Chilichonse Chimene Muyenera Kudziwa Zokhudza Diverticulitis

Zamkati

• Zizindikiro za diverticulitis
• Zimayambitsa diverticulitis
• Kuzindikira kwa diverticulitis
• Chithandizo cha diverticulitis
• Kusintha kwa zakudya
• Mankhwala
• Njira zina
• Kuchita opaleshoni ya diverticulitis
• Kutsegula m'matumbo ndi anastomosis
• Kutulutsa matumbo ndi colostomy
• Zakudya ndi diverticulitis
• Zithandizo zapakhomo za diverticulitis
• Diverticulitis ya Meckel
• Zithunzi za diverticulitis
• Kugwiritsa ntchito colonoscopy kuti mupeze diverticulitis
• Kupewa diverticulitis
• Zowopsa za diverticulitis
• Mbiri ya banja
• Zakudya zochepa
• Mavitamini otsika a vitamini D
• Kunenepa kwambiri
• Kusagwira ntchito
• Kugwiritsa ntchito mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDS) kapena kusuta
• Diverticulitis motsutsana ndi diverticulosis
• Chikhodzodzo diverticulitis
• Esophageal diverticulitis
• Diverticulitis ndi mowa
• Tengera kwina

Ndi chiyani?

Ngakhale zinali zosowa m'zaka za zana la 20, matenda opatsirana tsopano ndi amodzi mwamatenda ofala kwambiri kumayiko akumadzulo. Ndi gulu lazikhalidwe zomwe zingakhudze gawo lanu logaya chakudya.

Mtundu woopsa kwambiri wa matenda amtundu wa diverticular ndi diverticulitis. Zitha kuyambitsa zizindikilo zosasangalatsa ndipo, nthawi zina, zovuta zazikulu. Ngati sanalandire chithandizo, zovuta izi zimatha kubweretsa mavuto azaumoyo kwakanthawi.

Pemphani kuti mudziwe zambiri za diverticulitis, kuphatikizapo zomwe zimayambitsa, zizindikiro, njira zamankhwala, komanso momwe zakudya zanu zingakhudzire chiopsezo chanu.

Zizindikiro za diverticulitis

Diverticulitis imatha kuyambitsa zizindikilo kuyambira kufatsa mpaka zovuta. Zizindikirozi zimatha kuwonekera mwadzidzidzi kapena zimatha kukula pang'onopang'ono masiku angapo.

Zizindikiro zowopsa za matenda osiyanasiyana ndi awa:

• kupweteka m'mimba mwako
• kuphulika
• kutsegula m'mimba
• kudzimbidwa

Ngati mukukhala ndi diverticulitis, mutha kukumana ndi izi:

• kupweteka kosalekeza kapena kwakukulu m'mimba mwanu
• nseru ndi kusanza
• malungo ndi kuzizira
• magazi mu mpando wanu
• Kutuluka m'magazi anu

Kupweteka m'mimba ndichizindikiro chodziwika kwambiri cha diverticulitis. Izi zimachitika makamaka kumunsi kumanzere kwa mimba yanu. Koma itha kukulanso kumanja kwa mimba yako.

Ngati mukukhala ndi zizindikilo zili pamwambazi, monga kusanza kapena magazi mu mpando wanu, zitha kukhala chizindikiro cha vuto lalikulu lochokera ku diverticulitis kapena vuto lina. Itanani dokotala wanu nthawi yomweyo.

Zimayambitsa diverticulitis

Matenda osokonekera amayamba m'matumba mukamayambira m'mimba, makamaka m'matumbo (m'matumbo). Zikwama izi zimadziwika kuti diverticula. Amapanga mawanga ofooka mumabuloni am'mimba mwako panja.

Diverticulitis imachitika pamene diverticula imawotcha ndipo nthawi zina imakhala ndi kachilombo. Izi zimatha kuchitika ndowe kapena chakudya chopukusidwa pang'ono chimatsegula kutsekula kwa diverticula.

Palibe chifukwa chimodzi chodziwika cha matenda opatsirana. M'malo mwake, akatswiri amakhulupirira kuti zifukwa zingapo za majini ndi zachilengedwe mwina zimathandizira kuti zikule.

Kuzindikira kwa diverticulitis

Kuti mupeze diverticulitis, dokotala wanu angakufunseni za zizindikilo zanu, mbiri yaumoyo wanu, ndi mankhwala aliwonse omwe mumamwa. Akhoza kuyesa mayeso kuti awone ngati m'mimba mwanu mulibe kukoma kapena, ngati angafune zambiri, kuwunika kwamakina a digito kuti muwone ngati magazi akutuluka magazi, kupweteka, misala, kapena mavuto ena.

Zochitika zingapo zingapo zimatha kuyambitsa zizindikilo zomwe zikufanana ndi diverticulitis. Kuti athetse zovuta zina ndikuwona ngati ali ndi diverticulitis, dokotala akhoza kuyitanitsa mayeso amodzi kapena angapo.

Mayeso atha kuphatikiza:

• m'mimba ultrasound, m'mimba kusanthula kwa MRI, m'mimba mwa CT scan, kapena m'mimba X-ray kuti mupange zithunzi zamagawo anu am'mimba (GI)
• colonoscopy kuti muwone mkatikati mwa thirakiti lanu la GI
• chopondapo kuti muwone ngati alibe matenda, monga Clostridium difficile
• kuyesa mkodzo kuti muwone ngati alibe matenda
• kuyesa magazi kuti aone ngati pali zotupa, kuchepa magazi m'thupi, kapena mavuto a impso kapena chiwindi
• m'chiuno kuyesa kuthetsa mavuto azimayi mwa akazi
• Mayeso oyembekezera kuti athetse pakati pa azimayi

Ngati muli ndi diverticulitis, mayeso ndi mayeserowa atha kuthandiza dokotala kuti adziwe ngati ali ovuta kapena ovuta.

a diverticulitis milandu ndiosavuta, kusiya pafupifupi 25% kukhala ndi zovuta.

Zovuta izi zitha kuphatikiza:

• abscess, thumba lomwe lili ndi kachilombo komwe kali ndi mafinya
• phlegmon, malo omwe ali ndi kachilombo komwe sichimatsekedwa bwino kuposa chotupa
• fistula, kulumikizana kwachilendo komwe kumatha kukhala pakati pa ziwalo ziwiri kapena pakati pa chiwalo ndi khungu
• matumbo obowola m'mimba, misozi kapena mabowo pakhoma lam'mimba lomwe limatha kuloleza zomwe zili m'matumbo anu kuti zilowe m'mimba mwanu, zomwe zimayambitsa kutupa ndi matenda
• Kutsekeka m'matumbo, kutsekeka m'matumbo mwanu komwe kumatha kuyimitsa chopondapo kuti chisadutse

Chithandizo cha diverticulitis

Chithandizo chomwe dokotala akukuuzani kuti mutenge diverticulitis chidzadalira momwe matenda anu aliri oopsa.

Kusintha kosavuta kwa diverticulitis kumatha kuchiritsidwa kunyumba. Dokotala wanu akhoza kukulimbikitsani kuti musinthe zakudya zanu. Nthawi zina, amatha kupereka mankhwala kuphatikiza maantibayotiki.

Mukakhala ndi zovuta kuchokera ku diverticulitis, mwina muyenera kupita kuchipatala kuti mukalandire chithandizo. Mutha kupatsidwa madzi amadzimadzi ndi maantibayotiki kudzera mu mzere wamitsempha (IV). Kutengera mtundu wamavuto, mungafunike kuchitidwa opaleshoni kapena njira ina.

Kusintha kwa zakudya

Kuti mupatse dongosolo lanu lakugaya chakudya mpumulo ndikuchira, dokotala wanu atha kupereka lingaliro loti mupewe zakudya zolimba ndikutsata chakudya chomveka bwino kwa masiku angapo.

Ngati zizindikiro zanu ndizochepa kapena mwayamba kusintha, mutha kuyesa kudya zakudya zopanda mafuta mpaka matenda anu atakhala bwino. Pamene mkhalidwe wanu ukukulira, dokotala wanu angakulimbikitseni kuti muwonjezere zakudya zowonjezera kwambiri pazakudya zanu komanso zakudya zanu.

Mankhwala

Pofuna kuchepetsa kupweteka kapena kusokonezeka ndi diverticulitis, dokotala wanu angakulimbikitseni mankhwala opweteka kwambiri, monga acetaminophen (Tylenol).

Ngati akuganiza kuti muli ndi kachilombo, akupatsani mankhwala opha tizilombo kuti amuthandize. Izi zikuphatikiza:

• metronidazole (Flagyl, Flagyl ER)
• amoxicillin
• moyankwo

Ndikofunika kumwa mankhwala anu opatsirana, ngakhale zitakhala kuti zizindikiro zanu zikuyenda bwino mutatha kumwa koyambirira.

Njira zina

Mukakhala ndi vuto lovuta la diverticulitis lomwe silingachiritsidwe kudzera pazakudya ndi mankhwala okha, dokotala akhoza kukulangizani imodzi mwa njira izi:

• ngalande ya singano, pomwe pamalowetsedwa singano m'mimba mwanu kuti mutulutse mafinya
• opaleshoni Kutulutsa mafinya, kukonza fistula, kapena kuchotsa magawo omwe ali ndi kachilomboka

Kuchita opaleshoni ya diverticulitis

Ngati mukukumana ndi magawo angapo a diverticulitis omwe sangayendetsedwe bwino ndi kusintha kwa zakudya ndi mankhwala, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni. Opaleshoni itha kugwiritsidwanso ntchito kuthana ndi zovuta kuchokera ku diverticulitis.

Pali mitundu iwiri ya opaleshoni yomwe imagwiritsidwa ntchito pochiza diverticulitis.

Kutsegula m'matumbo ndi anastomosis

Pakubwezeretsa matumbo ndi anastomosis, dokotalayo amachotsa magawo omwe ali ndi kachilombo m'thupi lanu ndikumalumikiziranso magawo athanzi.

Kutulutsa matumbo ndi colostomy

Pakubwezeretsa matumbo ndi colostomy, dokotalayo amachotsa magawo omwe ali ndi kachilombo m'thupi mwanu ndikumangiriza kumapeto kwa gawo lamankhwala ndikutsegula m'mimba mwanu, kotchedwa stoma.

Njira ziwirizi zitha kuchitidwa ngati opaleshoni yotseguka kapena opaleshoni ya laparoscopic. Phunzirani zambiri za mitundu ya opaleshoni yomwe ingagwiritsidwe ntchito pochiza diverticulitis.

Zakudya ndi diverticulitis

Akatswiri sanatsimikizirebe za gawo lomwe zakudya zimadya mu diverticulitis. Palibe zakudya zinazake zomwe aliyense amene ali ndi diverticulitis ayenera kupewa. Koma mutha kuwona kuti zakudya zina zimapangitsa kuti thanzi lanu likhale labwino kapena loipitsitsa.

Mukamakumana ndi diverticulitis, dokotala akhoza kukulimbikitsani kuti muchepetse kudya kwanu kwa kanthawi. Atha kukulangizani kuti mupewe zakudya zolimba ndikumamatira zakudya zopanda madzi masiku angapo. Izi zitha kupatsa dongosolo lanu lakugaya chakudya mpata wopuma.

Pamene zizindikiro zanu zikuyenda bwino, dokotala wanu angakulimbikitseni kuti mudye zakudya zowonjezera kwambiri. Kafukufuku wina adalumikiza zakudya zamtundu wa fiber kuti muchepetse chiopsezo cha diverticulitis. Ena awunikiranso zabwino zomwe zingapezeke pazakudya kapena zowonjezera zamagetsi zamatenda osiyanasiyana, komabe sakudziwa kuti chindapusa chiyenera kusewera bwanji.

