Matenda Osadziwika Angachititse Kusuta M'magazi Amkati
Diverticulosis ndi chizoloŵezi cha matumbo akuluakulu (colon) omwe amapezeka ngati anthu akula. Mu diverticulosis, khoma la m'matumbo akulu limakhala ndi malo ofooka omwe amamera kunja kuti apange zipolopolo zazing'ono, zomwe zimatchedwa diverticula. Pamene diverticulum izi zimawotcha kapena zimayambitsa matenda, zimatchedwa diverticulitis. Diverticulosis ndi diverticulitis amadziwika kuti diverticular disease.
Mwachidule
Diverticulosis imayamba kuchitika kwa anthu a zaka zoposa 40, ndipo anthu oposa makumi asanu ndi awiri (50%) aliwonse oposa zaka 60 amasonyeza zizindikiro za matendawa. Matenda osokoneza bongo amapezeka kwambiri ku United States, England, ndi Australia, zomwe zingatanthauze kuti zakudya zochepa zomwe zimapezeka m'mayikowa zingakhale zowonjezera. Matenda osokoneza bongo sapezeka m'madera omwe zakudya zakuthambo zimakhala zachilendo, monga Asia ndi Africa.
Zizindikiro
Diverticulosis sizingayambitse zizindikiro zilizonse, koma nthawi zina pangakhale magazi.
Diverticulitis imayambitsidwa ndi matenda kapena kutupa mu diverticula, ndipo nthawi zambiri imakhala limodzi ndi ululu m'mimba. Mavuto a m'mimba amasiyana, ndipo amayamba mwadzidzidzi, koma amatha kukhalanso masiku angapo. Zizindikiro za diverticulitis zingaphatikizepo izi:
- Zowawa m'mimba, makamaka m'munsi kumanzere quadrant
- Kusintha kwa zizolowezi zamagazi
- Chills
- Kuponda
- Fever
- Nausea
Zimayambitsa
Cholingacho sichimvetsetsedwa bwino, koma zakudya za kumadzulo, zomwe zimakhala zochepa mu fiber, ndi moyo wokhala pansi zimaganiziridwa kuti zimapangitsa matenda osiyanasiyana. Chakudya chochepa chotere chingayambitse kudzimbidwa. Kuikidwa mkati mwaokha sikungayambitse matenda osiyana siyana, koma kuyesayesa kudutsa zida zolimba kungapangitse makoma a colon kuti ayambe kutuluka panja ndikupangitsanso zosiyana.
Sitikudziwikanso chifukwa chake moyo wokhazikika umatha kugwirizanitsa ndi matenda osiyanasiyana. Diverticulitis ikhoza kuyambitsidwa ndi chithunzithunzi kulowa mu diverticula.
Kudziwa
Popanda zizindikiro zilizonse, diverticulosis kawirikawiri sichipezeka. Si zachilendo kuti diverticulitis ipezedwe ngati dokotala akuyang'ana chifukwa cha zizindikiritso zina, kapena nthawi yowonongeka kolonoscopy .
Mayesero omwe angathandize kuthandizira matenda osiyanasiyana ndi awa:
Colonoscopy. Diverticulitis ikhoza kupezeka pa colonoscopy yomwe inkachitidwa pofuna kufufuza zizindikiro, monga kupha magazi kapena kupweteka m'mimba. Colonoscopy ndi yesero la kuyesera kwa anthu omwe ali ndi zaka zoposa 50, zomwe zingachititse kuti azindikire kuti matendawa ndi amodzi.
Kusinkhasinkha Tomography (CT). Kansalu ya CT ndi mndandanda wa x-rays umene ungapereke chithunzi chokwanira cha mimba ndi malo ena. Zimakhala zosavuta, zopanda ululu, komanso zopanda phindu. Nthawi zina, ma dye osiyanasiyana amatha kugwiritsidwa ntchito popititsa patsogolo maonekedwe ena (monga matumbo akulu). Kusiyana kwa sing'anga kumaperekedwa mowa, kapena jekeseni mu mitsempha. Dayi imathandiza dokotala kupeza ziwalo mkati mwa mimba ndikuyang'ana chinthu chachilendo, monga diverticula.
Kuchiza Matenda Opatsirana
Chithandizo choyamba cha diverticulosis chimaphatikizapo kuchulukitsa kuchuluka kwa fiber mu zakudya.
