Zimene Dokotala Wanu Akudziwa Zokhudza Kuthetsa Kugonana Kwambiri
American College of Gastroenterology nthawi zonse amafalitsa ndondomeko, potsata ndemanga zowonjezera kafukufuku, zothandizira matenda osiyanasiyana a kugaya. Nkhaniyi ikufotokozera mwachidule zomwe zafukufuku zomwe zaposachedwapa zokhudzana ndi kuchiritsidwa kwa matenda osokoneza bongo (CIC), omwe amachititsa zizindikiro zofanana ndi kudzimbidwa (IBS-C) , koma popanda chizindikiro cha ululu chomwe chimadziwika ndi IBS.
Zotsatira za ACG cholinga chake ndizochita "zabwino" kwa madokotala pakugwira ntchito ndi odwala awo. Kukhala ndi chidziwitso cha zomwe dokotala wanu amadziwa kungathandize kupititsa patsogolo ubale wofunika kwambiri wa odwala.
Zotsatirazi ndizo zipangizo zazikulu zomwe dokotala wanu ali nazo mu thumba la chida chawo kuti akuthandizeni kuyang'anira kudzimbidwa kwanu kosatha:
Fiber
Ngakhale ambiri, oyang'anira a ACG amalimbikitsa fiber ngati njira yothandizira yowonongeka ya CIC, iwo amachititsa kuti zikhale zosiyanitsa pakati pa mitundu iwiri ya fiber. Amaganiza kuti zitsulo zosungunuka zitha kukhala zothandiza kuposa fiber , chifukwa cha kuwonjezeka kwa zizindikiro zokhudzana ndi mpweya ndi kutaya magazi pamene zowonjezereka kwambiri zimatengedwa mofulumira kwambiri. Psyllium ndi mawonekedwe a zitsulo zosungunuka, pamene chimanga ndi mawonekedwe osakanikirana.
Zamadzimadzi
1. Osakaniza a Osmotic : Owonetsa ACG amalimbikitsa kugwiritsa ntchito Miralax (PEG) ndi lactulose. Kafukufuku wopitirira lero akuwoneka kuti chiopsezo cha zotsatira za osakaniza osmositiki ndizochepa.
2. Zosakaniza zowonongeka : Owerengera amalimbikitsa mankhwala odzoza, sodium picosulfate, ndi bisacodyl. Chifukwa cha kusowa kwa kafukufuku, iwo samalimbikitsa kugwiritsa ntchito mitundu ina ya mankhwala ofewetsa mtima.
Mankhwala
Mankhwala a 5-HT 4: Mankhwalawa amapangidwa kuti athandize serotonin ya neurotransmitter, yomwe imalingalira kuti iwonjezere madzi mkati mwa matumbo, kuonjezera motility ndi kuchepetsa nthawi yopitako , zonse zomwe zingathandize kuchepetsa kudzimbidwa.
Owongolerawo akuganiza kuti mankhwala awiri-HT 4 ali opindulitsa kwa CIC - kutulutsa makina komanso velusetrag. Komabe, palibe mankhwala omwe amapezeka ku US. Pulpopride imapezeka ku Canada pansi pa dzina lakuti "Resotran" ndi ku Ulaya pansi pa dzina lakuti "Resolar." Owongolerawo akuwona kuti mankhwalawa sawoneka kuti ali ndi chiopsezo cha mavuto aakulu a mtima omwe amachititsa kuti iwo asanakhalepo Zelnorm akuchotsedwa kumsika.
2. Mankhwala Opatsirana: Mankhwala m'kalasiyi akuphatikizapo Linzess, wotchedwanso Constella , (linaclotide) ndi Amitiza (lubiprostone). ACG ikuyamikira kugwiritsa ntchito Linzess, potsata thandizo lofufuzira kafukufuku kuti likhale labwino ndi mawonekedwe ake otetezeka. Mbali yaikulu yotsatira imati ndi kutsegula m'mimba. Otsindikawo anali otsimikizika kwambiri za Amitiza, komanso akunena za mbiri yawo yothandizira kwambiri. Kutsekula m'mimba ndi khunyu zili ndi zotsatira. Komabe, amafotokoza kuti palibe mankhwala omwe amawayerekezera ndi kugwiritsa ntchito mankhwala osokoneza bongo kapena fiber, choncho palibe lingaliro lomwe lingagwiritsidwe ntchito ngati chithandizo chomwe chiyenera kutchulidwa poyamba.
Biofeedback
Owongolerawo amatha kunena kuti biofeedback ikhoza kukhala yothandiza pochiritsa matenda aakulu kwa odwala amene azindikiridwa kuti ali ndi vuto lapakhosi .
Iwo amadziwa kuti ndi kovuta kwa odwala kupeza odwala omwe alidi odziwa bwino dera lino.
Zowonongeka, omalizawo akuganiza kuti palibe zowonjezera chithandizo chofufuzira kuti asonyeze kuti ma probiotics ndi othandiza kuti asamangidwe kosatha.
Chitsime:
Ford, A., etal.al. " American College of Gastroenterology Monograph pa Ulamuliro wa Irritable Bowel Syndrome ndi Chronic Idiopathic Constipation " American Journal of Gastroenterology 2014 109: S2-S26.