Dokotala wanu angakulimbikitseninso kuti muchepetse kudya nyama yofiira, mkaka wokhala ndi mafuta ambiri, komanso zakudya zopangidwa ndi tirigu woyengedwa. Kafukufuku wamkulu wamagulu ambiri adapeza kuti anthu omwe amatsata zakudya zomwe zili ndi zakudya zambiri izi amatha kukhala ndi diverticulitis kuposa anthu omwe amadya zakudya zokhala ndi zipatso, ndiwo zamasamba, ndi mbewu zonse.

Zakudya zitha kuthandizira kuthana ndi diverticulitis komanso thanzi lanu lonse logaya chakudya. Tengani kamphindi kuti muphunzire za zakudya zomwe zingakhudze matenda anu.

Zithandizo zapakhomo za diverticulitis

Zithandizo zapakhomo za diverticulitis nthawi zambiri zimakhala zosintha pazakudya, koma pali zosankha zingapo zomwe zingakhale zothandiza kuzindikiritsa komanso kugaya chakudya.

Kafukufuku wina apeza kuti mitundu ina ya maantibiotiki ingathandize kuthetsa kapena kupewa zizindikiro za diverticulitis. Kafufuzidwe kafukufuku amafunika kuti muwone zabwino ndi zoopsa zomwe zingagwiritsidwe ntchito maantibiotiki pochiza diverticulitis.

Zitsamba zina kapena zowonjezera zimathanso kukhala ndi phindu pakudya kwanu. Komabe, pakadali pano kafukufuku wochepa wothandizira kugwiritsa ntchito mankhwala azitsamba a diverticulitis. Werengani zambiri zamankhwala anyumba omwe angakuthandizeni kuthana ndi vutoli.

Diverticulitis ya Meckel

Matenda osiyanasiyana nthawi zambiri amakhudza akuluakulu. Koma nthawi zambiri, ana amabadwa ndi diverticula. Izi zikachitika, amadziwika kuti Meckel's diverticulum. Ngati diverticula yatupa, amatchedwa dieckiculitis ya Meckel.

Nthawi zina, diverticulum ya Meckel siyimayambitsa zovuta zowonekera. Nthawi zina, zimatha kuyambitsa zizindikiro monga:

• kupweteka m'mimba
• nseru
• kusanza
• chopondapo chamagazi
• Kutuluka magazi m'matumbo

Ngati mukuganiza kuti mwana wanu akhoza kukhala ndi diverticulitis, konzekerani ndi dokotala wawo. Phunzirani za njira zina zomwe ana angagwiritse ntchito pofufuza ndikuwongolera diverticulum ya Meckel.

Zithunzi za diverticulitis

Kugwiritsa ntchito colonoscopy kuti mupeze diverticulitis

Ngati muli ndi zizindikiro za diverticulitis, dokotala wanu angakulimbikitseni kuti mukhale ndi colonoscopy nthawi yovuta ikatha. Njirayi ingathandize kutsimikizira kuti matenda a diverticulitis kapena vuto lina lomwe limayambitsa zizindikiro zofananira, monga ulcerative colitis kapena matenda a Crohn.

Pakati pa colonoscopy, dokotala wanu amalumikiza kusintha kwake mu rectum ndi colon yanu. Atha kugwiritsa ntchito mwayiwu kuti aone mkati mwa colon yanu. Angagwiritsenso ntchito kutolera mitundu yazinyama kuti ayesedwe.

Kukuthandizani kuti mukhale omasuka panthawiyi, mudzakhazikika pasadakhale.

Nthawi zina, dokotala wanu amatha kudziwa kuti muli ndi diverticula panthawi ya colonoscopy. Ngati ma diverticula sanatenthedwe, ali ndi kachilombo, kapena akuyambitsa zizindikiro, mwina simusowa chithandizo.

Kupewa diverticulitis

Kafufuzidwe kafukufuku amafunika kuti mudziwe zomwe zimayambitsa matenda amisinkhu yosiyanasiyana, kuphatikiza diverticulitis. Pakadali pano, akatswiri amakhulupirira kuti zinthu zingapo zimathandizira. Zina mwazomwe mungakhale pachiwopsezo zimatha kusinthidwa pakusintha kwa moyo wanu.

