Ua loaʻa iā ʻoe nā ʻeke liʻiliʻi (diverticulosis) i loko o kou ʻōpū? E kamaʻilio kākou e pili ana i kēia!

Ua lohe paha ʻoe i nā ʻeke liʻiliʻi e hana ʻia ana i loko o nā ʻōpū? Malia paha ua haʻi aku kāu kauka iā ʻoe e pili ana i ia mea, a i ʻole kekahi āu i ʻike ai ua loaʻa iā ia. ʻO kēia ka mea a mākou e kapa nei he `(Diverticulosis)`. Mai hopohopo, he maʻi maʻamau kēia e hoʻopilikia ana i nā poʻe he nui.

He aha kēia `(Diverticulosis)`?

I ka ʻōlelo maʻalahi, ʻo ka diverticulosis ka ulu ʻana o nā ʻeke liʻiliʻi a i ʻole nā ​​ʻeke i loko o ka uhi o kou kolona. E noʻonoʻo iā ia e like me kahi nāwaliwali i loko o kahi paipu paikikala kahiko, kahi e pehu ai nā ʻeke liʻiliʻi a i ʻole nā ​​ʻeke. I ka hala ʻana o ka manawa, e puka ana ka uhi o kou kolona ma o nā wahi nāwaliwali i ka paia. I ko mākou ʻeli ʻana i ka meaʻai a me ka neʻe ʻana o nā huahana ʻōpala ma o ka kolona, ​​e hana mālie ʻia kēia mau ʻeke.

Ua loaʻa pū ka huaʻōlelo `(Diverticulosis)` mai ka huaʻōlelo Pelekania `divert'. ʻO ia hoʻi `e huli i ka ʻaoʻao'. Ua kapa ʻia ʻo ia no ka mea, me he mea lā e huli ana ke ala ma ka ʻōpū i kēia mau ʻeke liʻiliʻi. Ua kapa mākou i kekahi mau ʻeke like ʻole `(Diverticula)`, a me hoʻokahi ʻeke `(Diverticulum)`. Hoʻomohala pinepine ʻia kēia mau mea i loko o kou ʻōpū nui (`(Colon)`) , no ka mea, ʻo ia kahi e loaʻa ai i nā ʻōpala meaʻai kahi ākea e mānoanoa ai a kaomi i nā paia. He mea maʻamau lākou ma ka hopena o ka ʻōpū nui, ʻo ia hoʻi, ma ka `(Sigmoid Colon)` .

He aha ka ʻokoʻa ma waena o `(Diverticulosis)` a me `(Diverticulitis)`?

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ka ʻokoʻa ma waena o `(Diverticulosis)` a me `(Diverticulitis)`. ʻO `(Diverticulosis)` ke ʻano kahi i loaʻa ai iā ʻoe nā ʻeke (`(Diverticula)`) i loko o kou ʻōpū, e like me kaʻu i ʻōlelo ai ma mua. Eia nō naʻe, ʻo `(Diverticulitis)` ka wā e pehu ai kekahi a ʻoi aku paha o kāu mau ʻeke, ʻo ia hoʻi, ua pehu a loaʻa ka maʻi. ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia e kahi maʻi bacteria (`(Bacterial Infection )`). ʻAʻole paha he pilikia nui ka loaʻa ʻana o nā ʻeke. Eia naʻe, he mau wahi maikaʻi kēia mau ʻeke no nā bacteria e peʻe a hoʻoulu. No laila, inā loaʻa iā ʻoe `(Diverticulitis)`, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka ʻeha o ka ʻōpū a me ke kuni.

He maʻi koʻikoʻi anei ka Diverticulosis?

ʻAʻole he mea nui ka loaʻa ʻana o ka diverticulosis. ʻAʻohe o ka hapa nui o ka poʻe i nā hōʻailona a i ʻole nā ​​​​pilikia. Eia naʻe, he mea kākaʻikahi loa, hiki ke koʻikoʻi. No ka laʻana, inā loaʻa iā ʻoe kahi maʻi (i kapa ʻia ʻo diverticulitis) a ʻaʻole i mālama pono ʻia, hiki iā ia ke alakaʻi i nā kūlana koʻikoʻi e like me ka sepsis (maʻi koko). Eia kekahi, hiki i kahi helu liʻiliʻi loa o ka poʻe ke kahe pinepine mai kēia mau ʻeke. Inā hana kēlā, hiki iā ʻoe ke nalowale i ka nui o ke koko mai kou kino ( ka nalowale koko koʻikoʻi).

Pehea ka maʻamau o ka Diverticulosis?

