Kubva pane kudya kunoshanduka pakuvhiya
Diverticulitis chirwere chinogona kukurumidza kuitika nekupedzisira kana mazuva anoverengeka, zvichikonzera kurwadziwa kwepamuviri, kubvongodza, kubvongodza, kuvhara, uye hove dzine ropa. Kurapa kunogona kusanganisira kuzorora uye kudya kwemvura kunotora zvimwe zvezvinetso mumatumbo ako. Mishonga inorwisa mabhakitiriya inogonawo kunyorwa, kunyanya kana pane fever, chills, kana kuti inoramba iripo kana kuti inowedzera zviratidzo.
Mhosva dzakakura dzinogona kudikanwa pakurapwa nekuvhiyiwa.
Kana iwe uri kutambura nemagetsi akakomba kana achidzoka ezve diverticulitis, zvakakosha kutsvaga kutarisira kubva kubhodhi-gestroenterologist yakagadziridzwa uyo anonyanya kugadzirisa zvirwere zvegumbo remimba. Pamwe chete, unogona kuvaka chirongwa chakanyatsorapwa chinogona kusanganisira mishonga, kudya kwekudya, uye kuwedzera kwekubatsira mukudya kwako.
Lifestyle
Diverticulitis chirwere chakaoma uye chinonzwisisika chinogona kuitika pasina chaicho chikonzero. Kunyange zvazvo kudya kwakaderera-fibhe kunofungidzirwa kunge kwakanyanya kunokonzerwa nehutachiona, hapana kudya kwakakosha kwakaratidza kubudirira mukudzivirira kutorwa uye hapana zvokudya zvakananga zvinozivikanwa kuti zvinotanga kurwisa.
Kana uye uye kana zviratidzo zvikaonekwa, girasi rekutanga rekuita nderokupa chirwere chekudya chizorora. Izvi zvinosanganisira kuderedza izvo zvaunodya uye, pane dzimwe nguva, kudzivisa zvinhu zvose zvakasimba kusvikira zviratidzo zvigadzirise zvachose.
Panguva yeHondo
Kana zviratidzo zvako zvisiri nyore pasina fivha kana kubuda ropa, chiremba wako anogona kukurudzira kuti utore mazuva mashoma kubva kubasa uye unamatira pane zvakanyanya kudya kudya. Sezvo kurwiswa kwakaoma kunogona kugara kwemazuva mashoma, unoda kuchengetedza kudya kwakakwana nekusimbisa kudya kwako pamwe nehuwandu hwezuva nezuva kana kusina-fiber kugadzikana kwezvokudya, sezvinoona kuwedzera .
Zvimwe zvokudya zvinogamuchirika zvinosanganisira:
- Broth
- Chibereko chemuti pasina pulp
- Popsicles (pasina bits yemichero kana michero yemapupa)
- Zvinwiwa zvemitambo
- Gelatin
- Mvura
- Tea kana kofi isina kamu
Munguva ino, iwe unodawo kuchengetedza zvakanaka, kunyanya kana une chirwere. Kunyange zvazvo zvinwiwa zvemitambo zvinogona kubatsira pakutsvaga electrolytes rakarashika, usambozvishandisa semhepo yako yega yega inogadziriswa.
Panguva yekudzoka
Sezvaunotanga kunzwa uine nani, unogona kutanga kutanga kudya kwema-fiber muchidya chako. Kunyange zvazvo kudya kwakaderera-fibhe kunofanirwa kuve kwakabatsirana kuyananisa, kudya zvokudya zvakanyanya-fibhe sezvauri kushanda kuti uwanezve zvinogona kukuvadza matumbo ako. Chinangwa chekuchengetedzeka kwezvokudya zvepabonde ndiko kuderedza huwandu hwezvokudya zvisingaverengeki zvichipfuura mumarumbo kuitira kuti uite zviduku zviduku.
Zvokudya zvinogamuchirwa zvinosanganisira:
- Nyuchi, hove, uye mazai
- Muchengetwa kana kubikwa mishonga, inonongedzwa
- Muchero wakagadzirwa kana kuti wakabikwa, unotetwa
- Zvingwa zvakachena zvakanatswa
- Vegetable juice pasina pulp
- Low-fiber zviyo
- Mazamu, yogurt, uye cheese
- Mucheka wakachena uye pasta
Mushure mekudzoka
Kana wadzokera kumakumbo ako, unogona kutanga zvishoma nezvishoma kuwedzera fibiti kumashure kwekudya kwako kusvikira kudya kwako kwezuva nezuva kuri pakati pe25 ne30 gramu. Kunyange zvazvo kutsvakurudza kunowanzoparadzana pamusoro pekunge zvokudya zvakanyanya-fiber zvinogona kudzivirira ramangwana risati rasvika, zvakakosha kuchengetedza zvinangwa izvi kana kungoita kuti zviratidzo zvekudzivirira zvirwere zvivepo uye kudzivisa kuzvidzora.
