Kodi matuza ang'onoang'ono omwe amapangika m'matumbo ndipo ndi ovuta kuchiza? Tiyeni tikambirane za (Diverticulitis)!

Kodi nthawi zina mumakhala ndi ululu m'mimba, makamaka kumanzere kwa mimba yanu? Kapena nthawi zina mumamva ngati muli ndi malungo komanso kutupa? Izi zitha kukhala zizindikiro za matenda ena, ngakhale nthawi zina sitimawasamala kwambiri. Ndicho chifukwa chake vutoli, lomwe limafuna chisamaliro pang'ono, limatchedwa `(Diverticulitis). Tiyeni tikambirane za izi mwatsatanetsatane lero, chabwino?

Kodi ichi ndi chiyani (Diverticulitis)?

Mwachidule, diverticulitis ndi pamene matumba ang'onoang'ono amapangika mkati mwa matumbo anu - timawatcha kuti diverticula - omwe amadwala, amatupa, komanso amatupa. Taganizirani ngati thovu laling'ono lomwe limapangika pakhoma la matumbo anu, ndipo tinthu ta chakudya ndi ndowe zimamatira mmenemo, zomwe zimapangitsa kuti mabakiteriya akule ndikukupatsirani matenda.

Anthu ambiri amapanga matumba amenewa otchedwa `(Diverticula)` m'matumbo mwawo akamakula. Tikutcha vutoli `(Diverticulosis)`. Izi zikutanthauza kuti, matumba ang'onoang'ono amenewo amakhala m'matumbo, koma samayambitsa mavuto aliwonse. Koma si aliyense amene ali ndi vuto ndi izi. Komabe, ndi pamene thumba limodzi la matumba ang'onoang'onowo latenga kachilomboka pomwe ululu waukulu ndi zizindikiro zina zimayamba kuonekera. Ngati zimenezo zitachitika, zikutanthauza kuti pali `matenda` mkati mwake, ndipo muyenera kupita kuchipatala nthawi yomweyo.

Kodi matenda a Diverticulitis ndi ofala bwanji?

Matenda a diverticulosis omwe ndatchula kale, omwe ndi kupangika kwa matumba ang'onoang'ono m'matumbo, amatha kuchitika mwa anthu ambiri atatha zaka 50-60. Komabe, matenda a matumba amenewo, otchedwa diverticulitis, ndi ochepa kwambiri. Pafupifupi 4% ya anthu omwe ali ndi diverticulosis amadwala diverticulitis. Izi zikutanthauza kuti ngati anthu zana ali ndi diverticulosis, anayi okha ndi omwe adzadwala diverticulitis. Koma ngati achitika kamodzi, pali mwayi wa 20% woti abwerenso. Chifukwa chake, ndi bwino kuti omwe adakhalapo ndi matendawa asamale pang'ono.

Kodi pali mitundu yosiyanasiyana ya diverticulitis?

Inde, madokotala amagawa izi m'njira ziwiri zazikulu:

1. Matenda a Diverticulitis Oopsa Komanso Osatha .

2. Yosavuta komanso yovuta (Diverticulitis).

Tsopano tiyeni tiwone chilichonse mwa izi.

Kodi matenda a Acute / Chronic Diverticulitis ndi chiyani?

Matenda a Diverticulitis nthawi zambiri amayamba ngati vuto lalikulu. Izi zikutanthauza kuti matendawa amayamba mwadzidzidzi, ndi ululu waukulu komanso zizindikiro zofanana ndi malungo, kenako amatha pakatha masiku ochepa mutalandira chithandizo.

Koma kwa anthu ena, zimatha kubwerezabwereza. Monga momwe anthu ena amakhalira ndi matenda obwerezabwereza monga mphumu. Kwa ena, matendawa amatha kukhala osatha. Izi zikutanthauza kuti, sachira kwathunthu, koma amapitirirabe kuipiraipira. Pali malingaliro osiyanasiyana okhudza chifukwa chake izi zimachitika. Zingakhale chifukwa chakuti matenda adzidzidzi sachira kwathunthu, kapena akhoza kukhala okhudzana ndi vuto lina la nthawi yayitali m'matumbo mwanu.

