Isifo Diverticular kapopopo: Izimpawu kanye Ukwelashwa

Amathumbu womuntu anesibopho sokugaya nokumuncwa kokudla, futhi ususe ubuthi emzimbeni. Izinqubo zomzimba kanye nokuhlanganiswa kwama-hormone e-peptide kuhlotshaniswa nomsebenzi wayo. Ngakho-ke, kubaluleke kakhulu ukuthi lo mzimba ube nempilo futhi ukwazi ngokugcwele ukwenza imisebenzi yawo. Kodwa-ke, ngokuvamile izinqubo ze-pathological in it zivela cishe ezingaqondakali noma izimpawu zivele, okuyinto ekuqaleni kungabangeli ukwesaba. Futhi lapha ekuhloleni bathola ukuthi kungani umuntu engasolanga.

Isifo esinjalo singase sibe isifo esiyinkimbinkimbi emathunjini. Kubalulekile ukuphawula ukuthi, ngokumangalisayo, kuvame kakhulu emazweni athuthukile, futhi ngokuvamile kubantu abadala. Abantu abaneminyaka engaphansi kwengu-40 bavame kakhulu. Ngakho siyini lesi sifo, yiziphi izimpawu zayo nokuthi uphathwa kanjani? Ake sicabangele.

Kusho ukuthini "izifo ezihlukahlukene"?

Okokuqala, sinquma ukuthi i-diverticulum iyini. Yakhiwe emgqeni wamathumbu, lapho imithwalo yegazi ingena khona. Lapho ingcindezi emathunjini ikhuphuka, ezindaweni ezibuthakathaka kukhona ukuxoshwa kwe-mucosa ekukhanyeni kwamathumbu phakathi kwamafayili emisipha. Okubizwa okuthiwa ama-protrusions wefomu lesigxoke sakhiwa. Usayizi wabo ungaba kusuka ku-1 kuya ku-2 amasentimitha. Lapha kuthiwa yi-diverticula. I-Diverticula ingaba yingxenye ehlukene yamaphethelo emathumbu, kodwa kaningi kwenzeka emathunjini amakhulu.

Zonke izifo ezisezingeni lamazwe ngamazwe zinakho ikhodi, izifo ze-diverticular azifani. I-ICD-10 ihlanganisa le-pathology ngaphansi kwekhodi K57.

Lesi sifo singenzeka njengenqubo yokungasebenzi, futhi ngenqubo yokuvuvukala kanye nezinkinga. Njengoba kushiwo ngaphambili, ingozi yokuthuthukisa lesi sifo iphezulu kunazo zonke iziguli ezikhulile. Lapho uneminyaka engama-40, akuvamile kakhulu.

Kuncike ekutheni lesi sifo siqhubeka kanjani, singahle sichazwe kanje:

• I-Diverticulosis iyinqubo engavamile.
• I-Diverticulosis enezimpawu.
• I-Diverticulitis enezinkinga.

Kungakhathaliseki ukuthi lesi sifo siyini, uma kutholakala ukuxilongwa okunjalo, kubalulekile ukugcina udokotela. Uma iqalwa futhi kuthatha ifomu eliyinkimbinkimbi, khona-ke lingagcina ngomphumela obulalayo uma ukusebenza kungenziwa ngesikhathi esifanele. Sizokukhuluma ngalokhu ngemuva kwesikhashana. Futhi manje cabanga ukuthi yiziphi izimpawu ezingabonisa ukuthi kunezifo ezihlukahlukene ezivela emathunjini. Singayibona kanjani inkinga esondelayo eyethu?

Izimpawu zezifo ze-diverticular

Isifo esinjalo njengesifo se-diverticular (isibonid sigimidide, isibonelo), ngokuvamile kuvame ukungena ngokucacile ekuqaleni, ikakhulukazi kubantu abasha. Izikhathi ezithile izikhalazo ezinjalo zingavela:

• Ukuqokwa.
• I-Spasms esiswini.
• Ukwanda kwesisu.

Izimpawu ezinjalo zingaba, uma lesi sifo sihamba ngaphandle kokucindezeleka, kulokhu akukho zibonakaliso ezibonakalayo zalesi sifo.

