Ingaba ugqirha wakho ufumene ukuba une-diverticulosis kunye nesifo sakho sengqondo esisisigxina (IBS)? Ngaba uyazibuza ukuba kukho ubudlelwane phakathi kwababini? Kwaye kukufumanisa kunzima ukufumana oko kukutya ukuze ungayenzi impawu zibi nakwezinye zeengxaki ezimbini zempilo? Makhe sijonge nayiphi na into eyenzekayo kwaye uxoxe ngezinto ongayenza ukuze uzikhathalele xa unesibini.
Yintoni i-Diverticulosis?
I-Diverticulosis yimeko yempilo apho iipokotshi ezincinci (iisaka) zikhona kwiindawo zokuhlala emathunjini amakhulu . Ezi zikhwama ziyaziwa ngokuba yi-diverticula, kwaye ziphosa ngaphandle kwidonga lekholoni. Ziyakuthi zifumaneke kwi-colmo sigimid, eyona nto isezantsi kakhulu emathunjini amakhulu.
I-Diverticulosis yenye yeemeko ezintathu ezibekwe njengezifo zesiganeko-enye enye i-diverticulitis, apho iipokotshi okanye iikhwama ezibizwa ngokuba yi-diverticula zitsholongwane okanye zitshatyalaliswa, kunye nokuphuma kwegazi, apho i-diverticula iqala ukuphuma khona.
Kulinganiselwa ukuba malunga neepesenti ezingama-20 zabantu base-US banesifo esiphambeneyo. Amanani amaninzi anyuke ngokukhula ngokwexesha eliqikelelwa ukuba lichaphazela malunga nama-70 ekhulwini lamaMerika ngaphaya kweminyaka eyi-80. Kuqikelelwa ukuba i-25 percet yabantu abanezifo ezahlukahlukeneyo ziya kuba nama-diverticulitis njengento ethile ebomini babo.
Iimpawu zeDiverticulosis
Kubantu abaninzi, i-diverticulosis ayibangeli zibonakaliso. Kwabanye, ubukho balezi zingxowa zinokubangela ukuba kuqhenywe, urhudo, iintlungu zesisu kunye nokuqhaqha. Zonke iimpawu ze-IBS! (Sizakuqwalasela kamva.)
Iimpawu ze-diverticulitis zinokuba nzima kakhulu. Ubuhlungu buya kusuka kwi-mild to the severe, kwaye uze ngokukhawuleza okanye ngokugqithiseleyo.
Ubunzima bunokuthi buxakeke buze buyeke. Ezinye iimpawu ze-diverticulitis ziquka:
- Iintlungu zesisu kunye neenkampu
- Ukuguquka ngokukhawuleza kwimizimba yesilonda, oko kukuthi ukuzitywa okanye uhudo
- IChills
- Fever
- Isondlo sesisu esiswini, ngokukodwa kwicala lasekhohlo
- Ukuvutha
Umngcipheko onobungozi nge-diverticulitis engaphendulwanga yinto yokwehliswa kwemfuyo-imeko ebungozi yobomi efuna ukuhlinzwa.
Ukuphuma kwegazi ngokuqhelekileyo kuboniswa ngumlinganiselo omkhulu oqaqambileyo wegazi elibomvu kwi-stool . Ukuqhawula ngokuqhelekileyo kudla ngokwakho, kodwa xa ufumana ukuphuma kwegazi kwi-stool okanye kwi-rectum yakho, kufuneka ubone ugqirha ukuvavanya ngokuchanekileyo oko kwabangelwa ukuphuma kwegazi.
Ukungqubuzana phakathi kwe-IBS kunye ne-Diverticulosis
Ukuba uthe wazibuza ukuba ucinga ngezinto ezinokuthi zidibene neengxaki zakho zezempilo, unokuvuyisa ukwazi ukuba le ngcamango iyenze kubaphandi ngokunjalo. Makhe sijonge kwiinkalo ezibalulekileyo zeziphumo kunye neziphumo zazo:
Uphando olulandelayo lulandele iqela elikhulu labafundi abafunyaniswa ukuba babe ne-diverticulitis, kungekho mlando wangaphambili wesifo sokuxhamla esiswini (i-FGDs) njenge-IBS okanye isifo sengqondo, kwisibhedlele se-Veterans Hospital, malunga neminyaka emalunga nesithandathu.
Bafumanisa ukuba aba bantu babekho mngcipheko omkhulu kwi-IBS, kwaye phantse kabini umngcipheko wokuphuhlisa i-FGD eyahlukeneyo okanye i-disorder disorder. Ezi ziphumo ziye zaholela eli qela labaphandi ukuba liphakamise ingcamango "ye-postdiverticulitis IBS" (i-PDV-IBS), iileyile eya kusebenza kubantu abaneziganeko ezingapheliyo ze-IBS zokutya emva kwesiganeko se-diverticulitis. Nceda ugcine engqondweni ukuba le yinto enye yocwaningo-umsebenzi omningi kufuneka uqhutywe phambi kokuba nayiphi na isigaba esisemthethweni senziwe ngohlobo olutsha lwe-IBS !
