Ukuphambuka

I-Diverticulosis yenzeka xa iingxowa ezincinci, ezincinci okanye iipokotshi zakha udonga lwangaphakathi lwamathumbu. Ezi ngxowa zibizwa ngokuba zii-diverticula. Rhoqo, ezi fakethi zibumba amathumbu amakhulu (ikholoni). Ziyakwenzeka nakwi-jejunum kumathumbu amancinci, nangona oku kungaqhelekanga.

I-Diverticulosis ayiqhelekanga kubantu abaneminyaka engama-40 nangaphantsi. Kuqheleke kakhulu kubantu abadala abadala. Phantse isiqingatha sabantu baseMelika abangaphezu kweminyaka engama-60 banale meko. Uninzi lwabantu luya kuba nalo nge-80 yobudala.

Akukho mntu waziyo kanye ukuba yintoni ebangela ukuba ezi pache zenze.

Kwiminyaka emininzi, bekucingelwa ukuba ukutya ukutya okune-fiber esezantsi kunokudlala indima. Ukungatyi ifayibha eyaneleyo kunokubangela ukuqhina (izitulo ezinzima). Ukucoca isitulo (ilindle) kwandisa uxinzelelo kwikholoni okanye emathunjini. Oku kunokubangela ukuba iipakethi zenze iindawo ezibuthathaka eludongeni lwekholoni. Nangona kunjalo, nokuba ukutya okune-fiber esezantsi kukhokelela kule ngxaki akubonakali kakuhle.

Ezinye izinto ezinokubangela umngcipheko nazo ezingangqiniswanga kakuhle kukusilela kokuzilolonga kunye nokutyeba kakhulu.

Ukutya amandongomane, ipopcorn, okanye umbona akubonakali kukhokelela ekudumbeni kwezi pouch (diverticulitis).

Uninzi lwabantu abane-diverticulosis abanazo iimpawu.

Xa iimpawu zivela, zingabandakanya:

• Intlungu kunye necramp esiswini sakho
• Ukuqunjelwa (ngamanye amaxesha urhudo)
• Ukuqunjelwa okanye irhasi
• Ukungaziva ulambile kwaye ungatyi

Ungabona inani elincinci legazi kwizitulo zakho okanye kwiphepha langasese. Ngokuqhelekileyo, ukuphuma kwegazi kunokuba nzima.

I-Diverticulosis ihlala ifunyanwa ngexesha lovavanyo lwenye ingxaki yezempilo. Umzekelo, ihlala ifunyanwa ngexesha lekholonoscopy.

Ukuba unayo impawu, unokufumana olunye okanye nangaphezulu kwezi mvavanyo zilandelayo:

• Uvavanyo lwegazi ukubona ukuba unesifo okanye uphulukene negazi elininzi
• Ukuskena i-CT okanye i-ultrasound yesisu ukuba wopha, izitulo ezivulekileyo, okanye iintlungu

I-colonoscopy iyafuneka ukwenza isifo:

• I-colonoscopy luvavanyo olujonga ngaphakathi kwikholoni kunye ne-rectum. Olu vavanyo akufuneki lwenziwe xa unempawu ze-diverticulitis etsolo.
• Ikhamera encinci eqhotyoshelwe kwityhubhu inokufikelela kubude bekholoni.

I-Angiography:

• I-Angiography luvavanyo lokucinga olusebenzisa ii-x-reyi kunye nedayi ekhethekileyo ukubona ngaphakathi kwimithambo yegazi.
• Olu vavanyo lunokusetyenziswa ukuba indawo yokopha ayibonwa ngexesha lekholonoscopy.

Kuba uninzi lwabantu alunazo iimpawu, amaxesha amaninzi, akukho nyango lufunekayo.

Umboneleli wakho wezempilo unokucebisa ukuba ufumane ifayibha ngakumbi ekutyeni kwakho. Ukutya okune-fiber ephezulu kunezibonelelo ezininzi zempilo. Uninzi lwabantu alufumani fiber eyaneleyo. Ukukunceda ukunqanda ukuqhina, kufuneka:

• Yitya ukutya okuziinkozo okuninzi, iimbotyi, iziqhamo kunye nemifuno. Nciphisa ukutya okwenziweyo.
• Sela amanzi amaninzi.
• Yenza umthambo rhoqo.
• Thetha nomboneleli wakho malunga nokuthatha isongezelelo sefayibha.

Kuya kufuneka uphephe ii-NSAID ezinje nge-aspirin, ibuprofen (Motrin), kunye ne-naproxen (Aleve). La mayeza angenza ukopha ngakumbi.

Ukopha okungayeki okanye ukuphinda kwenzeke:

• IColonoscopy inokusetyenziselwa ukufaka amayeza okanye ukutshisa indawo ethile emathunjini ukunqanda ukopha.
• I-Angiography inokusetyenziselwa ukufaka amayeza okanye ukuvimba isitya segazi.

Ukuba ukuphuma kwegazi akuyeki okanye kuphindaphinde amaxesha amaninzi, ukususwa kwecandelo lekholoni kunokufuneka.

Uninzi lwabantu abane-diverticulosis abanazimpawu. Nje ukuba ezi ngxowa zenziwe, uya kuba nazo ebomini.

Ukuya kuthi ga kwiipesenti ezingama-25 zabantu abanale meko baya kuphuhlisa i-diverticulitis. Oku kwenzeka xa amaqhekeza amancinci esitopu ebanjiswa kwiipakethi, ebangela usulelo okanye ukudumba.

Iingxaki ezinzulu ezinokubakho zibandakanya:

• Unxibelelwano olungaqhelekanga olwenzeka phakathi kwamalungu ekholoni okanye phakathi kwekholoni kunye nelinye icandelo lomzimba (fistula)
• Umngxunya okanye ukukrazula kwikholoni (ukubola)
• Indawo emxinwa kwikholoni (ungqinisiso)
• Iipokotho ezizaliswe bubofu okanye usulelo (ithumba)
  

Fowunela umnikezeli wakho ukuba iimpawu zokuphambuka kwenzeka.

Diverticula - diverticulosis; Isifo Diverticular - diverticulosis; IGI wopha - diverticulosis; Ukopha emathunjini - diverticulosis; Ukopha emathunjini - diverticulosis; IJejunal diverticulosis

• I-enema yeBarium
• Icolon diverticula - uthotho

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IGoldblum JR. Amathumbu amakhulu. Ku: Goldblum JR, Izibane LW, McKenney JK, Myers JL, eds. Rosai kunye neAckerman's Pathology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2018: isahluko 17.

UFransman RB, uHarmon JW. Ulawulo lwe-diverticulosis yamathumbu amancinci. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 143-145.

Ubusika D, uRyan E. Isifo esichaseneyo. Ku: Clark S, ed. Utyando lweColorectal: Umlingane kwiZenzo zoPhando. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.