Kusukela ekushintsheni kokudla kuya ekuhlinzeni
I-Diverticulitis yisifo esingahlasela ngokuzumayo nokugcina izinsuku noma eziningana, kubangela ubuhlungu besisu esiswini, ukubhubhisa, ukuchoboza, isisindo sezinyosi kanye nezitshalo zamanzi. Ukwelashwa kungase kuhlanganise ukuphumula nokudla okuketshezi ukuze uthathe ukucindezeleka emathunjini akho. Ama-antibiotic angase abekwe futhi, ikakhulukazi uma kunemfiva, izikhukhula, noma izimpawu eziqhubekayo noma eziqhubekayo.
Amacala amakhulu angadinga ukunakekelwa esibhedlela nokuhlinzwa.
Uma unesifo esibucayi noma esiphindaphindayo se-diverticulitis, kubalulekile ukufuna ukunakekelwa kwe-gastroenterologist eqinisekisiwe ebhodini egxile ezifweni zomuthi wamathumbu. Ngokubambisana, ungakha uhlelo oluphelele lokwelapha olungafaka imithi, izinguquko zokudla, kanye nezithako zokusiza ekugayeni kwakho.
Indlela yokuphila
I-Diverticulitis yisifo esiyinkimbinkimbi nesingaqondakali esingaba nesibindi ngaphandle kwesizathu esizwakalayo. Nakuba ukudla okuphansi kwe-fibre kubhekwa njengengozi enkulu yengozi, akukho nokudla okhethekile okuqinisekisiwe okuphumelelayo ekuvikeleni ukuhlaselwa futhi akukho nokudla okuqondile okuyaziwa ukuqala ukuhlaselwa.
Uma ngabe izimpawu zivela noma nini, inkambo yokuqala yokusebenza ukunikeza ukugaya kwakho ukuphumula. Lokhu kuhlanganisa ukunciphisa lokho okudlayo futhi, kwezinye izimo, ugweme konke ukudla okuqinile kuze kube yilapho izimpawu zixazululwa ngokugcwele.
Ngesikhathi sokuhlaselwa
Uma izimpawu zakho zingenakunzima ngaphandle komkhuhlane noma ukuphuma kwegazi, udokotela wakho angancoma ukuba uthathe izinsuku ezimbalwa emsebenzini futhi uhambisane nokudla okunomsoco oqinile. Njengoba ukuhlasela okunamandla kungahlala ezinsukwini ezimbalwa, udinga ukulondoloza ukudla okunomsoco ngokuqinisa ukudla kwakho nge- supplement yansuku zonke noma ukuzamazama kokudla okunomsoco, njengokuqinisekisa kwe-Plus.
Okunye ukudla okuvunyelwe kufaka:
- Umhluzi
- Ijusi yezithelo ngaphandle kwamathpsi
- I-Popsicles (ngaphandle kwezibambo zezithelo noma izithelo zamashukela)
- Iziphuzo zezemidlalo
- I-Gelatin
- Amanzi
- Ikhofi noma ikhofi ngaphandle kokhilimu
Ngalesi sikhathi, udinga ukugcina kahle amanzi, ikakhulu uma unesifo sohudo. Nakuba iziphuzo zezemidlalo zingasiza ekuthatheleni ama-electrolyte alahlekile, ungalokothi uwasebenzise njengomthombo wakho wodwa we-hydration njengoba okuqukethwe okuphezulu ushukela kungenza ngcono isifo sohudo.
Ngesikhathi sokuvuselela
Njengoba uqala ukuzizwa ungcono, ungaqala ukufaka ukudla okuphansi kwe-fiber ekudleni kwakho. Nakuba ukudla okunomsoco ophansi kubhekwa njengengxenye yokwehlukanisa izidakamizwa, ukudla ukudla okuphezulu-fiber njengoba usebenza ukuze ululame kungabangela amathumbu akho. Inhloso ye- fiber yokudla evinjelwe ukunciphisa inani lokudla okungenakulinganiswa okudlula emathunjini ukuze wenze amancane amancane esitokisini.
