Ese uduheri duto twibasira amara kandi tugoranye kuyavura? Reka tuvuge kuri (Diverticulitis)!

Ese hari igihe ubabara mu nda, cyane cyane mu gice cyo hasi cy'ibumoso cy'inda yawe? Cyangwa hari igihe wumva ufite umuriro no kubyimba? Ibi bishobora kuba ibimenyetso by'indwara zimwe na zimwe, nubwo rimwe na rimwe tutabyitaho cyane. Niyo mpamvu iyi ndwara, isaba kwitabwaho gato, yitwa `(Diverticulitis). Reka tubiganireho birambuye uyu munsi, sibyo?

Iyi `(Diverticulitis)` ni iki?

Mu magambo make, diverticulitis ni igihe uduce duto twibasira imbere mu mara yawe - tuyita diverticula - turwara, tukagira inkovu, kandi tukagira ubushyuhe. Tekereza nk'uduheri duto twibasira urukuta rw'amara yawe, hanyuma uduce tw'ibiryo n'umwanda bikabikwamo, bigatuma bagiteri zikurura zikakwanduza.

Abantu benshi bakura utu dupfunyika twitwa `(Diverticula)` mu mara yabo uko bagenda bakura. Iyi ndwara tuyita `(Diverticulosis)`. Ni ukuvuga ko utwo dupfunyika tuba turi mu mara, ariko ntabwo duteza ibibazo. Ariko si buri wese ufite ikibazo kuri ibi. Ariko, ni igihe kamwe muri utwo dupfunyika kanduye gusa ububabare bukomeye n'ibindi bimenyetso bitangira kugaragara. Iyo ibyo bibaye, bivuze ko hari `ubwandu` imbere muri two, kandi ugomba kwihutira kwivuza.

Indwara ya Diverticulitis ikunze kugaragara gute?

Diverticulosis navuze mbere, ari na yo miterere y'udupfunyika duto mu mara, ishobora kugaragara ku bantu benshi bamaze imyaka 50-60. Ariko, kwandura kw'utwo dupfunyika, byitwa diverticulosis, ntabwo bikunze kugaragara cyane. Abantu bagera kuri 4% bafite diverticulosis barwara diverticulosis. Ibyo bivuze ko iyo abantu ijana barwaye diverticulosis, bane gusa ni bo bazarwara diverticulosis. Ariko iyo ibaye rimwe, hari amahirwe 20% yo kongera kubaho. Kubwibyo, ni byiza ko abayirwaye rimwe bitonda gato.

Ese hari ubwoko butandukanye bwa diverticulitis?

Yego, abaganga babigabanyamo uburyo bubiri bw'ingenzi:

1. Diverticulitis ikabije kandi idakira .

2. Ntabwo bigoye kandi bigoye (Diverticulitis).

Noneho reka turebe buri kimwe muri ibi.

Diverticulitis ikabije / idakira ni iki?

Diverticulitis ikunze gutangira nk'ikibazo gikomeye. Ibi bivuze ko indwara iza mu buryo butunguranye, ikababara cyane kandi ikagira ibimenyetso bisa n'umuriro, hanyuma ikagenda ikira mu minsi mike imaze kuvurwa.

Ariko kuri bamwe, bishobora kugaruka. Nk'uko bamwe bagira indwara zigaruka nka asima. Ku bandi, ubwandu bushobora kuba budakira. Ni ukuvuga ko butagenda bukira burundu, ariko bukomeza kwiyongera. Hari ibitekerezo bitandukanye ku mpamvu ibi bibaho. Bishobora guterwa n'uko indwara itunguranye idakira burundu, cyangwa se ikaba ifitanye isano n'indi ndwara y'igihe kirekire mu mara yawe.

Diverticulitis idakomeye / igoye ni iki?

Akenshi, hafi 80% by'abarwayi, diverticulitis ntigorana. Ibyo bivuze ko ikibazo ari ubwandu buri mu mifuka y'amara, rimwe na rimwe ni ubwandu buke. Iyo buvuwe neza, bushobora gukira byoroshye.

Diverticulitis irushaho kugorana iyo ubwandu buteye izindi ngorane. Ibi bishobora kuba bikomeye cyane. Urugero, ubwandu bukomeye bushobora gutuma diverticulum (agafuka) gacika. Ibi bishobora gutuma ibiri mu mara biva mu nda. Ubwandu bw'igihe kirekire bushobora gutera inkovu mu mara, bigatera kuziba amara.

Ni ibihe bimenyetso bya `(Diverticulitis)`?

