Yonke into ofuna ukuyifumana malunga neDiverticulitis

Umxholo

• Iimpawu ze-diverticulitis
• Oonobangela diverticulitis
• Uxilongo lwe diverticulitis
• Unyango lwe-diverticulitis
• Utshintsho kwizidlo
• Amayeza
• Ezinye iinkqubo
• Utyando lwe-diverticulitis
• Ukuthengiswa kwamathumbu nge-anastomosis
• Ukuthengiswa kwamathumbu nge-colostomy
• Ukutya kunye ne-diverticulitis
• Unyango lwasekhaya lwe-diverticulitis
• I-diverticulitis kaMeckel
• Imifanekiso yeDiverticulitis
• Sebenzisa i-colonoscopy ukufumanisa i-diverticulitis
• Ukuthintela i-diverticulitis
• Imiba yomngcipheko we-diverticulitis
• Imbali yosapho
• Ukutya okune-fiber encinci
• Amanqanaba asezantsi evithamini D
• Ukutyeba kakhulu
• Ukungasebenzi komzimba
• Sebenzisa iziyobisi ezichasayo (i-NSAIDS) okanye ukutshaya
• I-Diverticulitis ngokuchasene ne-diverticulosis
• Diverticulitis yesinyi
• I-diopiculitis yesisugeal
• I-Diverticulitis kunye notywala
• Yise kude

Yintoni?

Nangona kwakunqabile ngaphambi kwekhulu lama-20, izifo ezihlukeneyo ngoku yenye yeengxaki zezempilo eziqhelekileyo kwihlabathi laseNtshona. Liqela leemeko ezinokuchaphazela indlela yakho yokwetyisa.

Olona hlobo lubi lwesifo esingafaniyo yi-diverticulitis. Ingabangela iimpawu ezingathandekiyo kwaye, kwezinye iimeko, iingxaki ezinzulu. Ukuba azishiywanga zinganyangwa, ezi ngxaki zinokubangela iingxaki zempilo zexesha elide.

Funda ukuze ufunde kabanzi malunga ne-diverticulitis, kubandakanya oonobangela, iimpawu, ukhetho lonyango, kunye nendlela ukutya kwakho okunokuchaphazela ngayo umngcipheko wokuyiphuhlisa.

Iimpawu ze-diverticulitis

I-Diverticulitis inokubangela iimpawu ukusuka kubumnene ukuya kubunzima. Ezi mpawu zinokuvela ngesiquphe okanye zinokukhula kancinci kwiintsuku ezininzi.

Iimpawu ezinokubakho zezifo ezahlukeneyo zibandakanya:

• iintlungu esiswini sakho
• ukudumba
• urhudo
• ukuqhina

Ukuba uhlakulela i-diverticulitis, unokufumana:

• iintlungu ezingapheliyo okanye ezibuhlungu esiswini sakho
• isicaphucaphu nokugabha
• umkhuhlane kunye nokugodola
• igazi kwisitulo sakho
• ukopha kwi-rectum yakho

Iintlungu zesisu zezona mpawu zixhaphakileyo ze-diverticulitis. Iya kwenzeka ikakhulu kwicala lasekhohlo lesisu sakho. Kodwa inokuphinda ikhule kwicala lasekunene lesisu sakho.

Ukuba uhlakulela nayiphi na impawu engentla, njengokugabha okanye igazi kwi-stool yakho, inokuba luphawu lwengxaki enkulu evela kwi-diverticulitis okanye kwenye imeko. Biza ugqirha wakho ngoko nangoko.

Oonobangela diverticulitis

Isifo esingafaniyo siyakhula xa iipokotshi zihamba ecaleni kwendlela yokugaya ukutya, ikakhulu kwikholoni (emathunjini amakhulu). Ezi pouch ziyaziwa njenge diverticula. Zenza xa amabala abuthathaka kwibhaluni yakho yamathumbu emathunjini ngaphandle.

I-Diverticulitis yenzeka xa i-diverticula ivutha kwaye kwezinye iimeko zosulelekile. Oku kunokwenzeka xa ilindle okanye ukutya okwetyiswe inxenye kuthintela ukuvulwa kwe-diverticula.