Kodi Diverticulitis Yosavuta / Yovuta ndi Chiyani?

Nthawi zambiri, pafupifupi 80% ya milandu, diverticulitis imakhala yosavuta. Izi zikutanthauza kuti vuto ndi matenda omwe ali m'matumba a m'matumbo, nthawi zina matenda ang'onoang'ono. Ngati atachiritsidwa bwino, amatha kuchiritsidwa mosavuta.

Diverticulitis imakhala yovuta pamene matendawa amayambitsa mavuto ena. Izi zitha kukhala zoopsa kwambiri. Mwachitsanzo, matenda oopsa angayambitse diverticulum (thumba) kuphulika. Izi zingayambitse kuti zomwe zili m'matumbo zituluke m'mimba. Matenda a nthawi yayitali angayambitse zipsera m'matumbo, zomwe zingayambitse kutsekeka kwa matumbo.

Kodi zizindikiro za `(Diverticulitis)` ndi ziti?

Zizindikiro izi zimatha kusiyana malinga ndi munthu, koma zinthu zazikulu zomwe mungaone ndi izi:

• Kupweteka m'mimba: Ichi ndiye chizindikiro chachikulu. Nthawi zambiri chimakhala choopsa.
• Kutupa kapena kumva matumbo akugwidwa: Mimba ingamve kutupa, ndipo nthawi zina ingamve ngati gawo lina la matumbo likugwidwa likakhudzidwa.
• Malungo: Mungathe kutenga malungo ngati thupi lanu latentha kwambiri.
• Kusanza ndi kusanza: Kusowa chilakolako cha chakudya kungaphatikizepo nseru ndi kusanza.
• Kutuluka magazi m'thupi: Magazi amatha kudutsa m'chimbudzi .
• Kudzimbidwa kapena kutsegula m'mimba: Kudzimbidwa ndikofala kwambiri, koma matenda ofanana ndi kutsegula m'mimba nawonso samachitika kawirikawiri.

Kodi ululu umamveka bwanji mukakhala ndi diverticulitis?

Kaya mwayamba mwadzidzidzi matenda a diverticulitis kapena kuphulika kwa vuto lomwe lilipo kale, ululuwo ndi wofanana kwambiri. Pa nthawi yovuta kwambiri, ululuwo ukhoza kubwera mwadzidzidzi. Pa nthawi yayitali, ululuwo ukhoza kuwonjezeka pang'onopang'ono kwa masiku angapo. Ululuwo umamveka bwino komwe diverticulum yomwe ili ndi kachilomboka ili. Umatha kumveka ngati kupweteka kobaya kwambiri kapena kutentha. Ululuwu nthawi zambiri umakhala wochepa mpaka wovuta.

Kodi m'mimba muli ululu uti?

Ichi ndi chowonadi chosangalatsa. Kwa anthu ochokera ku Ulaya, matumba awa otchedwa `(Diverticula)` nthawi zambiri amakula m'chigawo chomaliza cha matumbo akuluakulu, chomwe chimatchedwa `(Sigmoid Colon)`. Izi zimapezeka kumanzere kwa mimba yanu yapansi, kenako zimatembenukira pang'ono kumanja kuti zigwirizane ndi rectum. Ichi ndichifukwa chake anthu ambiri amamva ululu wa `(Diverticulitis)` kumanzere kwa mimba yawo yapansi. Nthawi zina ululu uwu wa m'mimba yapansi ukhoza kufalikira mpaka m'chiuno komanso ngakhale kumbuyo.

Komabe, kwa anthu ochokera ku Asia (monga ife), vutoli la `(Diverticulosis)` limapezeka kwambiri m'chigawo chakumanja chakumtunda kwa m'matumbo. Zikatero, kupweteka kwa `(Diverticulitis)` kungachokere kuchigawo chakumanja chakumtunda kwa m'mimba.

Kodi ndi zifukwa ziti za diverticulitis?

