Khawuthelekelele uziva ngequbuliso intlungu ebukhali esiswini sakho, ingakumbi kwicala lasekhohlo elingezantsi. Kunye noku, uziva unomkhuhlane kwaye unesicaphucaphu. Ngaba wakha wahlangabezana nento efana nale? Abantu abaninzi bacinga ukuba le yintlungu yesisu eqhelekileyo okanye ingxaki yegesi, kodwa ngamanye amaxesha le yimeko efuna ingqalelo engakumbi. Namhlanje siza kuthetha ngemeko enjalo, 'iDiverticulitis'. Kubaluleke kakhulu ukuqaphela oku.
Ngamafutshane, yintoni iDiverticulitis?
Ukuze sikuqonde oku, kufuneka siqale sazi ukuba yintoni i-'Diverticulosis'. Kudonga lwamathumbu ethu amakhulu (ikholoni), ngamanye amaxesha ngokuhamba kwexesha, iingxowa ezincinci okanye amaqamza anokuphuma. Njenge-blister encinci kwitayara yemoto. Ezi ngxowa zincinci sizibiza ngokuba yi-'Diverticula'. Ukuba unazo ezi ngxowa kumathumbu akho amakhulu, loo meko ibizwa ngokuba yi-Diverticulosis .
Le meko ixhaphake kakhulu njengoko sikhula. Kwaye abantu abaninzi banezi ngxowa zincinci ngaphandle kweengxaki okanye iimpawu.
Nangona kunjalo, ingxaki iqala xa enye okanye ezingaphezulu kwezi zingxobo zincinci zisuleleka okanye zivuvukala. Yiloo nto siyibiza ngokuba yiDiverticulitis . Yile nto ibangela iimpawu ezifana neentlungu nomkhuhlane. Le yimeko efuna unyango.
Ngamafutshane: I-Diverticulosis kukubakho kweengxowa ezincinci (iipokotho) emathunjini. I-Diverticulitis kuxa ezo ngxowa zisuleleka kwaye zivuvukala.
Ziziphi iimpawu ze-diverticulitis?
Iimpawu ze-diverticulitis zinokwahluka kancinci kumntu nomntu, kodwa kukho iimpawu eziqhelekileyo. Makhe sijonge ukuba zeziphi.
| Uphawu | Inkcazo ngayo |
|---|---|
| Isisu esibuhlungu | Olu luphawu oluphambili. Kudla ngokubakho intlungu enzima nebukhali. Oku kunokunyuka kancinci kancinci emva kweentsuku ezimbalwa, okanye kuvele ngequbuliso. |
| Umkhuhlane kunye nokubanda | Kuqhelekile ukuba nomkhuhlane ngenxa yosulelo emzimbeni. Usenokuziva ubanda kwaye uqhaqhazela. |
| Isicaphucaphu nokuhlanza | Isicaphucaphu nokuhlanza nazo ziqhelekile kunye nentlungu yesisu. |
| Ukudumba kwesisu kunye nokurhawuzelela | Ukudumba ngaphakathi esiswini kunokubangela izinto ezifana nokuziva ngathi kukho ilitye esiswini kunye nokudumba. |
| Utshintsho kwindlela yokuzihlambulula | Abanye abantu banengxaki yokuqunjelwa. Kunqabile kakhulu ukuba abanye abantu banokuba nesifo sorhudo. |
| Ukopha emqolo | Ngamanye amaxesha usenokuba negazi elincinci xa usiya kwigumbi lokuhlambela. Kodwa oku akwenzeki kuwo wonke umntu. |
Ivela phi intlungu yesisu?
Lo ngumbuzo obaluleke kakhulu. Uninzi lwexesha, ingakumbi kubantu abazalwa eYurophu, ezi ngxowa zincinci (diverticula) zenzeka kwinxalenye yokugqibela yamathumbu amakhulu. Oko kukuthi, kwi -sigmoid colon . Oku kukwicala elisezantsi lasekhohlo lesisu sethu. Ke ngoko, xa i-Diverticulitis isenzeka, malunga ne-90% yabantu baziva iintlungu kwicala elisezantsi lasekhohlo lesisu sabo .
Kodwa, nantsi into ekhethekileyo kuthi. Abantu baseAsia, oko kukuthi, abantu abafana nathi, ngamanye amaxesha banezi ngxowa kwicala lasekunene lamathumbu. Ukuba oko kuyenzeka, intlungu ingavela kwicala eliphezulu lasekunene lesisu . Ke ngoko, akulunganga ukucinga nje ngokuba intlungu yesisu ivela phi uze ugqibe kwelokuba akunjalo.
Kutheni i-Diverticulitis isenzeka? Zithini izizathu?
Kunzima ukukhomba unobangela omnye we-diverticulitis, kodwa kukho izinto ezimbalwa eziphambili oogqirha abakholelwa ukuba zinegalelo kuyo.
- Usulelo: Into efana neqhekeza lendle inokunamathela kwezo ngxowa zincinci sithethe ngazo. Emva koko iintsholongwane zinokukhula apho zize zibangele usulelo. Olu sulelo lubangela ukudumba nentlungu.
- Ukugqobhoka kodonga lwesingxobo: Ngamanye amaxesha, xa ukunyakaza kwamathumbu kunzima, okanye ngesizathu esithile, ukukrazuka okuncinci kunokwakheka eludongeni lwesingxobo sincinci. Oku kuvumela iintsholongwane eziqhelekileyo emathunjini ukuba zingene kuso zize zibangele usulelo.
- Ezinye izifo: Ezinye izifundo zifumanise ukuba izifo ezibangelwa ziintsholongwane ezifana ne -cytomegalovirus (CMV) nazo zinokuba negalelo ekuphuhlisweni kwesi sifo.
Abanye abantu babuza nokuba kukho impembelelo yemfuza koku na. I-Diverticulitis ayisosifo esizuzwayo ngokuthe ngqo. Nangona kunjalo, kufunyenwe ukuba kunokubakho impembelelo yemfuza kwindlela yokukhula kwezo ngxowa zincinci emathunjini (i-diverticulosis).
Ngaba oku kungaba yinto enzulu? Iingxaki ezinokubakho
Ixesha elininzi (malunga nama-80%) i-Diverticulitis yimeko elula. Oku kuthetha ukuba iyaphela ngokukhawuleza ngonyango olufanelekileyo. Nangona kunjalo, ngamanye amaxesha, ingakumbi ukuba ayinyangwanga okanye ukuba usulelo luba nzima, iingxaki ezinkulu zinokwenzeka. Kubalulekile ukuzazi ezi.
| Ingxaki | Kalula nje... |
|---|---|
| Ithumba | Ithumba elizaliswe bubovu lenzeka kwindawo yosulelo. Ukuba oku kuyagqabhuka, usulelo lunokusasazeka kuyo yonke indawo esiswini. |
| Ukugqobhoka kwamathumbu (Ukugqobhoka) | Loo ngxowa incinci iyadumba, idumbe, ize iqhume. Emva koko okungaphakathi kwamathumbu kuyavuza kungene esiswini. Oku kubangela usulelo olubi kakhulu olubizwa ngokuba yi-peritonitis . Le yimeko efuna utyando olungxamisekileyo. |
| I-Fistula | Usulelo lubangela ukuba udonga lwamathumbu lunyibilike luze ludibane nelinye ilungu elikufutshane (umz., isinyi, ibhinqa), nto leyo eyenza umngxuma ongaqhelekanga. |
| Ukuvaleka kwamathumbu (Ukuvalwa) | Usulelo oluqhelekileyo lunokubangela amanxeba kunye nokuvaleka kwamathumbu. |
| Ukopha kakhulu | Amaxesha amaninzi, kunokubakho ukopha okukhulu kwindawo yosulelo. Oku kunokukhokelela kwi-anemia. |
Iimpawu ezibonisa ingxaki
- Ukuba ubona igazi elitsha xa usiya kwindlu yangasese.
- Ukuba ubuso bakho bumhlophe kwaye umzimba wakho uziva ungenabomi .
- Ukuba uziva ufuna ukuchama rhoqo okanye ukuba uziva utshisa okanye uneentlungu xa uchama.
- Ukuba isisu sakho sivakala sinzima xa usichukumisa kwaye sibuhlungu kakhulu kangangokuba awukwazi nokusichukumisa.
Ukuba unayo nayiphi na kwezi mpawu, isenokuba yingxamiseko. Ngoko ke, kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko .
Ugqirha uyifumana njani le nto?
Xa ubona ugqirha oneempawu ozikhankanyileyo apha ngasentla, into yokuqala aza kuyenza kukubuza imibuzo aze ahlole isisu sakho. Emva koko, banokwenza iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lweGazi: Jonga ukuba akukho gciwane emzimbeni.
- I-CT Scan: Le yeyona ndlela ilungileyo yokuxilonga i-diverticulitis. Ingabonisa ngokucacileyo ukuba kukho ukudumba, amathumba, okanye ezinye iingxaki kumathumbu amakhulu.
- I-Colonoscopy: Ngamanye amaxesha, emva kokuba iimpawu ziphelile, ugqirha wakho unokucebisa uvavanyo olubandakanya ukufaka ikhamera kwikholoni yakho ukuze ujonge imeko yekholoni yakho.
Ziziphi iindlela zonyango lwe-diverticulitis?
Unyango luxhomekeke kubukhulu beempawu zakho kunye nokuba unayo nayiphi na ingxaki okanye awunayo.
Unyango olunokwenziwa ekhaya (Iimeko ezingembi kangako)
Ukuba iimpawu azikho qatha kakhulu, ugqirha uza kukucebisa ukuba uzinyange ekhaya.
- Ukutya Okululwelo: Oku kuquka ukuyeka ukutya okuqinileyo kangangeentsuku ezimbalwa uze utye kuphela izinto ezilulwelo ezifana nesuphu, ipapa, kunye nejusi yeziqhamo. Oku kunika amathumbu ukuphumla.
- Iiantibiotics: Ukuze ulawule usulelo, kufuneka uthathe ii-antibiotics ezichazwe ngugqirha wakho kanye ngexesha elimiselweyo.
- Iipilisi zokunciphisa iintlungu: Ungathatha iyeza elifana neParacetamol lokunceda iintlungu. Nangona kunjalo, lumka kakhulu ngento oza kuyithetha emva koko.
Musa ukusebenzisa la mayeza!
Xa une-diverticulitis, ii-NSAIDsOogqirha bacebisa ukuba kuphetshwe amayeza okudambisa iintlungu akwiqela lamayeza abizwa ngokuba ngamayeza alwa nokuvuvukala (ii-NSAID), kuba anokunyusa umngcipheko wokopha emathunjini. Ezinye iintlobo zamayeza kolu didi ziquka:
* I -Aspirin
* I-Ibuprofen
* I -Naproxen
Musa ukusebenzisa nayiphi na imithi yokuthomalalisa iintlungu ngaphandle kwaleyo uyinikwe ngugqirha wakho.
Unyango lwasesibhedlele (Iimeko ezinzima)
Ukuba imeko imbi kakhulu, ukuba umkhuhlane awunciphi, ukuba uyahlanza, okanye ukuba kukho iingxaki, kuya kufuneka ulaliswe esibhedlele ukuze ufumane unyango.
- Amayeza e-IV: Ii-antibiotics kunye nee-painkillers zinikwa ngomgca we-saline (umgca we-IV).
- Utofelo-gazi: Ukuba ulahlekelwe ligazi elininzi, kunokufuneka utofelo-gazi.
- Ukukhupha ithumba: Ukuba ithumba sele lenzekile, kunokufuneka likhutshwe amanzi kusetyenziswa ityhubhu.
- Utyando: Ukuba amathumbu agqobhokile, ane-fistula, okanye anezinye iingxaki ezinkulu, kunokufuneka utyando ukuze kususwe inxalenye eyonakeleyo yamathumbu (i-colectomy). Ngamanye amaxesha, kunokufuneka ukuba kuvulwe umngxuma wesikhashana esiswini (i-colostomy) ukuze kungene indle.
Ngaba i-diverticulitis ingathintelwa ukuba ingabuyi?
Ewe, ngandlela ithile kunokwenzeka. Ukutshintsha indlela ophila ngayo kunye nemikhwa yokutya kunokunciphisa kakhulu umngcipheko wokuba oku kuphinde kwenzeke.
1. Yitya ukutya okunefayibha eninzi: Yitya ukutya okuninzi okunefayibha eninzi njengemifuno, iziqhamo, iimbotyi, kunye neenkozo ezipheleleyo (irayisi enezihluma, umgubo we-atta). Ezi zinto zithambisa indle kwaye zenze kube lula ukuyidlulisa.
2. Sela amanzi amaninzi: Sela ubuncinane iilitha ezi-2-3 zamanzi ngosuku. Oku kuya kuthambisa nendle.
3. Zilolonge rhoqo: Ukuzilolonga imihla ngemihla, njengokuhamba okanye ukubaleka, kulungile kakhulu ekusebenzeni kwamathumbu.
Intsomi endala, inyaniso entsha: Ngaphambili, abantu abane-diverticulosis babexelelwa ukuba bangazityi iinati, imbewu, okanye imbewu encinci, njengee-acorn, kuba besoyika ukuba imbewu ingabhajwa kuloo ngxowa incinci. Nangona kunjalo, uphando lwakutshanje luye lwabonisa ukuba le yintsomi. Iinati ngokwenene zizinto ezityebileyo kwifayibha, ezinempilo . Ngoku oogqirha bathi akukho mfuneko yokuzoyika, kwaye batye njengenxalenye yokutya okunesondlo.
Ukuba unemibuzo engaphezulu malunga noku, nceda uthethe nogqirha wakho uze ucacise.
Umyalezo Wokuya Ekhaya
- I-Diverticulitis lusulelo kunye nokudumba kweengxowa ezincinci (iingxowa) emathunjini amakhulu. Uphawu oluphambili ziintlungu eziqatha esiswini esisezantsi, ingakumbi kwicala lasekhohlo.
- Ukuba unentlungu ebuhlungu esiswini kunye neempawu ezifana nomkhuhlane kunye nesicaphucaphu, musa ukuyityeshela njengentlungu yesisu kwaye ubone ugqirha ngoko nangoko.
- Unyango luquka ukuphumla kwamathumbu, amayeza okubulala iintsholongwane, kunye neyeza lokudambisa iintlungu.
- Kubaluleke kakhulu: Musa ukusebenzisa izithomalalisi zentlungu ze-NSAID ezifana ne-Aspirin okanye i-Ibuprofen kwiintlungu. Ezi zinyusa umngcipheko wokopha. Sebenzisa kuphela amayeza owanikwe ngugqirha wakho.
- Ukutya ukutya okutyebileyo kwi-fiber, ukusela amanzi amaninzi, kunye nokuzilolonga kunokunceda ekuthinteleni ukuphinda kwesi sifo. Musa ukoyika ukutya amandongomane.
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