Ibi bimenyetso bishobora gutandukana bitewe n'umuntu ku wundi, ariko ibintu by'ingenzi ushobora kubona ni ibi bikurikira:

• Kubabara mu nda: Iki ni cyo kimenyetso nyamukuru. Akenshi kiba gikomeye.
• Kubyimba cyangwa kumva amara afashe: Igifu gishobora kumva kibyimbye, kandi rimwe na rimwe gishobora kumva nk'aho igice cy'amara kiri gufata iyo kikozweho.
• Umuriro: Ushobora kurwara umuriro iyo umubiri wawe ushyushye cyane.
• Isesemi no kuruka: Kubura ubushake bwo kurya bishobora guherekezwa no kugira isesemi no kuruka.
• Kuva amaraso mu maraso: Amaraso ashobora kunyura mu mwanda .
• Kurya impatwe cyangwa impiswi: Kurya impatwe ni byo bikunze kugaragara cyane, ariko indwara nk'iz'impiswi nazo zishobora kubaho gake cyane.

Ububabare bumeze bute iyo ufite diverticulitis?

Waba ufite indwara ya diverticulitis itunguranye cyangwa indwara isanzwe itangiye, ububabare burasa cyane. Mu gihe cy’ububabare bukabije, ububabare bushobora kugaruka mu buryo butunguranye. Mu gihe cy’ububabare budakira, ububabare bushobora kwiyongera buhoro buhoro mu minsi myinshi. Ububabare bwumvikana neza aho diverticulum yanduye iri. Bushobora kumva nk’ububabare bukabije cyangwa ubushye. Ububabare bukunze kuva ku buringanire kugeza ku bukomere.

Ni hehe mu nda hari ububabare?

Iki ni ikintu gishimishije. Ku bantu bakomoka mu Burayi, utu dupfunyika twitwa `(Diverticula)` dukunze kugaragara mu gice cya nyuma cy'amara manini, cyitwa `(Sigmoid Colon)`. Aha hantu haba ibumoso bw'inda yawe yo hasi, hanyuma hagahindukira gato iburyo kugira ngo hahuzwe n'agace k'inyuma. Niyo mpamvu abantu benshi bagira ububabare bwa `(Diverticulitis)` ku ruhande rw'ibumoso rw'inda yabo yo hasi. Hari igihe ubu bubabare bwo hasi bw'inda bushobora gukwirakwira mu kibuno ndetse no mu mugongo.

Ariko, ku bantu bakomoka muri Aziya (nkatwe), iyi ndwara ya `(Diverticulosis)` ikunze kugaragara cyane mu gice cyo hejuru cy'iburyo cy'amara. Muri icyo gihe, ububabare bwa `(Diverticulitis)` bushobora guturuka mu gice cyo hejuru cy'iburyo cy'inda.

Ni izihe mpamvu zitera indwara ya diverticulitis?

Impamvu nyamukuru y’ubwandu bw’izi ndwara zo mu bwoko bwa diverticula ni uko mu nkuta zazo havuka umwobo muto cyangwa umwobo muto (`tear`), bigatuma bagiteri zinjira zigatera `infection`. Ariko, muri iki gihe, ntibiramenyekana neza niba umwobo utangira, cyangwa niba bagiteri ari zo zabanje kwandura.

Tekereza, niba ikintu kimeze nk'agace k'umwanda gifatiwe muri ako gafuka gato, ni ahantu heza ho gukura bagiteri. Hanyuma, bitewe n'ubwandu bwa bagiteri, ishobora kubyimba, igakomereka, kandi urukuta rw'iyo "(Diverticulum)" rushobora gucika.

Ku rundi ruhande, iyo urukuta rw'agapfunyika rucitse kubera indi mpamvu (urugero, igice gikomeye cy'umwanda mu gihe cyo kuva mu mwanda), ndetse na bagiteri zisanzwe ziba mu mara zishobora kwinjira byoroshye mu mwanda zikanatera ubwandu. Ubushakashatsi bumwe bwagaragaje ko indwara za virusi nka ``Cytomegalovirus - CMV`` zishobora no kugira uruhare mu iterambere rya ``(Diverticulitis)``.

Ese indwara ya Diverticulitis ni iy'umurava?

Diverticulitis ikunze kubaho ku bw'amahirwe. Ni ukuvuga ko atari indwara ivuka mu buryo butaziguye. Ariko, indwara yitwa diverticulosis, ari nayo ikorwa ry'udupfunyika mu mara, ishobora kugira ingaruka ku miterere y'umubiri. Urugero, nk'uko twabiganiriyeho mbere, bivugwa ko Abanyaburayi bafite udupfunyika twinshi mu gice kimwe cy'amara, mu gihe Abanyaziya bafite udupfunyika twinshi mu kindi gice. Ibi bishobora guterwa n'uturemangingo. Nanone, uturemangingo dushobora kugira ingaruka ku buryo umuntu ashobora kwandura indwara zidakira. Ibi birimo gukorwaho ubushakashatsi.

Ni izihe ngorane zishobora guterwa n'indwara ya diverticulitis?

Akenshi, hafi 80% by'abarwayi, diverticulitis irakira nta ngorane. Ariko, iyo ibaye ikomeye cyangwa igakomeza, ingorane zikurikira zishobora kubaho:

• Kuva amaraso mu gifu: Kuva amaraso aturutse kuri diverticula bishobora kuba bikomeye kandi bishobora no gutera amaraso make. Tekereza gato, nukomeza kuva amaraso, umubiri wawe uzatakaza amaraso, sibyo?
• Kuziba amara: Iyo kubyimba gukomeye, amara yawe ashobora kuziba by'agateganyo. Kuziba amara igihe kirekire bishobora gutera inkovu (stricture) no kuziba amara burundu.
• Fistula: Igice cy'amara cyanduye kandi cyangiritse gishobora guhuzwa n'undi muyoboro w'umubiri (urugero, amara mato, uruhago, cyangwa igitsina gore), bigatuma habaho umwenge udasanzwe hagati y'ibyo byombi.
• Kubyimba k'uruhago: Iyo ufite diverticulitis hafi y'uruhago rwawe, bishobora gutera kuziba no kwandura mu ruhago rwawe. Iyo fistula ivutse mu ruhago rwawe, ubwandu bushobora gukwirakwira aho hantu.
• Igituba: Igituba ni uruhurirane rw'ibibyimba bishobora gukenera gukurwamo amazi. Iyo bituritse, ubwandu bushobora gukwirakwira mu nda yawe (peritoneal cavity) bigatera indwara ikomeye yitwa peritonitis. Iki ni ikibazo cyihutirwa!
• Gutobora amara:Iyo diverticulum ibyimbye cyane ikavunika, bagiteri ziva mu mara zishobora kwinjira mu nda. Iyi ndwara yitwa peritonitis, ishobora gutera indwara ikomeye yitwa sepsis, ari yo ndwara ya bagiteri ikwirakwira mu mubiri wose. Iyi nayo ni ikibazo gikomeye cyane!

Icy'ingenzi: Izi ngorane ntiziba kuri buri wese, ariko ni byiza kumenya ko ibi bintu bishobora kubaho.

Ni ibihe bimenyetso by'indwara ya diverticulitis igoye?

Niba ufite ibi bimenyetso, ushobora kugira ingorane zikomoka kuri diverticulitis:

• Niba hari amaraso mashya mu mwenda.
• Iyo isura yera kandi umubiri ukumva nta buzima ufite (ibi bishobora kuba ikimenyetso cya `Anemia`).
• Niba wumva ukeneye kunyara kenshi , cyangwa niba ufite ubushye cyangwa ububabare igihe uri kunyara.
• Niba inda yawe ikomeye kandi ibabaza iyo uyikozeho (iki gishobora kuba ikimenyetso cya peritonitis).

Nubona ikintu nk'iki , hita ubonana na muganga.

Ni gute wasuzuma indwara ya `(Diverticulitis)`?

Niba wowe na muganga wawe musanzwe muzi ko ufite `(Diverticulosis)`, mushobora gukeka ko ari `(Diverticulosis)` bitewe n'ibimenyetso mufite. Ariko, abantu benshi ntibazi ko bafite `(Diverticulosis). Byongeye kandi, ibimenyetso bya `(Diverticulosis)` bishobora gusa n'iby'izindi ndwara nyinshi zo mu gifu.

Kubwibyo, muganga azakubaza ibimenyetso byawe kandi wenda agukorere ibizamini by'ibanze, nko gupima amaraso (`comprehensive metabolic panel`), gupima intebe, no gupima inkari.

Hanyuma, niba hakekwa ko hari ikibazo cyo kuvura indwara ya diverticulitis, hazakorwa ibizamini byo gufata amashusho kugira ngo byemezwe ko ari indwara. Gupima CT scan ni amahitamo meza. Bishobora kumenya vuba ingano y'ubwandu n'izindi ngorane zose. Hari ubwo muganga wawe ashobora gukenera kureba imbere mu mara yawe akoresheje icyuma gitanga urumuri (umuyoboro ufite kamera ifatanye na wo). Hari ingorane zimwe na zimwe zishobora kuvurwa icyarimwe na colonoscopy.

Ese indwara ya diverticulitis igenda ikira ubwayo?

Iyo indwara yoroheje kandi yoroshye , ishobora koroherwa ubwayo. Ariko ntutegereze gusa kugeza igihe ugiye kwa muganga. Ugomba kujya kwa muganga kugira ngo umenye neza ikibazo. Ushobora gukenera gufata imiti igabanya ububabare. Hari abantu bashobora no gukenera imiti igabanya ububabare yanditswe na muganga. Muganga wawe azaguha amabwiriza y'uko waguma mu rugo kugeza igihe uzakira. Bizatwara icyumweru kimwe kugira ngo ukire. Ni ngombwa gukomeza kuvugana na muganga wawe muri icyo gihe.

Ni gute wavura indwara ya diverticulitis mu rugo?

Iyo muganga wawe abikwemereye, ushobora kubivura uri mu rugo mu buryo bukurikira:

• Indyo y'amazi: Kwirinda ibiryo bikomeye biha amara yawe ikiruhuko kandi bigufasha gukira indwara. Muganga wawe azakubwira neza ibyo urya n'igihe ugomba kumara kuri iyi ndyo.
• `Antibiyotike` zo kwa muganga: Si buri wese uzikeneye, ariko nuzikenera, muganga wawe azaguha imiti yo kujyana mu rugo. Ubwoko bwa `antibiyotike` buterwa n'ubwoko bwa `ubwandu` ufite.
• Acetaminophen: Mu miti igabanya ububabare itangwa na muganga (OTC) iboneka muri farumasi, ni byiza gukoresha ikintu nka Acetaminophen (urugero: Tylenol®).

Imiti idakwiye gukoreshwa mu gihe ufite indwara ya diverticulitis

Abaganga bagira inama yo kwirinda gukoresha imiti igabanya ububabare itari iya steroide (NSAIDs) iyo ufite diverticulitis, kuko ishobora kongera ibyago byo kuva amaraso mu nda. Iyi miti igabanya ububabare irimo:

• Asipirine (urugero: Bayer® cyangwa St. Joseph®)
• `Ibuprofen` (urugero: `Motrin®` cyangwa `Advil®`)
• `Naproxen sodium` (urugero: `Aleve®`)

Bigenda bite iyo diverticulitis itavuwe?

Niba ufite indwara yoroheje cyane kandi idafite ingorane, ushobora kudakenera kuvurwa. Ariko ugomba kubwira muganga wawe ibijyanye n'indwara yawe yo mu bwoko bwa diverticulitis. Iyo utabikoze, ushobora kuzagira indwara ikomeye ndetse n'ingorane. Hari indwara zimwe na zimwe zidakira zidafite imiti yica udukoko cyangwa imiti igabanya ubukana bw'imiti. Indwara zidakira zishobora gutera izindi ngorane. Ububabare bushobora no kuba bukomeye.

Ni iki wakora kugira ngo ukire indwara ya diverticulitis?

Niba uburyo bworoshye bwo kuvura mu rugo budafasha, cyangwa niba ufite indwara ikomeye, y’igihe kirekire, cyangwa igoye yo mu bwoko bwa diverticulitis, ushobora gukenera kuguma mu bitaro kugira ngo uvurwe. Ubuvuzi bushobora gutangwa mu bitaro burimo:

• Imiti ya IV: Muganga wawe ashobora kuguha imiti igabanya ubukana cyangwa igabanya ubukana binyuze muri IV (nk'umuti wa saline). Muri ubu buryo, umuti ujya mu maraso yawe, bityo ukora vuba. Imiti igabanya ububabare ishobora no gutangwa muri ubu buryo. Hari abantu bashobora gukenera gufata imiti igabanya ububabare ikomeye nka opioids kugira ngo bagire ububabare bukomeye.
• Guterwa amaraso: Niba watakaje amaraso menshi bitewe n'indwara yo kuva amaraso mu mubiri, ushobora gukenera guterwa amaraso mu buryo bwihutirwa kugira ngo usimbuze igihombo.
• Uburyo bwo gukoresha endoscope: Muganga wawe ashobora gukoresha colonoscope cyangwa sigmoidoscope (izi ni ubwoko bwa endoscope zireba mu mara) kugira ngo avure ingorane nto. Urugero, zishobora guhagarika kuva amaraso, kuvanamo ikibyimba, cyangwa kwagura igice cy'amara cyazibye.
• Kubaga:Hari abantu bashobora gukenera kubagwa kubera ikibyimba, kuva amaraso bidashira, gutobora, cyangwa fistula. Ni gake cyane, abantu bafite ikibazo cyo kuvura indwara yo mu mara badashira bashobora gukenera kubagwa kugira ngo bakureho igice cy’amara cyafashwe (colectomy). Ibi bishobora gusaba ko bakorerwa colostomy y’agateganyo, ari wo muyoboro ushyirwa ku ruhande rw’inda kugira ngo basohore umwanda.

Ese indwara ya diverticulitis ishobora kwirindwa ko idakomeza kubaho cyangwa ngo isubire kubaho?

Mu by’ukuri, abaganga ntibarasobanukirwa neza impamvu indwara ya diverticulitis ivuka cyangwa ikongera kugaruka. Rero biragoye kuvuga neza uburyo bwo kuyirinda. Ariko batekereza ko kugira ubuzima bwiza bw’amara muri rusange bishobora gufasha .

• Kurya ibiryo byinshi bishingiye ku bimera no kugabanya ibinure by'inyamaswa.
• Kunywa amazi ahagije umunsi wose.
• Gukora imyitozo ngororamubiri buri gihe.

Ibi bintu bishobora gufasha amara yawe kugenda neza. Ku bantu bamwe, abaganga bashobora no kukugira inama yo gukoresha inyunganiramirire cyangwa probiotics.

Hari imyumvire ya kera ivuga ko abantu barwaye diverticulosis badakwiye kurya imbuto z'inkoko, kuko zishobora kwangirika muri diverticulum zikabatera diverticulitis. Ibi ubu bifatwa nk'umugani. Imbuto ni isoko nziza ya fibre na poroteyine ikomoka ku bimera. Kubwibyo, aho guhangayikishwa no kwangirika kw'imbuto z'inkoko mu mara yawe, ni byiza kurya indyo yuzuye kandi iboneye.

Ni iki twakwitega muri iki gihe?

Ijanisha rito cyane ry'abantu barwara indwara ya diverticulitis igoye. Muri abo, ni bake gusa bakeneye kubagwa. Kenshi na kenshi, indwara ya diverticulitis igoye ishobora kuvurwa vuba kandi burundu. Diverticulitis ntabwo izagira ingaruka ku mibereho yawe isanzwe. Ariko, nk'uko nabivuze mbere, ibyago byonyine ni uko hari ikibazo kidasanzwe kandi gishobora gushyira ubuzima mu kaga, nko gutobora amara cyangwa guturika kw'ibibyimba. Rero ntugatinye, jya kwa muganga ako kanya.

Wakora iki niba diverticulitis ikomeje kugaragara?

Niba udashobora gukumira ko indwara ya diverticulitis ikomeza kugaruka nubwo hari impinduka mu mirire no mu mibereho yawe, ushobora kugira izindi mpamvu zongera ibyago byawe. Urugero, abantu bafite ubudahangarwa bw'umubiri budakomeye bashobora kwandura indwara kenshi kandi bigafata igihe kirekire kugira ngo bakire. Abantu bafite indwara ziterwa n'ubwiyongere bw'umubiri bashobora kurwara indwara zidakira. Uburinganire bw'udukoko dutandukanye tuba mu mara yawe bushobora no kugira ingaruka ku budahangarwa bw'umubiri bw'amara yawe.

Abaganga ntibashobora kuvuga neza impamvu bamwe bakomeza kurwara diverticulitis. Ariko, niba wayirwaye inshuro zirenze imwe kandi ukaba waragize nibura ikibazo kimwe, bashobora kukugira inama yo kubaga amara, ari bwo buryo bwo kubaga kugira ngo ukureho agace gato k'amara kagutera ikibazo . Iyo atari ikibazo cyihutirwa, akenshi gishobora gukorwa mu gikorwa kimwe cyo kubaga hatabayeho gupima ira.

Ubutumwa bwo kujyana mu rugo

Rero, `(Diverticulitis)` ni ikibazo gishobora kubaho ku bantu bafite `(Diverticulosis)`, ariko ntabwo gikunze kubaho cyane. `(Diverticulitis)` ntabwo ishobora gutera izindi ngorane nyinshi. Ariko iyo bikubayeho, ushobora gukenera ubuvuzi bwihuse.

Bityo rero, niba ufite ibimenyetso bya `(Diverticulitis),` jya kwa muganga vuba.

Hanyuma bazagena ubwoko bw'ubuvuzi ukeneye, niba ushobora kubuvurira mu rugo cyangwa niba ukeneye kujya mu bitaro. Ntugahangayike, akenshi iyi ndwara ishobora kwitabwaho neza kandi uzakira vuba. Wite ku buzima bw'amara yawe, sibyo?

Diverticulitis , indwara y'amara, ububabare bwo mu gifu, diverticulosis, indwara y'amara, colonoscopy, urugimbu