Tangoganizani kuti mwadzidzidzi mukumva kupweteka kwambiri m'mimba mwanu, makamaka kumunsi kumanzere. Pamodzi ndi izi, mumamvanso kutentha thupi komanso nseru. Kodi mudakumanapo ndi vuto lotere? Anthu ambiri amaganiza kuti kupweteka m'mimba ndi vuto lachibadwa kapena mpweya, koma nthawi zina izi zitha kukhala vuto lomwe limafuna chisamaliro chowonjezereka. Lero tikambirana za vuto lotere, 'Diverticulitis'. Ndikofunikira kwambiri kudziwa izi.
Mwachidule, kodi Diverticulitis ndi chiyani?
Kuti timvetse izi, choyamba tiyenera kudziwa tanthauzo la 'Diverticulosis'. Pakhoma la matumbo athu akuluakulu (colon), nthawi zina pakapita nthawi, matumba ang'onoang'ono kapena thovu zimatha kutuluka. Monga ngati chithupsa chaching'ono pa tayala la galimoto. Timatcha matumba ang'onoang'ono awa kuti 'Diverticula'. Ngati muli ndi matumba awa m'matumbo anu, vuto limenelo limatchedwa Diverticulosis .
Vutoli limapezeka kwambiri tikamakalamba. Ndipo anthu ambiri amakhala ndi matumba ang'onoang'ono awa popanda vuto lililonse kapena zizindikiro zilizonse.
Komabe, vuto limayamba pamene thumba limodzi kapena angapo ang'onoang'ono awa atenga kachilombo kapena kutupa. Ndicho chimene timachitcha kuti Diverticulitis . Ichi ndi chomwe chimayambitsa zizindikiro monga ululu ndi malungo. Ichi ndi vuto lomwe limafuna thandizo lachipatala.
Mwachidule: Diverticulosis imachitika pamene pali matumba ang'onoang'ono m'matumbo. Diverticulitis imachitika pamene matumba amenewo amadwala ndi kutupa.
Kodi zizindikiro za diverticulitis ndi ziti?
Zizindikiro za diverticulitis zimatha kusiyana pang'ono kuchokera kwa munthu ndi munthu, koma pali zizindikiro zina zodziwika bwino. Tiyeni tiwone zomwe zili.
| Chizindikiro | Kufotokozera kwake |
|---|---|
| Kuwawa kwam'mimba | Ichi ndiye chizindikiro chachikulu. Nthawi zambiri pamakhala kupweteka kwakukulu komanso koopsa. Izi zimatha kuwonjezeka pang'onopang'ono pakatha masiku angapo, kapena zitha kuchitika mwadzidzidzi. |
| Malungo ndi kuzizira | Ndi zachilendo kukhala ndi malungo chifukwa cha matenda m'thupi. Muthanso kumva kuzizira komanso kunjenjemera. |
| Kusanza ndi kusanza | Kusanza ndi kusanza ndizofala kwambiri pamodzi ndi kupweteka m'mimba. |
| Kutupa m'mimba ndi flatulence | Kutupa m'mimba kungayambitse zinthu monga kumva ngati mwala m'mimba ndi kutupa. |
| Kusintha kwa chimbudzi | Anthu ena amavutika ndi kudzimbidwa, koma nthawi zina, ena amavutikanso ndi kutsegula m'mimba. |
| Kutuluka magazi m'thupi | Nthawi zina mungakhale ndi magazi pang'ono mukapita kuchimbudzi. Koma izi sizichitika kwa aliyense. |
Kodi kupweteka m'mimba kumachokera kuti?
Funso ili ndi lofunika kwambiri. Nthawi zambiri, makamaka kwa anthu ochokera ku Ulaya, matumba ang'onoang'ono awa (diverticula) amapangidwa m'chigawo chomaliza cha matumbo akuluakulu. Ndiko kuti, m'matumbo a sigmoid . Izi zimapezeka kumunsi kumanzere kwa mimba yathu. Chifukwa chake, pamene Diverticulitis ichitika, pafupifupi 90% ya anthu amamva kupweteka kumunsi kumanzere kwa mimba yawo .
Koma, apa pali chinthu chapadera kwa ife. Anthu ochokera ku Asia, kutanthauza kuti, anthu ngati ife, nthawi zina amakhala ndi matumba awa kumbali yakumanja ya matumbo. Ngati zimenezo zitachitika, ululu ukhoza kuchokera kumbali yakumanja ya mimba . Chifukwa chake, si bwino kungoganizira kumene ululu wa m'mimba ukuchokera ndi kusankha kuti sizili choncho.
Kodi n’chifukwa chiyani Diverticulitis imachitika? Kodi zimayambitsa chiyani?
N'zovuta kudziwa chifukwa chimodzi chomwe chimayambitsa matenda a diverticulitis, koma pali zinthu zingapo zazikulu zomwe madokotala amakhulupirira kuti zimayambitsa matendawa.
- Matenda: Chinthu chonga ndowe chingalowe m'matumba ang'onoang'ono omwe tidakambirana. Kenako mabakiteriya amatha kukula pamenepo ndikuyambitsa matenda. Matendawa ndi omwe amayambitsa kutupa ndi kupweteka.
- Kuboola khoma la thumba: Nthawi zina, pamene matumbo ali ovuta, kapena pazifukwa zina, kung'ambika kwaching'ono kungapangidwe pakhoma la thumba laling'ono ili. Izi zimalola mabakiteriya abwinobwino m'matumbo kulowamo ndikuyambitsa matenda.
- Matenda ena: Kafukufuku wina wapeza kuti matenda opatsirana ndi mavairasi monga cytomegalovirus (CMV) angathandizenso kuti vutoli lipitirire.
Anthu ena amafunsanso ngati pali kusintha kwa majini pa izi. Diverticulitis si matenda obadwa nawo mwachindunji. Komabe, zapezeka kuti pakhoza kukhala kusintha kwa majini pa chizolowezi chopanga matumba ang'onoang'ono m'matumbo (diverticulosis).
Kodi izi zingakhale zoopsa? Mavuto omwe angakhalepo
Nthawi zambiri (pafupifupi 80%) Diverticulitis ndi vuto losavuta. Izi zikutanthauza kuti limatha msanga ndi chithandizo choyenera. Komabe, nthawi zina, makamaka ngati silinalandire chithandizo kapena ngati matendawa afika poipa kwambiri, mavuto aakulu amatha kuchitika. Ndikofunikira kudziwa izi.
| Mavuto | Mwachidule... |
|---|---|
| Chifuwa | Chifuwa chodzaza mafinya chimapangika pamalo omwe kachilomboka kafalikira. Ngati kaphulika, matendawa amatha kufalikira m'mimba yonse. |
| Kuboola kwa m'mimba (Kuboola) | Kathumba kakang'ono kameneko kamatupa, kamatupa, ndipo kamaphulika. Kenako matumbo amatuluka m'mimba. Izi zimayambitsa matenda oopsa kwambiri otchedwa peritonitis . Uwu ndi vuto lomwe limafuna opaleshoni yadzidzidzi. |
| Fistula | Matendawa amachititsa kuti khoma la m'mimba lisungunuke ndi kulumikizana ndi chiwalo china chapafupi (monga chikhodzodzo, nyini), zomwe zimapangitsa kuti pakhale potseguka pachilendo. |
| Kutsekeka kwa m'mimba (Kutsekeka) | Matenda obwerezabwereza angayambitse zipsera ndi kutsekeka kwa matumbo. |
| Kutuluka magazi ambiri | Kawirikawiri, pangakhale kutuluka magazi ambiri kuchokera pamalo omwe kachilomboka kanafalikira. Izi zingayambitse kuchepa kwa magazi m'thupi. |
Zizindikiro zomwe zimasonyeza vuto
- Ngati muwona magazi atsopano mukapita kuchimbudzi.
- Ngati nkhope yanu ili yotumbululuka ndipo thupi lanu likumva ngati lopanda moyo .
- Ngati mukumva kufunika kokodza pafupipafupi kapena ngati mukumva kutentha kapena kupweteka mukakodza.
- Ngati mimba yanu ikumva yolimba mukaigwira ndipo imapweteka kwambiri moti simungathe kuigwira.
Ngati muli ndi zizindikiro izi, zitha kukhala zadzidzidzi. Chifukwa chake, muyenera kupita ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo .
Kodi dokotala amapeza bwanji izi?
Mukapita kwa dokotala yemwe ali ndi zizindikiro zomwe mwatchula pamwambapa, chinthu choyamba chomwe angachite ndikukufunsani mafunso ndikufufuza mimba yanu. Pambuyo pake, angachite mayeso angapo kuti atsimikizire matendawa.
- Kuyezetsa Magazi: Kuyang'ana ngati pali matenda m'thupi.
- Kujambula kwa CT: Iyi ndiyo njira yabwino kwambiri yodziwira matenda a diverticulitis. Ingasonyeze bwino ngati pali kutupa, ziphuphu, kapena mavuto ena m'matumbo.
- Colonoscopy: Nthawi zina, zizindikiro zikatha, dokotala wanu angakulangizeni mayeso omwe amaphatikizapo kuyika kamera m'matumbo anu kuti muwone bwino momwe matumbo anu alili.
Kodi mankhwala a diverticulitis ndi ati?
Chithandizo chimadalira kuopsa kwa zizindikiro zanu komanso ngati muli ndi zovuta zilizonse kapena ayi.
Mankhwala omwe angachitike kunyumba (osapitirira muyeso)
Ngati zizindikiro sizili zazikulu kwambiri, dokotala adzakulangizani kuti mudzichiritse nokha kunyumba.
- Zakudya Zamadzimadzi: Izi zikutanthauza kusiya kudya zakudya zolimba kwa masiku angapo ndikungodya zakumwa monga supu, phala, ndi madzi a zipatso. Izi zimapatsa matumbo mpumulo.
- Mankhwala Opha Utoto: Kuti muchepetse matenda, muyenera kumwa mankhwala opha utoto omwe dokotala wanu wakupatsani panthawi yomwe mwapatsidwa.
- Mankhwala Ochepetsa Ululu: Mutha kumwa mankhwala monga Paracetamol kuti muchepetse ululu. Komabe, samalani kwambiri ndi zomwe munene kenako.
Musagwiritse ntchito mankhwala awa!
Mukakhala ndi diverticulitis, NSAIDsMadokotala amalangiza kupewa mankhwala ochepetsa ululu omwe ali m'gulu la mankhwala otchedwa nonsteroidal anti-inflammatory drugs (NSAIDs), chifukwa amatha kuwonjezera chiopsezo cha kutuluka magazi m'matumbo. Mitundu ina ya mankhwala m'gululi ndi awa:
* Aspirin
* Ibuprofen
* Naproxen
Musagwiritse ntchito mankhwala ena ochepetsa ululu kupatula omwe dokotala wanu wakupatsani.
Chithandizo cha kuchipatala (Milandu yoopsa)
Ngati vutoli ndi lalikulu, ngati kutentha thupi sikutsika, ngati mukusanza, kapena ngati pali zovuta, muyenera kupita kuchipatala kuti mukalandire chithandizo.
- Mankhwala a IV: Maantibayotiki ndi ochepetsa ululu amaperekedwa kudzera mu mzere wa saline (mzere wa IV).
- Kuika Magazi: Ngati mwataya magazi ambiri, mungafunike kuikidwa magazi.
- Kutulutsa madzi m'chifuwa: Ngati chifuwa chatuluka, chingafunike kuchotsedwa madzi pogwiritsa ntchito chubu.
- Opaleshoni: Ngati matumbo athyoka, ali ndi fistula, kapena ali ndi mavuto ena akuluakulu, opaleshoni ingafunike kuchotsa gawo lowonongeka la matumbo (colectomy). Nthawi zina, pangafunike kutsegula kwakanthawi m'mimba (colostomy) kuti chopondapo chilowe.
Kodi diverticulitis ingalepheretsedwe kubwereranso?
Inde, mpaka pamlingo winawake n'zotheka. Kusintha moyo wanu ndi zakudya zanu kungachepetse kwambiri chiopsezo choti izi zibwerezenso.
1. Idyani zakudya zokhala ndi ulusi wambiri: Idyani zakudya zokhala ndi ulusi wambiri monga ndiwo zamasamba, zipatso, nyemba, ndi tirigu wonse (mpunga wokhala ndi mphukira, ufa wa atta). Izi zimafewetsa ndowe ndipo zimapangitsa kuti zikhale zosavuta kuzichotsa.
2. Imwani madzi ambiri: Imwani malita osachepera 2-3 a madzi patsiku. Izi zidzafewetsanso ndowe.
3. Kuchita masewera olimbitsa thupi nthawi zonse: Kuchita masewera olimbitsa thupi tsiku ndi tsiku, monga kuyenda kapena kuthamanga, ndi kwabwino kwambiri pakugwira ntchito kwa m'mimba.
Nthano yakale, chowonadi chatsopano: Kale, anthu omwe ali ndi matenda a diverticulosis ankauzidwa kuti asadye mtedza, mbewu, kapena mbewu zazing'ono, monga acorns, poopa kuti mbewu ingalowe m'thumba laling'ono limenelo. Komabe, kafukufuku waposachedwapa wasonyeza kuti iyi ndi nthano chabe. Mtedza ndi chakudya chodzaza ndi ulusi komanso chopatsa thanzi . Chifukwa chake madokotala tsopano akunena kuti palibe chifukwa choopa, ndikudya ngati gawo la zakudya zoyenera.
Ngati muli ndi mafunso ena okhudza izi, chonde lankhulani ndi dokotala wanu ndipo mufotokozereni.
Uthenga Wopita Nawo Kunyumba
- Diverticulitis ndi matenda opatsirana komanso kutupa kwa matumba ang'onoang'ono m'matumbo akulu. Chizindikiro chachikulu ndi kupweteka kwambiri m'mimba, makamaka kumanzere.
- Ngati muli ndi ululu waukulu m'mimba pamodzi ndi zizindikiro monga malungo ndi nseru, musanyalanyaze ngati kupweteka m'mimba kokha ndipo pitani kwa dokotala nthawi yomweyo.
- Chithandizo chimaphatikizapo kupuma m'mimba, maantibayotiki, ndi mankhwala ochepetsa ululu.
- Chofunika kwambiri: Musagwiritse ntchito mankhwala ochepetsa ululu a NSAID monga Aspirin kapena Ibuprofen pa ululu. Izi zimawonjezera chiopsezo cha kutuluka magazi. Gwiritsani ntchito mankhwala okhawo omwe dokotala wanu wakupatsani.
- Kudya zakudya zokhala ndi ulusi wambiri, kumwa madzi ambiri, komanso kuchita masewera olimbitsa thupi kungathandize kupewa kubwereranso kwa matendawa. Musaope kudya mtedza.
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