Diverticular matenda a m'matumbo: Zizindikiro ndi Chithandizo

intestine anthu ndi udindo chimbudzi ndi mayamwidwe chakudya, komanso amachotsa poizoni m'thupi. njira Timakumana ndi kaphatikizidwe mahomoni peputayidi zokhudzana ndi ntchito yake. Choncho n'kofunika kwambiri kuti thupi ili ndi wathanzi ndipo anali wokhoza mokwanira ntchito zake. Koma nthawi zambiri, njira pathological akufotokozera pafupifupi mosadziwa kapena pali zizindikiro kuti poyamba sanazichite nkhawa iliyonse. Ndipo kafukufuku akusonyeza ndi kudwala, zimene anthu ndinalibe lingaliro.

Matenda akhoza kukhala diverticular matumbo matenda. Dziwani kuti, oddly mokwanira, ndi zambiri m'mayiko otukuka, ndi zambiri okalamba. Zambiri kawirikawiri zimakhudza anthu wamng'ono kuposa zaka 40. Chotero kodi ndi matenda, kodi zizindikiro zake ndi mmene ankachitira? Tiganizire moposera.

Kodi "diverticular matenda"?

Choyamba, ife amaonetsera bwanji diverticulum. Izo zinabala mu khoma matumbo, kumene mu mnofu zozungulira ziwiya magazi m'gulu. Atamupanikiza limatuluka m'matumbo, pa ofooka mbali ejection amapezeka mucosa mu lumen pakati ulusi minofu. Anapanga otchedwa thumba-protrusion mawonekedwe. kukula awo kuchokera 1 mpaka 2 masentimita. Apa iwo amatchedwa diverticula. Diverticula anapanga mbali zosiyanasiyana za kapepalako matumbo, koma zambiri kumachitika mu m'mimba.

matenda onse mu mayiko gulu ndi malamulo awo, ndi nazonso ndi matenda diverticular. ICD-10 monga kudwala ili pansi pa K57 code.

matenda angayambe kukhala ndi asymptomatic, ndi kutupa ndi zosokonezeka. Monga tanenera kale, kudwala matenda uyu wokwera okalamba. Ndili ndi zaka 40 ali n'kukhala kwambiri.

Malinga ndi mmene matenda kumachitika, zikhoza wachinsinsi motere:

• Asymptomatic diverticulosis.
• Diverticulosis zizindikiro.
• Diverticulitis ndi zosokonezeka.

Kaya njira ya matenda, ngati matenda anapangidwa, muyenera kuonedwa ndi dokotala. Mukayamba ndi kudzatenga mawonekedwe zovuta, akhoza chakupha ngati inu simumachita opaleshoni m'nthawi yake. Izi ndikuuzani ina. Ndipo tsopano ona zimene zizindikiro zingasonyeze kuti pali diverticular matumbo matenda. Paokha kuzindikira vuto yayandikirayo.?

Diverticular matenda symptomatology

matenda monga matenda diverticular (a sigmoid m'matumbo, mwachitsanzo), zizindikiro zambiri amapezeka mu magawo oyambirira, makamaka achinyamata. Only zina akhoza kuoneka madandaulo amenewa:

• Kudzimbidwa.
• M'mimba omangana.
• Kuwonjezeka pamimba.

zizindikiro izi zikhoza kukhala, ngati matenda diverticular m'kati popanda mavuto, zimene zinachitikira palibe bwino kudula umboni wa matenda.

Ngati diverticulosis m'kati, zizindikiro limapezeka owala kwambiri. Pankhaniyi, amadandaula akhoza kukhala motere:

• Nseru.
• Kusanza.
• Kudzimbidwa.
• ululu m'mimba, kawirikawiri kumanzere. Iye kutchulidwa palpation.
• Kuchuluka thupi kutentha.
• Pali thupi, kufooka.
• Kuledzera, mutu.

Zovuta zambiri choncho, zizindikiro yapadera kwambiri za matendawa. Ngati mukuganiza kuti muli ndi matenda diverticular, zizindikiro tafotokozazi, ayenera kukadziwitsa. Nkofunika kuti muphonye nthawi ndipo m'nthawi yake kupempha thandizo pofuna kupewa mavuto aakulu.

Chifukwa pali diverticular matenda a sigmoid m'matumbo kapena mabungwe ena? Tiyeni tifufuze.

