Cutar cututtuka, dalilai, ganewar asali, Jiyya, da Ƙari
Kwayar da ke tattare da kwayar cuta shine yanayin yau da kullum wanda ke nuna cewa akwai ciwon daji a cikin bango da ake kira diverticula. A mafi yawancin lokuta, haɓakawa bazai haifar da wani bayyanar cututtuka ba, amma wani lokaci za su iya zama ƙumi da / ko cutar da ke haifar da yanayin da ake kira diverticulitis.
Duk da yake fiye da rabin mutane suna da hanzari a mazauninsu lokacin da suke da shekaru 60, kawai kimanin kashi 5 cikin dari na wadanda ke ci gaba da yin diverticulitis.
Babban Intestine
Diverticula yana faruwa a cikin mallaka, wanda shine ɓangare na babban hanji. Yawancin lokaci, diverticula ci gaba a cikin sigmoid colon, wanda shine ɓangare na karshe na babban hanji wanda aka haɗa zuwa dubun. Ciwon sigmoid yana samuwa a gefen hagu na ciki, wanda shine dalilin da ya sa diverticulitis yakan hade da ciwon ciki a wannan gefe.
Diverticula zai iya faruwa a wasu sassa na babban hanji ma, amma wannan bai zama na kowa ba.
Cutar cututtuka
Mafi yawan abin da aka gani na diverticulitis shine ciwo na ciki, wanda ya kasance tsayin daka kuma yana iya zama na tsawon kwanaki. A wasu lokuta, zafi zai iya zama mai tsanani. Hanyoyin jini na iya faruwa, amma ba a kowa a cikin diverticulitis ba. Sauran cututtuka na iya haɗawa da:
- zafi da kuma tausayi na ciki (yawanci hagu-gefe, yana iya zama mai tsanani)
- bala'i
- maƙarƙashiya
- damuwa
- bloating
- zawo (lokaci-lokaci)
- gas
- zazzabi
- rashin ci
- tashin zuciya
- vomiting
- gyare-gyare na tsakiya (ba na kowa)
Dalilin
An yi tunanin cewa cin wasu abinci irin su tsaba, kwayoyi, ko masara, na iya haifar dashi ga mutane da ke da cututtuka, amma ba a yarda da wannan batun ba.
Akwai wasu bayanan da suka faru daga binciken da aka yi a cikin mutane cewa cin nama mafi nama zai iya haɗuwa da haɗari mafi girma na bunkasa diverticulitis .
Akwai wata ka'ida da cewa diverticulitis zai iya faruwa a yayin da diverticulum ya taso wani rami a ciki (a layi). Bacteria wanda ke samuwa a cikin sashin zai iya shiga ta wannan ramin kuma ya sa kumburi.
Wani ka'ida shine cewa akwai wata ƙungiya tare da kwayar cutar da ake kira cytomegalovirus (CMV). CMV na kowa kuma yana iya wucewa daga mutum zuwa mutum ta hanyar ruwa. Lokacin da CMV ya fara yin kwangila zai iya haifar da bayyanar cututtukan da ke kama da mura (zazzaɓi, ciwon makogwaro, gajiya, ƙananan ƙwayoyin ƙwayar cuta) amma to yana iya shiga aikin aiki. Kwayar yana cigaba da jiki, latent. Duk da haka, a wasu lokuta ana iya sake cutar cutar. Ana tsammanin cewa maye gurbin CMV na iya samun haɗin zuwa diverticulitis.
Wasu abubuwan da za su iya taimakawa ga ci gaba da diverticulitis sun hada da:
- gina jikin kwayoyin marasa lafiya a cikin wani abu
- rushewa a matakin kwayoyin lafiya a cikin mallaka
- nauyi
- salon zama
- shan taba
- kwayoyin anti-inflammatory wadanda basu da kariya (NSAIDs)
- magunguna
Sanin asali
Diverticulitis ana bincikar shi tare da nazarin rubutun kwaikwayo na ciki (CT).
CT scan wani nau'i ne na x-ray wanda aka yi tare da yin amfani da launi daban-daban. Rashin bambanci yana bugu kamar yadda aka ba ta ta hanyar IV da kuma enema.
Wannan shi ne tabbatar da cewa tsarin tsarin mallaka yana gani da kyau kuma ana iya gane ganewar asali na diverticulitis.
A wasu lokuta, ana iya amfani da ƙarin gwaji idan ana tsammanin cewa akwai wasu yanayi ko matsalolin da ke hade da diverticulitis. Wadannan za a nuna su sosai bisa ga yadda mai haƙuri keyi da kuma likita.
Jiyya
Ga marasa lafiya wanda ke da diverticulitis ba tare da rikitarwa ba, wanda ke nufin babu matsalolin da ke tattare da su kamar ƙananan ƙwayoyi ko fistula, ana yin magani a gida. Abincin abinci na ruwa da hutawa yawanci an umarce shi kuma a wasu lokuta akwai yiwuwar maganin rigakafi.
Don ƙarin diverticulitis rikitarwa, inda akwai cututtuka masu tsanani ko wasu yanayi, ana iya buƙatar magani a asibitin. Magungunan asibitin na iya haɗa da azumi (wanda ba a kira kome da baki ba ko bakin NPO), jigilar ruwa, da maganin rigakafi. Yawancin marasa lafiya sunyi sauri.
An yi amfani da tiyata sau ɗaya kawai idan akwai wani matsala mai tsanani da ke faruwa, irin su lalacewa a cikin mallaka.
Kalma Daga
Mafi yawancin tsofaffi suna da hanzari wanda bazai haifar da wani bayyanar cututtuka ba kuma a cikin ƙananan ƙwayoyin da diverticulitis ke tasowa. Har yanzu ba a bayyana dalilin da ya sa kumburi da / ko kamuwa da cuta ba, amma ba'a tunanin cewa shine sakamakon cin abinci mai fibrous kuma zai yiwu a haifar da wasu dalilai .
Mafi yawan lokuta na diverticulitis ba su da rikitarwa kuma za a iya bi da su a gida tare da hutawa da ruwaye, ko da yake wasu lokuta ana iya wajabta maganin rigakafi. Ga mutanen da suke fama da rashin lafiya, za a bukaci magani a asibitin da ruwa da maganin rigakafi. Wasu magunguna za a iya buƙata, amma wannan zai bambanta a kan lafiyar mai haƙuri da kuma sha'awar kungiyar kiwon lafiya.
> Sources:
> Cao Y, Strate LL, Keeley BR, et al. "Cin nama da hadarin diverticulitis tsakanin maza." Gut . 2018; 67: 466-472. Doi: 10.1136 / gutjnl-2016-313082.
> Hollink N, Dzabic M, Wolmer N, Boström L, Rahbar A. "Haɗuwa da ƙwayar cuta a cikin marasa lafiya tare da ciwon magunguna." J Clin Virol 2007; 40: 116-119.
> Tsarin LL, Keeley BR, Cao Y, et al. Abincin abincin abincin na yamma ya ƙaru, da kuma ƙirar abincin abincin mai ƙyama, hadarin abin da ke faruwa a cikin binciken mai zuwa. Gastroenterology . 2017; 152: 1023-1030. Doi: 10.1053 / j.gastro.2016.12.038.