Chifukwa chachikulu cha matenda a matumba amenewo otchedwa ``diverticula'' ndichakuti kung'ambika pang'ono kapena dzenje (```kung'ambika``) kumachitika m'makoma awo, zomwe zimapangitsa kuti mabakiteriya alowe ndikuyambitsa ``matenda``. Komabe, pankhaniyi, sizikudziwika bwino ngati dzenjelo limayamba, kapena ngati mabakiteriya amayamba kudwala.

Tangoganizirani, ngati chinthu chonga ndowe chikalowa m'thumba laling'ono limenelo, ndi malo abwino kwambiri oti mabakiteriya amere. Kenako, chifukwa cha matenda a bakiteriya, chingatupa, kuvulala, ndipo khoma la ``(Diverticulum)`` likhoza kuphulika.

Kumbali ina, ngati khoma la thumbalo litang'ambika pazifukwa zina (monga chidutswa cholimba cha ndowe pamene akutuluka ndowe), ngakhale mabakiteriya omwe nthawi zambiri amakhala m'matumbo amatha kulowa mosavuta kudzera mu mng'aluwo ndikuyambitsa matenda. Kafukufuku wina wapeza kuti matenda opatsirana ndi mavairasi monga ``Cytomegalovirus - CMV`` angathandizenso pakukula kwa ``(Diverticulitis)``.

Kodi Diverticulitis ndi yobadwa nayo?

Matenda a Diverticulitis nthawi zambiri amapezeka mwangozi. Izi zikutanthauza kuti, si matenda omwe amabadwa nawo mwachindunji. Komabe, matenda otchedwa diverticulosis, omwe ndi kupangika kwa matumba m'matumbo, akhoza kukhala ndi mphamvu zina za majini. Mwachitsanzo, monga tafotokozera kale, anthu aku Europe akuti ali ndi matumba ambiri m'mbali imodzi ya matumbo, pomwe anthu aku Asia ali ndi matumba ambiri m'mbali ina. Izi zitha kukhudzidwa ndi majini. Komanso, majini angakhudze momwe munthu amakhalira ndi matenda osatha. Izi zikufufuzidwa kwambiri.

Kodi mavuto omwe angakhalepo chifukwa cha diverticulitis ndi ati?

Nthawi zambiri, pafupifupi 80% ya milandu, diverticulitis imatha popanda mavuto. Komabe, ngati ikukula kwambiri kapena ikupitirira, mavuto otsatirawa angachitike:

• Kutuluka magazi m'mimba: Kutuluka magazi kuchokera ku diverticula kungakhale koopsa komanso kungayambitse kuchepa kwa magazi m'thupi. Tangoganizani, ngati mupitiriza kutuluka magazi, thupi lanu lidzataya magazi, sichoncho?
• Kutsekeka kwa matumbo: Ngati kutupa kuli kwakukulu, matumbo anu akhoza kutsekeka kwakanthawi. Kutupa kwa nthawi yayitali kungayambitse zipsera (kutsekeka) ndi kutsekeka kosatha kwa matumbo.
• Fistula: Mbali ya m'mimba yomwe yadwala komanso yowola imatha kulumikizana ndi njira ina ya thupi (monga matumbo anu ang'onoang'ono, chikhodzodzo, kapena nyini), zomwe zimapangitsa kuti pakhale mpata wosadziwika bwino pakati pa awiriwa.
• Kutupa kwa chikhodzodzo: Ngati muli ndi diverticulitis pafupi ndi chikhodzodzo chanu, ikhoza kuyambitsa kutsekeka ndi matenda m'chikhodzodzo chanu. Ngati fistula ipanga m'chikhodzodzo chanu, matendawa amatha kufalikiranso komweko.
• Chifuwa: Chifuwa ndi gulu la mafinya omwe angafunike kuchotsedwa madzi. Ngati chaphulika, matendawa amatha kufalikira mpaka m'mimba mwanu (peritoneal cavity) ndikuyambitsa matenda oopsa otchedwa peritonitis. Izi ndi zadzidzidzi!
• Kuboola kwa m'mimba:Ngati diverticulum yatupa kwambiri ndikuphulika, mabakiteriya ochokera m'matumbo amatha kulowa m'mimba. Matendawa, otchedwa peritonitis, angayambitse matenda oopsa otchedwa sepsis, omwe ndi matenda a bakiteriya omwe amafalikira mthupi lonse. Izi ndi zoopsa kwambiri!

