Za Dr. Galeba - upala/infekcija debelog creva
dabiko
05. август 2010. у 16.54
Interesuje me kako se 'leci' infekcija debelog creva
i koje su mere koje se moraju preduzeti da do nje ponovo ne dodje?
(ishrana itd.)
Hvala unapred
Galeb
06. август 2010. у 10.25
Vase pitanje:
Upala/infekcija debelog creva
Interesuje me kako se 'leci' infekcija debelog creva
i koje su mere koje se moraju preduzeti da do nje ponovo ne dodje?
(ishrana itd.)
ODGOVOR:
Upalni procesi debelog creva, bez obzira na etiologiju, se medicinski zovu Colitis. Kako je pojam infekcije debelog creva sirok, to se colitisi razvrstavaju na:
a - bakteriska upala (tada treba znati koja je bakterija u pitanju),
- bakterijom trigerovana upala
b - alergiska upala,
c - autoimuna upala
d - ishemiska upala
e - pseudomenbranozni itd
Da se može dati odgovor na vase pitanje trebate navesti o kojem problemu je riječ u vasem slučaju, a ako je u pitanju bakterija, virus, gljivica itd da navedete koji je uzrocnik a za ostale navedete obolenje i metode kojima je dijagnoza postavljene. Odgovarati na sva ova pitanja bi trebalo napisati jednu knjigu a to nemaqm vremena niti se tako može odgovarati. Odgovor može biti samo ono sto vas interesuje a da se to kaže pitanje treba biti ciljano. Svaki problem ima svoje metode dijagnostike, metode lijecenja ciljane kao i preventivne mjere koje se trebaju provoditi da se bolest ne ponovi.
Sve najbolje Galeb
dabiko
06. август 2010. у 11.55
Kako su doktori rekli po njihovom izgleda da je infekcija nastala zbog 'loše' ishrane, nedostatak fiber-a.
E sad dalji pregledi su u toku (radi se o mom bratu) tako da nemam bas dovoljno informacija da vam napisem sto me strasno nervira, al cekam i čim ih budem dobila napisacu.
Hvala Vam puno na brzom odgovoru.
dabiko
08. август 2010. у 19.17
(nalazim se u Canadi)
Doktori su mu rekli da je do infekcije doslo neredovnim odlaskom u wc, sto je u njegovom slučaju netačno jel ima redovne stolice i po nekoliko puta na dan! Zbog toga nastoji da ide kod specijaliste i po mogućnosti da uradi CT skan stomaka ako je neophodno.
Diverticulitis ako sam dobro napisala mu je receno da ima.
Šta vi predlazete šta je neophodno da se uradi da se 'zaleci' (jel koliko sam razumela ko to ima jednom uvek će ga imati samo je pitanje dobrog 'održavanja' koje se postize ishranom) da ne bi doslo do pogorsanja stanja?
Koji god drugi predlog i savet imate u vezi ovoga dobro će mi doći.
Hvala Vam Dr.Galebe.
Galeb
10. август 2010. у 09.59
Diverticuli su proširenja u crevima a najcesce su u debelom crevu.Javljaju se sa starenjem (posle 40 god), smanjenom aktivnosti u toku dana, kod debelih osoba, kod ishrane koje u sebi nemaju dovoljno fibra-vlakana. Za pojavu samog diverticula obično se misli da pdvo dodje do ostecenja slznice pri cemu slabi stijenka creva i na tom mjestu se crevo siri. Covjek to može imati a da nema nikakvih problema. Pogorsanje stanja nastaje sa unosom orasa, ljesnika, kukuruza i kokica, sjemenja, puno slatke hrane a malo fibra. Problemi se jave tek kada dodje do komplikacija kao sto je infekcija, veci zatvori, metaplastiki procesi itd.
Kada osoba ima divertucul, a to se postavlja pri pravljenju colonoscopie, tada se obično vrsi detaljan pregled da se otkrije postojanje izmjena u sluznici debelog creva ili nekog drugog dijela creva.
Kako se lijeci?
Da o tome ne pišem puno, a kako živite u Canadi, ja vam dajem tekst o tome kako to tretiraju u Mayo Clinic:
Treatments and drugs
By Mayo Clinic staff
In general, treatment depends on the severity of your signs and symptoms and whether this is your first attack of diverticulitis. If your symptoms are mild, a liquid or low-fiber diet and antibiotics may be all you need. But if you're at risk of complications or have recurrent attacks of diverticulitis, you may need more advanced care.
Home care
If your condition calls for home treatment, expect to rest and consume a liquid diet for a few days so that your infection can heal. Once your symptoms improve — usually within three days — you can gradually start increasing the amount of high-fiber foods, such as whole grains, fruits and vegetables, in your diet.
In addition, your doctor will likely prescribe antibiotics to help kill the bacteria causing your infection. Even if you start feeling better, be sure to finish your entire course of medication. Stopping too soon could cause your infection to come back or could contribute to creating strains of bacteria that are resistant to antibiotics.
If you have moderate or severe pain, your doctor may recommend an over-the-counter pain reliever, such as acetaminophen (Tylenol, others). Your doctor may also prescribe a more potent pain medication, although these medications tend to be constipating and may aggravate the problem.
Hospitalization
If you have a more severe attack that includes or puts you at risk of bowel obstruction or peritonitis, you may require hospitalization and intravenous antibiotics.
Surgery
If you have a perforation, abscess, fistula or recurring diverticulitis, your doctor may recommend surgery to remove the diseased part of your colon. There are two types of surgery:
* Primary bowel resection. In this procedure, your surgeon removes the diseased part of your intestine and then reconnects the healthy segments of your colon (anastomosis). This allows you to have normal bowel movements. Depending on the amount of inflammation, you may have open (traditional) surgery or laparoscopic surgery. In open surgery, your surgeon makes one long incision in your abdomen, while laparoscopic surgery is performed through three or four small incisions. Recovery is generally faster and quicker with laparoscopic surgery.
* Bowel resection with colostomy. This surgery may be necessary if you have so much inflammation in your colon that it's not possible to rejoin your colon and rectum. During a colostomy, your surgeon makes an opening (stoma) in your abdominal wall. The unaffected part of your colon is then connected to the stoma, and waste passes through the opening into a bag. A colostomy may be temporary or permanent. Several months later — once the inflammation has healed — your surgeon may be able to perform a second operation to reconnect your colon and rectum.
* Abscess drainage. Diverticulitis may be complicated by the formation of an abscess, which may need to be drained. This can be done by inserting a needle through the skin which is guided by ultrasound or CT. A catheter is then placed to drain the abscess. This catheter may need to remain in place while you're being treated with antibiotics. Once you have recovered, a bowel resection may be needed.
Ako vas interesuje nešto drugo pitajte. Voditi treba racuna o ishrani i neunosenju hrane koja to pogorsava. Unositi hranu sa dosta fibra. Svakodnevno vjezbe bar 30 min.
Sve najbolje Galeb.