Ngaba sele unezingxobo ezincinci (i-diverticulosis) emathunjini akho? Makhe sithethe ngale nto!

Ngaba wakha weva ngeengxowa ezincinci ezikhula emathunjini? Mhlawumbi ugqirha wakho ukuxelele ngayo, okanye mhlawumbi umntu omaziyo unayo. Le yinto esiyibiza ngokuba yi-`(Diverticulosis)`. Ungakhathazeki, le yimeko eqhelekileyo echaphazela abantu abaninzi.

Yintoni le `(Diverticulosis)`?

Ngamafutshane, i-diverticulosis kukukhula kweengxowa ezincinci okanye iipokotho kwingqiniba yekholoni yakho. Cinga ngayo njengendawo ebuthathaka kwityhubhu yebhayisekile endala, apho iingxowa ezincinci okanye iipokotho ziphuma khona. Ekuhambeni kwexesha, ingqiniba yekholoni yakho iphuma kwiindawo ezibuthathaka eludongeni. Njengoko sisetyisa ukutya kwaye njengoko imveliso yenkunkuma ihamba kwikholoni, ezi ngxowa ziyakheka kancinci kancinci.

Igama elithi `(Diverticulosis)` likwavela kwigama lesiNgesi elithi `divert'. Lithetha 'ukujika uye ecaleni'. Libizwa ngokuba yindlela esesiswini ibonakala ngathi ijika iye kwezi ngxowa zincinci. Sibiza ezi ngxowa zininzi `(Diverticula)`, kunye nengxowa enye `(Diverticulum)`. Ezi zihlala zikhula emathunjini akho amakhulu (`(Colon)`) , kuba kulapho inkunkuma yokutya inendawo eninzi yokuyityebisa ize icinezele eludongeni. Zixhaphake kakhulu ekupheleni kwamathumbu amakhulu, oko kukuthi, kwi- `(Sigmoid Colon)` .

Yintoni umahluko phakathi kwe-`(Diverticulosis)` kunye ne-`(Diverticulitis)`?

Ngoku usenokuba uzibuza ukuba yintoni umahluko phakathi kwe-`(Diverticulosis)` kunye ne-`(Diverticulitis)`. `(Diverticulosis)` yimeko apho unezingxobo (`(Diverticula)`) emathunjini akho, njengoko benditshilo ngaphambili. Nangona kunjalo, `(Diverticulitis)` kuxa enye okanye ezingaphezulu zezingxobo zakho zivuvukala, oko kuthetha ukuba ziyadumba kwaye zosuleleke. Ixesha elininzi, oku kubangelwa lusulelo lwebhaktheriya (`( Usulelo lweBhaktheriya)`). Ukuba nezingxobo nje akunakuba yingxaki enkulu. Nangona kunjalo, ezi ngxobo ziindawo ezilungileyo zokuzimela nokuzalela iibhaktheriya. Ngoko ke ukuba unesifo se-`(Diverticulitis)`, unokufumana iimpawu ezifana nentlungu yesisu kunye nomkhuhlane.

Ngaba i-Diverticulosis yimeko enzulu?

Ukuba ne-diverticulosis akuyonto inkulu. Uninzi lwabantu alunazo iimpawu okanye iingxaki. Nangona kunjalo, kunqabile kakhulu, kunokuba yinto enzulu. Umzekelo, ukuba ufumana usulelo (olubizwa ngokuba yi-diverticulitis) kwaye alunyangwa ngokufanelekileyo, lunokukhokelela kwiimeko ezinzulu ezifana ne -sepsis (usulelo lwegazi). Kwakhona, inani elincinci kakhulu labantu linokuphuma igazi kwezi ngxowa rhoqo. Ukuba oko kuyenzeka, unokulahlekelwa ligazi elininzi emzimbeni wakho ( ukulahleka kwegazi okukhulu).

Ixhaphake kangakanani iDiverticulosis?

