Izimpawu, Amabangela, Ukuxilongwa, Ukwelapha, Nokuningi
Izifo ezihlukahlukene zisesimweni esivamile esibhekene nokukhona kwezingubo zokuthutha emdongeni wekoloni okuthiwa i-diverticula. Ezimweni eziningi, i-diverticula ayibangeli noma yiziphi izimpawu, kodwa ngezinye izikhathi zingashintsha futhi / noma igciwane elidala isimo esibizwa nge-diverticulitis.
Nakuba abantu abangaphezu kwesigamu bahlukanisa phakathi kolononi ngesikhathi beseneminyaka engaphezu kwengu-60, cishe amaphesenti angaba nguhlanu kuphela alabo abaqhubeka nokuhlakulela i-diverticulitis.
I-intestine enkulu
I-Diverticula ivela ekoloni, okuyingxenye yamathumbu amakhulu. Esikhathini esiningi, i-diverticula ikhula emgodini we-sigmoid, okuyingxenye yokugcina yamathumbu amakhulu axhunyiwe ku-rectum. I-sigmoid colon itholakala ngakwesobunxele besisu, yingakho i-diverticulitis ivame ukuhlotshaniswa nobuhlungu besisu ngaphesheya.
I-Diverticula ingenzeka kwezinye izingxenye zomathumbu omkhulu futhi, kodwa lokhu akuvamile.
Izimpawu
Uphawu oluvame kakhulu lwe-diverticulitis ubuhlungu besisu, okuvame ukuba njalo futhi kungase kuhlale izinsuku ezimbalwa. Kwezinye izimo, ubuhlungu bungaba nzima. Ukuphuma kwegazi kungase kwenzeke, kodwa akuvamile kuvundululithi. Ezinye izimpawu zingabandakanya:
- ubuhlungu besisu nobubele (ngokuvamile kwesokunxele, kungase kube nzima)
- izikhukhula
- ukuqotshwa
- i-cramping
- ukubhuqa
- isifo sohudo (ngezikhathi ezithile)
- igesi
- umkhuhlane
- ukungabi nesifiso sokudla
- isiyaluyalu
- ukuhlanza
- ukuphuma kwamagciwane (akuvamile)
Izimbangela
Kwakucatshangwa ukuthi ukudla ukudla okufana nembewu, amantongomane, noma ummbila, kungabangela i-diverticulitis kubantu ababenesifo esivamile, kodwa lokhu akukholelwa ukuthi yilokho.
Kukhona ubufakazi obusanda kuvela ezifundweni ezenziwa emadodeni ukuthi ukudla inyama enomvu obomvu kungase kuhlotshaniswe nengozi ephezulu yokuthuthukisa i-diverticulitis .
Kukhona enye inkolelo yokuthi i-diverticulitis ingase ivele lapho i-diverticulum ivula imbobo kuyo (i-perforation). Ama-bacteria atholakalayo ku-colon angase ahambe kulowo mgodi omncane futhi abangele ukuvuvukala.
Enye inkolelo ukuthi kukhona ubudlelwane negciwane elibizwa nge-cytomegalovirus (CMV). I-CMV ivamile futhi ingadluliselwa kusuka kumuntu kuya komuntu ngamanzi omzimba. Uma i-CMV ingena ngemvume kuqala ingase ibangele izimpawu ezifana nomkhuhlane (umkhuhlane, umkhuhlane, ukukhathala, izitho zamagciwane ezivuvukala) kodwa kungase kungene esiteji esingasebenzi. Igciwane lihlala emzimbeni, lilindile. Kodwa-ke, kwezinye izimo igciwane lingasetshenziswa kabusha. Kucatshangwa ukuthi ukuvuselelwa kwe-CMV kungase kube nokuxhuma ku-diverticulitis.
