Mmene Kutsekula kwa Diverticulitis Kumayendera

Kuchokera ku zakudya kusintha kwa opaleshoni

Diverticulitis ndi matenda omwe angabwere mwadzidzidzi ndi masiku otsiriza kapena masiku angapo, kuchititsa kupweteka kwa m'mimba, kupweteka, kupweteka, kupsa mtima, ndi mitsempha yamagazi. Chithandizo chingaphatikize kupumula ndi zakudya zamadzimadzi kuti mutenge nkhawa m'matumbo anu. Mankhwala opha tizilombo angathenso kulangizidwa, makamaka ngati kuli malungo, kuzizira, kapena zizindikiro zowonjezereka kapena zowonjezereka.

Mavuto ovuta angafunike kuzipititsa kuchipatala ndi kuchitidwa opaleshoni.

Ngati mukudwala matenda oopsa a diverticulitis, nkofunika kupeza chisamaliro kuchokera kwa bungwe lovomerezeka la gastroenterologist yemwe amadziwika kwambiri ndi matenda a m'mimba. Pamodzi, mukhoza kupanga ndondomeko yothandizira mankhwala omwe angaphatikizepo mankhwala, kusintha kwa zakudya, ndi zowonjezereka kuti zithandize mukudya kwanu.

Moyo

Diverticulitis ndi matenda ovuta komanso osamvetsetseka omwe nthawi zambiri amawoneka popanda chifukwa. Ngakhale kuti zakudya zochepa kwambiri zimakhala zoopsa kwambiri chifukwa cha matendawa, palibe zakudya zapadera zomwe zatsimikizirika kuti zitha kuchitiridwa chiopsezo ndipo palibe zakudya zinazake zomwe zimadziwika kuti zimayambitsa.

Ngati zizindikiro zikuwoneka, komanso kuti zizindikiro zikawonekere, njira yoyamba ikuthandizani kuti mupumule. Izi zimaphatikizapo kuchepetsa zomwe mumadya komanso nthawi zina, kupewa zakudya zonse zolimba mpaka zizindikiro zitatsimikizika.

Pa Chigamulo

Ngati zizindikiro zanu zili zosavuta popanda kutentha thupi kapena magazi, dokotala wanu angakulimbikitseni kuti mutenge masiku angapo kuntchito ndikutsatira zakudya zolimbitsa thupi. Popeza kuzunzidwa koopsa kungakhale kwa masiku angapo, muyenera kukhala ndi zakudya zoyenera mwa kulimbikitsa zakudya zanu ndi zowonjezera tsiku lililonse kapena kusokoneza zakudya zamtundu uliwonse, monga kutsimikiziranso.

Zakudya zina zovomerezeka ndizo:

• Msuzi
• Chipatso cha madzi popanda zamkati
• Popsicles (popanda zipatso za zipatso kapena chipatso cha zipatso)
• Zotsatira za masewera
• Gelatin
• Madzi
• Teya kapena khofi popanda zonona

Panthawiyi, mufunikanso kusungunuka bwino, makamaka ngati muli ndi kutsekula m'mimba. Ngakhale kuti zakumwa zolimbitsa thupi zingakhale zothandiza potengera ma electrolyte omwe atayika, musawagwiritse ntchito monga magwero okha a shuga angapangitse kutsekula m'mimba.

Pa Kubwezeretsa

Pamene mukuyamba kumva bwino, mukhoza kuyamba kuyambitsa zakudya zochepa kwambiri. Ngakhale kuti zakudya zochepa kwambiri zimagwiritsidwa ntchito popanga diverticulitis, kudya zakudya zamtundu wapamwamba pamene mukugwira ntchito kuti mupeze zimatha kuchepetsa matumbo anu. Cholinga cha zakudya zochepa zedi ndi kuchepetsa kuchuluka kwa chakudya chosagwiritsidwa ntchito kupyola mu matumbo kuti mupange chochepa chachitetezo.

Zakudya zovomerezeka ndizo:

• Nkhuku, nsomba, ndi mazira
• Zakudya zam'chitini kapena zophika, zimadulidwa
• Zipatso zam'chitini kapena zophika, zimapulidwa
• Mkate woyera woyera
• Msuzi masamba popanda zamkati
• Zakudya zazing'ono zochepa
• Mkaka, yogurt, ndi tchizi
• Mchele woyera ndi pasitala

Pambuyo pa Kubwezeretsa

Mukangoyambiranso, mungayambe pang'ono kuwonjezera kuwonjezera pa chakudya chanu mpaka kudya pakati pa 25 ndi 30 magalamu. Ngakhale kuti kafukufuku amagawidwa kwambiri ngati zakudya zam'mwamba zitha kuteteza kutentha kwa m'tsogolomu, ndikofunika kuti izi zikhale bwino ngati mutayesetsa kuti musamangidwe.

Zomwe zimayambitsa zakudya zowonjezera ndizo:

• Nyemba ndi mphodza
• Mpunga wa Brown, barele, ndi quinoa
• Zipatso ndi ndiwo zamasamba
• Mtedza ndi mbewu
• Mkate wonse wa tirigu, tirigu, ndi pasitala

Ngakhale kuti mtedza, chimanga, ndi mbozi zinkaonedwa ngati zopanda malire kwa anthu omwe ali ndi diverticulitis, kafukufuku wochokera ku University of Washington School of Medicine watsimikiza kuti sizolandiridwa koma akhoza kuthandizira kukhala ndi thanzi labwino la nthawi yayitali.

Malemba

Maantibayotiki amagwiritsidwa ntchito pochizira matenda osiyanasiyana m'magulu onse a matenda, ndipo izi zingakhale zolakwitsa. Malinga ndi kafukufuku wa Cochrane m'chaka cha 2012, kugwiritsa ntchito mankhwala opha tizilombo kuti asamakhale ndi zovuta zowonjezera sizinapange kanthu kuti apangitse zotsatira zake, kuuma kwake, nthawi yake, kapena nthawi zambiri za chiwonongeko poyerekeza ndi kutenga mankhwala osakaniza.

Mankhwala opha tizilombo ndi oyenerera, komabe, mwa anthu omwe ali ndi zizindikiro zosautsa kapena zovulaza (kuphatikizapo kutentha kwakukulu ndi kuzizira) ndi omwe ali ndi mavuto monga kutsekera m'mimba kapena kutuluka magazi.

Pofuna kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, tizilombo toyambitsa matenda timapereka mankhwala othandiza kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda. Ngati zizindikiro zikuluzikulu, mayeso a magazi ndi zikhalidwe zazing'ono zingagwiritsidwe ntchito kuti adziwe matenda enieni a bakiteriya kuti athe kusankhidwa.

Malinga ndi mtundu wa zizindikiro zomwe muli nazo, maantibayotiki angaperekedwe pamlomo kapena pakamwa (mkati mwa mitsempha). Zina mwazochita:

• Zokhazikika kapena zoopsa: Zosankha zamkati zimaphatikizapo Augmentin XR (amoxicillin / clavulanate), ciprofloxacin, moxifloxacin, ndi trimethoprim / sulfamethoxazole (TMP-SMX).
• Zofuna zochepetsetsa zomwe zimafunikila kuchipatala: Zomwe mungachite kuti mupeze njirayi ndi ertapenem, moxifloxacin, Timentin (ticarcillin / clavulanate), ndi Zosyn (piperacillin / tazoctam).
• Kuvuta kwa diverticulitis: Njira zowonjezereka ndi ampicillin, doripenem, meropenem, ndi Primaxin (imipenem / cilastatin).

Zotsatira zoyipa zimaphatikizanso mutu, chizungulire, ululu wa m'mimba, kutsekula m'mimba, kunyoza, kusanza, ndi kupweteka.

Ngati mankhwala okonzedwa ndi pakamwa amalembedwa, nkofunika kutenga maphunziro onse ngakhale zizindikiro zanu zikupita patsogolo. Kupuma kwafupipafupi kungalole kuti mabakiteriya asinthe ndikuyamba kusakaniza mankhwala, zomwe zimapangitsa kuti zikhale zovuta kwambiri kuchiza zizindikiro zanu ngati abwerera.

Mankhwala oletsa tizilombo toyambitsa matenda sali ovomerezeka kwa mild diverticulitis.

Opaleshoni

Pakati pa 15 peresenti mpaka 30 peresenti ya anthu ogonekedwa m'chipatala chifukwa cha diverticulitis pamafunika opaleshoni yokonzanso matumbo. Zizindikiro za opaleshoni zikuphatikizapo:

• Mphindi (mthumba wophimba m'mimba mwake)
• Fistula (kugwirizana kosavuta pakati pa matumbo kapena chikhodzodzo, matumbo aang'ono, kapena abambo)
• Matenda opatsirana m'mimba ndi peritonitis (omwe angapse moyo wowopsa pamimba)

Kuchita opaleshoni ya Diverticulitis kumaphatikizapo kugwiritsira ntchito matumbo (kuchotsa gawo lina la matumbo anu) lomwe limagwiritsidwa ntchito pansi pa anesthesia .

Malingana ndi kukula kwake kwa vutoli, opaleshoniyo ikhoza kuchitidwa opaleshoni (yotchedwa "keyhole") kapena kuchitidwa opaleshoni yotseguka , yomwe imapangidwira m'mimba. Mwa ma opaleshoni awiriwa, opaleshoni ya laparoscopic imagwirizanitsidwa ndi mafupipafupi a chipatala ndi zochepa zochitika pambuyo pa opaleshoni.

Njira zosakaniza zikuphatikizapo:

• Matumbo a resection omwe ali ndi anastomosis , momwe gawo lodwala la matumbo limachotsedwera ndipo mapeto omwe amadulidwa amachotsedwa pamodzi
• Kutsegula m'mimba kumakhala ndi colostomy , komwe mapeto abwino a coloni amachotsedwa kuchoka kumtunda kupita ku dzenje pamimba mwako.

Kuchita opaleshoni yosankhidwa kungakonzedwe osachepera masabata asanu ndi atatu pambuyo pa kuukira kwakukulu. Opaleshoni yapamwamba yochokera m'mimba ya m'mimba imakhala pakati pa 12 peresenti ndi 25 peresenti ya chiopsezo cha imfa, malinga ndi kafukufuku wochokera ku Yale University School of Medicine.

Mankhwala Ophatikiza (CAM)

Mmodzi mwa anthu omwe amapereka nawo ntchito yopanga diverticula ndi kudzimbidwa. Ngati muli ndi kudzimbidwa kosatha, kupanikizika kosalekeza m'matumbo kungayambitse malo ofooka kuti "atuluke" mwadzidzidzi ndikupanga mapepala osatha. Izi ndi malo omwe ali pachiopsezo chotenga matenda ndi kutupa.

Pofuna kupewa kapena kutsekedwa, madokotala nthawi zina amalimbikitsa mankhusu a psyllium , mawonekedwe omwe amachokera ku nthanga za Plantago ovato . Kuchuluka kwa mphamvu ya psyllium kumalimbikitsa kupanga mucilage, chinthu chowongolera chomwe chimayendetsa mchere ndipo chimapangitsa kuti thupi likhale lochepa.

Mankhusu a Psyllium amapezeka mu ufa, capsule, ndi mawonekedwe apamwamba. Ngakhale kuti chowonjezeracho chimatetezedwa ngati chimagwiritsidwa ntchito monga momwe chinayankhulira, chikhoza kuyambitsa mpweya ndi m'mimba kupunduka. Lankhulani ndi dokotala musanagwiritse ntchito psyllium kapena mankhwala ena onse kuti muthetse mankhwala osiyana siyana.

> Zotsatira:

> McGillicuddy, E .; Schuster, K ;; Davis, K. et al. "Zinthu zowonongeka za kuwonongeka ndi kufa kwa anthu okalamba omwe ali okalamba." Arch Surg. 2009; 144 (12): 1157-62. DOI: 10.1001 / archurg.2009.203.

> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. "Kudya, Zakudya, & Chakudya kwa Matenda Opatsirana: Ndiyenera kudya chiyani ngati ndili ndi diverticulosis kapena diverticulitis?" Bethesda, Maryland; yasinthidwa May 2016.

> Shabanzadeh, M. ndi Wille-Jørgensen. P. "Mankhwala opha tizilombo a zovuta zosiyana siyana." Cochrane Database Syst Rev. 2012; (11): CD009092. DOI: 10.1002 / 14651858.CD009092.pub2.

> Njira, L .; Liu, Y .; Syngal, S. et al. "Nut, chimanga, ndi mapulogalamu a popcorn ndi chikhalidwe cha matenda a diverticular." JAMA. 2008; 300 (8): 907-14. DOI: 10.1001 / jama.300.8.907.

Wilkins, T .; Embry, K ;; ndi George, R. "Kuzindikira ndi Kulamulira kwa Acute Diverticulitis." Am Am ​​Physician. 2013; 87 (9): 612-620.