Kei te mamae tō puku i ētahi wā, inā koa kei te taha maui o raro o tō puku? Kei te pēhia rānei koe e te kirika me te pupuhi? He tohu pea ēnei o ētahi mate hauora, ahakoa kāore tātou e aro nui ki aua mate i ētahi wā. Koia te take e kiia ai tēnei mate, e hiahia ana kia arohia, ko te `(Diverticulitis). Me kōrero taipitopito tātou mō tēnei i tēnei rā, āe?

He aha tēnei `(Diverticulitis)`?

Ki te whakarapopoto, ko te diverticulitis he putunga iti e puta mai ana i roto i tō koroni - e kiia ana ko te diverticula - ka pangia, ka whara, ka mumura. Whakaarohia he rite ki ngā mirumiru iti e puta mai ana i roto i te pakitara o tō koroni, me ngā matūriki kai me ngā paru e piri ana ki roto, ka tupu ai ngā huakita ka pangia koe.

He tokomaha te hunga e pāngia ana e ēnei pēke e kiia nei ko te `(Diverticula)` i roto i ō rātou whekau i a rātou e pakeke haere ana. Ka kiia tēnei āhuatanga ko te `(Diverticulosis)`. Arā, kei roto i ngā whekau aua pēke iti, engari kāore e raru ana. Engari ehara i te mea he raruraru tēnei mō te katoa. Heoi, ko te wā anake ka pangia tētahi o aua pēke iti ka tīmata te puta o te mamae nui me ētahi atu tohu. Ki te tupu tēnā, ko te tikanga he `mate` kei roto, ā, me rapu tonu koe i te rongoā hauora.

He pēhea te noa o te Diverticulitis?

Ko te diverticulosis i kōrerotia e au i mua ake nei, arā, ko te hanganga o ngā putea iti i roto i ngā whekau, ka pā ki te tini o te tangata i muri i te 50-60 tau te pakeke. Heoi, ko te mate o aua putea, e kiia nei ko te diverticulitis, he iti ake te kitea. Tata ki te 4% o te hunga whai diverticulosis ka pāngia e te diverticulitis. Ko te tikanga, ki te kotahi rau ngā tāngata e pāngia ana e te diverticulosis, tokowhā anake ka pāngia e te diverticulitis. Engari ki te pāngia kotahi, e 20% te tūponotanga ka pāngia anō. Nō reira, he pai ake kia tupato ake te hunga kua pāngia kotahi.

He rerekē ngā momo diverticulitis?

Ae, ka wehea tēnei e ngā tākuta kia rua ngā huarahi matua:

1. Te Diverticulitis Whakapeka me te Mau tonu .

2. Kāore he uaua , he uaua hoki (Diverticulitis).

Nā, kia tirohia tātou ia o ēnei.

He aha te Diverticulitis Whakapeka/Mau tonu?

He maha ngā wā ka tīmata te diverticulitis hei raruraru nui. Ko te tikanga ka puta ohorere mai te mate, me te mamae nui me ngā tohumate rite ki te kirika, ā, ka pai ake i roto i ētahi rā me te rongoā.

Engari mō ētahi tāngata, ka taea e ia te hokihoki mai. Pērā i ētahi tāngata e pāngia ana e ngā mate pūmau pērā i te mate huango. Mō ētahi atu, ka taea e te mate te noho pūmau. Arā, kāore e tino ora, engari ka kino haere tonu. He rerekē ngā ariā mō te take o tēnei. Tērā pea nā te mea kāore te mate ohorere e tino ora, tērā pea he hononga ki tētahi atu mate roa i roto i tō puku.

He aha te Diverticulitis Kāore i te Uaua/Uaua?

I te nuinga o te wā, tata ki te 80% o ngā take, kāore he uaua o te diverticulitis. Ko te tikanga he mate kei roto i ngā pēke o te whekau te raruraru, he mate iti noa iho i ētahi wā. Ki te rongoatia tika, ka taea te whakaora ngāwari.

Ka uaua haere te diverticulitis ina puta mai ētahi atu raruraru i te mate. Ka tino kino tēnei. Hei tauira, ka pakaru te diverticulum (he putea) i tētahi mate kino. Ka turuturu pea ngā ihirangi o te whekau ki roto i te puku. Ka puta he kiriuhi i te whekau i tētahi mate roa, ka ārai i te whekau.

He aha ngā tohu o te `(Diverticulitis)`?