The zimayambitsa matenda diverticular

Musaiwale kuti matenda monga matenda diverticular ya m'matumbo amakonda makamaka achikulire. Choncho, chimodzi mwa zifukwa za matenda amagwirizana ndi zaka, ndipo ndi kuphwanya kagayidwe ma mu wosanjikiza minofu ya intestine pa.

zinthu zotsatirazi akhoza zimachitika komanso zifukwa:

• Nthenda chitukuko cha minofu connective, ndi kusokonezeka kwa kaphatikizidwe ulusi kolajeni.
• Osauka zakudya, ndicho, kuchepa madyedwe a CHIKWANGWANI ndi mafuta owonjezera, zakudya ufa chakudya.
• Osakwanira kuchepetsa khoma matumbo ndipo anachedwa chapamimba Ndikudzikhuthula.
• Kugwiritsa kudzikundikira mafuta matumbo.
• spasms akulu matumbo khoma, azunguliridwa ndi ziwiya.
• Matenda a dongosolo mtima.
• Asamapereke, amangokhala moyo.
• Onenepa.

Tsopano inu muyenera kuti muganize momwe kuzindikira kudwala ichi monga matenda diverticular ya m'matumbo.

Matenda a matenda diverticular wa intestine ndi

Matenda a matenda ikuchitika motere. Choyamba, wodwala ayenera anafunsa kufufuza. Popeza anamvetsera mlanduwo, dokotala kale kumapereka lingaliro la kukhalapo kwa matenda Komabe, kwa kuwunika bwino n'kofunika pochitika kumupima. Pokhapokha adzakhala anapezeka ndi "matenda matumbo diverticular," chithandizo angathe kuperekedwa.

Pakuti bwinobwino ndi zasayansi ntchito njira zoimbidwa:

• Common magazi zingasonyeze pamaso kutupa mu thupi. Magazi m'thupi zikuonetsa zotheka magazi mkati.
• Coprogram.
• Colonoscopy.
• Barium mankhwala.
• Siyanitsani X-ray bwino.

Kuzionetsetsa wodwala ayenera kulabadira kadyedwe wake, moyo, amene amawalamulira, komanso zochitika za kudzimbidwa ndi ululu m'mimba.

Laboratory mayesero, MAGAZI ndi coprogram otsimikiza pamaso pa kutupa ndi magazi mkati.

Colonoscopy limakupatsani kupeza gwero la magazi m'mimba. Ngati wodwalayo ndi akapezeka ndi maonekedwe pachimake matenda diverticular, m'pofunika kuchita CT jambulani. Pankhaniyi, khoma matumbo adzakhala zooneka ndi chikhalidwe nsalu amene juxtaposed.

Ikani mtundu wa kafukufuku cystography. Izo ntchito anayendera vesico-m'mimba fistula. Mtsempha urography imagwiridwa kuti adziwe ngati mu ndondomeko yotupa kutengela ureter.

Angiography ntchito pamene magazi kuchokera diverticulum a.

Zotsatirazi bwinobwino wodwalayo, dokotala akupanga matenda ndipo izi mankhwala. Kodi diverticular matenda a m'matumbo, tiganizire moposera.

Njira amachitira matenda diverticular

Ngati diverticulosis amapezeka ndi symptomatic yogwira, kuti olimbitsa thupi ali contraindicated. Chithandizo cha matenda diverticular ya m'matumbo amadalira pa matenda kumachitika.

Iwo akhoza kupatsidwa mankhwalawa zotsatirazi:

• Outpatient mankhwala akusonyeza, ngati pali kuledzera, ndi maselo oyera a magazi kuchuluka, koma pali mawonetseredwe matenda a matenda.
• Inpatient chithandizo Coloproctology dipatimenti chofunika ngati matenda ndi zovuta.
• Ngati pali kuukira moyo wa wodwalayo chifukwa cha zovuta diverticular matenda matumbo, opaleshoni mawu.

Ndipo tsopano pang'ono za aliyense mankhwala.

Ngati pali zizindikiro matenda a matenda, koma pali ndondomeko yotupa, akhonza kusankha zakudya ndi mankhwala zotsatirazi:

• mankhwala Antispasmodic ( "No-spa," "Spazmol", "Mebeverin").
• Mankhwala matenda a microflora matumbo ( "Linex", "Baktisubtil", "Atsipol").
• Michere ( "zoikidwa", "Creon").

