I-Diverticulosis ifunyaniswa xa iipowutshi, ezikwabizwa ngokuba ziingxowa, zenza kwiindawo ezibuthathaka ecaleni kwekholoni. Abantu abaninzi abane-diverticulosis abafumani naziphi na iimpawu, kodwa ukuba iipogi zosuleleka kwaye zidumbile, imeko ibizwa ngokuba yi-diverticulitis. Unyango lwe-diverticulitis luyahluka ngokuxhomekeke kubunzima bemeko. Ngokuqhelekileyo, nangona kunjalo, imeko ifuna utshintsho lokutya ukunceda ukuphilisa ikholoni kunye nokuthintela iimpawu eziphindaphindiweyo ngexesha lenkqubo yokuphilisa.
Iipokotho ezincinci ezenza ngaphandle kwekholoni zibizwa ngokuba yi-diverticula, kwaye xa zikhona, umntu une-diverticulosis. I-Diverticulosis ayiyongxaki ngaphandle kokuba ezo zingxobo zosuleleka, ezibangela iintlungu zesisu, ngokuqhelekileyo kwicala lasekhohlo lomzimba. Oku kwenzeka xa imilinganiselo encinci yelindle ivaleleka kwiingxowa. Umkhuhlane, isicaphucaphu, ukuqaqanjelwa, ukugabha, ukuqunjelwa, kunye nokugodola kunokubakho okanye kungabikho nge-diverticulitis.
diverticulosis vs diverticulitis
I-Diverticulosis kunye ne-diverticulitis zimbini amagama ahlala esetyenziswa ngokungafaniyo, kodwa nangona zombini iimeko ziwela phantsi kwe-ambulera ye-diverticular disease, zihluke kakhulu.
La ukuphambuka ichaza imeko apho uneepoutshi ezincinci (ezibizwa ngokuba yi-diverticula) kucweyo lwendlela yakho yokwetyisa, idla ngokuba lithumbu elikhulu okanye ikholoni. I isifo sengqondo yingxaki enkulu ngakumbi eyenzekayo xa ezi bhegi zidumba okanye zisulelekile.
Ukuqonda ngokupheleleyo umahluko, kuyanceda ukubuyela umva kancinci kwaye uchaze ukuba iipowutshi ezinxulumene nesifo se-diverticular zikhula njani. Xa uzalwa, amathumbu akho agudile kwaye akanamaqhuqhuva okanye iipowutshi. Nangona kunjalo, njengoko uneminyaka yobudala, ukunyuka koxinzelelo lwangaphakathi kwindonga yamathumbu kunokutyhala kwi-lining of digestive tract, kudala i-bulge okanye i-bulges.
Ngokwe-American Society for Gastrointestinal Endoscopy, malunga nesiqingatha sabemi base-US bane-diverticulosis ngelixa befikelela kwiminyaka engama-60. Emva kweminyaka engama-80, phantse wonke umntu uneengxowa ezimbalwa. Nangona abaninzi abantu abane-diverticula bengayiqondi ngenxa yokuba bengenazo iimpawu, malunga neepesenti ezingama-20 zabantu abane-diverticulosis bafumana ingxaki, njenge-diverticulitis.
iimpawu ze-diverticulitis
Ukuba iipowutshi ziyadumba okanye zosuleleke kwaye i-diverticulitis iyakhula, unokufumana ezinye iimpawu ezingathandekiyo zokwetyisa. Uphawu oluqhelekileyo lubuhlungu besisu, ngokuqhelekileyo lubonakaliswa yintlungu okanye ububele kwicala lasekhohlo. Ezinye iimpawu ezinokubakho ziquka:
- Ukuqunjelwa
- Ukudumba
- Ukucaphuka
- Ukuqhaqha
- Kuyabanda
Ukuba ufumana ezi mpawu kwaye ukrokrela ukuba unale meko, bonana nogqirha wakho ukuze uqinisekise okanye akhuphe ukuxilongwa. Ukuba i-diverticulitis iqinisekisiwe, ugqirha wakho unokuncoma ukutya okukhethekileyo (kunye nolunye unyango, ukuba kuyimfuneko) ngexesha lokuvutha.
