Bambalwa bangasho ngokuqiniseka ukuthi londla ngokugcwele nangendlela efanele, ukubuka ukulinganisela kokudla kwezitshalo kanye namaprotheni ekudleni. Ngenxa yokwephulwa kwemithetho eyisisekelo yokudla, i-diverticulitis iqala - izimpawu kanye nokuphathwa kwalesi sifo kunabantu ngabanye, njengoba izimpawu zesifo zingabonakali isikhathi eside, futhi ukwelashwa kuxhomeke ebukhulu nasesikhathini senqubo yokuvuvukala.
Izimpawu ze-intestinal diverticulitis
Ukugula okuchazwe ezinkathini zokuqala akuzizwanga. Okokuqala kune-diverticulitis yezinambuzane ezinkulu, ezibhekiselwe ekubunjweni kwezinto ezinomzimba ezifana ne-hernia. Kukholelwa ukuthi zivela ngenxa yokuntuleka kokudla ekutshalweni kwezitshalo, ikakhulukazi i-fiber. Lokhu kubangela ukubhubhisa, ukuguqulwa nokuqhaqhazela, ukufaka isandla ekugcinweni kwezixuku ze-fecal, ukuphulwa kwe-excretion nokubunjwa kwamatshe e-fecal. Kulesi sigaba, kungenzeka ukuthi uhlolisise ukuhlolwa kwegazi kuphela nge-X-ray yokuhlolwa, ngoba ayikho izimpawu ezicacile.
Kamuva, izinguquko ezishintshashintshayo ezicubu ze-epithélial zenzeka (i-thinned), okunciphisa izakhiwo zayo. Inqubo eyodwa noma ngaphezulu isifo, inqubo yokuvuvukala iqala. Kulesi simo, ngokuvamile i-colticulitis ye-sigmoid colon nesisu esincane ngokuvamile ivela ngenxa yokungena kwe-microflora ye-pathogenic kusukela esigabeni esiqinile kubo. Isibonakaliso sisho ukuthi:
- ukuphazamiseka kwesibalo (kokubili ukuqotshwa nokuhuda);
- ubuhlungu obukhulu be-paroxysmal esifundeni samathumbu emathunjini, ngokuvamile kaningi ngakwesobunxele ukusuka ngezansi nasemkhakheni we-suprapubic;
- ukukhathazeka nge-palpation yesisu;
- isimo somkhuhlane;
- i-leukocytosis ;
- umuzwa wokuzizwa unesizungu njalo, kuhlanganiswe neziqu zokuhlanza;
- ukubhuqa.
Izinhlobo ezihlukahlukene ze-diverticulitis ziholela ezinkingeni ezifana ne-peritonitis, i-abscess, i-fistula (i-fistula), ukuvinjelwa kwamathumbu nokugoma. Kulesi simo, kubonakala izinkomba ezengeziwe:
- isisu esinzima;
- ukungcola kwegazi noma ukugubha esitokisini;
- ukushisa komzimba kakhulu;
- umfutho wegazi ophansi.
Ukwelashwa kwe-diverticulitis
Izinhlobo ezingezona ezimbi zesifo zisabela kahle ekwelapheni ngisho nasekhaya:
- ukuphumula, ukuphumula kombhede;
- ukwamukela imithi elwa namagciwane ehambisana nokuhlaziywa kobuzwe be-pathogen;
- ukudla okuqinile okubandakanya ikakhulukazi ukudla oketshezi kanye nomhlabathi ngaphandle kokwengezwa kwamafutha.
Ngemuva kwezinsuku ezingu-5-8, ukudla kunwetshiwe kancane, ungadla isamba esincane sezitshalo, kodwa ukudla kusalokhu kulukhuni. Kubalulekile ukuthatha imbewu ye-plantain nsuku zonke. Ngemva kwenyanga, inani elivamile lokudla okunomsoco lengezwe ekudleni, izitsha zivunyelwe ukuba zingagcini.
Uhlobo olunzima lokugula okunokushisa komzimba okwandisiwe nobuhlungu obukhulu bukhomba ukufakwa esibhedlela. Esikhathini esibhedlela, imithi elwa namagciwane kanye nesisombululo se-glucose ilawulwa ngaphakathi, ngokuzila ukudla izinsuku ezimbalwa kuze kube yilapho isifo sesifo sezinyanga seziphela ngokuphelele.
Ukwelapha okuhlinzekwa nge-intestinal diverticulitis
Ukungasebenzi kwezindlela zezokwelapha kudinga ukungenelela okuhlinzekwa, ikakhulukazi uma ingozi yokuthola izinkinga ze-diverticulitis iphakeme:
- i-perforation yamathumbu;
- i-peritonitis ;
- ukuphuma kwamathumbu emathunjini.
Okuyinhloko yokwelashwa okuhlinzekwayo kungukubaluleka kwendawo ewonakele yelungu. Ukuxhumana phakathi kolononi kanye nesikhumba kubonakala ngokufaka i-colostomy. Lapho inqubo yokuvuvukala iphela futhi ukukhiqizwa kwamabhaktheriya e-pathogenic iyeka, i-colostomy ivaliwe, futhi imikhawulo yamathumbu iyanqunywa ndawonye.