Konke Odinga Ukukwazi Nge-Diverticulitis

-Delile

• Izimpawu ze-diverticulitis
• Izimbangela ze-diverticulitis
• Ukuxilongwa kwe-diverticulitis
• Ukwelashwa kwe-diverticulitis
• Izinguquko zokudla
• Imithi
• Ezinye izinqubo
• Ukuhlinzwa kwe-diverticulitis
• Ukuthengiswa kwamathumbu nge-anastomosis
• Ukuthengiswa kwamathumbu nge-colostomy
• Ukudla kanye ne-diverticulitis
• Amakhambi asekhaya we-diverticulitis
• I-diverticulitis kaMeckel
• Izithombe ze-Diverticulitis
• Kusetshenziswa i-colonoscopy ukuxilonga i-diverticulitis
• Ukuvimbela i-diverticulitis
• Izici zobungozi ze-diverticulitis
• Umlando womndeni
• Ukudla okuphansi kwe-fiber
• Amazinga aphansi kavithamini D
• Ukukhuluphala ngokweqile
• Ukungasebenzi ngokomzimba
• Usebenzisa izidakamizwa ezingezona ukuvuvukala (i-NSAIDS) noma ukubhema
• I-Diverticulitis vs. i-diverticulosis
• I-diverticulitis yesinye
• I-diophaiculitis ye-Esophageal
• I-Diverticulitis notshwala
• Ukudla okudlela endlini

Kwenzenjani?

Yize bekuyivelakancane ngaphambi kwekhulu lama-20, izifo ezi-diverticular manje zingenye yezinkinga zezempilo ezivame kakhulu emhlabeni waseNtshonalanga. Yiqembu lezimo ezingathinta umgudu wakho wokugaya ukudla.

Uhlobo olubi kakhulu lwesifo se-diverticular yi-diverticulitis. Kungadala izimpawu ezingathandeki futhi, kwezinye izimo, kube nezinkinga ezinkulu. Uma kushiywe kungalashwa, lezi zinkinga zingadala izinkinga zempilo zesikhathi eside.

Funda ukuze ufunde kabanzi nge-diverticulitis, kufaka phakathi izimbangela zayo, izimpawu, izinketho zokwelashwa, nokuthi ukudla kwakho kungayithinta kanjani ingozi yokuyithuthukisa.

Izimpawu ze-diverticulitis

I-Diverticulitis ingadala izimpawu ezisukela kokumnene ziye kokubi. Lezi zimpawu zingavela ngokuzumayo noma zingakhula kancane kancane ezinsukwini ezimbalwa.

Izimpawu ezingaba khona zezifo ezahlukahlukene zifaka:

• ubuhlungu esiswini sakho
• ukuqunjelwa
• isifo sohudo
• ukuqunjelwa

Uma uhlakulela i-diverticulitis, ungahle uzwe:

• ubuhlungu obungapheli noma obukhulu esiswini sakho
• isicanucanu nokuhlanza
• umkhuhlane namakhaza
• igazi esitokisini sakho
• ukopha ku-rectum yakho

Ubuhlungu besisu buyisifo esivame kakhulu se-diverticulitis. Ngokuyinhloko kungenzeka ukuthi kwenzeke ohlangothini olungezansi kwesobunxele lwesisu sakho. Kepha futhi ingakhula ohlangothini lwesokunene sesisu sakho.

Uma uthuthukisa noma yiziphi zalezi zimpawu ezingenhla, njengokuhlanza noma igazi esitokisini sakho, kungaba uphawu lokuxakaniseka okukhulu kusuka ku-diverticulitis noma kwesinye isimo. Shayela udokotela wakho ngokushesha.

Izimbangela ze-diverticulitis

Izifo ezahlukahlukene zikhula lapho kwakhiwa izikhwama eceleni kwendlela yakho yokugaya ukudla, ikakhulukazi kukholoni (amathumbu amakhulu). Lezi zikhukhu zaziwa njenge-diverticula. Zakha lapho kunezindawo ezibuthakathaka kubhaluni lakho lodonga lwamathumbu ngaphandle.

I-Diverticulitis yenzeka lapho i-diverticula ivutha futhi kwezinye izimo itheleleke. Lokhu kungenzeka lapho indle noma ukudla okugayiwe kancane kuvimbela ukuvulwa kwe-diverticula.

