Diverticulitis chirwere chinowanzoshandiswa mukati mekudya, zviduku zvisingawanzogadziri mumugwagwa wezvokudya zvinopisa kana kuvharwa. Kunyange zvazvo masayendisiti anotenda kuti kudya kwakanyanya-fibha ndiko chinhu chinonyanya kukonzera chirwere chacho, havasi kunyatsoziva kuti nzira dzipi dzinokonzera kugadzirwa kwezvikwama (zvinonzi diverticula) uye nei zviratidzo zvichikura mune vamwe vanhu uye kwete mune vamwe.
Pakati pezvinhu zvinokonzera ngozi, zera, kuneta, uye kusvuta zvinozivikanwa kuti zvinokonzera kukura uye / kana kukurira kwe diverticulitis zviratidzo.
Zvinowanzokonzera
Diverticulosis -iyo iyo inoramba ichimanikidzwa pamusoro pekoni inomesa musimba wayo, zvichiita kuti nzvimbo dzisina simba dziwedzere uye dzigadzire mapurasitiki anonzi diverticula-ndiyo inopedzisira yaita diverticulitis. Izvi kazhinji hazvina zviratidzo uye hazvina matambudziko. Diverticulitis inosvika apo kana zvikwama izvi zvichitsvaira kana kutapukirwa, izvo zvinounza marwadzo.
Mazimbe emukati anokwanisa kupa mabhakitiriya nzvimbo yepamusoro. Kana izvi zvikaitika, kuputika kwepasi kwepamusoro kunogona kubvumira fecal microorganisms kupinda mukati maitiro akave akanganiswa. Izvi zvinogona kukonzera kuvhuvhuta kwemasenteric tishu (avo vanobatanidza matumbo kumadziro emimba), izvo zvinogona kutungamirira mukusimbiswa kwebasa kana kumudumbu.
Maererano nekutsvakurudza kwakabudiswa mumagazini inonzi Therapeutic Advances muGastroenterology , pakati pe10 muzana uye 25 muzana ye diverticulitis flares inogona kuonekwa neutachiona hwehutachiona.
Kusanzwisiswa kwemaruva ebhakitiriya kwenguva refu kwakataurwa sechikonzero chinokonzerwa ne diverticulitis, kunyanya yakakwirira yeEscherichia uye Clostridium coccoides bacteria. Nyaya dzakawanda dzekutsvakurudza kusvika nhasi, zvisinei, hazvina kutsigira iyi hypothesis.
Kunyange zvazvo kudya kwakaderera-fibiti kwave kwakatorwa kwenguva refu sechikonzero chinonyanya kukonzera kuvhiringidza, humwe uchapupu hunotsigira dzidziso iyi hunoramba huchipesana uye husingaenderani.
Hazvibvumirwi, zvisinei, kuti kudya kunoita basa rinokosha munjodzi yako yekutaurirana uye diverticulitis (zvimwe pamusoro apa iri pasi apa).
Genetics
Genetics inoratidzikawo kuti inoita basa rinokosha mune zvirwere zvakasiyana. Izvi zvinotsigirwa mune chikamu nekutsvakurudzwa kunoitwa muSweden, izvo zvakaratidza kuti njodzi yekuyananisa inopfuura inopetwa katatu kana iwe une mafa ehama ne diverticulitis. Kana mapatya ako akafanana, iwe unenge uine huwandu hunomwe huri muhutano huenzaniswa nehuwandu hwevanhu, maererano nevatsvakurudzi.
Zvose zvakataurwa, zvakapoteredza makumi mana kubva muzana zvezvese zvinokanganisa maitiro zvinotendwa kuti zvinokonzerwa nehupenyu (kunyange zvazvo zvakananga kuchinjwa kwemashoko ezvo zvisati zvave kuonekwa).
Kudya
Iko pfungwa yokuti pasi-fiber kudya zvinonyanya kukwidziridzwa kwezvirwere zvakasiyana-siyana hakusi kunze kwechikamu chavo chekupupu hunogombedzera.
Vazhinji masayendisiti vanobvumirana kuti kuumbwa kwemapurasitiki kunonyanya kusimbiswa nekusimudzirwa kunomanikidzwa mukati mekoloni, uye chinhu chikuru kune icho chidziro -chimiro chinowanzobatanidzwa nekushayikwa kwezvokudya fiber. Kana izvi zvikaitika, zvigaro zvinowedzera kuoma uye zvinokonzera kusagadzikana kusina kuchena kwemukati maviri, kunyanya mu sigmoid colon (chikamu chiri pedyo ne rectum apo inowanzosiyana-siyana).
Background
Kubva pamaonero ezvakaitika kare, zvirwere zvekusiyana siyana zvakatanga kuonekwa muUnited States kumavambo ekuma1900. Izvi zvakapoteredza nguva imwechete iyo zvokudya zvakashandurwa zvakatanga kuiswa mukudya kweAmerica, kushandura kudya kwedu kubva kumapfudze ane mirefu, ayo akareba mune fiber, kucheneswa kwehupfu, iyo yakaderera mu fiber.
Nhasi, kuwedzerwa kwezvokudya zvitsvuku, mahydrogened mafuta, uye zvokudya zvakagadzirwa zvakagadzira chirwere chaiyo chezvirwere zvinokanganisa munyika dzakabudirira dzakadai seUnited States, England, neAustralia, umo muzinga we diverticulosis unofambisa pamapfumbamwe makumi mashanu.
