Ingabe udokotela wakho uthola ukuthi une-diverticulosis eceleni kwe- syndrome yakho yesifo sofuba (IBS)? Ingabe uyazibuza ukuthi kukhona ubuhlobo phakathi kwalaba ababili? Futhi ingabe ukuthola kunzima ukuthola ukuthi yini ongayidla ukuze ungenzi izimpawu zibe nzima kakhulu kunoma yiziphi izinkinga ezimbili zempilo? Ake sibuke noma yikuphi okungahle kwenzeke futhi sixoxe ngalokho ongakwenza ukuze uzizinake lapho usubili kokubili.
Kuyini Ukuchithwa?
I-Diverticulosis yisimo sempilo lapho izikhumba ezincane (amasaka) zikhona emgodini wezinkukhu ezinkulu . Lezi zikhwama ziyaziwa ngokuthi yi-diverticula, futhi ziyaqhubekela phambili emdongeni wekoloni. Zitholakala kakhulu emgqonyeni we-sigmoid, okuyingxenye ephansi kakhulu emathunjini amakhulu.
I-Diverticulosis ingenye yezimo ezintathu ezihlukaniswe njengezifo ezihlukahlukene-okunye okuyi-diverticulitis, lapho amaphakethe noma amasaka okuthiwa i-diverticula igciwane lesandulela ngculaza noma ivuvukala, futhi i-diverticular bleeding, lapho i-diverticula iqala ukuphuma khona.
Kulinganiselwa ukuthi cishe abantu abangamaphesenti angu-20 ase-US banezifo ezihlukahlukene. Izinga lokukhula likhula ngokukhula njengoba kulinganiselwa ukuthi kuthinta cishe amaphesenti angama-70 aseMelika engaphezu kweminyaka engama-80. Kulinganiselwa ukuthi abantu abangu-25 abaphethe izifo ezihlukahlukene bayothola ukuxilonga njengento ethile empilweni yabo.
Izimpawu Ze-Diverticulosis
Kubantu abaningi, i-diverticulosis ayibangeli izimpawu. Kwabanye, ukutholakala kwalezi zingxobo kungabangela ukuqothulwa, isifo sohudo, ubuhlungu besisu nokuvuvukala. Zonke izimpawu ze-IBS kanye! (Sizobhekana nalokhu kamuva.)
Izimpawu ze-diverticulitis zingaba nzima nakakhulu. Ubuhlungu bungaba buhlungu bube bukhulu, bese buya ngokushesha noma buya kancane kancane.
Ubuhlungu bungase buze futhi buyeke. Ezinye izimpawu ze-diverticulitis zihlanganisa:
- Ubuhlungu besisu nesisu
- Ukushintsha okungahambi kahle emzimbeni wesifuba, okuwukuthi ukuqotshwa noma isifo sohudo
- Ama-Chills
- Fever
- Ukwehlisa isisu ngesisu, ikakhulukazi ngakwesobunxele
- Ukuvota
Ingozi eyingozi nge-diverticulitis engaphazanyiswa yilezizifo zezimathumba -isimo esingasongela impilo esizodinga ukuhlinzwa.
Ukuphuma kwegazi okuvamile kuyaboniswa inani elizumayo elibomvu elibomvu elimnyama elimnyama endaweni yesitokisi . Ukuzibamba ngokuvamile kuvimbela ukuphela, kodwa uma uthola noma yikuphi ukuphuma kwegazi esitokisini sakho noma ku-rectum yakho, kufanele ubone udokotela ukuhlola ngokunembile ukuthi yini eyenza ukuphuma.
Ukungqubuzana phakathi kwe-IBS no-Diverticulosis
Uma ngabe ubuzibuza ukuthi ngabe ucabanga yini izinto ezinokuthi izinkinga zakho zezempilo zingase zixhunyiwe, ungase ujabule ukwazi ukuthi umcabango usenzeke nabacwaningi. Ake sibheke izifundo ezimbalwa eziyinhloko nemiphumela yabo:
Ucwaningo olulandelayo lulandele iqembu elikhulu lezifundo ezazitholwa ngokuthi zine-diverticulitis, engenakho umlando odlule we- functional disorder disorder (FGDs) efana ne-IBS noma ukugula kwengqondo, esibhedlela sase-Veterans Administration, esikhathini esiyiminyaka engaba yisithupha.
Bathole ukuthi laba bantu babe engozini engaba ngu-5% enkulu yokuthuthukiswa kwe-IBS, futhi cishe kabili ingozi yokuthuthukisa i-FGD ehlukile noma isifo sengqondo. Le miphumela iholele leli qembu labacwaningi ukuthi liphakamise umqondo wokuthi "i-postdiverticulitis IBS" (i-PDV-IBS), ilebuli ezobe isetshenziselwa abantu abanobuhlungu obungapheli be-IBS ngokulandela isiqephu se-diverticulitis. Sicela uhlale ukhumbule ukuthi lokhu kuyisifundo esisodwa-umsebenzi omningi ozofanele uqhutshwe ngaphambi kokuba noma yikuphi ukuhlukaniswa okusemthethweni kwenziwe nge- sub-type entsha ye-IBS !
