Isifo Diverticular of ikholoni: Iimpawu and Treatment

emathunjini Human unoxanduva yokwetyiswa nokufunxwa ukutya, kwaye kususa ubuthi emzimbeni. iinkqubo omzimba kunye Yindibanisela hormone peptide ezinxulumene nomsebenzi wakhe. Ngoko ke kubaluleke kakhulu ukuba lo mzimba siphilile yaye unako ukwenza ngokupheleleyo imisebenzi yabo. Amaninzi, kunjalo, iinkqubo zophendlo lwezifo yenzeka phantse ingabonakali okanye kukho iimpawu ekuqaleni akazange enze naliphi na inkxalabo. Kwaye kwisaveyi kubonisa ngezifo, apho abantu babengazi.

Esi sifo kuba isifo wamathumbu diverticular. Kubalulekile ukuqaphela ukuba, Isimanga, ixhaphake kakhulu kumazwe, yaye ngokuqhelekileyo abadala. Kuninzi kakhulu kunqabile ichaphazela abantu ongaphantsi kweminyaka eli-40. Ngoko ke yintoni na le sifo, ziziphi iimpawu zayo kwaye iphathwa njani? Cinga ngakumbi.

Ntoni "isifo diverticular"?

Okokuqala, thina ezichaza ukuba yintoni diverticulum. Oveliswa eludongeni isisu, apho esihlunwini setyhula kwemithambo yegazi kwaqukwa. Xa xi liphuma ethunjini, xa ababuthathaka iinxalenye ejection kwenzeka isifo kwi mithambo phakathi imicu kwezihlunu. Wabumba ekuthiwa-imilo ingxowa-Buze. ubukhulu yabo ibe ukusuka iisentimitha-1 ukuya kwisi-2. Apha bebizwa diverticula. Diverticula kwakheka kwi kwiindawo ezahlukeneyo phecana isisu, kodwa inkoliso ngokuqhelekileyo oko kwenzeka kwi Amathumbu amakhulu.

Zonke izifo kwi Classification International babe ikhowudi zabo, kuba kungekho ngaphandle kunye nesifo diverticular. ICD-10 ziquka oku ngezifo phantsi K57 khowudi.

Isifo kunokwenzeka njengoko nazimpawu, nangokurhala kunye iingxaki. Njengoko kuchaziwe ngaphambili, ingozi yokuba esi sifo liphezulu abadala. Xa wayeneminyaka eli-40 yena anqabe kakhulu.

Kuxhomekeka kwindlela kwenzeka esi sifo, oko zihlelwe ngolu hlobo lulandelayo:

• diverticulosis nazimpawu.
• zesifo Diverticulosis.
• Diverticulitis ne iingxaki.

Kungakhathaliseki lokuqhubeka sifo, ukuba isifo eso senziwa, kufuneka zibonwe ngugqirha. Ukuba uqale yaye kuya kuthatha isimo enzima, inokubulala ukuba ngaba wenze utyando ngendlela ngexesha. Oku kuya kukuxelela kamva. Kwaye ngoku khangela oko iimpawu kusenokubonisa ukuba kukho isifo wamathumbu diverticular. Ngokuzimeleyo baqaphele ingxaki kusondela?

symptomatology isifo Diverticular

izifo ezifana nesifo diverticular (ikholoni sigmoid, umzekelo), iimpawu kaninzi kwenzeka usaqala, ingakumbi abantu abatsha. manqaphanqapha angavela izikhalazo ezinjalo:

• Nokuqunjelwa.
• amahlaba esiswini.
• Ukunyuka esiswini.

Ezi mpawu abe, ukuba isifo diverticular kuqhubeka ngaphandle iingxaki, kwimeko apho kungekho bungqina angqalileyo sifo.

