Diverticulitis: iimpawu. Diverticulitis ye ikholoni sigmoid: unyango

Kwezinye iimeko, iindonga engaphakathi emathunjini (oku kuba lelinye isebe inkqubo yokwetyisa) benze uhlobo 'bhegi "okanye diverticula. Kukho izizathu ezininzi iziphene ezinjalo. Noko ke, kusoloko kukho ingozi yokuba nokudumba suppuration - oku diverticulitis. Iimpawu zesi sifo inokuba nomahluko kakhulu, kodwa inkoliso yabantu ukukhalaza malunga intlungu ukungacoleki kokutya. Enoba kunjalo, esi sifo kufuna unyango, njengoko kusenokwenzeka ukuba kukho ithumba kunye perforation eludongeni emathunjini.

Diverticulitis, diverticulosis - yintoni umahluko?

Nganye kwezi zifo wayanyaniswe utshintsho ezindongeni phecana zesisu. Ngenxa yezizathu okanye omnye phezu ngaphakathi kukho izakhiwo ezithile yokwakheka, nto amayeza namhlanje kuthiwa diverticula. Ba iindonga ewayo, ezo ezimile iibhegi ezincinane. Qaphela ukuba diverticula kunokuba esinye okanye ezininzi. Inkqubo yokwakha lunamaqoqo wabiza diverticulosis. Lidla kungekho yonyango okanye uphantsi kweempembelelo yeemeko ezithile iindonga diverticula inokuba baxokozelisa - it diverticulitis. Iimpawu kulo mzekelo kugqame kakhulu, yaye ukuba ixesha akafane abone ugqirha, imiphumo inokuba yingozi kakhulu.

Yintoni diverticulitis, yaye kutheni kwakheka?

Ngokutsho manani, diverticula amaninzi kunokutshiseka abafunyenwe abantu abahlala kumazwe aphuhlileyo. Kwaye kwindawo yokuqala unguye US, Japan kunye neNtshona yeYurophu. Kungenxa yoko le nto imbonakalo lunamaqoqo eludongeni wamathumbu amaninzi unxulunyaniswa iimpawu ukutya, ingakumbi ngokungenisa kwi ezityiwa isixa esikhulu zokutya eling'awukazi ngokukodwa zaqwalaselwa.

Ukongeza, ezi zinto umngcipheko ziquka ubuthathaka kwezihlunu, nto leyo edla onesiphene naso. Kukho ingcamango echaza equmbile kodonga waphula umthetho ejikeleza nemithambo. Kwezinye iimeko, diverticulosis bunxulunyaniswa xi ngoomatshini eludongeni isisu, olwenzeka, umzekelo, xa kwesisu rhoqo olomeleleyo.

Imiba yomngcipheko ziquka ubudala kunye wokwaluphala. Ngokutsho manani, eli qela lobudala umyinge diverticulosis bene-7% yamatyala, kodwa phakathi kwabantu iminyaka engama-70 ubudala inani lezigulane kwandisa kwi-60-75%.

Apho ifomu diverticula?

Ngoko nangoko ke paha ukuba kukho iintlobo ezininzi kangako diverticula. Umzekelo, ukuba babe naso (abunjwe Esibelekweni) okanye lufundiwe. zibizwa-ekuthiwa Kukho diverticula lokwenyaniso (Buze le isifo, submucosa kunye izihlunu zomzimba), kwakunye ababuxoki, apho ukusekwa kuphela isifo.

Lidla esi sifo sichaphazela amathumbu, kangangokuba izigulane kwafunyaniswa diverticulitis ye ikholoni sigmoid (unyango kuxhomekeke indawo ekuyo le lunamaqoqo). Kwelinye icala, udonga equmbile ezinokuvela phantse kuyo nayiphi na inxalenye lokugaya. Umzekelo, izigulane badla ubunzima ukusuka diverticula emqaleni, kuvuleke iminxunya emathunjini. Diverticulum kwi uvalo ingabangela inkantsi kwemisipha kwentliziyo. Ukongeza, esi sifo uyakwazi kuchaphazela zonke iindawo amathumbu ezincinane nezinkulu.

Eyona eziphambili ezibangela diverticulitis

Enyanisweni, ukudumba diverticula beendonga nako kwenzeka ngenxa yezizathu ezahlukeneyo. Umzekelo, ngokufuthi macala "pouches" amasuntswana baziqwebele semidigested ukutya okanye ngendle (kuxhomekeka apho diverticulum indawo). kuqokeleleka kwezinto eziphilayo yinto zeendawana elihle kakhulu phindo iintsholongwane kunye nenkunkuma yayintsholongwane eyosulela - ngoko ke yinkqubo yokukrala ngaloo ndlela, ama-75% amatyala kuhlala kwindawo. Kakade ke, izinto, yaye amajoni omzimba. Ukudumba ingaqala kwisiqalo yokwenzakala okanye umonakalo diverticulum.

Diverticulitis: iimpawu

Kakade ke, iingxaki ezinjalo kufuneka udibane nogqirha. Nendlela ukuqaphela diverticulitis? Ezi mpawu ziwahlasela kakhulu isici. Phantse wonke isigulane unesifo efanayo ikhalazela iintlungu esiswini, olunokuba kweentlobo ezahlukeneyo (ezibukhali, iqaqamba), waqinisela okanye zenzeka ngokulandelelanayo. Ukuba umntu diverticulitis yethumbu enkulu, oko kakhulu kusenokwenzeka ukuba intlungu izakuvela kwi osesiswini ekhohlo.

Kunye nale, kukho ukuphazamiseka yokwetyisa. Iimpawu zesi sifo ziquka isicaphucaphu, ukugabha, sinciphise ukutya de anorexia. Lidla esi sifo sikhatshwa kwesisu okanye ukurhuda. Maxa wambi kukho ukunyuka kwamaqondo obushushu emzimbeni.

Iindlela isifo

Ukuba ngaphambili isigulane wafunyaniswa diverticulosis, kukukrala ukuba yintoni na unobangela ngezizathu zonyango. Kungenjalo udinga ezinye uhlalutyo kunye nophando. Umntu ogulayo lidla luhlu colonoscopy, kunye CT kunye nolawulo umahluko.

Kuba umgwebo ukuxilongwa kwakhona isebenzisa iindlela cuke, ingakumbi ultrasound esisu kunye isinqe, kunye ultrasonography. Kwiimeko ezinqabe a laparoscopy.

unyango Conservative of diverticulitis

Kumanqanaba okuqala zesi sifo, ngaphandle kokuba kukho ezinye iingxaki ezinzulu, izigulane ukuxhamla kunyango endala. Ezinye izigulane zinakho esibhedlele (ukuba amathuba aphezulu ithumba okanye perforation kodonga), ngoxa abanye bakwazi ukuthatha amayeza ekhaya. Enoba kwakuyintoni na, izigulane kufuneka athobele alale kwaye uthathe antibiotics. unyango zintsholongwane ithatha ubuncinane ngeveki. Ukongeza, umguli yabantu butofelwe yandomeleza isisombululo amanzi amtyuba.

ngoko ke ukunyanga diverticulitis. Ukutya, ngasendleleni, kubalulekile ukuba unyango. Ngemihla zokuqala ezimbalwa ukuzila kuyacetyiswa ukuba izigulane. Kwixa elizayo, ezi ngcali kukuba icebo amandla gentle ezizodwa.

unyango zoqhaqho sifo

Kwezinye iimeko, akukho ungenelelo kuhlinzwa kuyinto akonelanga - maxa wambi yiloo ndlela kuphela ukulibala ngale sifo njengoko diverticulitis. Unyango kulo mzekelo kunciphisa ukuya resection (Ukusikwa) amacandelo emathunjini achaphazelekayo ngokutsha elandelayo kunye nokubuyiselwa patency.

iindlela ezifanayo ezisetyenziswa perforation wamathumbu kunye nokudumba kodonga esiswini, njengoko ezi zifo kusisisongelo kubomi umguli. Ngokuqhelekileyo, kunye utyando kunye nonyango lwe-zintsholongwane iyafuneka.

Indlela eyingozi diverticulitis?

sifo kuyingozi kakhulu, kwaye xa kungekho unyango eyaneleyo kunokukhokelela ezininzi iingxaki. Umzekelo, kaninzi kuphakamisa uphuhliso diverticulitis etsolo emathunjini. mathumba Ngaphezu koko, kukukrala ukuze abunjwe bayakwazi kwenzeka kufuphi ukuya diverticulum, yaye kwenye ethunjini okanye xa ilungu ezikufutshane.

Enye ingozi, oludityaniswe sisifo, - i umonakalo okanye perforation eludongeni emathunjini. Amaxesha amaninzi iziphumo abana uluhlu ukukhululwa umxholo wamathumbu (ingakumbi of endleni) kunye yokuphuma kwisisu peritoneal. Ngenxa yoko, le meko kukuba izaliswe peritonitis kunye ukwenzakala ngokwamalungu angabamelwane. Umzekelo, Ngokufuthi kubandakanya perforation kunye peritonitis kunye nezinye izifo, ingeyongozi kakhulu.