Utyando lweDiverticulitis

Umxholo

• Kutheni le nto kufuneka ndenze utyando lwe-diverticulitis?
• Zeziphi iintlobo zotyando lwe-diverticulitis?
• Zithini iingozi ezinxulumene nolu tyando?
• Ndizilungiselela njani olu tyando?
• Lwenziwa njani olu tyando?
• Ngaba zikhona iingxaki ezinxulumene nolu tyando?
• Kuthatha ixesha elingakanani ukubuyela kwimeko yesi sifo?
• Ithini imbonakalo kolu tyando?

Yintoni i-diverticulitis?

I-Diverticulitis yenzeka xa iipokotshi ezincinci kwindawo yakho yokugaya ukutya, eyaziwa ngokuba yi-diverticula, ivutha. I-Diverticula ihlala ivutha xa isuleleka.

I-Diverticula ihlala ifumaneka kwikholoni yakho, elona candelo likhulu lamathumbu akho amakhulu. Ngokwesiqhelo azinabungozi kwinkqubo yakho yokwetyisa. Kodwa xa betshisa, banokubangela iintlungu kunye nezinye iimpawu ezinokuphazamisa ubomi bakho bemihla ngemihla.

Funda ukuze ufumane okungakumbi malunga neentlobo zotyando lwe-diverticulitis, xa kufuneka ukhethe ukwenza olu tyando, kunye nokunye.

Kutheni le nto kufuneka ndenze utyando lwe-diverticulitis?

Utyando lwe-Diverticulitis luhlala lwenziwa ukuba i-diverticulitis yakho ibukhali okanye isongela ubomi. Unako ukulawula i-diverticulitis yakho ngokwenza oku kulandelayo:

• ukuthatha amayeza okubulala iintsholongwane
• ukusebenzisa ii-nonsteroidal anti-inflammatory drug (NSAIDs), ezinje nge ibuprofen (Advil)
• ukusela ulwelo kunye nokuthintela ukutya okuqinileyo de iimpawu zakho ziphele

Ugqirha wakho unokucebisa utyando ukuba unayo:

• Iziqendu ezininzi ezinzima ze-diverticulitis ezingalawulwa ngamayeza kunye notshintsho kwindlela yokuphila
• ukopha kwi-rectum yakho
• Ubuhlungu obukhulu esiswini sakho iintsuku ezimbalwa okanye ngaphezulu
• ukuqhina, urhudo, okanye ukugabha okuhlala ixesha elide kuneentsuku ezimbalwa
• Ukuvaleka kwikholoni yakho kukugcina ungadluli inkunkuma (isithintelo samathumbu)
• umngxunya kwikholoni yakho (ukugqobhoza)
• iimpawu kunye neempawu ze-sepsis

Zeziphi iintlobo zotyando lwe-diverticulitis?

Ezi ntlobo zimbini ziphambili zoqhaqho lwe-diverticulitis zezi:

• Ukuthengiswa kwamathumbu nge-anastomosis ephambili: Kule nkqubo, ugqirha wakho wotyando ususa nayiphi na ikholoni esulelekileyo (eyaziwa ngokuba yi-colectomy) kwaye uthunge kunye iziphelo ezisikiweyo zala maqhekeza usempilweni macala omabini endawo esulelekileyo (anastomosis).
• Ukuthengiswa kwamathumbu kunye necolostomy: Kule nkqubo, ugqirha wakho wotyando wenza i-colectomy kwaye udibanisa amathumbu akho ngokuvula esiswini sakho (colostomy). Olu vulo lubizwa ngokuba yi-stoma. Ugqirha wakho angenza i-colostomy ukuba kukho i-colon kakhulu. Kuxhomekeke ekubeni ubuyela njani kwiinyanga ezimbalwa ezizayo, icolostomy inokuba yeyethutyana okanye isigxina.

Inkqubo nganye inokwenziwa njengotyando oluvulekileyo okanye i-laparoscopically:

• Vula: Ugqirha wakho usika ii-intshi ezintandathu ukuya kwezisibhozo zesisu esiswini sakho ukuvula indawo yakho yamathumbu ukuba uyijonge.
• I-Laparoscopic: Ugqirha wakho usika kancinci. Olu tyando lwenziwa ngokubeka iikhamera ezincinci kunye nezixhobo emzimbeni wakho ngeetyhubhu ezincinci (trocars) ezihlala zingaphantsi kwesentimitha enye ngobukhulu.

Zithini iingozi ezinxulumene nolu tyando?

Njengalo naluphi na utyando, umngcipheko weengxaki unokunyuswa ukuba:

• batyebe kakhulu
• bangaphezulu kweminyaka engama-60 ubudala
• unezinye iimeko zonyango ezibalulekileyo ezinje ngeswekile okanye uxinzelelo lwegazi
• ukhe wenza utyando lwe-diverticulitis okanye olunye utyando esiswini ngaphambili
• Banempilo enkenenkene okanye abafumani sondlo saneleyo
• Benziwa utyando olungxamisekileyo

Ndizilungiselela njani olu tyando?

Kwiiveki ezimbalwa ngaphambi kokuhlinzwa, ugqirha unokucela ukuba wenze oku kulandelayo:

• Yeka ukuthatha amayeza anokunciphisa igazi lakho, njenge-ibuprofen (Advil) okanye i-aspirin.
• Yeka ukutshaya okwethutyana (okanye ngokusisigxina ukuba ukulungele ukuyeka). Ukutshaya kunokwenza kube nzima ukuba umzimba wakho uphilise emva kotyando.
• Lindela nawuphi na umkhuhlane okhoyo, umkhuhlane okanye ukubanda.
• Guqula ubuninzi bokutya kwakho ubeke ulwelo kwaye uthathe laxatives ukukhupha amathumbu akho.

