I-Acute diverticulitis: izimpawu, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ze-diverticulitis enamandla
• Injani impatho
• Izinkinga ezingenzeka
• Ungakugwema kanjani

I-Acute diverticulitis ukuphazamiseka kwamathumbu okubonakaliswa ukuvuvukala kanye / noma ukutheleleka kwe-diverticula, okuyizibambo ezincane noma amasaka akhona ezindongeni zamathumbu, ikakhulukazi engxenyeni yokugcina yekholoni.

I-Diverticula ivame ukuba khona kubantu abadala abangaphezu kwama-40 futhi ivame kakhulu kubantu abanokuqunjelwa okungapheli noma abanokudla okuphansi kwe-fiber. Lokhu kubangela ukuthi indle ingangeniswa kahle emzimbeni futhi igcinwe emathunjini, ikhuthaza ukuthuthukiswa kwe-diverticula nokuvuvukala kwayo, okungabonwa ngezinye zezimpawu ezifana nesicanucanu, ukuhlanza nobuhlungu esiswini, isibonelo.

Kubalulekile ukuthi i-diverticulitis ebukhali ikhonjwe futhi iphathwe ngokuya ngokuqondiswa yi-gastroenterologist's, ngoba ngakho-ke kungenzeka ukuvimbela izingqinamba ezifana nokugcotshwa noma ukuvinjelwa kwamathumbu.

Izimpawu eziyinhloko

Ezimweni eziningi, i-acute diverticulitis ayi-asymptomatic, etholakala kuphela ngokuhlolwa kokuxilongwa okwenziwe ukuphenya ezinye izinguquko zamathumbu. Kodwa-ke, abanye abantu bangabika izimpawu nezimpawu ezingezona ezifana ne:

• Ubuhlungu besisu, ikakhulukazi engxenyeni engezansi yohlangothi lwesobunxele, okungaba njalo futhi kuqhubeke izinsuku ezimbalwa;
• Isikhathi sohudo noma ukuqunjelwa;
• Ukuzwela ohlangothini lwesobunxele esiswini;
• Isicanucanu nokuhlanza;
• Imfiva;
• Ukugodola;
• Igazi esitokisini, kwezinye izimo;
• Ukuphelelwa isifiso sokudla.

Ubukhulu bezimpawu buyahluka ngokuya ngamandla wokuvuvukala, okuthi, uma kumnene, kungabonakali. Kodwa-ke, lapho kukhona lezi zimpawu, kubalulekile ukuthi uthintane nodokotela wezifo zesisu ukuze ahlole isidingo sokwenza izivivinyo zemifanekiso efana ne-ultrasound noma i-tomography yesisu, nokuhlolwa kwegazi okuthola ukuvuvukala nokutheleleka emathunjini, ukuze kungenzeka ukukhombisa ukwelashwa okufanele.ukuvimbela izinkinga.

Izimbangela ze-diverticulitis enamandla

Ukubukeka kwe-diverticula engxenyeni yokugcina yekoloni kubizwa ngokuthi yi-diverticulosis futhi lapho lezi zinhlobonhlobo zivutha, i-diverticulitis ibonakala. Lokhu kuvuvukala kungenzeka ngenxa yokuguga, ukuze kube nokulahleka kokuqina kwemisipha yamathumbu, kuvuna ukuthi izingcezu ezincane zendle zihlale zikhona futhi ziholele ekuvukeleni kwe-diverticulum.

Ngaphezu kwalokho, ezinye izimo ezingavuna ukuvuvukala kwalezi zakhiwo ukudla okuphansi kwe-fiber nokuqunjelwa okungapheli, lokhu kuholela ekwakhiweni kwezitulo ezingenawo amanzi kahle, okwandisa ingcindezi emathunjini futhi kuthande ukuvuvukala kwe-diverticula.

Ngaphezu kwalokho, ngenxa yobukhona bezingxenyana ezincane zendle, kungenzeka futhi ukuvumela ukutheleleka kwasendaweni, nakho okubangela ukuvela kwezimpawu nezimpawu ze-diverticulitis enamandla.

