Hele mai ka paʻa ʻana me ka ʻeha ma ka ʻaoʻao hema o ka ʻōpū? E aʻo e pili ana i ka maʻi Diverticular!

Ke manaʻo nei paha ʻoe i kekahi manawa he ʻano luaʻi a ʻeha paha kou ʻōpū haʻahaʻa, ʻoi aku hoʻi ma ka ʻaoʻao hema? No kekahi poʻe, hele mai kēia me ka paʻa ʻana o ka ʻōpū, a no kekahi poʻe, ua like ia me ka maʻi diarrhea. ʻOiai he nui ka poʻe e manaʻo nei he ʻeha ʻōpū maʻamau kēia, he mea paha ia e hopohopo iki ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Diverticular Disease', kahi mea maʻamau i waena o nā kānaka he nui ma ko mākou ʻāina, ʻoi aku hoʻi i ko lākou ʻelemakule ʻana.

I ka ʻōlelo maʻalahi, he aha ka maʻi diverticular?

E noʻonoʻo i ka ʻōpū nui (colon) i loko o ko kākou ʻōpū e like me ka paipu paikikala. Ke nāwaliwali iki ka paia o kēia paipu ma kekahi mau wahi, ʻo ke kaomi mai loko mai e hoʻoulu ai i nā pehu liʻiliʻi e puka mai ana mai kēlā mau wahi nāwaliwali. Pēlā mākou e kapa ai i kēia kūlana ʻo ke kūkulu ʻia ʻana o nā ʻeke liʻiliʻi e puka mai ana mai nā wahi nāwaliwali i loko o ka paia o ko kākou ʻōpū nui. Ua kapa ʻia kēia mau ʻeke liʻiliʻi ma ke ʻano lapaʻau ʻo 'diverticula'.

Hiki ke hoʻokaʻawale ʻia kēia kūlana i ʻekolu mau ʻāpana nui:

1. Diverticulosis: ʻO kēia wale nō ke kūkulu ʻia ʻana o nā ʻeke liʻiliʻi i loko o ka colon. ʻAʻohe hōʻailona o ka nui o ka poʻe. No laila, ʻaʻole paha lākou i ʻike he maʻi ko lākou. Ma kahi o 10% o ka poʻe ma luna o 40 mau makahiki a me 50% o ka poʻe ma luna o 60 mau makahiki he maʻi kēia.

2. Diverticulitis: He pilikia iki kēia. Ua kapa ʻia kēia ke paʻa ka ʻōpala i loko o kēlā mau ʻeke liʻiliʻi, loaʻa i ka maʻi bacteria, a lilo i mumū. ʻO kēia ka manawa e kū mai ai nā hōʻailona e like me ka ʻeha a me ke kuni.

3. Ke kahe koko ʻana o ke koko ma ke ʻano ʻē: Ua hōʻino ʻia nā kīʻaha koko liʻiliʻi e holo kokoke ana i kēlā mau ʻeke liʻiliʻi a hoʻomaka e kahe ke koko.

He aha nā hōʻailona? Pehea mākou e hoʻokaʻawale ai a ʻike ai i kēia mau kūlana?

He ʻokoʻa nā hōʻailona o kēia mau maʻi ʻekolu kekahi i kekahi. No laila, he mea nui loa ia e hoʻomaopopo pono iā lākou. Hiki iā ʻoe ke hoʻomaopopo maʻalahi mai ka papa ma lalo nei.

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona o ka diverticulitis, he mea nui loa ia e ʻike koke i ke kauka.