Kukuphi ukutya okufuneka kuphetshwe?
Ukuba unesifo se-diverticular, ukutya kunokuba sisixhobo esibaluleke kakhulu ekulawuleni ama-flare-ups kunye neempawu ezihamba nazo. Kwinqanaba lokuqala lokuqhambuka, kuya kufuneka ukuba ugweme ngokupheleleyo yonke imifuno kunye nakho konke ukutya okuqinileyo.
Ugqirha wakho uya kukunika ukutya kwexesha elifutshane lolwelo ukususa uxinzelelo kwinkqubo yakho yokugaya kwaye uvumele ukuvuvukala kuthobe. Xa ulandela ukutya okunolwelo, kufuneka ukuphephe konke ukutya okuqinileyo, kodwa unokuba:
- UCaldo
- Sula iijusi, ezifana ne-apile, i-cranberry, kunye nomdiliya (ngaphandle kwepulp)
- Ijeli
- Iilebhu zomkhenkce
Nangona kukho ukutya okuninzi okufuneka ugweme ngenxa ye-diverticulitis, xa uqala ukuziva ngcono, ugqirha wakho uya kukwazisa xa unokuqhubela phambili ekutyeni ukutya okuqinileyo, okuphantsi kwefayibha.
Xa ufumana ukukhanya okuluhlaza, kufuneka uphephe ukutya imifuno eluhlaza, kodwa unokubandakanya ngokukhuselekileyo imifuno ephekwe kakuhle kunye nenkonkxiweyo ekutyeni kwakho, kunye nokunye ukutya okune-fiber ephantsi, okufana namaqanda, itshizi, iyogathi, iziqhamo eziphekiweyo, inkukhu, kunye nenyama egayiweyo.
Nje ukuba iimpawu ziphucuke, ngokuqhelekileyo emva kweentsuku ezimbini ukuya kwezine, unokongeza ngokukhawuleza i-fiber kwisidlo sakho, ukunciphisa ukutya kwakho ukuya kwi-5-15 grams ngosuku. Nje ukuba iimpawu zisonjululwe ngokupheleleyo, ungatshintshela kwi-fiber yokutya, uqiniseke ukuba ubandakanya iintlobo ezahlukeneyo zemifuno.
Amandongomane nembewu
Ngexesha elithile, iintlobo ezininzi zokutya zazibhekwa njengengozi kubantu abane-diverticulitis. Oku kutya kuquka ipopcorn, amandongomane, kunye nembewu. Kwanembewu yeziqhamo nemifuno yayigqalwa njengeyingozi. Kule mihla, kugxininiswa kancinci kwiingxaki zokutya oku kutya. Nangona kunjalo, ukutya okuthile kunokukwenza ulungele ukuphuhlisa i-diverticulitis kwaye kunokunyusa amathuba okuba neengxaki ezinxulumene nesifo.
Amafutha ezilwanyana
Ngokukodwa, ukutya okuncinci kwifayibha, iprotheni ephezulu yezilwanyana, kunye namafutha amaninzi ezilwanyana kunokunyusa amathuba okuba ne-diverticulitis. Ukuba sele unayo kwaye ubusitya ubisi olunamafutha amaninzi okanye ukutya okuneprotheyini eninzi, kusenokufuneka uhlengahlengise indlela otya ngayo.
Ungathatha indawo yeprotheyini yezilwanyana ngenye imithombo yeprotheyini, efana nemifuno kunye ne-tofu. Ungatshintsha kwakhona ubisi lwakho olunamafutha aphezulu okanye ezinye iimveliso zobisi kwezinye iindlela zobisi ezinamafutha aphantsi okanye ezinye iindlela zobisi ezisekelwe kwizityalo.
Akunyanzelekanga ukuba uyiphelise ngokupheleleyo inyama kunye nobisi ekudleni kwakho, kodwa ukunciphisa ezi zinto kuya kuphucula impilo yenkqubo yakho yokugaya. Abatya imifuno kunye ne-vegans abanamathuba amancinci okuba baphuhlise i-diverticulitis ngenxa yokusebenzisa kwabo iziqhamo eziphezulu kunye nemifuno.
Ukutya okutyebileyo kweFODMAP
Ukulandela ukutya okuphantsi kwe-FODMAP kunenzuzo kwabanye abantu abane-diverticulitis. I-FODMAP ziintlobo ze-carbohydrates, ii-initials zazo ezimele i-oligosaccharides evuthayo, i-disaccharides, i-monosaccharides, kunye ne-polyols. Abanye abaphandi bacetyisa ukuba ukutya okuphantsi kwe-FODMAP kunokuthintela uxinzelelo oluphezulu kwikholoni, ethi, ngokweengcamango, inokunceda abantu baphephe okanye balungise i-diverticulitis.
Kolu kutya, abantu bayakuphepha ukutya okuphezulu kwiFODMAPS. Oku kuquka ukutya okunje:
- Iziqhamo ezithile, ezifana nama-apile, amapere, kunye neeplam
- Iimveliso zobisi, ezinjengobisi, iyogathi, ne-ayisikrimu
- Ukutya okuvundisiweyo, okufana nesauerkraut okanye ikimchi
- Ubhontshisi
- Verduras
- Ukutya okuPhezulu kwiTrans Fats
- zesoya
- Ikhaphetshu
- ibrussels sprouts
- Itswele negalikhi
Utywala
Qhagamshelana nogqirha wakho ngengcebiso ezichanekileyo malunga nokusela utywala emva kokuba iimpawu zisonjululwe. Ukuba unokububuyisela utywala ekutyeni kwakho, sela ngokumodareyitha ukunqanda ezinye iingxaki. Usetyenziso oluphakathi lulingana neziselo ezisemgangathweni ezibini ngosuku.
Kwakhona, unokufuna ukuthatha mayeza izithomalalisi zeentlungu kunye ne-antibiotics njengenxalenye yonyango lwakho lwe-diverticulitis. Ukusela utywala ngelixa uthatha ezi ntlobo zamayeza kunokubangela ukusebenzisana. Isiyezi, isisu esibuhlungu, ukozela, ukugabha, kunye norhudo zezinye zeempawu onokuzifumana xa uxuba utywala namayeza.
ukutya kwe-diverticulosis
Nangona isixa sefiber esicetyiswa ngugqirha wakho sinokwahluka kwisincomo esiqhelekileyo, iingcali ngokubanzi zicebisa ukuba ufumane phakathi kwe-20 kunye ne-35 grams yefiber yonke imihla ukuze ugcine izibilini zakho rhoqo kwaye unciphise umngcipheko wokuhlaselwa kwe-diverticulitis.
Ungayandisa ifayibha yakho ngokutya kakhulu imifuno ephezulu yefayibhaezifana nee-ertyisi eziluhlaza, i-broccoli, i-kale, iitapile ezibhakiweyo (ezimhlophe kunye ne-sweet), i-Brussels sprouts, kunye ne-cauliflower. Ukuba ufumanisa ukuba awunyamezeli kakuhle imifuno eluhlaza, unokwenza kube lula kwindlela yakho yokugaya ngokuyipheka kuqala.
Unyango lwe-Diverticulitis lunokubandakanya amayeza afana ne-anti-inflammatories kunye ne-antibiotics, kodwa phantse isoloko ifuna ukutya ukutya okucebileyo kwifiber kunye neebhaktheriya ezinenzuzo. Nangona unokufumana iibhaktheriya eziluncedo kwiiprobiotics, kuyenzeka ukuba uzifumane kwiimveliso zokutya ezivundisiweyo.
