Kodi munamvapo za kupangika kwa matumba ang'onoang'ono m'matumbo? Mwina dokotala wanu wakuuzanipo izi, kapena mukudziwa munthu wina amene akudwala vutoli. Ichi ndi chomwe timachitcha kuti Diverticulosis. Musadandaule—ichi ndi vuto lofala kwambiri lomwe limakhudza anthu ambiri.
Kodi Diverticulosis ndi chiyani?
Mwachidule, Diverticulosis imachitika pamene matumba ang'onoang'ono kapena matumba amakula m'kati mwa matumbo anu. Taganizirani izi ngati chubu chamkati cha njinga chomwe chatha kumene thovu laling'ono limatuluka kuchokera ku malo ofooka. Pakapita nthawi, mkati mwa matumbo mumadutsa m'malo ofooka awa a khoma la minofu. Pamene tikugaya chakudya, kupanikizika kuchokera ku zinyalala zomwe zimayenda m'matumbo kungayambitse matumba awa kupanga pang'onopang'ono.
Mawu akuti 'Diverticulosis' amachokera ku lingaliro la chinthu 'chopatuka' kapena chotembenukira kumbali. Chifukwa njira ya m'matumbo imawoneka ngati ikufalikira m'matumba ang'onoang'ono awa, ndi momwe idapezera dzina lake. Gulu la matumba awa limatchedwa 'Diverticula,' pomwe thumba limodzi ndi 'Diverticulum.' Izi nthawi zambiri zimapangidwira m'matumbo anu, chifukwa apa ndi pomwe ndowe zimakhala zolimba ndipo zimapangitsa kuti makoma azipanikizika kwambiri. Zimapezeka kwambiri m'munsi mwa m'matumbo, komwe kumadziwika kuti Sigmoid Colon .
Kodi kusiyana pakati pa Diverticulosis ndi Diverticulitis ndi kotani?
Mwina mukudabwa za kusiyana pakati pa Diverticulosis ndi Diverticulitis. Diverticulosis imatanthauza kupezeka kwa matumba awa (Diverticula) m'matumbo. Mosiyana ndi zimenezi, Diverticulitis imatanthauza mkhalidwe umene thumba limodzi kapena angapo mwa matumbawa amatupa, kutupa, kapena kutenga kachilomboka. Izi nthawi zambiri zimachitika chifukwa cha matenda a bakiteriya. Ngakhale kuti kukhala ndi matumba okha sikungayambitse mavuto aakulu, matumba awa akhoza kukhala malo obisika kumene mabakiteriya amakula. Ngati mutakhala ndi Diverticulitis, mutha kukumana ndi zizindikiro monga kupweteka m'mimba ndi malungo.
Kodi Diverticulosis ndi matenda oopsa?
Kawirikawiri, kungokhala ndi Diverticulosis si vuto lalikulu. Anthu ambiri samakhala ndi zizindikiro kapena mavuto. Komabe, nthawi zina, zimatha kukhala zoopsa. Mwachitsanzo, ngati mutenga matenda (Diverticulitis) ndipo sachiritsidwa, zingayambitse matenda oopsa monga Sepsis (matenda a m'magazi). Kuphatikiza apo, mwa anthu ochepa kwambiri, matumba awa amatha kutuluka magazi pafupipafupi. Ngati izi zitachitika, mumakhala pachiwopsezo chotaya magazi kwambiri .
Kodi matenda a Diverticulosis ndi ofala bwanji?
Izi ndi vuto lofala kwambiri m'maiko akumadzulo, makamaka pamene tikukalamba. Ku United States, kafukufuku akusonyeza kuti 30% ya anthu opitirira zaka 50, 50% ya anthu opitirira zaka 60, ndi 75% ya anthu opitirira zaka 80 ali ndi Diverticulosis. Nthawi zambiri, matendawa amapezeka mu Sigmoid Colon. Ndi osowa kwambiri kwa anthu osapitirira zaka 40. Kuphatikiza apo, matendawa sapezeka kawirikawiri m'maiko omwe zakudya zawo zimakhala ndi zakudya zochepa zokonzedwa poyerekeza ndi mayiko akumadzulo.
Kodi zizindikiro za Diverticulosis ndi ziti?
Anthu ambiri omwe ali ndi Diverticulosis sasonyeza zizindikiro zilizonse; mwina simukudziwa kuti muli ndi matendawa. Komabe, ngati mukumva zizindikiro monga kupweteka m'mimba kapena malungo , mwina chifukwa cha matenda (Diverticulitis).
Nthawi zina, ngati muli kale ndi matenda monga Irritable Bowel Syndrome (IBS) kapena Inflammatory Bowel Disease (IBD), ma Diverticula amenewa amatha kukhala osavuta kukhudzidwa ndi kupanikizika, zomwe zimapangitsa kuti mudzimbidwe kapena kusasangalala pamene chakudya chikudutsa. Ngati mukuvutika ndi kudzimbidwa , ndowe zolimba zimatha kukodwa m'matumba awa, zomwe zimapangitsa kuti vutoli liwonjezeke.
Pafupifupi 10% ya anthu omwe ali ndi Diverticulosis amatha kutuluka magazi pang'ono (Diverticular bleeding). Izi zimachitika ngati chopondapo cholimba chikakanda kapena kutambasula mtsempha wamagazi mkati mwa thumba mpaka chikasweka. Nthawi zambiri, izi zimakhala zosapweteka zomwe zimasiya zokha. Komabe, mutha kuwona magazi atsopano mu chopondapo chanu. Ngati muwona magazi, mukumva zizindikiro zosatha, kapena mukukumana ndi zovuta, timatcha izi kuti Diverticular Disease.
Kodi chifukwa chachikulu cha Diverticulosis ndi chiyani?
Ofufuza amakhulupirira kuti chifukwa chachikulu ndi njira yodyera ya Kumadzulo—makamaka yomwe ili ndi ulusi wochepa komanso starch yambiri yokonzedwa. Zakudya zimenezi zimapangitsa kuti zinyalala zikhale zovuta, zomwe zimapangitsa kuti ziziyenda pang'onopang'ono m'matumbo, zomwe zimalepheretsa matumbo kutuluka bwino. Zinyalala zikamayenda ndikukhala zolimba, zimapangitsa kuti zinyalalazi zipangike mu Sigmoid Colon.
Kodi pali zinthu zina zomwe zingakubweretsereni mavuto?
Majini nawonso angathandize. Ngakhale kusiya zakudya za kumadzulo, vutoli limapezeka kwambiri pakati pa azungu aku America, azungu, ndi aku Australia kuposa mafuko ena. Ofufuza awonanso kuti anthu aku Asia akayamba matenda a Diverticulosis, amayamba kupangika m'malo ena a m'matumbo—chiyambi osati kumapeto. Izi zimadziwikanso mwa anthu aku Japan omwe amakhala ku Hawaii.
Kodi matenda a Diverticulosis amawapeza bwanji?
Dokotala angazindikire matumba awa panthawi ya Colonoscopy kapena GI X-ray. Umu ndi momwe Diverticulosis nthawi zambiri imapezeka, chifukwa nthawi zambiri siimayambitsa zizindikiro. Komabe, ngati muli ndi zizindikiro, dokotala wanu adzafufuza pang'onopang'ono chomwe chimayambitsa matendawa powunikanso mbiri yanu yachipatala, mankhwala omwe alipo, zakudya zomwe mumadya, ndi matumbo anu.
Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira vutoli?
Njira zodziwira matenda zingaphatikizepo:
- Kuyezetsa Thupi: Dokotala wanu adzayang'ana Zizindikiro Zanu Zofunikira , adzayesa mimba yanu (kugunda), ndikumvetsera mawu a m'mimba. Akhozanso kuchita Kuyezetsa kwa Digital Rectal .
- Kuyezetsa Magazi: Kuyezetsa magazi kungatengedwe kuti muwone ngati pali zizindikiro za matenda kapena kutuluka magazi ambiri mkati mwa thupi.
- Kuyesa Chimbudzi : Chitsanzo chingayesedwe kuti chizindikire zizindikiro za matenda kapena kutuluka magazi m'mimba (GI).
- Mayeso Ojambula: Dokotala wanu angagwiritse ntchito CT scan, Barium Enema , Flexible Sigmoidoscopy, kapena Colonoscopy kuti aone ngati pali zovuta zilizonse zokhudzana ndi matendawa.
Kodi mankhwala a Diverticulosis ndi ati?
Anthu ambiri safuna chithandizo chamankhwala cha Diverticulosis . Komabe, dokotala wanu angakulangizeni kuti muwonjezere kuchuluka kwa ulusi muzakudya zanu. Izi zimachitika kuti muthane ndi vuto la kupangika kwa diverticula komanso kupewa mavuto monga kudzimbidwa kapena kutupa. Ulusi wambiri umathandiza kuti ndowe zidutse bwino m'matumbo, komanso zimagwira ntchito ngati chotsukira chachilengedwe cha kugaya chakudya.
Kwa anthu pafupifupi 3%, chithandizo chingafunike kuti asiye kutuluka magazi m'mitsempha . Izi nthawi zambiri zimachitidwa panthawi ya Colonoscopy . Ngati dokotala wa gastroenterologist apeza malo omwe magazi amatuluka, angagwiritse ntchito zida zapadera zomwe zimadutsa mu Colonoscopy kuti atseke mtsempha wamagazi womwe wakhudzidwa. Kapena, dokotala angagwiritse ntchito Angiogram kuti adziwe komwe kwachokera ndikubaya mankhwala mwachindunji m'mitsempha kuti magazi asiye kutuluka.
Kodi Diverticulosis ingapewedwe?