Ukuba diverticulosis iqhubeka, iimpawu ivela lubeka phi. Kulo mzekelo, isikhalazo kuba ngolu hlobo lulandelayo:

• Isicaphucaphu.
• Ukubuyisa.
• Nokuqunjelwa.
• iintlungu esiswini, ngokuqhelekileyo kwicala lasekhohlo. Yena libizwe Ngokucofa.
• iqondo lobushushu emzimbeni Ukwandiswa.
• Kukho ngumkhuhlane, ubuthathaka.
• Ukunxila, intloko.

Le ngxuba kunjalo, iimpawu ucaca ngakumbi esi sifo. Ukuba ukrokrela ukuba izifo diverticular, ezi mpawu zixelwe ngentla, kufuneka yaziswe. Kubalulekile ukuba kuphoswa mzuzu kunye ngendlela efanelekileyo ukuze ucele uncedo ukuze siphephe iingxaki ezinzulu.

Kutheni kukho isifo diverticular le colon sigmoid okanye namanye amasebe? Makhe uphando.

Izinto ezibangela izifo diverticular

Musa ukulibala ukuba izifo ezifana nesifo diverticular ye ikholoni badla ikakhulu abadala. Ngoko ke, omnye oonobangela esi sifo inxulunyaniswa ubudala, yaye oko kukwaphula ukutya yeselula kule nwebu dystrophy yethumbu.

Le miba ilandelayo kunganxulunyaniswa ukuba izizathu:

• Uphuhliso ezingahambi yezihlunu nokuqina, kunye uphazamiseko Yindibanisela imicu collagen.
• ukutya okungenazakha-mzimba, oko kukuthi, inani ngokwaneleyo ifayibha kunye namanqatha agqithisileyo, ukutya yomgubo ekutyeni.
• ukuncitshiswa Ukunqongophala eludongeni wamathumbu zila yokulahla esiswini.
• olwenzeka kakhulu serhasi emathunjini.
• aqaqambayo kwemisipha udonga isisu, abanjwe izitya.
• Izifo yenkqubo sentliziyo.
• Ukungazilolongi, ukuphila umzimba.
• Amavila.

Ngoku kufuneka sijonge phandle ukuba baqaphele indlela le ngezifo njengoko sifo diverticular ye ikholoni.

Uxilongo kwezifo diverticular yethumbu

Lokufunyaniswa sifo lwenziwa ngolu hlobo lulandelayo. Kuqala kwinto zonke, isigulane kufuneka kucelwa ukuba ukuhlola. Ephulaphule ngenyameko isikhalazo, ugqirha sele busenza ukuba ubukho sifo, nangona kunjalo, ukuba uhlalutyo ngokucokisekileyo ngakumbi kuyimfuneko ukuba abangalupasanga uviwo. Kuphela emva ziya unesifo "isifo wamathumbu diverticular," unako ufakwe unyango.

Ngokumalunga noviwo lwesifundo olunzulu kunye laboratory kusetyenziswa iindlela instrumental:

• uvavanyo lwegazi Common onokuchaza ubukho ukudumba emzimbeni. Anaemia kubonisa ezophayo ngaphakathi kunokwenzeka.
• Coprogram.
• Colonoscopy.
• Barium enema.
• Thelekisa zoviwo X-ray.

Kwi uviwo isigulane kufuneka ahlawule ingqalelo imikhwa ngangokudla kwakhe, indlela yokuphila, leyo yena ulahlekisa, kwakunye isehlo ukuqhina kunye neentlungu esiswini.

iimvavanyo zeLebhu, iimvavanyo zegazi coprogram bangakuqinisekisa ubukho nangokurhala, yophela ngaphakathi.

Colonoscopy ikuvumela ukuba ufumane umthombo ukopha emathunjini. Ukuba isigulane banesifo ifomu nokoyika isifo diverticular, kuyimfuneko ukwenza CT scan. Kulo mzekelo, udonga wamathumbu iya kubonakala kunye nemeko amalaphu ezithi juxtaposed.

Sebenzisa olu hlobo nophando cystography. Oku kusetyenziswa uhlolo vesico-emathunjini fistula. urography efakwa yenzelwa ukujonga nokuba inkqubo yokukrala wabandakanya ureter.

Angiography kusetyenziswa xa opha a diverticulum.

Emva uviwo ngokucokisekileyo kwisigulana, ugqirha yenza afunyaniswe isifo kwaye elandelayo unyango. Njani na isifo diverticular ye ikholoni, cinga ngakumbi.

Iindlela ekunyangeni izifo diverticular

Ukuba diverticulosis kwenzeka kunye lingaze esebenzayo, ukuba umsebenzi sempilweni contraindicated. Unyango lwesifo diverticular ye ikholoni uxhomekeke ngokupheleleyo indlela eyenzeka ngayo sifo.

Inokubuyiselwa eyabelwe unyango ilandelayo:

• therapy Lezigulana iboniswa, ngaphandle kokuba kukho ukunxila, yaye iiseli ezimhlophe zegazi na anda, kodwa kukho izinto kwezonyango sifo.
• unyango izigulane kwisebe Coloproctology kufuneka ukuba sifo kunzima.
• Ukuba kukho uloyiko lokuba ubomi nomonde njengoko ngenxa inzima isifo wamathumbu diverticular, utyando iboniswa.

Kwaye ngoku okungakumbi unyango ngamnye.

Ukuba kukho iimpawu kwezonyango sifo, kodwa kukho inkqubo kwiintetho ezikralayo, usenokumisela ukutya kunye namayeza zilandelayo:

• amachiza Antispasmodic ( "No-Spa," "Spazmol", "Mebeverin").
• Iziyobisi bunjani microflora wamathumbu ( "Linex", "Baktisubtil", "Atsipol").
• Enzyme ( "umbingelelo womthendeleko", "Creon").

Ukuba kukho kubonakaliswa eliqaqambileyo kwezonyango sisifo diverticular, unyango emiselweyo ngolu hlobo lulandelayo:

• zokukhawulezisa GI motility ( "Motilium", "Pasazhiks", "Motilak").
• Imithi ( "Sulgin", "Biseptol").
• kokuba isisu ( "intestopan", "Intetriks", "Enterosediv", "Sumetrolim", "ersefuril").
• Laxatives ( "Duphalac", "Normase").

ukungenelela kuhlinzwa kuyinto enokwenzeka ukuba:

• isifo Diverticular ye ikholoni ukunika iingxaki.
• Kukho fistulas.
• Kukho ukuxinana engapheliyo ancedisana kunye admixture igazi nkovu.
• Isifo esingapheliyo diverticular kudla sibi.
• izifo ezimandundu diverticular ayikho efanele unyango ezibanzi. Oku kunokwenzeka xa kwakhona exacerbation.

Le miba ilandelayo kufuneka kungathathelwa ingqalelo xa ukhetha indlela yotyando:

• Yintoni na uhlobo iingxaki.
• Njengokuba kude lwenqubo ukwanda.
• Yintoni utshintsho ngenxa yenkqubo yokukrala kwenzeka eludongeni kwezihlunu yethumbu nezihlunu ezingqongileyo.
• Ingaba kukho umtshiso perifocal okanye peritonitis.
• Nayiphi comorbidities isigulane kuye, njengokuba rhoqo ngabantu abadala.

Utyando oluqhutywa ngezigaba-2. Ekuqaleni ukususa icandelo kwamathumbu abachaphazelekayo. Kwifomu inyathelo lesibini anastomoses ngokwezigaba wamathumbu ukuze ukubuyisela ukuqhubeka kwalo.

Kufuneka kukhunjulwe ukuba diverticula emva utyando okanye unyango ngempumelelo ukuze sivele. Ngoko ke, kufuneka ugcine ukwenza ukutya, achaza ngezantsi.