Ngati pali tsogolo matenda kuwonekera kwa matenda diverticular, chithandizo Kwalamulidwa motere:

• GI motility ogalamutsa ( "Motilium", "Pasazhiks", "Motilak").
• Maantibayotiki ( "Sulgin", "Biseptol").
• Matumbo antiseptics ( "intestopan", "Intetriks", "Enterosediv", "Sumetrolim", "ersefuril").
• Mankhwalawa ( "Duphalac", "Normase").

Opaleshoni watsala zotheka ngati:

• Diverticular matenda a m'matumbo kupereka mavuto.
• Pali fistulas.
• Pali aakulu kuchulukana mu zimakhala ndi kusakanizikana kwa magazi ndi lymph.
• Matenda diverticular matenda zambiri pachimake.
• Aakulu diverticular matenda si amenable mankhwala mabuku. Izi ndi zotheka pamene kachiwiri exacerbation.

zinthu zotsatirazi kumwedwa kuganizira posankha njira opaleshoni:

• Kodi chikhalidwe cha matendawo.
• Monga momwe ndondomeko kufala.
• Kodi kusintha chifukwa cha ndondomeko yotupa zinachitika mu mnofu khoma za m'mimba ndipo zimakhala ozungulira.
• Kodi pali kutupa perifocal kapena peritonitis.
• Aliyense comorbidities wodwalayo, nthawi ndi okalamba.

Opaleshoni ikuchitika magawo 2. Poyamba kuchotsa bwanji matumbo gawo. Lachiwiri sitepe mawonekedwe anastomoses pakati pa zigawo matumbo kuti abwezeretse kupitiriza ake.

Tiyenera kukumbukira kuti diverticula pambuyo opaleshoni kapena chithandizo bwino mwina reappear. Choncho muzisunga zakudya, amene amanena pansipa.

Kudya matenda diverticular ya m'matumbo

Monga taonera, mu mankhwala a mtundu uliwonse wa matenda diverticular makamaka dokotala mankhwala kudya pang'ono. Ngati inu n'kudziphatika kwa izo, inu mukhoza kuchepetsa zovuta matenda kapena kulepheretsa chitukuko cha mavuto ake.

Kodi zakudya analimbikitsa, ngati anapezeka "diverticular matenda"? The zakudya ndi chakudya chamagulu. menyu ayenera kukhala otsatirawa zakudya zathanzi:

• Phala la lonse mbewu.
• Zidamera tirigu.
• Lonse tirigu mkate, monga chimanga.
• Yambiri ya zipatso ndi masamba poyera ndi kutentha mankhwala mawonekedwe.
• Zouma zipatso.
• Mkaka.

Komanso ayenera kumamwa kowirikiza madzi patsiku, osachepera theka kapena awiri malita a madzi oyera.

Zakudya kuti analimbikitsa kuti sadzaloŵa chakudya:

• Shuga, maswiti.
• Amphamvu tiyi, khofi.
• Enaake ndi mowa.
• Zonunkhira.
• Buledi.
• Theka-yomalizidwa mankhwala.
• Kudya zakudya.

Tikumbukenso kuti sangathe kudya zakudya ndi zigawo bwino digested. Izi, mbewu Mwachitsanzo, kiwi, mphesa, mpendadzuwa. Ngati kudya nsomba, ayenera bwinobwino kutsukidwa mafupa ake ang'onoang'ono.

Madokotala kulengeza ntchito chinangwa, pang'onopang'ono kuwonjezeka mlingo wa magalamu 5 mpaka 20 patsiku.

Ngati mulibe n'kudziphatika kwa chakudya, matenda adzakhala patsogolo kwambiri, ndipo mavuto angayambe.

Pamene matenda a "diverticular matenda" zakudya - mmodzi wa zipangizo zothandiza kwambiri kuteteza mavuto ndi atsogolere ndondomekoyi.

mavuto oopsa kwa matenda diverticular

Diverticular matenda a m'matumbo zingachititse mavuto oopsa amene akhoza alanda kwambiri moyo wa wodwalayo. zosokonezeka njirazi ndi izi:

• Magazi pa malo chilonda mapangidwe. Chimodzi mwa zizindikiro za magazi ndi magazi kuundana mu ndowe za.
• Development cha kutsekeka m'matumbo, chifukwa cha protrusion akhoza kuchepetsa lumen wa m'matumbo.
• Mapangidwe zilonda. Mafinya angakhoze kulowamo zonse m'mimba.
• Local kusintha necrotic monga Motero - peritonitis.
• Perforation pafupi thupi khoma kupanga fistula. Childs, izi ndi matenda a dongosolo mkodzo, amai akhoza kupereka matenda nyini.

