Índice general del blog
MITOS EN MEDICINA
(cuántas cosas perdemos de gozar porque la cultura popular dice that are harmful)
6 º MYTH: Can you eat green leafy vegetables and seed-containing foods very small when you have diverticula in the large intestine?
Are you one of the bearers of such a universal disease, it is highly likely that I will reply with a NOOO! Moreover, it is quite possible that several doctors tell me it banned on the grounds that the cellulose of leafy vegetables and the little seeds, for example, tomatoes, can cause inflammation of one or more diverticula (which in medicine called "diverticulitis" -Having the large intestine with diverticula is called diverticulosis "-), which can trigger an event far more serious: the peritonitis.
try to convince you that this is not just another myth.
A small lesson in basic pathology.
The large intestine (colon) is the penultimate of the digestive tube (the latter is the rectum, which ends at the anal opening).
begins in what we call "blind" (portion of which hangs "Appendix") with a diameter of 8 to 9 cm., And ends at the "sigmoid" immediately before the rectum, which has a diameter of between 2 and 3 cm.
Its total length is variable, and is, usual, usually from 90 to 120 cm. (Which is what puts us halfway between herbivores and carnivores strict, remember that humans are not strict herbivores -).
Its wall consists of three layers. The innermost is the one called "mucosa" in her work is carried out absorption, mainly water and salts.
The middle layer is the "muscle" as it consists of very special structure muscles, making movements for which it is designed.
The outermost layer is called "serous" and is part of what we know as "peritoneum." Obviously all this wall
receives blood that delivers nutrients and oxygen needed to stay alive and function. This blood is of arteries (and returns to the heart through veins), which together with nerves, making up an artery, vein and nerves called "neurovascular bundle."
These packets enter the colon through holes that allow you to reach the mucosa.
light of the colon (called the inner space and limiting "the colonic wall) is at a certain pressure (always greater than atmospheric) gas produced by fermentation of food. Pressure, which if normal, fully supports the muscular wall. But when the pressure becomes more permanently, the wall it is a stress that usually can not bear.
So slowly (over years), the pressure continuously increased, it pushes out to the mucus layer (the innermost), through holes that allow entry of "neurovascular bundles, and pushes the serosal (outermost), forming a pouch that hangs from the outer wall of the colon, and it communicates through a hole (which served as entrance to the neurovascular bundle) dilated now. THAT IS A "DIVERTICULUM." (Too bad not learned to draw on these messages. If I had you would understand everything better, but try to cope alone with the words. If there is anything you do not understand, please let me ask and I will explain another form).
In short, this is the pathology of the famous diverticula.
Often diverticula are so many in a small portion of the intestine, the surgeons must operate to remove that portion, and thus avoid the ever present risk of diverticulitis.
And when examining the specimen discovered that within each there are small seeds (tomatoes, grapes, kiwis ...), and cellulose fiber sheets green (that humans can not metabolize, so we have to defecate, but before deleting placed on them. Normally these items out of the diverticulum to be dragged through the mucus that continually makes the mucosa) Hence the error: the target they are the ones that cause painful and dreaded "diverticulitis". Hence the ban on consumption. But they are wrong.
Diverticulitis occurs when the pressure is so great intraintestinal (remember the wall of a diverticulum is composed of only mucosa and serosa) that "inflated" to each of them. This high intraluminal diverticulum in each, crushing the neurovascular bundle, so that the mucosal-serosal wall begins to suffer "ischemia" (lack of oxygen). If the ischemia is prolonged, there is a "stroke" (death of tissue oxygen for serious misconduct), then rupture of the diverticulum, and, therefore, depart interintestinales spaces fecal material in the large intestine, which infect the peritoneum, and the cause of the famous "peritonitis."
So what causes these myocardial ischemia and those are not the little seeds or fibers of cellulose, but the hyper intraluminal colon.
The big question is: What is what produces the high intracolonic? And
answer is very simple: food in the colon produce foam (as we have seen): milk, yoghurt, soft cheese, mandarin oranges, and wheat flour.
Realistically, flour can not be eliminated completely from the diet of each, but if we reduce consumption to a minimum to require "the circumstances" and eliminate from our minds that the world contains milk (which can be replaced by cream, as this contains almost no lactose, milk sugar produced, as it ferments, the happy foam), yogurt and citrus mentioned, I assure you that having diverticula should not be very different from having green eyes. Next delivery
: DOES "empacho" SOMETHING REAL OR FANTASY IS POPULAR?
0 comments:
Post a Comment