Chidule cha Irritable Bowel Syndrome (IBS)
Matenda owopsa a m'mimba (IBS) ndi vuto la thanzi limene anthu ambiri ali nalo koma anthu ochepa chabe amalankhulapo. Anthu amene amapezeka kuti ali ndi IBS amakhala ndi zizindikiro zosasintha zokhudzana ndi kugwira ntchito m'matumbo awo.
Kodi IBS N'chiyani?
IBS ndi matenda osokoneza ubongo omwe anthu amamva kupweteka kwa m'mimba mobwerezabwereza, kuphatikizapo kusintha kwakukulu kwa zomwe akumana nazo pamatumbo. Anthu omwe ali ndi IBS amatha kudzimbidwa, zizindikiro za kutsegula m'mimba mwamsanga, kapena kupitiliza kumbuyo pakati pa ziwirizo.
> Dinani kuti muwone zotsatira za IBS zomwe zimayambitsa ndi zizindikiro.
IBS imatchulidwa ngati matenda okhudza m'mimba , chifukwa imakhala ndi vuto la momwe matumbo amachitira, koma sali ndi zizindikiro za matenda omwe amawoneka kapena kuwonongeka kwa minofu. Zikuoneka kuti zimakhudza pafupifupi 15 peresenti ya anthu panthawi inayake pamoyo wawo.
Zizindikiro za IBS zikhoza kusiyana pakati pa munthu ndi munthu, kapena zimasiyana mosiyanasiyana kwa munthu aliyense amene ali ndi matendawa.
Anthu omwe ali ndi IBS akhoza kukhala nawo:
- Kupweteka kwa m'mimba, kupweteka, kupweteka, kapena kusokonezeka (nthawi zambiri kumasulidwa ndi kayendedwe ka m'mimba)
- Kutsekula m'mimba: zotayirira, madzi, mwinamwake ndi malingaliro ofulumira, ndi / kapena matenda atatu kapena ambiri tsiku lililonse
- Kutsekedwa: zolimba, zitsime zowuma, kuyendetsa pa chimbudzi, ndi / kapena katatu kapena zocheperako masabata pamlungu
- Kumva kusasunthika kochoka pambuyo pa gulu la matumbo
- Kuchuluka kwa m'mimba gasi
- Kukhazikika, komwe kumawopsya ngati tsiku likupitirira
- Kusintha kwa kuyang'ana kwa malo
- Mucus pa malo
Zinthu Zazikulu Kwambiri Zodziwa Zokhudza IBS
- Ochita kafukufuku sankawonekeratu chifukwa chake anthu amapanga IBS. Kawirikawiri matendawa amadziwonekera pambuyo poyambitsa matenda a gastroenteritis, omwe amadziwika kuti chimfine. Nthawi zina zizindikiro zimawoneka pambuyo pa zovuta kwambiri. Anthu ambiri omwe amachitiridwa nkhanza kapena kugwiriridwa ali ana amakhala akuluakulu a IBS.
- IBS imapezeka chifukwa cha zizindikiro, mosiyana ndi zotsatira za mayesero. Izi ziri chifukwa zizindikiro za IBS siziwoneka pa mayesero a matenda. Dokotala wanu angasankhe kuyesa mayeso ena, pogwiritsa ntchito chithunzi chanu cha mbiri yachipatala komanso mbiri yachipatala, koma mayeserowa amagwiritsidwa ntchito kuti athetse matenda ena omwe angayambitse matenda.
- Kulephera kwa zotsatira zabwino zowunikira sikukutanthauza kuti IBS ili yonse pamutu mwanu. Kafukufuku amasonyeza kuti zizindikiro za IBS zingakhale zotsatira za kugwirizana pakati pa zinthu zambiri, kuphatikizapo zina kapena zotsatirazi:
- Kusintha kwa matumbo motility - liwiro la matumbo
- Kuwonetsetsa kotereku - kumva kupweteka kwambiri m'thupi mwa thupi kusiyana ndi zachibadwa
- Kutupa m'mimba mwa matumbo
- Kulephera kugwira ntchito pakati pa matumbo ndi ubongo
- Kusiyanitsa pakati pa matumbo a mabakiteriya
- Kusagwirizana kwa zakudya kapena kukhudzidwa
- Kuwonjezeka kwa m'mimba kutayika (leaky gut syndrome)
- IBS ikhoza kugwidwa mu mitundu yosiyana-siyana: kutsegula m'mimba-kwambiri (IBS-D), kudzimbidwa-kwambiri (IBS-C), ndi mtundu wina (IBS-A), momwe chizindikiro chachikulu cha m'mimba chimasintha pakapita nthawi.
Zingakhale Zotani?
IBS imapezeka kuti matenda ena atha kuyesedwa kupyolera mu kuyesedwa koyezetsa magazi. Zotsatirazi ndi zina mwazimene adokotala akufuna kuti azichita:
Matenda a Celiac: Matenda a Celiac ndi momwe kudya zakudya zomwe zili ndi gluten kumabweretsa mavuto omwe amachititsa kuti vilinayi iwonongeke m'mimba. Anthu omwe ali ndi IBS ali pachiopsezo chachikulu cha matenda osachiritsika omwe alibe matendawa.
