Wake wezwa ngokwakheka kwezikhwama ezincane emathunjini? Mhlawumbe udokotela wakho ukutshelile ngakho, noma wazi othile obhekene nalesi simo. Yilokhu esikubiza ngokuthi i-Diverticulosis. Ungakhathazeki—lesi yisimo esivame kakhulu esithinta abantu abaningi.
Kuyini i-Diverticulosis?
Kalula nje, i-Diverticulosis yenzeka lapho kukhula izikhwama ezincane noma amaphakethe olwelwesini lwekholoni lakho. Cabanga ngakho njengepayipi langaphakathi lebhayisikili eligugile lapho amabhamuza amancane ephuma khona ezindaweni ezibuthakathaka. Ngokuhamba kwesikhathi, ulwelwesi lwangaphakathi lwekholoni ludlula kulezi zindawo ezibuthakathaka zodonga lwemisipha. Njengoba sigaya ukudla, ingcindezi evela emfucumfucwini ehamba emathunjini ingabangela ukuthi la maphakethe akheke kancane kancane.
Igama elithi 'Diverticulosis' livela emqondweni wento 'ephambukayo' noma ephendukayo. Ngenxa yokuthi indlela yekholoni ibonakala ihlukana kulezi zindawo ezincane, yileyo ndlela eyathola ngayo igama layo. Iqembu lalezi zindawo libizwa ngokuthi 'Diverticula,' kanti isikhwama esisodwa 'siyi-Diverticulum.' Lezi zivame ukwakheka kukholoni yakho, njengoba kulapho indle iba khona eqinile futhi icindezele kakhulu odongeni. Zivame kakhulu engxenyeni engezansi yekholoni, eyaziwa ngokuthi i -Sigmoid Colon .
Uyini umehluko phakathi kwe-Diverticulosis ne-Diverticulitis?
Ungase uzibuze ngomehluko phakathi kwe-Diverticulosis ne-Diverticulitis. I-Diverticulosis ibhekisela ekubeni khona nje kwalezi zikhwama (i-Diverticula) emathunjini. Ngokuphambene nalokho, i-Diverticulitis ibhekisela esimweni lapho esinye noma ngaphezulu salezi zikhwama sivuvukala, sivuvukala, noma sitheleleke. Lokhu kuvame ukubangelwa ukutheleleka ngamagciwane. Nakuba ukuba nezikhwama zodwa kungase kungabangela inkinga enkulu, lezi zikhwama zingaba izindawo ezifihliwe lapho amagciwane echuma khona. Uma uba ne-Diverticulitis, ungase ube nezimpawu ezifana nobuhlungu besisu kanye nomkhuhlane.
Ingabe i-Diverticulosis iyisimo esibucayi?
Ngokuvamile, ukuba ne-Diverticulosis akuyona inkinga enkulu. Abantu abaningi abakaze babe nezimpawu noma izinkinga. Kodwa-ke, ezimweni ezingavamile, kungaba yingozi kakhulu. Isibonelo, uma uthola ukutheleleka (i-Diverticulitis) futhi kungelashwa, kungaholela ezimweni eziyingozi njenge -Sepsis (ukutheleleka kwegazi). Ngaphezu kwalokho, kubantu abambalwa kakhulu, lezi zikhwama zingopha igazi njalo. Uma lokhu kwenzeka, usengozini yokuthola ukulahlekelwa yigazi okukhulu .
Ivame kangakanani i-Diverticulosis?
Lesi yisimo esivame kakhulu emazweni aseNtshonalanga, ikakhulukazi njengoba sikhula. E-United States, ucwaningo lubonisa ukuthi abantu abangu-30% abangaphezu kweminyaka engu-50, abangu-50% kulabo abangaphezu kweminyaka engu-60, kanye nabangu-75% kulabo abangaphezu kweminyaka engu-80 bane-Diverticulosis. Ezimweni eziningi, laba batholakala eSigmoid Colon. Akuvamile kubantu abangaphansi kweminyaka engu-40. Ngaphezu kwalokho, akuvamile emazweni lapho ukudla okubandakanya khona ukudla okucutshungulwayo okuncane uma kuqhathaniswa namazwe aseNtshonalanga.
Ziyini izimpawu ze-Diverticulosis?
Abantu abaningi abane-Diverticulosis ababonisi zimpawu nhlobo; ungase ungazi nokuthi unaso. Kodwa-ke, uma uzwa izimpawu ezifana nobuhlungu besisu noma umkhuhlane , kungenzeka ukuthi kungenxa yokutheleleka (i-Diverticulitis).
Ngezinye izikhathi, uma usuvele unezimo ezifana ne-Irritable Bowel Syndrome (IBS) noma i-Inflammatory Bowel Disease (IBD), lezi Diverticula zingase zizwele kakhulu ekucindezelekeni, okuholela ekuvuvukeni noma ekungakhululeki njengoba imfucuza yokudla idlula. Uma uhlushwa ukuqunjelwa , indle eqinile ingabanjwa kulezi zikhwama, okwenza isimo sibe sibi kakhulu.
Cishe abantu abayi-10% abane-Diverticulosis bangase baphuze igazi (i-Diverticular bleeding). Lokhu kwenzeka uma indle eqinile ikhuhla noma yelula umthambo wegazi ngaphakathi kwesikhwama ize iphuke. Ngokuvamile, lesi yisenzakalo esingenabuhlungu esizimela sodwa. Kodwa-ke, ungase ubone igazi elisha esitulweni sakho. Uma ubona igazi, uhlangabezana nezimpawu eziqhubekayo, noma ubhekene nezinkinga, sibhekisela kulokhu njenge-Diverticular Disease.
Iyini imbangela eyinhloko ye-Diverticulosis?
Abacwaningi bakholelwa ukuthi imbangela eyinhloko iphethini yokudla yaseNtshonalanga — ikakhulukazi leyo ene -fiber ephansi kanye nesitashi esiningi esicutshunguliwe. Lokhu kudla kwenza imfucuza ibe nzima, okubangela ukuthi ihambe kancane emathunjini, okuvimbela ukuphuma kahle kwamathumbu. Njengoba imfucuza ihamba futhi iba qinile, idala ingcindezi eholela ekwakhekeni kwalezi zikhwama ku-Sigmoid Colon.
Ingabe zikhona ezinye izinto eziyingozi?
Izakhi zofuzo nazo zingadlala indima. Ngisho noma ngabeka eceleni ukudla kwaseNtshonalanga, lesi simo sivame kakhulu phakathi kwabamhlophe baseMelika, abaseYurophu, kanye nabantu base-Australia kunakwamanye amaqembu ezinhlanga. Abacwaningi baphinde baphawula ukuthi lapho abantu base-Asia beba ne-Diverticulosis, ivame ukwakheka engxenyeni ehlukile yekholoni—isiqalo hhayi ukuphela. Lokhu kuyaphawuleka nakubantu baseJapan abahlala eHawaii.
I-Diverticulosis itholakala kanjani?
Udokotela angase aqaphele lezi zikhwama ngesikhathi seColonoscopy ejwayelekile noma i-GI X-ray. Lena yindlela i-Diverticulosis evame ukutholakala ngayo, njengoba ngokuvamile ingabangeli izimpawu. Kodwa-ke, uma unezimpawu, udokotela wakho uzophenya imbangela ngesinyathelo ngesinyathelo ngokubukeza umlando wakho wezokwelapha, imithi yamanje, ukudla, kanye nemikhuba yamathumbu.
Yiziphi izivivinyo ezisetshenziswayo ukuxilonga lesi simo?
Izinqubo zokuxilonga zingafaka:
- Ukuhlolwa Komzimba: Udokotela wakho uzohlola Izimpawu Zakho Ezibalulekile , enze ukuhlolwa ngokomzimba kwesisu sakho (ukusithinta), futhi alalele imisindo yamathumbu. Bangase futhi benze Ukuhlolwa Kwe-Digital Rectal .
- Ukuhlolwa Kwegazi: Kungase kuthathwe isampula yegazi ukuze kuhlolwe izimpawu zokutheleleka noma ukopha okukhulu kwangaphakathi.
- Ukuhlolwa Kwendle : Isampula ingahlolwa ukuze kutholakale izimpawu zokutheleleka noma ukopha kwesisu (GI).
- Ukuhlolwa Kwezithombe: Udokotela wakho angasebenzisa i-CT scan, i-Barium Enema , i-Flexible Sigmoidoscopy, noma i-Colonoscopy ukuze abone ngeso lengqondo izikhwama futhi ahlole noma yiziphi izinkinga ezihlobene nazo.
Yiziphi izindlela zokwelapha i-Diverticulosis?
Abantu abaningi abadingi ukwelashwa okusebenzayo kwe -Diverticulosis . Kodwa-ke, udokotela wakho angase akucebise ukuthi wandise ukudla kwakho i-fiber. Lokhu kwenzelwa ukubhekana nembangela eyinhloko yokwakheka kwe-diverticula nokuvimbela izinkinga ezifana nokuqunjelwa noma ukuqunjelwa. I-fiber eningi isiza indle ukuthi idlule kahle emathunjini, kuyilapho isebenza njengento yemvelo yokuhlanza umgudu wakho wokugaya ukudla.
Kubantu abangaba ngu-3%, ukwelashwa kungadingeka ukuze kumiswe ukopha okungapheli kwe-Diverticular . Lokhu kuvame ukuphathwa ngesikhathi se -Colonoscopy . Uma udokotela we-Gastroenterologist ethola indawo yokopha, angasebenzisa amathuluzi akhethekile adluliswa nge- Colonoscope ukuvala umthambo wegazi othintekile. Ngaphandle kwalokho, udokotela angasebenzisa i- Angiogram ukuthola umthombo bese efaka umuthi ngqo emthanjeni ukuze kumiswe ukopha.
Ingabe i-Diverticulosis ingavinjelwa?
Ukudla ukudla okusekelwe ezitshalweni kanye nokudla okuphelele, ukuzivocavoca umzimba njalo, nokuhlala unamanzi anele nsuku zonke kungasiza ekugcineni ukuhamba kwakho kwamathumbu kunempilo futhi kujwayelekile. Le mikhuba ingasiza ekuvimbeleni ukuthuthukiswa kwe-Diverticulosis. Uma usuvele utholakale unalesi simo, lezi zinyathelo zingasiza ekunciphiseni ingozi yokwakha amaphakethe amasha. Nakuba kungesona isiqinisekiso, lezi zindlela zokuphila ezinempilo zisebenza kahle kakhulu ekuvimbeleni ukuphazamiseka okuningi kwendlela yokugaya ukudla engezansi.
Yini engingayilindela uma nginalesi simo?
Uma une-Diverticulosis futhi ungakaze ube nezimpawu noma izinkinga, kungenzeka kakhulu ukuthi awusoze waba nazo. Kodwa-ke, uma unezinye izimo ezifana nokuqunjelwa, i-IBS , noma i-IBD ezenza lesi simo sibe nzima, ungase ube nengozi enkulu yezimpawu eziphindaphindayo. Idlanzana elincane labantu libhekana neziqephu ze-Recurrent Bleeding Episodes , ezingadinga ukunakekelwa okuqhubekayo kwezokwelapha ukuze kulawulwe ukopha noma kulungiswe i-anemia engaba khona.
Ingabe i-Diverticulosis ingaguqulwa?
Uma i-Diverticula isivele yakhekile, ayikho indlela eyaziwayo yokuyiqeda. Kwabaningi abantu, ayibangeli izinkinga; noma kunjalo, uma iba yinkinga, kungadingeka ulungise indlela yakho yokuphila ngokufanele.
Ngingazinakekela kanjani nge-Diverticulosis?
Kungakhathaliseki ukuthi unezimpawu noma cha, uma utholakale une-Diverticulosis, ukufaka i-fiber eyengeziwe ekudleni kwakho kungaba yinzuzo enkulu. Indlela engcono kakhulu yokufeza lokhu ukudla okusanhlamvu okuphelele , izithelo nemifino. Abanye abantu basebenzisa ama-Fiber Supplements afana ne -Psyllium . Into ebaluleke kakhulu ukuthi uma ukhulisa i-fiber, kufanele uphuze amanzi amaningi ukuze uyisize idlule emathunjini; ngaphandle kwalokho, ukuqunjelwa kungaba kubi kakhulu.
Uma unesifo esihambisana ne-Diverticular Disease (okusho ukuthi une-Diverticulosis enezimpawu), kufanele uqaphe izimpawu zakho ukuze ulawule lesi simo. Isibonelo, bheka ukuthi ukudla noma imithi ethile ibonakala ikhulisa izimpawu zakho. Uma ubona ukopha kwamathumbu , noma ngabe kuyeka ngokwako, yazisa udokotela wakho njalo ukuze aqinisekise ukuthi awulahlekelwa igazi eliningi.
Ingabe i-Diverticulosis ingenzeka ngaphandle kwekholoni?
I-Diverticula ingakheka noma kuphi ohlelweni lwakho lokugaya ukudla, okuhlanganisa i- Small Intestine , i-Stool , ngisho ne- Esophagus ( Esophageal Diverticulum ). Kodwa-ke, lezi zimo azivamile futhi zivame ukwenzeka njengenkinga yesinye isimo, njenge- Motility Disorder eyenza kube nzima ukuthi ukudla kuhambe kahle ngendlela. I-Meckel's Diverticulum yisimo sokuzalwa esenzeka emathunjini amancane.
Kwabaningi abantu, i-Diverticulosis ayiyona imbangela yokwethuka. Udokotela angase ayithole ngengozi ngesikhathi sokuhlolwa okuvamile. Uma uneminyaka engaphezu kwengu-40, lokhu kuyinto evamile. Uma uhlala ungenazo izimpawu, ungaqhubeka nokuphila kwakho okuvamile. Kodwa-ke, uma uhlangabezana nezimpawu, sicela uxhumane nodokotela wakho ukuze unqume ezinye izimo noma izifo ezingaba khona.
Okubalulekile okuthatha eNirogi Lanka
Sithemba ukuthi lolu lwazi luzokunikeza ukuqonda okucacile nge-Diverticulosis.
Khumbula, nakuba lesi simo sivame kakhulu, iningi labantu liphila naso ngaphandle kwezinkinga.
- Faka ukudla okucebile nge-fiber (imifino, izithelo, okusanhlamvu okuphelele) ekudleni kwakho.
- Hlala unamanzi ngokuphuza amanzi amaningi.
- Vivinya umzimba njalo.
- Uma uzwa izimpawu ezifana nobuhlungu besisu, umkhuhlane, noma indle enegazi, funa usizo lwezokwelapha ngokushesha.
Asikho isidingo sokwesaba, kodwa ukuhlala unolwazi kuyindlela engcono kakhulu!
