Diverticulosis

Diverticulosis inoitika kana diki, bulging saga kana pouches fomu pamadziro emukati emukati. Masaga aya anonzi diverticula. Kazhinji kazhinji, aya masaga anoumba mumatumbu makuru (colon). Izvo zvinogona zvakare kuitika mune iyo jejunum mune dumbu ura, kunyange izvi zvisingawanzo kuitika.

Diverticulosis haina kujairika muvanhu vane makore makumi mana zvichidzika. Izvo zvinowanzoitika kune vakuru vakuru. Inenge hafu yevaAmerica vanopfuura makore makumi matanhatu vane chirwere ichi. Vanhu vazhinji vanozove nazvo pazera makumi masere.

Hapana anoziva kuti chii chaizvo chinoita kuti homwe idzi dziumbike.

Kwemakore mazhinji, zvaifungidzirwa kuti kudya yakaderera-fiber kudya kunogona kuita basa. Kusadya fiber yakakwana kunogona kukonzera kupatira (zvakaoma zvituru). Kunamatira kupfuudza zvituru (tsvina) kunowedzera kumanikidza mumakoloni kana mumatumbu. Izvi zvinogona kukonzera kuti homwe dziumbwe munzvimbo dzisina kusimba mumadziro emakoroni. Nekudaro, kunyangwe iyo yakaderera-fiber chikafu inotungamira kuchinetso ichi haina kunyatsoratidzwa.

Zvimwe zvinogona kuisa njodzi izvo zvakare zvisina kunyatsoratidzwa kushaikwa kwekurovedza muviri uye kufutisa.

Kudya nzungu, popcorn, kana chibage hazviite sekutungamira kuzvimba kweaya mabhegi (diverticulitis).

Vazhinji vanhu vane diverticulosis havana zviratidzo.

Kana zviratidzo zvikaitika, zvinogona kusanganisira:

• Marwadzo uye kupwanya mudumbu rako
• Kuzvimbirwa (dzimwe nguva manyoka)
• Kuvhara kana gasi
• Kusanzwa nzara uye kusadya

Unogona kucherechedza mashoma eropa muzvigaro zvako kana pabepa repachimbuzi. Kazhinji, kubuda ropa kwakanyanya kunogona kuitika.

Diverticulosis inowanzo kuwanikwa panguva bvunzo yeimwe dambudziko rehutano. Semuenzaniso, inowanzo kuwanikwa panguva yekolonoscopy.

Kana iwe uine zviratidzo, unogona kunge uine imwe kana yakawanda yemiedzo inotevera:

• Kuongororwa kweropa kuti uone kana uine hutachiona kana kurasikirwa neropa rakawandisa
• CT scan kana ultrasound yemudumbu kana uine ropa, rakasununguka zvituru, kana kurwadziwa

Colonoscopy inodiwa kuti kuongororwa.

• Colonoscopy bvunzo inotarisa mukati mekoloni uye rectum. Uyu muedzo haufanire kuitwa kana iwe uine zviratidzo zveacute diverticulitis.
• Kamera kadiki yakasungirirwa pombi inogona kusvika pakureba kwekoloni.

Angiography:

• Angiography muyedzo wekufungidzira unoshandisa x-ray uye dhayi yakakosha kuti uone mukati memidzi yeropa.
• Muedzo uyu unogona kushandiswa kana nzvimbo yekubuda ropa isingaonekwe panguva yekolonoscopy.

Nekuti vanhu vazhinji havana zviratidzo, kazhinji nguva, hapana kurapwa kunodiwa.

Mutapi wako wezvehutano anogona kukurudzira kuti uwane imwe fiber mukudya kwako. Kudya kwepamusoro-fiber kune zvakawanda zvehutano zvinobatsira. Vanhu vazhinji havawani fiber yakakwana. Kubatsira kudzivirira kupatira, iwe unofanirwa:

• Idya zviyo zvakakwana, bhinzi, michero, uye miriwo. Deredza chikafu chakagadzirwa.
• Inwa zvinwiwa zvakawanda.
• Gara uchiekisesaiza.
• Taura nemupi wako nezve kutora fiber yekuwedzera.

Iwe unofanirwa kudzivirira NSAID dzakadai saaspirini, ibuprofen (Motrin), uye naproxen (Aleve). Iyi mishonga inogona kuita kubuda ropa zvakanyanya.

Zvekubuda ropa izvo zvisingamire kana kudzokazve:

• Colonoscopy inogona kushandiswa kubaya mishonga kana kupisa imwe nzvimbo mumatumbu kumisa kubuda kweropa.
• Angiography inogona kushandiswa kuisa mishonga kana kuvhara muropa reropa.

Kana kubuda ropa kukasamira kana kudzoka kakawanda, kubviswa kwechikamu chekoloni kunogona kudikanwa.

Vazhinji vanhu vane diverticulosis havana zviratidzo. Kamwe zvikwama izvi zvaumbwa, uchave nazvo kweupenyu hwese.

Kusvika pa25% yevanhu vane chirwere ichi vanozoita diverticulitis. Izvi zvinoitika kana zvidimbu zvidiki zvechigaro zvikabatwa muhomwe, zvichikonzera hutachiona kana kuzvimba.

Mamwe matambudziko akakomba anogona kukura anosanganisira:

• Zvisungo zvisina kujairika zvinoumba pakati pezvikamu zvekoloni kana pakati pekoloni uye chimwe chikamu chemuviri (fistula)
• Hole kana kubvarura mukoloni (kupera)
• Nharaunda yakaderedzwa mukoloni (kuomesa)
• Homwe dzakazadzwa nefuru kana hutachiona
  

Fonera waunopa kana zviratidzo zve diverticulitis zvikaitika.

Diverticula - diverticulosis; Diverticular chirwere - diverticulosis; GI kubuda ropa - diverticulosis; Dumbu rekubuda ropa - diverticulosis; Kubuda ropa mudumbu - diverticulosis; Jejunal diverticulosis

• Barium enema
• Colon diverticula - akateedzana

Bhuket TP, Stollman NH. Diverticular chirwere chekoloni. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 121.

Goldblum JR. Hura hukuru. Mune: Goldblum JR, Mwenje LW, McKenney JK, Myers JL, eds. Rosai naAckerman's Surgical Pathology. 11th ed. Philadelphia, PA: Elsevier; 2018: chits. 17.

Fransman RB, Harmon JW. Iwo manejimendi e diverticulosis yeiyo diki ura. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 143-145.

Nguva yechando D, Ryan E. Diverticular chirwere. Mune: Clark S, ed. Kuvhiya Kwakakora: A Shamwari kune Nyanzvi Yekuvhiya Muitiro. 6th ed. Philadelphia, PA: Elsevier; 2019: chits.