Matenda osadziwika ndi ambulera yomwe imatanthawuza momwe zimakhalira kunja (kutchedwa diverticula) pakhoma la coloni, ndi zizindikiro kapena zovuta zilizonse zomwe zingachitike chifukwa cha izi. Kukhala ndi zosiyana, zomwe zimatchedwa diverticulosis, ndizofala kwambiri kwa anthu a zaka zoposa 40, ndipo zimapezeka pakati pa theka la anthu onse oposa 60.
Kawirikawiri diverticula sichizindikiro koma m'magulu angapo amatha kutentha ndikuyambitsa matenda otchedwa diverticulitis. Diverticulitis imayambitsa kupweteka kwa m'mimba, malungo, ndi kutuluka magazi. Mavuto angaphatikizepo kukula kwa abscess, fistula, blockages, kapena colon perforation, koma izi si zachilendo.
Diverticulitis imagwiriridwa kuti ndi yofala, koma kafukufuku waposachedwapa amasonyeza kuti zimapezeka pafupifupi 5 peresenti ya anthu omwe ali osiyana m'matumbo awo.
Matumbo Amtundu Wambiri
Kumvetsetsa chibadwa cha matumbo akuluakulu ndi aang'ono kungathandize pokambirana za diverticulitis ndi dokotala. Matumbo aakulu ndi chiwalo chomwe chimaphatikizapo colon, rectum, ndi kanjini ya anal. Ng'ombeyo imayamba kumapeto kwa utumbo waung'ono , womwe uli pafupi mamita asanu ndi limodzi, ndipo uli ndi zigawo zinayi: kukwera kolon, kolumikizana, kumtunda, ndi sigimoid colon. Pambuyo pake ndi malo omwe sitolo imasungirako mpaka itachoka ku anus ngati chiwalo cha mimba.
Zizindikiro
Diverticula kawirikawiri sizimayambitsa zizindikiro zilizonse. Ndi chifukwa chake anthu ambiri sadziwa kuti ali nawo pokhapokha atapezeka pa colonoscopy.
Komabe, zizindikiro monga kupweteka kwa m'mimba ndi malungo zingayambe pamene diverticula imatha (yomwe ndi diverticulitis). Mavuto angayambe nthawi zina, zomwe zingachititse kuti magazi azimwaza magazi ndi kupweteka kwakukulu.
Zizindikirozi zingasonyeze kuti mwadzidzidzi matenda oopsa (monga matenda kapena chitetezo cha m'mimba) ndi mankhwala ayenera kufunidwa nthawi yomweyo. Magazi muchitetezo sichizolowezi, ngakhale atakhala kale, ndipo nthawi zonse ndi chifukwa chowona dokotala.
Zimayambitsa
Sindimvetsetsa bwino chifukwa chake kuyanjana kumapangika, ngakhale pali ziphunzitso zina. Pamene anthu akukalamba, khoma la coloni likhoza kukhala ndi mfundo zofooka, zomwe zimachititsa kuti ziphuphu zimangidwe, zomwe ndizosiyana. Diverticula imapezeka nthawi zambiri mu sigimoid colon, yomwe ndi gawo lomalizira la colon ndipo imamangirizidwa ku rectum.
Poyamba, chiphunzitsochi chinali chakuti kusowa kwa zakudya zamagetsi kunathandiza kwambiri kuti pakhale chitukuko cha matenda osiyanasiyana. Komabe, tsopano akuganiza kuti matenda a diverticular angakhale okhudzana kwambiri ndi majini, ngakhale kuti izi sizikudziwika bwino. Nthano ina ndi yakuti kupsyinjika kwakukulu mkati mwa colon kungapangitse ma bulges kupanga.
Diverticulitis (imene imatchulidwa pamene diverticula imayambitsa zizindikiro) ikhoza kukhala chifukwa cha chovala cha buildup kapena mabakiteriya osalongosoka mu diverticula. Sitikuganiza kuti pali njira yothetsera chitukuko cha diverticula kapena diverticulitis.