Kudya zakudya zambiri zochokera ku zomera ndi zakudya zonseKuchita masewera olimbitsa thupi nthawi zonse, komanso kukhala ndi madzi okwanira tsiku lililonse kungathandize kuti matumbo anu azikhala athanzi komanso okhazikika. Zizolowezi zimenezi zingathandize kupewa matenda a Diverticulosis. Ngati mwapezeka kale ndi matendawa, njira izi zingathandize kuchepetsa chiopsezo chopanga matumba atsopano. Ngakhale kuti si chitsimikizo, njira zabwino zokhalira ndi moyo wathanzi zimathandiza kwambiri popewa matenda ambiri am'mimba.
Kodi ndingayembekezere chiyani ngati ndili ndi vutoli?
Ngati muli ndi Diverticulosis ndipo simunakumanepo ndi zizindikiro kapena zovuta zilizonse, n'zotheka kuti simudzakhalapo. Komabe, ngati muli ndi matenda ena monga kudzimbidwa, IBS , kapena IBD omwe amakupangitsani kukhala ndi vutoli, mungakhale ndi chiopsezo chachikulu cha zizindikiro zobwerezabwereza. Anthu ochepa amakumana ndi Recurrent Bleeding Episodes , zomwe zingafunike chithandizo chamankhwala nthawi zonse kuti muchepetse kutuluka magazi kapena kuthana ndi vuto la kuchepa kwa magazi m'thupi.
Kodi Diverticulosis ikhoza kuthetsedwa?
Diverticula ikangoyamba, palibe njira yodziwika yowachotsera. Kwa anthu ambiri, sizimayambitsa mavuto; komabe, ngati atakhala vuto, mungafunike kusintha moyo wanu moyenera.
Kodi ndimadzisamalira bwanji ndi matenda a Diverticulosis?
Kaya muli ndi zizindikiro kapena ayi, ngati mwapezeka ndi Diverticulosis, kuwonjezera ulusi wambiri muzakudya zanu kungakhale kopindulitsa kwambiri. Njira yabwino yokwaniritsira izi ndikudya tirigu wambiri, zipatso, ndi ndiwo zamasamba. Anthu ena amagwiritsa ntchito zowonjezera ulusi monga Psyllium . Chofunika kwambiri ndichakuti mukawonjezera ulusi, muyenera kumwa madzi ambiri kuti udutse m'matumbo; apo ayi, kudzimbidwa kumatha kuipiraipira.
Ngati muli ndi matenda a Diverticular Disease (kutanthauza kuti muli ndi zizindikiro za Diverticulosis), muyenera kuyang'anira zizindikiro zanu kuti muthane ndi vutoli. Mwachitsanzo, yang'anani ngati zakudya zina kapena mankhwala ena akuwonjezera zizindikiro zanu. Ngati muwona Kutuluka kwa Magazi m'thupi , ngakhale zitasiya zokha, nthawi zonse dziwitsani dokotala wanu kuti atsimikizire kuti simukutaya magazi ambiri.
Kodi Diverticulosis ingathe kuchitika kunja kwa colon?
Diverticula imatha kupangika kulikonse m'mimba mwanu, kuphatikizapo Matumbo Ang'onoang'ono , M'mimba , komanso M'mero ( Esophageal Diverticulum ). Komabe, milandu iyi ndi yosowa kwambiri ndipo nthawi zambiri imachitika ngati vuto la vuto lina, monga Matenda Oyenda Motility omwe amachititsa kuti chakudya chizivuta kuyenda bwino m'mimba. Meckel's Diverticulum ndi vuto lobadwa nalo lomwe limapezeka m'matumbo ang'onoang'ono.
Kwa anthu ambiri, Diverticulosis si chinthu chodetsa nkhawa. Dokotala angachipeze mwangozi akamayesedwa nthawi zonse. Ngati muli ndi zaka zoposa 40, izi ndi zomwe zimachitika kawirikawiri. Ngati simuli ndi zizindikiro, mutha kupitiriza moyo wanu watsiku ndi tsiku. Komabe, ngati mukumva zizindikiro, chonde funsani dokotala wanu kuti athetse matenda ena kapena matenda omwe angakhalepo.
Zofunikira zazikulu zaku Nirogi Lanka
Tikukhulupirira kuti izi zikukuthandizani kumvetsetsa bwino za Diverticulosis.
Kumbukirani, ngakhale kuti vutoli ndi lofala kwambiri, anthu ambiri amakhala nalo popanda vuto lililonse.
- Phatikizani zakudya zokhala ndi ulusi wambiri (masamba, zipatso, tirigu wonse) muzakudya zanu.
- Khalani ndi madzi okwanira m'thupi mwa kumwa madzi ambiri.
- Kuchita masewera olimbitsa thupi nthawi zonse.
- Ngati mukumva zizindikiro monga kupweteka m'mimba, kutentha thupi, kapena ndowe zamagazi, pitani kuchipatala nthawi yomweyo.
Palibe chifukwa chochita mantha, koma kukhala ndi chidziwitso nthawi zonse ndiyo njira yabwino kwambiri!
