Diverticular zvirwere zvekoloni: zviratidzo uye kurapa

Human ura ndiye anokonzera kugaya uye Absorção de Água zvokudya, uye anobvisa tsvina kubva mumuviri. Immune pezvakaitwa uye kwetunhu peptide mahormone chokuita basa rake. Naizvozvo zvakakosha kuti muviri uyu utano uye akakwanisa zvakazara kuita mabasa avo. Kazhinji, zvisinei, kuti pathological pezvakaitwa inokudziridza anenge Vasingazvioni kana pane zviratidzo haana kukonzera chero hanya pakutanga. Zvino ongororo anoratidza zvokurwara, iyo vanhu vakanga vasina pfungwa.

chirwere ichi chinogona kuva diverticular bowel chirwere. Zvinokosha kucherechedza kuti, oddly zvakakwana, zvakawanda zvakajairika dzakabudirira, uye kazhinji mune vakwegura. Zvikuru kazhinji inobata vanhu vaduku pane makore 40. Saka chii chirwere ichi, ndezvipi zviratidzo zvayo uye sei kubatwa? Funga zvakare.

Ko "chirwere diverticular"?

Chokutanga, tinofanira kutsanangura kuti diverticulum. It anogadzirwa intestinal parusvingo, apo mune dzeraundi tsandanyama midziyo ropa kwaisanganisira. Kana kufurira ichibuda iri dumbu, panguva simba migove ejection kunoitika mucosa kupinda lumen pakati tsandanyama fibers. Akaumba vanonzi bhegi-protrusion chimiro. saizi yavo inogona kubva 1 2 masendimita. Pano dzinonzi diverticula. Diverticula vari aumba pasi siyana dzenyika intestinal turakiti, asi anowanzodanwa richiwanika huru ura.

Vose nezvirwere International kupatsanura vane Bumbiro ravo, hazvina kusara uye diverticular chirwere. ICD-10 zvinosanganisira zvokurwara ichi pasi bumbiro K57.

The chirwere anogona kuitika sezvazvakafanira asymptomatic, uye aizozvimba uye matambudziko. Sezvambotaurwa, ngozi yokuva nechirwere ichi soro mune vakwegura. Ndava nemakore 40 ari vashoma zvikuru.

Zvichienderana sei chirwere kunoitika, rinogona Classified sezvinotevera:

• Asymptomatic diverticulosis.
• Diverticulosis zviratidzo.
• Diverticulitis pamwe matambudziko.

Zvisinei weboka chirwere, kana zvakadaro chirwere chinoitwa, unofanira kuonekwa nachiremba. Kana ukatanga nayo uye kutora yakaoma chimiro, zvinogona kuuraya kana mukasaita kuvhiyiwa mune nenguva nenzira. Izvi vachakuudza gare gare. Uye ikozvino tarira zvinotaura zvingaratidza kuti kuti pane diverticular bowel chirwere. Vakazvimiririra kuziva chinhu kungangoitika dambudziko?

Diverticular chirwere symptomatology

zvirwere zvakadai diverticular chirwere (the sigmoid muura, somuenzaniso), zviratidzo rinowanzoberekera mukutanga mumatanho, kunyanya vechiduku. Chete kupota anogona kuonekwa zvichemo zvakadaro:

• Kupatira.
• Abdominal chinyamunhari chinorwadza.
• Kuwedzera mudumbu.

Zviratidzo izvi zvingava, kana diverticular chirwere mberi pasina matambudziko, umo nyaya hapana uchapupu chirwere yakajeka.

Kana diverticulosis mberi, zviratidzo rinowanika yakajeka zvikuru. Panyaya iyi, chichemo inogona sezvinotevera:

• Svoto.
• Kurutsa.
• Kupatira.
• Abdominal marwadzo, kazhinji kurutivi rworuboshwe. Iye akazivisa palpation.
• Inosimudzira muviri tembiricha.
• Pane fivha, utera.
• Kudhaka, nomusoro.

The zvakawanda kunzwisisa nyaya, zvikuru raidudzwa zviratidzo chirwere. Kana uchifungidzira kuti une diverticular chirwere, zviratidzo zvarondedzerwa pamusoro, zvinofanira yazivisa. Zvakakosha kuti usatadza nguva uye nenguva nenzira kukumbira rubatsiro kuitira kudzivisa zvakakomba matambudziko.

