Ukutholakala kwe-Diverticulitis? Izimpawu, Izimbangela, Nokwelashwa

I-Diverticulitis kwenzeka lapho ama-pouches amancane odongeni lwekoloni yakho eba luhlaza noma ekutholakala ukutheleleka. La ma-pouches, abizwa ngokuthi yi-diverticula, avame kakhulu njengoba sikhulile, kodwa ngokuvamile awabangeli izinkinga kuze kube yilapho ecasuka.

Cabanga ngakho njengoba ama-bumps amancane afana nebhaluni angakha eceleni lodonga lwakho lomthambo ngokuhamba kwesikhathi. Uma izithako zokudla noma amabhaktheriya ebanjelwe kula ma-pouches, angakhula futhi abe buhlungu, okuholela e-diverticulitis.

Ziyini izimpawu ze-diverticulitis?

Isilwane esibaluleke kakhulu ubuhlungu obukhulu, obukhulu ngokungazelele ngasezandleni zakho ezingezansi kwesobunxele obungapheli. Lobu buhlungu ngokuvamile buzwakala bubuhlungu noma buhlupha futhi bungase bube bukhulu uma uhamba noma ukhwehle.

Ungase futhi ube nezimpawu eziningi ezikhomba ukuvuvukala ohlelweni lwakho lokugaya ukudla:

• Ukuqhuma nokuthandaza njengoba umzimba wakho ulwa nokutheleleka
• Ukuphefumula nokugabha okwenza ukudla kube nzima
• Ukushintsha imikhuba yomthambo njengokubamba noma ukwelula
• Ukuqhuma nogesi okuzwakala kunzima kunokujwayelekile
• Ubuhlungu uma uthinta isisu sakho esingezansi
• Ukulahlekelwa ukunxanela ngisho nokudla okujwayelekile okujabulelayo

Ezimeni ezingavamile, abanye abantu baba nezimpawu ezinzima kakhulu. Lokhu kuhlanganisa ubuhlungu obukhulu besisu obukhula kuwo wonke isisu sakho, ukugabha okuqhubekayo okwenza kube nzima ukugcina izinto eziphuzwayo, noma izimpawu zokutheleleka okukhulu njengomkhuhlane ophezulu kanye nesiguli esisheshayo.

Ukuhlanganiswa kwalezi zimpawu, ikakhulukazi ubuhlungu obubonakalayo ngakwesobunxele ngomkhuhlane, ngokuvamile kusiza odokotela ukuthi baqaphele i-diverticulitis ngokushesha.

Yini ebangela i-diverticulitis?

I-Diverticulitis ithuthukiswa lapho amabhaktheriya noma izithako zokudla ezivaleleke kula ma-pouches amancane eceleni lodonga lwekoloni yakho. Uma ebanjelwe, lezi zinto zingabangela ukuvuvukala nokutheleleka, njengoba i-splinter ingabangela ukuvuvukala umunwe wakho.

Izici eziningi zingandisa amathuba okwenzeka lokhu:

• Ukudla okune-fiber encane okwenza umthambo ube nzima futhi kube nzima ukuwudlula
• Ukwehluleka komzimba okunciphisa ukugaya ukudla
• Imithi ethile njenge-steroids noma imithi yokunciphisa ubuhlungu ethonya impilo yomthambo
• Ukubhema, okunciphisa ukugeleza kwegazi endleleni yokugaya ukudla
• Ukukhuluphala okubekela ukucindezela okwengeziwe e-colon

Iminyaka idlala indima ebalulekile futhi. Njengoba sikhulile, izindonga zekoloni yethu zibuthakathaka ngokwemvelo, okwenza kube lula kula ma-pouches ukwakha futhi abe nezinkinga.

Ezimeni ezingavamile, izici zofuzo zingenza abanye abantu babe nomuzwa wokuthuthukisa isifo se-diverticular, nakuba lokhu kungelona into ongayibikezela noma uyivimbele ngokuphelele.

Ziyini izinhlobo ze-diverticulitis?

Odokotela ngokuvamile bahlukanisa i-diverticulitis njengoba ilula noma eyingozi, kuye ngokuthi ukuvuvukala kuya kubaba kanjani. I-diverticulitis elula isho ukuthi ukutheleleka kuhlala kuvaleleke ngaphakathi lodonga lwekoloni ngaphandle kokusabalala.

Izimo eziningi zifaka isigaba esilula, lapho izimpawu zingajabulisi kodwa zilawuleka ngokwelashwa okufanele. Ungase ube nobuhlungu nomkhuhlane, kodwa ukutheleleka kuphendula kahle kuma-antibiotics nokushintsha kokudla.