Akukho sizathu sinye saziwayo sesifo esingafaniyo. Endaweni yoko, iingcali zikholelwa ekubeni izinto ezininzi zemfuza kunye nokusingqongileyo zinokuba negalelo kuphuhliso lwayo.

Uxilongo lwe diverticulitis

Ukufumanisa i-diverticulitis, ugqirha wakho uya kukubuza malunga neempawu zakho, imbali yezempilo, kunye nawaphi na amayeza owathathayo. Banokuthi benze uvavanyo lomzimba ukukhangela isisu sakho ukuba sinobubele okanye, ukuba bafuna ulwazi oluthe kratya, uvavanyo lwe-digital rectal ukujonga ukuphuma kwegazi, iintlungu, ubunzima, okanye ezinye iingxaki.

Ezinye iimeko ezininzi zinokubangela iimpawu ezifanayo ne-diverticulitis. Ukulawula ezinye iimeko kwaye ujonge imiqondiso ye-diverticulitis, ugqirha wakho unokuyalela uvavanyo olunye okanye nangaphezulu.

Uvavanyo lunokubandakanya:

• isisu se-ultrasound, isisu se-MRI esiswini, isisu se-CT esiswini, okanye isisu se-X-ray ukwenza imifanekiso yephecana lesisu sakho (GI)
• i-colonoscopy yokuvavanya ngaphakathi kwitroli yakho ye-GI
• Uvavanyo lwelindle ukukhangela usulelo, olufana IClostridium difficile
• ukuvavanya umchamo ukukhangela usulelo
• kuvavanyo lwegazi ukujonga iimpawu zokudumba, i-anemia, okanye iingxaki zezintso okanye zesibindi
• Uvavanyo lwe-pelvic ukulawula iingxaki zesini kwabasetyhini
• uvavanyo lokukhulelwa ukulawula ukukhulelwa kwabasetyhini

Ukuba une-diverticulitis, ezi mviwo kunye novavanyo lunokunceda ugqirha wakho ukuba afunde ukuba ayinzima okanye inzima.

yamatyala e-diverticulitis ayinzima, eshiya malunga neepesenti ezingama-25 ukuphuhlisa iingxaki.

Ezi ngxaki zinokubandakanya:

• ithumba, ipokotho eyosulelekileyo ezaliswe bubofu
• phlegmon, indawo eyosulelekileyo engavalekanga kakuhle kunethumba
• fistula, unxibelelwano olungaqhelekanga olunokuthi lukhule phakathi kwamalungu amabini okanye phakathi kwelungu nolusu
• ukubola kwamathumbu, inyembezi okanye umngxunya eludongeni lwamathumbu olunokuvumela imixholo yekholoni yakho ukuba ivuze kwisisu sakho, kubangele ukudumba kunye nosulelo
• isithintelo samathumbu, ukuvaleka emathunjini akho okunokumisa ilindle ukuba lingadluli

Unyango lwe-diverticulitis

Unyango oluyalelwe ngugqirha wakho kwi-diverticulitis luya kuxhomekeka ekubeni imeko yakho inzima kangakanani na.

I-diverticulitis engaqondakaliyo inokunyangwa ekhaya. Ugqirha wakho unokukukhuthaza ukuba wenze utshintsho kwindlela otya ngayo. Ngamanye amaxesha, banokuyalela amayeza kubandakanya neyeza lokubulala iintsholongwane.

Ukuba uhlakulela iingxaki kwi-diverticulitis, kuya kufuneka u tyelele esibhedlele ukuze ufumane unyango. Unokunikwa amanzi kunye ne-antibiotics ngomgca we-intravenous (IV). Kuxhomekeka kuhlobo lwengxaki, kungafuneka wenze utyando okanye enye inkqubo.

Utshintsho kwizidlo

Ukunika inkqubo yakho yokwetyisa ithuba lokuphumla kunye nokufumana kwakhona, ugqirha wakho unokucebisa ngokuphepha ukutya okuqinileyo kunye nokulandela ukutya okucacileyo-kweentsuku ezimbalwa.

Ukuba iimpawu zakho zincinci okanye sele ziqale ukuphucula, unokukwazi ukuzama ukutya ukutya okuphantsi kwefiber de imeko yakho ibe ngcono. Njengoko imeko yakho iphucuka, ugqirha wakho uya kukukhuthaza ukuba ungeze ukutya okuninzi okunesondlo ekutyeni kwakho nasekutyeni.