He mea maʻamau loa ia ma nā ʻāina Komohana, ʻoiai hoʻi i ko kākou ʻelemakule ʻana. Ma ʻAmelika Hui Pū ʻIa, 30% o ka poʻe ma luna o 50, 50% o ka poʻe ma luna o 60, a me 75% o ka poʻe ma luna o 80 i loaʻa i ka diverticulosis. Aia pinepine ia ma ka kolone sigmoid. ʻAʻole ia he mea maʻamau i ka poʻe ma lalo o 40. ʻAʻole hoʻi ia he mea maʻamau i nā ʻāina e like me ʻApelika a me ʻAsia e ʻai iki ana i nā meaʻai i hana ʻia ma mua o nā ʻāina Komohana.

He aha nā hōʻailona o ka `(Diverticulosis)`?

ʻAʻohe hōʻailona o ka nui o ka poʻe ke loaʻa iā lākou ka `(Diverticulosis)`. ʻAʻole paha ʻoe e ʻike ua loaʻa iā ʻoe. Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka ʻōpū ma lalo a me ke kuni , ma muli paha ia o kahi maʻi (`(Diverticulitis)`).

I kekahi manawa, inā loaʻa iā ʻoe kekahi maʻi ʻē aʻe i loko o kou ʻōpū, e like me ka Irritable Bowel Syndrome (IBS) a i ʻole ka Inflammatory Bowel Disease (IBD), hiki i kēia mau ʻeke i kapa ʻia ʻo diverticula ke lilo i mea ʻoi aku ka maʻalahi i ke kaomi. Hiki i kēia ke hana i kahi manaʻo o ka piha a me ka ʻeha ke hele ka ʻōpala meaʻai ma o kēia mau ʻeke. Inā loaʻa iā ʻoe ka constipation , hiki i nā ʻōpala paʻakikī ke paʻa i loko o kēia mau ʻeke, e hoʻonui ai i ke kūlana.

Ma kahi o 10% o ka poʻe me ka diverticulosis e ʻike paha i kekahi kahe koko mai kēia mau ʻeke (ke kahe koko ʻana o ka diverticulum). Hana ʻia kēia ke haehae ʻia a haehae ʻia paha kahi kīʻaha koko i loko o ka ʻeke i ka wā e hele ai ka ʻōpala paʻakikī ma laila. ʻO ka hapa nui o ka manawa, pau kēia ma hope o kekahi manawa a ʻaʻohe ʻeha. Eia nō naʻe, inā hana ia, e ʻike paha ʻoe i ke koko hou i loko o kou ʻōpala. Inā loaʻa iā ʻoe kēia ʻano kahe koko, inā loaʻa iā ʻoe nā hōʻailona e hoʻomau nei, a inā he mau pilikia kāu mai ka diverticulosis, ua kapa ʻia ʻo ia he maʻi diverticular.

He aha ke kumu nui o ka diverticulosis?

Manaʻo nā kānaka noiʻi ʻo ke kumu nui o ka diverticulosis ʻo ia ka ʻai Komohana. ʻO ia hoʻi, kahi ʻai haʻahaʻa i ka fiber a kiʻekiʻe i nā starches i hana ʻia. ʻO kēia ʻano ʻai ke kumu o ka mānoanoa o ka ʻōpala a neʻe mālie ma o nā ʻōpū, a ʻaʻole i hoʻomaʻemaʻe pono ʻia nā ʻōpū. ʻO kēia no ka mea e mānoanoa ana ka ʻōpala i kona neʻe ʻana, ʻo ia ke kumu e kū pinepine ai ka diverticulosis ma ka ʻāpana hope o ka ʻōpū nui (ka sigmoid colon).

Aia kekahi mau kumu pilikia ʻē aʻe?

Aia paha he mana hoʻoilina. ʻOiai ka ʻai Komohana, ʻoi aku ka maʻamau i waena o nā ʻAmelika keʻokeʻo, ʻEulopa, a me Australia ma mua o nā ʻeleʻele a i ʻole nā ​​​​hui lāhui ʻē aʻe. Eia kekahi, ua ʻike nā kānaka noiʻi i ka wā e loaʻa ai ka diverticulosis i ka poʻe ma nā ʻāina ʻAsia, ulu pinepine ia ma kahi ʻāpana ʻokoʻa o ka colon - ka hoʻomaka ma mua o ka hopena. He mea maʻamau kēia i waena o ka poʻe Kepanī ma Hawaiʻi.

Pehea e ʻike ai i ka `(Diverticulosis)`?

Hiki i ke kauka ke ʻike i kēia mau polyps i ka wā o ka colonoscopy maʻamau a i ʻole GI X-ray. ʻIke pinepine ʻia ka diverticulosis ma kēia ʻano no ka mea ʻaʻole ia e hoʻoulu i nā hōʻailona. Akā inā loaʻa iā ʻoe nā hōʻailona, ​​​​e hoʻāʻo kāu kauka e ʻimi i ke kumu i kēlā me kēia ʻanuʻu. E nānā ʻo ia iā ʻoe ma ka nīnau ʻana e pili ana i kou mōʻaukala olakino, nā lāʻau lapaʻau āu e lawe ai, kāu ʻai, a me kou neʻe ʻana o ka ʻōpū.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kēia maʻi?

