Diverticulitis wata kwayar cutar ce ta yau da kullum wadda ƙananan ƙwayoyin cuta a cikin ƙwayar narkewar ta zama ƙura ko kamuwa da su. Duk da yake masana kimiyya sun yi imanin cewa rageccen fiber abinci shine babban mai ba da gudummawa ga cuta, ba su da tabbacin abin da hanyoyi ke haifar da kafa kwayoyin halitta (wanda ake kira diverticula) kuma me yasa cututtuka ke bunkasa a wasu mutane kuma ba a cikin wasu ba.
Daga cikin manyan matsalolin haɗari, shekaru, kiba, da kuma shan taba suna da masaniya don taimakawa wajen tasowa da / ko tsanani na bayyanar cututtuka na diverticulitis.
Abubuwa masu yawa
Diverticulosis -in abin da matsa lamba mai tsawo a kan ciwon yana karfafa ƙwayar tsoka, yana haifar da raunuka masu rauni don tasowa da kuma haifar da kwakwalwan da ake kira diverticula-shine mahimmanci zuwa diverticulitis. Wannan yawanci ba'a kawo alamar bayyanar cututtuka kuma ba damuwa ba. Diverticulitis ya zo ne a lokacin da waɗannan kullun suka zama ƙushirwa ko kamuwa da su, wanda shine abin da ke kawo jin zafi.
Jigun hanji suna iya samar da kwayoyin sunadarai don farfadowa. Lokacin da wannan ya auku, ƙananan ƙumburi mai ƙananan ƙila zai iya ƙyale ƙwayoyin microorganisms don shiga cikin ƙwayar da aka rigaya ta sulhuntawa. Wannan zai iya haifar da kumburi na kyallen takalma (wadanda ke haɗuwa da intestines zuwa bango na ciki), wanda zai haifar da ci gaban ƙananan ƙwayar ko ciwon ciki.
Bisa ga binciken da aka buga a mujallar Therapeutic Advances in Gastroenterology , tsakanin kashi 10 cikin 100 da kashi 25 cikin dari na masu ciwon haɗari na diverticulitis na iya haifar da kamuwa da cutar kwayan cuta.
An nuna rashin daidaituwa akan furen kwayoyin cuta a lokacin da aka nuna kamar wata hanyar da ke tattare da diverticulitis, musamman maɗaukaki matakin Escherichia da kuma kwayoyin Clostridium na coccoides . Yawancin bincike a yau, duk da haka, ba su goyan bayan wannan tsinkaya ba.
Duk da yake an yi amfani da rageccen fiber mai sauƙi a matsayin babbar hanyar diverticulitis, shaidar da ke goyon bayan wannan ka'idar ta kasance ta kasance mai rikicewa da rashin daidaituwa.
Duk da haka, rashin cin abinci yana taka muhimmiyar rawa a hadarin diverticulosis da diverticulitis (ƙarin a kan wannan ƙasa).
Genetics
Genetics kuma yana nuna ya taka muhimmiyar rawa wajen cututtukan cututtuka. Wannan yana taimakawa ta hanyar bincike da aka yi a Sweden, wanda ya nuna cewa hadarin diverticulitis ya fi na tripled idan kana da tagwaye na waje tare da diverticulitis. Idan twin ɗinka ya kasance daidai, za ka sami haɓaka sau bakwai a hadarin idan aka kwatanta da yawancin jama'a, in ji masu bincike.
Dukkanin sun fada, kimanin kashi 40 cikin dari na dukkanin kwayoyin karkatacciyar ƙwayoyin cuta sun yarda da ladabi (ko da yake ba a gano ainihin maye gurbin kwayoyin halitta ba).
Abinci
Da'awar cewa kayan abinci mai ƙananan fiber na tsakiya ga ci gaba da cututtukan cututtuka ba tare da ɓangaren hujja masu tilastawa ba.
Yawancin masanan kimiyya sun yarda da cewa jigilar kwakwalwan da ake ciki shine yawancin matsalolin da ake ciki a cikin mazaunin, kuma mahimmanci ga wannan shine rikitarwa -yanayin da ba shi da dangantaka da rashin ciyayi. Idan wannan ya faru, adadi zai zama da wuya a wucewa da kuma haifar da kwakwalwa ta hanzari, musamman ma a cikin sigmoid colon (sashe na kusa da dubin inda yawancin diverticula ke ci gaba).
Bayani
Daga tarihin tarihi, cututtuka masu rarrafe da aka gano a Amurka a farkon shekarun 1900. Wannan shi ne a kusa da lokaci guda da aka sarrafa kayan abinci an fara gabatar da shi a cikin abincin Amurka, yana canza abincinmu daga milled flours, wadanda suke da fiber, don tsabtace gari, wanda yake da ƙananan fiber.
Yau, yawan karuwar nama na nama mai nama, mai yalwataccen hatsi, da abincin da ake sarrafawa sun haifar da mummunan annoba na cututtuka masu rarraba a kasashe masu masana'antu irin su Amurka, Ingila da Australiya, inda yawancin diverticulosis ya kai kimanin kashi 50.