Amayeza

Ukunciphisa iintlungu okanye ukungonwabi kwi-diverticulitis, ugqirha wakho unokucebisa amayeza eentlungu ngaphezulu, njenge-acetaminophen (iTylenol).

Ukuba barhanela ukuba unosulelo, baya kukunika amayeza okubulala iintsholongwane. Oku kubandakanya:

• Imetronidazole (I-Flagyl, i-Flagyl ER)
• ifumobillin
• moyoxline

Kubalulekile ukuthatha ikhosi yakho epheleleyo ye-antibiotics emiselweyo, nokuba iimpawu zakho ziyaphucuka emva kweedosi zokuqala ezimbalwa.

Ezinye iinkqubo

Ukuba uhlakulela imeko enzima ye-diverticulitis engenakuphathwa ngokutya kunye neyeza kuphela, ugqirha unokucebisa enye yale nkqubo ilandelayo:

• umsele wenaliti, apho kufakwa inaliti esiswini sakho ukukhupha ithumba
• utyando ukukhupha ithumba lobofu, ukulungisa i-fistula, okanye ukususa amacandelo asulelekileyo ekholoni

Utyando lwe-diverticulitis

Ukuba ufumana iziqendu ezininzi ze-diverticulitis ezingenakulawulwa ngokufanelekileyo ngotshintsho kwindlela yokutya kunye namayeza, ugqirha wakho unokucebisa utyando. Ugqirha lusenokusetyenziselwa ukunyanga iingxaki ezivela kwi-diverticulitis.

Zimbini iintlobo eziphambili zotyando ezisetyenziselwa ukunyanga i-diverticulitis.

Ukuthengiswa kwamathumbu nge-anastomosis

Ngexesha lokuthengiswa kwamathumbu kunye ne-anastomosis, ugqirha wotyando ususa amacandelo asulelekileyo kwikholoni yakho kwaye uphinde unxibelelanise amacandelo asempilweni omnye komnye.

Ukuthengiswa kwamathumbu nge-colostomy

Kwi-resection resection nge-colostomy, ugqirha ususa amacandelo asulelekileyo kwikholoni yakho kwaye uncamathisela ukuphela kwecandelo elisempilweni ekuvulekeni esiswini sakho, esaziwa njenge-stoma.

Zombini ezi nkqubo zinokwenziwa njengotyando oluvulekileyo okanye utyando lwe-laparoscopic. Funda kabanzi malunga neentlobo zoqhaqho ezingasetyenziselwa ukunyanga i-diverticulitis.

Ukutya kunye ne-diverticulitis

Iingcali azikaqiniseki ngendima edlalwa kukutya kwi-diverticulitis. Akukho kutya kuthe thaca kuye wonke umntu one-diverticulitis. Kodwa unokufumanisa ukuba ukutya okuthile kuyenza imeko yakho ibengcono okanye ibe mandundu.

Ngexesha lokuhlaselwa ngamandla kwe-diverticulitis, ugqirha wakho unokukukhuthaza ukuba unciphise ukutya kwakho i-fiber okwethutyana. Banokukucebisa ukuba uphephe ukutya okuqinileyo ngokupheleleyo kwaye unamathele kukutya okucacileyo okungamanzi iintsuku ezimbalwa. Oku kunokunika inkqubo yakho yokwetyisa ithuba lokuphumla.

Njengoko iimpawu zakho ziphucuka, ugqirha wakho unokukukhuthaza ukuba utye ukutya okunefayibha ephezulu. Olunye uphononongo luye lwadibanisa ukutya okune-fiber ephezulu ukunciphisa umngcipheko we-diverticulitis. Abanye baphonononge izibonelelo ezinokubakho zokutya okanye ifayibha eyongezelelekileyo yesifo esingafaniyo, kodwa abaqinisekanga ngendima yefayibha ekufuneka iyidlalile.