Mwachitsanzo, zitha kuthandiza:

• khalani ndi thupi labwino
• idyani zakudya zomwe zili ndi fiber
• muchepetse kumwa mafuta odzaza
• pezani vitamini D wokwanira
• muzichita masewera olimbitsa thupi nthawi zonse
• pewani utsi wa ndudu

Njira zopewera izi zitha kuthandizanso kukulitsa thanzi labwino.

Zowopsa za diverticulitis

Chimodzi mwazinthu zazikulu zoopsa za diverticulitis ndi zaka. Anthu okalamba ali ndi mwayi waukulu kuposa achinyamata kuti atenge diverticulitis. Amuna ochepera zaka 50 ndipo akazi azaka zapakati pa 50 mpaka 70.

Koma anthu omwe amakhala ndi diverticula akadali achichepere amatha kukhala ndi diverticulitis. Achinyamata amafunikiranso kuchipatala ngati ali ndi diverticulitis kuposa achikulire.

Malinga ndi kafukufuku wofufuzidwa mu 2018, zina zomwe zingayambitse chiopsezo cha diverticulitis ndi izi:

Mbiri ya banja

Maphunziro awiri akuluakulu amapasa apeza kuti ma genetics amatenga nawo gawo pa matenda osiyanasiyana. Olembawo akuti pafupifupi 40 mpaka 50% ya chiopsezo chotenga matenda amisili ndi cholowa.

Zakudya zochepa

Kafukufuku wina adalumikiza zakudya zoperewera kwambiri ndi chiopsezo chowonjezeka cha diverticulitis. Komabe, kafukufuku wina sanapeze kulumikizana pakati pazakudya zama fiber ndi matendawa.

Mavitamini otsika a vitamini D

akuwonetsa kuti anthu omwe ali ndi mavitamini D ochulukirapo akhoza kukhala ndi chiopsezo chochepa chotenga diverticulitis. Kafukufuku wowonjezereka amafunikira kuti mumvetsetse kulumikizana komwe kungakhalepo pakati pa vitamini D ndi izi.

Kunenepa kwambiri

Kafukufuku wambiri apeza kuti anthu omwe ali ndi index yolimbitsa thupi komanso m'chiuno chokulirapo ali pachiwopsezo chachikulu cha diverticulitis.

Ndizotheka kuti kunenepa kwambiri kumabweretsa chiopsezo cha diverticulitis posintha mabakiteriya m'matumbo mwanu, koma kafukufuku wina amafunikira kuti mumvetsetse gawo lomwe izi zimachita.

Kusagwira ntchito

Ena apeza kuti anthu omwe amachita masewera olimbitsa thupi amakhala ocheperako kusiyana ndi anthu osagwira ntchito kuti akhale ndi diverticulitis. Komabe, kafukufuku wina sanapeze kulumikizana pakati pa zolimbitsa thupi ndi vutoli.

Kugwiritsa ntchito mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDS) kapena kusuta

Kugwiritsa ntchito aspirin, ibuprofen, kapena ma NSAID ena kumatha kubweretsa chiopsezo cha diverticulitis.

Osuta fodya amakhalanso ovuta kuposa osasuta omwe amakhala ndi matenda osiyanasiyana, kuphatikizapo diverticulitis.

Diverticulitis motsutsana ndi diverticulosis

Ngati muli ndi ma diverticula omwe alibe kachilombo kapena kotupa, amadziwika kuti diverticulosis.

Ofufuzawo akuti pafupifupi 80% ya milandu, diverticulosis siyimayambitsa zizindikiro zilizonse. Ngati muli ndi diverticulosis popanda zizindikilo, mwina simudzafunika chithandizo.

Koma nthawi zina, diverticulosis imatha kuyambitsa zizindikilo monga kupweteka m'mimba ndi kuphulika. Izi zikachitika, amadziwika kuti ndi matenda osokoneza bongo (SUDD).