Hiki iā ʻoe ke hana i kēia mau mea ma ke ʻano he mau hoʻokolohua:

• Hoʻokolohua Kino: E nānā ke kauka i kāu mau hōʻailona koʻikoʻi , e pā i kou ʻōpū, a e hoʻolohe i nā leo o kou ʻōpū. Hiki iā ia ke hoʻokomo i kahi manamana lima i loko o kou rectum ( Digital Rectal Exam ).
• Hoʻāʻo Koko: Lawe ʻia kahi hāpana koko liʻiliʻi mai kahi aa koko ma kou lima a hoʻouna ʻia i kahi keʻena hoʻokolohua. Hiki i kahi hoʻāʻo koko ke nānā inā loaʻa iā ʻoe kahi maʻi a inā paha e kahe nui ana ke koko mai loko mai.
• Hoʻāʻo ʻana i ka noho : Lawe ʻia kahi hāpana o kou noho a hoʻāʻo ʻia i loko o kahi keʻena hoʻokolohua. Hiki i kahi hoʻāʻo noho ke nānā i nā hōʻailona o ka maʻi a i ʻole ke kahe koko ʻana i loko o ke ala ʻai (Gastrointestinal (GI) Bleeding).
• Nā Hoʻāʻo Kiʻi: E hoʻohana ke kauka i nā hoʻāʻo kiʻi e like me ka CT scan, kahi barium enema , kahi sigmoidoscopy maʻalahi, a i ʻole kahi colonoscopy e nānā ai i kēia mau puʻupuʻu a me nā pilikia pili.

He aha nā lāʻau lapaʻau no ka `(Diverticulosis)`?

ʻAʻole pono ka hapa nui o ka poʻe i ka lāʻau no ka diverticulosis. Eia nō naʻe, hiki i kāu kauka ke ʻōlelo aku e hoʻohui ʻoe i ka fiber hou aʻe i kāu meaʻai. ʻO kēia ke hoʻoponopono i ke kumu kumu o ka diverticulosis a pale i nā pilikia i hoʻokumu ʻia e nā hōʻailona ʻē aʻe, e like me ka constipation a me ka bloating. Kōkua ka fiber keu i ka neʻe maʻalahi ʻana o ka ʻōpala ma o ka ʻōpū nui, e kōkua ana i ka hoʻomaʻemaʻe ʻana i ka colon i kona hele ʻana.

Ma kahi o 3% o nā kānaka e pono ai ka lāʻau lapaʻau e hoʻōki i ke kahe koko diverticular e hoʻomau nei. Hana pinepine ʻia kēia i ka wā o ka colonoscopy. Inā loaʻa i kahi gastroenterologist (he kauka loea i ka ʻōnaehana digestive) kahi wahi kahe koko i ka wā o ka colonoscopy, hiki iā ia ke hoʻokomo i nā mea hana ma o ka colonoscope e sila i ke kīʻaha koko i haki. ʻOkoʻa, hiki i ke kauka ke hoʻohana i kahi angiogram e ʻike i kahi kahe koko a laila e hoʻokomo i ka lāʻau lapaʻau i loko o ke kīʻaha koko e hoʻōki i ke kahe koko.

Hiki ke pale ʻia ka diverticulosis?

ʻO ka ʻai ʻana i nā mea kanu a me nā meaʻai holoʻokoʻa, ka hoʻoikaika kino mau, a me ka inu ʻana i ka wai lawa i kēlā me kēia lā e kōkua i ka mālama ʻana i kou neʻe ʻana o ka ʻōpū i ke olakino a me ka maʻamau. Hiki i kēia ke kōkua i ka pale ʻana i ka ulu ʻana o ka diverticulosis. Inā loaʻa iā ʻoe ka diverticulosis, hiki i kēia mau mea ke kōkua i ka pale ʻana i nā mea hou mai ka hoʻokumu ʻana. ʻOiai ʻaʻole i hōʻoia ʻia kēia, hiki i kēia mau ʻano nohona olakino ke kōkua pinepine i ka pale ʻana i nā maʻi he nui o ka colon haʻahaʻa.

He aha kā mākou e manaʻo ai inā kū kēia kūlana?

Inā ʻaʻole ʻoe i loaʻa i kekahi mau hōʻailona a i ʻole nā ​​​​pilikia mai ka diverticulosis, ʻaʻole paha ʻoe e loaʻa. Eia nō naʻe, inā loaʻa iā ʻoe nā kūlana ʻē aʻe e hoʻopilikia ai i ka diverticulosis, e like me ka constipation, IBS, a i ʻole IBD, ʻoi aku paha kou pilikia o ka loaʻa ʻana o nā hōʻailona. He kakaikahi loa ka poʻe e loaʻa hou ana nā hanana kahe koko. Pono paha kēia poʻe i ka mālama hou ʻia e hoʻōki i ke kahe koko a i ʻole e kāohi i ke kahe koko.