I-diverticulitis eyingozi ihlanganisa izinkinga ezinzima kakhulu njenge-abscesses, ukuphahlazeka, noma izinyathelo zodonga lwekoloni. Lo mbono udinga ukwelashwa okukhulu futhi ngezinye izikhathi ukucutshungulwa ukuvimbela izinkinga ezibulalayo.

Kukhona futhi umehluko phakathi kwe-diverticulitis ebukhali ne-chronic. Izimo ezibukhali zifika ngokungazelele futhi ngamandla, kuyilapho izimo ezingapheli zihlanganisa izimpawu ezincane eziqhubekayo ezihlala isikhathi eside.

Nini okufanele ubona udokotela nge-diverticulitis?

Kufanele uxhumane nodokotela wakho ngokushesha uma unebuhlungu besisu obuqhubekayo obuhlala isikhathi esingaphezu kwamahora ambalwa, ikakhulukazi uma sihambisana nomkhuhlane. Lezi zimpawu ezimbili ndawonye ngokuvamile zibonisa ukuthi kukhona okudinga ukunakekelwa kwezokwelapha.

Ungalindi uma uhlangabezana nezimpawu ezinzima ezingabonisa izinkinga:

• Ubuhlungu besisu obukhulu obuqhubeka bube bukhulu
• Umkhuhlane ophezulu ngaphezu kuka-101 ° F (38.3 ° C) ngokuthandaza
• Ukugabha okuqhubekayo okwenza kube nzima ukugcina izinto eziphuzwayo
• Izimpawu zokulahlekelwa amanzi njengokukhungatheka noma umchamo omnyama
• Igazi emthambeni wakho noma ukuphuma kwegazi kwesigxobo
• Ukungaqondi ukukhishwa kwegesi noma ukuba nomthambo

Uma unembali ye-diverticulitis, cishe uzobona iphethini ejwayelekile yezimpawu. Ngisho noma kunjalo, isenzakalo ngasinye kufanele sihlolwe yisisebenzi sezokunakekelwa kwezempilo ukuqinisekisa ukwelashwa okufanele.

Isimo esiphuthumayo singavamile kodwa sibukhulu. Shaya u-911 uma uhlangabezana nobuhlungu besisu obukhulu ngezimpawu zokushoshozela njengokuqhuma kwenhliziyo, ukudideka, noma ukuqhekeka.

Ziyini izici ezingozi ze-diverticulitis?

Iminyaka iyona nto eyingozi kakhulu, ngezimo eziningi ezenzeka kubantu abangaphezu kweminyaka engama-50. Njengoba i-colon yakho ikhulile, izindonga zayo zibuthakathaka ngokwemvelo futhi zivame ukwakha lawo ma-pouches anezingozi.

Izinqumo zakho zokuphila zidlala indima ebalulekile ekuqondeni amazinga akho engozi:

• Ukudla okune-fiber encane, ikakhulukazi izithelo nemifino
• Isitayela sokuphila esingasisebenzi ngomsebenzi omncane womzimba
• Ukubhema, okunethemba ukugeleza kwegazi ohlelweni lwakho lokugaya ukudla
• Ukusetshenziswa okukhulu kokuthuthukisa okungathukuthelisa i-colon
• Ukuba ngumuntu omkhulu, ikakhulukazi ngasezingxenyeni

Imithi ethile ingase futhi ikhulise ingozi yakho. Ukusetshenziswa okuvamile kwe-steroids, imithi yokunciphisa ubuhlungu ye-opioid, noma imithi engapheli ye-anti-inflammatory ingathinta impilo ye-colon yakho ngokuhamba kwesikhathi.

Abanye abantu banezici zofuzo ezenza babe nomuzwa wokutholakala, nakuba lokhu kungavamile. Uma amalungu omndeni oseduze ebe nesifo se-diverticular, ungase ube nengozi encane.

Ngokuthakazelisayo, ukucindezeleka nokudla okuthile kwakucatshangwa ukuthi kubangela i-diverticulitis, kodwa ucwaningo lubonisa ukuthi le miqondiso ayinamandla njengoba kwakucatshangwa ngaphambili.

Ziyini izinkinga ezingaba khona ze-diverticulitis?

Abantu abaningi abane-diverticulitis baphila ngokuphelele ngokwelashwa okufanele, kodwa ngezinye izikhathi izinkinga zingathuthuka. Lokhu kwenzeka lapho ukutheleleka kusabalala ngaphandle kwendawo yokuqala noma kubangela izinkinga zesakhiwo e-colon yakho.

