Ezimweni eziningi, i-diverticula ayibangeli izimpawu kodwa ngezikhathi ezithile ingatheleleka futhi / noma ikhishwe, okuyinto isimo esibizwa nge-diverticulitis.
Uphawu oluvame kakhulu lwe-diverticulitis ubuhlungu besisu (ngokuvamile ohlangothini lwesobunxele), kodwa lungabangela ushintsho emikhondweni yemilenze (ukuqotshwa noma isifo sohudo), umkhuhlane, kanye nokucabangela noma ukuhlanza. Ngenhlanhla, ngisho nangezibonakaliso, iningi lamacala e-diverticulitis awayinkimbinkimbi futhi angelashwa ekhaya.
Kodwa-ke, amaphesenti angu-25 kuya kwangu-30 esikhathi kungaba khona izinkinga ezidinga ukunakekelwa esibhedlela.
Izimpawu Ezivamile
Ubuhlungu besisu buyisimpawu esivame kakhulu se-diverticulitis futhi ngokuvamile kuvame futhi kuqhubeka izinsuku eziningana.
Ezimweni eziningi, ifomu le-diverticula engxenyeni yokugcina yamathumbu amakhulu, okuthiwa i-sigmoid colon. Itholakala ngakwesobunxele besisu, yingakho i-diverticulitis ingaholela ekuhluphekeni noma ebuhlungu ikakhulukazi ngaphesheya. Kodwa-ke, kumbalwa amacala, abanye abantu bangase babe nobuhlungu ngakwesokudla noma emaceleni omabili wesisu uma kunezinhlobonhlobo kwezinye izingxenye zekoloni.
Ezinye izimpawu ezivamile zingabandakanya:
- izikhukhula
- ukuqotshwa
- i-cramping
- ukubhuqa
- isifo sohudo (ngezikhathi ezithile)
- igesi
- umkhuhlane
- ukungabi nesifiso sokudla
- isiyaluyalu
- ukuhlanza
Izimpawu ezijwayelekile
Ukweqa nge-diverticulitis akuvamile kepha kungenzeka kwezinye izimo. Uma kunezinkinga ezivela ku-diverticulitis, njenge-fistula, i-abscess, noma i-bowel perforation, kungaba khona nezinye izimpawu ezibangelwa yizimo.
Izimpawu zokuhlukana okungajwayelekile kakhulu zingabandakanya:
- ukucasuka kwesibindi noma izimpawu zomchamo
- igazi esitokisini
- ukuphuma kwegazi
Izinkinga
Nakuba zingavamile, kunezinkinga eziningana ezihlukahlukene ezingase zenzeke kanye ne-diverticulitis.
Abscess
I- abscess iyisifo sokutheleleka kwebhaktheriya esenza iphaketheni legazi ne-pus lidale.
Ama-abscesses ahlotshaniswa ne-diverticulitis angabangela imfiva nobuhlungu besisu. Baphathwa ngama-antibiotic kanye / noma amanzi.
I-Fistula
I- fistula umhubhe owenza emzimbeni futhi uxhuma izingxenye ezimbili noma isitho nesikhumba. Izimpawu ze-fistula (okuyinto kuxhomeke endaweni) zingabandakanya ukuphuka esikhumbeni, ukuvuvukala, ubuhlungu, umoya odlula ngenkathi uhamba, uhamba ngesitembu esiswini, ikhefu lesikhumba elibonakalayo, noma amanzi avela endaweni.
I-fistula ingase iphathwe ngokuhlinzwa noma ngokusebenzisa i-seton, okuyinto intambo eqiniswa kuze kube yilapho i-fistula ivaliwe.
Ukwakhiwa kwemizimba
Isivimbelo sezinyosi sivimbela emathunjini okuvimbela ukuhamba kwesitembu. Uma i-diverticulitis iholela ekuvimbeleni isisu sezimpawu zingabandakanya ubuhlungu besisu, ukuxoshwa, nokubhubhisa; ukuqotshwa noma isifo sohudo; izitshalo ezincane; kanye nokucabangela nokuhlanza.
Isivimbelo singase siphathwe esibhedlela ngokusebenzisa ithubhu ye- nasogastric (NG) noma kwezinye izimo kungadinga ukuhlinzwa.
I-Perforation
I- perforation iyimbobo ekoloni. Kuyinto engathí sina edinga ukwelashwa ngokushesha ukuze kuvikelwe izinkinga ezifana ne-peritonitis, okuyi-infection ebulalayo.
Izimpawu ze-perforation zingabandakanya ubuhlungu obukhulu besisu, isifo somkhuhlane, izikhukhula, ukuphuma kwegciwane, nokucabangela nokuhlanza.
Nini Ukubona Udokotela
I-Diverticulitis ingaphathwa ekhaya, kodwa izimpawu zihlale zidinga uhambo kudokotela noma esibhedlela ukuze zihlolwe futhi ziqondiswe ukwelashwa ekhaya noma esibhedlela.
Ubuhlungu besisu kufanele bubize udokotela, kodwa uma lukhuni futhi luhambisane nezinye izimpawu ezifana nomkhuhlane, i-nausea, ukuhlanza kanye nokuphuma kwamagciwane kuyisizathu sokuya kumnyango ophuthumayo ngokushesha noma ngisho nokubiza 911.
Ezimweni eziningi i-diverticulitis ayinzima, kodwa ngezibonakaliso ezinzima kukhona ingozi yezinkinga ezingaba yingozi futhi isongela ukuphila.
Ngisho noma kucatshangwa ukuthi izimpawu zivela e-diverticulitis ngoba kwenzeka ngaphambili, ukubiza udokotela kubalulekile ukuze uthole ukwelashwa okufanele futhi uqinisekise ukuthi izinkinga ezingathí sina ngeke zenzeke.
> Imithombo:
> Ansari P. "Abalingane be-Intra-Abdominal." Jan 2017.
> I-Baum JA. "I-Colonic Diverticulitis." I-Merck Manual Edition Professional. NgoJuni 2017.