Diverticulitis Acute: iimpawu, oonobangela kunye nonyango

Umxholo

• Iimpawu eziphambili
• Oonobangela diverticulitis etsolo
• Unjani unyango
• Iingxaki ezinokwenzeka
• Ungakuphepha njani

I-Acute diverticulitis sisifo samathumbu esibonakaliswa kukudumba kunye / okanye usulelo lwe-diverticula, eziziisongelo ezincinci okanye iisaka ezikhoyo kwiindonga zamathumbu, ngakumbi kwinxalenye yokugqibela yekolon.

I-Diverticula ihlala ikhona kubantu abadala ngaphezulu kwe-40 kwaye ihlala ixhaphakile kubantu abanokuqhinwa okungapheliyo okanye abanokutya okuncinci kwefayibha. Oku kubangela ukuba isitulo singafumani manzi kakuhle kwaye sigcinwe emathunjini, sikhuthaza ukukhula kwe-diverticula kunye nokudumba kwayo, okunokuthi kuqatshelwe ngezinye zeempawu ezinje ngokuba isicaphucaphu, ukugabha kunye neentlungu esiswini, umzekelo.

Kubalulekile ukuba i-diverticulitis ebukhali ichongwe kwaye inyangwe ngokwesikhokelo se-gastroenterologist, njengoko kunokwenzeka ukuthintela iingxaki ezinje ngokugqobhoza okanye ukuphazamiseka kwamathumbu.

Iimpawu eziphambili

Kwiimeko ezininzi, i-diverticulitis ebukhali i-asymptomatic, ichongwa kuphela kuvavanyo lokuqonda olwenziwe ukuphanda naluphi na utshintsho olwenzeka emathunjini. Nangona kunjalo, abanye abantu banokuxela iimpawu kunye neempawu ezinje ngezi:

• Iintlungu zesisu, ngakumbi emazantsi kwicala lasekhohlo, elinokuthi liqhubeke kwaye liqhubeke kangangeentsuku ezininzi;
• Ixesha lohudo okanye ukuqhina;
• Uvakalelo kwicala lasekhohlo lesisu;
• Isicaphucaphu nokugabha;
• Ifiva;
• Ukugodola;
• Igazi esitulweni, kwezinye iimeko;
• Ukuphelelwa ngumdla wokutya.

Ubunzulu beempawu ziyahluka ngokobuzaza bokudumba, okuthi, ukuba kubumnene, kungabonakali. Nangona kunjalo, kubukho bezi mpawu, kubalulekile ukuba uqhagamshelane nogqirha wamazinyo ukuvavanya isidingo sokwenza iimvavanyo zokucinga ezifana ne-ultrasound okanye i-tomography yesisu, kunye novavanyo lwegazi olufumanisa ukudumba kunye nosulelo emathunjini, ukuze Ukubonisa unyango olufanelekileyo.ukuthintela iingxaki.

Oonobangela diverticulitis etsolo

Ukubonakala kwe-diverticula kwinxalenye yokugqibela yekolon ibizwa ngokuba yi-diverticulosis kwaye xa ezi diverticula zivutha, i-diverticulitis ibonakala. Oku kudumba kunokwenzeka ngenxa yokuguga, ukuze kubekho ilahleko yokuqina kwizihlunu zamathumbu, kuthande ukuba iziqwenga ezincinci zihlale endaweni kwaye zikhokelele kukudumba kwe-diverticulum.

Ukongeza, ezinye iimeko ezinokuthi zithande ukudumba kwezi zakhiwo kukutya okunefayibha ephantsi kunye nokuqhinwa okungapheliyo, oku kukhokelela ekwenziweni kwezitulo ezingenamanzi kakuhle, nto leyo eyonyusa uxinzelelo emathunjini kwaye ithande ukudumba kwe-diverticula.

Ukongeza, ngenxa yobukho beengxenye ezincinci zelindle, kunokwenzeka ukuba uthande usulelo lwasekhaya, olubangela ukubonakala kweempawu kunye neempawu ze-diverticulitis etsolo.

