Iko chiremba wako akawana kuti iwe une diverticulosis pamwe chete neshungu yako inosuruvara (IBS)? Unoshamisika here kana kune ukama pakati pezviviri? Uye unoona zvakaoma here kuziva zvingadyiwa kuti urege kuita kuti zvirwere zviwedzere kune zvimwe zvematambudziko maviri ehutano? Ngatitarisei pane zvingaita kuti tibatane uye taurai zvamungagona kuita kuti muzvichengete pachako kana mune zvose.
Chii Chinonzi Diverticulosis?
Diverticulosis imamiriro ezvinhu ehutano mune zviduku zviduku (sacs) zviripo mumucheka wematumbo makuru . Aya mabhesi anozivikanwa se "diverticula," uye anokwira kunze pamusoro porusvingo rwekoloni. Izvo zvinowanzowanika mu sigmoid colon, iyo iri chikamu chakaderera pamatumbo makuru.
Diverticulosis imwe yezvinhu zvitatu zvinoshandiswa seve diverticular disease-iyo imwe yeve diverticulitis, umo mahombodo kana zvikwata zvinonzi diverticula inotapukirwa kana kupiswa, uye diverticular kubva ropa, umo diverticula inotanga kubuda ropa.
Inofungidzirwa kuti vanenge 20 muzana yevanhu vari muUnited States vane zvirwere zvakasiyana. Kuwedzera kwehuwandu hunowedzera nekukura sezvo inofungidzirwa kuti inobata vanenge makumi manomwe kubva muzana veAmerica vanopfuura makore makumi manomwe. Inofungidzirwawo kuti 25 percet yevanhu vane zvirwere zvakasiyana-siyana vachawana diverticulitis seimwe pfungwa muupenyu hwavo.
Zviratidzo zveDiverticulosis
Kune vanhu vazhinji, diverticulosis inokonzera pasina zviratidzo. Mune vamwe, kuvapo kwezvikwama izvi kunogona kuita kuti kuvharwe, chirwere, marwadzo emimba uye kuputika. Zviratidzo zvose zveBS zvakare! (Tichakurukura izvozvo gare gare.)
Zviratidzo zve diverticulitis zvinogona kuva zvakanyanya. Urombo hunogona kubva kubva kune unyoro kusvika kune hwakaoma, uye uya nokukurumidza kana zvishoma nezvishoma kuwedzera.
Pain inogona kunyeka uye kupisa. Zvimwe zviratidzo zve diverticulitis dzinosanganisira:
- Kuchepa kwepamuviri uye kuponda
- Kushandura kwechirwere mumatomu, kureva kudzika kana kubuda
- Chills
- Fever
- Kuchechechedza pasi pamuviri, zvikurukuru kuruboshwe
- Kudzora
Nengozi ine ngozi neyekusagadziriswa diverticulitis ndeyekudzivirira kwehutachiona -hupenyu hunotyisa hunoda kuvhiyiwa.
Kubuda ropa kunowanzoonekwa pachena nekuwanda kamwe kamwe kwechiedza chakajeka kusvika kune rima rine maroon muchechi . Kubhekwa kunowanzomira pachako, asi kana iwe uchinge uchinge uchinge uchibuda ropa muchitsiko chako kana kubva pamakona ako, unofanirwa kuona chiremba kuti aongorore zvakananga chii chakaita kuti kubuda ropa.
Kubatana pakati peBS uye Diverticulosis
Kana iwe wakanga uchishamisika kana iwe uchifungidzira zvinhu izvo zvinetso zvehutano hwako zviviri zvingave zvakabatana, unogona kufara kuziva kuti pfungwa yakaitika kuvatsvakurudzi zvakare. Ngatitarisei zvimwe zvidzidzo zvinokosha uye mhinduro dzavo:
Chimwe chidzidzo chaitevera boka guru rezvidzidzo izvo zvakaonekwa kuti seine diverticulitis, isina nhoroondo yekare yehutano hwehutano hwemaviri (FGDs) dzakadai seBS kana chirwere chepfungwa, pane chipatara cheVeterans Administration, munguva inenge makore matanhatu.
Vakaona kuti vanhu ava vaiva pangozi inenge ye5 muzana yengozi yekuvandudza IBS, uye inenge kaviri pangozi yekuvandudza FGD yakasiyana kana chirwere chepfungwa. Izvi zvinokonzera boka iri revanotsvakurudza kutsanangura pfungwa ye "postdiverticulitis IBS" (PDV-IBS), mazita angashandiswa kune vanhu vanoona zvirwere zvisingaperi zveBS zviratidzo zvekudya shure kwechiitiko che diverticulitis. Ndapota ramba uchiyeuka kuti iyi ichangobva kuongorora-basa rakawanda raizofanira kuitwa musati mhando ipi zvayo yepamutemo inogadzirwa ne -sub-type yeBS !