Ukutya iziqhamo ezityebileyo kwifiber kunye nemifuno kuya kuphucula impilo yendlela yakho yesisu. Okunye ukutya okunefayibha ephezulu kubandakanya iinkozo ezipheleleyo kunye neesiriyeli. I ukutya okuvundisiweyo zikwafikeleleka ngokulula kwaye ziquka izinto ezifana nekimchi, i-natto, kunye ne-miso. Nangona kunjalo, ayikuko konke ukutya okubilisiweyo okuqulethe iiprobiotics ezaneleyo, ngoko unokufuna ukongeza ukutya ngokufanelekileyo.
Ukongeza kokutya imifuno, unokuqinisekisa ukuba ufumana i-fiber eyaneleyo yonke imihla ngokubandakanya iintlobo zokutya ezine-fiber ephezulu ekutyeni kwakho, okufana:
- Ubhontshisi
- Iileyile
- iimbwe zechai
- IQuinoa
- Irayisi emdaka
- Isiqhamo (kunye nesikhumba, ukuba unokunyamezela)
Yandisa kancinane ukutya kwakho kwefayibha
Ukuba awuqhelanga ukufumana ifayibha eninzi, okanye uphuma kwi-diverticulitis yamva nje, kungcono ukonyusa i-fiber intake kancinci kancinci, kunokuba konke ngaxeshanye. Ukutya i-fiber eninzi ngokukhawuleza kunokubangela iimpawu ezingathandekiyo, ezifana negesi kunye nokudumba. Endaweni yoko, yongeza ukutya kwakho kancinci kwithuba leeveki ezimbini ukunika umzimba wakho ixesha lokuhlengahlengisa ukutya okutsha.
Qiniseka sela amanzi aneleyo nawe. Amanzi anceda umzimba wakho ukuba usebenzise ifayibha ukugcina isitulo sakho sithambile kwaye sisininzi. Nangona esi sicwangciso sokutya ngokubanzi sisebenza kakuhle kubantu abaninzi, sonke sahlukile. Ukuba uqaphela ukuba imifuno okanye ukutya okutyebileyo kwefayibha kuyakukhathaza okanye kwenza ukuba iimpawu zakho zibe mandundu, zinqumle kwisidlo sakho kwaye ujonge iintlobo ezahlukeneyo zokutya okanye izongezo, ezinje nge. gciniwe ukunceda ukuhlangabezana neemfuno zakho zefiber.
Ukunyuka koxinzelelo (kunye nokunyanzeliswa ukuya kwindlu yokuhlambela ehambelana nokuqunjelwa) kunokukhokelela kwi-diverticulosis. Nangona kunjalo, xa udla i-fiber, idonsa amanzi kwi-stool, iyayithambisa kwaye yenza kube lula ukudlula ukuze inokunciphisa uxinzelelo kudonga lwamathumbu, kwangaxeshanye ukunciphisa umngcipheko we-diverticulitis. Yiyo loo nto ukulandela ukutya okunefayibha ephezulu emva kokuba iimpawu zakho ze-diverticulitis zisonjululwe kunokunceda ukuthintela uhlaselo lwexesha elizayo.
ukutya okumanzi kwi-diverticulitis
Ukuba ugqirha wakho ufumanisa ukuba une-diverticulitis, uya kuncoma ukutya okumanzi ngelixa ikholoni yakho iphilisa. Oku kuthetha ukuba ukutya okuqinileyo kuya kupheliswa de kube ngcono iimpawu, okuhlala kuthatha iintsuku ezimbini ukuya kwezine.
Nje ukuba ugqirha wakho akucoce ukuba uqale ukutya ukutya okuqinileyo kwakhona, fumana ukutya okuphantsi kwefayibha ukukhuthaza ngakumbi ukuphilisa. Ukutya okunefayibha ephantsi kunokunceda ukukhusela ukuqunjelwa kunye negesi njengoko umzimba wakho uphilisa. Imizekelo yokutya okunefayibha ephantsi iquka iziqhamo eziphekiweyo okanye ezinkonkxiweyo kunye nemifuno ngaphandle kwembewu kunye nesikhumba, njenge-appleauce, ubisi, itshizi, iyogathi, amaqanda, inyama, irayisi emhlophe, kunye nokutya okwenziwe ngomgubo omhlophe, okufana nesonka kunye ne-crackers.