Pafupifupi 4 peresenti ya anthu omwe ali ndi SUDD pamapeto pake amakhala ndi diverticulitis.

Chikhodzodzo diverticulitis

Diverticula ikhozanso kukula mu chikhodzodzo chanu. Izi zimachitika pamene kuyala kwa chikhodzodzo chanu kumapanga thumba, ndikudutsa m'malo ofooka a khoma lanu la chikhodzodzo.

Nthawi zina diverticula ya chikhodzodzo imakhalapo pobadwa. Nthawi zina, amakula msinkhu. Amatha kupanga pomwe chikhodzodzo chatsekedwa kapena chikhodzodzo chanu sichikugwira ntchito bwino chifukwa chodwala kapena kuvulala.

Ngati muli ndi chikhodzodzo diverticula chomwe chimatupa, chimadziwika kuti chikhodzodzo diverticulitis. Pofuna kuchiza chikhodzodzo diverticulitis, dokotala wanu akhoza kukupatsani mankhwala opha tizilombo ndi mankhwala opweteka. Angathenso kulangiza opaleshoni kuti akonze diverticula.

N'zotheka kuti diverticulitis mu colon yanu ikhudze chikhodzodzo chanu. Zikakhala zovuta, mutha kukhala ndi fistula pakati pa khola lanu ndi chikhodzodzo. Izi zimadziwika ngati fistula yosalala. Dziwani tanthauzo la izi.

Esophageal diverticulitis

Diverticula imatha kupangika m'mimba mwanu. Izi zimachitika m'matumba am'mimba mwanu.

Esophageal diverticula ndi osowa. Akakula, nthawi zambiri amakhala pang'onopang'ono komanso kupitilira zaka zambiri. Akamakula, amatha kuyambitsa zizindikilo kapena zovuta monga:

• vuto kumeza
• ululu mukameza
• halitosis, kapena kununkha koipa
• Kubwezeretsanso chakudya ndi malovu
• kukhumba kwamapapu; kupuma kumabwezeretsanso chakudya kapena malovu m'mapapu anu
• chifuwa chotupa; kukhala ndi matenda am'mapapo atapuma chakudya kapena malovu

Ngati diverticula yatupa, amadziwika kuti esophageal diverticulitis.

Pofuna kuchiza matenda am'mimba, dokotala wanu amatha kukupatsani mankhwala opha tizilombo. Kuti akonzere diverticula, atha kupangira opaleshoni. Pezani zambiri zamankhwala omwe mungasankhe.

Diverticulitis ndi mowa

M'mbuyomu, kafukufuku wina adati kumwa zakumwa zoledzeretsa kumawonjezera chiopsezo cha diverticulitis. Koma maphunziro ena sanapeze kulumikizana koteroko.

Malinga ndi kuwunikiridwa kwa kafukufuku wofalitsidwa mu 2017, pali kuti kumwa mowa kumabweretsa chiopsezo cha matendawa.

Mukamamwa mowa, dokotala wanu angakulimbikitseni kuti muzimwa pang'ono. Ngakhale kumwa mowa sikungayambitse diverticulitis, kumwa mopitirira muyeso kungabweretse chiopsezo chamatenda ena ambiri.

Tengera kwina

Diverticulitis ndiofala kumayiko akumadzulo. Nthawi zambiri, amatha kuchiritsidwa kudzera pakusintha kwakanthawi kochepa pa zakumwa ndi mankhwala.

Koma ngati zovuta zimayamba, zitha kukhala zowopsa kwambiri. Ngati muli ndi zovuta za diverticulitis, dokotala wanu angakulimbikitseni kuti mupeze chithandizo kuchipatala. Mungafunike kuchitidwa opaleshoni kuti mukonze zotupa zanu.

Ngati muli ndi diverticulitis kapena mafunso okhudza chiopsezo chanu chokhala nawo, lankhulani ndi dokotala wanu. Amatha kukuthandizani kuphunzira momwe mungachiritse matendawa ndikuthandizira thanzi lanu logaya chakudya.