Kuderedza Dambudziko uye Matambudziko (Iyo Haisi IBD)
Kugadzirisa chirongwa chinokubatsira kuti uwane mishonga kubva pane zvekudya zvako uye unogona kushandura zvakasara. Zvichipa kuti munhu wese anodya (uye mapoka), izvi zvose zvinoratidzika zvakanaka. Zvinosuruvarisa, zvinhu dzimwe nguva zvinokanganisa.
Zvakaoma (uye zvakaipa-zvinorayirwa) kuti uedze kufungidzira kuti chii chinokukuvadza iwe, kunze kwekuti iwe wakamboongororwa zvakajeka. Saka zvirwere zvakawanda zvekudya uye zvinetso zvinoputira zviratidzo, kana zvipfeko izvo zvingave zvisingaiti kuti iwe uone.
Kana chimwe chinhu chichichinja nekudya, zvakakosha kuisa chero zviratidzo kana zviratidzo nenzira yakajeka. Chimwe nguva chiratidzo chinogona kurapwa nemararamiro emararamiro akaita sekudya zvakanyanya fiber, kunwa mvura yakawanda, kana kuwana mamwe maitiro. Chimwe chiratidzo chinokurumidza, chakadai sokurwadziwa kwakanyanya kana kubuda ropa, zvinoreva kureva chiremba pakarepo nekuwana kurapwa uye kurapwa.
Mushure mokunge zviratidzo zvemuviri zvichatanga, danho rokutanga nguva dzose kugadzirira nguva yekuona mutarisiri wehutano uye kuwana rubatsiro rwekufunga kuti chii chaunofanira kuita chinotevera.
Iyo Diverticular Disease Inozivikanwa
Diverticulitis: Zviratidzo, Zviratidzo, uye Matambudziko
Mune zvimwe zviitiko, dambudziko rekudya rinogona kudiwa kutumira kune imwe nyanzvi mune chirwere chekudya, iyo gastroenterologist .
Panguva ino, zvinenge zvichibatsira kuwana manzwisisiro emhando dzakasiyana dzezvinetso zvekudya zvinowanikwa zviripo uye izvo zvavanosanganisira, pamwe chete nezviratidzo zvekare zvinogona kureva kuti chimwe chezvinhu izvi chinogona kukukanganisa iwe.
Tsvuku Dzvuku Dhamba Dhiyabhorosi
Kunyange zvazvo zvinetso zvakawanda zvekudya zvisiri zvekukurumidzira, kune zvimwe zviratidzo zvinofanira kuve nekubatwa nehumwe hanya. Chero nguva apo pane ropa rakawanda riri kupfurikidza nekufamba kwechirwere , kana kubuda ropa hakusi kumira, ichi ndicho chikonzero chakanaka chekuenda kune imwe nzvimbo yekukurumidzira.
Uturu hwakanyanya hwepamuviri, kunyanya kana pane zvimwe zviratidzo zvakadai sefivha, kurutsira, kupera, uye kana chirwere kana kusina kufamba kwepamuviri zvachose, zvimwe zvikonzero zvekutsvaga rubatsiro rwekukurumidzira pakarepo kana kudana ambulensi.
Kune vanhu vakatoonekwa kuti vane chirwere chekudya, zvakadai sokuputika kwechirwere chirwere (IBD, kana kuti Crohn's disease kana ulcerative colitis), kusarudza kana chiratidzo chingareva kushevedza chiremba kana rwendo kuenda kune dhipatimendi rinokurumidza kunogona kuoma chisarudzo. Zviratidzo zvakadai sokuneta, kurwadziwa kwakanyanya, kana zvakawanda zveropa zvinogona kuva dambudziko, uye ER ichava nzvimbo yakanakisisa yekurapa pakarepo. Nokuda kwezviratidzo izvo zvinowanzoonekwa zvekutsvaga-kutangira, zvakadai sekurara kana kurwadziwa kunorwadza, kudana kune gastroenterologist kusarudza chaungaita kungave ndiyo yakanakisisa danho rokutanga.