Sei pane diverticular chirwere pamusoro sigmoid muura kana zvimwe madhipatimendi? Rega kuongorora.

The zvinokonzera diverticular chirwere

Usakanganwa kuti zvirwere zvakadai diverticular chirwere ari muura vanowanzotanga chikuru vakwegura. Saka, mumwe zvinokonzera chirwere ichi inobatanidzwa zera, uye kutyora cellular muviri ari tsandanyama rukoko yacho ura.

Zvinhu zvinotevera zvinogona kunzi kune zvikonzero:

• Zvemamiriro Kugadzirwa connective zvinyama, uye nokuvhiringidzirwa kubatana kwetunhu collagen fibers.
• Murombo zvokudya, kureva, rwakakwana yaunodya kuti nokusanzwira zvakawandisa mafuta, furawa zvekudya zvokudya.
• Kushomeka rutapudzo of intestinal rusvingo uye kunonoka gastric Kuburitswa mu.
• Kunwisa kuunganidza gasi ari muura.
• Muscular kurwadza kwacho intestinal rusvingo, anoteyiwa midziyo.
• Zvirwere kumwoyo.
• Kushaikwa muviri, ndakagara mararamiro.
• Kufuta.

Zvino unofanira kufunga kuti kuziva zvokurwara ichi sezvo diverticular chirwere ari muura.

Chirwere pakati diverticular chirwere of ura

Chirwere chirwere rinoitwa sezvinotevera. Chokutanga, murwere anofanira kukumbira kuongorora. Zvisinei, vakati akanyatsoteerera chichemo, chiremba atova presupposes kuvapo hosha, kuti zvimwe kwazvo pachisara zvinokosha kupfuura kuongorora. Chete pashure vachapiwa chirwere "intestinal diverticular chirwere," kunokwanisa kupiwa.

Nokuti kwazvo kuongororwa uye rabhoritari kushandisa paku nzira:

• Common bvunzo ropa anogona kuzivisa pamberi kuzvimba pamuviri. Kupererwa neropa inoratidza munhu zvichibvira zvemukati kubuda ropa.
• Coprogram.
• Colonoscopy.
• Barium enema.
• Siyanisa X-ray kuzviongorora.

On kuongororwa murwere anofanira kuteerera madyiro ake, mararamiro, raakanga anotungamirira, uyewo kuitika kupatirwa uye abdominal kurwadziwa.

Laboratory nemiedzo, miedzo ropa uye coprogram anogona kuzosimbisa pamberi kuzvimba uye munyika kubuda ropa.

Colonoscopy unokubvumira kuwana kunobva intestinal kubuda ropa. Kana murwere nechirwere kusachengeteka kukuru chimiro diverticular chirwere, zvinokosha kuita CT scan. Panyaya iyi, rusvingo intestinal vachava zvinooneka uye ezvinhu micheka izvo juxtaposed.

Shandisa ichi mhando kutsvakurudza sezvo cystography. Rinoshandiswa rokuongorora kuti vesico-intestinal fistula. Intravenous urography rinoitwa kuziva kana kushoma kwaisanganisirawo ureter.

Angiography rinoshandiswa kana ropa kubva diverticulum.

Zvichitevera kumbonyatsoongorora kuzviongorora murwere, chiremba anoita chirwere uye kutevera kurapwa. Sei diverticular chirwere ari muura, funga zvakare.

Nzira kurapa diverticular chirwere

Kana diverticulosis kunoitika ne basa symptomatic, kuti basa hwomuviri contraindicated. Mabatirwo diverticular chirwere ari muura iri zvachose novimba sei chirwere kunoitika.

Rinogona kupiwa zvinotevera kurapwa:

• Outpatient kurapa zvinoratidzwa, kana pane kudhaka, uye masero eropa zvisina kwakawedzera, asi pane kurapwa zvinoratidza chirwere.
• Inpatient kunorapwa Coloproctology dhipatimendi kunodiwa kana chirwere chakaoma.
• Kana pane ngozi upenyu murwere somugumisiro yakaoma diverticular bowel chirwere, kuvhiya zvinoratidzwa.

Uye ikozvino zvishoma pamusoro mumwe kurapwa.

Kana pane kurapwa zviratidzo chirwere, asi pane kushoma, vave zvokudya uye mishonga zvinotevera:

• Antispasmodic zvinodhaka ( "No-Spa," "Spazmol", "Mebeverin").
• Zvinodhaka kuti normalize ari intestinal microflora ( "Linex", "Baktisubtil", "Atsipol").
• Makemikari ( "wokupembera", "Creon").

Kana paine rakajeka kuratidzwa zvekuchipatara pamusoro diverticular chirwere, kurapwa iri ushandiswe sezvinotevera:

• GI motility muviri ( "Motilium", "Pasazhiks", "Motilak").
• Mishonga ( "Sulgin", "Biseptol").
• Intestinal antiseptics ( "intestopan", "Intetriks", "Enterosediv", "Sumetrolim", "ersefuril").
• Laxatives ( "Duphalac", "normase").

Kuvhiya kupindira zvinogoneka kana:

• Diverticular chirwere ari muura kupa matambudziko.
• Pane fistulas.
• Pane chisingaperi kuzara munyama ane admixture ropa uye node.
• Chirwere diverticular chirwere kazhinji chakasimba.
• Zvakakomba diverticular chirwere haisi amenable kune nzwisisika kurapwa. Izvi zvinogoneka kana kuzodzosera exacerbation.

Zvinhu zvinotevera zvinofanira kufungwa nezvazvo pakusarudza kuvhiya nzira:

• Chii hunhu yematambudziko.
• Kusvikira muitiro kupararira.
• kuchinja chii somugumisiro kushoma kwakaitika tsandanyama parusvingo ura uye akapoteredza munyama.
• Pane imwe perifocal kuzvimba kana peritonitis.
• Chero comorbidities murwere, sezvo kazhinji ndicho vakwegura.

Kuvhiya rinoitwa muna 2 maitikiro. Pakutanga kubvisa sei bowel chikamu. In yechipiri danho chimiro anastomoses pakati intestinal zvikamu kuti azodzikamisa chamazuva kwayo.

Zvinofanira kurangarirwa kuti diverticula pashure kuvhiyiwa kana inobudirira kurapwa kunogona dzumbunuka. Saka, unofanira kuramba kudya, izvo tsanangura pazasi.

Diet nokuti diverticular chirwere ari muura

Sezvataona, pakurapa chero diverticular chirwere unongova chiremba vanonyorera kudya zvinenge zvataurwa. Kana iwe kuitevedzera, unogona kuderedza kukuvadza chirwere kana kudzivirira kukura yematambudziko ayo.

Ndezvipi zvekudya vari varumbidzwa, kana akaonekwa "chirwere diverticular"? The zvinodyiwa zvinovaka muviri. The Muterere inofanira kuva zvokudya anotevera utano:

• Porridge rose mbeu.
• Germinated tsanga.
• Wose zviyo chingwa, nechipiriso.
• Zvizhinji michero nemiriwo pachena uye pakupisa zvakaipa chimiro.
• Dried zvibereko.
• Dairy zvigadzirwa.

Uyewo vanofanira tikanwa zvinwiwa zvakawanda pazuva, dzinenge hafu kana mbiri litres mvura yakachena.

Foods vari akakurudzira kunze zvokudya:

• Sugar, zvihwitsi.
• tii Strong, kofi.
• Carbonated uye doro.
• Spices.
• Fresh chingwa.
• Semi-rakapera zvigadzirwa.
• Fast chikafu.

Zvinofanira kucherechedzwa kuti haugoni kudya zvokudya pamwe havaratidzi ozeyewa zvinoriumba. Izvi, nokuti mbeu Somuenzaniso, kiivi, mazambiringa, sunflower. Kana kudya hove, zvinofanira zvakasimba kucheneswa dzaro mapfupa duku.

Doctors vanokurudzira kushandisa bran, ichiwedzera zvishoma nezvishoma chipimo chemushonga 5 kusvika 20 magiramu pazuva.

Kana musingadi kuomerera kudya, chirwere ichava zvikuru kufambira mberi, uye matambudziko anogona kuitika.

Apo chirwere kuti "diverticular chirwere" zvokudya - mumwe inonyatsobudirira zvishandiso kudzivisa matambudziko uye aivabatsira izvi.

Ngozi matambudziko anoitika diverticular chirwere

Diverticular chirwere ari muura kunogona kukonzera matambudziko ngozi chinogona kuva nengozi kuti upenyu murwere. yematambudziko Idzi dzinosanganisira:

• Ropa panguva nzvimbo urikanwi inotungamirwa. Mumwe zviratidzo ropa vari ropa clots ari faeces.
• Kugadzirwa intestinal mhingaidzo nokuda protrusion anogona kuderedza lumen ari dumbu.
• The inotungamirwa nemaronda. Urwa anogona kupinda abdominal mhango.
• Local necrotic kuchinja Somugumisiro - peritonitis.
• Perforation pedyo muviri rusvingo kuti vaumbe fistula. Kazhinji, izvi chinhu chirwere nezvezvimwe zvinetso zvedundira, vakadzi vanogona kupfuura utachiona iri nyinyo.

Kudzivirira diverticular chirwere

Ichiitwa yakawanda kutsvakurudza kuti uone sei kudzivirira kukura bowel diverticulosis uye sei kudzivirira chirwere kufambira mberi. Masayendisiti akasvika pamhedziso iyi: Kana kudya akapfuma faibha, kuti diverticular chirwere haazorambi mberi. Vanhu vakadya kanenge 32 magiramu pamusoro faibha pazuva, yakanyorwa yakanakisisa unongotaura. Insoluble faibha - ndiko kunonyanya michero nemiriwo.

Yakataurawo kubatsira kurovedza muviri zviri kudzivirira intestinal diverticular chirwere.

Vakadhakwa, kusvuta uye zvine caffeine pavanoparidza kuchengetwa kudya akapfuma michero nemiriwo. Panyaya iyi, akaona kuderera iri kunyatsoshanda wokushandiswa faibha.

Zvinofanira kurangarirwa kuti murwere anofanira kunyeverwa kuti zvakakosha zvishoma nezvishoma kuwedzera uwandu chazvo iri zvokudya, zviri zvakare chinodiwa kubvisa zvinhu zvinokuvadza, izvo takakurukura kwokutanga. Zvakanakisisa kurega tsika dzakaipa, saka kuti zvokudya akanga kunobatsirawo mumuviri.

The matanho kudzivirira diverticular zvavanotyira bowel chirwere uye nenguva nekuramba zvinetso zviri nemudumbu. Kudzivirira kupatirwa uye chinoshingaira mararamiro kungakubatsira kudzivisa chirwere ichi hachifadzi.

Chii fungidziro pakurapwa?

Kana diverticular chirwere asymptomatic, kuvhiya kunodiwa. Haikwanise kuramba vavhiringe, kana murwere inoomerera kudya uye chiremba audzwa.

Kana hosha iri kusachengeteka kukuru danho, dzarakagadza kumwe kurapwa, iyo, sezvo mutemo, murwere zvakanaka akashivirira, uye haana kushandisa kuvhiyiwa. 15 chete muzana nyaya inoda kuvhiyiwa.

Kudzokorora chenjera diverticulitis anonzi zvinogoneka muna 1 kubva 4 nyaya. Akadzokorora exacerbation Akashivirira zviipe. Panyaya iyi, muviri haapinduri zvakanaka kuchinja zvokurapa. Mumamiriro ezvinhu akadaro, kazhinji kuvhiya zvinoratidzwa. vakaronga mashandiro vangaendeswa pashure nyore kurwiswa wechipiri. Kana akadzokorora chenjera diverticulitis yekudyidzana yepamusoro kufa.

Kana uchida kubatsira chiremba, zviri chinodiwa kwete kumbosendeka nayo sezvo vachiverengera oparesheni kunowedzera ngozi hwenyama 18%. In pamberi perforations ari abdominal mhango murwere chete peritonitis chinhu kudiwa kwokukurumidzira kuti ishande sezvo huwandu nzufu nyaya dzakadaro 35%.

Pane zvidzidzo kuti anoratidza kuti muvarwere vaduku pangozi dzokororo chirwere kwakakwirira zvikuru kupfuura varwere vakwegura. In varwere kwakaderedza kutapata Kudzokorora kudenha diverticular chirwere kupfuura mune vanhu vane kwomuzvarirwo zvirwere.

Pashure pokuvhiyiwa reoperation chinodiwa 10% nyaya. Muna 20% wevarwere kana akanga ropa, rinogona kudzokororwa pashure imwe nguva. Muna 33% kuti zviitiko zvichibvira dzokororo pakati kushoma.

Vakawanda tinogona kutaura kuti vane nenguva kurapa uye kutevera zvokudya uye kugara prophylaxis kuti mhirizhonga munyika bowel miitiro inogona kupiwa fungidziro yakanaka.

Traditional kurapa

Kubvira kare, pane Quick dzakawanda zvetsika mushonga zvirwere zvakasiyana-siyana. Hapana Kunze uye diverticular chirwere ari muura kana zvimwe chikamu ura.

Recipes izvi zvinogona kushandiswa chete mushure mekubvunza chiremba. A nani mushure kuongorora zvizere kuitwa, chinhu chikuru - hazvina kukuvadza muviri.

Kurapa diverticular chirwere acho mishonga inogona kubudirira chete kana kuwedzera murwere inoomerera zvavakabvumirana kudya uye kuchengetedza utano hwakanaka.

Hedzino dzimwe Quick uye vanorumbidza:

• Oil noruchinda mbeu. Zvakakodzera pamberi kushandisa mbeu kuti vazadze nemvura inodziya panguva mwero spoon imwe mukombe wemvura. Kwapera nguva, mbeu kuzvimba uye Urume achava akafanana mondo. Hekuno Zvinoumba zvakakwana kudzivirira mucous Kamudzira ari nemudumbu, uyewo kunonatsiridza waivako wayo. Apere usina chawadya imwe spoon.
• Tsime faibha inodiwa chakadaro chirwere sezvo diverticular chirwere, - mbeu plantain. Maererano nenhamba zvinhu vava kupfuura oats uye bhari. Kugara kunwa mbeu inobvumira kuronga basa nemudumbu, kunonatsiridza peristalsis. Unofanira kuzvishandisa kuti zano rakadaro. Mumwe spoon dira girazi remvura kana muto, unogona kushandisa yogati. muvhenganiswa ichi hwobva kunwa. Mushure maminitsi 30, zviri chokwadi kutora girazi remvura. Zvinwiwa zvakawanda - mukuru zvimiso kushandisa psyllium. Mbeu kuzvimba mukati uye kuita basa ravo rinobatsira. Unofanira kumwa katatu pazuva kusvikira unonzwa kuvandudzika.
• Maererano dzakakurumbira Recipes Zvakakosha chaizvo kuti kuchenesa ura pamusoro muchetura, fecal mabwe, kubva kuora zvinhu zvokudya. Nokuti bowel kuchenesa zvinobatsira chaizvo kuunganidza miriwo. It maruva namatavi yeminzwa. Three chipunu muunganidzwa zvinokosha kudira ity mvura iri kufashaira uye kusimbirira kuti zviri nani kushandisa thermos, sezvo aizomupa vanofanira kumira inodziya usiku. Zvadaro kunotadzisawo uye kuinwa 3 kanomwe pazuva, awa rimwe pamberi zvokudya, 1 girazi. Kudiwa kutora mushonga uyu kwemazuva matatu. Kana wasvikapo constipated, kundomwa aizomupa hakusi zvakakodzera. Shandisa dzimwe mvura uye yogati, vanenge rimwe ity rimwe zuva.
• Kana chenjera nzira diverticular chirwere inokurudzirwa kushandisa zvinotevera zvavo resipi. Zvakakodzera kutora 100 magiramu pamusoro peony mudzi, miriwo mistletoe, yorukato mashizha. Two spoon kuti muunganidzwa kudira ity wemvura inotonhora uye kupfeka moto. Uyai kuna kubika, asi kwete kubika. Zvadaro muchitonhorera, kugozha uye tora rimwe girazi kaviri pazuva, mangwanani uye manheru, pashure zvokudya kupfuura imwe awa. Muto anogona kushandiswa enemas. hazvigoni kushandiswa Mamota. Treatment kwemazuva 10-14.
• A mushonga wakanaka pakurapa diverticular chirwere ne elm omuti ora. Ndezvevakazvigadzirirwa sezvinotevera. Hafu yetea kuhukura upfu uye granular goko yetea akazadzwa rimwe girazi remvura. Simmered inofanira simmer kwemaminitsi 20. Zvadaro dzinobvisa, kuunza mvura Vhoriyamu mukombe mumwe uye kubatwa mangwanani uye manheru ose 200 Rine mamiririta.

Asati kushandisa chevarwere mishonga vanofanira kubvunza chiremba. Dzimwe nguva, vanachiremba vanogona kuita varumbidze dzimwe nzira inobudirira inogona kushandiswa pachiimbwa mishonga. Zvinofanira kucherechedzwa kuti kurapwa kunofanira kuitwa pasi pokudzora nyanzvi, kunyanya nyaya dziri pamwe nekuratidza chakasimba zviratidzo.