Ingabe ngezinye izikhathi uzizwa unesicanucanu noma ubuhlungu esiswini sakho esingezansi, ikakhulukazi ohlangothini lwesobunxele? Kwabanye abantu, lokhu kuza nokuqunjelwa, kanti kwabanye, kuzwakala njengohudo. Nakuba abantu abaningi becabanga ukuthi lokhu kumane kuyibuhlungu besisu obuvamile, kungaba yinto okufanele ikhathazeke kakhulu ngayo. Namuhla sikhuluma ngesimo esibizwa ngokuthi 'i-Diverticular Disease', esivame kakhulu kubantu abaningi ezweni lethu, ikakhulukazi njengoba bekhula.
Kalula nje, siyini isifo se-diverticular?
Cabanga ukuthi umathumbu amakhulu (ikholoni) ngaphakathi esiswini sethu ufana nethubhu yebhayisikili. Lapho udonga lwale thubhu luba buthakathaka kancane kwezinye izindawo, ingcindezi evela ngaphakathi ibangela ukuthi kuphume amabhamuza amancane kulezo zindawo ezibuthakathaka. Yileyo ndlela esibiza ngayo lesi simo ukwakheka kwamaphakethe amancane avela ezindaweni ezibuthakathaka odongeni lwamathumbu ethu amakhulu. Lawa maphakethe amancane ngokwezokwelapha abizwa ngokuthi 'i-diverticula'.
Lesi simo singahlukaniswa izingxenye ezintathu eziyinhloko:
1. I-Diverticulosis: Lokhu kumane nje kuwukwakheka kwezikhwama ezincane emathunjini. Abantu abaningi abanazo izimpawu. Ngakho-ke bangase bangazi nokuthi banalesi simo. Cishe u-10% wabantu abangaphezu kweminyaka engu-40 kanye no-50% wabantu abangaphezu kweminyaka engu-60 banalesi simo.
2. I-Diverticulitis: Lokhu kuyinkinga encane. Kubizwa kanje lapho imfucuza ivaleleka ngaphakathi kwalezo zikhwama ezincane, itheleleka ngamagciwane, bese ivuvukala. Lokhu kwenzeka lapho kuvela izimpawu ezifana nobuhlungu nomkhuhlane.
3. Ukopha Okuhlukahlukene: Lokhu kwenzeka lapho imithambo yegazi ethambile egijima eduze kwalezo zikhwama ezincane yonakala bese iqala ukopha.
Ziyini izimpawu? Sizihlukanisa futhi sizibone kanjani lezi zimo?
Izimpawu zalezi zimo ezintathu zihlukile komunye nomunye. Ngakho-ke, kubaluleke kakhulu ukuziqonda ngokucacile. Ungakuqonda kalula kusukela kuthebula elingezansi.
| Isimo sezokwelapha | Izimpawu ezizwakalayo |
|---|---|
| I-Diverticulosis | Ngokuvamile azikho izimpawu.Kungase kube nokungakhululeki okuncane, njengokuqunjelwa, kodwa abantu abaningi abanazo izinkinga. Kutholakala ngengozi ngesikhathi sokuhlolwa kwesinye isimo. |
| I-Diverticulitis | Lesi yisikhathi lapho kuba buhlungu futhi kudinga ukunakekelwa. Izimpawu zingaqala ngokuzumayo. - Ubuhlungu obukhulu esiswini esingezansi, ikakhulukazi ohlangothini lwesobunxele. - Umkhuhlane kanye nokubanda. - Isicanucanu nokuhlanza. - Uhudo noma ukuqunjelwa. |
| Ukopha Okuhlukahlukene | Ukopha okungazelelwe, okungenabuhlungu okuvela endunu. Ngezinye izikhathi kungaba nokopha okuningi. Lesi yisimo esiphuthumayo sezokwelapha. |
Udokotela ukuthola kanjani lokhu?
Uma unezimpawu ze-diverticulitis, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu.
- Ukuhlolwa kwezokwelapha: Udokotela uzokubuza ngezimpawu zakho, imikhuba yokudla, ukuhamba kwamathumbu, kanye nemithi oyiphuzayo. Uzobe esekuthinta isisu sakho bese ehlola noma yiziphi izindawo ezibuhlungu.
- Ukuhlolwa:
- Ukuhlolwa kwegazi: Kuhlolwa igazi ukuze kubonakale ukuthi kukhona yini ukutheleleka emzimbeni.
- I-CT Scan: Lokhu kubaluleke kakhulu ukubona ngokucacile ukuthi kwenzekani ngaphakathi esiswini. Kungasho ngqo ukuthi lawo masaka amancane avuvukele noma ukuthi kukhona yini ezinye izinkinga.
- I-Colonoscopy: Uma unesifo sokopha esithweni sangasese sowesifazane, ukuhlolwa okuhilela ukufaka ithubhu elincane elinekhamera emathunjini akho ukuze kutholakale ukuthi ukuphuma kwegazi kuvela kuphi ngempela. Kodwa-ke, lokhu akuvamile ukwenziwa uma i-diverticulitis isebenza.
I-Diverticulosis ivame ukutholakala ngengozi ngesikhathi sokuhlolwa kwekholoni ngesinye isizathu.
Ingabe izinkinga eziyingozi zingaba khona?
Yebo, i-diverticulitis ingaholela ezinkingeni ezinkulu uma ingelashwa kahle. Iningi lalezi zibangelwa ukubhoboka kwesikhwama esinaleli gciwane, okuvumela ukuthi imfucuza evela emathunjini ivuze ingene esiswini.
Lezi zinkinga azivamile ukwenzeka, kodwa ukuzazi kuzokukhuthaza ukuthi ufune iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu.
- I-Peritonitis:Ukutheleleka kusakazeka kulo lonke umgodi wesisu. Lesi yisimo esibuhlungu kakhulu futhi esisongela ngisho nokuphila. Lokhu kudinga ukuhlinzwa okuphuthumayo.
- Ithumba: Iqoqo lobomvu endaweni eyodwa elingadinga ukuphuma kwamanzi noma ukuhlinzwa.
- Ukuvaleka kwamathumbu: Izicubu ezibomvu ezibangelwa ukutheleleka zinganciphisa umgudu wamathumbu futhi zibangele ukuvaleka okuyingxenye noma okuphelele.
- I-Fistula: Ukuxhumana okungajwayelekile phakathi kwamathumbu nesinye isitho (njengesinye). Lokhu kungelashwa nangokuhlinzwa.
Ungakuvimbela futhi uphathe kanjani lesi simo?
Lena yingxenye ebaluleke kakhulu. Kunezinto eziningi esingazenza ukuvimbela lesi simo ukuthi singabi khona nokunciphisa izinkinga uma sivela.
Into engcono kakhulu ukudla ukudla okune-fiber eningi.
Imbangela eyinhloko yalesi simo ukuqunjelwa kanye nokucindezeleka ngesikhathi sokuhamba kwamathumbu. Indlela engcono kakhulu yokuvimbela lesi simo ukulandela ukudla okucebile nge-fiber. Zama ukwengeza cishe amagremu angu-20-35 e-fiber ekudleni kwakho ngosuku.
- Ukudla okucebile nge-fiber: Ilayisi elinsundu, i-buckwheat, i-oats, izithelo (ubhanana, umango, i-papaya), imifino (ubhontshisi, iklabishi, isipinashi, izaqathi), imifino eluhlaza, ubhontshisi oluhlaza, uphizi, ubhontshisi oluhlaza, njll.
- Phuza amanzi amaningi: Ukudla i-fiber kuphela akwanele, udinga ukuphuza amanzi amaningi. Phuza okungenani amalitha angu-2-3 amanzi ngosuku.
- Ukuzivocavoca: Ngisho nento elula njengokuhamba imizuzu engama-30 ngosuku ingasiza kakhulu ekusebenzeni kwamathumbu.
- Gwema ukuzikhandla: Gwema ukuzikhandla ukuze ukhululeke uma uya endlini yangasese. Uma uqunjelwe, khuluma nodokotela bese uthola iseluleko esifanele.
Okubalulekile: Uma udokotela wakho ekutshela ukuthi une-diverticulosis, ungasebenzisi imithi yokuhlanza isisu ukuze uqunjelwe. Cela iseluleko kudokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Diverticulosis ukwakheka kwezikhwama ezincane emathunjini. Lesi yisimo esivamile esithinta abantu abaningi futhi ngokuvamile asiyona ingozi.
- Indlela engcono kakhulu yokuvimbela lokhu ukudla ukudla okune-fiber eningi, ukuphuza amanzi amaningi, nokuzivocavoca nsuku zonke.
- Uma ngokuzumayo uzwa ubuhlungu obukhulu esiswini esingezansi (ikakhulukazi ohlangothini lwesobunxele), umkhuhlane, kanye noshintsho emikhubeni yamathumbu, kungaba yi-diverticulitis. Uma kunjalo , kufanele nakanjani ubone udokotela.
- Uma unesifo sokopha endulwini, ungalokothi ungazinaki. Bona udokotela ukuze uthole imbangela.
- Ungazivikela ezinkingeni eziningi zalesi simo ngokushintsha indlela odla ngayo nendlela ophila ngayo.
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