Ka rerekē pea ēnei tohu i ia tangata, engari ko ngā mea matua ka kitea ko:

• Mamae puku: Koinei te tohu matua. He maha ngā wā ka tino kino.
• Te pupuhi, te ahua rānei kei te mau te whekau: Ka pupuhi pea te puku, ā, i ētahi wā ka rite ki te mea kei te mau tetahi wāhanga o te whekau ina pāngia.
• Kirika: Ka pāngia koe e te kirika mēnā ka wera rawa tō tinana.
• Whakapairuaki me te ruaki: Ka pāngia pea te hiahia kai e te whakapairuaki me te ruaki.
• Te toto i te tūtae: Ka puta pea te toto mā roto i te tūtae .
• Te korere, te mate korere rānei: Ko te korere te mea tino noa, engari he onge hoki te puta o ngā mate rite ki te mate korere.

He aha te mamae ina pāngia koe e te diverticulitis?

Ahakoa he tīmatanga ohorere o te diverticulitis, he putanga mai rānei o tētahi mate, he rite tonu te mamae. I roto i tētahi wā ohorere, ka puta ohorere te mamae. I roto i tētahi wā roa, ka piki haere te mamae i roto i ētahi rā. Ka pā te mamae ki te wāhi tonu o te diverticulum kua pangia. Ka rite ki te mamae wero koi, ki te mamae wera rānei. Ko te nuinga o te wā, mai i te ngawari ki te kino te mamae.

Kei hea te mamae i roto i te puku?

He mea whakamere tēnei. Mō te hunga nō te iwi Pākehā, ko ēnei putea e kiia nei ko te `(Diverticula)` ka puta pinepine i te wāhanga whakamutunga o te whekau nui, e kiia nei ko te `(Sigmoid Colon)`. Kei te taha maui o tō puku o raro tēnei, kātahi ka huri paku ki te taha matau hei hono atu ki te rectum. Koia te take e pāngia ai te nuinga o te tangata e te mamae `(Diverticulitis)` i te taha maui o tō rātou puku o raro. I ētahi wā ka horapa tēnei mamae o te puku o raro ki te pelvis, tae noa ki te tuara.

Heoi, mō te hunga nō te iwi Āhia (pēnei i a tātou), ko tēnei mate `(Diverticulosis)` he nui ake te tūponotanga ka puta ki te taha matau o runga o te koroni. Mēnā koinā, ka puta te mamae o te `(Diverticulitis)` mai i te taha matau o runga o te puku.

He aha ngā take o te diverticulitis?

Ko te take matua mō te pangia o aua putea e kiia nei ko te "diverticula" he pakarukaru iti, he kōhao rānei ("roimata") e puta ana i roto i ō rātou pakitara, e āhei ai ngā huakita ki te tomo, ka puta he "mate." Heoi, i tēnei take, kāore i te tino mārama mēnā ko te kōhao te tuatahi, ko ngā huakita rānei ka pangia tuatahitia.

Whakaarohia, ki te mau tetahi mea pērā i te tūtae ki roto i taua putea iti, he wāhi tino pai mō te tipu o te huakita. Kātahi, nā te mate huakita, ka pupuhi, ka whara, ā, ka pakaru te pakitara o taua "(Diverticulum)".

I tētahi atu taha, ki te pakaru te pakitara o te pēke mō tētahi atu take (hei tauira, he wahi tūtae mārō i te wā e tūtae ana), ka taea e ngā huakita e noho ana i roto i ngā whekau te tomo ngāwari mā roto i te pakaru ka puta he mate. Kua kitea e ētahi rangahau ko ngā mate huaketo pēnei i te "Cytomegalovirus - CMV" ka whai wāhi atu ki te whanaketanga o te "(Diverticulitis)".

He mate tuku iho te Diverticulitis?

He maha ngā wā ka puta te diverticulitis mā te tūpono noa iho. Arā, ehara i te mate e tukuna tika mai ana. Heoi, ko te mate e kiia nei ko te diverticulosis, arā, ko te hanganga o ngā putea i roto i ngā whekau, tera pea he pānga ira. Hei tauira, e ai ki tā tātou i kōrero ai i mua ake nei, e kiia ana he maha atu ngā putea o te hunga Pākehā i tētahi wāhanga o ngā whekau, ko te hunga Āhia ia he maha atu ngā putea i tētahi atu wāhanga. Tērā pea ka pāngia tēnei e ngā ira. Waihoki, ka pā pea ngā ira ki te ngāwari o te tangata ki ngā mate pūmau. Kei te rangahauhia tonutia tēnei.