Asikho isizathu esisodwa esaziwayo sesifo se-diverticular. Esikhundleni salokho, ochwepheshe bakholelwa ukuthi izici eziningi zofuzo nezemvelo kungenzeka zibe nomthelela ekukhuleni kwayo.

Ukuxilongwa kwe-diverticulitis

Ukuthola i-diverticulitis, udokotela wakho cishe uzokubuza mayelana nezimpawu zakho, umlando wezempilo, kanye nanoma yimiphi imithi oyiphuzayo. Kungenzeka benze ukuhlolwa komzimba ukuhlola isisu sakho ukuthi asithambile yini noma, uma bedinga ulwazi oluthe xaxa, ukuhlolwa kwamakhompiyutha edijithali ukubheka ukuphuma kwegazi, ubuhlungu, uquqaba, noma ezinye izinkinga.

Ezinye izimo eziningana zingadala izimpawu ezifana ne-diverticulitis. Ukuze ukhiphe ezinye izimo futhi uhlole izimpawu ze-diverticulitis, udokotela wakho angalawula ukuhlolwa okulodwa noma ngaphezulu.

Ukuhlolwa kungafaka:

• i-ultrasound yesisu, isisu se-MRI esiswini, i-CT esiswini, noma i-X-ray esiswini ukudala izithombe zethambo lakho lesisu (GI)
• colonoscopy ukuhlola ingaphakathi lepheshana lakho le-GI
• indle yokuhlola ukuthola izifo, njenge IClostridium difficile
• ukuhlolwa komchamo ukuhlola izifo
• ukuhlolwa kwegazi ukuhlola izimpawu zokuvuvukala, i-anemia, noma izinkinga zezinso noma zesibindi
• ukuhlolwa kwezitho zangasese ukukhipha izinkinga zabesifazane kwabesifazane
• ukuhlolwa kokukhulelwa ukukhipha ukukhulelwa kwabesifazane

Uma une-diverticulitis, lezi zivivinyo nokuhlolwa kungasiza udokotela wakho ukuthi afunde uma kungenzima noma kuyinkimbinkimbi.

amacala e-diverticulitis ayinzima, okushiya cishe amaphesenti angama-25 ukuthuthukisa izinkinga.

Lezi zinkinga zingabandakanya:

• ithumba, isikhwama esinegciwane esigcwele ubomvu
• i-phlegmon, indawo enegciwane elingavikelekile kahle kune-abscess
• i-fistula, ukuxhumana okungavamile okungakhula phakathi kwezitho ezimbili noma phakathi kwesitho nesikhumba
• ukugcotshwa kwamathumbu, ukudabuka noma imbobo odongeni lwamathumbu okungavumela okuqukethwe kukholoni lakho ukuthi kuvuze kuthumbu lakho, kubangele ukuvuvukala nokutheleleka
• ukuvinjelwa kwamathumbu, ukuvinjelwa emathunjini akho okungamisa isitokisi ukuthi singadluli

Ukwelashwa kwe-diverticulitis

Ukwelashwa okushiwo udokotela wakho nge-diverticulitis kuzoya ngokuthi isimo sakho sinzima kangakanani.

I-diverticulitis eyinkimbinkimbi ingalashwa ekhaya. Udokotela wakho angakukhuthaza ukuthi wenze izinguquko ekudleni kwakho. Kwezinye izimo, bangahle banikeze imishanguzo efaka ama-antibiotic.

Uma uba nezinkinga kusuka ku-diverticulitis, kuzodingeka ukuthi uvakashele isibhedlela ukuze uthole ukwelashwa. Unganikezwa uketshezi kanye nama-antibiotic ngomugqa we-intravenous (IV). Ngokuya ngohlobo lwenkinga, kungadingeka ukuthi uhlinzwe noma enye inqubo.

Izinguquko zokudla

Ukunikeza uhlelo lwakho lokugaya ukudla ithuba lokuphumula nokululama, udokotela wakho angase asikisele ukugwema ukudla okuqinile nokulandela ukudla okucacile oketshezi izinsuku ezimbalwa.