Kushandura muKirasi yeSirasi
Mucherechedzo wechikwata chinowanzotungamirirwa nekudya. Mune zvimwe zviitiko, kudya zvikafu zvine mavara ane simba (zvichida zvakasikwa kana maitiro) zvinogona kukonzera kushanduka kwenguva pfupi muchitsiko chemukati.
Apo chigadziko chechigaro chinoshandiswa chiri chekudzoka kumashure kwekudya kana kuwedzera, kazhinji kazhinji hapana chikonzero chekutambudzika. Apo chigadziko chechigadziko chinopfuurira chinopfuurira kwemazuva mashomanana kana kuti hachigone kutsanangurwa nechikafu, inogona kuva nguva yekutsvaga chimwe chikonzero.
Muchiitiko chekufungidzirwa kubuda ropa, chiremba anofanira kuonekwa pakarepo, kunyange kune vanhu vane mamiriro ezvinhu anowanzokonzera kubuda ropa, zvakadai sechiremera chechirwere chirwere kana kuti chirwere chinonzi diverticular. Zvimwe zvidhori zvingave zvinokonzerwa nekudya, asi dzimwe nguva zvinokonzera chirwere chekudya kana chirwere, inosanganisira:
Kuchinja muSikori Frequency
Dhairrhea uye kuvhiringidzika zvinetso zvakajairika, uye zvinowira kune vose nguva nenguva. Muzviitiko zvakawanda, chikonzero chingasawanike nekururuka kana kubviswa, uye ichazoenda pachayo pasina chero kurapwa kwakakosha. Muchiitiko chekurara, vamwe vanhu vangave vakanyatsosununguka kuchinja kudya kwavo kwechinguva chiduku kusvikira zvisizvo zvisingafambi.
Kunyanya kuvhiringidzika, kudya fiber, mvura yekunwa, kana kuwana mamwe maitiro kunganganisa. Kana iri chirwere kana kuvhara, kana ichienderera mberi kwemazuva mashomanana kana kuramba ichiitika kunyange mushure mokuita zvimwe kudya uye mararamiro emararamiro, kuona mutarisiri wehutano ndiye danho rinotevera.
Kana kuvharwa kana chirwere chiri pamwe chete nefivha, kubuda ropa, kana kurwadziwa kwepamuviri, chiremba anofanira kubvunzurudzwa. Zvakare, chiremba anofanirwa kuita mazano pamusoro pemishonga kuti inonoke kutama kana kutora kuti vatange zvakare, sezvo kupfuura-iyo-zvinodhaka zvinogona kunge zvisina kukodzera kana kunyange zvichibatsira kune mamwe mamiriro (zvakadai semamwe marudzi eBD kana mabhakitiriya zvirwere).
Kushungurudza uye GERD
Kushungurudza kana gastroesophageal reflux chirwere (GERD) chinetso umo musuru uri pasi pepasi , soro esophageal sphincter (LES), haishandi sezvinofanira. I-LA inofanirwa kumira musimba weAIDS kuti ibve kubva mudumbu uye ichienda, uye iyo isingaiti, asidi inogona kukonzera zviratidzo zvekushaya moyo, zvakadai sekupisa kana kusagadzikana.
Kunyange kana kuora mwoyo kungoitika kamwe chete kwenguva yakati, inofanira kukurukurwa nachiremba nokuti kuchinja kwezvokudya kana zvimwe zvinopfuura-the-counter zvinogona kumira zviratidzo kana kuvadzivisa kuti zvirege kuitika munzvimbo yekutanga.
Kumbomira kwepfungwa nguva dzose hakusi chikonzero chekufunganya. Zvisinei, kana ichiitika kakawanda (kanopfuura kaviri pavhiki), inogona kuva GERD . GERD inoda kurapwa nekuti, nokufamba kwenguva, chirwere chemuviri chinogona kukuvadza iLES uye nharaunda yacho. Muzviitiko zvizhinji, GERD inogona kuonekwa nechiremba pasina kunyanya kuongororwa uye inogona kurapwa kubudirira ne -over-the-counter kana mishonga yemishonga .
