Kodi mwakhala ndi matumba ang'onoang'ono (diverticulosis) m'matumbo anu? Tiyeni tikambirane izi!

Kodi munamvapo za matumba ang'onoang'ono omwe amapangika m'matumbo? Mwina dokotala wanu anakuuzanipo za izi, kapena mwina wina amene mumamudziwa ali nazo. Izi ndi zomwe timatcha `(Diverticulosis)`. Musadandaule, izi ndi matenda ofala omwe amakhudza anthu ambiri.

Kodi ichi ndi chiyani (Diverticulosis)?

Mwachidule, diverticulosis ndi kukula kwa matumba ang'onoang'ono kapena matumba m'kati mwa matumbo anu. Taganizirani ngati malo ofooka mu chubu chakale cha njinga, komwe matumba ang'onoang'ono kapena matumba amatuluka. Pakapita nthawi, matumbo anu amatuluka kudzera m'malo ofooka pakhoma. Pamene tikugaya chakudya ndi pamene zinyalala zikuyenda m'matumbo, matumba awa amapangidwa pang'onopang'ono.

Mawu akuti `(Diverticulosis)` amachokeranso ku mawu achingerezi akuti `divert'. Amatanthauza `kutembenukira kumbali'. Dzinali limatchedwa chifukwa njira yomwe ili m'matumbo imawoneka ngati ikutembenukira ku matumba ang'onoang'ono awa. Timatcha matumba angapo otere `(Diverticula)`, ndi thumba limodzi `(Diverticulum)`. Izi nthawi zambiri zimayambira m'matumbo anu akuluakulu (`(Colon)`) , chifukwa ndi pomwe zinyalala za chakudya zimakhala ndi malo ambiri oti zikhuthale ndikukankhira makoma. Ndizofala kwambiri kumapeto kwa matumbo akulu, ndiko kuti, mu `(Sigmoid Colon)` .

Kodi kusiyana pakati pa `(Diverticulosis)` ndi `(Diverticulitis)` ndi kotani?

Tsopano mwina mukudabwa kuti pali kusiyana kotani pakati pa `(Diverticulosis)` ndi `(Diverticulitis)`. `(Diverticulosis)` ndi vuto lomwe muli ndi matumba (`(Diverticula)`) m'matumbo anu, monga ndanenera kale. Komabe, `(Diverticulitis)` ndi pamene thumba lanu limodzi kapena angapo limatupa, zomwe zikutanthauza kuti limatupa ndi kutenga kachilomboka. Nthawi zambiri, izi zimachitika chifukwa cha matenda a bakiteriya (`( Matenda a Bakiteriya)`). Kungokhala ndi matumba sikungakhale vuto lalikulu. Komabe, matumba awa ndi malo abwino oti mabakiteriya abisale ndikuswana. Chifukwa chake ngati mutakhala ndi `(Diverticulitis)`, mutha kukumana ndi zizindikiro monga kupweteka m'mimba ndi malungo.

Kodi Diverticulosis ndi matenda oopsa?

Kukhala ndi diverticulosis si nkhani yaikulu. Anthu ambiri samakhala ndi zizindikiro kapena mavuto. Komabe, nthawi zambiri, zimakhala zoopsa. Mwachitsanzo, ngati mutatenga matenda (otchedwa diverticulitis) ndipo sanalandire chithandizo choyenera, zingayambitse matenda aakulu monga sepsis (matenda a magazi). Komanso, anthu ochepa kwambiri amatha kutuluka magazi m'matumba amenewa pafupipafupi. Ngati zimenezo zitachitika, mutha kutaya magazi ambiri m'thupi lanu ( kutaya magazi kwambiri).

Kodi matenda a Diverticulosis ndi ofala bwanji?

Ndikofala kwambiri m'maiko akumadzulo, makamaka pamene tikukalamba. Ku United States, 30% ya anthu opitirira zaka 50, 50% ya anthu opitirira zaka 60, ndi 75% ya anthu opitirira zaka 80 ali ndi diverticulosis. Nthawi zambiri imapezeka m'matumbo a sigmoid. Sichifala kwambiri kwa anthu osapitirira zaka 40. Komanso sichifala kwambiri m'maiko monga Africa ndi Asia omwe amadya zakudya zochepa zokonzedwa kuposa m'maiko akumadzulo.

Kodi zizindikiro za `(Diverticulosis)` ndi ziti?

Anthu ambiri samakhala ndi zizindikiro akakhala ndi `(Diverticulosis)`. Mwina simungadziwe kuti muli ndi matendawa. Komabe, ngati muli ndi zizindikiro monga kupweteka m'mimba ndi malungo , mwina chifukwa cha matenda (`(Diverticulitis)`).

Nthawi zina, ngati muli ndi vuto lina m'matumbo mwanu, monga Irritable Bowel Syndrome (IBS) kapena Inflammatory Bowel Disease (IBD), matumba awa otchedwa diverticula amatha kukhala omasuka kwambiri ndi kukakamizidwa. Izi zingayambitse kumva kukhuta ndi kupweteka pamene chakudya chikudutsa m'matumba awa. Ngati muli ndi kudzimbidwa , ndowe zolimba zimatha kulowa m'matumba awa, zomwe zimapangitsa kuti vutoli likhale loipa kwambiri.

Pafupifupi 10% ya anthu omwe ali ndi diverticulosis amatha kutuluka magazi kuchokera m'matumba awa (diverticulum bleeding). Izi zimachitika pamene mtsempha wamagazi m'thumba umang'ambika kapena kung'ambika pamene ndowe zolimba zimadutsamo. Nthawi zambiri, izi zimasiya pakapita kanthawi ndipo sizimapweteka. Komabe, ngati zitatero, mungazindikire magazi atsopano m'ndowe mwanu. Ngati muli ndi mtundu uwu wa magazi, ngati muli ndi zizindikiro zomwe zikupitirira, kapena ngati muli ndi mavuto chifukwa cha diverticulosis, amatchedwa matenda a diverticular.

Kodi chifukwa chachikulu cha diverticulosis ndi chiyani?

Ofufuza amakhulupirira kuti chifukwa chachikulu cha diverticulosis ndi zakudya za ku Western. Izi zikutanthauza kuti, zakudya zopanda ulusi wambiri komanso zokhala ndi starch yambiri yokonzedwa. Mtundu uwu wa zakudya umapangitsa kuti ndowe zikhuthale ndikuyenda pang'onopang'ono m'matumbo, ndipo matumbo satsukidwa bwino. Izi zili choncho chifukwa ndowe zimakhala zokhuthala zikamayenda, ndichifukwa chake diverticulosis nthawi zambiri imachitika m'chigawo chomaliza cha matumbo akuluakulu (sigmoid colon).

Kodi pali zinthu zina zomwe zingakubweretsereni mavuto?

Pakhozanso kukhala ndi chikoka cha majini. Ngakhale kuti zakudya za kumadzulo zimadya, zimakhala zofala kwambiri pakati pa azungu aku America, azungu, ndi aku Australia kuposa pakati pa anthu akuda kapena mafuko ena. Komanso, ofufuza apeza kuti anthu akumayiko aku Asia akadwala matenda a diverticulosis, amayamba kukula m'malo ena a m'matumbo - chiyambi osati mapeto. Izi ndizofalanso pakati pa anthu aku Japan ku Hawaii.

Kodi mungazindikire bwanji `(Diverticulosis)`?

Dokotala amatha kuwona ma polyps awa panthawi ya colonoscopy yachizolowezi kapena GI X-ray. Diverticulosis nthawi zambiri imapezeka motere chifukwa nthawi zambiri siimayambitsa zizindikiro. Koma ngati muli ndi zizindikiro, dokotala wanu adzayesa kupeza chomwe chimayambitsa pang'onopang'ono. Adzakuyang'anani pokufunsani za mbiri yanu yachipatala, mankhwala omwe mumamwa, zakudya zanu, komanso matumbo anu.

Ndi mayeso otani omwe amachitidwa kuti adziwe vutoli?

Mungathe kuchita izi ngati mayeso:

• Kuyezetsa Thupi: Dokotala adzayang'ana zizindikiro za moyo wanu, adzakhudza mimba yanu, ndikumvetsera matumbo anu akumveka. Akhozanso kuyika chala chovala magolovesi mu rectum yanu ( Digital Rectal Exam ).
• Kuyezetsa Magazi: Chitsanzo chaching'ono cha magazi chimatengedwa kuchokera mumtsempha womwe uli m'dzanja lanu ndikutumizidwa ku labu. Kuyezetsa magazi kumatha kuwona ngati muli ndi matenda kapena ngati mukutuluka magazi ambiri mkati.
• Kuyesa Chimbudzi : Chitsanzo cha chimbudzi chanu chimatengedwa ndikuyesedwa mu labu. Kuyesa chimbudzi kumatha kuwona zizindikiro za matenda kapena kutuluka magazi m'mimba (Kutuluka magazi m'mimba (GI).
• Mayeso Ojambula: Dokotala adzagwiritsa ntchito mayeso ojambulira zithunzi monga CT scan, barium enema , flexible sigmoidoscopy, kapena colonoscopy kuti aone ngati pali zotupa izi ndi zovuta zilizonse zokhudzana nazo.

Kodi mankhwala a `(Diverticulosis)` ndi ati?

Anthu ambiri safunikira chithandizo cha diverticulosis. Komabe, dokotala wanu angakulangizeni kuti muwonjezere ulusi wambiri muzakudya zanu. Izi ndichifukwa chothana ndi chomwe chimayambitsa diverticulosis ndikupewa mavuto omwe amayamba chifukwa cha zizindikiro zina, monga kudzimbidwa ndi kutupa. Ulusi wowonjezerawu umathandiza kuti ndowe ziziyenda mosavuta m'matumbo akulu, zomwe zimathandiza kuyeretsa m'matumbo pamene akutuluka.

Pafupifupi anthu 3% angafunike chithandizo kuti asiye kutuluka magazi m'magazi. Izi nthawi zambiri zimachitika panthawi ya colonoscopy. Ngati dokotala wa gastroenterologist (dokotala yemwe ndi katswiri pa kugaya chakudya) apeza malo otuluka magazi panthawi ya colonoscopy, akhoza kuyika zida kudzera mu colonoscopy kuti atseke mtsempha wamagazi wosweka. Kapenanso, dokotala angagwiritse ntchito angiogram kuti apeze malo otuluka magazi kenako n’kubaya mankhwala m’mitsempha yamagazi kuti asiye kutuluka magazi.

Kodi Diverticulosis ingapewedwe?

Kudya zomera zambiri ndi chakudya chonse, kuchita masewera olimbitsa thupi nthawi zonse, komanso kumwa madzi okwanira tsiku lililonse kungathandize kuti matumbo anu azikhala athanzi komanso okhazikika. Izi zingathandize kupewa diverticulosis. Ngati muli kale ndi diverticulosis, zinthuzi zingathandize kupewa zatsopano. Ngakhale izi sizikutsimikizika, zizolowezi zabwinozi nthawi zambiri zimathandiza kupewa matenda ambiri a m'matumbo otsika.

Kodi tingayembekezere chiyani ngati vutoli lilipo?

Ngati simunakhalepo ndi zizindikiro kapena mavuto aliwonse chifukwa cha diverticulosis, mwina simudzakhalapo. Komabe, ngati muli ndi matenda ena omwe amavutitsa diverticulosis, monga kudzimbidwa, IBS, kapena IBD, mungakhale pachiwopsezo chachikulu chotenga zizindikiro. Anthu ochepa kwambiri amakhala ndi nthawi yotuluka magazi mobwerezabwereza. Anthuwa angafunike chithandizo mobwerezabwereza kuti asiye kutuluka magazi kapena kuwongolera kutuluka magazi.