Uma izimpawu zakho zimnene noma seziqale ukuthuthuka, ungakwazi ukuzama ukudla ukudla okune-fiber ephansi kuze kube yilapho isimo sakho sesingcono. Njengoba isimo sakho sithuthuka, cishe udokotela wakho uzokukhuthaza ukuthi ungeze ukudla okunokudla okunama-fiber amaningi ekudleni nasekudleni kwakho.

Imithi

Ukuze unciphise ubuhlungu noma ukungakhululeki kusuka ku-diverticulitis, udokotela wakho angancoma imishanguzo yezinhlungu ezingaphezu kwe-counter, njenge-acetaminophen (iTylenol).

Uma besola ukuthi unegciwane, bazokunika ama-antibiotic ukuselapha. Lokhu kufaka phakathi:

• i-metronidazole (i-Flagyl, i-Flagyl ER)
• amokfillin
• umagazine

Kubalulekile ukuthatha inkambo yakho ephelele yama-antibiotic anqunyiwe, noma ngabe izimpawu zakho ziba ngcono ngemuva kwemithamo embalwa yokuqala.

Ezinye izinqubo

Uma uhlakulela inkinga eyinkimbinkimbi ye-diverticulitis engakwazi ukwelashwa ngokudla nangemithi kuphela, udokotela wakho angancoma enye yalezi zinqubo ezilandelayo:

• umsele wenaliti, lapho kufakwa inaliti esiswini sakho ukukhipha ithumba lobovu
• ukuhlinzwa ukukhipha ithumba lobomvu, ukulungisa i-fistula, noma ukususa izingxenye ezinegciwane kololoni

Ukuhlinzwa kwe-diverticulitis

Uma uhlangabezana neziqephu eziningi ze-diverticulitis ezingenakuphathwa kahle ngezinguquko zokudla nemithi, udokotela wakho angancoma ukuhlinzwa. Ukuhlinzwa kungasetshenziselwa ukwelapha izinkinga ezivela ku-diverticulitis.

Kunezinhlobo ezimbili zokuhlinza ezisetshenziselwa ukwelapha i-diverticulitis.

Ukuthengiswa kwamathumbu nge-anastomosis

Ngesikhathi sokuvuselelwa kwamathumbu nge-anastomosis, udokotela ohlinzayo ususa izingxenye ezinegciwane lekholoni lakho bese unamathisela izingxenye ezinempilo komunye nomunye.

Ukuthengiswa kwamathumbu nge-colostomy

Ekuvuselelweni kwamathumbu nge-colostomy, udokotela ohlinzayo ususa izingxenye ezinegciwane kukholoni yakho futhi unamathisela ukuphela kwesigaba esinempilo ekuvulekeni esiswini sakho, esaziwa njenge-stoma.

Zombili izinqubo zingenziwa njengokuhlinzwa okuvulekile noma ukuhlinzwa nge-laparoscopic. Funda kabanzi mayelana nezinhlobo zokuhlinzwa ezingasetshenziswa ukwelapha i-diverticulitis.

Ukudla kanye ne-diverticulitis

Ochwepheshe abakabi nesiqiniseko ngendima edlalwa ukudla ku-diverticulitis. Akukho ukudla okuthile wonke umuntu one-diverticulitis okufanele akugweme. Kepha ungathola ukuthi ukudla okuthile kwenza isimo sakho sibe ngcono noma sibe sibi kakhulu.

Ngesikhathi sokuhlaselwa okunamandla kwe-diverticulitis, udokotela wakho angakukhuthaza ukuthi unciphise ukudla kwakho kwe-fiber isikhashana. Bangakweluleka ukuthi ugweme ukudla okuqinile ngokuphelele bese unamathela ekudleni okucacile oketshezi izinsuku ezimbalwa. Lokhu kunganikeza uhlelo lwakho lokugaya ukudla ithuba lokuphumula.

Njengoba izimpawu zakho zithuthuka, udokotela wakho angakukhuthaza ukuthi udle ukudla okunama-fiber amaningi. Ezinye izifundo zixhumanise ukudla okuphezulu kwe-fiber ukunciphisa ubungozi be-diverticulitis. Abanye bahlolisise izinzuzo ezingenzeka zokudla noma i-fiber eyengeziwe yesifo se-diverticular, kodwa namanje abaqiniseki ngendima okumele i-fiber idlale.

