Izifo Ezingavamile Kungabangela Ukukhipha Kwegazi Emgqumeni Wesisu
I-Diverticulosis yinto evamile yamathumbu amakhulu (colon) okwenzeka lapho abantu bekhula. Nge-diverticulosis, udonga lwamathumbu amakhulu luba nezindawo ezibuthakathaka eziphuma ngaphandle ukuze zenze amapokhethi amancane, okuthiwa i-diverticula. Uma lezi diverticulum zivutha noma zinegciwane, libizwa nge-diverticulitis. I-Diverticulosis ne-diverticulitis zibizwa ndawonye ngokuthi izifo ezihlukahlukene.
Sibutsetelo
I-Diverticulosis ijwayele ukuvela kubantu abangaphezu kweminyaka engama-40, kanti abantu abangaphezu kuka-50% abangaphezu kweminyaka engu-60 babonisa izimpawu zesifo. Izifo ezivamile zivame kakhulu e-United States, e-England nase-Australia, okusho ukuthi ukudla okuncane okuyizinto ezivamile kula mazwe kungase kubangele. Izifo ezihlukahlukene azivamile kakhulu ezindaweni lapho ukudla okuphezulu kwe-fibre kuvamile, njenge-Asia ne-Afrika.
Izimpawu
I-Diverticulosis ingase ingabangeli noma yiziphi izimpawu, kodwa kwezinye izimo kungase kuphume.
I-Diverticulitis ibangelwa ukutheleleka noma ukuvuvukala kwi-diverticula, futhi ivame ukuhambisana nobuhlungu besisu. Ubuhlungu besisu buyaguquka, futhi ngokuvamile buqala ngokuzumayo, kodwa lungase futhi lukhule ngaphezu kwezinsuku ezimbalwa. Izimpawu zokuzihlukanisa zingahlanganisa:
- Ubuhlungu besisu, ikakhulukazi phansi kwesokunxele
- Ushintsho emikhondweni yesisu
- Ama-Chills
- Ukugubha
- Fever
- I-nausea
Izimbangela
Isizathu asizwisiswanga ngokuphelele, kepha ukudla okuseWestern, okuvame ukuba ngaphansi kwe-fiber, nokuphila komuntu ohlala ngasecansini kucatshangwa ukuthi kubangela izifo ezihlukahlukene. Ukudla okuphansi kwe-fiber kungaholela ekuqotheni. Ukuzibophezela ngokwakho kungase kungabangeli izifo ezihlukahlukene, kodwa ukucindezela ukudlula izitembu ezinzima kungenza ukuba izindonga zamakoloni zikhuphuke ngaphandle futhi ziholele ekuhambeni.
Okwamanje aziwa ukuthi kungani impilo yokuhlala yangasese ingaxhunyaniswa nezifo ezihlukahlukene. I-Diverticulitis ingase ibangelwe yisitoreji ukunamathela ku-diverticula.
Ukuxilongwa
Uma kungabikho izimpawu, i-diverticulosis ivame ukungaziwa. Kuyinto evamile ukuba i-diverticulitis ihlolwe lapho udokotela empeleni efuna imbangela yezinye izimpawu, noma ngesikhathi sokuhlola i- colonoscopy .
Izivivinyo ezingasiza ukuxilonga izifo ze-diverticular zifaka:
I-Colonoscopy. I-Diverticulitis ingatholakala ngesikhathi se-colonoscopy eyenziwa ukuhlola izimpawu, njengokuphupha noma ubuhlungu besisu. I-colonoscopy iyisimo sokuhlola sokujwayelekile kubantu abangaphezu kweminyaka engama-50, okungase kuholele ekuxilongweni kwesifo se-asymptomatic diverticular.
Iskripthi se-Tomography (CT) yekhompuyutha. I-CT scan iyinhlanganisela yama- x-ray anganikeza umbono oningiliziwe wesisu nezinye izindawo zomzimba. Zivame ukungenasidingo, ezingenabuhlungu, nokungenabungozi. Kwezinye izimo, ama-dyes okuhlukumezeka kanye / noma ngomlomo asetshenziselwa ukuthuthukisa ukubonakala kwezakhiwo ezithile (njengamathumbu amakhulu). I-contrast medium inikezwa esiphuzweni, noma ijojowe emthanjeni. Idayi isisiza udokotela ukuthola izitho ngaphakathi kwesisu futhi abheke noma yini engavamile, njenge-diverticula.
Ukwelapha Izifo Ezihlukahlukene
Ukwelashwa kokuqala kwe-diverticulosis kuhlanganisa ukwandisa inani le- fiber ekudleni.
