Daga rage cin abinci ya canza zuwa tiyata
Diverticulitis wata cuta ce da za ta iya bugawa ba zato ba tsammani, ta ƙarshe ko kuma kwanaki da dama, ta haifar da ciwon ciki na ciki, mai laushi, damuwa, tashin zuciya, da jini. Jiyya na iya ƙanyamar sauran da abinci na ruwa don ɗaukar wasu matsalolin da ke cikin hanji. Ana iya tsara magungunan maganin rigakafi, musamman idan akwai zazzaɓi, juyayi, ko jurewa ko kuma haɓaka bayyanar cututtuka.
Wasu lokuta masu tsanani suna iya buƙatar asibiti da tiyata.
Idan kuna fama da mummunan rauni ko kuma na ci gaba da diverticulitis, yana da muhimmanci a nemi kulawa daga likitan gastroenterologist wanda ke kula da cututtuka na gastrointestinal tract. Tare, zaku iya tsara tsarin kulawa mai kyau wanda zai hada da magunguna, canje-canje na abincin, da kari don taimakawa wajen narkewa.
Salon
Diverticulitis wani ƙwayar cuta ne da rashin lafiya wanda zai iya yin aiki tare ba tare da wani dalili ba. Yayin da ake daukar nauyin rageccen fiber abu ne mai hadarin gaske ga rashin lafiya, babu abinci na musamman da ya tabbatar da tasiri wajen hana hare-haren kuma babu wani abincin da aka sani don jawo farmaki.
Idan kuma lokacin da bayyanar cututtuka ta bayyana, hanya ta farko shine aikin da zai ba da wuri mai narkewa. Wannan ya haɗa da iyakance abin da kuke ci kuma, a wasu lokuta, guje wa duk abinci mai karfi har sai bayyanar cututtuka ta cika.
A lokacin Attack
Idan bayyanar cututtuka ba su da rikitarwa ba tare da zazzaɓi ko zubar da jini ba, likita na iya bayar da shawarar cewa ka ɗauki kwanakin da za ka yi aiki kuma ka bi da abinci mara kyau. Tun da mummunan hare-haren zai iya wucewa na kwanaki da dama, kana buƙatar kula da abincin da ke dacewa ta hanyar haɓaka abincinka tare da ko dai wani abu na yau da kullum ko kuma abin da ke cike da ƙwayoyin abinci, kamar Ƙara Plus.
Sauran abinci masu yarda sun hada da:
- Broth
- Ruwan 'ya'yan itace ba tare da ɓangaren litattafan almara
- Popsicles (ba tare da ragowa 'ya'yan itace ko' ya'yan itace ɓangaren litattafan almara)
- Wasanni sha
- Gelatin
- Ruwa
- Tea ko kofi ba tare da kirim ba
A wannan lokaci, kina buƙatar ci gaba da tsabta, musamman idan kana da zawo. Duk da yake shafunan wasanni zai iya zama da amfani a maye gurbin wadanda aka rasa, ba za su taba yin amfani da su a matsayin madogarar kaɗawar asali ba kamar yadda babban abun sukari zai iya kara yawan zafin jiki.
Lokacin farfadowa
Yayin da ka fara jin dadi, za ka iya fara gabatar da abinci mai tsada a cikin abincinka. Kodayake cin abinci mai ƙananan fiber yana dauke da mai ba da gudummawa ga diverticulitis, cin abinci mai yawan fiber yayin da kake aiki don farfadowa zai iya zubar da hanzarinka. Manufar ƙwayar fiber mai ƙuntatawa ita ce rage yawan adadin abincin da ba a cike da shi ba a cikin hanji don ku yi ƙarami.
Abincin da aka yarda shine:
- Kaji, kifi, da qwai
- Gwangwani ko dafa kayan lambu, peeled
- Gwangwani ko dafa 'ya'yan itace, peeled
- Gurasa fari mai ladabi
- Abincin kayan lambu ba tare da ɓangaren litattafan almara
- Ƙananan hatsin fiber
- Milk, yogurt, da cuku
- White shinkafa da kwalliya
Bayan farfadowa
Da zarar kun dawo a ƙafafunku, za ku iya farawa da hankali ƙara fiber baya cikin abincinku har sai cin abinci yau da kullum tsakanin 25 da 30 grams. Yayin da bincike ya fi mayar da hankali game da irin abincin da zazzabi na fiber zai iya hana haɓakawa a nan gaba, yana da muhimmanci a ci gaba da waɗannan manufofi idan dai don daidaita al'amuran kuɗin jiki da kuma kaucewa maƙarƙashiya.
Mafi kyawun tushen fiber na abincin da ya hada da:
- Gwa da wake
- Brown shinkafa, sha'ir, da quinoa
- 'Ya'yan itãcen marmari da kayan marmari
- Kwayoyi da tsaba
- Gurasar hatsi, hatsi, da taliya
Duk da yake kwayoyi, masara da popcorn an dauke su a kan iyakokin mutane tare da diverticulitis, bincike daga Jami'ar Washington School of Medicine ya ƙaddamar cewa ba su yarda kawai ba amma zai taimaka wajen inganta lafiyar mallaka na dogon lokaci.
Sharuɗɗa
Ana amfani da maganin rigakafin rigakafi a kowane wuri na cutar, kuma wannan yana iya zama kuskure. A cewar wani binciken Cochrane a shekara ta 2012, yin amfani da maganin rigakafi don magance diverticulitis ba tare da wani abu ba don inganta sakamakon, tsanani, tsawon lokaci, ko kuma wani harin kai tsaye idan aka kwatanta da karbar maganin rigakafi.
Kwayoyin maganin rigakafi sun dace, duk da haka, a cikin mutanen da ke da ciwo mai tsanani ko mawuyacin hali (ciki har da zafin zazzaɓi da ƙananan zafi) da wadanda ke da rikitarwa kamar ƙuƙwalwar hanji ko kuma zubar da jini.
Domin murnar diverticulitis mai sauƙi, likita zai saba da maganin kwayoyin da za su iya magance bambancin iri iri iri. Idan bayyanar cututtuka masu tsanani ne, za a iya amfani da jarrabawar jini da harsashi don gano magungunan kwayar cutar da za a iya amfani da maganin rigakafi.
Dangane da nau'in da ƙananan bayyanar cututtuka da kuke da shi, ana iya maganin maganin rigakafi ko dai ta bakin baki (ta bakin) ko cikin intravenously (a cikin ɓangaren). Daga cikin zaɓuɓɓuka:
- Don ci gaba ko haɓaka bayyanar cututtuka: Zaɓuɓɓukan maganganun sun hada da Augmentin XR (maixicillin / clavulanate), ciprofloxacin, moxifloxacin, da trimethoprim / sulfamethoxazole (TMP-SMX).
- Don lokuta masu saurin matsakaici wanda ake buƙatar asibiti: Yanayin inganci sun hada da ertapenem, moxifloxacin, Timentin (ticarcillin / clavulanate), da Zosyn (piperacillin / tazobactam).
- Ga mai daɗaɗɗen karkatacciya: Ƙananan zaɓuɓɓuka sun hada da ampicillin, doripenem, meropenem, da Primaxin (imipenem / cilastatin).
Hanyoyi masu lahani sun hada da ciwon kai, rashin hankali, ciwon ciki, zawo, tashin zuciya, vomiting, da rash.
Idan maganin maganin rigakafin maganganu ne, yana da muhimmanci a dauki dukkan tafarkin koda kuwa alamar alamarta ta inganta. Tsayawa gajere na iya ƙyale kwayoyin su canzawa da kuma inganta juriya, yayinda yake da wuya a magance magungunan ku idan sun dawo.
Magungunan rigakafi ba a bada shawara don m diverticulitis.
Tiyata
Daga tsakanin kashi 15 zuwa kashi 30 cikin dari na asibitocin mutane don diverticulitis zai buƙaci tiyata don gyara lalata ga hanji. Nunawa don tiyata sun hada da:
- Abscess (wani aljihu mai laushi na tura a cikin rufi na hanji)
- Fistula (haɗuwa marar haɗi tsakanin intestines kuma ko dai mafitsara, ƙananan hanji, ko farji)
- Hanya na intestinal tare da peritonitis (wani mummunar rai mai hadarin gaske na ɓangaren ciki)
Tarancin diverticulitis yana ƙunshe da ƙungiyoyi na ƙuƙwalwa (cire wani ɓangare daga cikin jinjinka) da aka yi a karkashin wariyar launin fata .
