Kusintha

Diverticulosis imachitika m'matumba ang'onoang'ono, otupa kapena matumba m'makoma amkati am'mimba. Masaka amenewa amatchedwa diverticula. Nthawi zambiri, matumbawa amapangidwa m'matumbo akulu (m'matumbo). Zitha kupezekanso mu jejunum m'matumbo ang'onoang'ono, ngakhale izi sizachilendo.

Diverticulosis sichidziwika kwenikweni kwa anthu azaka 40 kapena kupitilira apo. Ndizofala kwambiri kwa achikulire. Pafupifupi theka la anthu aku America azaka zopitilira 60 ali ndi vutoli. Anthu ambiri adzakhala nawo ali ndi zaka 80.

Palibe amene amadziwa bwino zomwe zimapangitsa matumbawa kupanga.

Kwa zaka zambiri, zimaganiziridwa kuti kudya zakudya zopanda mafuta kungathandize. Kusadya zakudya zokwanira kungayambitse kudzimbidwa (zotchinga zolimba). Kupondaponda chimbudzi (ndowe) kumawonjezera kukakamiza m'matumbo kapena m'matumbo. Izi zitha kupangitsa kuti matumbawo apange m'malo ofooka pakhoma lamakoloni. Komabe, ngakhale zakudya zochepa zomwe zimayambitsa vutoli sizikutsimikiziridwa bwino.

Zina mwaziwopsezo zomwe sizikutsimikiziridwa bwino ndikusowa masewera olimbitsa thupi komanso kunenepa kwambiri.

Kudya mtedza, mbuluuli, kapena chimanga sikuwoneka ngati kumayambitsa kutupa kwa matumbawa (diverticulitis).

Anthu ambiri omwe ali ndi diverticulosis alibe zizindikiro.

Zizindikiro zikachitika, zimatha kuphatikiza:

• Ululu ndi kukokana m'mimba mwanu
• Kudzimbidwa (nthawi zina kutsegula m'mimba)
• Kuphulika kapena mpweya
• Kusamva njala komanso kusadya

Mutha kuwona magazi ochepa m'mipando yanu kapena papepala. Nthawi zambiri, kutaya magazi kwambiri kumatha kuchitika.

Diverticulosis imapezeka nthawi zambiri poyesa vuto lina lathanzi. Mwachitsanzo, zimapezeka nthawi zambiri pa colonoscopy.

Ngati muli ndi zizindikiro, mutha kukhala ndi mayeso amodzi kapena angapo otsatirawa:

• Kuyezetsa magazi kuti muwone ngati muli ndi kachilombo kapena mwataya magazi ochulukirapo
• CT scan kapena ultrasound ya pamimba ngati muli ndi magazi, zotchinga, kapena kupweteka

Colonoscopy imafunika kuti izi zidziwike:

• Colonoscopy ndi mayeso omwe amayang'ana mkati mwa colon ndi rectum. Mayesowa sayenera kuchitidwa mukakhala ndi zizindikiro za diverticulitis yovuta.
• Kamera yaying'ono yolumikizidwa ndi chubu imatha kufikira kutalika kwa colon.

Zithunzi:

• Angiography ndiyeso yojambula yomwe imagwiritsa ntchito ma x-ray ndi utoto wapadera kuti muwone mkati mwa mitsempha yamagazi.
• Mayesowa atha kugwiritsidwa ntchito ngati dera lomwe magazi akutuluka silikuwoneka panthawi ya colonoscopy.

Chifukwa anthu ambiri alibe zisonyezo, nthawi zambiri, palibe chithandizo chofunikira.

Wothandizira zaumoyo wanu angakulimbikitseni kupeza zowonjezera zowonjezera muzakudya zanu. Zakudya zamtundu wapamwamba zimapindulitsanso thanzi. Anthu ambiri samapeza fiber yokwanira. Pofuna kupewa kudzimbidwa, muyenera:

• Idyani mbewu zonse, nyemba, zipatso, ndi ndiwo zamasamba zambiri. Chepetsani zakudya zopangidwa.
• Imwani madzi ambiri.
• Muzichita masewera olimbitsa thupi nthawi zonse.
• Lankhulani ndi omwe amakupatsani za kutenga chowonjezera cha fiber.

Muyenera kupewa ma NSAID monga aspirin, ibuprofen (Motrin), ndi naproxen (Aleve). Mankhwalawa amatha kupangitsa kuti magazi ayambe kutuluka kwambiri.

Kutulutsa magazi komwe sikumaima kapena kubwereranso:

• Colonoscopy itha kugwiritsidwa ntchito kupopera mankhwala kapena kuwotcha malo ena m'matumbo kuti magazi asiye kutuluka.
• Angiography itha kugwiritsidwa ntchito kupatsira mankhwala kapena kutseka chotengera chamagazi.

Ngati magazi sasiya kapena kubwereza kangapo, kuchotsedwa kwa gawo lina m'matumbo kungafunike.

Anthu ambiri omwe ali ndi diverticulosis alibe zizindikiro. Zikwama izi zikapangidwa, mudzakhala nazo kwamuyaya.

Kufikira 25% ya anthu omwe ali ndi vutoli amakhala ndi diverticulitis. Izi zimachitika tating'onoting'ono tating'onoting'ono tomwe timakhala m'matumba, ndikupangitsa matenda kapena kutupa.

Mavuto akulu omwe angakhalepo ndi awa:

• Kulumikizana kosazolowereka komwe kumapangidwa pakati pa ziwalo zam'matumbo kapena pakati pamatumbo ndi gawo lina la thupi (fistula)
• Dzenje kapena kung'ambika m'matumbo (mafuta)
• Malo ocheperako pamatumbo (okhwima)
• Matumba odzaza mafinya kapena matenda (abscess)
  

Itanani omwe akukuthandizani ngati zizindikiro za diverticulitis zikuchitika.

Diverticula - diverticulosis; Diverticular matenda - diverticulosis; GI kutuluka magazi - diverticulosis; Kukha magazi m'mimba - diverticulosis; Kutuluka m'mimba - diverticulosis; Jejunal diverticulosis

• Enema wa Barium
• Colon diverticula - mndandanda

Bhuket TP, Wolemba St NH. Matenda osiyanasiyana am'matumbo. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 121.

Goldblum JR. Matumbo akulu. Mu: Goldblum JR, Nyali LW, McKenney JK, Myers JL, olemba. Rosai ndi Ackerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: mutu 17.

Fransman RB, Harmon JW. Kuwongolera kwa diverticulosis yamatumbo ang'onoang'ono. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 143-145.

Zima D, Ryan E. Diverticular matenda. Mu: Clark S, mkonzi. Opaleshoni Yabwino Kwambiri: Wothandizana Naye Kuchita Opaleshoni. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 10.