Chofunika: Mavuto amenewa sachitika kwa aliyense, koma ndi bwino kudziwa kuti zinthuzi zingachitike.

Kodi zizindikiro za diverticulitis yovuta ndi ziti?

Ngati muli ndi zizindikiro izi, mutha kukhala ndi mavuto chifukwa cha diverticulitis:

• Ngati pali magazi atsopano mu ndowe.
• Ngati nkhope yatuwa ndipo thupi likumva ngati lopanda moyo (izi zitha kukhala chizindikiro cha `Anemia`).
• Ngati mukumva ngati mukufunika kukodza pafupipafupi , kapena ngati muli ndi kutentha kapena ululu mukamakodza.
• Ngati mimba yanu ndi yolimba komanso yopweteka mukaikhudza (ichi chingakhale chizindikiro cha peritonitis).

Ngati muwona chinthu chonga ichi , pitani kwa dokotala nthawi yomweyo.

Kodi mungazindikire bwanji `(Diverticulitis)`?

Ngati inu ndi dokotala wanu mukudziwa kale kuti muli ndi `(Diverticulosis)`, mungaganize kuti ndi `(Diverticulitis)` kutengera zizindikiro zomwe mukukumana nazo. Komabe, anthu ambiri sadziwa kuti ali ndi `(Diverticulosis). Komanso, zizindikiro za `(Diverticulitis)` zitha kufanana ndi za matenda ena ambiri am'mimba.

Choncho, dokotala adzakufunsani za zizindikiro zanu ndipo mwina adzakuyesani mayeso oyambira, monga kuyeza magazi ('comprehensive metabolic panel'), kuyeza ndowe, ndi kuyeza mkodzo.

Kenako, ngati mukukayikira kuti diverticulitis ndi yotupa, mayeso ojambulira adzayitanidwa kuti atsimikizire kuti matendawa ndi otani. Kujambula kwa CT ndi njira yabwino. Kungathe kudziwa msanga kukula kwa matendawa ndi mavuto ena aliwonse. Nthawi zina, dokotala wanu angafunike kuyang'ana mkati mwa m'matumbo mwanu ndi chowunikira (chubu chokhala ndi kamera yolumikizidwa). Mavuto ena amatha kuchiritsidwa nthawi yomweyo ndi colonoscopy.

Kodi diverticulitis imadzichiritsa yokha?

Ngati matendawa ndi ofooka komanso osavuta , amatha kuchira okha. Koma musamangodikira mpaka mutawonana ndi dokotala. Muyeneradi kuonana ndi dokotala kuti mudziwe chomwe chikukuvutani. Mungafunike kumwa maantibayotiki chifukwa cha matenda. Anthu ena angafunikenso mankhwala ochepetsa ululu omwe amalembedwa ndi dokotala. Dokotala wanu adzakupatsaninso malangizo a momwe mungakhalire panyumba mpaka mutachira. Zimatenga pafupifupi sabata imodzi kuti muchire. Ndikofunikira kulumikizana ndi dokotala wanu panthawiyo.

Kodi mungachiritse bwanji diverticulitis kunyumba?

Ngati dokotala wanu alola, mutha kuchichiza kunyumba m'njira zotsatirazi:

• Zakudya zamadzimadzi: Kupewa zakudya zolimba kumapatsa matumbo anu mpumulo ndipo kumakuthandizani kuchira ku matenda. Dokotala wanu adzakuuzani zomwe muyenera kudya komanso nthawi yomwe muyenera kukhala pa zakudyazi.
• `Maantibayotiki` operekedwa ndi dokotala: Si aliyense amene amafunikira mankhwalawa, koma ngati muwafuna, dokotala wanu adzakupatsani mankhwala ena oti mutenge kunyumba. Mtundu wa `maantibayotiki` umadalira mtundu wa `matenda` omwe muli nawo.
• Acetaminophen: Pa mankhwala ochepetsa ululu omwe amapezeka ku pharmacy (OTC), ndi bwino kugwiritsa ntchito Acetaminophen (monga Tylenol®).