Komabe, akuganiza kuti pali zinthu zina zomwe zingapangitse kuti diverticulitis:
- Kusokonezeka kwa msinkhu wa mabakiteriya wathanzi mu colon
- Kukhala ndi moyo wokhazikika
- Kukhala wonenepa kwambiri
- Kusuta
- Kutenga mankhwala osagwiritsidwa ntchito ndi anti-inflammatory drugs (NSAIDs)
- Kutenga mankhwala a steroid
Kudziwa
Nthaŵi zambiri, diverticula sizimayambitsa zizindikiro ndipo sizidzapezeka ndi kupezedwa. Ngakhale kuti zovuta zowonjezereka zimapezeka poyambirira pa khungu loyang'ana kansalu ya khansa yoyipa (yomwe imalimbikitsidwa pa zaka makumi asanu ndi awiri (50) kwa anthu okalamba omwe alibe zoopsa zina).
Ngati pali zizindikiro monga kupweteka kwa m'mimba kapena kutuluka m'magazi, gastroenterologist angasankhe kuona zomwe zikuchitika mkati mwa colon pakuchita mayesero amodzi kapena ambiri, omwe angaphatikizepo colonoscopy kapena computed tomography (CT) .
Colonoscopy ndi mayeso pamene chubu ndi kamera komanso kuwala kumapeto kumayikidwa kudzera mu anus kuti aone mkati mwa colon. Kansalu ya CT ndiyo mtundu wa x-ray umene siuwopseza ndipo ungaperekedwe kapena wopanda dye yosiyana , yomwe nthawi zambiri imaperekedwa pamlomo ndi kudzera mwa IV kuti muwone bwino zomwe zikuchitika mkati mwa thupi.
Chithandizo
Chithandizo sichifunika kuwonetsera zovuta zomwe zimayambitsa zizindikiro. Komabe, dokotala angalimbikitse kudya zakudya zamtundu wapamwamba zomwe zimaphatikizapo zipatso zambiri ndi ndiwo zamasamba. Kwa diverticulitis, mankhwala ali ndi maantibayotiki , omwe nthawi zambiri amatha kutengedwera kunyumba, koma nthawi zina amaperekedwa mwachipatala kuchipatala. Ngati pali mavuto, monga abscess , fistula , stricture , blockage, kapena perforation (dzenje) mu colon , mankhwala ena angafunike.
Opaleshoni ingagwiritsidwe ntchito pofuna kuthana ndi vutoli kapena ngati diverticulitis imabwereza mobwerezabwereza ndi / kapena vuto kuti ndi bwino kuchotsa gawo la matumbo omwe akukhudzidwa. Kuchita opaleshoni kungaphatikizepo resection kuchotsa mbali ya mimba kapena opaleshoni ya ostomy ( ileostomy kapena colostomy ) kumene stoma imapangidwanso ndi kutayika imasonkhanitsidwa pa chovala chovala pamimba.
Mawu Ochokera
Anthu ambiri, makamaka omwe ali ndi zaka zopitirira makumi asanu ndi awiri (50) ali ndi zizindikiro zosiyana koma alibe zizindikiro. Kumvetsetsa zomwe zimapangitsa kuti diverticula ikhale yotentha zasintha zaka zaposachedwapa. Zinkakonda kuganiziridwa kuti anthu omwe ali ndi zosiyana amayenera kupeŵa zakudya zina monga mbewu, mtedza, ndi mapukomo, chifukwa zakudya zimenezo zimatha kukhala "zokhazikika" mu thumba limodzi.
Saganiziranso kuti anthu amafunika kusintha zakudya zawo ngati ali ndi zosiyana. Munthu aliyense yemwe ali ndi matenda a diverticular ayenera kudziwa zakudya zimene zimawathandiza kuti azipewa zizindikiro.
Kwa ochepa peresenti ya anthu omwe ali ndi zosiyana siyana omwe amapanga diverticulitis, mankhwala amakhala ndi mankhwala opatsirana pakamwa, koma ngati zizindikiro zazikulu, kuchipatala kungafunike. Matenda owopsa kapena mavuto angayambe opaleshoni, koma izi si zachilendo. Anthu ambiri adzachira bwino ndi chisamaliro chodziletsa cha diverticulitis (chomwe chimaphatikizapo kupuma kwa matumbo ndi maantibayotiki) ndipo kutsegula kwabwino kuli bwino.
Kudya zakudya zokwanira bwino ndi mavitamini okwanira komanso kuchita masewera olimbitsa thupi ndi kusintha kwa moyo komwe kungathandize anthu omwe ali ndi matenda osiyanasiyana kuti asapewe mavuto.
> Zotsatira:
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