Kupewa matenda diverticular

Imachitika kwambiri Kafuku kudziwa momwe mungapewere chitukuko cha matumbo diverticulosis ndi momwe mungapewere matenda kukula. Asayansi anazindikira izi: ngati amadya zakudya mu CHIKWANGWANI, kuti matenda diverticular sadzakhala patsogolo. Anthu amene anadya magalamu osachepera 32 CHIKWANGWANI patsiku, analembedwa ntchito yabwino. Insoluble CHIKWANGWANI - makamaka zipatso ndi ndiwo zamasamba.

Ananenanso ubwino zolimbitsa thupi kupewa matenda matumbo diverticular.

Atamwa mowa, kusuta fodya ndi tiyi kapena khofi molumikizana ndi kusunga chakudya wolemera mu zipatso ndi ndiwo zamasamba. Pankhaniyi, anati kuchepa mu dzuwa la ntchito CHIKWANGWANI.

Kumbukirani kuti wodwalayo ayenera anachenjeza kuti m'pofunika pang'onopang'ono kuwonjezera kuchuluka kwa chigawo ichi mu chakudya, izo ndi zofunika kuthetsa mankhwala zoipa, zimene tinakambirana kale. Ndi bwino kusiya zizolowezi zoipa, kotero kuti zakudya anali ndi ubwino thupi.

miyeso kuteteza diverticular nkhawa matenda matumbo ndi chithandizo yake matenda pa mundawo m'mimba. Kupewa kudzimbidwa ndi moyo yogwira ntchito imeneyi ingakuthandizeni kupewa matenda zosasangalatsa.

ndi madokotala ananena zawo mankhwala chiyani?

Ngati matenda diverticular ndi asymptomatic opaleshoni chofunika. Iwo sangakhoze kupitiriza kusokoneza, ngati wodwalayo litsatira zakudya ndi dokotala malangizo.

Ngati matenda ndi mu gawo pachimake, izo anasankha chithandizo ndiwofatsa, amene, monga ulamuliro, woleza bwino analekerera, ndipo alibe amachita opaleshoni. 15 peresenti okha milandu opaleshoni.

Kubwereza diverticulitis pachimake imatengedwa zotheka milandu 1 kutuluka 4. Mobwerezabwereza exacerbation analekerera zikuipiraipirabe. Pankhaniyi, thupi sakulabadira bwino mankhwala ndiwofatsa zachipatala. Zikatero, nthawi zambiri opaleshoni mawu. ntchito anakonza ingaperekedwe kuukira wopepuka chachiwiri. Pamene mobwerezabwereza pachimake diverticulitis imfa apamwamba kwambiri.

Ngati mukufuna kuthandiza dokotala, ndi zofunika osati kusiya kaye ngati akuchedwa opaleshoni kumaonjezera ngozi ya imfa ya 18%. Pamaso pa perforations mu zonse m'mimba wodwalayo ndi peritonitis kukufunikira ntchito ngati mlingo wa imfa mu Zikatero ndi 35%.

Pali maphunziro amene amati achinyamata amene akudwala chiopsezo zisadzachitikenso matendawa ndi apamwamba kuposa odwala achikulire. Odwala ndi wotsikirapo chitetezo chokwanira kubwerezabwereza wa matenda matenda diverticular ndi apamwamba kuposa anthu ndi kachitidwe zachilendo m'thupi.

Pambuyo pa opaleshoni reoperation chofunika 10% ya milandu. 20% odwala ngati panali magazi, izo Mungathe kubwereza patapita nthawi. Mu 33% ya milandu zotheka zisadzachitikenso za ndondomeko yotupa.

Ambiri tinganene kuti ndi mankhwala yake ndi kutsatira zakudya ndi prophylaxis zonse chisokonezo makhalidwe matumbo angaperekedwe ndi madokotala ananena zawo zabwino.

mankhwala Traditional

Kuyambira kale, pali maphikidwe ambiri mankhwala matenda osiyanasiyana. Ndi nazonso ndi diverticular matenda a m'matumbo, kapena gawo lina lirilonse la intestine lapansi.

maphikidwe angagwiritsidwe ntchito yekha atakambilana ndi dokotala. A bwino pambuyo kufufuza zonse kuonedwa, chinthu chachikulu - zilibe zimawononga thupi.