Diet for isifo diverticular le colon

Njengoko sele sibonile, xa unyango naluphi na uhlobo lwesifo diverticular ngokuyintloko ugqirha uyakukumisela itye. Ukuba unokulandela kuyo, unga nciphisa ngokubaluleka ubungqongqo sifo okanye iyaluthintela uphuhliso iingxaki zayo.

Oko kutya ke kucetyiswa, xa kwafunyaniswa ukuba "isifo diverticular"? Ukutya ukutya okunempilo. Le menu kufuneka ibe kudla okunempilo:

• Gadudu yembewu yonke.
• amabele imila.
• Yonke isonka ingqolowa, cereal.
• Inala iziqhamo kunye nemifuno kwindawo evulekileyo kwaye ngendlela ubushushu kakubi.
• iziqhamo womile.
• Iimveliso zobisi.

Kananjalo kufuneka ukuba usele iziselo ngosuku, ubuncinane isiqingatha okanye amabini eelitha zamanzi ecocekileyo.

Foods ukuba kucetyiswa ukuba ngaphandle kwizidlo:

• Sugar, ziilekese.
• tea Strong, ikofu.
• Nezihlwahlwazayo kunye neziselo ezinxilisayo.
• Izinongo.
• isonka Fresh.
• Iimveliso semi-ogqityiweyo.
• fast food.

Kufuneka kuqatshelwe ukuba awukwazi kutya ukutya kunye namacandelo kabi kwetyiswe. Oku, ngokuba imbewu umzekelo, mai, iidiliya, nojongilanga. Ukuba ukutya intlanzi, kufuneka ngocoselelo icocwe of amathambo ayo.

Oogqirha bacebisa ukusetyenziswa bran, ngokuthe ngcembe ukwandisa umthamo-5 ukuya ku-20 grams ngosuku.

Ukuba awufuni unamathele ukutya, isifo iya kuba inkqubela enkulu, kunye nezigulo zinokwenzeka.

Xa lokufunyaniswa "isifo diverticular 'yokudla - enye zixhobo isebenzayo ukuthintela iingxaki lula le nkqubo.

iingxaki Eyingozi kwezifo diverticular

isifo Diverticular ye ikholoni kungabangela iingxaki eziyingozi ezinokuthi zibe usongo kakhulu ukuba ubomi isigulane. Ezi ezinobuzaza ziquka:

• Ukopha kwisiza kwethumba Ukwakheka. Enye iimpawu ukopha ligazi egazi kwi iingqatha.
• Uphuhliso emathunjini, ngenxa Buze ukuze kuncitshiswe umsantsa sayo ye ethunjini.
• Ukwenziwa izilonda. Ubomvu ungakwazi ukungena kwisisu.
• utshintsho Local necrotic njengesiphumo - peritonitis.
• Perforation udonga umzimba emelene ukwenza fistula. Ngokuqhelekileyo, le yi sokosuleleka inkqubo wokuchama, abafazi angaludlulisa usulelo kwi lobufazi.

Uthintelo kwezifo diverticular

Kwenziwa uphando oluninzi ukujonga ukuba bangakunqanda njani uphuhliso kwamathumbu diverticulosis nendlela yokukhusela isifo ukuba phambili. beza Izazinzulu kwesi sigqibo: Ukuba ukudla okune ifayibha, ukuba isifo diverticular uya nkqubela. Abantu abadla ubuncinane 32 iigrem ifayibha ngosuku, ebhalwe ngomsebenzi ogqwesileyo. ifayibha enganyibilikiyo - ngokuyintloko iziqhamo kunye nemifuno.

Kwakhona waphawula iingenelo umzimba ekuthintelweni kwezifo emathunjini diverticular.

Kweempembelelo zotywala, icuba caffeine ngokudibene kugcinwe ukutya zizityebi iziqhamo kunye nemifuno. Kulo mzekelo, waphawula ukuhla ukusebenza kokusetyenziswa ifayibha.

Kufuneka kukhunjulwe ukuba isigulane kufuneka balunyukiswe ukuba kuyimfuneko ukuba kancane isixa eli candelo apha ekutyeni, kungakuhle ukuba ukuphelisa iimveliso eziyingozi, nto leyo nathi ngazo ngaphambili. Kungcono ukuba imikhuba emibi, kangangokuba ekutyeni kwaba nempembelelo entle emzimbeni.

Le milinganiselo ukunqanda inkxalabo isifo wamathumbu diverticular kunye nonyango kwangethuba ukuphazamiseka ye phecana zesisu. Uthintelo isisu kunye yokuphila asebenzayo kunokukunceda uphephe oku sifo krakra.

Yintoni na ALS konyango?

Ukuba isifo diverticular na nazimpawu, kufuneka uqhaqho. Alinako ukuqhubeka ukuphazamisa, ukuba isigulane ibambelela ukutya kunye nogqirha izindululo.

Ukuba sifo kwi nqanaba etsolo, oko wamisela unyango endala, apho, njengoko umthetho, isigulane ukunyamezeleka kakuhle, yaye akuyomfuneko ukuba bangabheneli uqhaqho. 15 Kuphela ekhulwini amatyala zifuna uqhaqho.

Uphindaphindo diverticulitis etsolo kugqalwa kunokwenzeka kwiimeko-1 kwaba-4. exacerbation phindo kunyanyezelwa mandundu kakhulu. Kulo mzekelo, umzimba akaphenduli kakuhle kunyango lwezempilo endilisekileyo. Kwiimeko ezinjalo, amaxesha amaninzi uqhaqho iboniswa. ukusebenza ezicetyiweyo ukuze yabelwe emva gingxi kuhlaselwa yesibini. Xa waphinda diverticulitis etsolo Ukufa aphezulu kakhulu.

Ukuba ufuna ukunceda ugqirha, kungakuhle ukuba elinye njengoko kucothe ukusebenza kwandisa umngcipheko lokufa-18%. Phambi perforations kwi kwisisu yomguli kunye peritonitis imfuneko engxamisekileyo isebenze njengoko inqanaba yokufa kwiimeko ezinjalo yi-35%.

Kukho izifundo esirhesha ukuba izigulane abaselula umngcipheko ukwenzeka sifo iphezulu kakhulu kunaleyo kwizigulane abadala. Kwizigulane kunye nokuphungulwa okukwazi iphinda ukuhlaselwa sisifo diverticular iphezulu ngakumbi kubantu kwiinkqubo eziqhelekileyo omzimba.

Emva kotyando reoperation kufuneka ngo-10% yamatyala. Ngowe-20% ezigulane kwakukho ukuba ukopha, oko kuphindwa emva kwexesha elithile. Ngowe-33% amatyala ukwenzeka inkqubo arhabaxa kunokwenzeka.

Ngokubanzi sinokutsho ukuba unyango ngexesha kwaye ulandele idayethi prophylaxis rhoqo yokuphazamiseka nemikhwa kwesisu zinganikwa abane elungileyo.

zonyango Traditional

Ukususela kumaxesha amandulo, kukho zokupheka ezininzi amayeza emveli izifo ezahlukahlukeneyo. Yiloo nto sisifo ngaphandle kunye diverticular lwe ikholoni okanye nayiphi na inxalenye emathunjini.

Ezi zokupheka zingasetyenziswa kuphela emva kokubonisana ugqirha. A ngcono emva zoviwo ezipheleleyo ukuba kubanjwa, into engundoqo - ayithethi kakubi umzimba.

Unyango amayeza intsomi isifo diverticular zinokuba luncedo kuphela xa ukongeza isigulane ibambelela kwizidlo ekucetyiswa nokugcina indlela yokuphila esempilweni.

Nazi ezinye iiresiphi nezincomo:

• Oyile kunye neflakisi iimbewu. Eyimfuneko phambi kokuba ukusetyenziswa mbewu ukuba bazalise ngamanzi ashushu ngomlinganiselo icephe nendebe yamanzi nganye. Emva kwexesha elithile, imbewu adumbe neguquguqukayo iya kufana ijeli. Nantsi nokwakhiwa ngokugqibeleleyo sikhusela inwebu kwiinwebu phecana zesisu, ngokunjalo kuphucula ukusebenza kwayo. Ukuba buselwe engenanto isisu enye icephe.
• Ziyindlela of ifayibha ezifunekayo isifo ezifana nesifo diverticular, - imbewu ngeplantain. Ngokutsho inani kwezinto zingcono ukuya oats nerhasi. ukusetyenziswa rhoqo iimbewu kuvumela ukuba balungelelanise umsebenzi iphecana zesisu, kuphucula peristalsis. Kufuneka usebenzise kubo yeskim enjalo. Enye icephe athele iglasi yamanzi okanye incindi, ungasebenzisa iyogurt. Lo mxube kufuneka asele ngoko nangoko. Emva kwemizuzu engama-30, kodwa qiniseka ukuba iglasi yamanzi. Inala iziselo - imeko ingundoqo ngokusebenzisa psyllium. Imbewu adumbe ngaphakathi nokwenza umsebenzi wabo luncedo. Kufuneka sisele kathathu ngemini ude uzive ngcono.
• Ngokutsho zokupheka ethandwa kubaluleke kakhulu ukucoca amathumbu ityhefu, amatye ilindle, ukususela iimveliso ukubola ukutya. Kuba wamathumbu ukuhlanjululwa kubalulekile kakhulu ukuba ukuqokelela imifuno. Ngayo iintyatyambo kunye namasebe namakhakakhaka. Ezintathu collection ngecephe kuyimfuneko ekwakuthululwa selitha yamanzi abilayo kwaye ugxininise ukuba kubhetele ukuba kusetyenziswe thermos, ekubeni nokuhlanganiswa kufuneka beme ebusuku efudumeleyo. Emva koko nzima usele izihlandlo ezi-3 ngosuku, iyure enye phambi nokutya, 1 kwiglasi. Imfuneko ukuthatha eli yeza iintsuku ezintathu. , Usele ukumnika Ukuba ufumana constipated ayikho imfuneko. Sebenzisa amanzi ngakumbi iyogurt, ubuncinane ilitha ngosuku.
• Xa kucetyiswa ikhondo nokoyika sisifo diverticular ukusebenzisa iresiphi iintsomi elandelayo. Kuyimfuneko ukuba ukuthatha 100 grams ye peony ingcambu, imifuno okuhombisa, amagqabi umba. amacephe amabini iingqokelela ndinithululele selitha yamanzi abandayo babeka phezu komlilo. Zisa ku abilayo, kodwa ubilise. Ke opholileyo, uhlobo uthabathe iglasi enye kabini ngemini, kusasa nangokuhlwa, emva kwesidlo ukuba kudlule iyure. Umhluzi ingasetyenziselwa enemas. asikwazi kusetyenziselwa hemorrhoids. Unyango waqhubeka iintsuku 10-14.
• A ngeyeza kuhle ukuba unyango lwesifo diverticular ngu Elm ixolo ngekopi. Kulungiselwe ngolu hlobo. Half itispuni amaxolo olungumgubo granular uqweqwe itispuni ezaliswe enye iglasi yamanzi. Kwifatyi kufuneka imizuzu engama-20. Emva koko lokucoca, ukuba umthamo ulwelo lwe ikomityi enye yaye zithatyathwe kusasa nangokuhlwa of ml 200.

Ngaphambi kokuba usebenzise amayeza abantu kufuneka ubonane nogqirha. Ngamanye amaxesha, oogqirha ukuze musa sincome ezinye iindlela esebenzayo enokusetyenziswa kunye namayeza. Kufuneka kuqatshelwe ukuba naluphi na unyango kufuneka kwenziwe phantsi kweliso oyingcali, ingakumbi kwiimeko ukuba zihamba ngokubonakala iimpawu ahlekise.