Opaleshoni ya Diverticulitis

Zamkati

• Chifukwa chiyani ndiyenera kuchitidwa opaleshoni ya diverticulitis?
• Kodi mitundu ya diverticulitis opaleshoni ndi iti?
• Kodi ndi zoopsa ziti zomwe zimakhudzana ndi opaleshoniyi?
• Kodi ndikukonzekera bwanji opaleshoniyi?
• Kodi opaleshoniyi imachitika bwanji?
• Kodi pali zovuta zina zokhudzana ndi opaleshoniyi?
• Zimatenga nthawi yayitali bwanji kuti achire kuchipatala?
• Kodi malingaliro a opaleshoniyi ndi otani?

Kodi diverticulitis ndi chiyani?

Diverticulitis imachitika m'matumba ang'onoang'ono am'mimba, otchedwa diverticula, amatupa. Diverticula nthawi zambiri amatupa atatenga kachilomboka.

Diverticula nthawi zambiri imapezeka mumatumbo anu, gawo lalikulu kwambiri m'matumbo anu akulu. Nthawi zambiri sizowononga dongosolo lanu logaya chakudya. Koma akayamba kutupa, amatha kupweteka komanso zizindikilo zina zomwe zingasokoneze moyo wanu watsiku ndi tsiku.

Pemphani kuti mudziwe zambiri zamitundu ya operewera diverticulitis, pomwe muyenera kusankha kuti muchitidwe opaleshoniyi, ndi zina zambiri.

Chifukwa chiyani ndiyenera kuchitidwa opaleshoni ya diverticulitis?

Opaleshoni ya diverticulitis imachitika nthawi zambiri ngati diverticulitis yanu ndi yoopsa kapena yowopseza moyo. Mutha kusamalira ma diverticulitis anu pochita izi:

• kumwa mankhwala opha tizilombo
• kugwiritsa ntchito mankhwala osokoneza bongo (NSAIDs), monga ibuprofen (Advil)
• kumwa zakumwa ndikupewa chakudya chotafuna mpaka zizindikiro zanu zitatha

Dokotala wanu angakulimbikitseni kuchitidwa opaleshoni ngati muli ndi:

• magawo angapo owopsa a diverticulitis osalamulidwa ndi mankhwala komanso kusintha kwa moyo
• Kutuluka m'magazi anu
• kupweteka kwambiri m'mimba mwanu kwamasiku ochepa kapena kupitilira apo
• kudzimbidwa, kutsegula m'mimba, kapena kusanza komwe kumatenga nthawi yayitali kuposa masiku ochepa
• kutsekeka m'matumbo anu kukutetezani kuti musadutse zinyalala (kutsekeka kwa matumbo)
• dzenje mu colon yanu (zotsekemera)
• Zizindikiro za sepsis

Kodi mitundu ya diverticulitis opaleshoni ndi iti?

Mitundu ikuluikulu ya opaleshoni ya diverticulitis ndi iyi:

• Kutsegula m'matumbo ndi anastomosis yoyamba: Pochita izi, dotolo wanu amachotsa m'matumbo omwe ali ndi kachilombo (kotchedwa colectomy) ndikusoka kumapeto kwa zidutswa ziwiri zathanzi kuchokera mbali zonse za dera lomwe kale linali ndi kachilombo (anastomosis).
• Kutsegula m'mimba ndi colostomy: Pochita izi, dotolo wanu amapanga colectomy ndipo amalumikiza matumbo anu kudzera pabowo m'mimba mwanu (colostomy). Kutsegula uku kumatchedwa stoma. Dokotala wanu amatha kupanga colostomy ngati pali kutupa kwambiri kwamatumbo. Kutengera momwe mumapezera bwino miyezi ingapo ikubwerayi, colostomy ikhoza kukhala yakanthawi kochepa kapena yokhazikika.

Njira iliyonse itha kuchitidwa ngati opaleshoni yotseguka kapena laparoscopically:

• Tsegulani: Dokotala wanu amadula m'mimba mwanu mainchesi sikisi mpaka eyiti kuti atsegule matumbo anu kuti awone.
• Laparoscopic: Dokotala wanu amadula pang'ono. Kuchita opaleshoniyo kumachitika poika makamera ang'onoang'ono ndi zida m'thupi lanu kudzera mumachubu zazing'ono (trocars) zomwe nthawi zambiri zimakhala zosakwana sentimita imodzi kukula kwake.

Kodi ndi zoopsa ziti zomwe zimakhudzana ndi opaleshoniyi?

Monga opaleshoni iliyonse, chiopsezo chanu chazovuta chitha kukulitsidwa ngati:

• onenepa
• ali ndi zaka zopitilira 60
• ali ndi zovuta zina zamankhwala monga matenda ashuga kapena kuthamanga kwa magazi
• adachitidwapo opaleshoni ya diverticulitis kapena maopaleshoni ena m'mimba kale
• Alibe thanzi labwino kapena sapeza zakudya zokwanira
• akuchitidwa opaleshoni mwadzidzidzi

Kodi ndikukonzekera bwanji opaleshoniyi?

Masabata angapo musanachite opaleshoni, dokotala wanu akhoza kukupemphani kuti muchite izi:

• Lekani kumwa mankhwala omwe angachepetse magazi anu, monga ibuprofen (Advil) kapena aspirin.
• Lekani kusuta kwakanthawi (kapena kosatha ngati mwakonzeka kusiya). Kusuta kumatha kupangitsa kuti thupi lanu lizichira pambuyo pochitidwa opaleshoni.
• Yembekezani chimfine chilichonse, malungo, kapena kuzizira kuti kuswe.
• Sinthanitsani zamadzimadzi m'malo mwa zakudya zanu ndikumwa zakumwa zoziziritsa kukhosi kuti mutulutse matumbo anu.