Dangane da tsananin da wuya, ana iya yin tiyata ne kawai (wanda ake kira "tiyata") ko kuma yana buƙatar fara aikin tiyata , wanda aka yi a cikin ciki. Daga cikin biyu, labaroscopic tiyata yana haɗuwa da gajeren asibiti da kuma ƙananan matsalolin bayan kwakwalwa.
Zaɓuɓɓuka na zaɓuka sun haɗa da:
- Hulɗar kwanciyar ƙuƙwalwa tare da fashewa , wanda aka cire ɓangaren ƙwayar cuta daga cikin ƙuƙwalwa kuma an rufe ɗakun gefen tare
- Ƙungiyar kwanciya da colostomy , wanda aka kawo karshen karshen din din daga dubun zuwa wani rami na wucin gadi a cikin ciki
Za a iya shirya zangon gwaji a kasa da makonni takwas bayan an kai hari. Jirgin gaggawa na gaggawa sakamakon sakamakon rushewa na intestinal yana dauke da kashi 12 cikin dari da kashi 25 cikin hadarin mutuwa, kamar yadda binciken Yale University of Medicine ya yi.
Magunguna Na Ƙarin (CAM)
Ɗaya daga cikin masu bada gudummawa ga al'ada don samar da jituwa shine maƙarƙashiya. Idan kana da maƙarƙashiya na yau da kullum, damuwa na ci gaba a cikin hanji zai iya haifar da raunuka masu rauni don "fitowa" ba zato ba tsammani. Wadannan su ne yankunan da mafi muni ga kamuwa da cuta da kumburi.
Don hana ko yin jiji da maƙarƙashiya, wasu likitoci zasu bayar da shawarar likita psyllium husk , wani nau'i na fiber wanda aka samo shi daga nau'in shuka na Plantago ovato . Sakamakon kwayar halitta na psyllium yana bunkasa samar da mucilage, abin da ya fi sauƙi wanda ke jagorancin ciwon daji kuma yana ƙaruwa da ƙananan hanyoyi.
Psyllium husk yana samuwa a foda, capsule, da kuma wafer. Duk da yake an dauki kari yayin da aka yi amfani dasu kamar yadda aka umarce shi, zai iya haifar da gas da ciki. Yi magana da likitanku kafin amfani da psyllium ko wasu magunguna don magance diverticulitis.
> Sources:
> McGillicuddy, E; Schuster, K .; Davis, K. et al. "Hanyoyin da ke bayarwa game da cututtuka da kuma mace-mace a cikin hanzari na hanzari na marasa lafiya." Arch Surg. 2009; 144 (12): 1157-62. DOI: 10.1001 / archsurg.2009.203.
> Cibiyar Cibiyar Ciwon Ciwon sukari da Kwayoyin Kwayoyi da Kwayoyin Kwayoyi. "Cin abinci, Abinci, da Abincin Abinci na Kwayoyin Abinci: Menene zan ci idan ina da diverticulosis ko diverticulitis?" Bethesda, Maryland; sabunta Mayu 2016.
> Shabanzadeh, M. da Wille-Jørgensen. P. "Magungunan maganin rigakafi don shiryawa." Cochrane Database Syst Rev. 2012; (11): CD009092. DOI: 10.1002 / 14651858.CD009092.pub2.
> Tsarin, L; Liu, Y. Syngal, S. et al. "Nut, masara, da kuma amfani da popcorn da kuma abin da ke faruwa a cikin cututtuka." JAMA. 2008; 300 (8): 907-14. DOI: 10.1001 / jama.300.8.907.
> Wilkins, T .; Embry, K .; da kuma George, R. "Ciwon Bincike da Gudanarwa na Mutuwar Diverticulitis" . 2013; 87 (9): 612-620.