Mankhwala osagwiritsidwa ntchito ngati muli ndi diverticulitis

Madokotala amalangiza kuti musagwiritse ntchito mankhwala oletsa kutupa omwe si a steroidal (NSAIDs) ngati muli ndi diverticulitis, chifukwa amatha kuwonjezera chiopsezo cha kutuluka magazi m'mimba. Mankhwala a NSAID awa ndi awa:

• Aspirin (monga Bayer® kapena St. Joseph®)
• `Ibuprofen` (monga `Motrin®` kapena `Advil®`)
• `Naproxen sodium` (monga `Aleve®`)

Kodi chimachitika ndi chiyani ngati diverticulitis sinachiritsidwe?

Ngati muli ndi vuto lochepa kwambiri komanso losavuta, simungafunike chithandizo. Koma muyenera kuuza dokotala wanu za matenda anu a diverticulitis. Ngati simutero, mutha kukhala ndi vuto lalikulu komanso zovuta zina. Pali matenda ena omwe sangachiritsidwe popanda maantibayotiki kapena mankhwala oletsa mavairasi. Matenda omwe sangachiritsidwe angayambitse mavuto ena. Ululu ukhozanso kukhala woopsa.

Kodi mungachite chiyani kuti muchiritse diverticulitis?

Ngati mankhwala osavuta a kunyumba sakuthandizani, kapena ngati muli ndi matenda aakulu, a nthawi yayitali, kapena ovuta a diverticulitis, mungafunike kukhala m'chipatala kuti mupeze chithandizo. Mankhwala omwe angaperekedwe kuchipatala ndi awa:

• Mankhwala a IV: Dokotala wanu angakupatseni maantibayotiki kapena mavairasi kudzera mu IV (monga madzi amchere). Mwanjira imeneyi, mankhwalawa amalowa mwachindunji m'magazi mwanu, kotero amagwira ntchito mwachangu. Mankhwala ochepetsa ululu amathanso kuperekedwa mwanjira iyi. Anthu ena angafunike kumwa mankhwala amphamvu ochepetsa ululu monga opioids pa ululu waukulu.
• Kuika magazi: Ngati mwataya magazi ambiri chifukwa cha diverticulum yotuluka magazi, mungafunike kuikidwa magazi mwadzidzidzi kuti mulowe m'malo mwa kutayikako.
• Njira zoyezera magazi m'matumbo: Dokotala wanu angagwiritse ntchito colonoscope kapena sigmoidoscope (izi ndi mitundu ya ma endoscope omwe amayang'ana m'matumbo) kuti athetse mavuto ang'onoang'ono. Mwachitsanzo, amatha kuletsa kutuluka magazi, kutulutsa thumba, kapena kukulitsa gawo lotsekedwa la m'matumbo.
• Opaleshoni:Anthu ena angafunike opaleshoni ya thumba, kutuluka magazi kosalekeza, kubooka, kapena fistula. Nthawi zambiri, anthu omwe ali ndi vuto la diverticulitis yosalekeza angafunike opaleshoni kuti achotse gawo lokhudzidwa la m'matumbo (colectomy). Izi zitha kuphatikizapo colostomy yakanthawi, yomwe ndi chubu chomwe chimayikidwa m'mbali mwa mimba kuti chitulutse ndowe.

Kodi diverticulitis ingapewedwe kuti isachitike kapena kubwereranso?

Kunena zoona, madokotala sakumvetsabe chifukwa chake matenda a diverticulitis amayamba kapena kubwereranso. Choncho n'zovuta kunena motsimikiza momwe angapewere. Koma akuganiza kuti kukhala ndi thanzi labwino m'mimba kungathandize .

• Idyani zakudya zambiri zochokera ku zomera ndipo chepetsani mafuta ochokera ku nyama.
• Kumwa madzi okwanira tsiku lonse.
• Kuchita masewera olimbitsa thupi nthawi zonse.

Zinthu zimenezi zingathandize kuti matumbo anu aziyenda bwino. Kwa anthu ena, madokotala angakulangizeninso zakudya zowonjezera ulusi kapena ma probiotics.

Panali chikhulupiriro chakale chakuti anthu omwe ali ndi matenda a diverticulosis sayenera kudya mtedza, chifukwa ukhoza kukodwa mu diverticulum ndikuyambitsa diverticulitis. Izi tsopano zimaonedwa ngati nthano. Mtedza ndi gwero labwino la ulusi ndi mapuloteni ochokera ku zomera. Chifukwa chake, m'malo modandaula kuti mwangozi mtedza ungatseke m'matumbo anu, ndi bwino kudya zakudya zoyenera komanso zopatsa thanzi.

Kodi tingayembekezere chiyani pankhaniyi?

Anthu ochepa kwambiri amadwala matenda a diverticulitis ovuta. Mwa anthu amenewo, ochepa okha ndi omwe amafunika opaleshoni. Nthawi zambiri, matenda a diverticulitis ovuta amatha kuchiritsidwa mwachangu komanso mokwanira. Matenda a diverticulitis sakhudza moyo wanu watsiku ndi tsiku. Komabe, monga ndanenera kale, chiopsezo chokhacho ndichakuti pali vuto losowa kwambiri, lomwe lingawononge moyo, monga kuboola matumbo kapena kuphulika kwa thumba. Choncho musachite mantha, pitani kwa dokotala nthawi yomweyo.

Kodi mungachite chiyani ngati diverticulitis ikupitirira kukula?

Ngati simungathe kuletsa diverticulitis kuti isabwerezedwe ngakhale mutasintha zakudya ndi moyo wanu, mungakhale ndi zinthu zina zomwe zimawonjezera chiopsezo chanu. Mwachitsanzo, anthu omwe ali ndi chitetezo chamthupi chofooka amatha kutenga matenda nthawi zambiri ndipo amatenga nthawi yayitali kuti achire. Anthu omwe ali ndi matenda odziteteza okha amatha kudwala matenda osatha. Kuchulukana kwa mabakiteriya osiyanasiyana omwe amakhala m'matumbo mwanu kungakhudzenso chitetezo chamthupi cha m'matumbo mwanu.

Madokotala nthawi zonse sanganene motsimikiza chifukwa chake anthu ena amapitirizabe kudwala matenda a diverticulitis. Komabe, ngati mwakhala mukudwala kangapo ndipo mwakhala ndi vuto limodzi, angakulangizeni kuti muchotse matumbo anu mosankha, komwe ndi opaleshoni yochotsera matumbo anu ochepa omwe akuyambitsa vutoli . Ngati si zadzidzidzi, nthawi zambiri zimatha kuchitika mu opaleshoni imodzi popanda colostomy.

Uthenga Wopita Nawo Kunyumba

Kotero, `(Diverticulitis)` ndi vuto lomwe lingachitike mwa anthu omwe ali ndi `(Diverticulosis)`, koma silofala kwambiri. `(Diverticulitis)` ndi vuto lochepa lomwe lingayambitse mavuto ena. Koma ngati zikukuchitikirani, mungafunike chithandizo chachangu.

Choncho, ngati muli ndi zizindikiro za `(Diverticulitis)` pitani kwa dokotala mwamsanga.

Kenako adzasankha mtundu wa chithandizo chomwe mukufuna, kaya mungachichiritse kunyumba kapena ngati mukufunika kupita kuchipatala. Musadandaule, nthawi zambiri vutoli limatha kuchiritsidwa bwino ndipo mudzachira mwachangu. Samalirani thanzi la m'mimba mwanu, chabwino?

Diverticulitis , matenda a m'matumbo, kupweteka m'mimba, diverticulosis, matenda a m'matumbo, colonoscopy, dongosolo logaya chakudya