Diverticular Disease Inogona Kukonzera Kubvongodzwa Mumuviri Wechipfuva
Diverticulosis yakajairika mamiriro emukati makuru (colon) inoitika sevanhu. Mu diverticulosis, rusvingo rwemutsipa mukuru runoita nzvimbo dzisina simba dzinobhururuka kunze kuti dziumbe zviduku zviduku, zvinonzi diverticula. Apo idzi diverticulum dzinopisa kana kuti dzine utachiona, inonzi diverticulitis. Diverticulosis uye diverticulitis pamwe chete vanozivikanwa sevanorwara zvirwere.
Overview
Diverticulosis inowanzoitika kune vanhu vanopfuura makore makumi mana, uye vazhinji vanenge 50% yevanhu vanopfuura makore makumi matanhatu ekuratidza zvirwere zvechirwere. Diverticular zvirwere zvinowanzoshandiswa muUnited States, England, neAustralia, izvo zvinogona kureva kuti zvidyo zvakaderera zvinowanikwa munyika idzi zvinogona kunge zvichibatsira. Diverticular zvirwere hazvizivikanwi munzvimbo dzisingabviri kudya zvakanyanya, zvakadai seAsia neAfrica.
Zviratidzo
Diverticulosis ingasakonzera zviratidzo, asi pane dzimwe nguva kungave kubuda ropa.
Diverticulitis inokonzerwa nehutachiona kana kuputika mumutauriri, uye inowanzosangana nemarwadzo emimba. Dambudziko remuviri rinoshanduka, uye rinotanga pakarepo, asi rinogonawo kukura kupfuura kwemazuva mashoma. Zviratidzo zve diverticulitis zvinogona kusanganisira:
- Zvinorwadza pamuviri, kunyanya pasi kuruboshwe rwemanheru
- Kushandurwa kwemitemo
- Chills
- Cramping
- Fever
- Nausea
Zvinokonzera
Chinokonzera hachina kunzwisiswa zvachose, asi kudya kwekuMadokero, kunowanzove kwakaderera mufibre, uye mararamiro ehupenyu anofungidzirwa kuti anobatsira zvirwere zvakasiyana. Zvokudya zvakaderera zvinogona kutungamirira pakuvhara. Kuvharwa mukati uye pachako kungasakonzera zvirwere zvekusiyana, asi kushungurudza kudarika zvigaro zvakasimba kunogona kuita kuti masvingo ekoloni abudise kunze uye atungamirire kuyananisa.
Haisi kuzivikanwa iye zvino kuti nei mararamiro ehupenyu angasanganawo nezvirwere zvakasiyana. Diverticulitis inogona kukonzerwa nechigaro ichibatanidzwa mumutauro.
Kuziva
Kana kusina chero zviratidzo, diverticulosis inowanzoenda isingawaniki. Hazvisi zvisinganzwisisiki kuti diverticulitis iongororwe kana chiremba ari kunyanya kutsvaga chikonzero cheimwe zviratidzo, kana panguva yekuongorora koronoscopy .
Miedzo inogona kubatsira kuongorora zvirwere zvinoshambadza zvinosanganisira:
Colonoscopy. Diverticulitis inogona kuwanikwa panguva yekolonoscopy yakaitwa kuti iongorore zviratidzo, zvakadai sekubuda ropa kana kurwadziwa mumimba. A colonoscopy inowanzoongorora kuongorora muvanhu vanopfuura makore makumi mashanu, izvo zvinogona kutungamirira kuongororwa kwekushaya zvirwere zvechirwere.
Computerized Tomography (CT) Scan. A CT scan ndeyemazana e x-rays anokwanisa kupa maonero akazara pamusoro pemimba nedzimwe nzvimbo. Zvinowanzova zvisingaiti, zvinorwadza, uye hazvina maturo. Mune zvimwe zviitiko, kudhindisa kwemavara uye / kana kumuromo kunoshandiswa kusimbisa kuonekwa kwezvivako zvimwe (zvakadai semukumbo mukuru). Kusiyana kwemasvikiro kunogona kupiwa mukunwa, kana kuiswa muvheiri. Dhayi inobatsira chiremba kuti awane nhengo dziri mukati mamuviri uye kutsvaga chero chinhu chisina kujairika, chakadai sekurukura.
Kurapa Diverticular Disease
Pakutanga kurapa kwe diverticulosis kunosanganisira kuwedzera huwandu hwefiber muzvokudya.