Kodi Diverticulosis ikhoza kuthetsedwa?

Mukadwala matenda a diverticula, pakadali pano palibe njira yowachotsera. Anthu ambiri alibe vuto nawo, koma ngati akukuvutitsani, muyenera kusintha moyo wanu moyenera.

Kodi ndimadzisamalira bwanji ndikakhala ndi matenda a diverticulosis?

Kaya muli ndi zizindikiro za diverticulosis kapena ayi, kukhala ndi vutoli kumatanthauza kuti mungapindule powonjezera ulusi wambiri muzakudya zanu . Njira yabwino yochitira izi ndikudya tirigu wambiri, zipatso, ndi ndiwo zamasamba. Anthu ena amagwiritsa ntchito zowonjezera ulusi monga psyllium. Chofunika kwambiri ndikumwa madzi ambiri mukamamwa ulusi kuti uyende bwino m'matumbo mwanu. Kupanda kutero, kudzimbidwa kumatha kukulirakulira.

Ngati muli ndi matenda a diverticular (omwe amadziwikanso kuti diverticulosis), muyenera kuyang'anira zizindikiro zanu kuti muzizilamulira. Mwachitsanzo, onani ngati zakudya zina zimapangitsa kuti zizindikiro zanu zikhale zovuta kwambiri, kapena ngati mankhwala ena omwe mumamwa amakhudza zizindikiro zanu. Ngati muli ndi kutuluka magazi m'matumbo, ngakhale zitatha zokha, onetsetsani kuti mwauza dokotala wanu. Izi ziwathandiza kuonetsetsa kuti simutaya magazi ambiri.

Kodi diverticulosis ingathe kuchitika kunja kwa colon?

Diverticula imatha kufalikira kulikonse m'mimba mwanu, kuphatikizapo matumbo ang'onoang'ono, m'mimba, komanso m'mero. Komabe, izi sizimachitika kawirikawiri. Nthawi zambiri zimayamba chifukwa cha vuto lina, monga vuto la kuyenda lomwe limapangitsa kuti chakudya chizivuta kuyenda m'mimba. Meckel's diverticulum ndi vuto lobadwa nalo lomwe limapezeka m'matumbo ang'onoang'ono.

Kwa anthu ambiri, diverticulosis si vuto lalikulu. Nthawi zambiri dokotala amaipeza akamayesa matenda nthawi zonse. Ngati muli ndi zaka zoposa 40, si vuto lalikulu. Komanso, ngati sizikuyambitsa zizindikiro, mutha kukhala nokha. Koma ngati muli ndi zizindikiro, onetsetsani kuti mwalankhula ndi dokotala wanu za izi. Zitha kukhala zokhudzana ndi vuto lina, kapena mutha kukhala ndi matenda.

Uthenga womwe tikufuna kutenga kuchokera munkhaniyi ndi

Chabwino, ndikukhulupirira kuti mwamvetsa bwino za ``(Diverticulosis)'' yomwe tidakambirana lero.

Chofunika kwambiri kukumbukira ndichakuti ngakhale izi zimachitikira anthu ambiri, ambiri amatha kukhala popanda mavuto.

• Onjezerani zakudya zokhala ndi ulusi wambiri (masamba, zipatso, tirigu wonse) muzakudya zanu.
• Imwani madzi ambiri.
• Kuchita masewera olimbitsa thupi nthawi zambiri.
• Ngati mukumva zizindikiro monga kupweteka m'mimba, kutentha thupi, kapena magazi m'chimbudzi chanu, onetsetsani kuti mwapeza upangiri wa dokotala.

Si chinthu choopa, koma n'kofunika kudziwa!