A bambanta, cututtuka masu ban sha'awa suna da ban sha'awa a Asiya da Afirka, inda mutane ke cin abinci marar nama da karin kayan lambu, da 'ya'yan itatuwa, da kuma hatsi. A sakamakon haka, rabon diverticulosis a cikin wadannan yankuna ya kasa kasa da kashi 0.5.
A 1971, likitoci Denis Burkitt da Neil Painter sun ba da ka'idar cewa "rageccen abinci" mai girma a cikin sukari da kuma sauƙi a cikin fiber yana da alhakin bunƙasa a cikin kasashen yammacin duniya. Ya kasance ka'idar da zata kawo karshen jagorancin magani a cikin shekaru 40 masu zuwa, tare da likitocin da ke tsara kayan cin abinci mai yawan gaske kamar yadda tushen farko na magani da rigakafin.
A yau, duk da haka, akwai ƙwayar shakka da rikicewa game da ainihin aikin fiber na abinci yana taka a diverticulitis.
Rikicin Shaida
A shekarar 2012, masu bincike tare da Jami'ar Ma'aikatar Ma'aikatar Dakta ta Arewacin Carolina sun ruwaito cewa, daga cikin marasa lafiya 2,104 da aka yi nazarin colonoscopy , yawancin fiber da kuma karuwanci na yau da kullum sun haɓaka hadarin diverticulosis, ƙalubalantar gaskatawar da aka dade da cewa ƙananan fiber shine maɓallin farko don ci gaba da cutar.
A gefe guda kuma, yawancin shaidun shaida sun nuna cewa cin abinci mai yawan fiber zai iya hana wasu matsalolin da suka fi tsanani na diverticulitis. Nazarin binciken 2012 daga Jami'ar Oxford, wanda ya binciki bayanan lafiyar yara fiye da 15,000, ya ruwaito cewa an rage yawan abinci na fiber da kashi 41 cikin dari na asibitoci da mutuwar daga rashin lafiya.
Yayinda bincike na rikicewa baiyi komai ba don amfani da cin abinci mafi yawan fiber, ya nuna cewa cin abinci ba shi da tasiri wajen hana fararen cututtukan cututtuka kuma ya fi tasiri a guje wa rikitarwa na tsawon lokaci.
Sauran Ayyukan Dama
Shekaru yana taka muhimmiyar rawa wajen samar da launi, tare da fiye da rabin abin da ke faruwa a cikin mutane fiye da 60. Duk da yake diverticulosis ba shi da kyau a cikin mutane a kasa da shekaru 40, haɗarin zai iya tasowa tsofaffi. Bayan shekaru 80, tsakanin kashi 50 da kashi 60 na manya zasu sami ci gaba da diverticulosis. Daga cikin wadannan, yawancin daya daga cikin hudu zasuyi diverticulitis.
Har ila yau, ƙari shine babban haɗari. Nazarin 2009 na Jami'ar Washington na Makarantar Medicine, wanda ya biyo bayan bayanan lafiyar mutane sama da 47,000 a tsawon shekarun 18, ya tabbatar da cewa yawancin abu ne da aka bayyana a matsayin wani nau'i na jiki (BMI) na fiye da 30-kusan ninki biyu na hadarin na diverticulitis da tripled da hadarin da zubar da jini ba tare da jimawa ba idan aka kwatanta da maza da BMI a karkashin 21.
Abin damuwa shine, watakila ba mamaki bane, damuwa, ma. An sani al'ada don taimakawa wajen ƙonewa wanda zai iya kara yawan haɗarin da ke tattare da wasu matsalolin kiwon lafiyar, kuma zai iya taimakawa zuwa diverticulitis ta hanyar inganta kumburi wanda ya rigaya ya riga ya riga ya rigaya ya rikitar da ƙwayoyin cuta, ya kara haɗarin ƙwayar ƙwayoyi, fistula, da kuma hanzari na hanji. Rashin haɗari ya zama mafi girma a cikin mutanen da ke shan taba fiye da 10 cigaba a kowace rana, bisa ga binciken daga Imperial College London.
Magungunan anti-inflammatory marasa nau'in ƙwayoyin cuta (NSAIDs) Har ila yau, an danganta shi ne da diverticulitis da jini. Duk da yake an yi amfani da aspirin a matsayin dan takara, an nuna cewa duk NSAID yana da irin wannan mummunar cutar. Sun hada da irin waɗannan shahararren, masu amfani da magunguna kamar Aleve (naproxen) da Advil (ibuprofen).
Ya bambanta, maganganun corticosteroids da kuma maganin analysics ne mafi kusantar su haifar da divertion diverticulitis, sau biyu da kuma haɗuwar haɗari daidai da bi. Ana ganin haɗarin ya ƙara tare da amfani da tsawo.
> Sources:
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> Crowe, F .; Appleby, P .; Allen, N. et al. "Cin abinci da hadarin cututtukan cututtuka a cikin Oxford na cocin Turai na Binciken Bincike a Cutar Cutar Cutar da Cutar Gurasa (EPIC): binciken da ake yi na masu cin ganyayyaki na Birtaniya da wadanda ba 'yan cin ganyayyaki ba." BMJ. 2011; 343: d4131. DOI: 10.1136 / bmj.d4131.
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