Iningi labantu e-United States alitholi i-fiber eyanele ekudleni kwabo. Ukudla okunomsoco kusiza ukugcina isithambile esincane futhi kulula ukudlula, okungasiza ekuvimbeleni ukuqothulwa nokulandela ukunyakaza ukuze kube nokunyakaza kwamathumbu. I-fibre nayo ingafakwa ekudleni ngokusebenzisa ama- fiber supplements .
Uma uthola ukuthi unesifo se-diverticular, khuluma nodokotela wakho ngokuthi yiluphi uhlobo lwefayibhesi elongezelayo elungile kuwe.
Esikhathini esedlule, kunconywa ukuthi abantu abanesifo se-diverticular bagweme ukudla okungase kube "kokunamathela" ku-diverticula, njenge-popcorn, amantongomane, kanye nembewu enjenge-sunflower, ithanga, i-caraway ne-sesame. Ayikho ubufakazi bokuqinisekisa lesi sincomo, kodwa hlola nodokotela wakho mayelana nemikhawulo yokudla.
I-Diverticulitis idinga ukuhlolwa okujulile nokwelashwa, ngokuvamile okubandakanya i-CT noma enye i-imaging scan, ukubonisana nodokotela we-gastroenterologist kanye nodokotela ohlinzayo jikelele, ama-antibiotics, ukuphumula kwesibilini, futhi - hhayi ngokujwayelekile - ukuhlinzeka ngokukhetha noma okuphuthumayo.
Izinkinga zezifo ezihlukahlukene
Ukuphuza. Lapho i-diverticula iphuma, igazi lingatholakala ku-toilet bowl noma esitokisini. Igazi licatshangelwa ukuthi libangelwa umkhumbi wegazi ophukile futhi kungenzeka ukuthi awudingi ukwelashwa.
Lokhu akuyona inkinga ejwayelekile, kodwa kungabangela inani eliningi legazi. Kwezinye izimo, ukuphuma kwegazi kungahle kudingeke kuphenywe futhi kumiswe ngesikhathi se-colonoscopy noma ngokusebenzisa ukuhlinzwa. Ngisho noma ngabe uthola ukuthi unesifo se-diverticular, kubalulekile ukuthola noma yikuphi ukuphuma kwe-rectum okwenziwe udokotela.
Abscess. I-Diverticulitis iyisifo se-diverticula, futhi ukutheleleka okunjalo kungaholela ekugqibeleni. I-abscess iyisitokisi se-pus esitholakala kumathisamu avuliwe. I-abscess ngaphakathi komzimba, efana emathunjini amakhulu, akulula ngaso sonke isikhathi ukuthola, kepha uma iyingcosana ingaphathwa nge-antibiotic. Ama- abscesses amakhulu angase adinge ukucwiliswa, okufezwa ngokusebenzisa ukuhlinzekwa kwezinzwa zasendaweni ukuze kuphazamise indawo bese ufaka inaliti esikhumbeni nasesikhaleni.
I-Perforation. I-perforation iyimbobo eqala nge-diverticula enegciwane. Uma umgodi ukhululekile, kungabangela ukuba i-pus ikhiphe ngaphakathi kwesikhumba esiswini futhi ekugcineni iholele ku-peritonitis. I-Peritonitis yisimo esibi esingase sibulale uma singelashwa ngokushesha ngokuhlinzwa.
I-Fistula. I-fistula ngumhubhe ongajwayelekile ohlanganisa izigxobo ezimbili zomzimba noma umzimba womzimba esikhumbeni. I-fistula ingase ifake lapho i-abscess igcwala i-pus, ingaphilisi, futhi idlulele kwesinye isitho. Nge-diverticulitis, i-fistula ingase ivele phakathi kwamathumbu amakhulu kanye namathumbu amancane, amathumbu amakhulu nesikhumba, noma, ngokuvamile, amathumbu amakhulu nesibindi.
Ukwakhiwa kwemizimba. I-diverticula engathintekile ingabangela izicubu ezincane ukuba zenze emathunjini amakhulu.
Izicubu ezinzima kakhulu zingabangela ukuba intombazane ivinjelwe noma ivinjelwe ngokuphelele, ivimbele isithunzi ukuba singadluli. Ukuvinjelwa kwamathumbu ngokuvamile kudinga ukuhlinzwa.
Imithombo:
I-American Society of Colon ne-Rectal Surgeons. "Izifo Ezihlukahlukene." FASCRS.com Jan 2008.
Isikhungo sezokwelapha saseCedars-Sinai. "Izifo Ezihlukahlukene." Imisedari-Sinai.edu 2011.
FamilyDoctor.org. "Izifo Ezihlukahlukene." I-American Academy of Family Physicians uNgo 2010.