Udokotela wakho angakukhuthaza futhi ukuthi unciphise ukusebenzisa kwakho inyama ebomvu, imikhiqizo yobisi enamafutha amaningi, nemikhiqizo yokusanhlamvu ecwengisisiwe. Ucwaningo olukhulu lweqembu lathola ukuthi abantu abalandela ukudla okunothile kulokhu kudla kungenzeka bahlakulele i-diverticulitis kunabantu abadla ukudla okunothe ngezithelo, imifino, nezinhlamvu ezigcwele.

Ukudla kungadlala indima ekuphatheni i-diverticulitis kanye nempilo yakho yokugaya ukudla isiyonke. Thatha isikhashana ufunde ngokudla okuthile okungathinta izimpawu zakho.

Amakhambi asekhaya we-diverticulitis

Izindlela zokwelapha zasekhaya ze-diverticulitis ikakhulu ziqukethe ukwenza ushintsho ekudleni, kepha kunezinye izindlela ezimbalwa ezingasiza kwizimpawu nempilo yokugaya ukudla.

Ezinye izifundo zithole ukuthi izinhlobo ezithile zama-probiotic zingasiza ukukhulula noma ukuvimbela izimpawu ze-diverticulitis. Ucwaningo oluningi luyadingeka ukuhlola izinzuzo ezingaba khona nezingozi zokusebenzisa ama-probiotic ukwelapha i-diverticulitis.

Amakhambi athile noma izithasiselo nazo zingaba nezinzuzo empilweni yakho yokugaya ukudla. Kodwa-ke, njengamanje kukhona ucwaningo oluncane lokuxhasa ukusetshenziswa kwemithi yamakhambi ye-diverticulitis. Funda kabanzi ngamakhambi asekhaya angakusiza ukuphatha lesi simo.

I-diverticulitis kaMeckel

Izifo ezahlukahlukene zivame ukuthinta abantu abadala. Kepha ezimweni ezingavamile, izingane zizalwa zine-diverticula. Uma lokhu kwenzeka, kwaziwa ngokuthi yi-diverticulum kaMeckel. Uma i-diverticula ivutha, ibizwa nge-diverticulitis kaMeckel.

Kwezinye izimo, i-diverticulum kaMeckel ayibangeli imiphumela ebonakalayo. Kwezinye izimo, kungadala izimpawu ezinjenge:

• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• indle enegazi
• ukuphuma kwegazi

Uma usola ukuthi ingane yakho ingahle ibe ne-diverticulitis, yenza i-aphoyintimenti nodokotela wayo. Funda ngamanye amasu odokotela bezingane abangawasebenzisa ukuxilonga nokuphatha i-diverticulum kaMeckel.

Izithombe ze-Diverticulitis

Kusetshenziswa i-colonoscopy ukuxilonga i-diverticulitis

Uma unezimpawu ze-diverticulitis, udokotela wakho angakukhuthaza ukuthi ube ne-colonoscopy uma isiqephu esibuhlungu sesixazululiwe. Le nqubo ingasiza ukuqinisekisa ukuxilongwa kwe-diverticulitis noma esinye isimo esidala izimpawu ezifanayo, njenge-ulcerative colitis noma isifo sikaCrohn.

Ngesikhathi se-colonoscopy, udokotela wakho uzofaka ububanzi obuguquguqukayo ku-rectum ne-colon yakho. Bangasebenzisa lesi silinganiso ukuhlola ingaphakathi lekholoni yakho. Bangayisebenzisa futhi ukuqoqa amasampula wezicubu ukuze ahlolwe.

Ukukusiza uzizwe ukhululeke phakathi nale nqubo, uzolaliswa ngaphambi kwesikhathi.

Kwezinye izimo, udokotela wakho angafunda ukuthi une-diverticula ngesikhathi se-colonoscopy ejwayelekile. Uma i-diverticula ingashisi, ingenwe yigciwane, noma ibangele izimpawu, cishe ngeke udinge ukwelashwa.

Ukuvimbela i-diverticulitis

Ucwaningo olwengeziwe luyadingeka ukuze kufundwe ukuthi yini ebangela izifo ezi-diverticular, kufaka phakathi i-diverticulitis. Njengamanje, ochwepheshe bakholelwa ukuthi izinto eziningi zidlala indima. Ezinye zezinto ezingaba yingozi yakho zingashintshwa ngokushintsha kwendlela ophila ngayo.

