I-Diverticulitis yisimiso okufanele sitholwe ngudokotela, ngisho nalabo abaye baba yinkinga esikhathini esidlule. Ezimweni eziningi, umlando wezokwelapha oqaphile kanye nesithwebuli se-computed tomography (CT) kuyoba indlela evamile yokuthola ukuthi i-diverticulitis ifunyanwa.
Ukuhlola Ukuhlola / Ukuhlolwa Kwekhaya
Ayikho indlela yokuthola ukuxilongwa kwe-diverticulitis ekhaya.
Ngisho noma sekuvele kwaziwa ukuthi i-diverticula ikhona ngoba itholakale ngesikhathi i-colonoscopy noma enye ivivinyo, noma noma ngabe i-diverticulitis iye yafunyanwa esikhathini esidlule, iziguli azikwazi ukuxilonga nokuphatha lesi simo ngokwabo.
Uma izimpawu zesisu esiswini, imfiva, ukuqothulwa, isifo sohudo, isicanucanu, noma ukuhlanza kwenzeka, kuyadingeka ukubona udokotela ngokushesha (ngisho nasemnyangweni ophuthumayo uma izimpawu zinzima).
Ukucabanga
I-CT scan, ebizwa ngezinye izikhathi ngokuthi scan scan computer, yiyona test esetshenziswa lapho diverticulitis kucatshangwa. Ukuskena kwe-CT wuhlobo lwe-x-ray kodwa esikhundleni sesithombe esisodwa esiphezulu, sinikeza uchungechunge lwezithombe ezibonisa ukubuka kwesigaba somzimba. I-scan scan yesisu ingabonisa izitho kanye nezicubu zendlela yokugaya, kuhlanganise nesithomba esikhulu, lapho kutholakala khona i-diverticula yamakholoni.
Okufanele Ukulindele
Ukulungiselela i-CT scan, iziguli ziyocelwa ukuba ziyeke ukudla cishe amahora amane ngaphambi kokuhlolwa nokuphuza amanzi kuphela.
Ukuphambene kwe-Oral, IV, futhi ngezinye izikhathi kusetshenziswe nge-CT scan lapho kucatshangwa i-diverticulitis. Iziguli zizocelwa ukuba ziphuze isisombululo esine-barium. I-barium izodlula ngendlela yokugaya futhi isize ukukhanyisa izakhiwo ngaphakathi komzimba ku-CT scan images.
Ukuphambana kungabuye kunikezwe ngokuqondile, ngokusebenzisa i-enema.
Okokugcina, kuzoba khona umehluko we-IV. Zonke lezi zinhlobo zokungafani zizosiza ochwepheshe bezezempilo ukuba babone ukuthi kukhona yini i-diverticula emathunjini amakhulu futhi abone ngeso lengqondo ezinye izitho ukuze enze ukuxilongwa kwe-diverticulitis.
Isithwebuli se-CT ngumshini omkhulu ovulekile phakathi. Iziguli zizolala etafuleni lapho amaslayidi abe khona ekuvuleni emshini ngesikhathi sokuhlolwa. Indlela esithatha isithwebuli esithatha ama-x-ray izojikeleza ukuze ithathe izithombe. Kudingekile ukuba uhlale unomqondo ngesikhathi sokuhlolwa futhi kumaphuzu, udokotela we-radiology uzonikeza imiyalo yokubamba umoya wakho.
Uma umehluko we-IV usetshenziswa, i-IV izoqala ukuyilawula. Ukuhlolwa ngokwayo akusizi kahle, kodwa kungase kuhambisane nokuthola i-IV kanye ne-enema ngokuphambene. Ukuphuza ukuphuza kungaba yinkinga kwezinye iziguli, okungahle kube lula uma ukungafani kubanda futhi uma uphuza ngotshani.
Landelela
I-colonoscopy ivame ukuphakanyiswa ezinyangeni ezimbalwa ngemuva kokuthi i-diverticulitis iphathwe ngempumelelo. Lokhu kuhlola akusetshenziswanga ukuxilonga i-diverticulitis futhi ngeke kwenziwe ngenkathi i-diverticulitis isebenzayo ngenxa yezimo ezinokwenzeka.
Ezimweni ezingavamile, akucaci kusuka ku-CT scan yesisu uma ukuxilongwa kuyi-diverticulitis ngempela noma uma umdlavuza we-colorectal noma esinye isimo singase sibe khona. I-colonoscopy ingasetshenziselwa ukuqinisekisa ukuthi kokubili i-diverticulitis ixazululwe nokuthi ayikho enye imibandela ekhona ekoloni.
I-colonoscopy yokulandelela kanye nanoma yiziphi ezinye izivivinyo ezingase zidingeke zizoba ngabanye ngokusekelwe esimweni sesiguli nangokwenyama kadokotela.
Ukuhlonza okuhlukile
Ubuhlungu besisu buhlotshaniswa nezinye izimo ezihlukahlukene, yingakho kudingekile ukuba uthole ukuxilongwa okuqondile kwe-diverticulitis ngaphambi kokuqala ukwelashwa.
Ukwengeza, isimo esingaphezu kwesisodwa singase senzeke endleleni yokugaya ukudla ngesikhathi esisodwa, okwenza kubalulekile ukuthola ezinye izizathu zobuhlungu noma ezinye izimpawu zokugaya ezifana nokuhuda, ukuqotshwa noma ukuhlanza. Ezinye zezinkinga zokuhlukanisa ukuhlukaniswa kwezinto ezihlukahlukene zihlanganisa:
- I-Appendicitis: Ukuvuvukala kwesithasiselo kuyisimo esivamile esibangela nobuhlungu besisu esisemuva. I-appendicitis ivame ukucatshangelwa eceleni kwe-diverticulitis futhi kungenye isizathu udokotela angase alawule i-CT scan.
- Umdlavuza we-Colon: Ingaphakathi ngaphakathi kolononi lingabangela ezinye izimpawu ezifana ne-diverticulitis.
- Umdlavuza we-Ovarian: I- Cancer emaqanda omzimba nawo angabangela ubuhlungu besisu kanye nokushintsha kwemikhuba yezinyosi.
- Isifo sesifo sofuba ( IBD ): Isifo se-Crohn nesifo sokulonda, okuyisimo esingapheli sesistimu yokugaya, kungabangela ubuhlungu besisu kanye nezinye izimpawu ngaphakathi nangaphandle kwendlela yokugaya.
> Imithombo:
> I-Baum JA. "I-Colonic Diverticulitis." I-Merck Manual Edition Professional. NgoJuni 2017.
> Ramirez PT, Gershenson DM, Gershenson DM, Salvo G. "I-Ovarian Cancer." I-Merck Manual Edition Edition.