He aha ngā raruraru ka puta mai i te diverticulitis?

I te nuinga o te wā, tata ki te 80% o ngā take, ka memeha haere te diverticulitis, kāore he raruraru. Heoi, ki te kaha rawa, ki te roa rānei, ka puta pea ēnei raruraru:

• Te toto o te puku: Ka nui te toto mai i te diverticula , ā, ka pāngia hoki e te anemia. Whakaarohia, ki te toto tonu koe, ka ngaro te toto i tō tinana, tika?
• Te aukati i te puku: Mena he nui te pupuhi, ka āraia pea ō whekau mō te wā poto. Ka taea e te pupuhi roa te whakararu (te whakawhāiti) me te aukati tuturu o ngā whekau.
• Fistula: Ka taea e tētahi wāhanga pirau o te whekau te hono atu ki tētahi atu ara tinana (hei tauira, tō whekau iti, tō pūkahukahu, tō tara rānei), ka hanga he pūwaha rerekē i waenganui i ngā mea e rua.
• Mumura tō pūkahukahu: Mena he diverticulitis tōu e tata ana ki tō pūkahukahu, ka taea e ia te aukati me te mate i roto i tō pūkahukahu. Mena ka puta he fistula i roto i tō pūkahukahu, ka horapa te mate ki reira.
• Puku: He kohinga pūkahukahu te puku, me tango pea. Ki te pahū, ka horapa te mate ki te kōhao o tō puku (kōhao peritoneal) ka puta he mate kino e kiia nei ko te peritonitis. He āhuatanga ohorere tēnei!
• Te pokanga o te puku:Ki te pupuhi rawa te diverticulum, ā, ka pakaru, ka turuturu pea ngā huakita mai i ngā whekau ki roto i te kōhao puku. Ko tēnei mate, e kiia nei ko te peritonitis, ka arahi pea ki tētahi mate kino e kiia nei ko te sepsis, he mate huakita e horapa puta noa i te tinana. He āhuatanga ohorere tino kino hoki tēnei!

He mea nui: Kāore ēnei raruraru e pā ki te katoa, engari he mea pai kia mōhio koe ka taea ēnei mea te pā.

He aha ngā tohu o te diverticulitis uaua?

Mena kei a koe ēnei tohu, tera pea ka pāngia koe e ngā raruraru mai i te diverticulitis:

• Mena he toto hou kei roto i te tūtae.
• Mena he mā te mata, ā, he ahua kore ora te tinana (he tohu pea tēnei nō te `Anemia`).
• Mena kei te hiahia koe ki te mimi i ngā wā katoa , ki te mea rānei kei te wera koe, kei te mamae rānei i a koe e mimi ana.
• Mena he mārō tō puku, ā, he mamae hoki ina pā atu (he tohu pea tēnei nō te peritonitis).

Ki te kite koe i tētahi mea pēnei , me toro atu ki te tākuta tonu.

Me pēhea te tautuhi i te mate `(Diverticulitis)`?

Mena kua mōhio kē koe me tō tākuta kei a koe te `(Diverticulosis)`, tera pea ka whakapae koe he `(Diverticulitis)` tēnei i runga i ngā tohu e pā ana ki a koe. Heoi, he tokomaha te hunga kāore e mōhio kei a rātou te `(Diverticulosis). Hei tāpiri, he rite tonu ngā tohu o te `(Diverticulitis)` ki ērā o ētahi atu mate puku.

Nō reira, ka pātai atu te tākuta ki a koe mō ō tohumate, ā, ka whakahaerehia pea ētahi whakamātautau taketake, pērā i te whakamātautau toto ('pānuitanga metabolic whānui'), he whakamātautau tūtae, me te whakamātautau mimi.

Kātahi, ki te whakapaetia he diverticulitis, ka tonoa he whakamātautau whakaahua hei whakaū i te mate. He kōwhiringa pai te matawai CT. Ka taea e ia te whakatau wawe i te whānuitanga o te mate me ētahi atu raruraru. I ētahi wā, me tirotiro pea tō tākuta i roto i tō koroni me te karu rama (he ngongo me te kāmera e piri ana ki reira). Ka taea te rongoā i ētahi raruraru i te wā kotahi me te colonoscopy.

Ka pai ake te diverticulitis i a ia anō?

