ʻVertlelo hoʻohiwahiwa

Kū ka diverticulosis ke hana nā ʻeke liʻiliʻi, nā ʻūhū a i ʻole nā ​​ʻeke i ka paia o loko o ka ʻōpū. Kapa ʻia kēia mau ʻeke he diverticula. ʻO ka pinepine, hoʻokumu kēia mau ʻeke i loko o ka ʻōpū nui (kolona). Hiki iā lākou ke hana i ka jejunum i loko o ka ʻōpū liʻiliʻi, ʻoiai ʻoi aku ka liʻiliʻi o kēia.

ʻAʻole liʻiliʻi ka diverticulosis i nā makahiki 40 a ʻoi. ʻOi aku ka maʻamau i nā mākua makua. Ma kahi o ka hapalua o nā ʻAmelika ma mua o 60 mau makahiki i loaʻa i kēia ʻano. E loaʻa ka hapa nui o ka poʻe iā 80 makahiki.

ʻAʻohe mea i ʻike pono i ke kumu o ka hoʻokumu ʻia ʻana o kēia mau ʻeke.

No nā makahiki he nui, ua manaʻo ʻia he mea nui paha ka ʻai ʻana i ka papaʻai low-fiber. ʻAʻole ʻai ka lawa ʻana o ka fiber i kumu o ka paʻa paʻa (stools hard). Hoʻomaʻamaʻa i ka hele ʻana i nā pahu (feces) e hoʻonui ai i ke kaomi o ke kolona a i ʻole nā ​​ʻōpū. Hoʻokumu paha kēia i nā ʻeke i nā wahi nāwaliwali o ka paia kolona. Eia nō naʻe, ʻaʻole pono e hōʻoiaʻiʻo ʻia kahi papaʻai low-fiber i kēia pilikia.

ʻO nā kumu pilikia ʻē aʻe i hōʻoia ʻole ʻole ʻia ka hemahema o ka hoʻoikaika kino a me ka momona.

ʻAʻole ʻike ʻia ka ʻai ʻana i nā nati, popcorn, a i ʻole kulina i mea e alakaʻi ai i ka mumuna o kēia mau ʻeke (diverticulitis).

ʻO ka hapa nui o ka poʻe me ka diverticulosis ʻaʻohe hōʻailona.

Ke hiki mai nā ʻōuli, pili pū paha lākou:

• ʻO ka ʻeha a me ka cramp i kou ʻōpū
• Constipation (kekahi manawa pākī)
• Bloating a i ʻole kōkena
• ʻAʻole pololi a ʻai ʻole

Hiki paha iā ʻoe ke ʻike i nā liʻiliʻi o ke koko i loko o kāu stools a i ʻole ma ka pepa ʻauʻau. Kākaʻikahi, ʻoi aku ka nui o ke kahe ʻana o ke kahe.

ʻIke pinepine ʻia ʻo Diverticulosis i ka wā o kahi hoʻokolohua no kekahi pilikia olakino ʻē aʻe. ʻO kahi laʻana, ʻike pinepine ʻia i ka manawa o kahi kolone.

Inā loaʻa iā ʻoe nā ʻōuli, loaʻa iā ʻoe i hoʻokahi a ʻoi paha o nā hōʻike aʻe:

• ʻO nā hoʻokolohua koko e ʻike inā he maʻi kou a i ʻole ua lilo ka nui o ke koko
• CT scan a ultrasound paha o ka ʻōpū inā loaʻa iā ʻoe ke kahe o ke koko, nā noho maha, a me nā ʻeha

Pono kahi kolona e hana i ka hōʻailona:

• ʻO kahi colonoscopy kahi hōʻike e nānā i ka loko o ke kolona a me ka pololei. ʻAʻole pono e hana i kēia hōʻike ke loaʻa ʻoe i nā ʻōuli o ka diverticulitis huehue.
• Hiki i kahi kāmela liʻiliʻi i hoʻopili ʻia i kahi paipu ke hiki i ka lōʻihi o ke kolona.