Hiki ke hoʻōla i ka diverticulosis?

Ke loaʻa iā ʻoe ka diverticula, ʻaʻohe ala e hoʻopau ai iā lākou i kēia manawa. ʻAʻohe pilikia o ka hapa nui o ka poʻe me lākou, akā inā hoʻopilikia lākou iā ʻoe, pono ʻoe e hoʻololi i kou nohona e like me ia.

Pehea e mālama ai iaʻu iho i ka wā e loaʻa ai iaʻu ka diverticulosis?

Inā he mau hōʻailona o ka diverticulosis a i ʻole, ʻo ka loaʻa ʻana o kēia maʻi ke ʻano he hiki iā ʻoe ke pōmaikaʻi mai ka hoʻohui ʻana i ka fiber i kāu meaʻai . ʻO ke ala maikaʻi loa e hana ai i kēia, ʻo ia ka ʻai ʻana i nā palaoa piha, nā huaʻai, a me nā mea kanu. Hoʻohana kekahi poʻe i nā mea hoʻohui fiber e like me psyllium. ʻO ka mea nui loa, ʻo ia ka inu ʻana i ka wai nui ke lawe ʻoe i ka fiber i neʻe pono ai ma o kou ʻōpū. A i ʻole, hiki i ka constipation ke ʻoi aku ka ʻino.

Inā loaʻa iā ʻoe ka maʻi diverticular (ʻike ʻia hoʻi ʻo diverticulosis), pono ʻoe e nānā i kāu mau hōʻailona e mālama iā lākou ma lalo o ke kaohi. No ka laʻana, e ʻike inā hoʻonui kekahi mau meaʻai i kāu mau hōʻailona, ​​​​a i ʻole inā pili kekahi mau lāʻau lapaʻau āu e lawe ai i kāu mau hōʻailona. Inā loaʻa iā ʻoe ke kahe koko rectal, ʻoiai inā e pau ia ma kāna iho, e hōʻoia e haʻi i kāu kauka. E kōkua kēia iā lākou e hōʻoia ʻaʻole ʻoe e nalowale nui ke koko.

Hiki ke hana ʻia ka diverticulosis ma waho o ka colon?

Hiki i nā diverticula ke ulu ma nā wahi āpau o kāu ʻōnaehana hoʻoheheʻe, me ka ʻōpū liʻiliʻi, ka ʻōpū, a me ka esophagus. Eia nō naʻe, he mea kakaikahi loa kēia. Hoʻomohala pinepine lākou ma ke ʻano he pilikia o kekahi maʻi ʻē aʻe, e like me ka maʻi neʻe e paʻakikī ai ka neʻe ʻana o ka meaʻai ma o ke ala hoʻoheheʻe. ʻO ka diverticulum ʻo Meckel kahi kīnā hānau e kū mai ana ma ka ʻōpū liʻiliʻi.

No ka hapa nui o nā kānaka, ʻaʻohe mea e hopohopo ai ka diverticulosis. ʻIke pinepine ʻia e ke kauka i ka wā o ka hoʻokolokolo maʻamau. Inā ʻoi aku ʻoe ma mua o 40, ʻaʻole ia he mea nui. Eia kekahi, inā ʻaʻole ia e hōʻike i nā hōʻailona, ​​​​hiki iā ʻoe ke noho ma kāu iho. Akā inā loaʻa iā ʻoe nā hōʻailona, ​​​​e kamaʻilio me kāu kauka e pili ana i ia mea. Hiki ke pili lākou i kekahi maʻi ʻē aʻe, a i ʻole hiki iā ʻoe ke loaʻa i kahi maʻi.

ʻO ka leka a mākou e makemake ai e lawe i ka home mai kēia moʻolelo

ʻAe, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka "(Diverticulosis)" a mākou i kamaʻilio ai i kēia lā.

ʻO ka mea nui e hoʻomanaʻo ai, ʻoiai ke hana nei kēia i nā poʻe he nui, hiki i ka hapa nui ke ola me ka pilikia ʻole.

• E hoʻohui i nā meaʻai waiwai i ka fiber (nā mea kanu, nā huaʻai, nā palaoa piha) i kāu papaʻai.
• E inu i ka wai nui.
• E hoʻoikaika kino pinepine.
• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ke kuni, a i ʻole ke koko i loko o kou halepaku, e ʻimi pono i ke kōkua lapaʻau.

ʻAʻole ia he mea e makaʻu ai, akā he mea pono ke makaʻala!