Mena he ngawari te mate, ā, kāore he uaua , tera pea ka ora ake. Kaua e tatari kia kite noa koe i te tākuta. Me kite koe i te tākuta kia kitea ai te āhua o te mate. Me tango pea koe i ngā paturopi hei rongoā mō te mate. Tērā pea ka hiahia ētahi tāngata ki ngā rongoā mamae kua tohua. Ka hoatu hoki e tō tākuta he tohutohu ki a koe mō te noho ki te kāinga kia ora rā anō koe. E tata ana ki te wiki hei whakaora. He mea nui kia whakapā atu tonu koe ki tō tākuta i taua wā.

Me pēhea te rongoā i te diverticulitis i te kāinga?

Mena ka whakaaetia e tō tākuta, ka taea e koe te rongoā i te kāinga i ēnei huarahi e whai ake nei:

• He kai wai: Mā te karo i ngā kai totoka ka okioki ō whekau, ā, ka āwhina i a koe ki te ora mai i te mate. Mā tō tākuta koe e tohutohu he aha te mea hei kai māu, me te roa o te wā me noho tonu koe ki tēnei kai.
• Ngā 'Paturopi' kua tohua e te tākuta: Ehara i te mea e hiahiatia ana e te katoa, engari ki te hiahia koe, ka hoatu e tō tākuta he rongoā hei kawe ki te kāinga. Ko te momo 'paturopi' ka whakawhirinaki ki te momo 'mate' kei a koe.
• Acetaminophen: O ngā rongoā mamae kore utu (OTC) e wātea ana i te whare rongoā, he pai ake te whakamahi i tētahi mea pēnei i te Acetaminophen (hei tauira, Tylenol®).

Ngā rongoā kaua e whakamahia ina pāngia koe e te diverticulitis

Ka tohutohu ngā tākuta kia kaua e whakamahia ngā rongoā anti-inflammatory kore-steroidal (NSAID) ina pāngia koe e te diverticulitis, nā te mea ka piki ake te mōrearea o te toto GI. Kei roto i ēnei NSAID:

• Āpipirini (hei tauira, Bayer®, St. Joseph® rānei)
• `Ibuprofen` (hei tauira `Motrin®` `Advil®` rānei)
• `Naproxen konutai` (hei tauira `Aleve®`)

He aha te mea ka tupu mēnā kāore te diverticulitis e rongoatia?

Mena he tino ngawari, he kore uaua tō mate, kāore pea koe e hiahia ki te rongoā. Engari me kōrero koe ki tō tākuta mō tō diverticulitis. Ki te kore, ka mutu pea koe ki tētahi mate kino ake me ngā raruraru. Tērā ētahi mate kāore e ora me te kore he paturopi, he rongoā ārai huaketo rānei. Ko ngā mate kāore e ora ka arahi pea ki ētahi atu raruraru. Ka kaha rawa hoki te mamae.

He aha ngā mea ka taea e koe te mahi hei rongoā i te diverticulitis?

Mena kāore e āwhina ngā maimoatanga kāinga ngāwari, mēnā rānei he mate diverticulitis kino, roa, uaua rānei tō mate, me noho pea koe ki te hōhipera mō te maimoatanga. Ko ngā maimoatanga ka tukuna pea ki te hōhipera ko:

• Rongoā IV: Ka hoatu pea e tō tākuta he rongoā paturopi, he rongoā ārai huaketo rānei mā te IV (pēnei i te wai tote). Mā tēnei, ka haere tika te rongoā ki roto i tō toto, kia tere ake ai te mahi. Ka taea hoki te hoatu i ngā rongoā mamae pēnei. Me tango pea ētahi tāngata i ngā rongoā mamae kaha pēnei i ngā opioid mō te mamae nui.
• Te whakawhiti toto: Mena kua ngaro te nui o te toto nā te diverticulum e toto ana, me hiahia pea koe ki te whakawhiti toto ohorere hei whakakapi i te toto i ngaro.
• Ngā tikanga endoscopic: Ka whakamahia pea e tō tākuta he colonoscope, he sigmoidoscope rānei (he momo endoscope ēnei e tirotiro ana i te koroni) hei rongoā i ngā raruraru iti. Hei tauira, ka taea e rātou te aukati i te toto, te tango i te wai i roto i te puku, te whakawhānui rānei i te wāhanga kua purua o te koroni.
• Pokanga:Tērā pea ka hiahiatia he pokanga mō ētahi tāngata mō te whēwhe, te toto tonu, te pakaru, te fistula rānei. He onge noa iho, ka hiahiatia he pokanga mō te hunga e pāngia ana e te diverticulitis tonu hei tango i te wāhanga o te koroni e pāngia ana (colectomy). Tērā pea ka uru he colostomy rangitahi, he ngongo e whakanohoia ana mā te taha o te puku hei tango i te paru.