Ugqirha wakho unokukukhuthaza ukuba unciphise ukutya kwakho inyama ebomvu, iimveliso ezinobisi ezinamafutha aphezulu, kunye neemveliso zokutya okusulungekisiweyo. Uphononongo olukhulu lweqela lufumanise ukuba abantu abalandela ukutya okutyebileyo koku kutya kunokwenzeka ukuba baphuhlise i-diverticulitis kunabantu abatya ukutya okunotye iziqhamo, imifuno, kunye neenkozo ezipheleleyo.

Ukutya kungadlala indima ekulawuleni i-diverticulitis kunye nempilo yakho yokwetyisa. Thatha umzuzwana ufunde ngezinye zokutya ezinokuchaphazela iimpawu zakho.

Unyango lwasekhaya lwe-diverticulitis

Unyango lwasekhaya lwe-diverticulitis ikakhulu lubandakanya ukwenza utshintsho kwindlela otya ngayo, kodwa zikho ezinye iindlela ezinokuba luncedo kwiimpawu kunye nempilo yokwetyisa.

Olunye uphononongo lufumanise ukuba iintlobo ezithile zeprobiotic zinokunceda ukukhulula okanye ukuthintela iimpawu ze-diverticulitis. Uphando olungakumbi luyafuneka ukuvavanya izibonelelo ezinokubakho kunye nomngcipheko wokusebenzisa iiprobiotic ukunyanga i-diverticulitis.

Amayeza athile okanye izongezo zinokuba nezibonelelo kwimpilo yakho yokwetyisa. Nangona kunjalo, okwangoku kukho uphando oluncinci lokuxhasa ukusetyenziswa kwamayeza esintu e-diverticulitis. Funda ngakumbi ngamayeza asekhaya anokukunceda ulawule le meko.

I-diverticulitis kaMeckel

Izifo ezichaseneyo zihlala zichaphazela abantu abadala. Kodwa kwiimeko ezinqabileyo, iintsana zizalwa zine-diverticula. Xa oku kusenzeka, yaziwa ngokuba yi-diverticulum kaMeckel. Ukuba i-diverticula iyavuvukala, ibizwa ngokuba yi-Meckel's diverticulitis.

Kwezinye iimeko, i-diverticulum kaMeckel ayibangeli imiphumo ebonakalayo. Kwezinye iimeko, kunokubangela iimpawu ezinje:

• intlungu zesisu
• isicaphucaphu
• ukugabha
• Isitulo segazi
• ukopha kwi-rectum

Ukuba ukrokrela ukuba umntwana wakho unokuba ne-diverticulitis, yenza idinga nogqirha wakhe. Funda ngamanye amacebo oogqirha babantwana anokuwasebenzisa ekuchongeni nasekulawuleni i-diverticulum kaMeckel.

Imifanekiso yeDiverticulitis

Sebenzisa i-colonoscopy ukufumanisa i-diverticulitis

Ukuba unempawu ze-diverticulitis, ugqirha wakho unokukukhuthaza ukuba ube ne-colonoscopy xa isiqendu esibuhlungu sisombulula. Le nkqubo inokukunceda ukuqinisekisa ukuxilongwa kwe-diverticulitis okanye enye imeko ebangela iimpawu ezifanayo, ezinjenge-ulcerative colitis okanye isifo sikaCrohn.

Ngexesha lekholonoscopy, ugqirha wakho uya kufaka umsonto obhetyebhetye kwi-rectum yakho kunye nekholoni. Banokusebenzisa esi sithuba ukuvavanya ngaphakathi kwikholoni yakho. Banokuyisebenzisa ukuqokelela iisampulu zezicubu zovavanyo.

Ukukunceda uzive ukhululekile ngexesha lale nkqubo, uya kulaliswa ngaphambi kwexesha.

Kwezinye iimeko, ugqirha wakho unokufunda ukuba une-diverticula ngexesha le-colonoscopy yesiqhelo. Ukuba i-diverticula ayitshisi, ayinasifo, okanye ibangela iimpawu, ngekhe ufune unyango.

Ukuthintela i-diverticulitis

Uphando oluthe kratya luyafuneka ukuze kufundwe ukuba yintoni ebangela isifo esingafaniyo, kubandakanya ne-diverticulitis. Okwangoku, iingcali zikholelwa ukuba izinto ezininzi zidlala indima. Ezinye zezinto ezinokuba semngciphekweni wakho zinokuhlengahlengiswa ngotshintsho kwindlela ophila ngayo.

