Diverticular chirwere ishoko remuburera rinoreva mamiriro ekubuda kunze (anonzi diverticula) ari pamadziro ekoloni, uye chero zviratidzo kana zvinetso zvinogona kuitika semugumisiro. Kuva nerutauriri, iyo inonzi diverticulosis, inonyanya kuonekwa kune vanhu vanopfuura makore makumi mana, uye inoitika mune inopfuura hafu vanhu vose vanopfuura makore makumi matanhatu.
Mune dzimwe nguva mhirizhonga inokonzera zviratidzo asi mune zvishoma zvedambudziko dzinogona kupisa uye dzinokonzera chirwere chinonzi diverticulitis. Diverticulitis inogona kukonzera kurwadziwa mumimba, fever, nekubuda ropa. Zvinetso zvinogona kusanganisira kusimbiswa kwebasa, fistula, blockages, kana colon perforation, asi izvi hazvisi zvisizvo.
Diverticulitis yakashandiswa kufungidzirwa seyakajairika, asi kutsvakurudza kwemazuva ano kunoratidza kuti inowanikwa chete ne5 kubva muzana yevanhu vane diverticula mumakoni avo.
Makuru Makuru Anatomy
Kunzwisisa hutachiona hwemukati uye hudiki hutumbu hunogona kubatsira paunenge uchikurukurirana nezvekusiyana kwechiremba nechiremba. Iyo mumukati huru inhengo iyo inosanganisira colon, rectum, uye munharaunda wakare. Ikoko inotanga pamagumo emukumbo muduku , inenge mamita matanhatu kubva kure, uye ine zvikamu zvina: kukwira kwekoni, kupera kwekoni, kuburuka kwekoni, uye sigmoid colon. Iyo rectum ndiyo iyo gorosi inochengetwa kusvikira yapfuura kunze kweanus sechikwata chemuviri .
Zviratidzo
Diverticula kazhinji haisi kukonzera zviratidzo. Ndokusaka vanhu vakawanda vasingazivi kuti vanezvo kunze kwekuti vakawanikwa munguva yekolonoscopy.
Zvisinei, zviratidzo zvakadai sekurwadziwa kwepamuviri uye fivhiri inogona kutanga apo inyanzvi inopisa (iyo inonzi diverticulitis). Zvinetso zvinogona kuitika pane dzimwe nguva, izvo zvinogona kutungamirira kubuda ropa nekurwadziwa kukuru.
Zviratidzo izvi zvinogona kuratidzira chirwere chinokurumidzira (zvakadai sehutachiona kana chidziro chemuviri) uye kurapwa kunofanira kutsvaga pakarepo. Ropa muhangu haritombogoneki, kunyange kana rakaitika kare, uye nguva dzose riri chikonzero chekuona chiremba.
Zvinokonzera
Hazvinyatsonzwisisi kuti sei kudarika kunowedzera, kunyange kune dzimwe dzidziso. Sezvo vanhu vachikwegura, rusvingo rwekoloni runogona kukura pfungwa dzisina simba, zvichiita kuti zvipfeko zvivepo, izvo zvinonzi diverticula. Diverticula inoitika kakawanda mu sigmoid colon, iyo ndiyo chikamu chekupedzisira chekoloni uye inosungirirwa kumutsara.
Pamberi pacho, chidzidzo chekushanda ndechekuti kusashaiwa kwezvokudya zvefibhi kwaive chinhu chakakonzera kukurudzirwa kwezvirwere zvakasiyana. Zvisinei, iko zvino yave ichifunga kuti zvirwere zvinotarisa zvinogona kunge zvine zvakawanda zvine chokuita ne genetics, kunyange izvi zvisati zvanyatsonzwisiswa. Imwe nyanzvi ndeyekuti kukwirira kwakanyanya mukati mekoloni kunogona kuita kuti mabhuruku aite.
Diverticulitis (iyo ndiyo inonzi inonzi iyo diverticula inokonzera zviratidzo) inogona kuva chikonzero chechivakwa chekuvaka kana mabhakitiriya asina kunaka mune imwe nzira. Iko haisi iye zvino yakafunga kuti kune nzira yekudzivirira kusimbiswa kweveve diverticula kana diverticulitis.