• Hoʻokolokolo lapaʻau: E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​nā ʻano ʻai, nā neʻe ʻana o ka ʻōpū, a me nā lāʻau lapaʻau āu e lawe nei. A laila e pā ʻo ia i kou ʻōpū a nānā i nā wahi ʻeha.
• Nā hoʻāʻo:
• Nā hoʻāʻo koko: Hana ʻia kahi hoʻāʻo koko e ʻike ai inā he maʻi i loko o ke kino.
• CT Scan: He mea nui loa kēia e ʻike maopopo i ka mea e hana nei i loko o ka ʻōpū. Hiki iā ia ke haʻi pololei inā ua pehu kēlā mau ʻeke liʻiliʻi a i ʻole he mau pilikia ʻē aʻe.
• Colonoscopy: Inā loaʻa iā ʻoe ke kahe koko rectal, he hoʻāʻo e pili ana i ka hoʻokomo ʻana i kahi ʻōmole lahilahi me kahi kāmela i loko o kou colon e ʻike pono ai i kahi e puka mai ai ke kahe koko. Eia naʻe, ʻaʻole hana pinepine ʻia kēia i ka wā e hana ai ka diverticulitis.

ʻIke pinepine ʻia ka diverticulosis i ka wā o kahi colonoscopy i hana ʻia no kekahi kumu ʻē aʻe.

Hiki ke loaʻa nā pilikia weliweli?

ʻAe, hiki i ka diverticulitis ke alakaʻi i nā pilikia koʻikoʻi inā ʻaʻole mālama pono ʻia. ʻO ka hapa nui o kēia mau mea i hana ʻia e ka haki ʻana (perforation) o ka ʻeke i loaʻa i ka maʻi, kahi e ʻae ai i nā huahana ʻōpala mai nā ʻōpū e kahe i loko o ka lua ʻōpū.

• ʻO ka peritonitis:Hohola ka maʻi ma loko o ka lua o ka ʻōpū. He ʻano ʻeha loa kēia a he mea hoʻoweliweli hoʻi i ke ola. Pono kēia i ke ʻoki kino ulia pōpilikia.
• ʻŌpū: He hōʻiliʻili ʻana o ka pus ma kahi hoʻokahi e pono ai ke hoʻokahe wai a i ʻole ke ʻoki ʻana.
• Ka ālai ʻana o ka ʻōpū: ʻO ka ʻiʻo ʻeha i hoʻokumu ʻia e ka maʻi hiki ke hoʻohaiki i ke ala ʻōpū a hana i ka ālai hapa a piha paha.
• Fistula: He pilina maʻamau ʻole ma waena o ka ʻōpū a me kekahi ʻano ʻē aʻe (e like me ka ʻōpū mimi). Hiki ke mālama ʻia kēia me ke ʻoki kino.

Pehea e pale ai a mālama i kēia maʻi?

ʻO kēia ka ʻāpana koʻikoʻi loa. Nui nā mea hiki iā mākou ke hana e pale aku i kēia maʻi mai ka ulu ʻana a e hōʻemi i nā pilikia inā ulu ia.

ʻO ka mea maikaʻi loa he ʻai momona i ka fiber.

ʻO ke kumu nui o kēia maʻi, ʻo ia ka paʻa ʻana o ka ʻōpū a me ka hoʻoluhi ʻana i ka wā e neʻe ai ka ʻōpū. ʻO ke ala maikaʻi loa e pale aku ai, ʻo ia ka ʻai ʻana i ka meaʻai momona i ka fiber. E hoʻāʻo e hoʻohui i kahi 20-35 grams o ka fiber i kāu meaʻai i kēlā me kēia lā.

• Nā meaʻai waiwai i ka fiber: Laiki ʻeleʻele, buckwheat, ʻoka, huaʻai (maiʻa, mango, papaya), mea kanu (pī, kāpeti, sipinaki, kāloti), greens, chickpeas, peas, green beans, etc.
• E inu i ka wai nui: ʻAʻole lawa ka ʻai ʻana i ka fiber wale nō, pono ʻoe e inu i ka wai nui. E inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā.
• Hoʻoikaika Kino: ʻOiai kahi mea maʻalahi e like me ka hele wāwae no 30 mau minuke i ka lā hiki ke kōkua nui i ka hana ʻōpū.
• Mai hoʻoluhi: Mai hoʻoluhi e kahe i ka wai ke hele ʻoe i ka lua. Inā paʻa kou ʻōpū, e kamaʻilio me ke kauka a e kiʻi i ka ʻōlelo aʻoaʻo kūpono.