Diverticulitis - zizindikiro, chithandizo

Ndi ochepa chabe amene anganene mosakayika kuti amadyetsa bwino komanso mosamala, poyang'ana kuchuluka kwa zakudya ndi mapuloteni mu zakudya. Chifukwa cha kuphwanya malamulo okhudzana ndi zakudya, diverticulitis ikukula - zizindikiro ndi chithandizo cha matendawa ndizofunika kwambiri, chifukwa zizindikiro za matenda siziwoneka kwa nthawi yayitali, ndipo mankhwalawa amadalira kukula kwake ndi kupuma kwake.

Zizindikiro za m'matumbo diverticulitis

Kufotokozedwa kwa matenda m'nthawi yoyamba sikumadzimva. Choyamba pali diverticulitis ya m'matumbo akulu, omwe amadziwika ndi mapangidwe a ziwalo za thupi zomwe zimafanana ndi nthenda. Amakhulupirira kuti amawoneka chifukwa chosoŵa chakudya mu zakudya zowonjezera, makamaka zakudya zochepa. Izi zimapangitsa kuti phokoso likhale lophwanyidwa, likhale lodzikweza komanso limbidwe, zomwe zimathandizira kusungidwa kwa anthu achizungu, kuphwanya malamulo awo komanso kupanga miyala. Panthawiyi, n'zotheka kudziwa kuti matendawa ndi ovuta chifukwa cha zizindikiro zooneka bwino.

Pambuyo pake, kusintha kosasintha kwa mitsempha ya epithelial imachitika (ndi thinned), yomwe imachepetsa malire ake. Chimodzi kapena zowonjezera zambiri zimatenga kachilombo, njira yotupa imayamba. Pachifukwa ichi, diverticulitis ya sigmoid colon ndi katumbo kakang'ono kawirikawiri imayamba chifukwa cha kulowa kwa microflora kwa tizilombo toyambitsa matenda. Chizindikiro chimatchulidwa:

• kusokonezeka kwa chitseko (kutsekedwa ndi kutsegula m'mimba);
• ululu woopsa wa m'mimba m'mimba, nthawi zambiri kumanzere kuchokera kumunsi ndi kumtunda wamapirubic;
• kupweteka ndi kupweteka kwa mimba;
• chiwombankhanga;
• leukocytosis ;
• kumverera kosalekeza kosalekeza, kuphatikizapo zovuta za kusanza;
• kuphulika.

Mitundu yoopsa ya diverticulitis imabweretsa mavuto monga peritonitis, abscess, fistula (fistula), kutsekula m'mimba komanso kutuluka magazi. Pachifukwa ichi, zizindikiro zina zowoneka:

• mimba yolimba;
• kuwonongeka kwa magazi kapena kuponyera muchitsime;
• kutentha kwakukulu kwa thupi;
• kuthamanga kwa magazi.

Kuchiza kwa diverticulitis

Mitundu yodalirika ya matendawa imayankha bwino ngakhale kuchipatala:

• kupumula, kupuma kwa kama;
• kulandila mankhwala osokoneza bongo akugwirizana ndi kusanthula kwa mphamvu ya tizilombo toyambitsa matenda;
• chakudya chophweka chomwe chimakhala ndi zakudya zamadzi komanso zamtundu popanda kuwonjezera mafuta.

Pambuyo masiku asanu ndi asanu ndi asanu ndi asanu ndi atatu, chakudya chimakula pang'ono, mungadye zakudya zing'onozing'ono zowonjezera, koma chakudyacho chikupitirirabe. Ndikofunika kutenga mbewu za plantain tsiku lililonse. Patatha mwezi umodzi, chakudya chokwanira chimaphatikizapo zakudya, mbale zimaloledwa kuti zisakhale pansi.

Matenda oopsa omwe ali ndi kutentha kwa thupi ndi ululu wowawa amasonyeza kuti akudwala. Mu chipatala, mankhwala opha tizilombo ndi njira ya shuga amathandizidwa mkati mwa intravenously, ndi kusala kudya kwa masiku angapo mpaka chidziwitso cha matendawa chikutha.

Kuchiza opaleshoni ya intestinal diverticulitis

Njira zopanda chithandizo zachipatala zimafuna kupaleshoni, makamaka ngati chiopsezo chokhala ndi mavuto a diverticulitis ndi chachikulu:

• m'mimba perforation;
• peritonitis ;
• magazi m'mimba.

Chofunika kwambiri cha chithandizo cha opaleshoni ndicho kupitirira kwa malo owonongeka a limba. Kulumikizana pakati pa khungu ndi khungu kumapezeka poika colostomy. Pamene kutupa kwathunthu kumasiya ndipo kubereka kwa tizilombo toyambitsa matenda kumayima, colostomy imatsekedwa, ndipo malekezero a matumbo aikidwa pamodzi.