Ucwaningo oluthile lusetshenziselwa indlela yokuhlola imibuzo ukuze kutholakale ukuthi kukhona ubudlelwane phakathi kokuba nesifo se-diverticular ne-IBS.
Imiphumela yabonisa ukuthi ukuba ne-IBS ikhulise ingozi yomuntu ye-diverticulosis, kodwa ayizange ikhulise ingozi yokubhekana nokuhlukana. Lokhu kwandisa ingozi ye-diverticulosis yayivelele nakakhulu kubantu abane-IBS ababengaphezu kweminyaka engama-65. Kuyathakazelisa ukuthi kungakhathaliseki ubudala, ingozi eyengeziwe yokwehluka kwe-diverticulosis yayingase ibonakale kubantu abathintekayo abanesifo sohudo-i-IBS (IBS-D ) noma uhlobo oluthile lwe-IBS (IBS-A).
Esinye isifundo esikhulu senziwa eJapane. Abacwaningi babonisa ukuthi kukhona umehluko omkhulu lapho izifo ezithinta khona zivela khona lapho ziqhathaniswa nabantu baseNtshonalanga (iYurophu ne-United States) ngokumelene nalabo abavela e-Asia. Kubonakala sengathi, eNtshonalanga, izifo ze-diverticular cishe zibonakala emgqonyeni we-distal-ikoloni ehla ngakwesobunxele kanye ne-sigmoid colon . Ngokuphambene, e-Asia, izifo ze-diverticular cishe zingabonakala ngakwesokudla kolononi. Kungani lokhu kubalulekile? Ngokusho kwabacwaningi bathi lokhu kuhluka kubalulekile njengoba i-diverticulitis ehlangothini lwesokunxele ivame ukuba nzima kakhulu, kanti isifo se-diverticular esilungile sishiya enye engozini yokwanda kwegazi.
Kulolu cwaningo lwesiJapane, imiphumela yabonisa ukuthi ababambiqhaza ababonise izibonakaliso zezifo ezihlukahlukene ezihlangothini lwesobunxele, noma emaceleni omabili, we-colon, babe nethuba lokuba ne-IBS ngenkathi abahlanganyeli abanesifo esifaneleko se-diverticular bengabonisi lokhu okuphakeme ingozi.
Okufanele Ukwenze Uma Unayo Bobabili
Kungase kubonakale kunzima kakhulu ukuthola ukuthi yini okufanele ukwenze uma unezinkinga zombili zezempilo. Ngenhlanhla, ezinye izincomo zokwelashwa ezifanayo ze-IBS zisebenza ezifweni ezihlukahlukene:
- Ukwandisa i-fiber yakho yokudla : Lokhu kungase kube ngendlela yokudla ukudla okuphezulu-fiber noma ukuthatha ukwesekwa kwe-fiber.
- Thatha ama-probiotics : Ucwaningo aluphelelanga, kodwa kukhona okunye okubonisa ukuthi ama-probiotics angasiza ekuvimbeleni ukuhlukahluka kwabantu abaye babe ne-diverticulosis. Ungathola ama-probiotics kwifomu lokufakazela noma ukudla okuvutshiwe .
Kuneziphakamiso ezithile zokuphila zokunciphisa izinkinga ezivela ezifweni ezihlukahlukene. Nakuba lezi zinto azihlotshaniswa ne-IBS, ukwenza lezi zinguquko kuzosiza ekuthuthukiseni impilo yakho jikelele nokugaya ukudla:
- Uma uphethile, thatha izinyathelo zokuma.
- Qinisekisa ukuzivocavoca njalo.
- Gcina isisindo esinempilo.
- Gcina ukusetshenziswa kotshwala okungenani.
- Gcina ukusetshenziswa kwakho kwe-aspirin kanye nezidakamizwa eziphikisanayo ezivuvukala (ama-NSAID) okungenani.
Imithombo:
Cohen E, et al. Ingozi Ekhulayo Ye-Irritable Bowel Syndrome Ngemuva Kwama-Diverticulitis Eyingozi. I-Gastroenterology Clinic ne-Hepatology. 2013; 11: 1614-1619.
I-Diverticular Disease National Digestive Clearinghouse Information Clearinghouse (NDDIC) .
UJung H, et al. I-Diarrhea-I-Irritable Bowel Syndrome Eyinkimbinkimbi Ehlanganisiwe Nezifo Ezihlukahlukene: Isifundo Esisuselwa Kwabantu. I-American Journal ye-Gastroenterology. 2009; 105: 652-661.
I-Templeton A & Strate L. Updates ku-Diverticular Disease. Imibiko ye-Gastroenterology yamanje . 2013; 15: 339.
Yamada E, et al. Inhlangano Phakathi Kwendawo Yokuzibulala Izifo Ne-Irritable Bowel Syndrome: Isifundo Esibucayi EsiJapane. I-American Journal ye-Gastroenterology . 2014; 109: 1900-1905.