Pachimake diverticulitis: zizindikiro, zoyambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zifukwa za pachimake diverticulitis
• Kodi chithandizo
• Zovuta zotheka
• Momwe mungapewere

Acute diverticulitis ndimatenda am'matumbo omwe amadziwika ndi kutupa ndi / kapena matenda am'mimba, omwe ndi mapangidwe ang'onoang'ono kapena matumba omwe amapezeka m'makoma amatumbo, makamaka gawo lomaliza la koloni.

Diverticula nthawi zambiri imapezeka mwa achikulire opitilira 40 ndipo imakonda kupezeka mwa anthu omwe ali ndi vuto lodzimbidwa kosalekeza kapena omwe amadya zakudya zochepa. Izi zimapangitsa kuti chimbudzi chikhale chosasungunuka bwino ndikusungidwa m'matumbo, ndikuthandizira kukulitsa kwa diverticula ndi kutupa kwake, komwe kumatha kuzindikiridwa kudzera kuzizindikiro zina monga kunyansidwa, kusanza ndi kupweteka m'mimba, mwachitsanzo.

Ndikofunikira kuti pachimake diverticulitis izindikiridwe ndikuchiritsidwa malinga ndi chitsogozo cha gastroenterologist, chifukwa ndizotheka kupewa zovuta monga kuphwanya kapena kutsekeka kwamatumbo.

Zizindikiro zazikulu

Nthaŵi zambiri, diverticulitis yovuta imakhala yopanda chidziwitso, yomwe imadziwika pokhapokha poyesedwa ndi matenda omwe amafufuzidwa kuti afufuze kusintha kwa m'mimba. Komabe, anthu ena atha kunena zisonyezo zosadziwika monga:

• Kupweteka m'mimba, makamaka kumunsi kumanzere, komwe kumatha kukhala kosalekeza ndikupitilira masiku angapo;
• Kutsekula m'mimba kapena kudzimbidwa;
• Kumverera kumanzere kumimba;
• Nseru ndi kusanza;
• Malungo;
• Kuzizira;
• Magazi pansi, nthawi zina;
• Kutaya njala.

Kukula kwa zizindikirazo kumasiyanasiyana kutengera kukula kwa kutupa, komwe, ngati kuli kofatsa, sikutha kuzindikirika. Komabe, pamaso pazizindikirozi, ndikofunikira kukaonana ndi gastroenterologist kuti awone kufunikira koti ayesere kujambula monga ultrasound kapena tomography pamimba, komanso kuyesa magazi komwe kumazindikira kutupa ndi matenda m'matumbo, ndiye kuti ndiye zotheka kuwonetsa chithandizo choyenera.kuteteza zovuta.

Zifukwa za pachimake diverticulitis

Maonekedwe a diverticula mgawo lomaliza la koloni amatchedwa diverticulosis ndipo pamene ma diverticula otupa, diverticulitis amadziwika. Kutupa kumeneku kumatha kuchitika chifukwa cha ukalamba, kotero kuti kutaya kwa minofu yamatumbo kumataya, kuchititsa kuti tizidutswa tating'onoting'ono tatsalira tomwe timayambitsa kutupa kwa diverticulum.

Kuphatikiza apo, zochitika zina zomwe zingakondweretse kutupa kwa nyumbazi ndizochepa zakudya zopatsa mphamvu komanso kudzimbidwa kosalekeza, izi zimapangitsa kuti pakhale mipando yopanda madzi, yomwe imakulitsa kupsinjika m'matumbo ndipo imathandizira kutupa kwa diverticula.

Kuphatikiza apo, chifukwa chakupezeka kwa tinyezi tating'onoting'ono, ndizotheka kukonda matenda am'deralo, omwe amachititsanso kuwonekera kwa zizindikilo za diverticulitis yovuta.