Peptic Ulcer kana Chirumbu cheSimba
Chironda chisina kupararira paganda kana mucheka wemukati wechigunha chinokonzera chironda, uye cheptic ulonda inorwadza kana mudumbu kana kuti chikamu chokutanga chemukati mudumbu (the duodenum). Zvizhinji zvepasonda zvinokonzerwa nehutachiona hwebhakitiriya rinonzi Helicobacter pylori ( H. pylori ). Chimwe chechipiri chinowanzokonzera cheptic ulcers chiri kutora nonsteroidal anti-inflammatory drugs (NSAIDs) zuva nezuva kana kazhinji pavhiki. Kazhinji kazhinji, mune imwe mamiriyoni evanhu, zvipembenene zvinogona kuwirirana nemamiriro ezvinhu anonzi Zollinger-Ellison syndrome (ZES), iyo inokonzera tumarara mumugwagwa wezvokudya.
Nemhaka yekuti chironda chinogona kutungamirira kune zvimwe, zvinetso zvakakomba , zvakadai sokubuda ropa kana gomba mumudumbu kana musikana muduku (perforation), zvironda zvinoda kurapwa. Kuonekwa kwepaptic ulcer kunogona kuitwa kushandiswa kwepamusoro-endoscopy -chiyero chinowanzoitwa kutarisa zvinetso mumugwagwa wepamusoro wokudya (dumbu uye mudumbu). Chishandiso chinogadziriswa chinonzi endoscope chinopfuura nepamuviri uye mudumbu. Varwere vanopiwa sedation uye vari kurara panguva ino, saka havangarangariri kana kunzwa chero chinhu. Muchiitiko chezvionda zvinokonzerwa neH H. pylori , maantibiotic nemimwe mishonga, yakadai seasid reducers, ichagadzirirwa kuchengetedza zviratidzo uye kuuraya mabhakitiriya.
Gastritis
Izwi rokuti gastritis rinoreva kuti chidimbu chemuviri chinopisa. Dumbu rekumusoro rinoita kuti mukoko uye zvimwe zvinhu zvidzivirire kubva kumagidheti acid. Apo bhanhire rinoputika, mudumbu inokonzera kusungira zvishoma uye naizvozvo haikwanisi kuzvidzivirira pachayo. Gastritis inokonzera kuti mutezo wemudumbu uite zvishomanana zvemaitiro ezvisikwa nemaitiro uye anoshandiswa mukudya. Zviratidzo zvegastritis zvinogona kusanganisira kurwadziwa kwepamuviri (muchepamusoro pamimba), indigestion, kushungurudza, kusvetuka, uye zvigaro, asi vamwe vanhu havana zviratidzo. Zvinokonzera gastritis zvinosanganisira utachiona hwebhakitiriya H. pylori , kushandiswa kweNSAID, uye kunwa doro. Vanhu vane chirwere cheCrohn chinokanganisa dumbu chinogonawo kukura gastritis.
Gastritis inogona kuongororwa kuburikidza ne-endoscopy yepamusoro. Kune miviri miviri mikuru yegastritis: inokonzera uye isingaiti. Nokufamba kwenguva, gastritis yakawanda inogona kukonzera kuti chigadziko chemuviri chiparadzwe uye zvionda zvinogona kuumba. Gastritis inowanzorapwa nemishonga yekuderedza chirwere chemuviri ( antacids , H2 blockers , uye proton pump inhibitors ). Kana gastritis inokonzerwa nedzimwe mamiriro ezvinhu, saCrohn's disease, kubata chirwere ichocho kunogona kuvandudza gastritis.
Gastroparesis
Gastroparesis chirwere umo zvokudya zvinofamba zvishoma nezvishoma, kana kwete zvachose, kubva mudumbu kusvika mumukati muduku . Muzviitiko zvizhinji, hazvizivikanwi nei munhu achikura gastroparesis, asi zvimwe zvinokonzera zvinokonzera chirwere cheshuga , chirwere chePalinson , multiple sclerosis , kana chirwere chepakutanga pamutsara wekudya. Mutsara unotarisirwa kuendesa zvokudya pamwe chete unonzi vagus nerve , uye kana chirwere ichi chaparadzwa, somuenzaniso nekusazvidzora chirwere cheshuga, gastroparesis inogona kuitika. Gastroparesis inowanzoonekwa nevakadzi, uye zviratidzo zvinogona kusanganisira kunzwa zvakakwana mushure mekudya, kurutsa, GERD, kubvongodza, uye kurwadziwa kwepamuviri (kurwadziwa kwepamusoro kwepamuviri).