Chithandizo cha diverticular mankhwala wowerengeka matenda angakhale ogwira pokhapokha ngati kuwonjezera pa mtima chimatsatira zakudya analimbikitsa ndi kukhala moyo wathanzi.

Pano pali maphikidwe ndi malangizo:

• Mafuta ndi fulakesi mbewu. Ndikofunikira pamaso ntchito mbewu kudzaza ndi madzi ofunda pa mlingo wa supuni imodzi chikho cha madzi. Patapita nthawi, mbewu pathupi ndi madzimadzi adzakhala ofanana odzola a. Nawu zikuchokera mwangwiro amateteza Kakhungu mucous pa mundawo m'mimba, komanso bwino ntchito yake. Kodi kudyedwa pa chopanda kanthu supuni m'mimba wina.
• Kasupe wa CHIKWANGWANI wofunikila matenda monga matenda diverticular, - mbewu za plantain. Malinga ndi kuchuluka kwa zinthu iwo ali opambana Mapila ndi balere. Zonse kumwa mbewu amalola kulinganiza ntchito pa mundawo m'mimba, bwino peristalsis. Muyenera kupiphatisa amenewa chiwembu. supuni imodzi kutsanulira kapu ya madzi kapena madzi, mungagwiritse ntchito yogurt. osakaniza ayenera yomweyo kumwa. Patatha mphindi 30, ndi kuonetsetsa kuti kutenga chikho cha madzi. Wambiri madzi - chikhalidwe chachikulu ntchito psyllium. mbewu pathupi mkati ndi kuchita ntchito zawo zothandiza. Muyenera kumwa katatu pa tsiku mpaka inu mukumverera bwino.
• Malinga maphikidwe otchuka n'kofunika kwambiri kuyeretsa matumbo a poizoni, miyala fecal, kwa mankhwala oipa chakudya. Pakuti matumbo kuyeretsa m'pofunika kwambiri kusonkhanitsa zitsamba. Iwo maluwa ndi nthambi ya minga. Atatu supuni zosonkhanitsira m'pofunika kutsanulira lita imodzi ya madzi otentha ndipo amanena kuti ndi bwino ntchito thermos, kuyambira kulowetsedwa ayenera kuima usiku ofunda. Ndiye unasi ndi kumwa maulendo 3 pa tsiku, ola limodzi musanadye, 1 galasi. Kufunika kutenga mankhwala izi kwa masiku atatu. Ngati inu mufika constipated, kumwa kulowetsedwa si kofunika. Gwiritsani ntchito madzi ndi yogurt, osachepera lita imodzi patsiku.
• Pamene pachimake maphunziro a matenda diverticular akulimbikitsidwa kugwiritsa ntchito zotsatirazi wowerengeka Chinsinsi. M'pofunika kutenga magalamu 100 peony muzu, therere mistletoe, nettle masamba. supuni awiri zosonkhanitsira kutsanulira lita imodzi ya madzi ozizira ndi kuvala moto. Bweretsani otentha, koma Musawiritse. Ndiye ozizira, kupsyinjika ndi kutenga galasi kawiri patsiku, m'mawa ndi madzulo, pambuyo chakudya pochitika ola. Msuzi angagwiritsidwe ntchito enemas. sangathe ntchito kwa zotupa. Chithandizo ankachitika masiku 10-14.
• A mankhwala zabwino zochizira matenda diverticular ndi Elm makungwa dzimbiri. Kudakonzedweratu motere. Theka la supuni ya tiyi makungwa ufa ndi granular kutumphuka supuni wodzazidwa ndi galasi imodzi ya madzi. Amaziphika n'kuzithira ayenera simmer kwa mphindi 20. Ndiye zosefera, kubweretsa buku madzi a chikho chimodzi ndipo anatengedwa m'mawa ndi madzulo a 200 ml.

Musanagwiritse ntchito mankhwala wowerengeka ayenera kuonana ndi dokotala. Nthawi zina, madokotala mwina kodi amalangiza ena njira zomwe zingagwiritsidwe ntchito molumikizana ndi mankhwala. Iwo ayenera kukumbukira kuti mankhwala alionse ziyenera kuperekedwa kuyang'aniridwa ndi katswiri, makamaka odwala omwe ali limodzi ndi mawonetseredwe a zizindikiro pachimake.