Injani impatho

Ukwelashwa kwe-diverticulitis e-acute kufanele kuqondiswe yi-gastroenterologist ngokusho kwezimpawu nezimbangela zokuvuvukala, nokusetshenziswa kwemithi ye-analgesic ne-anti-inflammatory ukudambisa izimpawu, kanye nama-antibiotic, njenge-Ciprofloxacino ne-Metronidazole, ukuze welapha noma uvimbele ukukhula kwezifo.

Ngaphezu kwalokho, udokotela angakhombisa ukunakekelwa ngokudla, okuyizinsuku ezintathu zokuqala, okumele kube uketshezi, futhi kancane kancane engeza ukudla okuqinile, ukuze kungakhuphuli ingcindezi ngaphakathi kwamathumbu. Njengoba ukuvuvukala nezimpawu kuyehla, isiguli kufanele sethule ukudla okune-fiber ekudleni kwabo kwansuku zonke, njengezithelo ezintsha nemifino noma okusanhlamvu okuphelele, ngokwesibonelo, ukuvimbela i-diverticula ukuthi ingaphinde futhi ivuthe. Bheka imininingwane eminingi yokondla i-diverticulitis enamandla.

Lapho umuntu ekwazi ukulandela imihlahlandlela kahle futhi lapho isimo simnene, lokhu kwelashwa kungenziwa ekhaya, noma kunjalo, esimweni se-diverticulitis enzima, ukulaliswa esibhedlela ukwenza imithambo emthanjeni nokuhlola ukuthi kungenzeka yini ukuhlinzwa kubalulekile.

Ukwelashwa kokuhlinzwa kokuvuvukala, kungenziwa ukubhoboza ukukhipha ubomvu noma ukuhlinzwa ukuze kususwe ingxenye eyonakele yamathumbu. Bona imininingwane eminingi ngezindlela zokwelashwa nezokuhlinzwa ze-diverticulitis.

Izinkinga ezingenzeka

Lapho i-diverticulitis enzima ingalashwa ngokushesha lapho kuvela izimpawu zokuqala noma lapho ukwelashwa kungenziwa ngokuyalelwa ngudokotela, kungenzeka ukuthi ezinye izinkinga zingavela, njenge:

• Ukopha, okungaba namandla futhi kuqashelwe ngokuba khona kwegazi elibukhoma esitokisini;
• Ithumba khona lapho, ezingadala ubuhlungu obukhulu futhi zenyuse ubungozi bokuthola izifo ezibucayi kakhulu;
• Ukwakheka kwamafistula, okuwukuxhumana phakathi kwamathumbu nezinye izitho, okuqala ngenxa yokuvuvukala nokwakheka kwezilonda ezindongeni;
• Perforation wamathumbu, okuyinkinga enkulu ye-diverticulitis futhi ebangela ukuvuvukala okukhulu kwesifunda sesisu;
• Ukuvinjelwa kwamathumbu, lapho ukuvuvukala kuvimbela ukudlula koketshezi kanye nendle emathunjini, okubangela ukuqunjelwa, amajaqamba esiswini nokuhlanza.

Ngakho-ke, ukugwema lezi zinkinga kubalulekile ukulandela izincomo zikadokotela ukunciphisa ukuvuvukala nokugwema izinkinga ezingaba khona nokuhlaselwa okusha kwe-diverticulitis enamandla.

Ungakugwema kanjani

Ukuvikela ukwakheka kwe-diverticula emathunjini amakhulu, noma ukuvimbela ukuhlaselwa okusha kwe-diverticulitis, kubalulekile ukuthi ube nokudla okunothe nge-fiber, ngoba kukhuthaza ukusebenza nokuhlanzwa kwamathumbu, futhi kuvimbele izindonga zawo ekubeni buthakathaka futhi zibe zintsha kwakhiwa amafolda.

Ukusebenza kahle kwamathumbu, kubalulekile futhi ukuphuza uketshezi oluningi usuku lonke, ngesilinganiso samalitha amabili amanzi, ngaphezu kokudla kancane nokuhlafuna kahle ngaphambi kokugwinya.

Bukela futhi, amanye amathiphu avela kudokotela wezokudla ngokudla okulungile ngesikhathi nangemva kokwelashwa kwe-diverticulitis, ukuvimbela izinkinga ezintsha nokwenza ngcono ukusebenza kwamathumbu: