Zisonyezo Zowonjezera Zachimake ndi IBS
Odwala ambiri a IBS amafotokoza zizindikiro zina zosagwirizana ndi zozizwitsa zamatenda zomwe zimatchula zizindikiro za m'mimba . Zizindikiro zodabwitsa izi zikhoza kuchitika m'madera ena a dongosolo la m'mimba kapena thupi lonse. Kulumikizana kwawo kwa IBS kungakhale kosokoneza komanso ndizovuta kwambiri kwa anthu omwe ali ndi matendawa a IBS omwe akukumana ndi mavuto aakulu, osasangalatsa, komanso osadziwika.
Zizindikiro
Zizindikiro za GI
Odwala ambiri a IBS amakhala ndi zizindikiro zambiri zomwe zimakhudzana ndi matenda awo, kuphatikizapo kutsegula m'mimba , kudzimbidwa, komanso kupweteka m'mimba . Angakhalenso ndi zizindikiro zina kwinakwake m'thupi.
Izi ndizofala kwambiri:
- Nausea
- Kutsekemera ndi reflux
Zosati Zizindikiro za GI
Chododometsa chochuluka kusiyana ndi zomwe zimakhala zovuta za m'mimba ndizimene zimachititsa kuti ogwira ntchito a IBS azivutika ndi matenda osiyanasiyana kusiyana ndi odwala omwe si a IBS. Malinga ndi University of North Carolina ku Olafur S. Palsson ndi William Whitehead, ochita kafukufuku wa Chapel Hill School of Medicine, ambiri omwe amawaonetsa kuti alibe zizindikiro za m'mimba omwe amapezeka nthawi zambiri m'magulu a IBS kuposa ena ali:
- Mutu
- Ululu wammbuyo
- Kuthamanga mobwerezabwereza
- Kutopa
- Kupuma koipa ndi / kapena kulawa koipa pakamwa
Zina zowonetsera zizindikiro zikuphatikiza:
- Zovuta kugona
- Misala ya minofu
- Mafunde ozizira, ozizira kapena opondereza
- Mitengo ya mtima
- Chizungulire
- Ululu pa nthawi ya kusamba kapena kugonana
Zotsatira
Mwatsoka, odwala a IBS amapeza kuti zizindikiro zawo za m'mimba nthawi zambiri zimachepetsedwa kapena amadedwa ndi madokotala awo, akatswiri ena azaumoyo, abwenzi, ndi achibale awo . Pano pali zitsanzo za zomwe odwala ena a IBS angauzidwe zokhudza zizindikiro zawo za m'mimba:
(Tikuthokozani wowerenga wolimbika pogawana zitsanzo izi, zomwe zimachokera pazochitikira zanu.)
- "Izi siziyenera kuchitika. Anthu ena alibe X chizindikiro [kapena] ali ndi nkhawa za Y."
- "Si khansara. Sichikupha."
- "Zili pamutu mwanu."
- "Ngati simukugwirizana ndi chithandizo chamankhwala, muyenera kusadziwika bwino."
- "Ngati mulibe vuto la matenda a maganizo, [vuto lanu] silili maganizo.
- "Iwe uyenera kuti uchite chinachake cholakwika."
- "Muyenera kusadziwika bwino."
- "Khalani nawo."
Zimayambitsa
Zolingalira zowonjezera kuti chifukwa chiyani odwala IBS ali pachiopsezo chachikulu chopezeka ndi zizindikiro zowonjezera m'mimba. Mauthenga osiyanasiyana osiyanasiyana omwe amavomerezedwa amachititsa kuti zikhale zovuta kupeza kufotokoza kwapadera. Zingakhale kuti ndizophatikizapo zinthu, zina zomwe sizinawululidwe, zomwe zimayambitsa vuto la zizindikiro zowonjezera m'mimba ndi IBS. Zokambirana pa nkhaniyi ndizopitirira ndipo zikuphatikizapo magawo akulu awiri a kufufuza:
Zomwe zimayambitsa zamoyo
Pofunafuna kugwirizanitsa chilengedwe, ochita kafukufuku akuyang'ana dongosolo la mitsempha , kuphatikizapo udindo wa anthu odwala matendawa , kapena kusemphana ndi kayendedwe kake ka ululu. Chitetezo cha mthupi chikuyang'aniranso ngati chothandizira.
Maganizo a maganizo
Kafufuzidwe pa zomwe zimachitika chifukwa cha maganizo omwe amachititsa kuti thupi likhale lopachikidwa m'mimba limatanthauzira zowonjezera ziwiri: Odwala a IBS amatha kukhala ndi maganizo monga zizindikilo kapena kukhala ndi chizoloŵezi chodziŵa bwino thupi.
Mfundo Zina
Anthu ena amanena kuti zokhudzana ndi zakudya zikhoza kukhala chifukwa chachikulu cha matenda osiyanasiyana amene anthu omwe ali ndi IBS amawapeza. Pakati pa mizere yomweyo, zikanakhala chiphunzitso chakuti kuwonjezeka kwa m'matumbo ( leaky gut syndrome ) kumasewera gawo. Panthawi imeneyi, palibe kufufuza kokwanira kuti tipeze mfundo zonse zomveka.
Kuchiza
Matenda ambiri omwe amapezeka m'mimba amatha kuona odwala ena a IBS akusonyeza kuti vutoli ndilo vuto lomwe limayenera kulandira thandizo loyenera kuchokera kuchipatala. Mphamvu ya ubale wa dokotala-wodwala ikuwoneka kukhala ndi phindu pa zotsatira za mliri, makamaka mu IBS.
Dokotala wanu amafunika kuti aziganizira mozama zaumoyo wanu ndikukonzekera dongosolo lokonza chithandizo chomwe chimakwaniritsa zodandaula zanu zonse. Kuika maganizo pazochitika zomwe zimakhudza thupi lonse kungakhale zothandiza. Izi zimaphatikizapo kusinthika kwa zakudya , zitsamba zowonjezera , ndi ubongo / matumbo, monga chidziwitso-khalidwe labwino (CBT) kapena hypnotherapy .
Mutha kudziphunzitsa nokha za zizindikiro za m'mimba zofiira zofiira kuti kuchepetsa nkhaŵa kuti chinachake chikusoweka.
Aliyense wogwiritsidwa ntchito ndi IBS, kuphatikizapo odwala, odwala, ndi okondedwa awo, ayenera kulingalira ndi kulimbikitsa kafukufuku wofuna kudziwitsa zambiri za zomwe zingayambitse ndi madokotala odwala matendawa.
Zotsatira:
Farhadi, A. "Ndili ndi IBS ... Tsopano? !!! !!!" Shafagh Press 2007.
Palsson, O. & Whitehead, W. "Pambuyo pa Zofupa: Tanthauzo la Matenda Olimbana ndi Zamankhwala" UNC Pulogalamu Yothandizira GI & Motility Disorders.