Pakadutsa maola 24 musanachite opareshoni, mungafunikenso:

• Imwani madzi kapena zakumwa zina zowoneka bwino, monga msuzi kapena msuzi.
• Osadya kapena kumwa chilichonse kwa maola ochepa (mpaka 12) asanachite opareshoni.
• Tengani mankhwala aliwonse omwe dokotala wanu amakupatsani musanachite opaleshoni.

Onetsetsani kuti mwapuma pantchito kapena maudindo ena kwa milungu iwiri osachira kuchipatala komanso kunyumba. Khalani ndi munthu wokonzeka kupita nanu kunyumba mukatuluka kuchipatala.

Kodi opaleshoniyi imachitika bwanji?

Kuti muchite matumbo ndi primary anastomosis, dokotala wanu wochita izi:

1. Dulani mipata itatu kapena isanu m'mimba mwanu (ya laparoscopy) kapena mutsegule mainchesi sikisi mpaka eyiti kuti muwone m'matumbo mwanu ndi ziwalo zina (za opaleshoni yotseguka).
2. Ikani laparoscope ndi zida zina zopangira opaleshoni podula (kwa laparoscopy).
3. Dzazani m'mimba mwanu ndi mpweya kuti mupeze mpata wochulukirapo opaleshoni (ya laparoscopy).
4. Yang'anani ziwalo zanu kuti muwonetsetse kuti palibe zovuta zina.
5. Pezani gawo lomwe lakhudzidwa ndi colon yanu, dulani kuchokera ku colon yanu yonse, ndikuchotsa.
6. Sulani malekezero awiri otsala a coloni anu (anastomosis) kapena mutsegule pamimba ndikulumikiza koloniyo (colostomy).
7. Sambani mawonekedwe anu opangira opaleshoni ndikuyeretsa madera owazungulira.

Kodi pali zovuta zina zokhudzana ndi opaleshoniyi?

Mavuto omwe angakhalepo ndi ma diverticulitis opangira ndi awa:

• kuundana kwamagazi
• Matenda opatsirana pogonana
• kutaya magazi (kutuluka magazi mkati)
• sepsis (matenda m'thupi lanu lonse)
• matenda a mtima kapena sitiroko
• kulephera kupuma komwe kumafuna kugwiritsa ntchito makina opumira popuma
• kulephera kwa mtima
• impso kulephera
• Kuchepetsa kapena kutseka kwa khola lanu kuchokera kumatenda ofiira
• mapangidwe a abscess pafupi ndi colon (mafinya omwe ali ndi mabakiteriya pachilonda)
• kutuluka kuchokera kudera la anastomosis
• ziwalo zapafupi zikuvulala
• kusadziletsa, kapena kusakhoza kuwongolera mukamadutsa chopondapo

Zimatenga nthawi yayitali bwanji kuti achire kuchipatala?

Mutha kukhala masiku awiri kapena asanu ndi awiri mchipatala mutatha opaleshoniyi pomwe madotolo anu akukuyang'anirani ndikuwonetsetsa kuti mutha kuperekanso zinyalala.

Mukapita kunyumba, chitani zotsatirazi kuti mudzithandizire kuchira:

• Osamachita masewera olimbitsa thupi, kunyamula chilichonse cholemetsa, kapena kugonana kwa milungu iwiri mutachoka kuchipatala. Kutengera mtundu wa opareshoni yanu komanso momwe opareshoni yanu idayendera, adotolo angakulimbikitseni izi kwa nthawi yayitali kapena yayifupi.
• Khalani ndi zakumwa zooneka bwino poyamba. Pang'onopang'ono bweretsani zakudya zolimba muzakudya zanu pamene m'matumbo anu akuchiritsa kapena monga dokotala akukulangizani.
• Tsatirani malangizo aliwonse omwe mudapatsidwa posamalira stoma ndi thumba la colostomy.

Kodi malingaliro a opaleshoniyi ndi otani?

Maganizo a opaleshoni ya diverticulitis ndiabwino, makamaka ngati opaleshoniyi yachitika laparoscopically ndipo simukusowa stoma.

Onani dokotala wanu nthawi yomweyo ngati muwona izi:

• Kutuluka magazi chifukwa chodulidwa mwatsekedwa kapena kuwonongeka kwanu
• kupweteka kwambiri m'mimba mwanu
• kudzimbidwa kapena kutsegula m'mimba kwa masiku opitilira ochepa
• nseru kapena kusanza
• malungo

Mutha kukhala ndi stoma yotsekedwa miyezi ingapo mutachitidwa opaleshoni ngati m'matumbo mwanu muchira bwino. Ngati gawo lalikulu la colon yanu lidachotsedwa kapena ngati pali chiopsezo chachikulu chobwezeretsanso, mungafunike kusunga stoma kwa zaka zambiri kapena kwamuyaya.

Ngakhale chifukwa cha diverticulitis sichidziwika, kupanga kusintha kwa moyo wathanzi kumatha kulepheretsa kukula. Kudya zakudya zamtundu wapamwamba ndi njira imodzi yolimbikitsira kupewa diverticulitis.