Kuxhaphake kakhulu kumazwe aseNtshona, ingakumbi njengoko sikhula. E-United States, ama-30% abantu abangaphezu kwama-50, ama-50% abantu abangaphezu kwama-60, kunye nama-75% abantu abangaphezu kwama-80 bane-diverticulosis. Idla ngokufumaneka kwi-sigmoid colon. Ayixhaphakanga kangako kubantu abangaphantsi kwama-40. Ayixhaphakanga nakwiindawo ezifana ne-Afrika ne-Asia ezitya ukutya okuncinci okucutshungulwayo kunakwii-Western.

Zithini iimpawu ze-`(Diverticulosis)`?

Abantu abaninzi abanazo iimpawu xa benesifo se-`(Diverticulosis)`. Usenokungazi nokuba unayo. Nangona kunjalo, ukuba uneempawu ezifana nentlungu yesisu esisezantsi kunye nomkhuhlane , kusenokwenzeka ukuba kungenxa yosulelo (`(Diverticulitis)`).

Ngamanye amaxesha, ukuba unesinye isifo emathunjini akho, njenge-Irritable Bowel Syndrome (IBS) okanye i-Inflammatory Bowel Disease (IBD), ezi ngxowa zibizwa ngokuba yi-diverticula zinokuba novelwano ngakumbi kuxinzelelo. Oku kunokubangela ukuziva ugcwele kwaye uneentlungu xa inkunkuma yokutya idlula kwezi ngxowa. Ukuba une -constipation , indle eqinileyo inokunamathela kwezi ngxowa, nto leyo eyenza imeko ibe mandundu.

Malunga ne-10% yabantu abane-diverticulosis banokufumana ukopha kwezi ngxowa (i-diverticulum bleeding). Oku kwenzeka xa umthambo wegazi kwingxowa ukrazukile okanye ukrazukile njengoko ilindle eliqinileyo lidlula kuyo. Uninzi lwexesha, oku kuyayeka emva kwexesha kwaye akubuhlungu. Nangona kunjalo, ukuba kuyenzeka, unokubona igazi elitsha kwindle yakho. Ukuba unolu hlobo lokopha, ukuba uneempawu eziqhubekayo, okanye ukuba uneengxaki ezivela kwi-diverticulosis, kuthiwa sisifo se-diverticular.

Yintoni eyona nto ibangela i-diverticulosis?

Abaphandi bakholelwa ukuba eyona nto ibangela i-diverticulosis kukutya kwaseNtshona. Oko kukuthi, ukutya okune-fiber encinci kunye ne-starch eninzi ecutshungulwayo. Olu hlobo lokutya lubangela ukuba indle ijiye kwaye ihambe kancinci emathunjini, kwaye amathumbu awacocwa kakuhle. Oku kungenxa yokuba indle iba nkulu njengoko ishukuma, yiyo loo nto i-diverticulosis idla ngokuvela kwinxalenye yokugqibela yamathumbu amakhulu (i-sigmoid colon).

Ngaba zikho ezinye izinto ezibangela umngcipheko?

Kusenokubakho nempembelelo yemfuza. Nangona ukutya kwaseNtshona kuxhaphake kakhulu phakathi kwamhlophe aseMelika, amaYurophu, kunye nama-Australia kunaphakathi kwabamnyama okanye amanye amaqela eentlanga. Kwakhona, abaphandi bafumanise ukuba xa abantu kumazwe aseAsia befumana i-diverticulosis, idla ngokukhula kwindawo eyahlukileyo yekholoni - ekuqaleni kunokuba ibe sisiphelo. Oku kuxhaphakile phakathi kwabemi baseJapan eHawaii.

Ungayixilonga njani i-`(Diverticulosis)`?

Ugqirha unokuzibona ezi polyps ngexesha le-colonoscopy eqhelekileyo okanye i-GI X-ray. I-Diverticulosis idla ngokufunyanwa ngolu hlobo kuba ayibangeli zimpawu. Kodwa ukuba uneempawu, ugqirha wakho uya kuzama ukufumana unobangela inyathelo ngenyathelo. Uza kukuhlola ngokukubuza ngembali yakho yezonyango, amayeza owasebenzisayo, ukutya kwakho, kunye nokuhamba kwakho kwamathumbu.

Zeziphi iimvavanyo ezenziwayo ukuze kufunyaniswe esi sifo?

Ungenza oku kulandelayo njengovavanyo:

• Uvavanyo Lomzimba: Ugqirha uza kujonga iimpawu zakho ezibalulekileyo , achukumise isisu sakho, aze amamele izandi zamathumbu akho. Angafaka nomnwe ogqunywe iglavu kwi-rectum yakho ( Digital Rectal Exam ).
• Uvavanyo lweGazi: Isampuli encinci yegazi ithathwa kumthambo osengalweni yakho ize ithunyelwe kwilebhu. Uvavanyo lwegazi lunokujonga ukuba unesifo okanye ukuba wopha kakhulu ngaphakathi.
• Uvavanyo lweSitulo : Isampulu yendle yakho iyathathwa ize ivavanywe kwilebhu. Uvavanyo lwendle lunokujonga iimpawu zosulelo okanye ukopha kwindlela yokugaya ukutya (Ukopha kwesisu (GI).
• Uvavanyo lokuFanekisa: Ugqirha uza kusebenzisa uvavanyo lokuFanekisa olufana ne-CT scan, i-barium enema , i-flexible sigmoidoscopy, okanye i-colonoscopy ukujonga la maqhuqhuva kunye nazo naziphi na iingxaki ezinxulumene nawo.

Ziziphi iindlela zonyango ze-`(Diverticulosis)`?

Uninzi lwabantu aludingi unyango lwe-diverticulosis. Nangona kunjalo, ugqirha wakho unokucebisa ukuba wongeze i-fiber engakumbi ekutyeni kwakho. Oku kukujongana nesizathu esiyintloko se-diverticulosis kunye nokuthintela iingxaki ezibangelwa zezinye iimpawu, ezinje ngokuqhinwa kunye nokudumba. I-fiber eyongezelelweyo inceda indle ukuba ihambe ngokulula emathunjini amakhulu, inceda ekucoceni ikoloni njengoko idlula.

Malunga ne-3% yabantu banokufuna unyango ukuze kumiswe ukopha okuqhubekayo. Oku kudla ngokwenziwa ngexesha le-colonoscopy. Ukuba ingcali ye-gastroenterologist (ugqirha ochwephesha kwinkqubo yokugaya ukutya) ifumana indawo yokopha ngexesha le-colonoscopy, inokufaka izixhobo nge-colonoscope ukuvala umthambo wegazi oqhekekileyo. Okanye, ugqirha unokusebenzisa i-angiogram ukufumana indawo yokopha aze emva koko afake amayeza kwimithambo yegazi ukuze kumiswe ukopha.

Ngaba i-Diverticulosis ingathintelwa?

Ukutya izityalo ezininzi kunye nokutya okupheleleyo, ukuzilolonga rhoqo, kunye nokusela amanzi aneleyo yonke imihla kunokunceda ukugcina ukuhamba kwamathumbu akho kusempilweni kwaye kuqhelekile. Oku kunokunceda ukuthintela i-diverticulosis ekukhuleni. Ukuba sele une-diverticulosis, ezi zinto zinokunceda ukuthintela ukwakheka kwamatsha. Nangona oku kungaqinisekiswanga, le mikhwa yokuphila enempilo inokunceda ukuthintela izifo ezininzi zekoloni esezantsi.

Yintoni esinokuyilindela ukuba le meko ikhona?

Ukuba awukaze ube nazo naziphi na iimpawu okanye iingxaki ezivela kwi-diverticulosis, mhlawumbi awusoze ube nazo. Nangona kunjalo, ukuba unezinye iimeko ezenza i-diverticulosis ibe nzima, njengokuqunjelwa, i-IBS, okanye i-IBD, unokuba semngciphekweni omkhulu wokufumana iimpawu. Inani elincinci kakhulu labantu lifumana iziqendu zokopha eziphindaphindayo. Aba bantu banokufuna unyango oluphindaphindwayo ukuze kumiswe ukopha okanye kulawulwe ukopha.

Ngaba i-Diverticulosis ingatshintshwa?

Xa sele une-diverticula, okwangoku akukho ndlela yokuzisusa. Uninzi lwabantu alunangxaki ngazo, kodwa ukuba ziyakukhathaza, kuya kufuneka ulungise indlela ophila ngayo ngokufanelekileyo.

Ndingazinyamekela njani xa ndine-diverticulosis?

Nokuba uneempawu ze-diverticulosis okanye awunazo, ukuba nale meko kuthetha ukuba ungazuza ngokongeza i-fiber engaphezulu ekutyeni kwakho . Eyona ndlela ilungileyo yokwenza oku kukutya ukutya okuziinkozo ezipheleleyo, iziqhamo, kunye nemifuno engaphezulu. Abanye abantu basebenzisa izongezo ze-fiber ezifana ne-psyllium. Eyona nto ibalulekileyo kukusela amanzi amaninzi xa uthatha i-fiber ukuze ihambe kakuhle emathunjini akho. Ngaphandle koko, ukuqhina kwesisu kungaba mandundu.

Ukuba unesifo se-diverticular (esaziwa ngokuba yi-diverticulosis), kufuneka ujonge iimpawu zakho ukuze uzilawule. Umzekelo, jonga ukuba ukutya okuthile kwenza iimpawu zakho zibe zimbi na, okanye ukuba amayeza athile owasebenzisayo ayayichaphazela na iimpawu zakho. Ukuba ukopha emqolo, nokuba kuyayeka ngokwako, qiniseka ukuba uxelele ugqirha wakho. Oku kuya kubanceda baqinisekise ukuba awuphulukani negazi elininzi.

Ngaba i-diverticulosis ingenzeka ngaphandle kwekholoni?

I-Diverticula inokukhula naphi na kwinkqubo yakho yokugaya ukutya, kuquka amathumbu amancinci, isisu, kwanomqala. Nangona kunjalo, ezi aziqhelekanga kakhulu. Zihlala zikhula njengengxaki yesinye isifo, njengesifo sokuhamba esenza kube nzima ukuba ukutya kuhambe ngendlela yokugaya ukutya. I-Meckel's diverticulum sisiphene sokuzalwa esenzeka emathunjini amancinci.

Kubantu abaninzi, i-diverticulosis ayiyonto ibalulekileyo ukuyikhathaza. Idla ngokufunyanwa ngugqirha ngexesha lovavanyo oluqhelekileyo. Ukuba ungaphezulu kweminyaka engama-40, ayisiyonto inkulu leyo. Kwakhona, ukuba ayibangeli zimpawu, ungazimela wedwa. Kodwa ukuba uneempawu, qiniseka ukuba uthetha nogqirha wakho ngazo. Zisenokuba zinxulumene nenye imeko, okanye unokuba nosulelo.

Umyalezo esifuna ukuwuthatha ekhaya kweli bali ngulo

Kulungile, ngoko ke ndiyathemba ukuba uyiqonda kakuhle le ``(Diverticulosis)'' esithethe ngayo namhlanje.

Eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba nangona oku kusenzeka kubantu abaninzi, uninzi lwabo lunokuphila ngaphandle kweengxaki.

• Yongeza ukutya okune-fiber eninzi (imifuno, iziqhamo, iinkozo ezipheleleyo) ekutyeni kwakho.
• Sela amanzi amaninzi.
• Zilolonge rhoqo.
• Ukuba ufumana iimpawu ezinje ngeentlungu zesisu, umkhuhlane, okanye igazi esitulweni sakho, qiniseka ukuba ucela ingcebiso kagqirha.

Asinto yokoyika, kodwa kufanelekile ukuyiqonda!