Chidzidzo chakasiyana-siyana chakashandisa mibvunzo yenzira yekuongorora kuti pane hukama huri pakati pekuve neropa rekusiyana uye IBS.
Zvigumisiro zvakaratidza kuti kuva neBIV kwakagadzirisa njodzi yemunhu yekutaurirana, asi hazvirevi kuti inokonzera njodzi yekutarisana nekusiyana. Ichi chakawedzera mungozi ye diverticulosis yainyanya kuzivikanwa kune vanhu vane IBS vakange vakwegura kudarika 65. Zvinoshamisa kuti, pasinei nezera, kuwedzera kwekuda kwe diverticulosis kwaiwanzoonekwa kune vanhu vakaonekwa kuti vane chirwere chekurambana-chinonyanya kukosha IBS (IBS-D ) kana kuti shanduko inonzi IBS (IBS-A).
Chimwe chidzidzo chikuru chakaitwa muJapan. Vatsvakurudzi vanosimbisa kuti kune musiyano mukuru wekuti zvirwere zvinotaridzika zvinowanzozvienzanisa pachakaenzanisa vanhu kubva kumavirazuva (Europe neUnited States) zvichienderana nevakabva kuAsia. Sezviri pachena, kumadokero, zvirwere zveverticular zvinowanzoonekwa mumharaunda ye-distal-kuburuka kwekoni kurutivi rworuboshwe uye sigiminiid colon . Kusiyana neizvi, muAsia, zvirwere zvakasiyana-siyana zvinowanzoonekwa kurudyi rwekoloni. Nei izvi zvichikosha? Maererano nevatsvakurudzi vanoti izvi zvakasiyana-siyana zvakakosha sezvo kuruboshwe-rumwe rutivi rwema-diverticulitis rinowedzera kuva rakaoma, asi zvirwere zvakasiyana-siyana zvakasiyana-siyana zvinosiya rimwe pahuwandu hwekubuda ropa.
Muchidzidzo ichi cheJapane, zvigumisiro zvakaratidza kuti vatori vechikamu vakaratidza zviratidzo zvezvirwere zveverticular kune rumwe rutivi rworuboshwe, kana kumativi ose maviri, emakoloni, vainyanya kuva neBS apo vatori vechikamu avo vaiva nechekurudyi-rutivi diverticular chirwere havana kuratidza izvi zvakakwirira ngozi.
Zvaungaita Kana Une Zvose
Zvinogona kunge zvakaoma chaizvo kuziva zvaunofanira kuita kana une hurwere hwehutano. Nenguva isipi, mamwe mazano ekurapa akafanana neeBS anoshandisa zvirwere zvinoshamisa:
- Wedzera fiber yako yekudya : Izvi zvinogona kuva nenzira yekudya zvokudya zvakakwirira-fiber kana kutora fiber supplement.
- Tora mapurobioti : Tsvakurudzo haisi iyo yakajeka, asi kune zvimwe zvinoratidza kuti maitiro anonzi probiotics anogona kubatsira kudzivirira kuparadzanisa kune vanhu vane diverticulosis. Iwe unogona kuwana probiotics mune fomu yekuwedzera kana muzvokudya zvinoviriswa .
Kune dzimwe mararamiro emararamiro ekugadzirisa zvinetso kubva kunezvirwere zvekusiyana. Kunyange zvazvo zvinhu izvi zvisingabatanidzwi neBS, kuchinja uku kuchakubatsira kuvandudza utano hwako uye hutano hwekudya:
- Kana iwe uri kusvuta, tora matanho ekumira.
- Iva nechokwadi chekushandisa nguva dzose.
- Ramba uine utano hwakanaka.
- Ramba uchinwa doro kushandisa.
- Chengetedza kushandisa kwako aspirin uye n onsteroidal anti-inflammatory drugs (NSAIDs) kusvika zvishoma.
Sources:
Cohen E, et al. Kuwedzera Kwengozi yeIrritable Bowel Syndrome Mushure mekudavira Diverticulitis. Clinical Gastroenterology uye Hepatology. 2013; 11: 1614-1619.
Diverticular Disease National Digestive Diseases Information Clearinghouse (NDDIC) .
Jung H, et al. Dhairrhea-Dredominant Irritable Bowel Syndrome Yakabatana neDiverticular Disease: A Study-Based Study. American Journal of Gastroenterology. 2009; 105: 652-661.
Templeton A & Strate L. Updates mu Diverticular Disease. Current Gastroenterology Reports . 2013; 15: 339.
Yamada E, et al. Kushamwaridzana Pakati Penguva yeDisticular Disease uye Irritable Bowel Syndrome: A Multicenter Yokudzidza muJapan. American Journal of Gastroenterology . 2014; 109: 1900-1905.