Kusiyana neizvi, zvirwere zvakasiyana-siyana hazviwanzoitiki muAsia neAfrica, apo vanhu vanowanzodya nyama shoma shoma uye mimwe miriwo yakawanda-ine michero, michero, uye mbeu yose. Somugumisiro, mutengo we diverticulosis munharaunda idzi uri pasi pe 0.5 muzana.
Muna 1971, vanachiremba vezvechirwere Denis Burkitt naNeil Painter vakarayira dzidziso yokuti "kudya kwemazuva mashoma" mune shuga uye pasi mu fiber kwaiva nechokuita kwekusimudzirwa kwe diverticulitis muWestern hemisphere nyika. Yaiva nheyo yaizoguma ichitungamirira nzira yekurapa kwemakore makumi mana anotevera, uye vanachiremba vanowanzorondedzera kudya kwepamusoro-soro sechinhu chikuru chekurapa nekudzivirira.
Nhasi, zvisinei, kune kuwedzera kunetseka nekuvhiringidzika sekutaura zvakakwana basa rekudya fiber rinotanga mu diverticulitis.
Uchapupu hunopesana
Muna 2012, vatsvakurudzi veYunivhesiti yeNorth Carolina School of Medicine vakarondedzera kuti, pakati pe2104 varwere vanoongororwa nekolonoscopy , yakakura fibre kudya uye kazhinji kacho kufamba kwechirwere chaizvoizvo kwakawedzera njodzi ye diverticulosis, kupokana nekutenda kwemazuva akawanda kuti pasi fiber ndiyo inotyisa nokuda kwekukura kwezvirwere.
Kune rumwe rutivi, ruzhinji rweuchapupu hunoratidza kuti kudya kwepamusoro-fibha kunogona kudzivirira zvimwe zvezvinetso zvakakomba zve diverticulitis. Chidzidzo che2012 kubva kuOxford University, iyo yakadzokorora yakanyatsoongorora zvinyorwa zvehutano zvevanhu vanopfuura 15 000 vakwegura, yakashambadza kuti kudya kwepamusoro-fibhi kwakabatanidzwa ne 41% kuderera kwechiverengero chezvipatara nekufa kubva kune chirwere chinoshamisa.
Kunyange zvazvo kutsvakurudza kunopesana hakuiti chinhu kuderedza kubatsirwa kwekudya kwepamusoro-fibhi, zvinoratidza kuti kudya hakugoni kushanda mukudzivirira kutanga kwezvirwere zvinotapira uye kunyanya kushanda mukudzivirira matambudziko kwenguva refu.
Zvimwe Ngozi Dambudziko
Zera rinonyanya kuita basa guru mukuumbwa kwemaitiro, uye zvinopfuura hafu yematambudziko anoitika kuvanhu vanopfuura makumi matanhatu. Kunyange zvazvo diverticulosis isingawanzoitiki kune vanhu vanopfuura makumi mana, njodzi inogona kukurumidza kusimuka vakuru vamunowana. Pakazosvika makore makumi manomwe, pakati pe50 kubva muzana uye 60 muzana yevanhu vakuru vachave vakagadzira diverticulosis. Pakati peizvi, vakawanda seyese pavana vachave neve diverticulitis.
Kuwedzera muviri kunowedzerawo njodzi. Chidzidzo cha2009 kubva kuYunivhesiti yeWashington School of Medicine, iyo yakatsvaga marekete ezvehutano evanhu vanopfuura 47 000 pamakore gumi nemakore, yakagumisa kuti kuneta-kunotsanangurwa semuviri mashekeri ekuyeresa (BMI) anopfuura makumi matatu-inoda kusvika kaviri injodzi ye diverticulitis uye katatu mukana wekubuda ropa zvakasiyana nekuenzaniswa nevarume vane BMI pasi pe21.
Sm oking , zvichida hazvishamisi, kunetseka, zvakare. Iyo tsika inozivikanwa kuti inokonzera kuvhiringidza kunogona kuwedzera mungozi yehutano huzhinji hwehutano, uye inogona kuita kuti kuve neruzhinji nekusimudzira kuputira kunokanganisa kutotengesa maitiro, kuwedzera dambudziko rekumaputika, fistula, uye mumatumbo. Ngozi inowanzooneka yakanyanya kune vanhu vanosvuta fodya kupfuura 10 pazuva, maererano nekutsvaga kubva kuImperial College London.
Nonsteroidal anti-inflammatory drugs (NSAIDs) inobatanidzwawo zvakanyanya kune diverticulitis uye diverticular kubva ropa. Kunyange zvazvo aspirin yakave ichionekwa seyekutanga kunyunyuta, yakatove yakaratidzwa kuti NSAID dzose dzine simba rimwechete rekukuvadza. Dzinosanganisira dzakadai dzakakurumbira, pamusoro pezvinyorwa seAleve (naproxen) uye Advil (ibuprofen).
Kusiyana neizvi, muromo corticosteroids uye analgesics ye opiate zvinowanzoita kuti perforated diverticulitis, kuwirirana uye katatu iwedzere ngozi. Ngozi inowanikwa kuwedzera nekushandiswa kwenguva refu.
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