Uma i-diverticulosis iqhubeka, khona-ke i-symptomatology ibonakala ngokucacile. Kulokhu, izikhalo zingabonakala kanje:

• Kubonakala isicasuli.
• Ukuvota.
• Ukuqokwa.
• Ubuhlungu esiswini, kaningi ngakwesokunxele. Kubizwa nge-palpation.
• Ukushisa komzimba kuphakama.
• Kunesibindi, ubuthakathaka.
• Ukudakwa komzimba, ikhanda.

Uma kunzima ngokwengeziwe, lesi sifo sibheke ngokwengeziwe uphawu lwe-symptomatology. Uma usola ukuthi une-diverticular disease, izimpawu ezichazwe ekuqaleni kufanele zixwayiswe. Kubalulekile ukuthi ungaphuthelwa umzuzu futhi ufune usizo ngesikhathi sokugwema izinkinga ezinkulu.

Kungani kukhona izifo ezihlukahlukene ze-sigmoid colon noma enye iminyango? Ake siyiqonde.

Izimbangela zezifo ezihlukahlukene

Ungakhohlwa ukuthi isifo esinjalo, njengesifo se-diverticular of the colon, sibaluleke kakhulu kokuqala kubantu asebekhulile. Ngakho-ke, esinye sezizathu zokuvela kwalesi sifo kuhlotshaniswa nobudala, okungukuthi, ukuphulwa komzimba wamaselula emgqeni wamathumbu emathunjini.

Futhi, lezi zici ezilandelayo zingabonakala ngezizathu:

• Ukuthuthukiswa okungalungile kwama-conjunct tissu kanye nama-collagen fibers.
• Ukudla okunomsoco, okungukuthi, ukudla okungenele kwezitshalo ze-plant kanye namafutha amaningi, ukudla kwefulawa ekudleni.
• Ukunciphisa ngokwanele izindonga zamathumbu kanye nokunyakaza okungahambi kahle kwamathumbu.
• Ukuqoqwa ngokweqile kwamagesi emathunjini.
• I-spasms nodonga lwamathumbu emathumbu, ukuhamba kwemithambo yegazi.
• Izifo zesimiso senhliziyo.
• Ukungabi nomsebenzi wokusebenza ngokomzimba, indlela yokuphila yangasese.
• Ukuqhathanisa ngokweqile.

Manje kuyadingeka ukuthi uqonde ukuthi ungabona kanjani izifo ezifana nezifo ezihlukahlukene zezinambuzane.

Ukuxilongwa kwezifo zesifo sofuba

Ukuxilongwa kwesifo kanje. Okokuqala, isiguli sidinga ukuxoxwa futhi sihlolwe. Ngemva kokulalela ngokucophelela izikhalazo, udokotela usuvele eqala ukuba khona kwalesi sifo, kodwa ukuze kuhlaziywe kabanzi kudingekile ukuba ahlolwe. Ngemuva kokuthi "i-diverticular disease" isifo sitholakale, ukwelashwa kungabekwa.

Ukuze kuhlolwe kahle, izindlela zelabhutri kanye nezinsimbi zisetshenziswa:

• Ukuhlolwa kwegazi jikelele kungabonisa ukuba khona kwenqubo yokuvuvukala emzimbeni. I-anemia izobonisa ukuphuma kwegazi kwangaphakathi.
• I-Coprogram.
• I-Colonoscopy.
• I-Irrigoscopy.
• Ukutadisha kwe-X ray.

Lapho uhlola isiguli, udinga ukunaka imikhuba yakhe yokudla, indlela ahola ngayo, kanye nokuvama kokuqothulwa nobuhlungu besisu.

Ukuhlola i-laboratory, ukuhlolwa kwegazi kanye ne-coprograms kungaqinisekisa ukuthi kukhona ukuvuvukala nokungena ngaphakathi.

I-colonoscopy ingathola umthombo wokuphuma kwamathumbu emathunjini. Uma isiguli sithola ukuthi sinesifo esiyingozi se-diverticular, kufanele senze i-CT scan. Kulesi simo, izindonga zamathumbu kanye nesimo sezingcuba ezitholakala ngokulandelayo zizobonakala.

Sebenzisa uhlobo locwaningo, njenge-cystography. Isetshenziselwa ukuhlola i-fladusiya ye-bladderworm. I-urography engathandwayo iqhutshwa ukuze kutholakale ukuthi ingabe i-ureter ihilelekile kwinqubo yokuvuvukala.

I-Angiography isetshenziselwa ukuphuma kwe-diverticulum.

Ngemva kokuhlolisisa isiguli, udokotela uthola ukuxilongwa futhi akhethe ukwelashwa okufanele. Yeka ukuthi izifo eziphikisanayo ze-colon ziphathwa kanjani, sizocubungula.

Izindlela zokwelapha izifo ezihlukahlukene

Uma i-diverticulosis ivela ngezimpawu ezibonisa ngokuzikhandla, khona-ke ukusebenza komzimba kuyaphikisana. Ukwelashwa kwezifo ze-diverticular zekoloni kuncike ngokuphelele ukuthi lesi sifo siqhubeka kanjani.

Ukwelashwa okulandelayo kungabekwa:

• Ukwelashwa kwe-ambulatory kuboniswa uma kungekho ukudakwa komzimba, kuyilapho ama-leukocyte enganyuswanga, kodwa kukhona ukubonakaliswa kwemitholampilo yesifo.
• Ukwelapha okwelashwa emnyangweni we-coloproctology kuyadingeka uma lesi sifo sinzima.
• Uma kukhona usongo empilweni yesiguli ngenxa yesifo esiyinkimbinkimbi yesifo sofuba, ukungenelela kokuhlinzwa kuboniswe.

Futhi manje kancane kancane mayelana nohlobo ngalunye lwezokwelapha.

Uma kukhona ukubonakaliswa kwemitholampilo yesifo, kodwa ayikho inqubo yokuvuvukala, bangakwazi ukunikeza ukudla kanye nemithi elandelayo:

• Izidakamizwa ze-Spasmolytic ("No-shpa", "Spazmol", "Mebeverin").
• Imishanguzo evamile i-microflora yamathumbu (Lineks, Bactisubtil, Acipol).
• Ama-enzyme ("i-Festal", "Creon").

Uma kunezibonakaliso ezicacile zemitholampilo yezifo ze-diverticular, ukwelashwa kunqunywe kanje:

• Abagqugquzeli be-motility emaphethelweni emathunjini (Motilium, Pasazhix, Motilak).
• Ama-antibiotics ("Sulgin", "Biseptol").
• Izinambuzane zokuvimbela emathunjini (Intextopan, Intetriks, Enterosediv, Sumetrolim, Ersefuril).
• Ama-laxatives ("Dufalac", "Normase").

Ukuhlinzwa kungenzeka uma:

• Izifo ezithathelwanayo zamathumbu amakhulu zanikeza izinkinga.
• Kukhona i-fistula.
• Kukhona ama-clumps angapheli emathisini ane-mix of blood kanye ne-lymph.
• Izifo ezihlukahlukene ezingapheliyo zivame ukwanda.
• Isifo esibizwa ngokuthi i-diverticular isifo asiboleki ekwelapheni okuyinkimbinkimbi. Lokhu kungenzeka nge-exaceration ephindaphindiwe yesifo.

Lapho ukhetha indlela yokuhlinzeka ngokuhlinzwa, lezi zinto ezilandelayo zicatshangelwa:

• Kuyini isimo sezinkinga.
• Yeka ukuthi inqubo isakaze kangakanani.
• Yiziphi izinguquko kule nqubo yokuvuvukala eyenzeka ngodonga lwamathumbu emathumbu nasezihlotsheni ezizungezile.
• Ingabe kukhona ukuvuvukala kwe-perifocal noma i-peritonitis.
• Iziphi izifo ezithintekayo isiguli esineziguli, ngoba ngokuvamile lezi zingabantu asebekhulile.

Ukungenelela kokuhlinzwa kwenziwa ezinyathelweni ezimbili. Okokuqala ususa indawo ethintekile emathunjini. Esigabeni sesibili, ama-anastomoses akhiwa phakathi kwezingxenye zamathumbu, ukuze abuyisele ukuqhubeka kwawo.

Kufanele kukhunjulwe ukuthi i-diverticula ngemuva kokungenelela kokuhlinzwa noma ukwelashwa okuphumelelayo kungabuye kutholakale. Ngakho-ke, kufanele ulandele ukudla, esizoxoxa ngakho kamuva.