Angiography:

• ʻO Angiography kahi hōʻike kiʻi e hoʻohana i nā kukuna x a me kahi kala kūikawā e ʻike ai i loko o nā kīʻaha koko.
• Hiki ke hoʻohana ʻia kēia hoʻokolohua inā ʻaʻole ʻike ʻia kahi o ke kahe ʻana i ka wā o ka kolone.

Ma muli o ka hapa nui o ka poʻe ʻaʻohe ʻōuli, ka hapa nui o ka manawa, ʻaʻohe pono e pono ai.

Hiki i kāu kauka olakino ke koi i ka loaʻa ʻana o ka pulapula hou aʻe i kāu papaʻai. ʻO ka papaʻai nui-fiber ka nui o nā pono olakino. ʻAʻole lawa ka nui o ka poʻe i ka fiber. I mea e pale aku ai i ka paʻa paʻa ʻana, pono ʻoe:

• ʻAi i nā hua nui, nā pi, nā huaʻai, a me nā mea kanu. Palena i nā meaʻai i hana ʻia.
• E inu nui i nā wai.
• E kiʻi i ka hoʻoikaika kino maʻamau.
• E kamaʻilio me kāu mea hoʻolako e pili ana i ka lawe ʻana i ka mea hoʻohui puluniu.

Pono ʻoe e hōʻalo i nā NSAID e like me aspirin, ibuprofen (Motrin), a me naproxen (Aleve). Hiki i kēia mau lāʻau ke hana i ke kahe ʻana o ke kahe.

No ke kahe koko e kū ʻole a hoʻi hou paha:

• Hiki ke hoʻohana ʻia ʻo Colonoscopy e hoʻopili i nā lāʻau a i ʻole puhi i kekahi wahi i ka ʻōpū e hoʻokū i ke kahe.
• Hiki ke hoʻohana ʻia ka Angiography e hoʻopili i nā lāʻau a i ʻole pale i kahi kīʻaha koko.

Inā kū ʻole ke kōkō a hoʻi pinepine paha i nā manawa he nui, pono e hemo kahi ʻāpana o ke kolona.

ʻO ka hapa nui o ka poʻe i loaʻa ka diverticulosis ʻaʻohe ʻōuli. Ke hoʻokumu ʻia kēia mau ʻeke, loaʻa iā ʻoe no ke ola.

Hiki i ka 25% o ka poʻe me ke ʻano e hoʻomohala i ka diverticulitis. Kū kēia i ka wā e paʻa ai nā ʻāpana o ka pahu i nā ʻeke, e hopena ai i ka maʻi a i ʻole ka pehu ʻana.

ʻO nā pilikia nui aʻe e hoʻomohala pū me:

• Nā pilina maʻamau e hana ma waena o nā ʻāpana o ke kolona a i ʻole ma waena o ke kolona a me kekahi ʻāpana o ke kino (fistula)
• Hole a haehae paha i ke kolona (perforation)
• Wahi ākea ma ke kolona (koʻikoʻi)
• Hoʻopiha ʻia nā ʻeke me ka pus a i ʻole ka maʻi (abscess)
  

Kāhea i kāu mea hāʻawi inā loaʻa nā ʻōuli o diverticulitis.

Diverticula - divertikulosis; Maʻi Diverticular - diverticulosis; ʻO G.I. kahe - diverticulosis; Gastrointestinal hemorrhage - diverticulosis; Kahe o Gastrointestinal - diverticulosis; ʻVertlelo hoʻohiwahiwa ʻo Jejunal

• Enema Barium
• ʻO diverticula kolone - moʻo

Bhuket TP, Stollman NH. Maʻi Diverticular o ke kolona. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 121.

ʻO Goldblum JR. ʻŌpū nui. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 17.

ʻO Fransman RB, Harmon JW. Ka mālama ʻana i ka divertikulosis o ka ʻōpū liʻiliʻi. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 143-145.

ʻO Winter D, ʻo Ryan E. maʻi Diverticular. I: Clark S, hoʻoponopono. ʻOki poʻomanaʻo Colorectal: kahi hoa hele i ka hana ʻoki ʻoki loea. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 10.