Kodi dokotala wanu adakupezerani kuti mukukhala ndi diverticulosis pamodzi ndi matenda anu a m'mimba (IBS)? Kodi mumadabwa ngati pali mgwirizano pakati pa awiriwa? Ndipo kodi zimakuvuta kuti mudziwe zomwe mungadye kuti musadwale matendawa ndi ena mwa mavuto awiriwa? Tiyeni tiwone zomwe zingatheke kuti tigwirizane ndikukambirana zomwe mungachite kuti muzisamalira nokha mukakhala ndi zonsezi.
Kodi Diverticulosis N'chiyani?
Diverticulosis ndi thanzi limene timatumba ting'onoting'ono timene tili nawo m'matumbo akuluakulu . Magazi awa amadziwika ngati diverticula, ndipo amapitilira panja pa khoma la koloni. Zimapezeka kuti zimapezeka mu sigmoid colon, yomwe ndi gawo laling'ono kwambiri la matumbo.
Diverticulosis ndi imodzi mwa zinthu zitatu zomwe zimatchedwa diverticulitis, zomwe zimatchedwa diverticulitis, momwe zipolopolo kapena sacs zotchedwa diverticula zimatuluka kapena zimatuluka, ndipo magazi amayamba kutuluka magazi.
Akuti pafupifupi 20 peresenti ya anthu ku US ali ndi matenda osiyanasiyana. Kuwonjezeka kwa chiwerengero kumawonjezereka ndi ukalamba pamene akuganiza kuti zimakhudza pafupifupi 70 peresenti ya anthu a ku America oposa zaka makumi asanu ndi atatu (80). Zikuyeneranso kuti 25 pa anthu onse omwe ali ndi matenda osiyana siyana adzapeza diverticulitis ngati chinthu china m'moyo wawo.
Zizindikiro za Diverticulosis
Kwa anthu ambiri, diverticulosis samayambitsa zizindikiro. Kwa ena, kupezeka kwa matumbawa kungapangitse kudzimbidwa, kutsegula m'mimba, kupweteka kwa m'mimba komanso kupweteka. Zizindikiro zonse za IBS! (Tidzakambirana nazo pambuyo pake.)
Zizindikiro za diverticulitis zingakhale zovuta kwambiri. Ululu ukhoza kukhala wofatsa mpaka wolimba, ndipo mubwere mwamsanga kapena pang'onopang'ono kuipa.
Ululu ukhoza kuyaka ndi kupsa. Zizindikiro zina za diverticulitis zikuphatikizapo:
- Kupweteka m'mimba ndi kuponda
- Kusintha mwadzidzidzi chizoloŵezi cha m'mimba, mwachitsanzo, kudzimbidwa kapena kutsekula m'mimba
- Chills
- Fever
- Tsitsi la pansi pamimba, makamaka kumanzere
- Kuthamanga
Ngozi yowopsa yosagwiritsidwa ntchito mosagwedezeka ndi njira yowonongeka pamtunda -pamene chiopsezo cha moyo chomwe chidzafuna opaleshoni.
Kutuluka mwazidzidzidzi kumawonekera mwadzidzidzi kuchuluka kwadzidzidzi kofiira kofiira ku mdima wamagazi mu mpando . Kupuma kwa magazi nthawi zambiri kumangokhala nokha, koma ngati mumakhala ndi magazi aliwonse mu mpando wanu kapena kuchokera ku rectum, muyenera kuwona dokotala kuti azindikire molondola zomwe zimayambitsa magazi.
Kusagwirizana pakati pa IBS ndi Diverticulosis
Mwinamwake mukadakhala mukuganiza ngati mukuganiza kuti zinthu zokhudzana ndi thanzi lanu zikhonza kugwirizanitsidwa, mungakhale okondwa kudziwa kuti maganizowa achitika kwa ochita kafukufuku. Tiyeni tiyang'ane maphunziro angapo ofunikira ndi zotsatira zawo:
Kafukufuku wina adamaliza maphunziro ambiri omwe anapezeka kuti ali ndi diverticulitis, omwe alibe mbiri yakale ya matenda a m'mimba (FGDs) monga IBS kapena matenda a maganizo, kuchipatala cha Veterans Administration, kwa zaka pafupifupi zisanu ndi chimodzi.
Iwo adapeza kuti anthuwa ali ndi chiopsezo chachikulu chokhazikitsa IBS, ndipo pafupifupi kawiri kawiri chiopsezo chokhala ndi FGD kapena matenda a maganizo. Zotsatira izi zawatsogolera gulu ili kuti liwonetsetse lingaliro la "postdiverticulitis IBS" (PDV-IBS), chizindikiro chomwe chidzagwiritsidwe ntchito kwa anthu omwe akudwala zizindikiro za matenda a IBS osatha pambuyo pa zochitika za diverticulitis. Chonde kumbukirani kuti izi ndi phunziro limodzi-ntchito yambiri iyenera kuchitidwa musanakhale gulu lililonse lovomerezeka ndi bungwe latsopano la IBS !
Kuphunzira kosiyana kunagwiritsa ntchito njira yofunsira mafunso kuti mudziwe ngati pali mgwirizano pakati pa kukhala ndi matenda a diverticular ndi IBS.
Zotsatira zake zikusonyeza kuti kukhala ndi IBS kunayambitsa chiopsezo cha munthu kwa diverticulosis, koma sikunayambe kuika chiopsezo chake chokumana ndi zovuta. Izi zowonjezera chiopsezo cha diverticulosis chinali chodziwika kwambiri kwa anthu omwe ali ndi IBS omwe anali achikulire kuposa 65. Zokondweretsa, mosasamala za zaka, chiopsezo chowonjezeka cha diverticulosis chinali chowoneka mwa anthu omwe anapezeka ndi matenda otsegula m'mimba-omwe ndi ofunika kwambiri ku IBS (IBS-D ) kapena mtundu wina wa IBS (IBS-A).
Phunziro lina lalikulu linkachitidwa ku Japan. Ofufuzirawo akutsindika kuti pali kusiyana kwakukulu kumene matenda a diverticular amadziwonekera okha poyerekeza anthu ochokera Kumadzulo (Europe ndi United States) motsutsana ndi anthu ochokera ku Asia. Mwachiwonekere, kumadzulo, matenda a diverticular amatha kuwonekera mumtunda wa distal-kutsika kwa koloni kumbali ya kumanzere ndi sigimoid colon . Mosiyanako, ku Asia, matenda a diverticular amatha kuwoneka kumbali yakumanja ya koloni. Nchifukwa chiyani izi ziri zofunika? Malingana ndi ochita kafukufukuwo, kusiyana kumeneku ndi kofunikira monga momwe mbali yotsalira ya diverticulitis imakhala yowawa kwambiri, pomwe matenda osiyana-siyana amachoka pamodzi chifukwa cha kuopsa kwa magazi.
Mu phunziro lachi Japanese, zotsatira zinasonyeza kuti ophunzira omwe anasonyeza zizindikiro za matenda a diverticular kumbali ya kumanzere, kapena mbali zonse, a colon, anali ndi mwayi wokhala ndi IBS pamene ochita nawo mbali omwe anali ndi mbali zoyenera zapadera sanawonetsere izi zoopsa.
Zimene Mungachite Ngati Muli Nawo Onse
Zingakhale zovuta kuti mudziwe zoyenera kuchita ngati muli ndi thanzi labwino. Mwamwayi, njira zina zomwe zimaperekedwa kwa IBS zimagwiritsidwa ntchito ku matenda osiyanasiyana:
- Zowonjezerani kudya kwa fiber : Izi zikhoza kukhala ngati kudya zakudya zapamwamba kapena kutenga fiber.
- Tengani ma probiotics : Kafufuzidwe sizongoganizira , koma pali zizindikiro zina zakuti ma probiotics angathandize kuteteza kupotoza maganizo kwa anthu omwe ali ndi diverticulosis. Mukhoza kupeza ma probiotics mu mawonekedwe owonjezera kapena zakudya zokazinga .
Pali njira zina zomwe zimayendera kuti zithetse mavuto ochokera ku matenda osiyanasiyana. Ngakhale kuti izi sizikugwirizana ndi IBS, kusintha kumeneku kudzakuthandizani kuti mukhale ndi thanzi labwino:
- Ngati mumasuta fodya, tengani ndondomeko kuti muime.
- Onetsetsani kuti muzichita masewera olimbitsa thupi.
- Khalani ndi kulemera kwabwino.
- Gwiritsani ntchito mowa mopitirira malire.
- Gwiritsani ntchito aspirin komanso mankhwala osokoneza bongo (NSAIDs) osachepera.
Zotsatira:
Cohen E, et al. Ngozi Yowonjezereka ya Matenda a Irritable Bowel After Acute Diverticulitis. Clinical Gastroenterology ndi Hepatology. 2013; 11: 1614-1619.
Matenda Odzidzidzidwa a National Digestive Diseases Information Clearinghouse (NDDIC) .
Jung H, et al. Kutsekula m'mimba-Matenda Odziwika Amadzimadzi Amadzimadzi Amagwirizanitsa ndi Matenda Odzidzimutsa: Phunziro Lochokera ku Anthu. American Journal of Gastroenterology. 2009; 105: 652-661.
Templeton A & Strate L. Zosintha mu Diverticular Disease. Mauthenga Amakono Okhudza Gastroenterology . 2013; 15: 339.
Yamada E, et al. Kusonkhana pakati pa malo a Matenda Opatsirana ndi Irritable Bowel Syndrome: Kuphunzira Kwambiri ku Japan. American Journal of Gastroenterology . 2014; 109: 1900-1905.