Cabanga nje ngokuzumayo uzwa ubuhlungu obukhulu esiswini sakho, ikakhulukazi ohlangothini olungezansi kwesobunxele. Kanye nalokhu, uzizwa ushisa futhi unesicanucanu. Wake wabhekana nento efana nale? Abantu abaningi bacabanga ukuthi lokhu kuyinkinga evamile yesisu noma igesi, kodwa ngezinye izikhathi lokhu kungaba yisimo esidinga ukunakwa okwengeziwe. Namuhla sizokhuluma ngesimo esinjalo, 'i-Diverticulitis'. Kubaluleke kakhulu ukuqaphela lokhu.
Kalula nje, kuyini i-Diverticulitis?
Ukuze siqonde lokhu, sidinga kuqala ukwazi ukuthi iyini i-'Diverticulosis'. Odongeni lwamathumbu ethu amakhulu (ikholoni), ngezinye izikhathi ngokuhamba kwesikhathi, kungavela izikhwama ezincane noma amabhamuza. Njengesibhamuza esincane ethayini lemoto. Sibiza lezi zikhwama ezincane ngokuthi 'iDiverticula'. Uma unalezi zikhwama emathunjini akho, leso simo sibizwa ngokuthi iDiverticulosis .
Lesi simo sivame kakhulu njengoba sikhula. Futhi abantu abaningi banalezi zikhwama ezincane ngaphandle kwezinkinga noma izimpawu.
Kodwa-ke, inkinga iqala lapho eyodwa noma ngaphezulu yalezi zikhwama ezincane zitheleleka noma zivuvukala. Yilokho esikubiza ngokuthi i-Diverticulitis . Yilokhu okubangela izimpawu ezifana nobuhlungu nomkhuhlane. Lesi yisimo esidinga usizo lwezokwelapha.
Kalula nje: I-Diverticulosis ukuba khona kwezikhwama ezincane (amaphakethe) emathunjini. I-Diverticulitis yilapho lezo zikhwama zitheleleka futhi zivuvukala.
Ziyini izimpawu ze-diverticulitis?
Izimpawu ze-diverticulitis zingahluka kancane kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile. Ake sibheke ukuthi ziyini.
| Isibonakaliso | Incazelo ngakho |
|---|---|
| Isisu esibuhlungu | Lolu uphawu oluyinhloko. Ngokuvamile kuba nobuhlungu obukhulu, obubukhali. Lokhu kunganda kancane kancane ezinsukwini ezimbalwa, noma kungavela ngokuzumayo. |
| Umkhuhlane kanye nokubanda | Kuvamile ukuba nomkhuhlane ngenxa yokutheleleka emzimbeni. Ungase futhi uzizwe ubanda futhi uqhaqhazela. |
| Isicanucanu nokuhlanza | Isicanucanu nokuhlanza nakho kuvamile kanye nobuhlungu besisu. |
| Ukuqunjelwa kwesisu kanye nokuqunjelwa | Ukuvuvukala ngaphakathi esiswini kungabangela izinto ezifana nomuzwa wetshe esiswini kanye nokuvuvukala. |
| Izinguquko ekugezeni | Abanye abantu bahlushwa ukuqunjelwa. Akuvamile ukuthi abanye abantu bahlushwe yisifo sohudo. |
| Ukopha kwegazi endulo | Ngezinye izikhathi ungase ube negazi elincane uma uya endlini yokugezela. Kodwa lokhu akwenzeki kuwo wonke umuntu. |
Kuvelaphi ubuhlungu besisu?
Lona umbuzo obaluleke kakhulu. Esikhathini esiningi, ikakhulukazi kubantu bozalo lwaseYurophu, la maphakethe amancane (i-diverticula) akheka engxenyeni yokugcina yamathumbu amakhulu. Okusho ukuthi, kukholoni ye-sigmoid . Lokhu kutholakala ohlangothini olungezansi kwesobunxele lwesisu sethu. Ngakho-ke, lapho kwenzeka i-Diverticulitis, cishe abantu abangu-90% bazwa ubuhlungu ohlangothini olungezansi kwesobunxele lwesisu sabo .
Kodwa, nansi into ekhethekile kithi. Abantu bozalo lwase-Asia, okungukuthi, abantu abafana nathi, ngezinye izikhathi banalezi zikhwama ohlangothini lwesokudla lwamathumbu. Uma lokho kwenzeka, ubuhlungu bungavela ohlangothini oluphezulu lwesokudla lwesisu . Ngakho-ke, akukuhle ukucabanga nje ngokuthi ubuhlungu besisu buvelaphi bese unquma ukuthi akunjalo.
Kungani kwenzeka i-Diverticulitis? Ziyini izimbangela?
Kunzima ukukhomba imbangela eyodwa ethize ye-diverticulitis, kodwa kunezici ezimbalwa eziyinhloko odokotela abakholelwa ukuthi zinegalelo kuyo.
- Ukutheleleka: Into efana nendle ingabhajwa kulezo zikhwama ezincane esikhulume ngazo. Ngemuva kwalokho amabhaktheriya angakhula lapho futhi abangele ukutheleleka. Lokhu kutheleleka yikona okubangela ukuvuvukala nobuhlungu.