Unjani unyango

Unyango lwe-diverticulitis ebukhali kufuneka lukhokelwe sisifo se-gastroenterologist ngokobunzulu beempawu kunye nonobangela wokudumba, kunye nokusetyenziswa kwamachiza e-analgesic kunye ne-anti-inflammatory ukukhupha iimpawu, kunye ne-antibiotics, efana neCiprofloxacino kunye neMetronidazole, ukuya ukunyanga okanye ukuthintela ukukhula kwezifo.

Ukongeza, ugqirha angabonisa ukhathalelo ngokutya, okuya kuthi kwiintsuku zokuqala ezi-3, kube lulwelo, kwaye kongezwe ukutya okuqinileyo, ukuze unganyusi uxinzelelo ngaphakathi emathunjini. Njengoko ukudumba kunye neempawu ziyancipha, isiguli kufuneka sazise ukutya okunefayibha kwizidlo zabo zemihla ngemihla, ezinje ngeziqhamo kunye nemifuno okanye ukutya okuziinkozo, umzekelo, ukuthintela i-diverticula ekubeni iphinde ibaswe. Jonga ngakumbi iinkcukacha zokondla i-diverticulitis ebukhali.

Xa umntu ekwazi ukulandela izikhokelo kakuhle kwaye xa imeko ithambile, olu nyango lunokwenziwa ekhaya, nangona kunjalo, kwimeko ye-diverticulitis enzima, ukulaliswa esibhedlele ngokwenza amayeza emthanjeni kunye nokuvavanywa kokunokwenzeka kotyando ibalulekile.

Unyango lotyando lokudumba, kunokuphinda kwenziwe i-punct ukukhupha ubofu okanye utyando ukususa indawo eyonakeleyo yamathumbu. Bona iinkcukacha ezongezelelweyo kunyango kunye nokukhethwa kotyando kwi-diverticulitis.

Iingxaki ezinokwenzeka

Xa i-diverticulitis ebukhali inganyangwa ngokukhawuleza xa iimpawu zokuqala zivela okanye xa unyango lungaqhutywa ngokungqinelana nesikhokelo sikagqirha, kunokwenzeka ukuba ezinye iingxaki zinokuvela, ezinje:

• Ukopha, ezinokuba namandla kwaye ziqatshelwe ngobukho begazi eliphilayo kwisitulo;
• Ithumba kuloo ndawo, ezinokubangela iintlungu ezininzi kwaye zonyuse umngcipheko wokuba nosulelo olunzulu;
• Ukuqulunqwa kweefistulaOlunxibelelwano phakathi kwamathumbu kunye namanye amalungu, aqala ngenxa yokukrala nokwenziwa kwezilonda ezindongeni;
• Ukugqitywa kwamathumbuIngxaki enkulu ye-diverticulitis kwaye ibangela ukuvuvukala okukhulu kwendawo yesisu;
• Ukuthintelwa kwamathumbu, apho ukudumba kuthintela ukuhamba kolwelo kunye nelindle emathunjini, okubangela ukudumba, isisu kunye nokuhlanza.

Ke, ukunqanda ezi ngxaki kubalulekile ukuba ulandele iingcebiso zikagqirha ukunciphisa ukudumba kunye nokuphepha iingxaki ezinokubakho kunye nohlaselo olutsha lwe-diverticulitis etsolo.

Ungakuphepha njani

Ukuthintela ukwakheka kwe-diverticula emathunjini amakhulu, okanye ukuthintela uhlaselo olutsha lwe-diverticulitis, kubalulekile ukuba ube nokutya okunothe kwifayibha, njengoko kukhuthaza ukusebenza nokucoca amathumbu, nokukhusela iindonga zayo ekubeni buthathaka kwaye zibe ntsha Iifolda ziyenziwa.

Ukusebenza kakuhle kwamathumbu, kubalulekile ukuba usele ulwelo oluninzi imini yonke, nge-avareji yeelitha ezimbini zamanzi, ukongeza ekutyeni kancinci kwaye uhlafuna kakuhle ngaphambi kokuginya.

Bukela, kwakhona, ezinye iingcebiso ezivela kwisondlo ngokutya okuchanekileyo ngexesha nasemva konyango lwe-diverticulitis, ukuthintela iingxaki ezintsha kunye nokuphucula ukusebenza kwamathumbu: