Okuqukethwe
Imithi yokwelashwa ye-diverticulitis
15% kuya ku-25% wabantu abane i-diverticulosis uyohlupheka, ngolunye usuku, kusukela i-diverticulitis. Ukwelashwa kwe-diverticulitis kuyahlukahluka kuye ngobukhulu bezimpawu. Iningi (cishe i-85%) labantu abane-diverticulitis lingelashwa ngaphandle kokuhlinzwa.
I-Diverticulitis ngaphandle kokuhlinzwa
Ukudla. Landela ukudla okufanele.
Ukwelashwa kwe-diverticulitis: qonda yonke into ngemizuzu emi-2
Uma kwenzeka kulaliswa esibhedlela, kumiswa ukumnika, kanye nokwelashwa okuguquguqukayo kwama-antibiotic. Ukondla kungaqalwa kabusha ngomlomo kuphela lapho ubuhlungu sebunyamalele ngokuphelele ngaphansi kokwelashwa ngama-antibiotic. Ekuqaleni, amaviki angu-2 kuya kwangu-4, ukudla kufanele kungabi nensalela, okungukuthi, i-fiber-free. Kamuva, lapho ukuphulukiswa sekutholakele, ukudla kufanele kube ne-fiber eyanele ukuvimbela ukuphindeka.
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Imithi. izinzuzo kwemithi elwa namagciwane ngokuvamile kudingeka ukulawula ukutheleleka. Kubalulekile ukuwathatha ngendlela eyalelwe ngayo ukuze kuvinjwe amagciwane ukuthi azivumelanise nezimo futhi athuthukise ukumelana nama-antibiotic.
Ukuqeda ubuhlungu. izinzuzo ama-analgesics ngaphandle kwe-counter njenge-acetaminophen noma i-paracetamol (iTylenol®, i-Doliprane® noma okunye) kunganconywa. Izidambisi zinhlungu ezinamandla zivame ukudingeka nakuba zingabangela ukuqunjelwa futhi kungase kwenze inkinga ibe yimbi nakakhulu.
I-Diverticulitis edinga ukuhlinzwa
Ukuhlinzwa kwenziwa uma i-diverticulitis inzima kusukela ekuqaleni noma iyinkimbinkimbi ngenxa yethumba noma ukubhoboza, noma uma i-antibiotic ingasebenzi ngokushesha. Kungasetshenziswa amasu amaningana:
I-Resection. Ukususwa kwengxenye ethintekile yekholoni kuyindlela evamile kakhulu yokwelapha i-diverticulitis enzima. Kungenziwa nge-laparoscopically, kusetshenziswa ikhamera kanye nezimbobo ezintathu noma ezine ezincane ezigwema ukuvula isisu, noma ngokuhlinzwa okuvulekile kwendabuko.
Ukukhipha isisu kanye ne-colostomy. Kwesinye isikhathi, lapho ukuhlinzwa kususa indawo yamathumbu okuyisizinda se-diverticulitis, izingxenye ezimbili ezisele ezinempilo zamathumbu azikwazi ukuthungwa ndawonye. Ingxenye engaphezulu yamathumbu amakhulu ibe isilethwa esikhunjeni ngembobo esodongeni lesisu (i-stoma) bese isikhwama sinamathiselwa esikhumbeni ukuze kuqoqwe indle. I-stoma ingaba yesikhashana, kuyilapho ukuvuvukala kuncipha, noma unomphela. Lapho ukuvuvukala sekuphelile, ukuhlinzwa kwesibili kuxhuma ikholoni ku-rectum futhi.