Anthu ambiri ku United States sapeza mavitamini okwanira pakudya kwawo. Zakudya zamakono zimathandiza kuti chovala chikhale chofewa komanso chosavuta kudutsa, chomwe chingathandize kupewa kutsekedwa ndipo zotsatira zake zimapangitsa kuti thupi liziyenda. Fiber akhoza kuwonjezeredwa ku zakudya kudzera m'zigawo zowonjezereka .
Ngati mwapezeka kuti muli ndi matenda osiyanasiyana, kambiranani ndi dokotala wanu za mtundu wa fiber kuti mukhale nawo.
Kale, ndibwino kuti anthu omwe ali ndi matenda a diverticular azipewa zakudya zomwe zingakhale "zokhazikika" mu diverticula, monga popcorn, mtedza, ndi mbewu monga mpendadzuwa, dzungu, caraway, ndi sesame. Palibenso umboni uliwonse wovomerezera izi, koma funsani dokotala wanu za zoletsa zakudya.
Diverticulitis imafuna kufufuza kwambiri ndi chithandizo chambiri, kawirikawiri kumaphatikizapo CT kapena zojambula zina, kulingalira ndi gastroenterologist ndi dokotala wamkulu opaleshoni, mankhwala opha tizilombo, kupuma kwa thupi, ndipo - osati nthawi zambiri - opaleshoni iliyonse yosankha kapena mwachangu.
Zovuta za Matenda Opatsirana
Kusuta. Pamene diverticula magazi, magazi akhoza kupezeka mu chipinda cha chimbudzi kapena mu mpando. Mwazi umaganiziridwa kuti umayambitsidwa ndi chotengera cha magazi chosweka ndipo sichifunikira thandizo lililonse.
Izi sizomwe zimagwirizanitsa, komabe zingapangitse kuchuluka kwa magazi. Nthawi zina, kutuluka magazi kungafunikire kufufuzidwa ndikuyimitsidwa pa colonoscopy kapena kudzera opaleshoni. Ngakhale mutapezeka kuti muli ndi matenda osiyanasiyana, ndikofunika kupeza magazi aliwonse kuchokera ku rectum omwe adatulukira ndi dokotala.
Momwemo. Diverticulitis ndi matenda a diverticula, ndipo matenda oterewa amatha kuwombera. Chiphuphu ndi mthumba wa pus womwe umapezeka mu minofu yotupa. Chotupa m'kati mwa thupi, monga m'matumbo akuluakulu, nthawi zambiri sichivuta kupeza, koma ngati chiri chochepa chingathe kuchiritsidwa ndi mankhwala ophera tizilombo. Ziphuphu zoopsa kwambiri ziyenera kuwonongedwa, zomwe zimagwiritsidwa ntchito pogwiritsa ntchito mankhwala osokoneza bongo kuti asokoneze deralo ndikuyika nsale kudutsa khungu ndi kulowa mu abscess.
Kuthamanga. Mphuno ndi phando lomwe limakula mumatenda osiyanasiyana. Ngati dzenje liri lalikulu, zingayambitse mafinya mkati mwa m'mimba ndipo pamapeto pake amatsogolera ku peritonitis. Peritonitis ndi vuto lalikulu limene lingakhale lopha ngati silikuchitidwa opaleshoni yomweyo.
Fistula. Fistula ndi msewu wosalimba womwe umagwirizanitsa ziwalo ziwiri za thupi kapena thupi la khungu. Fistula ikhoza kupanga pamene phokoso lidzaza ndi pus, silichiritsa, ndipo limatha kupyola ku chiwalo china. Ndi diverticulitis, fistula ikhoza kuchitika pakati pa matumbo akulu ndi m'matumbo aang'ono, matumbo akuluakulu ndi khungu, kapena, makamaka, matumbo akulu ndi chikhodzodzo.
Kumangidwanso. Kusiyanitsa kwa matendawa kungachititse kuti minofu yambiri ikhale m'mimba yaikulu.
Matenda akuluakulu angapangitse matumbo kukhala ochepa kapena osatsekedwa, kuteteza chotupa kuti asadutse. Zomwe zimalepheretsa kuchepetsa thupi zimafuna opaleshoni.
Zotsatira:
American Society of Colon ndi Rectal Surgeons. "Matenda Osadziwika." FASCRS.com Jan 2008.
Cedars-Sinai Medical Center. "Matenda Osadziwika." Mikungudza-Sinai.edu 2011.
FamilyDoctor.org. "Matenda Osadziwika." American Academy of Family Physicians Nov 2010.