Kuongororwa kunogona kuitwa kuburikidza uchishandisa miedzo yakasiyana-siyana yakasiyana, iyo inogona kusanganisira endoscopy yakakwirira uye yepamusoro yeGI mutsva , pakati pevamwe. Gastroparesis isingaperi, izvo zvinoreva kuti zviratidzo zvinogona kuvandudzwa uye dzozodzoka zvakare. Kana gastroparesis ichibatanidza nechirwere cheshuga, kuchinja mune chirwere cheshuga kuvandudza kusanganiswa kwehuga kweropa kunogona kudiwa. Nezvimwe zvinokonzera gastroparesis, rimwe kana akawanda emishonga yakasiyana-siyana inogona kushandiswa kukurudzira mishonga inobvisa zvokudya kubva mudumbu uye mumukati muduku. Vamwe vanhu vangave vachida kuchinja kune kudya kwavo, izvo zvinogona kusanganisira chero chinhu kubva pakudya zviduku zvishoma kushandiswa kwekudya kwemvura kwechinguva, kana kunyange kugamuchira kudya kunovaka kuburikidza ne IV.
Gallstones
Zvipfeko zvakajairika uye zvinowanzokonzera vakadzi kupfuura varume. Iyo nduru inenge iri chidimbu chiduku chakabatanidzwa kuchiropa chinochengeta bile . Zvipfeko zvinogona kuumba kana bile isina unyanzvi hwakakwana hwebe salt, cholesterol, uye bilirubin. Mazhenje anogona kusiyanisa zvakakura muhukuru (kubva kune zviyo zvejecha kusvika kune gorofu) uye anogona kutarisana nenhamba kubva kune imwe chete kusvika mumazana. Vanhu vakawanda vari panjodzi yekuve nemaronda emadzimai vanosanganisira vakadzi, avo vanopfuura makore makumi mana, avo vanorema, avo avo vakarasikirwa nengozi yakawanda, uye avo vane zvimwe zvinetso zvekudya zvakadai seCrohn's disease .
Vanhu vazhinji vane mavara emakondomu havana zviratidzo, asi mapurisa anogona kukonzera marwadzo mushure mekudya izvo zvinogona kupedza maawa mazhinji, kusuruvara, kusuruvara, jaundice , uye mavara akareba. Mavheti anonamatira mukati memhepo inokonzera zvinokonzera kukuvadza kweguruvladder nekuvhiringidza mumapata, gallbladder, kana chiropa. Kuvhiringidza kwepancreas ( pancreatitis ) kunogona kuitika kana kuvhara kunowanikwa mune imwe duct inonzi bile yakawanda bile duct. Kurapa kwemapurisa ari kukonzera zviratidzo zvinowanzova cholecystectomy , iyo inobviswa kushandiswa kweguruva. Muzviitiko zvizhinji, izvi zvinogona kuitwa laparoscopically , izvo zvinoreva kuti kuvhiyiwa kunoitwa uchishandisa kungoita zviduku uye kupora kunokurumidza kukurumidza.
Diverticular Disease
Diverticular disease inosanganisira zvose diverticulosis uye diverticulitis. Diverticulosis ndeye apo zviduku zviduku zvinowanikwa mukati memadziro emukati emukoni (musuru mukuru) . Apo izvo zvakabuda kunze zvinotapukirwa kana kupiswa, izvo zvinozivikanwa se "diverticulitis". Vanhu vakawanda vari pangozi yezvirwere zvekusiyana zvinosanganisira avo vanopfuura makore makumi mana uye vanhu vanogara munyika umo kudya kunosanganisira zvishoma zvishoma, zvakadai seUnited States, United Kingdom, uye Australia. Vanhu vazhinji vane ruvara rwemukati yavo havana zviratidzo, asi avo vanoita vanogona kunzwa kurwadziwa, kubuda ropa, uye kuchinja mumararamiro.
Diverticulitis haisi inowanzo (inowanikwa neavo vanenge 5 muzana yevanhu vane zvirwere zvekusiyana-siyana), asi inogona kutungamirira kune zvimwe zvinetso, zvakadai sokuputika (nzvimbo ine utachiona inozadza pus), fistula (kusagadzikana kusina kufanana pakati pezviviri zviviri) , peritonitis (chirwere chepamuviri), kana chirwere (gomba) mudumbu. Kuona gastroenterologist yekugara uchirapa uye kuongorora kuchabatsira. Maitiro ehupenyu anowanzokurudzirwa kuchengetedza diverticulosis vari kudya fiber uye vanotora fiber supplement.
Celiac Disease
Chirwere cheCeliac (chakashandiswa kunzi "celiac sprue") chaifungidzirwa sehutano hwehuduku, asi zvino yava kuzivikanwa kuti ihwo hupenyu hwese hwekuti vanhu "havaregi." Gluten rudzi rwepuroteni inowanikwa mugorosi, bhari, uye rye. Vanhu vane chirwere chechiliac vane mhinduro yekuzvimirira ivo pavanodya zvokudya zvine gluten, izvo zvinogona kutungamirira kumatambudziko kudya zvokudya uye zvinokonzera zviratidzo zvakawanda kunze kweropa rekudya. Kana chirwere chechiliac chichifungidzirwa, chiremba anogona kuedza zvakadai sekuongororwa ropa, genetic test, kana biopsies kubva mumukati muduku kuti asimbise kuongororwa kana kutonga.
Kurapa kweecliac ndiko kudzivisa gluten, iyo inogona kubatsira kugadzirisa zviratidzo. Zvokudya zvisina kugadzirwa zvinokonzerwa zvakanaka pasi pekutarisa uye kutungamirirwa kwezvokudya zvakanyoreswa. Kana imwe nguva gluten iri kunze kwekudya, vanhu vazhinji vanonzwa vari nani. Zvokudya zvisina kugadzirwa zvinokonzera zviri nyore kuchengetedza, nekusikwa kwezvinhu zvitsva, kudya kwema-market-market uye gluten zviri kunyatsonyorwa zvakanyorwa pazvokudya zvekudya.
Shoko Rinobva
Chinhu chinonyanya kukosha chokuyeuka kana uine zviratidzo zvekudya zvishoma ndezvokuti zvinetso zvakawanda hazvisi zvakanyanya uye zvinogona kurapwa. Chinokosha kukuona chiremba nokukurumidza kana zvichibvira (kana pakarepo kana pane chero nyeredzi mirefu zviratidzo) kuti uwane chirwere. Kusava nekunetseka kwekudya kunogona kukonzera kuwedzera kwezviratidzo, ndicho chikonzero kuongororwa uye kurapwa nokukurumidza zvakakosha kunokosha. Nokukurumidza dambudziko racho rinoratidzwa, hurongwa hwekurapa hunogona kuiswa munzvimbo uye zviratidzo zvako zvinogona kudzorwa.
> Sources:
> National Digestive Diseases Information Clearinghouse. "Tsanangudzo uye Chokwadi cheDiverticulosis uye Diverticulitis." May 2016. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/diverticulosis-diverticulitis/Pages/definition-facts.aspx
> National Digestive Diseases Information Clearinghouse. "Tsanangudzo uye Chokwadi cheGER neGERD." National Institute of Diabetes uye Digestive uye Kidney Diseases. 13 Nov 2014. http://digestive.niddk.nih.gov/ddiseases/pubs/gerd/#5
> National Digestive Diseases Information Clearinghouse. "Kuongororwa kwezvirwere zveCeliac." 16 Jun 2016. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/celiac-disease/Pages/diagnosis.aspx
> National Digestive Diseases Information Clearinghouse. "Gallstones." National Institute of Diabetes uye Digestive uye Kidney Diseases. 13 Nov 2014. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/gallstones/pages/facts.aspx
> National Digestive Diseases Information Clearinghouse. "Gastroparesis." National Institute of Diabetes uye Digestive uye Kidney Diseases. 13 Nov 2014. https://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/gastroparesis/pages/facts.aspx