Vanhu vazhinji muUnited States havawani fiber yakakwana mukudya kwavo. Zvokudya zvinovaka zvinobatsira kuchengeta chigadziko chiri nyore uye chiri nyore kupfuura, icho chinogona kubatsira kudzivirira kuvhiringidzika uye kuenderera mberi kunomesa kuve nekufamba kwechirwere. Fiber inogonawo kuwedzerwa kune kudya kuburikidza ne fiber supplement .
Kana wakamboonekwa kuti une diverticular disease, taura nachiremba wako nezvekuti ndeupi fiber supplement yakakodzera iwe.
Munguva yakapfuura, zvakakurudzirwa kuti vanhu vane zvirwere zvekusiyana-siyana vadzivise kudya kunogona ku "gadzika" mumutauriri, zvakadai sepopcorn, nuts, uye mbeu dzakadai sezuva, sungu, caraway, uye sesame. Hapana humwe humwe uchapupu hwokusimudzira hutungamiri huno, asi tarisa nechiremba wako pamusoro pezvokudya zvinorambidzwa.
Diverticulitis inoda kunyanya kuongororwa uye kurapwa, kazhinji inosanganisira CT kana imwe imaging scan, kubvunzana ne gastroenterologist uye chiremba anovhiya, antibiotics, zororo rekudzivirira, uye - kwete kazhinji - kuvhiyiwa pane imwe sarudzo kana kuti inokurumidza.
Matambudziko eDisticular Disease
Bleeding. Apo diverticula yeropa, ropa rinogona kuwanika mumudziyo wechipu kana muchitsiko. Ropa rinofungidzirwa kuti rinokonzerwa neropa rakaputsika mumudziyo uye haringadi kurapwa.
Icho hachisi chinetso chakajairika, asi chinogona kuguma nehuwandu hwemuropa. Mune zvimwe zviitiko, kurapa kunogona kudiwa kuongororwa uye kumiswa panguva yekolonoscopy kana kuburikidza nekuvhiyiwa. Kunyangwe iwe wakamboonekwa kuti une diverticular disease, zvakakosha kuwana chero kubuda kubva pane rectum kunoonekwa nachiremba.
Kusuruvara. Diverticulitis ihutachiona hwekusiyana-siyana, uye utachiona hwakadai hunogona kutungamirira kumusana. Chikamu chihomwe chepus chinowanikwa mumatumbu akawirwa. Chikamu mukati memuviri, chakaita mumatumbo makuru, haisi nyore nguva dzose kuwana, asi kana chiri chiduku chinogona kurapwa nemirasi yemishonga inorwisa mabhakitiriya. Zvimwe zvipembenene zvakanyanya zvingada kudirwa, izvo zvinoitwa nekushandiswa kwekunyepedzera kwekunzvimbo kunopedza nzvimbo uye nekuisa nenyuchi kuburikidza neganda uye kupinda muchengeti.
Perforation. A perforation ibako rinokura mumutauriri weutachiona. Kana gomba racho rakakura zvakakwana, rinogona kukonzera pus kuvaka mukati mudumbu remuviri uye pakupedzisira inotungamirira ku peritonitis. Peritonitis chirwere chakakomba chinogona kuuraya kana chisina kurapwa pakarepo kuburikidza nekuvhiyiwa.
Fistula. Fistula igomba risina kujairika rinobatanidza miviri miviri yemuviri kana muviri wenyama kune ganda. Inga fistula inogona kuumba kana chipfuva ichizadza pus, hachipore, uye chinopfuurira kune imwe nhengo. Ne diverticulitis, fistulas inogona kuitika mukati memukati makuru uye mumukati maduku, mumukati mukuru uye ganda, kana, kazhinji, kazhinji mumukati uye chirwere.
Kugadziriswa kwekudzivirira. Utachiona hunokonzerwa nehutachiona hunogona kukonzera kuora mutsvuku kuumbwa mumutsipa mukuru.
Zvirwere zvakawanda zvingaita kuti utumbo huve pamwe kana kuti hudzivirirwa zvachose, kudzivirira chibvumirano kuti chisapfuure. Kuvhara kwechirwere zvinowanzodikanwa kuvhiyiwa.
Sources:
American Society of Colon uye Rectal Surgeons. "Diverticular Disease." FASCRS.com Jan 2008.
Makedhi-Sinai Medical Center. "Diverticular Disease." Makedhi-Sinai.edu 2011.
FamilyDoctor.org. "Diverticular Disease." American Academy of Family Physicians Mbudzi 2010.