi angenayo i-pulp njenge
• gelatin
• Su
• Itiye noma ikhofi, ngaphandle kokhilimu

Uma umuntu eseqala ukuzizwa engcono, udokotela uzoncoma ukuthi kancane kancane ethule ukudla okune-fiber ephansi ekudleni. Okunye ukudla okune-fiber ephansi yilezi:

• Isithelo esiphekiwe esingenamagobolondo noma esingenambewu
• Imifino ephekiwe (ngaphandle kwesikhumba), njengobhontshisi oluhlaza, izaqathi, namazambane
• Amaqanda, inhlanzi kanye nezinkukhu
• Isinkwa esimhlophe
• Ijusi yezithelo nemifino ngaphandle kwe-pulp
• okusanhlamvu okuphansi kwe-fiber
• Ubisi, iyogathi kanye noshizi
• irayisi elimhlophe, i-pasta

Ukudla kwe-diverticulitisIngozi iphansi. Kodwa ukugcina ukudla okuwuketshezi okucacile isikhathi esingaphezu kwezinsuku ezimbalwa kuzoholela ekutheni umzimba ungatholi izakhamzimba ezanele ozidingayo. Ngakho-ke, udokotela uncoma ukubuyela ekudleni okuvamile okuqukethe ukudla kwe-fiber ngokushesha lapho kubekezelelwe.

Izinkinga ze-Diverticulitis

i-diverticulitis eyingoziCishe u-25% wabantu abanazo ziba nezinkinga ezilandelayo:

• Ukubonakala kwethumba esakeni lapho ubomvu buqoqwa.
• Ukuminyana emathunjini okubangelwa izibazi.
• Iphaseji engavamile (fistula) phakathi kwamathumbu noma izingxenye zamathumbu nezinye izitho.
• I-Peritonitis, ukuchitheka kokuqukethwe kwamathumbu emgodini wesisu, okungenzeka lapho isikhwama esinegciwane noma esivuvukele siphuka. I-Peritonitis iyisimo esiphuthumayo futhi idinga ukungenelela ngokushesha.

Indlela yokuvimbela i-Diverticulitis?

ukuvimbela i-diverticulitis Kuyadingeka ukunaka indlela yokuphila. Nawa amanye amathiphu:

• Ukuzivocavoca umzimba njaloIsekela ukusebenza kwamathumbu futhi inciphisa ukucindezela kukholoni.
• ukudla kwe-fiber, i-diverticulitis kunciphisa ingozi. Ukudla okunothe nge-fiber, njengezithelo ezintsha, imifino, nokusanhlamvu, kuthambisa indle futhi kuvumele ukuba kudlule ithumba ngokushesha.
• I-fiber imunca amanzi futhi yengeze inqwaba ku-stool kukholoni. Ukudla ukudla okune-fibrous ngaphandle kwamanzi okuphuza kukhulisa ukuqunjelwa. Ngakho-ke, kuyadingeka ukuphuza amanzi amaningi.
• Ukubhema, ingozi ye-diverticulitisYeka ukubhema njengoba kwanda Gwema utshwala ngokuphelele.
• Ungadli kakhulu ukudla okubabayo ukuze ugweme ukucasula udonga lwekholoni.
• Ukuze uthole ukuphila okuvamile, lala amahora angu-7-8 ebusuku.

i-diverticulitis Kuyisimo esibuhlungu, ukunciphisa nokuvimbela ubunzima bobuhlungu kungenzeka ngezinguquko ekudleni kwakho kanye nendlela yokuphila.

I-Diverticulitis kanye ne-diverticulosis

ayitheleleki noma ivuvukale i-diverticulum, i-diverticulosis It ngokuthi. i-diverticulosis Cishe amaphesenti angu-80 amacala awabangeli noma yiziphi izimpawu. i-diverticulosis Uma zingekho izimpawu, ngeke sibe khona isidingo sokwelashwa.

i-diverticulosis ngezinye izikhathi, ubuhlungu besisu ve ukuvuvukala ibonisa izimpawu ezifana Kulokhu, kubizwa nge-symptomatic uncomplicated diverticular disease (SUDD). Cishe amaphesenti angu-4 alaba bantu ekugcineni i-diverticulitis iyathuthuka.

i-diverticulitis yesinye

i-diverticulum Ingakhula nasesinyeni. Kwenzeka lapho amasaka akheka olwelweni lwesinye bese ephumela ezindaweni ezibuthakathaka odongeni lwesinye.

I-diverticulum yesinye esivuvukele, i-diverticulitis yesinye It ngokuthi. i-diverticulitis yesinye Ilashwa ngama-antibiotics kanye nezidambisa-zinhlungu. 

kukholoni i-diverticulitisKuyenzeka futhi ukuthi esinyeni sithinteke esinyeni. Ezimweni ezimbi kakhulu, i-fistula ingase ikhule phakathi kwekholoni nesinye. Lokhu kwaziwa ngokuthi i-colovesical fistula. 

I-diverticulitis ye-Esophageal

i-diverticulumkungenzeka ku-esophagus. Lokhu kwenzeka lapho izikhwama zakha olwelweni lomminzo.

I-diverticulum esophageal kuyivelakancane. Ukuthuthukiswa kwayo kuhamba kancane futhi kuthatha iminyaka eminingi. Njengoba ikhula, ibangela izimpawu noma izinkinga ezinjengalezi:

• ubunzima bokugwinya
• ubuhlungu lapho ugwinya
• Ukuphefumula kabi
• Isifiso samaphaphu
• I-aspiration pneumonia; ukuba nesifo samaphaphu ngemva kokuhogela ukudla noma amathe

Uma i-diverticulum ivutha, i-diverticulitis ye-esophageal Ibizwa. I-diverticulitis ye-EsophagealUkwelapha ubuhlungu, udokotela unikeza ama-antibiotics nama-painkillers. Izinketho zokwelapha zihlanganisa ukuhlinzwa.