Yidla ngezifo ezihlukahlukene zekholoni

Njengoba sibonile, ekwelapheni kwanoma yiluphi uhlobo lwezifo ezihlukahlukene, udokotela uzoqala ukubeka ngokuvumelana nokudla. Uma unamathela kuso, ungakwazi ukukhulula inkinga yesifo noma ukuvimbela ukuthuthukiswa kwezinkinga zayo.

Yikuphi ukudla okunconywayo uma ukuxilongwa "kuyisifo esiyinkimbinkimbi"? Ukudla ukudla kahle. Imenyu kufanele iqukathe imikhiqizo elandelayo ewusizo:

• Kasha kusuka okusanhlamvu okuphelele.
• Ukusanhlamvu okuhluma.
• Isinkwa esisikolweni sonke , okusanhlamvu.
• Inani elikhulu lezithelo nemifino ezishasha kanye nefomu elicutshungulwe ngomoya.
• Izithelo ezomile.
• Imikhiqizo yobisi omuncu.

Futhi kuyadingeka ukuthi uphuze inani elanele loketshezi ngosuku, okungenani elilodwa nengxenye noma ingxenye emibili yamanzi ahlanzekile.

Imikhiqizo enconywa ukuba ingabandakanywa ekudleni:

• I-Sugar, amaswidi.
• Itiye eliqinile, ikhofi.
• Iziphuzo ezidakayo nezidakayo.
• Izinongo namafutha.
• Isinkwa esisha.
• Imikhiqizo eyimikhiqizo engapheli.
• Ukudla okusheshayo.

Kumele kuqashelwe ukuthi awukwazi ukudla ukudla ngezithako ezingenakugaya. Lokhu, isibonelo, kiwi, amagilebhisi, imbewu. Uma udla inhlanzi, kufanele uyihlanze ngokucophelela ngezinkomba ezincane.

Odokotela batusa ukusebenzisa i-bran, kancane kancane ukwandisa umthamo kusuka ku-5 kuya ku-20 g ngosuku.

Uma ungahambisani nokudla, lesi sifo sizoqhubeka kakhulu, futhi izinkinga zingase zivele.

Njengoba kutholakala ukudla "kokudla kwezifo" - enye yezindlela eziphumelelayo kakhulu zokuvimbela izinkinga nokusiza inqubo yamanje.

Izinkinga eziyingozi ze-diverticular disease

Izifo ezingavamile kolononi zingabangela izinkinga eziyingozi ezingaba yingozi enkulu empilweni yesiguli. Izinkinga ezinjalo zihlanganisa:

• Ukuhlwitha esikhundleni sezilonda. Esinye sezibonakaliso zokuphuma kwegazi yizigqoko zegazi ekuhambeni kwamathumbu.
• Ukuthuthukiswa kokuvimbela emathunjini, ngoba ukukhanya kwamathumbu kunganciphisa ngenxa yokunyakaza.
• Imfundo yama-abscesses. I-Pus ingangena emgodini wesisu.
• Izinguquko ze-necrotic zendawo, ngenxa yalokho - i-peritonitis.
• Ukuguqulwa kwodonga lwesitho esiseduze nokubunjwa kwenkambo ye-fistulous. Njengomthetho, ukutheleleka kwesimiso somchamo, kubantu besifazane ukutheleleka kungadlulela ngaphakathi kwesifazane.

Ukuvimbela izifo ezihlukahlukene

Kuye kwaqhutshwa inqwaba yezifundo ukuze kunqume indlela yokuvimbela ukuthuthukiswa kwe-intestinal diverticulosis nendlela yokuvimbela lesi sifo ukuqhubeka. Ososayensi bafinyelela eziphethweni ezinjalo: uma unamathela ekudleni okuqukethwe okuphezulu kwe-fibre, khona-ke isifo se-diverticular ngeke sithuthuke. Abantu abadla okungenani ama-gramu angama-32 e-fiber ngosuku baqopha amazinga angcono kakhulu. I-fibre engenayo i-imifino nezithelo ngokuyinhloko.

Futhi waphawula inzuzo yokusebenza ngokomzimba ekuvikeleni izifo zesifo sofuba.

Ithonya lokuphuza utshwala, ukubhema nokudla kwe-caffeine kwafundwa kanye nokugcinwa kokudla okucebile imifino nezithelo. Kulokhu, ukwehla kokusebenza kwe-plant fiber intake kwaphawulwa.

Kumele kukhunjulwe ukuthi isiguli kufanele sixwayiswe ukuthi kubalulekile ukukhulisa kancane kancane inani lale nxenye ekudleni, futhi kuyadingeka ukukhipha imikhiqizo eyingozi esishilo ekuqaleni. Kungcono ukushiya imikhuba emibi, ukuze ukudla kunomthelela omuhle emzimbeni.

Izinyathelo zokuvimbela izifo zesifo sofuba zibandakanya ukwelashwa okwesikhashana ngesikhathi kunesifo emathunjini. Ukuvimbela ukuqotshwa nokuphila okusebenzayo kuzokusiza ukugwema le-pathology engavamile.

Kuyini ukuchazwa kokwelashwa?

Uma ngabe izifo ezihlukahlukene zithinta, ukuhlinzwa akudingeki. Kungase kungaphinde kuphazamise uma isiguli sithobela izincomo zokudla kanye nodokotela.

Uma lesi sifo sisezingeni elimangalisayo, ukhethwe ukwelashwa okuqaphayo, okuwukuthi, njengoba umthetho, isiguli sibekezelela kahle, futhi akudingekile ukuba sisebenze ekungeneni okuhlinzayo. Amaphesenti angu-15 kuphela amacala adinga ukungenela okuhlinzekwa.

Ukuphindaphindiwe kwe-diverticulitis okucatshangwayo kubhekwa ukuthi kungenzeka kumacala angu-1 kwangu-4. Ukunciphisa okuphindaphindiwe kwalesi sifo kubi kakhulu. Kulesi simo, umzimba awusabele emithi yokwelapha. Ezimweni ezinjalo, ukungenelela okuhlinzayo kuvame ukuboniswa. Ngemuva kokuhlaselwa kwesibili okulula, umsebenzi ohleliwe ungahlelwa. Nge-diverticulitis ephindaphindiwe ephindaphindiwe, izinga lokufa liphakeme kakhulu.

Uma usizo lwadokotela ohlinzayo luyadingeka, ke-ke kunconywa ukuthi ungayihlehlisi, njengoba ukuhlehlisa ukusebenza kuphakamisa ingozi yokufa ku-18%. Uma kukhona i-perforation emgodini we-peritoneal nge-peritonitis, isiguli kufanele siqhutshwe ngokuphuthumayo, ngoba izinga lokufa ezimweni ezinjalo li-35%.

Kunezifundo eziqinisekisa ukuthi ezigulini ezincane ingozi yokuphindaphinda lesi sifo iphezulu kakhulu kuneziguli ezindala. Ezigulini ezinezifo ezikhungethekile, ukuphindaphindiwe kokuhlaselwa kwezifo ze-diverticular kuphakeme kunalabo abanesifo sokuzivikela okuvamile.

Ngemuva kokuhlinzwa kwamacala angu-10%, kuyadingeka ukusebenza kwesibili. Ezingu-20% zeziguli, uma kuphuma igazi, lingase libuye ngemva kwesikhathi. Kwamacala angu-33%, ukuphindaphinda kwenqubo yokuvuvukala kungenzeka.

Ngokuvamile, kungashiwo ukuthi nge ukwelashwa okufika ngesikhathi nokulandela okulandelayo ngokudla nokuvimbela njalo okungajwayelekile emisebenzini yamathumbu, ungahlinzeka kahle.

Izindlela zendabuko zokwelashwa

Kusukela ezikhathini zasendulo, kunezindlela eziningi zokupheka zemithi yabantu ezivela ezifweni ezihlukahlukene. Izifo ezihlukahlukene zekholoni noma ezinye izingxenye zamathumbu azifani.

Lezi izindlela ingasetshenziswa kuphela ngemva kokukhuluma nodokotela. Elingcono emva luhlolo umnyuziki ozoba, into esemqoka - kungalimazi emzimbeni.

Ukwelashelwa diverticular amakhambi isifo abantu ungalunga kuphela uma ngaphezu isiguli ithobela Ukudla Kunconywa kanye nokugcina yokuphila enempilo.