Ka taea te ārai i te puta, te hoki anō rānei o te diverticulitis?

He pono, kāore anō kia tino mārama ngā tākuta he aha te take e puta ai, e hoki mai ai rānei te diverticulitis. Nō reira, he uaua ki te kī me pēhea te ārai. Engari e whakaaro ana rātou mā te pupuri i te hauora pai o te puku whānui ka āwhina .

• Kai atu i ngā kai tipu me te whakaiti i te ngako kararehe.
• Te inu wai e ranea ana i te roanga o te rā.
• Te whakakorikori tinana i ia wā, i ia wā.

Ka taea e ēnei mea te āwhina i te nekenekehanga o tō puku kia maeneene. Mō ētahi tāngata, ka tūtohu pea ngā tākuta i ngā tāpiringa muka, i ngā probiotics rānei.

I mua, he whakapono tawhito kāore e tika kia kai nati te hunga whai diverticulosis, nā te mea ka piri pea rātou ki te diverticulum ka puta ai te diverticulitis. Inaianei kua kiia he pakiwaitara tēnei. He puna pai ngā nati mō te muka me te pūmua tipu. Nō reira, kaua e manukanuka kei piri tetahi nati ki roto i tō koroni, engari he pai ake te kai i tētahi kai hauora, taurite.

He aha tā tātou e tumanako ai i roto i tēnei āhuatanga?

He iti noa te ōrau o te tangata ka pāngia e te diverticulitis uaua. O ēnei, he iti noa iho e hiahia ana ki te pokanga. I te nuinga o te wā, ka taea te rongoā tere me te katoa o te diverticulitis uaua. Kāore te diverticulitis e pā ki tō roanga oranga noa. Heoi, e ai ki taku kōrero i mua ake nei, ko te mōrearea anake ko te mea he tino onge, he raruraru morearea ki te ora, pērā i te pakaru o te puku, te pakaru rānei o te whewhe. Nō reira kaua e mataku, me toro atu ki te tākuta tonu.

Me aha mēnā ka haere tonu te whanaketanga o te diverticulitis?

Ki te kore e taea e koe te ārai i te hokinga mai o te diverticulitis ahakoa ngā whakarerekētanga kai me te momo noho, tera pea he take kē atu kei a koe e whakanui ake ana i tō mōrearea. Hei tauira, ko te hunga he ngoikore te pūnaha ārai mate ka pāngia pea e ngā mate, ā, ka roa ake te ora. Ko te hunga he mate pūnaha ārai mate ka nui ake te tūponotanga ka pāngia e ngā mate pumau. Ko te taurite o ngā huakita rerekē e noho ana i roto i tō puku ka pā ki te pūnaha ārai mate o tō puku.

Kāore e taea e ngā tākuta te kī tonu he aha te take e pāngia tonu ai ētahi tāngata e te diverticulitis. Heoi, ki te mea kua pāngia koe e tēnei mate neke atu i te kotahi, ā, kotahi pea te raruraru kua pāngia koe, ka tūtohu pea rātou i tētahi pokanga tango puku whiriwhiri, arā, he pokanga hei tango i te wāhanga iti o tō puku e puta ai te raruraru . Ki te kore he āhuatanga ohorere, he maha ngā wā ka taea te mahi i roto i te pokanga kotahi me te kore he colostomy.

Karere Tangohia ki te Kāinga

Nō reira, ko te `(Diverticulitis)` he raruraru ka pā ki te hunga e pāngia ana e te `(Diverticulosis)`, engari kāore i te tino kitea. He iti ake te tūponotanga ka puta ake ngā raruraru anō i te `(Diverticulitis)`. Engari ki te pā ki a koe, me tere pea te maimoatanga.

Nō reira, ki te whai tohu koe o te `(Diverticulitis),` me toro atu koe ki te tākuta i taua wā tonu.

Kātahi rātou ka whakatau ko tēhea momo maimoatanga e hiahiatia ana e koe, mēnā ka taea e koe te rongoā i te kāinga, mēnā rānei me noho koe ki te hōhipera. Kaua e manukanuka, i te nuinga o te wā ka taea te whakahaere pai i tēnei mate, ā, ka tere tō ora. Kia tiakina te hauora o tō puku, kei te pai?

` Diverticulitis, mate koroni, mamae puku, diverticulosis, mate whēkau, colonoscopy, pūnaha nakunaku