Ukudla okumukelekayo kufaka:
- Izinkukhu, izinhlanzi namaqanda
- Imifino ekheniwe noma ephekwe, ihlutshiwe
- Izithelo eziphekiwe noma eziphekwe, zihlutshiwe
- Isinkwa esimhlophe esimisiwe
- Ijusi yemifino ngaphandle kwe-pulp
- I-Low-fiber okusanhlamvu
- Ubisi, i-yogurt, noshizi
- Irayisi elimhlophe ne-pasta elula
Ngemuva kokubuyiselwa
Uma usubuyele ezinyaweni zakho, ungaqala kancane kancane ufake i-fiber ekudleni kwakho kuze kufike ukudla kwakho kwansuku zonke phakathi kuka-25 no-30 amagremu. Ngenkathi ucwaningo luhlukaniswa kakhulu ngokuthi ukudla okuphezulu-fiber kungavimbela ukuhlaselwa kwekusasa, kubalulekile ukugcina lezi zinhloso uma nje kulungiswa ukunyakaza kwakho futhi ugweme ukuqotshwa.
Umthombo omuhle we-fibre yokudla uhlanganisa:
- Ubhontshisi namalenti
- Irayisi elibomvu, ibhali kanye ne-quinoa
- Izithelo nemifino
- Amantongomane nembewu
- Isinkwa esinezinhlamvu zonke, okusanhlamvu, kanye ne-pasta
Ngesikhathi amantongomane, ummbila, kanye ne-popcorn bebhekwa njengabantu abangenayo imingcele, ukucwaninga okuvela eNyuvesi yaseWashington School of Medicine sekuphelile ukuthi ayamukeleki kuphela kepha kungasiza ekuthuthukiseni impilo ye-colonic yesikhathi eside.
Imigomo
Ama-antibiotic asetshenziselwa ukuphatha i-diverticulitis kuzo zonke izigaba zesifo, futhi lokho kungaba iphutha. Ngokwe-Cochrane ukubuyekezwa ngo-2012, ukusetshenziswa kwezidambisigciwane ukuphatha ukuhlukahluka okungahambi kahle akuzange kwenziwe lutho ekuthuthukiseni umphumela, ubunzima, ubude, noma imvamisa yokuhlasela uma kuqhathaniswa nokungathathi ama-antibiotic.
Ama-antibiotics afanelekile, kodwa kubantu abanezimpawu eziphikisanayo noma eziqhubekayo (kufaka phakathi i-fever ephakeme ne-chills) nalabo abanezinkinga ezifana nokuvinjelwa kwesilonda noma ukuphuma kwamagciwane.
Ukuze i-diverticulitis ibe mncane noma ihlolisise, udokotela uzovame ukubeka imishanguzo ye-anti-spectrum ekwazi ukuphatha ukuhlukahluka kwezinhlobo zebhaktheriya. Uma izimpawu zinzima kakhulu, ukuhlolwa kwegazi nezitshalo zesitokisi kungasetshenziselwa ukuhlonza uhlobo oluthile lwebhaktheriya ukuze kukhethwe imithi elwa namagciwane.
Kuye ngohlobo nokuqina kwempawu onakho, ama-antibiotic angathunyelwa ngomlomo (ngomlomo) noma nge-intravenously (ibe yisisindo). Phakathi kokukhethwa kukho:
- Ngezimpawu eziphikelela noma eziqhubekayo: Izinketho zomlomo zihlanganisa i-Augmentin XR (amoxicillin / clavulanate), i-ciprofloxacin, i-moxifloxacin, ne-trimethoprim / sulfamethoxazole (TMP-SMX).
- Amacala amancane kuya okulinganisela adinga ukunakekelwa esibhedlela: Izinketho ezingenayo i-ertapenem, moxifloxacin, i-Timentin (ticarcillin / clavulanate), ne-Zosyn (piperacillin / tazoctam).
- Nge-diverticulitis ejulile: Izinketho ezingenayo i-ampicillin, i-doripenem, i-meropenem, ne-Primaxin (imipenem / cilastatin).
Imiphumela emibi ihlanganisa ikhanda, ugozi, ubuhlungu besisu, isifo sohudo, isicanucanu, ukuhlanza nokuhlaselwa.
Uma imithi yokulwa nemithi ishiwo, kubalulekile ukuthatha yonke inkambo ngisho noma izimpawu zakho zithuthukisa. Ukuyeka iDemo kungavumela amabhaktheriya ukuba ashintshe futhi athuthukise ukumelana nezidakamizwa, okwenze kube nzima nakakhulu ukuphatha izimpawu zakho uma bebuya.
Imithi yokwelapha ama-antibiotic ayikhuthazwa nge-diverticulitis emnene.