Nazi ezinye izindlela kanye nezincomo:

• Amafutha kanye yefilakisi imbewu. Kudingekile ngaphambi ukusetshenziswa imbewu ukuba sigcwale amanzi afudumele ngesilinganiso eyodwa isipuni enkomishini yamanzi ngalinye. Ngemva kwesikhathi esithile, imbewu sikhukhumale uketshezi uyofana jelly. Nansi indlela yokwakheka kahle ivikela ulwelwesi lwamafinyila yaleli pheshana emathunjini, kanye ngcono ukusebenza kwayo. Kufanele kudliwe elingenalutho esiswini esisodwa isipuni.
• Fount fibre adingekayo isifo esinjengo isifo diverticular, - imbewu ukhova. Ngokusho inani izinto bona njengabakhulu kunani oats nebhali. ukusetshenziswa njalo imbewu ivumela ukuhlela umsebenzi pheshana emathunjini, ngcono peristalsis. Udinga ukuzisebenzisela scheme elinjalo. Isipuni uthele ingilazi yamanzi noma ijusi, ungasebenzisa i-yogurt. Le nhlanganisela kufanele ngokushesha baphuze. Ngemuva kwemizuzu engu-30, kuba isiqiniseko ukuthatha ingilazi yamanzi. Uketshezi oluningi - isimo esiyinhloko usebenzisa psyllium. Imbewu zigcwala ngaphakathi nokwenza umsebenzi wabo ewusizo. Udinga baphuze kathathu ngosuku uze uzizwe ngcono.
• Ngokusho zokupheka athandwayo kubaluleke kakhulu ukuhlanza amathumbu ubuthi, amatshe fecal, kusukela imikhiqizo kwamazinyo ukudla. Ukuze wamathumbu ukuhlanzwa iyasiza ukuqoqa amakhambi. It izimbali futhi amagatsha ameva. Three iqoqo spoon kuyadingeka ukuze uthele ilitha lamanzi abilayo futhi bagcizelele ukuthi kungcono ukusebenzisa thermos, kusukela ukumnika kufanele ame ebusuku efudumele. Khona-ke kube nzima futhi ukuwaphuza izikhathi 3 ngosuku, ihora elilodwa ngaphambi kokudla, 1 ingilazi. Isidingo ukuthatha leli khambi izinsuku ezintathu. Uma uthola constipated, uphuze ukumnika akudingekile. Sebenzisa amanzi ngaphezulu ne-yogurt, okungenani ilitha ngosuku.
• Lapho Yiqiniso okukhulu isifo diverticular Kunconywa ukuba asebenzise lokhu okulandelayo Folk iresiphi. Kuyadingeka ukuthatha amagremu 100 peony impande, imbiza Mistletoe, amahlamvu sembabazane. Ababili wezipuni iqoqo uthele ilitha lamanzi abandayo kanye gqoka umlilo. Letha abilayo, kodwa hhayi ubilise. Khona-ke cool, ubunzima futhi uthathe ingilazi eyodwa kabili ngosuku, ekuseni nakusihlwa, ngemva kokudla kudlule ihora. Umhluzi ingasetshenziswa enemas. asikwazi ukusetshenziselwa hemorrhoids. Ukwelashwa kwaqhubeka izinsuku 10-14.
• A ikhambi kuhle ukwelapha isifo diverticular ngu Elm amagxolo ibuthuntu. It ibhalwe kanje. Isigamu isipuni amagxolo ubhuqu luyimbudumbudu uqweqwe isipuni egcwele omunye ingilazi yamanzi. Simmered kufanele imizuzu 20 imizuzu. Khona-ke ukuhlunga, ukuletha ivolumu liquid nendebe futhi kuthathwe ekuseni ntambama 200 ml.

Ngaphambi kokusebenzisa amakhambi abantu kufanele ubonane nodokotela. Ngezinye izikhathi, odokotela bangase musa ukuncoma ezinye izindlela eziphumelelayo engasetshenziswa ngokuhlanganyela imithi. Kufanele kuqashelwe ukuthi noma yikuphi ukwelashwa kufanele kwenziwe ngaphansi kokuqondisa onguchwepheshe, ikakhulukazi ezimweni ukuthi ahambisana ukubonakaliswa izimpawu oyingozi.