Umlobi: Frank Hunt
Usuku Lokudalwa: 12 Hamba 2021
Ukuvuselela Usuku: 20 Unovemba 2024
Anonim
Izinketho zokwelashwa kwe-diverticulitis - Impilo
Izinketho zokwelashwa kwe-diverticulitis - Impilo

-Delile

Ukwelashwa kwe-diverticulitis e-acute kwenziwa ngokudla oketshezi noma ngokuzila ukudla, ngaphezu kokusetshenziswa kwama-antibiotic, njengeMetronidazole ne-Ciprofloxacino, ukunciphisa ukuvuvukala nokutheleleka emathunjini amakhulu.

Lokhu kwelashwa kungenziwa ngisho nasekhaya, noma kunjalo, uma kunenkinga eyinkimbinkimbi ye-diverticulitis, enokwakheka kwethumba, i-fistula noma ukuvimbelwa kwamathumbu, ngokwesibonelo, kungadingeka ukwenza ukuhlinzwa kwamanzi noma ukukhipha uketshezi. amathumbu, ngudokotela ohlinzayo noma i-coloproctologist.

I-Diverticulitis ibonakala ngokuvuvukala kwe-diverticula, okungamaphakethe amancane akha amathumbu, okuyi-diverticulosis, imvamisa ngenxa yokudla okuphansi kwe-fiber kanye nokuqunjelwa. Lokhu kuvuvukala kungadala izimpawu ezifana nobuhlungu esiswini, isicanucanu, ukuhlanza, imfiva, ukuqunjelwa noma uhudo. Funda kabanzi mayelana nokuthi kubangelwa yini nokuthi ungayibona kanjani i-diverticulitis.


Ungayiphatha kanjani i-diverticulitis eyinkimbinkimbi

Ukwelapha i-diverticulitis ebukhali engaxakekile, kuyadingeka ukuthi ukhiphe amathumbu ngokuzila ukudla noma ube nokudla okungamanzi okungadoti. I-antibiotic iyadingeka futhi, imvamisa iMetronidazole ne-Ciprofloxacino, izinsuku eziyi-7 kuya kweziyi-10, ngoba ziyasebenza ekulawuleni ukutheleleka ngamagciwane asemathunjini.

Lapho izimpawu zingagxili kakhulu futhi kungekho ukusola nge-diverticulitis eyinkimbinkimbi, ukwelashwa kungenziwa ekhaya, ngamaphilisi emaphilisi. Ngaphezu kwe-antibiotic, udokotela angaqondisa ukusetshenziswa kwamakhambi okugula kwasolwandle, njengeMetoclopramide kanye nobuhlungu besisu, njengeHyoscine neDipyrone, ngokwesibonelo.

Udokotela uzophinde ahlele ukuhlolwa kabusha, ngemuva kwezinsuku ezingaba ngu-5, noma kunjalo, uma izimpawu ezinjengomkhuhlane nobuhlungu esiswini ziba zimbi kakhulu noma ziba namandla kakhulu ngesikhathi sokwelashwa, kuyadingeka ukuthi uye egumbini labezimo eziphuthumayo.

Ungayelapha kanjani i-diverticulitis eyinkimbinkimbi

I-diverticulitis eyinkimbinkimbi iyelashwa esibhedlela, kusetshenziswa ama-antibiotic emthanjeni, futhi kungadingeka ukwenza inqubo yokuhlinzwa. Uma kwenzeka kunethumba, udokotela ohlinzayo uzokwazi ukukhipha uketshezi oluqoqiwe ngesibhobo.


Ezimweni ezibucayi kakhulu, ngamathumba amakhulu, i-fistula, ukuphuma kakhulu kwegazi, ukugcotshwa noma ukuvinjelwa kwamathumbu, ngokwesibonelo, kungadingeka ukwenza ukuhlinzwa ukuze ususe ingxenye evuthayo yamathumbu.

Izinkinga ze-diverticulitis zivame ukwenzeka lapho kuthatha isikhathi eside kakhulu ukuqala ukwelashwa noma uma kwenziwa ngokungalungile. Abanye abantu kungenzeka bangazitholi izimpawu ezinzima, njengoba kungenzeka nabantu asebekhulile, okuphazamisa ukuxilongwa kanye nokuqala kokwelashwa.

Lapho kuboniswa ukuhlinzwa

Ukuhlinzwa ukususa ingxenye yekoloni ngenxa ye-diverticulitis kuboniswa ezimweni ze:

  • I-diverticulitis eyinkimbinkimbi eyinkimbinkimbi;
  • I-diverticulitis ephindaphindwayo, okungukuthi, eyenzeka kaningi kumuntu ofanayo;
  • I-Diverticulitis kubantu abanamasosha omzimba abuthakathaka, njengabemukeli bokufakelwa, abantu abane-HIV noma ukwehluleka kwezinso, ngokwesibonelo, njengoba ukutheleleka okusha kungabeka impilo yalaba bantu engcupheni.

Ukuhlinzwa kungenziwa nge-videolaparoscopy noma ngokuhlinzwa okuvamile okuvulekile, okwenziwa egumbini lokuhlinzwa nangaphansi kwe-anesthesia ejwayelekile. Isikhathi sokuhlinzwa siyahlukahluka kakhulu, futhi kuya ngezinga lokuvuvukala kwe-diverticulitis kanye nenani lamathumbu akhishiwe. Ngokuvamile, lowo muntu uyakhishwa cishe ezinsukwini ezintathu, futhi kufanele alulame ekhaya, nezidakamizwa zokudambisa izinhlungu nokungakhululeki, njengeDipirona, enikezwe ngudokotela, nokulandela indlela yokudla eyelulwe ngudokotela wesondlo esibhedlela.


Ukudla nokwelashwa kwemvelo

Esimweni se-diverticulitis, ukudla kuqondiswa udokotela kanye nochwepheshe wezokudla, ngoba cishe izinsuku ezintathu, kuyadingeka ukulandela ukudla oketshezi ngaphandle kwezinsalela, noma ukuzila ukudla, ukunciphisa ukuvuvukala kokuqala.

Ngemuva kokwelashwa, umuntu kufanele alandele ukudla okuvuselela ukusebenza kahle kwamathumbu, okunothe okusanhlamvu okuphelele, izithelo nemifino. Ngakho-ke, ngaphezu kokuvimbela ukwakheka kwe-diverticula entsha emathunjini, kuzophinde kuvimbele ukuvuvukala okusha.

Buka kuvidiyo ukuthi yikuphi ukudla okufanele ukugweme nokuthi ikuphi okufanele ukudle:

Ngaphezu kwalokho, ukwelashwa okuhle kwemvelo kulabo abane-diverticula, kepha ngaphandle kokuba senkingeni ye-diverticulitis, ukwandisa ukusetshenziswa kokudla kwama-probiotic, njenge-Activia, Yakult noma ama-yogurt yogurt, ngokwesibonelo, njengoba evikela i-mucosa yamathumbu, lawula amathumbu futhi uqinise amasosha omzimba.

Funda ngezinye izinketho zokudla nezemenyu ukwelapha nokuvimbela i-diverticulitis.

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