Diverticulosis of the colon
Diverticulosis is to form protrusions of mucosa through slots in the muscle layer of the colon wall. Protrusion of the mucous membrane can reach the serous membrane, but more often they are together with serous protrude above wall of the intestine and form a diverticulum. Cracks appear in the muscular layer in areas, which pass through the gut wall vessels or fat tissue. Sometimes diverticula go into body suspension, located on the colon.
Diverticulosis refers to diseases, the frequency of which, as, however, nd many other diseases of the colon, In recent years, an increasing. Diverticulosis of the colon occurs in 2-3 persons on 100 000 the population.
When X-ray examination of the colon diverticulosis diagnosed in 6%, and at fibrocolonoscopy - at 6,2% examined with diseases of the gastrointestinal tract. Most commonly affects the left half of the colon.
Diverticulosis does not have characteristic symptoms. Small abdominal pain, most often in the lower left square, moderate swelling, constipation - all of this is due to a violation of the motor function of the colon, concomitant colitis. The examination of the large intestine in people with these complaints doctors find diverticula.
More pronounced signs are observed in the development of inflammation - diverticulitis. He can begin acutely or chronically leaking. In acute diverticulitis appear severe pain in the left iliac region. They are permanent, worse when walking, movements, sometimes characterized as a left-sided appendicitis. Patients are also concerned about bloating (flatulence), which sometimes becomes the main complaint. Under the influence of the treatment of acute inflammation, and then stopped by the disease becomes chronic moderate unstable abdominal pain.
When diverticulitis can be complications, such, like perforation of the abdominal cavity, the formation of ulcers – they manifest severe abdominal pain, tension of the abdominal wall, temperature increase. Diverticulitis can be complicated and massive bleeding from the rectum. The appearance of each of these symptoms is a mandatory indication for treatment of the patient to the doctor.
Diverticulosis of colon diverticula often combined with other parts of the digestive tract - in the duodenum, esophagus, small intestine. Besides, in this disease may experience stomach ulcer and duodenal ulcer, intestinal polyps. In most colon, in addition to the diverticula, frequent inflammation of the intestinal wall, ulcers, Polyps.
Treatment of patients with diverticulosis can be medical and operational. However, we must clearly know, that all cases of acute diverticulitis complicated and should be treated in a hospital.
Asymptomatic diverticulosis of the colon does not require special treatment. Such patients are in need of preventive measures, against constipation.
Treatment of patients with chronic diverticulitis can be performed on an outpatient basis, but under the supervision of a physician, which in this case take care first of all about the chair Alignment Operation. Diverticular disease, usually, followed by a delay chair, and the severity of inflammation, the more prolonged and persistent constipation are.
Reduce or completely eliminate their constipation helps rationally organized diet. Admission wheat bran, prevalence in the diet foods with a large mass of fiber, establishing diet - have these measures can improve bowel function.
An important task is the removal of bowel spasm, It is achieved using, Tepla life (heaters) and certain medications "prescribed by your doctor (but-ESP, platifillin).
To reduce the inflammation in the colon doctors prescribe different antiseptic preparations, including in the dosage form of enema. Helping these patients and pain relievers, that, In addition to improving the general condition, reduce spasm colon wall.
Finally, expedient prescriptions, regulating the quantity and quality of bacteria in the gut.
The combination of all these medication most patients have positive effects, reduces inflammation, pain, It improves the general condition of the patient. Some of these patients have to take drugs for a long time (against constipation, regulation of intestinal microflora), other shows only during the exacerbation.
Decide, where, what and how to apply for a long time, Only a doctor can. Therefore, all treatment should take place under its control. With the development of complications and prolonged unsuccessful conservative treatment, patients are referred for surgical treatment.