Izinkinga ezivamile zihlanganisa:

• Ama-abscesses, angama-pockets e-pus akha eduze nendawo etholakala ukutheleleka
• Ukuphahlazeka komthambo lapho ukuvuvukala kuvimba ukudlula komthambo
• Ama-fistulas, ukuxhumana okungalungile phakathi kwekoloni namanye amalungu
• I-Peritonitis, ukutheleleka okukhulu okusabalala endaweni yesisu

Izinkinga ezingavamile kodwa ezinzima zingaba yingozi ebomini. Lokhu kuhlanganisa ukuqhekeka, lapho udonga lwekoloni lukhamba khona, noma ukuphuma kwegazi okukhulu okudinga ukunakekelwa kwezokwelapha ngokushesha.

Abantu abaneziqephu eziphindaphindayo ze-diverticulitis babhekene nengozi enkulu yezinkinga. Kungakho odokotela ngokuvamile bechaza amasu okuvimbela ngemuva kwesenzakalo sakho sokuqala.

Izindaba ezinhle ukuthi ngokwelashwa okusheshayo, izinkinga eziningi zingaphathwa ngokuphumelelayo, futhi abantu abaningi baqhubeka bephila impilo evamile, enempilo.

I-diverticulitis ingavikeleka kanjani?

Unganciphisa kakhulu ingozi yakho ye-diverticulitis ngokwenza izinguquko ezilula zokuphila. Isinyathelo esibaluleke kakhulu ukudla ukudla okune-fiber eningi okugcina uhlelo lwakho lokugaya ukudla luhamba ngokuphelele.

Gxila ekufakeni lezi zokudla ezinengi ze-fiber ekudleni kwakho kwansuku zonke:

• Ama-grains aphelele njengorayisi oluqoshiwe, i-quinoa, ne-oatmeal
• Izithelo ezintsha ngesikhumba, njenge-apples ne-pears
• Imifino, ikakhulukazi i-greens leafy ne-cruciferous
• Ama-legumes njengebhinzi, ama-lentils, nama-chickpeas
• Ama-nuts nama-seeds ngokulinganisela

Ukusebenza komzimba okuvamile kusiza ukugcina uhlelo lwakho lokugaya ukudla luphilile futhi kunciphisa ukucindezela e-colon yakho. Ngisho nokuhamba imizuzu engama-30 nsuku zonke kungenza umehluko obalulekile.

Ukugcina umzimba wakho uqinisile kusiza i-fiber ukwenza umsebenzi wayo ngokuphumelelayo. Hlose iziglasi ezingaba ngu-8 zamanzi nsuku zonke, okuningi uma ukhuphula ukudla kwakho kwe-fiber.

Uma ubhema, ukuyeka kuzothuthukisa ukugeleza kwegazi endleleni yakho yokugaya ukudla futhi kunciphisa ukuvuvukala kuwo wonke umzimba wakho. Udokotela wakho angakusiza uthole uhlelo olufanele lokuyeka ukubhema.

I-diverticulitis ihlonishwa kanjani?

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho futhi ahlole ngobumnene isisu sakho ukuhlola ukuthambile noma ukuvuvukala. Lokhu kuhlolwa komzimba ngokuvamile kunikeza izinkomba ezibalulekile mayelana nalokho okwenzekayo ngaphakathi.

Izivivinyo zegazi zisiza ukuqinisekisa ukuthi unekutheleleka futhi zibonise ukuthi umzimba wakho uyaphendula kanjani kulo. Ukukhula kwe-white blood cell counts ngokuvamile kubonisa ukuthi uhlelo lwakho lokulwa nokutheleleka luyilwa nokutheleleka.

I-CT scan yesisu sakho ngokuvamile iyona uvavanyo olusiza kakhulu lwezithombe ze-diverticulitis. Lesi sithombe esicacile sibonisa udokotela wakho ukuthi ukuvuvukala kuphi futhi noma ngabe kukhona izinkinga eziye zathuthuka.

Ngezinye izikhathi udokotela wakho angase ayalele ukuhlolwa okwengeziwe kuye ngesimo sakho esithile. Lokhu kungase kuhlanganise ukuhlolwa kwe-ultrasound noma i-X-rays ekhethekile ukuthola isithombe esicacile salokho okwenzekayo.

Ezimeni ezingavamile lapho ukuxilongwa kungacaci, udokotela wakho angase acebise i-colonoscopy, kodwa lokhu ngokuvamile kwenziwa ngemuva kokuthi ukutheleleka okubukhali kuphelile ukuze kugwenywe ukwenza ukuvuvukala kube kubi kakhulu.

Yini ukwelashwa kwe-diverticulitis?

Ukwelashwa kwe-diverticulitis kuncike ekuthini izimpawu zakho zinzima kangakanani nokuthi izinkinga ziye zathuthuka yini. Izimo eziningi zingaphathwa ngokuphumelelayo ngama-antibiotics nokushintsha kokudla.

Nge-diverticulitis elula, udokotela wakho cishe uzobhala:

• Ama-antibiotics amile ukuze alwe nokutheleleka, ngokuvamile athathwe izinsuku ezingama-7-10
• Imithi yokunciphisa ubuhlungu ukuze isize ekulawuleni ubuhlungu
• Ukudla okune-liquid okwesikhashana ukuze unike i-colon yakho isikhathi sokuphulukisa
• Ukuphumula nokugwema imisebenzi enzima kuze kube yilapho izimpawu ziphulukile

Uma isimo sakho sibukhulu kakhulu, ungase udinga ukuhlala esibhedlela ukuze uthole ama-antibiotics e-IV kanye nokulandelela okukhulu. Lokhu kuqinisekisa ukuthi ukutheleleka akusabali futhi kuvumela odokotela ukuthi babukele izinkinga.

Ukuhlinzwa kuba yinto ebalulekile ezimweni ezingavamile lapho izinkinga zithuthuka noma uma uneziqephu ezinzima eziphindaphindayo. Amathuluzi okuhlinzwa okuqondile ngokuvamile awona amancane futhi aphelele kakhulu.

Abantu abaningi baqala ukuzizwa bephilile ezinsukwini ezimbalwa zokuqala kokwelashwa, nakuba ukuphulukisa okuphelele kuthatha amasonto ambalwa. Udokotela wakho uzakukhokhela ukubuyela ekuphileni okuvamile nokudla.

Indlela yokuphatha i-diverticulitis ekhaya?

Phakathi nesenzakalo se-diverticulitis, uhlelo lwakho lokugaya ukudla ludinga isikhathi sokuzola nokuphulukisa. Qala ngokudla okune-liquid ecacile usuku lokuqala noma amabili, kuhlanganise namanzi, ama-broths acacile, nama-teas e-herbal.

Njengoba izimpawu zakho ziphulukile, ungase ufaka kancane kancane ukudla okune-fiber encane ekudleni kwakho:

• Urayisi omhlophe, i-pasta, nama-breads aqoshiwe
• Imifino ebilisiwe ngaphandle kwesikhumba noma imbewu
• Amaprotheni ahlanzekile njengenkukhu, izinhlanzi, namaqanda
• Imikhiqizo yobisi uma ingakuphathi isisu

I-heat therapy inganikeza induduzo ebuhlungwini besisu. Zama i-heating pad ngokubeka okuphansi noma ukubhukuda okufudumele ukuze ukhulule imisipha eqinile.

Gcina umzimba wakho uqinisile ngokuphaphama izinto eziphuzwayo usuku lonke, ngisho noma ungazizwa njengokudla okuningi. Ukuphelelwa amanzi kungenza izimpawu zakho zibe zimbi futhi kunciphisa ukuphulukisa.

Thola ukuphumula okuningi futhi ugweme ukuphakamisa okunzima noma ukusebenza komzimba okunzima kuze kube yilapho udokotela wakho ekunika ukukhanya oluhlaza. Umzimba wakho udinga amandla ukuze ulwe nokutheleleka futhi uzilungise.

Thatha ama-antibiotics akhishwe ngokunembile njengoba kuqondiswe, ngisho noma uqala ukuzizwa ukhulu ngaphambi kokuphela kwesigaba sonke.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ngaphambi kwe-appointment yakho, bhala zonke izimpawu zakho nokuthi zaqala nini. Faka imininingwane mayelana nohlobo lobuhlungu obuhlangabezana nalo nokuthi yini eyenza kube ngcono noma kubi kakhulu.

Letha uhlu oluphelele lwazo zonke imithi oyithathayo njengamanje, kuhlanganise nemithi yokuthengwa ngaphandle komthetho nama-supplements. Imithi ethile ingathinta uhlelo lwakho lokugaya ukudla noma ihlangane nokwelashwa.

Lungela ukuxoxa ngemikhuba yakho yokudla yakamuva nanoma yikuphi ukushintsha emikhonyeni yakho yomthambo. Lolu lwazi lusiza udokotela wakho ukuqonda ukuthi yini engase ibe yimbangela yezimpawu zakho.

