I-Diverticulitis

Ama-diverticula mancane, amasaka amakhulu noma izikhwama ezakha odongeni lwangaphakathi lwamathumbu. I-Diverticulitis yenzeka lapho lezi zikhukhukazi zivutha noma zitheleleka. Esikhathini esiningi, lezi zikhwama zisemathunjini amakhulu (ikholoni).

Ukwakheka kwezikhwama noma amasaka kulwelwesi lwamathumbu kubizwa nge-diverticulosis. Kutholakala ngaphezu kwengxenye yabantu baseMelika abaneminyaka engaphezu kwengama-60. Kodwa-ke, akekho owazi kahle ukuthi yini ebangela ukuthi lezi zikwama zakhiwe.

Ukudla ukudla okune-fiber eningi okwenziwe ngokudla okusetshenzisiwe kungaba yimbangela. Ukuqunjelwa kanye nendle eqinile kungenzeka kakhulu uma ungadli i-fiber eyanele. Ukwelula ukudlula indle kwandisa ingcindezi kukholoni noma emathunjini, okungaholela ekwakhiweni kwalezi zikhukhu.

Kwezinye izimo, esinye sezikhwama singavutha futhi kudabuke inyembezi encane emgodini wamathumbu. Lokhu kungaholela ekuthelelekeni kusayithi. Uma lokhu kwenzeka, lesi simo sibizwa ngokuthi i-diverticulitis. Isizathu se-diverticulitis asaziwa.

Abantu abane-diverticulosis kaningi abanazo izimpawu, kepha kungenzeka babe nokuqunjelwa nokuxinana engxenyeni engezansi yesisu. Imvamisa, bangabona igazi esitokisini sabo noma ephepheni lasendlini yangasese.

Izimpawu ze-diverticulitis zinzima kakhulu futhi zivame ukuqala ngokuzumayo, kepha zingaba zimbi ezinsukwini ezimbalwa. Kubandakanya:

• Ubumnene, imvamisa ohlangothini lwesobunxele lwesisu
• Ukuqunjelwa noma igesi
• Umkhuhlane namakhaza
• Isicanucanu nokuhlanza
• Ukungazizwa ulambile futhi ungadli

Umhlinzeki wakho wezokunakekelwa kwempilo uzokuhlola. Ungadinga ukuhlolwa kwegazi ukubona ukuthi unegciwane yini.

Ezinye izivivinyo ezisiza ukuxilonga i-diverticulitis zingafaka:

• Iskena se-CT
• I-Ultrasound yesisu
• I-X-ray yesisu

Ukwelashwa kwe-diverticulitis kuncike ekutheni izimpawu zibucayi kangakanani. Abanye abantu bangadinga ukuba sesibhedlela, kepha isikhathi esiningi, inkinga ingelashwa ekhaya.

Ukusiza ngobuhlungu, umhlinzeki wakho angaphakamisa ukuthi wena:

• Phumula embhedeni bese usebenzisa iphedi yokushisa esiswini sakho.
• Thatha imithi yezinhlungu (buza umhlinzeki wakho ukuthi yimiphi okufanele uyisebenzise).
• Phuza kuphela uketshezi usuku olulodwa noma ezimbili, bese kancane kancane uqala ukuphuza iziphuzo ezijiyile bese udla ukudla.

Umhlinzeki angakuphatha ngama-antibiotic.

Ngemuva kokuthi ungcono, umhlinzeki wakho uzophakamisa ukuthi ungeze i-fiber eyengeziwe ekudleni kwakho. Ukudla i-fiber eningi kungasiza ukuvimbela ukuhlaselwa okuzayo. Uma une-bloating noma igesi, nciphisa inani le-fiber olidlayo izinsuku ezimbalwa.

Uma lezi zikhwama sezakhiwe, uzoba nazo impilo yonke. I-Diverticulitis ingabuya, kepha abanye abahlinzeki bacabanga ukuthi ukudla okuphezulu kwe-fiber kunganciphisa amathuba akho wokuphindeka.

Imvamisa, lesi yisimo esimnene esiphendula kahle ekwelashweni. Abanye abantu bazoba nokuhlaselwa okungaphezu kokukodwa kwe-diverticulitis. Ukuhlinzwa kungadingeka kwezinye izimo. Izikhathi eziningi, abahlinzeki bazoncoma ukuthi une-colonoscopy ngemuva kokuthi i-diverticulitis isilaphile. Lokhu kungasiza ukukhipha ezinye izimo ezingalingisa izimpawu ze-diverticulitis.

Izinkinga ezinkulu ezingaba khona yilezi:

• Ukuxhumana okungavamile okwenzeka phakathi kwezingxenye zekholoni noma phakathi kwekholoni nenye ingxenye yomzimba (i-fistula)
• I-Hole noma i-colon (i-perforation)
• Indawo encishisiwe kukholoni (ukuqina)
• Iphakethe eligcwele ubomvu noma ukutheleleka (ithumba)
• Ukopha kusuka ku-diverticula

Shayela umhlinzeki wakho uma kwenzeka izimpawu ze-diverticulitis.

Fonela futhi uma une-diverticulitis futhi une:

• Igazi ezindlini zakho
• Umkhuhlane ongaphezu kuka-100.4 ° F (38 ° C) ongapheli
• Isicanucanu, ukuhlanza, noma ukugodola
• Ubuhlungu besisu noma beqolo obungazelelwe obuya buba bukhulu noma bube nzima kakhulu

• I-diverticulitis ne-diverticulosis - ukukhipha
• I-Diverticulitis - okufanele ubuze udokotela wakho
• Ukudla okune-fiber ephezulu
• Ukudla okuphansi kwe-fiber

• Colonoscopy
• Uhlelo lokugaya ukudla
• Colon diverticula - uchungechunge

IBhuket TP, iStollman NH. Izifo ezahlukahlukene zekoloni. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 121.

I-Kuemmerle JF. Izifo zokuvuvukala kanye ne-anatomic zamathumbu, i-peritoneum, i-mesentery, ne-omentum. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 133.