Isibonelo, kungasiza uku:

• gcina isisindo somzimba esinempilo
• udle ukudla okune-fiber eningi
• Nciphisa ukusetshenziswa kwakho kwamafutha agcwele
• thola uvithamini D owanele
• vivinya umzimba njalo
• gwema intuthu kagwayi

Lezi zindlela zokuvikela zingasiza futhi ukukhuthaza impilo enhle jikelele.

Izici zobungozi ze-diverticulitis

Esinye sezici eziyinhloko zobungozi be-diverticulitis iminyaka. Abantu asebekhulile banamathuba amaningi kunabantu abasha ukuthuthukisa i-diverticulitis. Kubesilisa abangaphansi kweminyaka engama-50 nabesifazane abaneminyaka engama-50 kuya kwengama-70.

Kodwa abantu abahlakulela i-diverticula besebancane bangase babe nethuba lokuthola i-diverticulitis. Abantu abancane nabo kufanele bangeniswe esibhedlela uma bene-diverticulitis kunabantu asebekhulile.

Ngokusho kokubuyekezwa kocwaningo olushicilelwe ngo-2018, ezinye izinto ezingaba yingozi ye-diverticulitis zifaka:

Umlando womndeni

Izifundo ezimbili ezinkulu zamawele zithole ukuthi izakhi zofuzo zidlala indima ezifweni eziguquguqukayo. Ababhali balinganisela ukuthi cishe amaphesenti angama-40 kuye kwangama-50 engcupheni yezifo ezingafani ayifa.

Ukudla okuphansi kwe-fiber

Olunye ucwaningo luxhumanise ukudla okuphansi kwefayibha engozini eyengeziwe ye-diverticulitis. Kodwa-ke, olunye ucwaningo alutholanga ukuxhumana phakathi kokudla kwefayibha yokudla nalesi sifo.

Amazinga aphansi kavithamini D

iphakamisa ukuthi abantu abanamazinga aphezulu kavithamini D bangaba nengozi ephansi yokuthola i-diverticulitis. Ucwaningo oluningi luyadingeka ukuqonda ukuxhumana okukhona phakathi kukavithamini D nalesi simo.

Ukukhuluphala ngokweqile

Ucwaningo oluningi luye lwathola ukuthi abantu abanezikhombo zomzimba eziphezulu nezinqe ezinkulu basengozini eyengeziwe ye-diverticulitis.

Kungenzeka ukuthi ukukhuluphala ngokweqile kuphakamisa ubungozi be-diverticulitis ngokushintsha ibhalansi yamagciwane esiswini sakho, kepha kudingeka olunye ucwaningo ukuqonda indima edlalwa yilokhu.

Ukungasebenzi ngokomzimba

Abanye bathole ukuthi abantu abakhuthele ngokomzimba mancane amathuba okuthi kunabantu abangasebenzi bakhule babe ne-diverticulitis. Kodwa-ke, olunye ucwaningo alutholanga ukuxhumana phakathi kokuzivocavoca nalesi simo.

Usebenzisa izidakamizwa ezingezona ukuvuvukala (i-NSAIDS) noma ukubhema

Ukusetshenziswa njalo kwe-aspirin, ibuprofen, noma amanye ama-NSAID kungaphakamisa ingozi ye-diverticulitis.

Ababhemayo nabo banamathuba amaningi kunabangabhemi okuba nezifo ezahlukahlukene, kufaka phakathi i-diverticulitis.

I-Diverticulitis vs. i-diverticulosis

Uma une-diverticula engatheleleki noma evuthayo, yaziwa njenge-diverticulosis.

Abaphenyi babika ukuthi kumaphesenti angaba ngu-80 wamacala, i-diverticulosis ayibangeli zimpawu. Uma une-diverticulosis ngaphandle kwezimpawu, mhlawumbe ngeke udinge ukwelashwa.

Kepha kwezinye izimo, i-diverticulosis ingadala izimpawu ezifana nobuhlungu esiswini nokuqunjelwa. Uma lokho kwenzeka, kwaziwa njengesifo se-diverticular sesifo esingelula (SUDD).