Nje ukuba uzive ungcono, yongeza i-fiber intake yakho ukuthintela ukuphindaphinda. Thetha nogqirha wakho malunga nenani elichanekileyo lefiber yokongeza, kodwa cwangcisa phakathi kwe-5 kunye ne-15 grams ngosuku. iziqhamo ezintsha kunye nemifuno; ukutya okuziinkozo, njengeoti, iimbotyi nerayisi emdaka; kunye nokutya okwenziwa ngomgubo wengqolowa opheleleyo yeminye imizekelo yokutya okuqulethe esi sondlo.
Khumbula ukuba inyathelo eliya kolu hlobo lokutya kufuneka lihambe kancinci kwaye lihlolwe ngokweenkcukacha. Naluphi na uhlobo lweempawu okanye ukungonwabi kufuneka kuxelwe ngokukhawuleza kugqirha oyingcali.
Iingenelo zolu kutya
Nangona umzimba womntu wonke wahlukile kwaye uphando olungakumbi luyafuneka ukuze kuqondwe ubudlelwane phakathi kokutya kunye nesifo se-diverticular, ababoneleli bezempilo bahlala bencoma utshintsho lokutya ukunceda ukulawula i-diverticulitis, kuquka nokunciphisa ithuba lokuba iya kukhula.Umntu uphuhlisa i-diverticula kwindawo yokuqala.
Inxalenye enkulu, oku kungenxa yokuba utshintsho lwendlela yokuphila (kubandakanywa nento esiyidlayo) phakathi kwezinto kuphela esinokuzilawula xa kuziwa kwisifo se-diverticular. Izibonelelo zokutya kwe-diverticulitis zijolise ekunciphiseni (okanye ubuncinci ukunganyuki) ukuvuvukala nokugcina ukunyakaza okunempilo kwamathumbu.
Ukulandela oku kutya akuqinisekisi ukuba uya kukuphepha ngokupheleleyo ukuhlaselwa, ngakumbi ukuba ukhetha ezinye iindlela zokuphila ezikhuthaza ukuvuvukala. Nangona kunjalo, amandla okunceda ukuphucula iimpawu kuthetha ukuba lutshintsho olufanele ukwenziwa.
Ukuphucula impilo yamathumbu
Ababoneleli ngezempilo abaqinisekanga ncam ukuba kutheni abantu bephuhlisa iipowutshi ezindongeni zamathumbu abo. Enye ithiyori edumileyo kukuba ukutya okunefayibha ephantsi kwenza kube nzima ukudlula isitulo, kubeka uxinzelelo olukhulu emathunjini. I-Diverticula inokwakheka ukuba iindonga zamathumbu ziba buthathaka.
Iingcali zenzululwazi ziye zabonisa ukuba abantu abangayityiyo ifayibha eninzi (njengabo bakwisidlo saseNtshona) kunokwenzeka ukuba basifumane esi sifo kunabantu abatya ukutya okunefayibha eninzi. Ifayibha inceda ukuthintela ukuqhina, enye yezinto ezinobungozi kwisifo se-diverticular.
Nciphisa ukudumba
Injongo ephambili yokutya kwe-diverticulitis kukuthintela ukuvuvukala kwindlela yesisu kunye nokunyanga iimpawu zokuvuvukala ukuba ziyenzeka.
Ukuphelisa okanye ukunciphisa ukutya okuthile kunokuphelisa ezinye zeempawu, kodwa oogqirha abacingi ukuba kuya kuyithintela imeko ukuba ibe mandundu. Nangona kunjalo, inokuba yinto efanelekileyo ukulandela olu hlobo lokutya ukunciphisa ukungonwabi ngokubanzi.
Ngaba ungadla iswekile ngekholoni eyonakele?