Ezinye izici ezingase zibe khona ezingabangela ekuthuthukisweni kwezinto ezihlukahlukene zihlanganisa:
- Ukwakhiwa kwama-bacteria angenakulungiswa ku-diverticula
- ukuphazanyiswa ezingeni lama-bacterium enempilo ekoloni
- ukwedlula ngokweqile
- indlela yokuphila yangasese
- ukubhema
- izidakamizwa ezingezona ukuvuvukala ezingekho emthethweni (ama-NSAID)
- imithi ye-steroid
Ukuxilongwa
I-Diverticulitis itholakala nge-scan computed tomography (CT) yesisu.
I-CT scan iyinhlobo ye-x-ray eyenziwa ngokusetshenziswa kombala ohlukile. Idayi yokungafani idakiwe futhi inikezwe nge-IV kanye ne-enema.
Lokhu kuqinisekisa ukuthi isakhiwo se-colon sibheke kahle futhi kutholakala ukuxilongwa kwe-diverticulitis.
Kwezinye izimo, ukuhlolwa okungeziwe kungase kusetshenziswe uma kucatshangwa ukuthi kunezinye izimo noma izinkinga ezihlobene nokuhlukanisa. Lezi zizotholakala ngokuzikhethela ngokusekelwe ekutheni isiguli senza kanjani kanye nodokotela okhethwayo.
Ukwelapha
Ezigulini ezinezinkinga ezingavamile, okusho ukuthi azikho izinkinga ezihambisanayo ezifana ne-abscess noma i-fistula, ukwelashwa kuvame ukwenza ekhaya. Ukudla okunomsoco nokuphumula ngokuvamile kuvunyelwe futhi kwezinye izimo kungase kube nesidingo sama-antibiotic.
Ukuze uthole ukwaziswa okunzima okunzima, lapho kunezimpawu ezinzima noma ezinye izimo, ukwelashwa esibhedlela kungadingeka. Ukwelashwa kwezibhedlela kungabandakanya ukuzila ukudla (okuvame ukubizwa ngokuthi ngomlomo noma i-NPO), ama-flu flu, nama-antibiotic. Iziguli eziningi zithuthuka ngokushesha.
Ukwelashwa kuvame ukwenza kuphela uma kukhona enye inkinga enkulu, njengokwenza i-perforation ekoloni.
Izwi elivela
Iningi labantu asebekhulile banezinto ezihlukahlukene ezingabangeli noma yiziphi izimpawu futhi kuphela ezincane zamacala lapho i-diverticulitis iqala khona. Akukacaci ukuthi kungani ukuvuvukala kanye / noma ukutheleleka kwe-diverticula kwenzeka, kodwa akusacatshangwa ukuthi umphumela wokudla ukudla okunamafutha kanye namandla kunalokho kubangelwa izici eziningana .
Amacala amaningi okuhlukumeza awanzima futhi angaphathwa ekhaya ngokuphumula kanye nokuphuza amanzi, nakuba ngezinye izikhathi ama-antibiotic angase abekwe. Kubantu abagula kakhulu, ukwelashwa kuyodingeka esibhedlela nge-IV fluids kanye nemithi elwa namagciwane. Okunye ukwelashwa kungase kudingeke futhi, kodwa lokhu kuzoshintsha ngokuphila kwesiguli kanye nokuthandwa kwethimba lezempilo.
> Imithombo:
> Cao Y, Amasu LL, Keeley BR, et al. "Yidla ukudla kanye nengozi yokuhlukana phakathi kwabantu." Gut . 2018; 67: 466-472. doi: 10.1136 / gutjnl-2016-313082.
> Hollink N, Dzabic M, Wolmer N, Boström L, Rahbar A. "Ukusakazeka okuphezulu kokutheleleka kwe-cytomegalovirus yabantu esebenzayo kwiziguli ezine-colticic diverticulitis." J Clin Virol 2007. 40: 116-119.
> Amasu LL, Keeley BR, Cao Y, et al. Iphethini yokudla yase-Western landa, futhi indlela yokudla ehlakaniphile iyancipha, ingozi yokugxekwa kwesigameko esifundweni seqembu esingaba khona. I-Gastroenterology . 2017; 152: 1023-1030. doi: 10.1053 / j.gastro.2016.12.038.