Zvisinei, zvinofungidzirwa kuti kune zvimwe zvikonzero zvinogona kuita kuti diverticulitis:
- Kuvhiringidzwa kwehutano hwebhakitiriya hune utano muhutoni
- Kurarama hupenyu
- Kuva kunyanyisa
- Kusvuta
- Kutora nonsteroidal anti-inflammatory drugs (NSAIDs)
- Kutora steroid mishonga
Kuziva
Muzviitiko zvakawanda, diverticula haiti kukonzera zviratidzo uye hazvizowaniki uye zvinowanikwa. Kunyange zvazvo kusanganisa kunogona kutanga kuwanika panguva yekuongorora kwekolonoscopy yekenza yakajeka (iyo inokurudzirwa pazera remakore makumi mashanu kune vanhu vakuru vane utano vasina zvimwe zvimwe zvinokonzera ngozi).
Kana pane zviratidzo zvakadai sekurwadziwa kwepamuviri kana kubuda ropa, gastroenterologist inogona kusarudza kuona zviri kuitika mukati mekoloni kuburikidza nokuita imwe kana kuti miedzo yakawanda, iyo inogona kusanganisira colonoscopy kana computed tomography (CT) scan .
A colonoscopy isu test apo tube ine kamera uye chiedza pamagumo inowanikwa kuburikidza ne anus kuitira kuti uone mukati memukoni. A CT scan isiri ye x-ray iyo isingasviki uye inogona kupiwa kana kusina kushandiswa kwekusiyanisa dye , iyo inowanzopiwa zvose mumuromo uye kuburikidza ne IV kuitira kuti zvive nani kuona zviri kuitika mukati memuviri.
Kurapa
Mishonga haifaniri kutaurirana kuti haisi kukonzera zviratidzo. Zvisinei, chiremba anogona kukurudzira kudya kwakanyanya kwemafibata kunosanganisira zvakawanda zvezvibereko nemiriwo. Kune diverticulitis, kurapwa kune mishonga inorwisa mabhakitiriya , iyo yakawanda inogona kutorwa kumba, asi mune dzimwe mamiriro ezvinhu inopiwa intravenously muchipatara. Kana pane zvipingamupinyi, zvakadai sokuputika, fistula , kugadziriswa , kuvhara, kana kuputika (gomba) mumakoloni , mamwe maitiro anogona kudiwa.
Kuvhiya kunogona kushandiswa kugadzirisa chinetso kana kana diverticulitis inodzokororwa uye / kana kuti zvinonetsa kuti zviri nani kubvisa chikamu chemuviri wechirwere. Kuvhiya kunogona kusanganisira rection kuti ibvise chikamu chechirwere kana chirwere chekuvhima ( ileostomy kana kuti colostomy ) apo stoma inogadzirwa uye dongo rinounganidzwa pane imwe yezvishandiso zvinopfeka mudumbu.
Shoko Rinobva
Vanhu vazhinji, kunyanya avo vanopfuura makore makumi mashanu, vane mazita emakoroni asi havana zviratidzo. Kunzwisisa kwechikonzero chinokonzera kuti diverticula inopisa yakachinja mumakore achangopfuura. Zvaiwanzofungidzirwa kuti vanhu vane ruzivo rwakasiyana siyana vaifanira kudzivisa zvimwe zvokudya zvakadai sembeu, nuts, uye popcorn, nokuti izvo zvikafu zvinogona ku "gadzika" mune rimwe remapurasitiki.
Hazvisiri kufunga kuti vanhu vanoda kuchinja kudya kwavo kana vane diverticula. Munhu wose ane chirwere chinonzi diverticular achada kuziva kuti kudya kunoshanda zvakadini kuti vadzivise zviratidzo.
Nokuda kwezana duku yevanhu vane diverticula vanosimbisa diverticulitis, kurapwa kunowanzova nemishonga inorwisa mishonga, asi panyaya yezviratidzo zvakakomba, chirwere chinogona kudiwa. Chirwere chakakomba kana zvinetso zvingada kuvhiyiwa, asi izvi hazvisi zvisizvo. Vanhu vakawanda vachararama zvakanaka nekuchengetedzwa kwekuchengetedza kwema diverticulitis (iyo inosanganisira zororo remuviri uye antibiotics) uye kufungidzira kwakanaka.
Kudya kudya kwakanyatsogadzikana neine fiber yakakwana nekuita basa rekuita mararamiro ezvehupenyu zvinogona kubatsira vanhu vane zvirwere zvakasiyana-siyana kuti vadzivise zvinetso kubva mumamiriro ezvinhu.
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