Bhala noma yimiphi imibuzo ofuna ukuyibuza, njengokuthi ukuphulukisa kuvame ukuthatha isikhathi esingakanani noma yiziphi izinguquko zokudla okufanele uzenze. Ukuba nazo ezibhaliwe kuqinisekisa ukuthi awukhohlwa izihloko ezibalulekile ngesikhathi sokuvakasha kwakho.

Uma kungenzeka, letha ilungu lomndeni noma umngani ongakusiza ukukhumbula imiyalo yodokotela, ikakhulukazi uma ubuhlungu obukhulu noma uzizwa ungaphilile.

Yini eyisigaba esiyinhloko mayelana ne-diverticulitis?

I-Diverticulitis iyisimo esilawuleka esiphendula kahle ekwelapheni okufanele uma kubanjwe ngokushesha. Ikhona ukubona izimpawu nokufuna ukunakekelwa kwezokwelapha ngokushesha kunokuzimisela ukumelana nakho ekhaya.

Ngama-antibiotics afanele kanye nokushintsha kokudla, abantu abaningi baphila ngokuphelele phakathi kwamasonto ambalwa. Isipiliyoni ngokuvamile sikhonza njengomkhombandlela wokwamukela imikhuba yempilo enempilo engavimbela iziqephu zesikhathi esizayo.

Ukuvimbela ngempela yiyona ndlela yakho engcono yokusondela phambili. Ukudla okune-fiber eningi, ukusebenza komzimba okuvamile, nokugcina umzimba wakho uqinisile kunganciphisa kakhulu ingozi yakho yokuthuthukisa i-diverticulitis futhi.

Khumbula ukuthi ukuba nesenzakalo esisodwa akusho ukuthi uqondiswe ekutheni ube nezinkinga eziphindaphindayo. Abantu abaningi abazange babe ne-diverticulitis futhi ngemuva kokwenza izinguquko ezilula zokuphila nokulandela izikhuthazo zedokotela wabo.

Imibuzo evamile ebuzwa mayelana ne-diverticulitis

Ngingadla ama-nuts nama-seeds uma ngine-diverticulitis?

Yebo, ungadla ama-nuts nama-seeds. Ukukholelwa kwangaphambili ukuthi lezi zokudla zibangela i-diverticulitis kuye kwaphikwa ucwaningo. Eqinisweni, ama-nuts nama-seeds yimithombo emihle ye-fiber engasiza ekuvimbeleni iziqephu zesikhathi esizayo. Vele uwafake kancane kancane uma awukawudli njalo.

Kuthatha isikhathi esingakanani ukuphulukisa i-diverticulitis?

Abantu abaningi baqala ukuzizwa bephilile ezinsukwini ezingu-2-3 zokuqala kokwelashwa, kodwa ukuphulukisa okuphelele kuthatha amasonto angu-2-6. Amazinga akho amandla nokudla kufanele abuyele ejwayelekile ngaphakathi kweviki noma ezimbili. Landela isiqondiso sodokotela wakho mayelana nokubuyela ekuphileni okuvamile nokudla.

Ngingase ngidinga ukuhlinzwa nge-diverticulitis?

Ukuhlinzwa kudingeka kuphela ezimweni ezingavamile, ngokuvamile lapho izinkinga zithuthuka noma uma uneziqephu ezinzima eziphindaphindayo. Cishe u-90% wabantu abane-diverticulitis baphila ngokuphelele ngama-antibiotics nokushintsha kokudla. Udokotela wakho uzokukhuthaza ukuhlinzwa kuphela uma kudingeka ngokuphelele impilo yakho.

Ingabe ukucindezeleka kubangela i-diverticulitis?

Ukucindezeleka akubangeli i-diverticulitis ngokuqondile, kodwa kungathinta uhlelo lwakho lokugaya ukudla futhi kwenze izimpawu zibe zimbi. Ukuphatha ukucindezeleka ngezindlela zokupumula, ukusebenza komzimba okuvamile, nokulala okwanele kusiza impilo yomthambo jikelele futhi kungasiza ekuvimbeleni ukukhula.

Ingabe i-diverticulitis ifana ne-diverticulosis?

Cha, ziyizimo ezahlukene. I-Diverticulosis isho ukuthi une-pouches amancane odongeni lwekoloni yakho, kodwa awavuvukali noma atholakala ukutheleleka. Abantu abaningi abane-diverticulosis abazange babe nezimpawu. I-Diverticulitis kwenzeka lapho la ma-pouches evuvukala noma etholakala ukutheleleka, ebangela ubuhlungu nezinye izimpawu ezidinga ukwelashwa kwezokwelapha.