Diverticulitis: izimpawu. Diverticulitis kapopopo sigmoid: ukwelashwa

Kwezinye izimo, kwezindonga engaphakathi emathunjini (lokhu kungaba komunye umnyango wokugaya ukudla) akha uhlobo "izikhwama" noma diverticula. Ziningi izimbangela ezifana ukukhubazeka. Nokho, kukhona njalo ingozi ukuvuvukala suppuration - lena diverticulitis. Izimpawu zesifo zingase zihluke kakhulu, kodwa iningi labantu okhalazayo ngobuhlungu ukuqunjelwa. Kunoma yikuphi, lesi sifo zidinga ukwelashwa, njengoba kungenzeka ukuthuthukisa ithumba futhi perforation odongeni emathunjini.

Diverticulitis, diverticulosis - yini umehluko?

Ngayinye yalezi izifo lihlotshaniswa izinguquko ezindongeni pheshana emathunjini. Ukuze yezizathu ezithile phezu kwangaphakathi kukhona izinhlaka eziqondene yokwakheka, okuyinto kwezokwelapha zanamuhla abizwa ngokuthi diverticula. Ziyakwazi izindonga ezinkulu, okuyinto ezime njengesitebhisi izikhwama ezincane. Qaphela ukuthi diverticula kungaba eyodwa noma amaningi. Inqubo ukwakha ziboya wabiza diverticulosis. Kaningi, ngokungabi bikho yokwelashwa noma ngaphansi kwethonya izici ezithile diverticula ezisezindongeni zingase bokhela - ke diverticulitis. Izimpawu kulokhu kukhona evelele, futhi uma isikhathi akusho ukubona udokotela, kungaba nemiphumela eyingozi kakhulu.

Yini okungukuthi diverticulitis, nokuthi kungani akhiwa?

Ngokwezibalo, diverticula kakhulu ngokuvamile abavusa uxilongwe kubantu abahlala emazweni athuthukile. Futhi endaweni yokuqala kukhona US, iJapan kanye eNtshonalanga Yurophu. Yingakho ukubukeka ziboya odongeni emathunjini uvame ezihambisana izici ukudla, ikakhulukazi ngokwethula ku ekudleni semali ukudla okugayiwe futhi kusetshenzwe ngokukhethekile.

Ngaphezu kwalokho, izinto ezandisa le ngozi ukuba buthakathaka kwezicubu, okuyinto ngokuvamile Inesici azalwa nako. Kukhona inkolelo yokuthi ichaza ezinkulu odongeni ephula kwegazi semithambo. Kwezinye izimo, diverticulosis Lihlobene nokubhekana ubuso nengcindezi enamandla mechanical ebodeni emathunjini, okuyinto eyenzeka, isibonelo, at ukuqunjelwa njalo.

Izinto eziyingozi ezingabangela i zihlanganisa engu futhi inqubo yokuguga. Ucwaningo labakwa Statistics, isilinganiso seminyaka yobudala iqembu diverticulosis kutholakala 7% amacala, kodwa phakathi kwabantu-70 ubudala, inani leziguli ukukhuphuka 60-75%.

Lapho ifomu diverticula?

Ngokushesha kuwufanele ethi kukhona izinhlobonhlobo eziningi kangaka diverticula. Ngokwesibonelo, ngezinye izikhathi ingaba umthombo azalwa naso (kwakheka utero) noma atholwe. Kukhona okuthiwa diverticula kweqiniso (protrusion we mucosa, submucosa futhi imisipha izicubu), kanye zamanga, okuyinto akhiwa kuphela mucosa.

Kaningi, lesi sifo sihlasela amathumbu, kaningi iziguli ukuthi nginesifo diverticulitis kapopopo sigmoid (ukwelashwa incike indawo indawo ziboya). Ngakolunye uhlangothi, udonga bulging ezingavela cishe noma iyiphi ingxenye ipheshana wokugaya ukudla. Ngokwesibonelo, iziguli kaningi uhlushwa diverticula emphinjeni, emphinjeni nasesiswini. Diverticulum e diaphragm kungabangela zibe of imisipha yenhliziyo. Ngaphezu kwalokho, lesi sifo singumbulali uyakwazi kuthinta zonke izingxenye amathumbu ezincane nezinkulu.

Ziyini izimbangela eziyinhloko zalokhu of diverticulitis

Eqinisweni, ukuvuvukala diverticula izindonga singenzeka for ezihlukahlukene izizathu. Ngokwesibonelo, ngokuvamile emhlabeni "anezikhwama" izinhlayiya buthelela semidigested ukudla noma indle (kuye ngokuthi lapho diverticulum indawo). ekuqongeleleni enjalo izinto eziningi eziphilayo kuyinto substrate esihle kakhulu ukuphindwaphindwa namagciwane abangela izifo futhi udoti - ngakho kukhona ukuvuvukala ngaleyo ndlela, u-75% amacala uhlala ehunyushelwe. Yiqiniso, izinto zomuntu, futhi amasosha omzimba. Ukuvuvukala ingaqala ku isizinda yokulimala noma ukulimala diverticulum.

Diverticulitis: izimpawu

Yiqiniso, izinkinga ngale ndlela kufanele kwenze kudokotela. Futhi kanjani ukuqaphela diverticulitis? Izimpawu abasakwazi isici. Cishe zonke isiguli uphethwe efanayo ekhononda ka ubuhlungu besisu, okungase kube izinhlobo ezahlukene (abukhali, ezidabukile), kube njalo noma kwenzeka ngezikhathi ezithile. Uma umuntu diverticulitis emathunjini ezinkulu, kungenzeka ngempela ukuthi ubuhlungu izovela kwesokunxele esiswini ephansi.

Njengoba sihambisana nale, kukhona thuthuva wokugaya ukudla. Izimpawu zesifo ibandakanya ukucanuzela kwenhliziyo, ukuhlanza, kwehle esesuthi kuze nokuzincisha ukudla. Kaningana, isifo kuhambisana ukuqunjelwa noma isifo sohudo. Ngezinye izikhathi kukhona ukunyuka kwezinga lokushisa komzimba.

Izindlela ukuxilongwa

Uma ngaphambilini isiguli kwatholakala diverticulosis, yisishiso Kungahlonzwa ngomshini ngezizathu emtholampilo. Kungenjalo kudingeka ezinye ukuhlaziywa nocwaningo. Umuntu ogulayo ngokuvamile ekunike colonoscopy, nakuma-CT ne Ngokuphambene abaphathi.

Ukuze olunembile uphethwe ukwahlulela futhi isebenzisa izindlela ultrasonic, ikakhulukazi ultrasound esiswini kanye ukhalo, futhi ultrasonography. Ezimweni ezingavamile a laparoscopy.

ukuphathwa okulondoloza ka diverticulitis

Ezigabeni zokuqala zesifo, ngaphandle uma kunezizathu ezithile eziyingozi, iziguli bazuze yokwelapha olandelanayo. Ezinye iziguli zingase esibhedlela (uma awokuthi ithumba noma perforation odongeni), kanti abanye bayakwazi ukuthatha imithi ekhaya. Kunoma ikuphi, iziguli kufanele athobele embhedeni ukuphumula futhi uthathe imithi elwa namagciwane. Ukwelapha umuntu ngemithi elwa namagciwane ihlala okungenani ngesonto. Ngaphezu kwalokho, abantu nesineke ngemithambo yegazi wafaka amanzi-usawoti isixazululo.

Kwakuthinta aphathe diverticulitis. Ukudla, ngasendleleni, nakho kubalulekile ukuze ukwelashwa. Esikhathini embalwa yokuqala izinsuku zokuzila Kunconywa iziguli. Esikhathini esizayo, uchwepheshe kuyinto mnene amandla uhlelo olukhethekile.

Steel ekwelapheni lesi sifo

Kwezinye izimo, akukho kokungenela kuhlinzwa akwanele - ngezinye izikhathi kungcono indlela kuphela ukukhohlwa ngalokhu kugula njengoba diverticulitis. Ukwelashwa kuleli cala kuyehla kube resection (excision) ezindaweni ethintekile emathunjini ne kabusha okwalandela kanye nokubuyiselwa patency.

izindlela ezifanayo asetshenziswa perforation emathunjini kanye ukuvuvukala odongeni kwamathumbu, njengoba lezi zifo usongo ekuphileni isiguli. Ngokwemvelo, kanye nokuhlinzwa kanye therapy antibiotic oludingekayo.

Yeka indlela okuyingozi kuyinto diverticulitis?

isifo okunjalo kuyingozi kakhulu, futhi ukungabi khona ukunakekelwa ngezokwelashwa eyanele kungaholela eziningi izinkinga. Ngokwesibonelo, ngokuvamile ngempela kuphakamisa ukuthuthukiswa diverticulitis acute isimiso emathunjini. abscesses Ngaphezu kwalokho, imithombo yezokuzijabulisa ingadlulisela ukuvuvukala kwakhiwa ziyakwazi zenzeka njengoba eduze diverticulum, kanti kwesinye emathunjini noma ngisho uhlaka eduze.

Enye ingozi, okuyinto ixhunywe ngesifo, - umonakalo noma perforation odongeni emathunjini. Ngokuvamile imiphumela igebe kumiswa ekukhishweni okuqukethwe emathunjini (ikakhulukazi indle) kanye esitolo esidayisa of the ingaphakathi peritoneal. Ngebanga lalokho, lokhu mkhuba igcwele peritonitis kanye izilonda kwezitho engumakhelwane. Ngokwesibonelo, ngokuvamile kuhilela perforation nge peritonitis nezinye, izifo hhayi ngaphansi yingozi.