Kodi chithandizo

Chithandizo cha pachimake cha diverticulitis chikuyenera kutsogozedwa ndi gastroenterologist molingana ndi kukula kwa zizindikilo komanso zomwe zimayambitsa kutupa, komanso kugwiritsa ntchito mankhwala a analgesic ndi anti-inflammatory kuti athetse zizindikilo, komanso maantibayotiki, monga Ciprofloxacino ndi Metronidazole, kuchiza kapena kuteteza kukula kwa matenda.

Kuphatikiza apo, adotolo amatha kuwonetsa chisamaliro ndi chakudya, chomwe m'masiku atatu oyamba, chiyenera kukhala chamadzimadzi, ndikungowonjezera pang'onopang'ono zakudya zolimba, kuti zisawonjezere kupanikizika mkati mwa matumbo. Pamene kutupa ndi zizindikilo zimachepa, wodwalayo akuyenera kuyambitsa zakudya zopatsa mphamvu m'zakudya zawo za tsiku ndi tsiku, monga zipatso ndi ndiwo zamasamba kapena mbewu zonse, mwachitsanzo, pofuna kupewa kuti diverticula isayambenso kuyaka. Onani zambiri zakadyedwe ka pachimake diverticulitis.

Munthuyo akamatsatira bwino malangizowo ndipo ngati kuli kofatsa, chithandizochi chitha kuchitidwa kunyumba, komabe, zikavuta diverticulitis, kuchipatala chifukwa chogwiritsa ntchito mankhwala mumtsempha ndikuwunika kuthekera kwa opaleshoni ndikofunikira.

Pochita opaleshoni yotupa, amatha kupukutira mafinya kapena opaleshoni kuti achotse matumbo omwe awonongeka. Onani zambiri zamankhwala ndi opareshoni ya diverticulitis.

Zovuta zotheka

Ngati pachimake diverticulitis sachiritsidwa akangoyamba kuwonekera kapena ngati mankhwala sanachitike mogwirizana ndi malangizo a dokotala, ndizotheka kuti mavuto ena angabuke, monga:

• Magazi, zomwe zimatha kukhala zamphamvu komanso kuzindikirika kudzera mwazi wamoyo pamipando;
• Abscess pomwepo, zomwe zingayambitse zowawa zambiri ndikuwonjezera chiopsezo chotenga matenda owopsa;
• Mapangidwe a fistula, omwe ndi kulumikizana pakati pamatumbo ndi ziwalo zina, zomwe zimayamba chifukwa cha kutupa ndikupanga zilonda pamakoma;
• Perforation wa m'matumbo, yomwe ndi vuto lalikulu la diverticulitis ndipo imayambitsa kutupa kwakukulu kwam'mimba;
• Kutsekeka kwa matumbo, momwe kutupa kumalepheretsa madzi ndi ndowe kudzera m'matumbo, zomwe zimayambitsa kuphulika, kukokana m'mimba ndikusanza.

Chifukwa chake, kuti mupewe zovuta izi ndikofunikira kutsatira malingaliro a dokotala kuti achepetse kutupa ndikupewa zovuta zomwe zingachitike ndikuukira kwatsopano kwa diverticulitis.

Momwe mungapewere

Pofuna kupewa kupanga ma diverticula m'matumbo akulu, kapena kupewa kuwonongeka kwatsopano kwa diverticulitis, ndikofunikira kukhala ndi zakudya zokhala ndi michere yambiri, chifukwa zimathandizira kugwira ntchito ndikuyeretsa matumbo, ndikutchinjiriza makoma ake kuti asafooke komanso kuti akhale atsopano Mapangidwe opangidwa.

Kuti mugwire bwino ntchito yamatumbo, ndikofunikanso kumwa madzi ambiri tsiku lonse, ndi avareji ya 2 malita amadzi, kuphatikiza pakudya pang'onopang'ono komanso kutafuna bwino musanameze.

Onaninso malangizo ena ochokera kwa katswiri wazakudya kuti adye moyenera nthawi ndi nthawi yothandizira diverticulitis, kupewa mavuto atsopano ndikuthandizira magwiridwe ntchito amatumbo: