Diverticulitis ndi chikhalidwe chomwe chiyenera kupezedwa ndi dokotala, ngakhale kwa iwo omwe akhala akuvuta kale. Kawirikawiri mbiri yakale ya zamankhwala komanso mimba ya computed tomography (CT) idzakhala njira yomwe diverticulitis imapezedwera.
Kuyesedwa / Kuyesedwa Kwapanyumba
Palibenso njira yodziwira zovuta zogonana kunyumba.
Ngakhale zitadziwika kuti diverticula alipo chifukwa anapezeka pa colonoscopy kapena mayeso ena, kapena ngati diverticulitis yapezeka kale, odwala sangathe kupeza ndi kuchiza matendawa.
Pamene zizindikiro za kupweteka kwa m'mimba, malungo, kudzimbidwa, kutsegula m'mimba, kunyowa, kapena kusanza kumachitika, ndikofunikira kuti muwone dokotala mwamsanga (ngakhale mu dipatimenti yowopsa ngati zizindikiro zili zovuta).
Kujambula
Pulogalamu ya CT, yomwe nthawi zina imatchedwa tomography scan, ndiyeso yomwe imagwiritsidwa ntchito ngati diverticulitis ikukayikira. Kansalu ya CT ndiyo mtundu wa x-ray koma mmalo mwa chithunzi chimodzi chophatikizana, chimapereka zithunzi zojambula zomwe zimasonyeza thupi loyang'ana mbali. Katemera wa m'mimba amatha kusonyeza ziwalo ndi ziphuphu za m'mimba, kuphatikizapo matumbo akuluakulu, kumene kumapezeka mtundu wa colonic diverticula.
Zimene muyenera kuyembekezera
Pokonzekera CT scan, odwala adzafunsidwa kuti asiye kudya pafupifupi maola anayi asanayambe kumwa ndikumwa madzi okha.
Kusiyana kwa mitsempha, IV, ndi nthawi zina kumagwiritsidwa ntchito ndi CT scan pamene akuganiza kuti diverticulitis imaganiza. Odwala adzapemphedwa kuti amwe njira yothetsera barium. The barium idzadutsa m'magazi ndikuthandizira kuunikira ziwalo mkati mwa thupi pa zithunzi za CT scan.
Kusiyanitsa kungaperekedwenso molakwika, kupyolera mu kugwiritsa ntchito enema.
Potsiriza, padzakhala kusiyana kwakukulu. Mitundu yonseyi imathandizira katswiri wa zaumoyo kuti adziwe ngati pali zosiyana siyana m'matumbo akuluakulu ndikuwonetsetsa ziwalo zina kuti azindikire za diverticulitis.
Pulogalamu ya CT ndiyo makina akuluakulu omwe amatseguka pakati. Odwala adzagona patebulo lomwe limalowa mkati mwa makina pa nthawi ya mayeso. Njira yomwe imagwiritsiridwa ntchito ndi x-ray idzasinthasintha kuti imvetse zithunzi. Ndikofunika kuti mukhalebebe panthawi ya mayesero komanso pamapepala, katswiri wa radiology adzapereka malangizo kuti apume.
Pamene mtundu wa IV umagwiritsidwa ntchito, vesi 4 liyamba kuyambitsidwa. Chiyeso chokha sichiri chosasangalatsa, koma pangakhale kusokonezeka kumaphatikizana ndi kulandira IV ndi chisomo chosiyana. Kusiyanasiyana kungakhale kovuta kwa odwala ena, zomwe zingakhale zosavuta ngati kusiyana kuli kozizira ndipo ngati mumamwa mowa.
Londola
Colonoscopy kawirikawiri imalimbikitsidwa patapita miyezi yochepa kuchokera pamene diverticulitis yachiritsidwa bwino. Seweroli silinagwiritsidwe ntchito kuti lizindikire diverticulitis ndipo silidzachitidwa pamene diverticulitis ikugwira ntchito chifukwa cha zovuta.
Nthawi zambiri, sizimveka kuchokera m'mimba ya mkodzo ngati matendawa alidi a diverticulitis kapena ngati khansa yodetsedwa kapena vuto lina likhoza kukhalapo. Colonoscopy ingagwiritsidwe ntchito kuti zitsimikizire kuti diverticulitis yatsimikiza ndi kuti palibe zinthu zina zomwe zilipo mu colon.
Colonoscopy yotsatila ndi mayesero ena omwe angafunikire adzakhala osiyana payekha malinga ndi mkhalidwe wa wodwalayo komanso kwa dokotala.
Kusanthula Kusiyanasiyana
Ululu wamimba umagwirizanitsidwa ndi zikhalidwe zina zosiyanasiyana, chifukwa chake ndi kofunika kuti mudziwe bwinobwino za diverticulitis musanayambe mankhwala.
Kuonjezerapo, zowonjezereka zimatha kupezeka m'magulu a mimba panthawi yomweyo, zomwe zimapangitsa kuti zikhale zofunikira kupeza zifukwa zina zopweteka kapena zizindikiro zina zakumimba monga kutsekula m'mimba, kudzimbidwa, kapena kusanza. Zina mwazidziwitso za kusiyana kwa diverticulitis zikuphatikizapo:
- Appendicitis: Kutupa kwazowonjezereka ndi chizoloŵezi chofala chomwe chimayambitsa ululu m'mimba. Kuwonjezera apo kumaganiziridwa pambali pa diverticulitis ndipo ndi chifukwa chinanso dokotala akhoza kuitanitsa CT scan.
- Khansara ya Colon: Imene mkati mwa colon ikhoza kuyambitsa zizindikiro zina zofanana ndi diverticulitis.
- Khansara ya ovarian: Khansa m'mimba mwake imayambitsanso kupweteka m'mimba komanso kusintha mthupi.
- Matenda opweteka kwambiri ( IBD ): Matenda a Crohn ndi matenda a zilonda zam'mimba, zomwe zimakhala zowawa kwambiri m'mimba, zimayambitsanso ululu m'mimba ndi zizindikiro zina mkati ndi kunja kwa kapangidwe ka zakudya.
> Zotsatira:
> Baum JA. "Colonic Diverticulitis." Merck Manual Professional Edition. Jun 2017.
> Ramirez PT, Gershenson DM, Gershenson DM, Salvo G. "Khansa ya Ovariani." Merck Manual Professional Edition. Jun 2017.