- Ukubhoboka kodonga lwesikhwama: Ngezinye izikhathi, lapho ukunyakaza kwamathumbu kunzima, noma ngesizathu esithile, kungadabuka okuncane kakhulu odongeni lwalesi sikhwama esincane. Lokhu kuvumela amabhaktheriya avamile emathunjini ukuthi angene ngalo futhi abangele ukutheleleka.
- Ezinye izifo: Ezinye izifundo zithole ukuthi izifo ezibangelwa amagciwane njenge- cytomegalovirus (CMV) nazo zingaba nomthelela ekuthuthukisweni kwalesi simo.
Abanye abantu babuza nokuthi kukhona yini ithonya lezakhi zofuzo kulokhu. I-Diverticulitis akuyona isifo esizuzwe njengefa ngqo. Kodwa-ke, kutholakale ukuthi kungase kube nethonya lezakhi zofuzo ekuthambekeleni kokukhula kwalezo zikhwama ezincane emathunjini (i-diverticulosis).
Ingabe lokhu kungaba yinto engathi sína? Izinkinga ezingaba khona
Isikhathi esiningi (cishe u-80%) i-Diverticulitis iyisimo esilula. Lokhu kusho ukuthi iphela ngokushesha ngokwelashwa okufanele. Kodwa-ke, ngezinye izikhathi, ikakhulukazi uma ingelashwa noma uma ukutheleleka kuba kubi kakhulu, kungaba nezinkinga ezinkulu. Kubalulekile ukuzazi lezi.
| Inkinga | Kalula nje... |
|---|---|
| Ithumba | Ithumba eligcwele ubomvu liyakheka endaweni lapho ukutheleleka kuqale khona. Uma lokhu kuqhuma, ukutheleleka kungasakazeka kuyo yonke indawo esiswini. |
| Ukubhoboza kwamathumbu (Ukubhoboza) | Leso sikhwama esincane siyavuvukala, sivuvuke, bese siqhuma. Bese okuqukethwe amathumbu kuvuza esiswini. Lokhu kubangela ukutheleleka okubi kakhulu okubizwa ngokuthi i-peritonitis . Lesi yisimo esidinga ukuhlinzwa okuphuthumayo. |
| I-Fistula | Ukutheleleka kubangela ukuthi udonga lwamathumbu luncibilike futhi luxhumane nesinye isitho esiseduze (isib. isinye, isitho sangasese sowesifazane), kwakha imbobo engavamile. |
| Ukuvinjelwa kwamathumbu (Ukuvimba) | Ukutheleleka okuvamile kungaholela ekuqhekekeni nasekuvalweni kwamathumbu. |
| Ukopha okukhulu | Akuvamile ukuthi kube nokopha okukhulu okuvela endaweni okutheleleke kuyo. Lokhu kungaholela ekulahlekelweni kwegazi. |
Izimpawu ezibonisa inkinga
- Uma ubona igazi elisha uma uya endlini yangasese.
- Uma ubuso bakho buphaphathekile futhi umzimba wakho uzizwa ungaphili .
- Uma uzizwa udinga ukuchama njalo noma uma uzizwa ushisa noma ubuhlungu lapho uchama.
- Uma isisu sakho sizwakala sinzima uma usithinta futhi sibuhlungu kakhulu kangangokuthi awukwazi ngisho nokusithinta.
Uma unezinye zalezi zimpawu, kungaba yisimo esiphuthumayo. Ngakho-ke, kufanele uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha .
Udokotela ukuthola kanjani lokhu?
Uma ubona udokotela onezimpawu ozishilo ngenhla, into yokuqala azokwenza ukukubuza imibuzo nokuhlola isisu sakho. Ngemva kwalokho, bangenza izivivinyo eziningana ukuqinisekisa ukuthi unesifo.
- Ukuhlolwa Kwegazi: Hlola ukutheleleka emzimbeni.
- I-CT Scan: Lena yindlela engcono kakhulu yokuthola i-diverticulitis. Ingabonisa ngokucacile ukuthi kukhona ukuvuvukala, amathumba, noma ezinye izinkinga emathunjini.
- I-Colonoscopy: Ngezinye izikhathi, ngemva kokuba izimpawu seziphelile, udokotela wakho angase ancome ukuhlolwa okuhilela ukufaka ikhamera kukholoni yakho ukuze abheke kahle isimo sekholoni yakho.
Yiziphi izindlela zokwelapha i-diverticulitis?
Ukwelashwa kuncike ebunzimeni bezimpawu zakho nokuthi unezinkinga noma cha.
Ukwelashwa okungenziwa ekhaya (ezimweni ezincane)
Uma izimpawu zingezimbi kakhulu, udokotela uzokweluleka ukuthi uzelaphe ekhaya.
- Ukudla Okuwuketshezi: Lokhu kuhilela ukuyeka ukudla okuqinile izinsuku ezimbalwa bese udla kuphela uketshezi olufana nesobho, iphalishi, kanye nojusi wezithelo. Lokhu kunikeza amathumbu ukuphumula.
- Ama-antibiotic: Ukuze ulawule ukutheleleka, udinga ukuthatha ama-antibiotic anqunywe udokotela wakho ngesikhathi esinqunyiwe.
- Ama-Painkiller: Ungathatha umuthi ofana ne-Paracetamol wobuhlungu. Kodwa-ke, qaphela kakhulu ngalokho ozokusho ngokulandelayo.
Ungayisebenzisi le mithi!
Uma une-diverticulitis, ama-NSAIDOdokotela bayeluleka ukugwema izidakamizwa zokunciphisa ubuhlungu eziyingxenye yemithi ebizwa ngokuthi izidakamizwa ezingezona eze-steroidal anti-inflammatory (NSAIDs), ngoba zingandisa ingozi yokopha emathunjini. Ezinye izinhlobo zemithi kulesi sigaba zifaka:
* I -aspirini
* I -Ibuprofen
* I -Naproxen
Ungasebenzisi noma yimiphi imithi yokubulala izinhlungu ngaphandle kwaleyo oyinikwe udokotela wakho.
Ukwelashwa esibhedlela (Amacala abucayi)
Uma isimo sibi kakhulu, uma umkhuhlane unganciphi, uma uhlanza, noma uma kunezinkinga, kuzodingeka ulaliswe esibhedlela ukuze uthole ukwelashwa.
- Imithi ye-IV: Ama-antibiotic kanye nama-painkiller anikezwa ngomugqa we-saline (umugqa we-IV).
- Ukufakelwa Igazi: Uma ulahlekelwe igazi eliningi, kungadingeka ukuthi ufakwe igazi.
- Ukukhipha ithumba: Uma ithumba selivele, kungase kudingeke ukuthi likhishwe amanzi kusetshenziswa ipayipi.
- Ukuhlinzwa: Uma ithumbu libhobokile, line-fistula, noma linezinye izinkinga ezinkulu, kungase kudingeke ukuhlinzwa ukuze kususwe ingxenye yamathumbu eyonakele (i-colectomy). Ngezinye izikhathi, kungadingeka imbobo yesikhashana esiswini (i-colostomy) ukuze kuvunyelwe indle ukuthi idlule.
Ingabe i-diverticulitis ingavinjelwa ukuthi ingabuyi?
Yebo, ngezinga elithile kungenzeka. Ukushintsha indlela yakho yokuphila kanye nemikhuba yakho yokudla kunganciphisa kakhulu ingozi yokuthi lokhu kuphinde kwenzeke.
1. Yidla ukudla okune-fiber eningi: Yidla ukudla okune-fiber eningi njengemifino, izithelo, ubhontshisi, kanye nokusanhlamvu okuphelele (irayisi elinama-sprout, ufulawa we-atta). Lokhu kuthambisa indle futhi kwenze kube lula ukuyidlulisa.
2. Phuza amanzi amaningi: Phuza okungenani amalitha angu-2-3 amanzi ngosuku. Lokhu kuzothambisa nendle.
3. Vivinya umzimba njalo: Ukuzivocavoca nsuku zonke, njengokuhamba noma ukugijima, kuhle kakhulu ekusebenzeni kwamathumbu.
Inganekwane endala, iqiniso elisha: Esikhathini esidlule, abantu abane-diverticulosis babetshelwa ukuthi bangadli amantongomane, imbewu, noma imbewu encane, njenge-acorn, ngoba besaba ukuthi imbewu izobhajwa kuleyo sikhwama esincane. Kodwa-ke, ucwaningo lwamuva luye lwabonisa ukuthi lokhu kuyinganekwane. Amantongomane empeleni awukudla okunempilo okucebile nge-fiber. Ngakho-ke manje odokotela bathi asikho isidingo sokuwesaba, futhi siwadle njengengxenye yokudla okulinganiselayo.
Uma uneminye imibuzo mayelana nalokhu, sicela ukhulume nodokotela wakho futhi ucacise.
Umlayezo Wokuya Nawe Ekhaya
- I-Diverticulitis ukutheleleka kanye nokuvuvukala kwezikhwama ezincane (izikhwama) emathunjini amakhulu. Uphawu oluyinhloko ubuhlungu obukhulu esiswini esingezansi, ikakhulukazi ohlangothini lwesobunxele.
- Uma unezinhlungu zesisu ezinzima kanye nezimpawu ezifana nomkhuhlane kanye nesicanucanu, ungakushayi indiva njengobuhlungu besisu obulula bese ubona udokotela ngokushesha.
- Ukwelashwa kuhlanganisa ukuphumula kwamathumbu, ama-antibiotic, kanye nemithi yokubulala izinhlungu.
- Kubaluleke kakhulu: Ungasebenzisi imithi yokunciphisa ubuhlungu ye-NSAID njenge-Aspirin noma i-Ibuprofen. Lokhu kwandisa ingozi yokopha. Sebenzisa imithi oyinikezwe udokotela wakho kuphela.
- Ukudla ukudla okucebile nge-fiber, ukuphuza amanzi amaningi, kanye nokuzivocavoca kungasiza ekuvimbeleni ukuphinda kwalesi sifo. Ungesabi ukudla amantongomane.
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