Kawirikawiri, zovuta zimakhala zosavuta koma nthawi zina zimatha kutenga kachilomboka komanso / kapena kutentha, chomwe chimatchedwa diverticulitis.
Chizindikiro chofala kwambiri cha diverticulitis ndi kupweteka kwa m'mimba (kawirikawiri kumanzere), koma kumathandizanso kusintha kumatenda (kudzimbidwa kapena kutsekula m'mimba), malungo, ndi kunyoza kapena kusanza. Mwamwayi, ngakhale ndi zizindikiro, nthawi zambiri zovuta za diverticulitis sizili zovuta ndipo zingachiritsidwe kunyumba.
Komabe, 25 mpaka 30 peresenti ya nthawi yomweyi pangakhale zovuta zomwe zimafuna kuchipatala.
Zizindikiro Zowonjezereka
Kupweteka kwa m'mimba ndi chizindikiro chofala kwambiri cha diverticulitis ndipo kawirikawiri chimakhalapo nthawi zonse ndipo chimapita masiku angapo.
Kawirikawiri, mawonekedwe a diverticula kumapeto kwa matumbo aakulu, omwe amatchedwa sigmoid colon. Lili pambali ya kumanzere kwa mimba, chifukwa chake diverticulitis ingapangitse kuti muzimva kupweteka kapena kupweteka makamaka kumbali iyi. Komabe, panthawi zingapo, anthu ena amatha kupweteka kumbali kapena kumbali zonse ziwiri za mimba ngati pali zosiyana m'madera ena a coloni.
Zizindikiro zina zowonjezereka zimaphatikizapo:
- zovuta
- kudzimbidwa
- kuponda
- kuphulika
- Kutsekula m'mimba (nthawi zina)
- mpweya
- malungo
- kusowa kudya
- kunyoza
- kusanza
Zizindikiro Zambiri
Kutaya magazi ndi diverticulitis siwowamba koma kumachitika nthawi zina. Ngati pali zovuta kuchokera ku diverticulitis, monga fistula, abscess, kapena matumbo perforation, pangakhale zizindikiro zina zomwe zimayambitsidwa ndi zikhalidwe zimenezo.
Zizindikiro za diverticulitis zomwe sizowonjezereka zingaphatikizepo:
- mkwiyo wa chikhodzodzo kapena zizindikiro za mkodzo
- magazi mu mpando
- magazi
Mavuto
Ngakhale kuti si zachilendo, pali mavuto osiyanasiyana omwe angachitike pamodzi ndi diverticulitis.
Momwemo
Chiphuphu ndi kachilombo ka bakiteriya kamene kamayambitsa mfupa wa magazi ndi pus.
Mazimayi omwe amagwirizanitsidwa ndi diverticulitis amatha kupweteka malungo ndi m'mimba. Amachizidwa ndi maantibayotiki ndi / kapena madzi.
Fistula
Fistula ndi njira yomwe imapanga thupi ndipo imagwirizanitsa ziwalo ziwiri kapena ziwalo ndi khungu. Zizindikiro za fistula (zomwe zimadalira malo) zingakhale kuphwanya khungu, kutupa, kupweteka, kupitilira mpweya pamene ukukwera, kudutsa chinsalu kudzera mumaliseche, khungu looneka, kapena kukhetsa madzi m'deralo.
Fistula ikhoza kuperekedwa ndi opaleshoni kapena pogwiritsa ntchito siton, yomwe ndi ulusi umene umangowonjezereka mpaka fistula itsekedwa.
Kumangidwanso
Katemera wotsekemera ndi wotsekemera m'matumbo omwe amalepheretsa kutsika. Pamene diverticulitis imabweretsa chitetezo chamagazi zizindikiro zimatha kupweteka m'mimba, kusamvana, ndi kupweteka; kudzimbidwa kapena kutsekula m'mimba; chotsitsa; ndi nseru ndi kusanza.
Kulepheretsa kungaperekedwe kuchipatala pogwiritsa ntchito chubu la nasogastric (NG) kapena nthawi zina kumafuna opaleshoni.
Kuthamanga
Kudzala ndi dzenje mu colon. Ndi vuto lalikulu lomwe limafuna chithandizo mwamsanga kuti tipewe mavuto monga peritonitis, omwe ndi oopsa kwambiri.
Zizindikiro za poforation zimatha kupwetekedwa m'mimba, kutentha thupi, kutentha, kutuluka m'madzi, ndi kusanza ndi kusanza.
Nthawi Yomwe Muwone Dokotala
Diverticulitis imatha kusamalidwa kunyumba, koma zizindikiro nthawi zonse zimafuna kupita kwa dokotala kapena kuchipatala kukafufuza ndi kulangizidwa kuchipatala kunyumba kapena kuchipatala.
Kupweteka kwa m'mimba kuyenera kuyitana dokotala, koma ngati kuli kovuta komanso kutsatidwa ndi zizindikiro zina monga fever, khunyu, kusanza, ndi kutuluka m'magazi ndi chifukwa chopita ku dipatimenti yosautsa nthawi yomweyo kapena ngakhale kuitanitsa 911.
Nthaŵi zambiri diverticulitis ndi yophweka, koma ndi zizindikiro zoopsa pali vuto la mavuto omwe angakhale oopsa komanso owopsa.
Ngakhale zizindikiro zikuganiza kuti zimachokera ku diverticulitis chifukwa zakhala zikuchitika kale, kuitana dokotala n'kofunikira kuti athandizidwe moyenera ndikuonetsetsa kuti mavuto aakulu sangachitike.
> Zotsatira:
> Ansari P. "Amayi Amkati Ammimba." Jan 2017.
> Baum JA. "Colonic Diverticulitis." Merck Manual Professional Edition. Jun 2017.