Ukuhlinzwa
Phakathi kwamaphesenti angu-15 kuya ku-30 abantu ababhedlela esibhedlela ngenxa ye-diverticulitis kuyodinga ukuhlinzekwa ukulungisa umonakalo emathunjini. Izinkomba zokuhlinzwa zifaka:
- I-abscess (i-pocket efihliwe ye-pus emithini yamathumbu emathumbu)
- I-fistula (uxhumano olungavamile phakathi kwamathumbu kanye nesibisi, intathu emincane, noma isisu)
- I-perforation yomzimba emathunjini nge-peritonitis (ukuvutha okungase kusongela ukuphila kwesigxobo esiswini)
Ukuhlinzeka nge-Diverticulitis kuhilela ukuthengiswa kwamathumba (ukususwa kwengxenye yesiguli sakho) okwenziwa ngaphansi kwe-anesthesia jikelele .
Ngokuya ngobukhulu bezinkinga, ukuhlinzwa kungenziwa i- laparoscopically (eyaziwa ngokuthi "ukuhlinzwa kwesihluthulelo") noma idinga ukuhlinzeka okuvulekile , lapho kukhishwa khona isisu esiswini. Kulabo ababili, ukuhlinzeka kwe-laparoscopic kuhlotshaniswa nokuhlala okufishane esibhedlela kanye nezinkinga ezimbalwa zokuthutha ngemuva kokuhlinzwa.
Izinketho zokuhlinzwa zihlanganisa:
- Umkhiqizo we-bowel nge- anastomosis , lapho ingxenye yesifo yesiguli isuswe khona futhi ukuphela kokunqunywa kuhlanganiswa ndawonye
- Umkhiqizo we-bowel nge- colostomy , lapho umkhawulo onempilo we-colon uguqulwa kusuka e-rectum kuya emgodini wokufakelwa esiswini sakho
Ukuhlinzwa okukhethiwe kungenziwa isikhathi esingangaphansi kwamasonto ayisishiyagalolunye ngemuva kokuhlasela okunamandla. Ukuhlinzwa okuphuthumayo okubangelwa ukuhlukumeza emathunjini kuthwala phakathi kwamaphesenti angu-12 namaphesenti angama-25 engozini yokufa, ngokusho kocwaningo oluvela eYale University School of Medicine.
Imithi Ephelele (CAM)
Enye yezinto ezivame ukusiza ekubunjweni kwe-diverticula kungukuqothulwa. Uma unesidumbu esingapheli, ukucindezeleka okuqhubekayo emathunjini kungabangela izindawo ezibuthakathaka ukuba "ziphume" ngokuzumayo bese zakha amapokhethi angunaphakade. Lezi yizindawo ezithintekayo kakhulu ukutheleleka nokuvuvukala.
Ukuvimbela noma ukuphatha ukuqotshwa, odokotela ngezinye izikhathi bancoma i- husk ye-psyllium , uhlobo lwefiber oluvela enkolweni ye- Plantago ovato . Umphumela wokukhukhumeza we-psyllium ukhuthaza ukukhiqizwa kwe-mucilage, into elula eqondisa ikoloni futhi ikhulise ukuphazamiseka kwesiguli esincane.
I-husk ye-Psyllium itholakala ku-powder, i-capsule, nefomu lesiphephelo. Ngenkathi isithasiselo sibhekwa siphephile uma sisetshenziselwa ukuqondiswa, kungabangela igesi nesisu sokugaya. Khuluma nodokotela wakho ngaphambi kokusebenzisa i-psyllium noma enye imithi ehlukile yokwelapha i-diverticulitis.
> Imithombo:
> McGillicuddy, E .; Schuster, K .; UDavis, K. et al. "Izinto ezibikezela ukulimala nokufa kwezinqubo eziphuthumayo iziguli ezikhulile." I- Arch Surg. 2009; 144 (12): 1157-62. I-DOI: 10.1001 / archsurg.2009.203.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. "Ukudla, Ukudla, Nokudla Kwezifo Ezihlukahlukene: Yini engingayidla uma ngine-diverticulosis noma i-diverticulitis?" I-Bethesda, e-Maryland; ibuyekezwe ngoMeyi 2016.
> Shabanzadeh, M. kanye noWille-Jørgensen. I-P. "Ama-antibiotics we-diverticulitis engaqondakali." I- Cochrane Database Syst Rev. 2012; (11): i-CD009092. I-DOI: 10.1002 / 14651858.CD009092.pub2.
> Amasu, L .; U-Liu, Y .; USyngal, S. et al. "I-Nut, corn, kanye ne-popcorn ukusetshenziswa kanye nesifo se-diverticular disease." I- JAMA. 2008; 300 (8): 907-14. I-DOI: 10.1001 / jama.300.8.907.
> Wilkins, T .; Thumela, K .; noGeorge, R. "Ukuxilongwa nokuphathwa kwe-Acute Diverticulitis." Am Fam Physician. 2013; 87 (9): 612-620.