Umzekelo, kunokunceda:

• gcina ubunzima bomzimba obusempilweni
• yitya ukutya okunefayibha eninzi
• Nciphisa ukusetyenziswa kwakho kwamanqatha
• fumana ivithamin D eyaneleyo
• yenza umthambo rhoqo
• thintela umsi wecuba

Ezi ndlela zokuthintela nazo zinokunceda ukukhuthaza impilo elungileyo jikelele.

Imiba yomngcipheko we-diverticulitis

Enye yezinto eziphambili zomngcipheko we-diverticulitis yiminyaka. Abantu abadala banokwenzeka ngakumbi kunabantu abancinci ukuba baphuhlise i-diverticulitis. Kumadoda angaphantsi kwama-50 kunye nabasetyhini abaneminyaka engama-50 ukuya kuma-70.

Kodwa abantu abaphuhlisa i-diverticula besebancinci banokuba nakho ukufumana i-diverticulitis. Abantu abancinci banokwamkelwa esibhedlele ukuba bane-diverticulitis kunabantu abadala.

Ngokutsho kokuphononongwa kophando olupapashwe ngo-2018, ezinye izinto ezinokubangela umngcipheko we-diverticulitis zibandakanya:

Imbali yosapho

Izifundo ezibini ezikhulu zamawele ziye zafumanisa ukuba ufuzo ludlala indima kwisifo esichaseneyo. Ababhali baqikelela ukuba malunga neepesenti ezingama-40 ukuya kuma-50 zomngcipheko wesifo esichaseneyo lilifa.

Ukutya okune-fiber encinci

Olunye uphando ludibanise izidlo ezisezantsi zefayibha kumngcipheko okhulayo we-diverticulitis. Nangona kunjalo, olunye uphononongo alufumananga unxibelelwano phakathi kokutya ifayibha yokutya kunye nesi sifo.

Amanqanaba asezantsi evithamini D

iphakamisa ukuba abantu abanamazinga aphezulu e-vitamin D banokuba nomngcipheko omncinci wokufumana i-diverticulitis. Olunye uphando luyafuneka ukuqonda unxibelelwano olunokubakho phakathi kwe vithamin D kunye nale meko.

Ukutyeba kakhulu

Izifundo ezininzi ziye zafumanisa ukuba abantu abanesalathiso semizimba ephezulu kunye nezinqe ezinkulu banomngcipheko okhulayo we-diverticulitis.

Kungenzeka ukuba ukukhuluphala kuphakamisa umngcipheko we-diverticulitis ngokutshintsha ibhalansi yebhaktheriya emathunjini akho, kodwa uphando olongezelelweyo lufunekayo ukuqonda indima edlalwa yile nto.

Ukungasebenzi komzimba

Abanye bafumanise ukuba abantu abasebenza ngokwasemzimbeni abanamathuba amancinci kunabantu abangasebenziyo ukuze bakhulise i-diverticulitis. Nangona kunjalo, olunye uphando alufumananga unxibelelwano phakathi kokuzilolonga kunye nale meko.

Sebenzisa iziyobisi ezichasayo (i-NSAIDS) okanye ukutshaya

Ukusetyenziswa rhoqo kwe-aspirin, ibuprofen, okanye ezinye ii-NSAID kunokuphakamisa umngcipheko we-diverticulitis.

Abantu abatshayayo banokwenzeka ngakumbi kunabantu abangatshayiyo ukuba baphuhlise izifo ezahlukeneyo, kubandakanya ne-diverticulitis.

I-Diverticulitis ngokuchasene ne-diverticulosis

Ukuba une-diverticula engenasulelo okanye idume, yaziwa ngokuba yi-diverticulosis.

Abaphandi baxela ukuba malunga neepesenti ezingama-80 zamatyala, i-diverticulosis ayibangeli zimpawu. Ukuba une-diverticulosis ngaphandle kweempawu, ngekhe ufune unyango.

Kodwa kwezinye iimeko, i-diverticulosis inokubangela iimpawu ezinjengeentlungu esiswini kunye nokuqumba. Xa oko kusenzeka, kuyaziwa ngokuba sisifo esingafaniyo nesifo esichaseneyo (SUDD).