Matenda Opatsirana Opatsirana (IBD): Matenda opweteka a matenda a Crohn ndi matenda a zilonda zam'mimba ali ndi zizindikiro zambiri monga IBS. Komabe, zizindikiro za IBD zikuphatikizapo kutsegula m'mimba, kutaya thupi, ndi malungo, zizindikiro zonse zomwe sizipezeka mu IBS. Kuphatikiza apo, ndi IBD, zizindikiro zooneka za kutupa zidzawoneka mu kapangidwe kakang'ono kamene kali mkati mwa colonoscopy.
Kusagwirizana kwa Chakudya: Kusagwirizana kwa zakudya kumasiyana ndi zakudya zowonongeka chifukwa vuto limapezeka pamlingo wa dongosolo lakumagawa mosiyana ndi momwe chitetezo cha mthupi chimayankhira.
Chakudya chakumwa kapena kusagwirizana kungayambitse zizindikiro za IBS. Mitundu iŵiri mwa mitundu yofala kwambiri ndi lactose kusagwirizana ndi fructose malabsorption .
Khansara ya Colon: Anthu omwe ali ndi IBS amadandaula kuti akhoza kukhala ndi khansara yamtundu umene amadedwa ndi dokotala wawo. Zizindikiro za khansara ya coloni zomwe sizimawoneke mu IBS ndi zizindikiro za magazi opha magazi kapena magazi , kuchepa kwa magazi, kutopa kwambiri, ndi kutaya kwakukulu kosawerengeka.
Ngati mwakhala mukudziwika kale ndi IBS
Ngakhale dokotala wanu atakuuzani kuti palibe mankhwala a IBS, mungapeze chilimbikitso chakuti pali zinthu zambiri zomwe mungachite kuti muthetse zizindikiro zanu. Nazi zinthu zina zomwe mungaphunzire zambiri za:
Njira zamankhwala : Dokotala wanu angasankhe kukupatsani mankhwala omwe amathandiza kuchepetsa zizindikiro zanu. Zomwe mungapeze zikuphatikizapo:
- Antispasmodics : Akhoza kulamulidwa kuti amuthandize kupweteka kwa m'mimba ndi kupondaponda
- Zomwe zimachititsa kuti anthu azivutika maganizo : Akhoza kuuzidwa kuti achepetse kupwetekedwa mtima komanso athetse vuto lililonse lovutika maganizo
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Chifukwa Chimene Muyenera Kudziwa Zokhudza Mapuloteni Anu Amimba
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Chinthu Chamanyazi Chomwe Amadzimadzi Omwe Amakhoza Kuchita Kwa Colon Yanu
- Mankhwala opha majeremusi : Mitundu yeniyeni ingaperekedwe kuti iwonetsetse kuti mabakiteriya angapitirire kukula m'mimba ( SIBO )
- Mankhwala apadera a IBS: Awa ndi Amitiza ndi Linzess kwa IBS-C ndi Viberzi kwa IBS-D.
Zowononga Zowonjezera (OTCS) : Lankhulani ndi dokotala wanu za zomwe OTCs ali otetezeka kuti mugwiritse ntchito. OTCS omwe amagwiritsidwa ntchito kwambiri ndi anthu omwe ali ndi IBS amaphatikizapo laxatives, probiotics, peppermint mafuta, antidiarral agents, ndi zina zowonjezera zitsamba.
Zimene Mungadye Kuwerengera zakudya zomwe muli nazo mukakhala ndi IBS zingakhale zovuta. Zingakhale zothandiza kusunga diary kuti muwone mgwirizano uliwonse pakati pa zakudya zomwe mumadya ndi zizindikiro zomwe mukukumana nazo. Zakudya zochepa za FODMAP zili ndi mphamvu zofufuzira zofufuza pofuna kuchepetsa zizindikiro za IBS, koma zingakhale zovuta kutsatira. Kuchulukitsa zakudya zamagetsi, makamaka mchere wosungunuka, zingakhale zothandiza ngati pang'onopang'ono. Kuwonjezera pa kuphunzira zakudya zabwino zomwe mungachite kuti mudye, muyenera kumvetsera momwe mumadyera. Mungapeze kuti zothandiza kudya zakudya zing'onozing'ono monga chakudya chachikulu, cholemetsa chingathandize kulimbitsa m'mimba.
Mawu Ochokera
Ngakhale kuti tonse taphunzira kusunga "kuyankhula kwina" payekha, palibe chifukwa chochitira manyazi manyazi anu am'mimba amakulepheretsani kupeza thandizo ndi kuthandizira kuti mukhale ndi IBS yabwino. Lankhulani momasuka ndi dokotala wanu za zizindikiro zanu, kotero mutha kukhala ndi dongosolo labwino la mankhwala. Fufuzani magulu a othandizira a IBS pa intaneti kuti musamve ngati muli nokha mukulimbana ndi vutoli lokhumudwitsa. Kutenga njira yowona ku IBS yanu kudzakuthandizani kuchepetsa vuto lanu komanso kuteteza kudzidalira kwanu.
Zotsatira:
Minocha A. & Adamec, C. (2011) The Encyclopedia of the Digestive System ndi Digestive Disorders (2nd Ed.) New York: Mfundo pa Fayilo.
J, Vanuytsel T, Corsetti M. Modern Management of Irritable Bowel Syndrome: Osati Motility. Matenda Akumva 2016; 34: 566-573.
Torpy JM, Lynm C, Glass RM. Irritable Bowel Syndrome. JAMA . 2006; 295 (8): 960.