Ucwaningo oluthile lusetyenziswe umbuzo wamanqaku ukuze kuqinisekiswe ukuba kukho ubudlelwane phakathi kokuba nesifo esiphambeneyo kunye ne-IBS.
Iziphumo zibonise ukuba ukuba ne-IBS iphakame umngcipheko womntu we-diverticulosis, kodwa ayizange iphakame umngcipheko wokufumana ukuxhatshazwa. Lo mngcipheko wokwanda kwe-diverticulosis wayedume kakhulu kubantu ngabanye abane-IBS ababengaphezu kweminyaka engama-65. Ngokuthakazelisayo, kungakhathaliseki ubudala, ingozi eyongezelelekileyo ye-diverticulosis yayinokwenzeka ukuba ibonakale kubantu abaye bafumanisa ukuba banesifo sohudo-ebaluleke kakhulu kwi-IBS- IBS-D ) okanye uhlobo oluthile lwe-IBS (IBS-A).
Olunye uphando olukhulu lwaqhutywa eJapan. Abaphandi bacacisa ukuba kukho umlinganiselo ophambili malunga nokuba izifo eziphikisayo zivela phi xa kuthelekiswa nabantu baseNtshona (iYurophu kunye ne-United States) ngokuchasene nalabo baseAsia. Kubonakala ukuba, kwiNtshona, izifo ezihlukeneyo ziyakwazi ukubonakala kwi-colal distal-i-colon ehlayo kwicala lasekhohlo kunye ne-sigmoid colon . Ngokwahlukileyo, e-Asiya, izifo ezithandekayo ziyakwazi ukubonakalisa kwicala lasekunene lekholoni. Kutheni oku kubalulekile? Ngokutsho kwabaphandi bathi le mvelaphi ibalulekile njengoko i-diverticulitis engasese ekhohlo ikhula ngakumbi, ngelixa isifo esisisigxina sezityalo sishiya enye ingozi yokukhupha igazi.
Kule sifundo seJapan, iziphumo zibonise ukuba abathathi-nxaxheba abonise iimpawu zezifo ezahlukahlukeneyo kwicala elingakwesobunxele, okanye kumacala omabini, kwi-colon, babekho amathuba okuba babe ne-IBS ngelixa abathathi-nxaxheba ababenesifo esifanelekileyo sezityalo abazange babonise oku phezulu mngcipheko.
Oko Ukwenza Ukuba Unayo
Kungabonakala kunzima ukucinga ukuba yintoni ongayenza ukuba unesibini iimeko zempilo. Ngenhlanhla, ezinye zeengcebiso ezifanayo zonyango kwi-IBS zisebenza kwizifo ezahlukahlukeneyo:
- Ukwandisa i-fiber yakho intake : Oku kungaba ngesidlo sokutya okuphezulu okanye ukuthatha isongezelelo sefayibha.
- Thatha ama-probiotiki : Uphando aluphelelanga, kodwa kukho ubungqina bokuba i-probiotics inokukunceda ukukhusela i-diverticulitis kubantu abane-diverticulosis. Unokufumana ama-probiotiki kwifom yokuncedisa okanye ukutya okuvuthiweyo .
Kukhona ezinye iingcebiso zokuphila zokunciphisa iingxaki ezivela kwizifo ezihlukeneyo. Nangona le miba ingabandakanyekanga ne-IBS, ukwenza olu tshintsho luya kunceda ekuphuculeni impilo yakho yonke yokutya nokutya:
- Ukuba utshaya, thabatha amanyathelo okuyeka.
- Qinisekisa ukuba usebenzise rhoqo.
- Gcina isisindo esifanelekileyo.
- Gcina utywala usebenzise ubuncinci.
- Gcina ukusebenzisa kwakho i-aspirin kunye ne- antistroidal anti-inflammatory drugs (NSAIDs) ubuncinci.
Imithombo:
Cohen E, et al. Umngcipheko okhulayo we-Irritable Bowel Syndrome Emva kweDivice Diverticulitis. I-Clinical Gastroenterology kunye neHepatology. 2013; 11: 1614-1619.
Izifo eziNgcaciso zeSizwe eziNgcaciso zeZifo zoLwazi lweNgcaciso (NDDIC) .
Jung H, et al. I-Diarrhea-I-Irritable Bowel Syndrome eQhathaniswayo Inxulumene Nezifo Ezixhamlileyo: Isifundo esisekelwe kubantu. I-American Journal yeGastroenterology. 2009; 105: 652-661.
Iziphumo ze-Templeton A & Strategy L. kwiiDivayilive. Iingxelo zeGastroenterology zangoku . 2013; 15: 339.
Yamada E, et al. Umbutho Phakathi kweNdawo yeZifo eziNgcaciso kunye ne-Irritable Bowel Syndrome: Isifundo seMatriki eJapan. I-American Journal yeGastroenterology . 2014; 109: 1900-1905.