Zvinangwa zvinotangira fiber fodya zvinosanganisira:
- Nyemba uye lentils
- Mucheka weBrown, bhari, uye quinoa
- Zvibereko nemiriwo
- Nuts uye mbeu
- Mbeu yose yezviyo, zviyo, uye pasta
Kunyange zvazvo marimu, zviyo, uye mapikonti zvaimboonekwa sezvisingabviri kune vanhu vane diverticulitis, kutsvakurudza kubva kuYunivhesiti yeWestern School of Medicine kwakagumisa kuti haisi kugamuchirwa chete asi kunogona kubatsira chaizvo kuvandudza hutano hwemakore akawanda.
Zvinyorwa
Mishonga inorwisa mabhakitiriya inowanzoshandiswa kurapa diverticulitis pamatanho ose ezvirwere, uye izvozvo zvinganganisa. Maererano nekuongorora kweCochrane muna 2012, kushandiswa kwemishonga inorwisa mabhakitiriya kubata chirwere chisina kumira zvakasiyana hakuiti chinhu chekugadzirisa mugumisiro, kusuruvara, nguva, kana nguva yakawanda yekurwiswa kana kuenzaniswa nokusatora ma antibiotic.
Mishonga inorwisa mabhakitiriya yakakodzera, kunyange zvakadaro, kune vanhu vane zviratidzo zvinoramba zvichiramba zvichiwedzera (kusanganisira high fever uye chills) nevaya vane zvinetso zvakadai sekudzivirira maronda kana kubuda ropa.
Kuti unyatsosvika pakuenzanisira diverticulitis, chiremba anowanzopa mishonga inorwisa mabhakitiriya inogona kuporesa zvakasiyana-siyana zvebhakitiriya. Kana zviratidzo zvakakomba, kuongorora ropa uye zvitubu zvembatya zvinogona kushandiswa kutarisa chinetso chebhakitiriya chaiyo kuitira kuti mishonga inorwisa mabhakitiriya inogona kusarudzwa.
Zvichienderana nemhando uye kuoma kwezviratidzo zvaunazvo, mishonga inorwisa mabhakitiriya inogona kununurwa mumuromo (nemuromo) kana mukati-kati (mukati mutsva). Pakati pezvaunogona kuita:
- Nokuda kwezvirwere kana kuramba zvichiwedzera: Zvimwe zvingasarudzwa zvinosanganisira Augmentin XR (amoxicillin / clavulanate), ciprofloxacin, moxifloxacin, uye trimethoprim / sulfamethoxazole (TMP-SMX).
- Nezviitiko zvinyoro uye zvisinganzwisisiki zvinoda kuparidzirwa: Intravenous options dzinosanganisira ertapenem, moxifloxacin, Timentin (ticarcillin / clavulanate), uye Zosyn (piperacillin / tazoctam).
- Pamusana pekutengesa kukuru: Intravenous options dzinosanganisira ampicillin, doripenem, meropenem, uye Primaxin (imipenem / cilastatin).
Migumisiro yechirwere inosanganisira kuora musoro, chizivo, kurwadziwa kwepamuviri, chirwere, chirwere, kusuruvara, uye kuputika.
Kana zvakataurwa nemishonga inorwisa mabhakitiriya, zvakakosha kutora iyo yose yega kunyange kana zviratidzo zvako zvichivandudza. Kuvhara pfupi kunogona kubvumira mabhakitiriya kuchinja uye kukudziridza kusagadzikana kwemishonga, zvichiita kuti zvive zvakanyanya kuoma kurapa zviratidzo zvako kana vakadzoka.
Mishonga inorwisa mabhakitiriya haifaniri kunzwisiswa nokuda kwekunaka kwemaitiro.
Surgery
Pakati pe15 kubva kune 30 kubva muzana yevanhu vari muchipatara kune diverticulitis inoda kuvhiyiwa kugadzirisa kukanganisa kumatumbo. Zviratidzo zvekuvhiyiwa zvinosanganisira:
- Kushushikana (musungo wakavharidzirwa wepus mumatumbo emucheka)
- Fistula (kushamwaridzana kusinganzwisisiki pakati pemukumbo uye kana chirwere, mukomana muduku, kana mukadzi)
- Utumbo hunokonzerwa nepisititis (inogona kutyisa upenyu hwemuviri)
Kuvhiyiwa kweDiverticulitis kunosanganisira kugadziriswa kwepamuviri (kubviswa kwechikamu chemuviri wako) kunoitwa pasi pese anesthesia .
Zvichienderana nekuoma kwezvinetso, chirwere ichi chinogona kuitwa saparoscopically (inozivikanwa se "keyhole" chirwere) kana kuti chirwere chakasununguka , umo kusanganisa kunoitwa mudumbu. Panyaya mbiri, chirwere chinonzi laparoscopic chinosanganiswa nekugara kwenguva refu kuchipatara uye zvishomanana zvinetso zvekuvhara.
Zvokuvhiya zvinosanganisira:
- Bowel resection ne anastomosis , umo chikamu chinorwara chemuviri chinodzingwa uye mitsetse yakagurwa inogadzirirwa pamwe chete
- Bowel resection ne colostomy , umo kuguma kwakanaka kwekoloni kunodururwa kubva pamakona kusvika kune imwe nzvimbo mukati mako
Kuvhiya kwekugadza kunogona kurongwa zvisati zvasvika masvondo masere mushure mekurwa kunorwadza. Emergency surgeries inokonzerwa nemukumbo kuputika pakati pe 12% uye 25 muzana yehutano hwekufa, maererano nekutsvakurudza kubva kuYale University School of Medicine.
Complementary Medicine (CAM)
Chimwe chezvipo zvinowanzogadzirwa pakuumbwa kwekusiyana-siyana ndekudzivirirwa. Kana iwe uine kuvhiringidzika kwenguva refu, kushungurudzika kunoramba kuri mukati mumatumbo kunogona kuita kuti nzvimbo dzisina simba dzive "pakarepo" uye dzigadzire mapuranga asingagumi. Iyi ndiyo nzvimbo inowanzoshungurudzwa nehutachiwana nekuputika.
Kuchengetedza kana kurapa kuvimbiswa, vanachiremba dzimwe nguva vanokurudzira husk psyllium , chimiro chefiber chinobva kumbeu yemu Plant Plant ovato . Iko kunokonzera kuputika kwepilllium kunokurudzira kugadzirwa kwemucilage, chinhu chinotsvedza chinokonzera colon uye chinowedzera zvipfeko zvemuviri wepasi.
Psycholum husk inowanika muhupfu, capsule, uye fomu yefafa. Kunyange zvazvo kuwedzerwa kunonzi kwakachengeteka kana kushandiswa sezvinorayirwa, kunogona kukonzera gasi uye chirwere chinoputika. Taura nachiremba wako usati washandisa psyllium kana chero imwe mimwe mimwe mishonga yekurapa diverticulitis.
> Sources:
> McGillicuddy, E ;; Schuster, K .; Davis, K. et al. "Zviitiko zvinofanotaura kuderedza uye kufa kwevanhu vari kukurumidza kuratidza maitiro kune vakwegura varwere." Arch Surg. 2009; 144 (12): 1157-62. DOI: 10.1001 / archurg.2009.203.
> National Institute of Diabetes and Digestive and Kidney Diseases. "Kudya, Kudya, uye Kudya Kwemazuva Ano:" Ndinofanira kudyei kana ndine diverticulosis kana kuti diverticulitis? "Bethesda, Maryland; yakarongwa muna May 2016.
> Shabanzadeh, M. uye Wille-Jørgensen. P. "Mishonga inorwisa mabhakitiriya yekusagadzikana kwemaitiro." Cochrane Database Syst Rev. 2012; (11): CD009092. DOI: 10.1002 / 14651858.CD009092.pub2.
> Nzira, L .; Liu, Y ;; Syngal, S. et al. "Nyuchi, zviyo, uye kuputika uye kushandiswa kwezvirwere zvinotapira." JAMA. 2008; 300 (8): 907-14. DOI: 10.1001 / jama.300.8.907.
> Wilkins, T .; Embry, K .; uye George, R. "Kuziva uye Kutonga kweAacute Diverticulitis." Am Fam Physician. 2013; 87 (9): 612-620.