Phantse iipesenti ezi-4 zabantu abane-SUDD ekugqibeleni bahlakulele i-diverticulitis.

Diverticulitis yesinyi

I-Diverticula nayo inokukhula kwi-bladder yakho. Oku kuyenzeka xa ulwelwesi lwesinyi sakho lwenza iingxowa, zijonga iindawo ezibuthathaka eludongeni lwesinyi sakho.

Ngamanye amaxesha i-bladder diverticula ikhona ngexesha lokuzalwa. Ngamanye amaxesha, bakhula kamva ebomini. Ziyakwazi ukwenza xa i-bladder outlet yakho ivinjiwe okanye i-bladder yakho ingasebenzi kakuhle ngenxa yokugula okanye yokwenzakala.

Ukuba une-bladder diverticula ethi idumbe, yaziwa ngokuba yi-bladder diverticulitis. Ukunyanga i-bladder diverticulitis, ugqirha wakho unokumisela i-antibiotics kunye neyeza zonyango. Banokucebisa ukuba kwenziwe utyando ukulungisa i-diverticula.

Kwakhona kunokwenzeka ukuba i-diverticulitis kwikholoni yakho ichaphazele i-bladder yakho. Kwiimeko ezinzima, unokuhlakulela i-fistula phakathi kwekholoni yakho kunye nesinyi. Oku kwaziwa njenge fistula emhlophe. Fumanisa ukuba ibandakanya ntoni le meko.

I-diopiculitis yesisugeal

I-Diverticula inokuthi ibe nefom kwi-esophagus yakho, nayo. Oku kwenzeka xa iipakethi zikhula kwindawo yakho yokuqaqamba.

I-Esophageal diverticula inqabile. Xa zikhula, zihlala ngokuthe chu kwaye zingaphaya kweminyaka emininzi. Njengoko bekhula, banokubangela iimpawu okanye iingxaki ezinje:

• ingxaki yokuginya
• intlungu xa uginya
• halitosis, okanye umphefumlo onukayo
• ukuphinda kwenziwe ukutya kunye namathe
• umnqweno wemiphunga; ukuphefumla kuhlaziye ukutya okanye amathe kwimiphunga yakho
• inyumoniya yokuphefumla; ukukhula kosuleleko lwemiphunga emva kokuphefumla ngokutya okanye kumathe

Ukuba i-diverticula iyavutha, yaziwa ngokuba yi-esophageal diverticulitis.

Ukunyanga i-esophageal diverticulitis, ugqirha wakho unokumisela amayeza okubulala iintsholongwane kunye nonyango. Ukulungisa i-diverticula, banokucebisa utyando. Fumana ulwazi oluthe kratya malunga nokhetho lwakho kunyango.

I-Diverticulitis kunye notywala

Kwixesha elidlulileyo, ezinye izifundo zicebisa ukuba ukusela utywala kunokunyusa umngcipheko we-diverticulitis. Kodwa olunye uphando alufumananga unxibelelwano olunjalo.

Ngokophononongo lophando olupapashwe kwi-2017, kukho ukuba ukusela utywala kuphakamisa umngcipheko kwesi sifo.

Ukuba usela utywala, ugqirha wakho uya kukukhuthaza ukuba usele ngokumodareyitha kuphela. Nangona ukusela utywala kungangabangeli diverticulitis, ukusela kakhulu kunokuphakamisa umngcipheko kwezinye iingxaki zempilo.

Yise kude

I-Diverticulitis iqhelekile kwilizwe laseNtshona. Kwiimeko ezininzi, inokunyangwa ngokutshintsha kwexesha elifutshane lokutya kunye namayeza.

Kodwa ukuba iingxaki ziyavela, zinokuba mandundu kakhulu. Ukuba une-diverticulitis enzima, ugqirha wakho uya kukucebisa ukuba ufumane unyango esibhedlele. Kuya kufuneka uhlinzwe ukuze ulungise umonakalo kwikholoni yakho.

Ukuba une-diverticulitis okanye imibuzo malunga nomngcipheko wokuyihlakulela, thetha nogqirha wakho. Banokukunceda ufunde ukuba ungasinyanga njani esi sifo kunye nokuxhasa impilo yakho yokwetyisa.