Diverticulitis

I-Diverticula zincinci, zinengxowa ezinkulu okanye iipakethi ezenza kudonga lwangaphakathi lwamathumbu. I-Diverticulitis yenzeka xa ezi ngxowa zivutha okanye zisulelekile. Rhoqo, ezi pouch zihlala emathunjini amakhulu (ikholoni).

Ukuqulunqwa kweengxowa okanye iingxowa kwimbombo yamathumbu kuthiwa yi-diverticulosis. Ifunyanwa ngaphezulu kwesiqingatha sabaseMelika ngaphezulu kweminyaka yobudala engama-60. Nangona kunjalo, akukho mntu waziyo kanye ukuba yintoni ebangela ukuba iipakethi zenze.

Ukutya ukutya okunefayibha ephantsi ikakhulu okwenziwe kukutya okuqhubekekayo kunokuba sisizathu. Ukuqunjelwa kunye nezihlalo ezinzima kunokwenzeka ngakumbi xa ungatyi ifayibha eyaneleyo. Ukucoca isitulo sonyusa uxinzelelo kwikholoni okanye emathunjini, oko kunokukhokelela ekwenziweni kwezi ngxowa.

Kwezinye iimeko, enye yeengxowa inokutsha kwaye inyembezi encinci iyaphuma kumbhobho wamathumbu. Oku kunokukhokelela kusulelo kwindawo. Xa oku kusenzeka, imeko ibizwa ngokuba yi-diverticulitis. Unobangela we-diverticulitis awaziwa.

Abantu abane-diverticulosis bahlala bengenazo iimpawu, kodwa banokuba nokuqunjelwa kunye nokuxinana emazantsi esisu. Rhoqo, banokulibona igazi kwizitulo zabo okanye kwiphepha langasese.

Iimpawu ze-diverticulitis zinzima kwaye zihlala ziqala ngequbuliso, kodwa zinokuba mandundu kwiintsuku ezimbalwa. Ziquka:

• Ukuthantamisa, ngesiqhelo kwicala lasekhohlo elisezantsi lesisu
• Ukuqunjelwa okanye irhasi
• Umkhuhlane kunye nokubanda
• Isicaphucaphu nokugabha
• Ukungaziva ulambile kwaye ungatyi

Umboneleli wakho wezempilo uyakukuvavanya. Unokufuna uvavanyo lwegazi ukuze ubone ukuba unesifo.

Olunye uvavanyo olunceda ukufumanisa i-diverticulitis inokubandakanya:

• Ukuskena i-CT
• I-Ultrasound yesisu
• X-reyi zesisu

Unyango lwe-diverticulitis luxhomekeke ekubeni zinobuzaza kangakanani iimpawu. Abanye abantu banokufuna ukuba sesibhedlele, kodwa uninzi lwamaxesha, ingxaki inokunyangwa ekhaya.

Ukunceda ngentlungu, umboneleli wakho unokucebisa ukuba:

• Phumla ebhedini kwaye usebenzise iphedi yokufudumeza esiswini sakho.
• Thatha amayeza entlungu (buza umboneleli wakho ukuba loluphi olufanele ukulusebenzisa).
• Sela kuphela ulwelo kusuku olunye okanye ezimbini, emva koko uthi chu ukusela utywala kwaye utye ukutya.

Umboneleli unokukunyanga ngamayeza okubulala iintsholongwane.

Emva kokuba ungcono, umboneleli wakho uya kuphakamisa ukuba ungeze i-fiber ngaphezulu kwisondlo sakho. Ukutya ngakumbi ifayibha kunokunceda ukunqanda uhlaselo lwexesha elizayo. Ukuba unesibindi okanye igesi, nciphisa inani lefiber oyidlayo iintsuku ezimbalwa.

Nje ukuba ezi ngxowa zenziwe, uya kuba nazo ebomini. I-Diverticulitis ingabuya, kodwa abanye ababoneleli bacinga ukuba ukutya okune-fiber ephezulu kunokuwanciphisa amathuba akho okuba uphinde ubuye.

Rhoqo, le yimeko enobulali ephendula kakuhle kunyango. Abanye abantu baya kuba nokuhlaselwa okungaphezulu kweyodwa kwe-diverticulitis. Utyando lunokufuneka kwezinye iimeko. Amaxesha amaninzi, ababoneleli baya kuncoma ukuba ube ne-colonoscopy emva kokuba i-diverticulitis iphilise. Oku kunokukunceda ukulawula ezinye iimeko ezinokulinganisa iimpawu ze-diverticulitis.

Ezinye iingxaki ezinokubakho zezi:

• Unxibelelwano olungaqhelekanga olwenzeka phakathi kwamalungu ekholoni okanye phakathi kwekholoni kunye nelinye icandelo lomzimba (fistula)
• Umngxunya okanye ukukrazula kwikholoni (ukubola)
• Indawo emxinwa kwikholoni (ungqinisiso)
• Ipokotho ezaliswe bubofu okanye usulelo (ithumba)
• Ukopha kwi-diverticula

Fowunela umnikezeli wakho ukuba iimpawu zokuphambuka kwenzeka.

Biza kwakhona ukuba une-diverticulitis kwaye une:

• Igazi kwizitulo zakho
• Umkhuhlane ongaphezulu kwe-100.4 ° F (38 ° C) ongapheliyo
• Isihlunu, ukugabha okanye ukugodola
• Isisu esibuhlungu okanye umqolo obuhlungu uya usiba mandundu okanye uqine kakhulu

• I-diverticulitis kunye ne-diverticulosis-ukukhutshwa
• I-Diverticulitis-yintoni oza kuyibuza ugqirha wakho
• Ukutya okuphezulu
• Ukutya okune-fiber encinci

• Colonoscopy
• Inkqubo yokwetyisa
• Icolon diverticula - uthotho

I-Bhuket TP, uStollman NH. Izifo ezahlukeneyo zekholoni. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 121.

IKuemmerle JF. Ukudumba kunye nezifo ze-anatomic zamathumbu, i-peritoneum, i-mesentery kunye ne-omentum. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 133.