Cishe amaphesenti ama-4 abantu abane-SUDD ekugcineni baba ne-diverticulitis.

I-diverticulitis yesinye

I-Diverticula nayo ingakhula esinyeni sakho. Lokhu kwenzeka lapho ulwelwesi lwesinye sakho lwakha izikhwama, luphenya izindawo ezibuthakathaka odongeni lwesinye sakho.

Ngezinye izikhathi i-bladder diverticula ikhona lapho izalwa. Kwezinye izimo, zikhula kamuva empilweni. Zingakheka lapho indawo yakho yesinye ivinjiwe noma isinye sakho singasebenzi kahle ngenxa yokugula noma ukulimala.

Uma une-diverticula yesinye evuvuka, yaziwa ngokuthi yi-bladder diverticulitis. Ukwelapha i-bladder diverticulitis, udokotela wakho angakunikeza ama-antibiotic nemithi yezinhlungu. Bangase futhi bancome ukuhlinzwa ukulungisa i-diverticula.

Kungenzeka futhi ukuthi i-diverticulitis kukholoni yakho ithinte isinye sakho. Ezimweni ezimbi kakhulu, ungahle uhlakulele i-fistula phakathi kwekholoni yakho nesinye. Lokhu kwaziwa njenge-fistula e-colovesical. Thola ukuthi yini ebandakanya lesi simo.

I-diophaiculitis ye-Esophageal

I-Diverticula ingakha ifomula yakho, futhi. Lokhu kwenzeka lapho izikhwama zikhula kulwelwesi lwakho lokuqopha.

I-Esophageal diverticula ayivamile. Lapho zikhula, ngokuvamile zihamba kancane futhi ngaphezu kweminyaka eminingi. Njengoba zikhula, zingadala izimpawu noma izinkinga ezinjenge:

• inkinga yokugwinya
• ubuhlungu lapho ugwinya
• i-halitosis, noma umoya onukayo
• ukuvuselelwa kokudla namathe
• ukulangazelela kwamaphaphu; ukuphefumula kwavuselela ukudla noma amathe emaphashini akho
• i-aspiration pneumonia; ukuthuthukisa ukutheleleka kwamaphaphu ngemuva kokuphefumula ekudleni noma ematheni

Uma i-diverticula ivutha, yaziwa njenge-esophageal diverticulitis.

Ukwelapha i-esophageal diverticulitis, udokotela wakho angakunikeza ama-antibiotic nemithi yezinhlungu. Ukulungisa i-diverticula, bangancoma ukuhlinzwa. Thola ulwazi oluthe xaxa mayelana nezinketho zakho zokwelashwa.

I-Diverticulitis notshwala

Esikhathini esedlule, ezinye izifundo ziphakamisa ukuthi ukuphuza utshwala kungandisa ingozi ye-diverticulitis. Kepha ezinye izifundo azitholanga isixhumanisi esinjalo.

Ngokuya ngokubuyekezwa kocwaningo olushicilelwe ngo-2017, kukhona ukuthi ukuphuza utshwala kuphakamisa ubungozi balesi sifo.

Uma uphuza utshwala, udokotela wakho uzokukhuthaza ukuthi uphuze ngokulinganisela kuphela. Yize ukuphuza utshwala kungahle kungabangeli i-diverticulitis, ukuphuza ngokweqile kungakhuphula ingozi yezinye izinkinga eziningi zempilo.

Ukudla okudlela endlini

I-Diverticulitis ivame kakhulu emazweni aseNtshonalanga. Ezimweni eziningi, ingelashwa ngezinguquko zesikhashana zokudla nemithi.

Kepha uma kuvela izinkinga, zingaba zimbi kakhulu. Uma une-diverticulitis eyinkimbinkimbi, udokotela wakho cishe uzokweluleka ukuthi uthole ukwelashwa esibhedlela. Ungahle udinge ukuhlinzwa ukuze ulungise umonakalo kukholoni yakho.

Uma une-diverticulitis noma imibuzo mayelana nengozi yakho yokuyithuthukisa, khuluma nodokotela wakho. Bangakusiza ufunde ukuthi ungaselapha kanjani lesi sifo futhi usekele nempilo yakho yokugaya ukudla.