Nangona usenokuba uvile ukuba iswekile ayilunganga kwi-diverticulitis, akukho bungqina buthe ngqo obudibanisa iswekile kule meko. Enyanisweni, ukutya okumanzi okucacileyo okuhlala kukhuthazwa ngosuku lokuqala okanye ezimbini zonyango kubandakanya ukutya okuninzi okuqulethe iswekile, njenge-gelatin, ijusi yeziqhamo, kunye neziselo zezemidlalo. Kodwa emva kwayo yonke loo nto, kunokubakho unxibelelwano phakathi kwe-diverticulitis kunye nokunganyamezeli kweswekile, kubantu abanesifo se-bowel syndrome.
I-Diverticulitis kunye ne-IBS zabelana ngeempawu eziqhelekileyo, ngakumbi ukunyanzeliswa, ukuqhina, kunye nesifo sohudo, kwaye abantu abane-IBS banakho ukuhlakulela isifo se-diverticular. Ukongezelela, uphando oluthile lufumene ukuba ukuba ne-diverticulitis kuphindwe kabini umngcipheko wokuphuhlisa i-IBS.
Ngoko ke, kunokwenzeka ukuba amanani amaninzi eeshukela ezithile, ezifana ne-lactose ebisi okanye i-fructose efunyenwe kwisiqhamo, inokunganyamezelwa kakuhle kubantu abane-IBS kunye ne-diverticulitis.
Abanye abantu abane-IBS banomdla kwi-alcohol alcohols, eyenzeka ngokwemvelo kwezinye iziqhamo kunye nemifuno kwaye isetyenziswa njenge-sweetener kukutya okuninzi okungenaswekile. Ukuba une-IBS okanye i-diverticulitis kunye nokutya okuthile kubonakala kwandisa iimpawu zakho, xelela ugqirha wakho. Ungaphinda ucele ukuthunyelwa kwi-dietitian egxile kwisondlo sesisu.
Ngaba iti ingaphucula i-diverticulitis?
Unyango olucetyiswayo lwe-diverticulitis ludla ngokuba zii-antibiotics, kodwa ukusela iti ezithile kunokunceda ukuthomalalisa ezinye iimpawu okanye kuthintele ukudumba ekuphuhliseni. Qhagamshelana nogqirha oqeqeshiweyo ngaphambi kokuba uthathe naluphi na uhlobo lweti yesifo se-diverticular, ngakumbi ukuba uthatha amanye amayeza.
iti echasayo
Ukudumba okunxulunyaniswa nesi sifo ngokuqhelekileyo kwenzeka kwingxowa echaphazelekayo, kodwa kunokusasazeka kwezinye iindawo zamathumbu amakhulu. Iiti ezineempembelelo ezichasayo, ezifana Elm, i imarshmallow, uzipho lwekati kunye chamomile, banokunceda. I-elm emtyibilizi kunye ne-marshmallow tea coat kwaye ithambisa amathumbu amakhulu, ithomalalisa ukudumba kwaye ikhuthaza ukuphiliswa, ngelixa uzipho lwekati kunye ne-chamomile zinciphisa ukudumba. Gwema i-chamomile ukuba awuhambisani ne-ragweed okanye izityalo ezifanayo, okanye ukuba ukhulelwe, thatha iipilisi zokulawula ukuzala, okanye unembali yomhlaza onxulumene neengxaki zehomoni.
iti ye-antibacterial
Iiti ezinokubulala iibhaktheriya zinokunceda ukukhusela i-diverticulosis ekuguqukeni kwi-diverticulitis. Zombini iti Goldenseal njengeti evela pau d'arco banempahla yokulwa ne-antibacterial, nangona inzululwazi ayizange ibonise ngokucacileyo ukuba iyasebenza ekubulaleni ibhaktheriya ebantwini. I-Goldenseal ihlala idibaniswa ne-echinacea ngeenjongo zokulwa ne-antibacterial. Abasetyhini abakhulelweyo okanye abancancisayo akufuneki batye nabo. Musa ukusebenzisa iti eneempawu zokulwa ne-antibacterial endaweni ye-antibiotics echazwe ngugqirha wakho.