Sunday, August 24, 2014

1 - inflammation and limited to the large intestine wall infection; 2 - abscess (pus) near the affe


Are diverticula, vesicular formations that can be found throughout the colon, being located, however, most often at the end of this, sigmoid and rectum. These sacculations are the result of local weakness of some of the large intestine wall, particularly the musculature of this wall. No risk of malignancy, and is an acquired disease. Imagine that the large intestine has muscle fibers divided and arranged in three different directions, to efficiently protect the intestinal lumen, which has an internally smooth layer called the mucosal colitis lining. Thus, if the true muscle tangle fails, allowed one "escape" this mucous out as evaginations, projections. These are the main causes of the formation of diverticula, being more frequent in patients older than 50 years, the Caucasian race, and eastern rarely.
Diverticulitis when we speak of one or more inflamed colitis diverticula. The most frequent cause and the resulting micro-lesions in the ostium of openness sacculation caused by small pieces of hardened feces. This injury this ostium causes edema (swelling) site in order to make a true diverticulum bag closed, now representing area of diminished blood supply, and likely to complicate this inflammation gradually until a possible perforation, causing a more severe condition, many sometimes requiring surgical intervention. This process comprises four stages of evolution:
1 - inflammation and limited to the large intestine wall infection; 2 - abscess (pus) near the affected diverticulum; 3 - perforation of the abscess leaking pus to the entire abdominal cavity; 4 - leak feces into the abdominal cavity due to perforation colitis of the diverticulum.
Painful symptoms are similar to acute appendicitis, only on the left side. Pain has a slow but progressive onset, becoming constant with the evolution of the inflammatory process, and presents as intestinal colitis colic. Sensitivity or sudden pain in the abdominal area or back that worsens or is very severe, usually in the lower left abdomen, feeling of bloating or gas, fever, colitis chills, nausea, vomiting, lack of appetite, and malaise. Blood tests may be ordered colitis to check if you have an infection. Colonoscopy, which examines the entire colitis length of the colon. Ultrasonography and computed tomography or magnetic resonance imaging of the abdomen are useful tools in the diagnosis of acute diverticulitis, they show inflammation of the large bowel wall and the presence of abscess. colitis The patient may have a history of being a carrier of diverticula colitis in earlier examinations with barium enema, but exams are virtually contraindicated colitis for a clinical picture suspicious of diverticulitis by offering rich drilling. Treatment
In the case of patients who are only carriers of uncomplicated colitis diverticulosis, just the orientation of the frame and kindness utmost importance that individual maintain a diet rich in fiber. In the case of a suspected diverticulitis, beyond clinical support, with hydration, broad spectrum antibiotics, rest and often hospitalization, we should give preference to non-invasive tests such as CT scan or abdominal colitis MRI. Some cases require colitis surgical intervention to varying degrees. Love yourself Take care of yourself. colitis Make an appointment! .: Tel (11) 3052-4335 Judge Elisha William Street, 200 \ 304 Set Paradise - Sao Paulo
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Graduated in medicine from the Medical College of Santos (1991) Master colitis of Digestive Surgery at Hospital das Clinicas, colitis Faculty of Medicine, USP (2012). Medical Collaborator service Liver Surgery, Hospital das Clinicas, Faculty of Medicine, USP. Experienced in the area of Medicine with emphasis colitis in Gastroenterology and Hepatology Click Here! And see my resume. View my complete profile colitis


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