Kufunsa ndi Mary-Joan Gerson, Ph.D & Charles D. Gerson, MD
Matenda owopsa a m'mimba (IBS) amachititsa mavuto apadera m'banja. Ndinayankhula ndi Dr. Mary-Joan ndi Charles D. Gerson za kafukufuku amene achita mderali. Dr. Mary-Joan Gerson ndi katswiri wa zamaganizo yemwe akugwirizana ndi University of New York ndipo Dr. Charles Gerson ndi gastroenterologist ku Mount Sinai School of Medicine.
Amagwiritsa ntchito limodzi ku Mind-Body Digestive Center ku New York City. Nazi zomwe iwo ankanena za zotsatira za IBS pa ubale wa banja.
Q. Chifukwa chiyani ubale uli wofunika pamene mukuyankhula za IBS?
Takhala tikukhudzidwa kale ndi mankhwala a machitidwe a banja, momwe timaonera kuti banja ndi maubwenzi ena ali ndi mphamvu yothetsera matenda awo. Muntchito yathu, tapeza kuti zinthu zingapo za banja zimakhudza mphamvu ya wodwala kuyang'anira IBS:
- Banja likhoza kupeza njira yathanzi yosonyeza kudera nkhawa wodwalayo popanda kupangitsa matenda kukhala chinthu chofunikira kwambiri pa chiyanjano.
- Mkwatibwi wokhoza kutsindika mphamvu za wodwalayo polimbana ndi matenda.
- Zomwe am'banja lanu amakhulupirira komanso zomwe adazidziwa kale poyang'anira matenda.
Q. Ndiuzeni za kafukufuku wanu m'dera lino.
Tinayambitsa phunziro lomwe linapangitsa kufufuza kwa odwala 240 a IBS ochokera m'mayiko asanu ndi atatu.
Tinkafuna kupeza ngati zizindikiro za IBS zinali zogwirizana ndi zikhulupiriro zokhudzana ndi malingaliro / thupi kapena zokhudzana ndi khalidwe laumwini. Tinkadzifunsanso ngati tingaone zosiyana malinga ndi dziko limene wodwala amakhalamo.
Tinali odwala kudzaza mafunso omwe amati Quality of Relationship Inventory (QRI).
Mafunsowa adakonzedwa kuti awone ngati mgwirizano wa wodwalayo ndi wina wofunika kwambiri ndiwothandizidwa, kuzama kapena kusamvana. Tinapatsanso odwala Mafunso a Mind-Body IBS (MB / IBS) kuti aone ngati odwala amachititsa kuti zizindikiro zawo zikhale zovuta kapena zakuthupi. Kenaka tinafanizira zotsatira za zigawo ziwirizi ndi kukula kwa zizindikiro za IBS za wodwalayo .
Q. Kodi zomwe mwapezazi zinali zotani?
Ponena za maubwenzi apamtima, tinapeza kuti pamene mgwirizano wapakati wa wodwala unali wokwera komanso wothandizira, zizindikiro zawo zimakhala zovuta. Pamene chiyanjano chachikulu cha wodwala chikadziwika ndi mikangano, zizindikiro zawo zimakhala zovuta kwambiri.
Tinapezanso kuti odwala omwe amaonetsa kuti zizindikiro zawo za IBS makamaka zizindikiro za thupi zimakhala ndi zizindikiro zovuta kwambiri. Odwala omwe amasonyeza kuti zizindikiro zawo ndizifukwa zamaganizo, monga nkhawa kapena nkhawa, amavutika kwambiri ndi vuto la IBS.
Zomwe tinazipeza zinali zogwirizana ngakhale kuti odwala ankakhala m'dziko liti.
Q. Muzochita zanu, ndi zinthu ziti zomwe mwaziwona pankhani ya odwala a IBS?
Chitsanzo chimodzi chomwe tawona muzochita zathu ndi mamembala omwe ali okhudzidwa kwambiri poyesera kuthandiza wodwalayo.
Njira imeneyi ikhoza kuyipserera pamene imayambitsa nkhawa ya wodwalayo yomwe imapangitsa kuti zizindikiro zikhale zovuta. Timamva kuti ndi bwino kuti wodwala azikhala ndi udindo woyang'anira matenda awo. Pafupipafupi, nthawi zambiri timawona odwala omwe akukayikira kufunsa abanja kuti asinthe zomwe wodwala akufunikira pofuna kuchepetsa nkhawa zawo.
Vuto lina lalikulu ndi pamene achibale akuimba mlandu wodwalayo chifukwa chodwala. Mlanduwu ukhoza kutenga mawonekedwe monga "ndi momwe mumadyera" kapena "muzimasuka." Ndemangazo nthawi zambiri zimachokera ku malo odandaula, koma nthawi zambiri zimapangitsa kukhumudwa kuchokera kwa wodwala yemwe amadziwa kuti palibe mayankho ovuta pa vutoli.
Q. Odwala a IBS angapeze bwanji thandizo la anthu m'moyo wawo?
Timakhulupirira kuti kuthandizira odwala IBS kukhala ndi ubale wabwino ndi anthu m'moyo wawo ndi mbali yofunikira ya mankhwala a IBS. Timalimbikitsa odwala athu kuti:
- Lembani mwapang'onopang'ono mbali za mkangano mu ubale wawo ndi ena kuti athe kuchepetsa mavuto awo onse.
- Lolani anthu m'moyo wawo kuti adziwe zosowa zawo zapadera pazokambirana ndi IBS. Ndikofunika kufotokoza momveka bwino zinthu zomwe wachibale angachite kuti athandizidwe komanso zomwe zingakhale bwino kuti wodwalayo azichita.
- Phunzitsani anthu m'moyo wawo za IBS yosatha ndipo zimatengera mayesero ndi zolakwika kuti aphunzire momwe angayendetsere vutoli. Odwala angafunse kuti anthu m'moyo wawo apereke chithandizo ndi chilimbikitso.
- Kumvetsetsa kuti anthu m'moyo wawo amasamala za umoyo wa wodwala komanso kuti nthawi zambiri amakhala ndi nkhawa zomwe zimapangitsa kuti azigwira nawo ntchito komanso kuti asapereke malangizo othandiza. Ndikoyenera kuyamikira kuyamikira kwa ena, pamene mukuwaphunzitsa za umunthu wapadera wa IBS.
Kuti mudziwe zambiri pa kafukufuku wa Gerson, onani:
Gerson, et.al. "Phunziro lapadziko lonse la matenda opwetekedwa mtima: Matundu apabanja ndi maudindo aumunthu" Social Science & Medicine 2006 62: 2838-2847.