Chithandizo cha diverticulitis

Chithandizo cha diverticulitis

15% mpaka 25% ya anthu omwe ali ndi matendawa kusokoneza adzavutika, tsiku lina, kuchokera diverticulitis. Chithandizo cha diverticulitis chimasiyanasiyana malinga ndi kuopsa kwa zizindikirozo. Ambiri (pafupifupi 85%) a anthu omwe ali ndi diverticulitis amatha kuchiritsidwa popanda opaleshoni.

Diverticulitis popanda opaleshoni

Chakudya. Tsatirani zakudya zoyenera.

Chithandizo chamankhwala cha diverticulitis: mvetsetsani chilichonse mumphindi ziwiri

  • Tsatirani zakudya zokhazikika zamadzimadzi popanda kudya kwa maola 48. Zizindikiro ziyenera kusintha mkati mwa maola 48, apo ayi, kugonekedwa kuchipatala kumalangizidwa.

Kukachitika kuchipatala, kulowetsedwa kumakhazikitsidwa, komanso chithandizo chosinthidwa cha ma antibiotic. Kudyetsa kungayambitsidwenso pakamwa pamene ululu watha kwathunthu pansi pa chithandizo cha maantibayotiki. Poyamba, kwa masabata a 2 mpaka 4, zakudya ziyenera kukhala zopanda zotsalira, ndiko kuti, zopanda fiber.

Pambuyo pake, machiritso akapezeka, chakudyacho chiyenera kukhala ndi ulusi wokwanira kuti apewe kuyambiranso.

  • Landirani zakudya zopatsa thanzi (zakudya kudzera panjira ya venous, motero ndi kulowetsedwa);

Mankhwala. ubwino mankhwala kaŵirikaŵiri amafunikira kuwongolera matenda. Ndikofunikira kuwatenga monga momwe adalangizira kuti mabakiteriya asasinthe ndikuyamba kukana maantibayotiki.

Kuthetsa ululu. ubwino mankhwala opha ululu pa-kauntala monga acetaminophen kapena paracetamol (Tylenol®, Doliprane)® kapena zina) zitha kulimbikitsidwa. Mankhwala ochepetsa ululu nthawi zambiri amafunikira ngakhale angayambitse kudzimbidwa ndipo angapangitse vutolo kukulirakulira.

Diverticulitis imafuna opaleshoni

Opaleshoni imachitidwa ngati diverticulitis ndi yoopsa kuyambira pachiyambi kapena yovuta ndi abscess kapena perforation, kapena ngati maantibayotiki sagwira ntchito mwamsanga. Njira zingapo zingagwiritsidwe ntchito:

The Resection. Kuchotsa gawo lomwe lakhudzidwa la m'matumbo ndi njira yomwe imagwiritsidwa ntchito kwambiri pochiza diverticulitis. Zitha kuchitika mwa laparoscopically, pogwiritsa ntchito kamera ndi ting'onoting'ono zitatu kapena zinayi zomwe zimapewa kutsegula pamimba, kapena kupyolera mu opaleshoni yachikale.

Resection ndi colostomy.  Nthawi zina, opaleshoni ikachotsa matumbo omwe ndi malo a diverticulitis, mbali ziwiri zotsalira zamatumbo zathanzi sizingalumikizidwe pamodzi. Kumtunda kwa matumbo akuluakulu amabweretsedwa pakhungu kudzera pa khoma la m'mimba (stoma) ndipo thumba limamangiriridwa pakhungu kuti litenge chimbudzi. Stoma ikhoza kukhala yanthawi yochepa, pomwe kutupa kumachepa, kapena kosatha. Pamene kutupa kwatha, opareshoni yachiwiri imalumikizanso matumbo ndi rectum.

Siyani Mumakonda