Kwiiyure ezingama-24 ngaphambi kotyando lwakho, unokufuna:

• Sela kuphela amanzi okanye ezinye izinto ezingamanzi, ezifana nomhluzi okanye incindi.
• Ungatyi okanye usele nantoni na iiyure ezimbalwa (ukuya kuthi ga kwi-12) ngaphambi kotyando.
• Thatha nawaphi na amayeza akunikwa ngugqirha ngaphambi kokuba utyandwe.

Qiniseka ukuba uthatha ikhefu emsebenzini okanye kolunye uxanduva ubuncinci iiveki ezimbini ukubuyela esibhedlele nasekhaya. Yiba nomntu olungele ukukusa ekhaya wakuba ukhululwe esibhedlele.

Lwenziwa njani olu tyando?

Ukwenza ukuthengiswa kwamathumbu nge-anastomosis ephambili, ugqirha wakho uya:

1. Sika iindawo ezintathu ukuya kwezintlanu ezivulekileyo esiswini sakho (kwi-laparoscopy) okanye wenze ukuvulwa kweesentimitha ezintandathu ukuya kwezisibhozo ukujonga amathumbu akho kunye nezinye izitho (zotyando oluvulekileyo).
2. Faka i-laparoscope kunye nezinye izixhobo zoqhaqho (ukusika i-laparoscopy).
3. Gcwalisa indawo yakho esiswini ngegesi ukuvumela igumbi elininzi lokwenza utyando (lwelaparoscopy).
4. Jonga amalungu akho ukuze uqiniseke ukuba ayikho eminye imiba.
5. Fumana indawo echaphazelekayo kwikholoni yakho, yinqumle kuyo yonke ikholoni yakho, kwaye uyikhuphe.
6. Gcoba iziphelo ezimbini eziseleyo ze-colon yakho kwakhona (i-anastomosis ephambili) okanye uvule umgodi esiswini sakho kwaye unamathisele ikholoni emngxunyeni (colostomy).
7. Gcoba ukucoca kwakho kwaye uhlambulule iindawo ezikufutshane.

Ngaba zikhona iingxaki ezinxulumene nolu tyando?

Iingxaki ezinokubakho zotyando lwe-diverticulitis zibandakanya:

• amahlwili egazi
• usulelo lotyando lwesiza
• ukopha (ukuphuma ngaphakathi)
• sepsis (usulelo emzimbeni wakho wonke)
• isifo sentliziyo okanye ukubetha
• ukusilela ekuphefumuleni okufuna ukuba kusetyenziswe isixhobo sokuphefumla
• ukumelwa yintliziyo
• ukusilela kwezintso
• ukunciphisa okanye ukuvala ikholoni yakho kwizicwili ezibomvu
• ukwenziwa kwethumba kufutshane nekholon (ubofu obosuleleke kwintsholongwane ebangelwa sisifo)
• Ukuvuza kwindawo ye-anastomosis
• amalungu akufutshane ayonzakala
• ukungakwazi ukuzibamba, okanye ukungakwazi ukulawula xa upasa isitulo

Kuthatha ixesha elingakanani ukubuyela kwimeko yesi sifo?

Uza kuchitha malunga neentsuku ezimbini ukuya kwezisixhenxe esibhedlele emva kolu tyando ngelixa oogqirha bakho bekubeka esweni kwaye baqinisekisa ukuba ungaphinda udlule inkunkuma kwakhona.

Nje ukuba ugoduke, yenza oku kulandelayo ukuze uzincede kwakhona:

• Sukuzilolonga, ungaphakamisi nantoni na enzima, okanye ubelane ngesondo okungenani iiveki ezimbini emva kokuba uphumile esibhedlele. Kuxhomekeka kwisimo sakho sangaphambi kokusebenza kunye nendlela ohambe ngayo, ugqirha wakho unokucebisa lo thintelo ixesha elide okanye elifutshane.
• Yiba nolwelo olucacileyo kuqala. Kancinci uphinde uvelise ukutya okuqinileyo ekudleni kwakho njengoko ikholoni yakho iphilisa okanye njengoko ugqirha wakho ekuyalela.
• Landela nayiphi na imiyalelo oyinikiweyo yokunyamekela i-stoma kunye ne-colostomy bag.

Ithini imbonakalo kolu tyando?

Umbono woqhaqho lwe-diverticulitis ulungile, ngakumbi ukuba utyando lwenziwe nge-laparoscopically kwaye awudingi stoma.

Yiya kugqirha wakho ngoko nangoko xa uqaphela oku kulandelayo:

• ukopha ekusikeni kwakho okuvalekileyo okanye kwinkunkuma yakho
• ubuhlungu obukhulu esiswini sakho
• ukuqhina okanye urhudo ngaphezulu kweentsuku ezimbalwa
• isicaphucaphu okanye ukugabha
• ifiva

Unokwazi ukuba i-stoma ivalwe kwiinyanga ezimbalwa emva kotyando ukuba ikholoni yakho iphilisa ngokupheleleyo. Ukuba icandelo elikhulu lekholoni yakho lisusiwe okanye ukuba kukho umngcipheko omkhulu wokusuleleka kwakhona, kungafuneka ugcine i-stoma iminyaka emininzi okanye ngokusisigxina.

Ngelixa unobangela we-diverticulitis engaziwa, ukwenza utshintsho kwindlela yokuphila esempilweni kunokuyithintela ekukhuleni. Ukutya ukutya okune-fiber ephezulu yenye yeendlela ezicetyiswayo zokunceda ukuthintela i-diverticulitis.