Momwe Mankhwala Amagwiritsira Ntchito Mankhwala Osokoneza Bongo Kuti Awononge Zizindikiro
Zomwe Zimayambitsa Kuletsa Matenda ndi Kuletsa Matendawa kuti pafupifupi anthu atatu a ku America akuvutika ndi zizindikiro za matenda a m'mimba (IBS) , matenda okhudza m'mimba omwe amachititsa kuti m'mimba muvutike komanso kusintha kwa ziwalo.
Monga ofufuza asadziwe chomwe chimayambitsa IBS, chithandizo chachikulu makamaka chimathandiza kuthetsa zizindikiro za matendawa (kuphatikizapo kupweteka kwa m'mimba, kupweteka kwa m'mimba, kuphulika, kutsegula m'mimba, ndi kudzimbidwa).
Pakati pa mankhwala osiyanasiyana ogwiritsira ntchito IBS, antispasmodics zatsimikizirika kuti zimathandiza kwambiri kuchepetsa zizindikiro mwa kulondolera ndi kupumula minofu yosalala ya m'mimba. Popeza zizindikiro zimakhala zovuta kwambiri munthu akamadya, mankhwalawa amatengedwa 30 mpaka 60 mphindi asanadye.
Pali mitundu yambiri ya antitispasmodic yogwiritsira ntchito IBS, kuphatikizapo:
- Anticholinergics
- Mebeverine
- Peppermint mafuta
Anticholinergics
Anticholinergics ndi kalasi ya mankhwala omwe amachititsa kuti acetylcholine isagwiritsidwe ntchito. Izi ndizimene zimapangidwa ndi thupi lomwe limagwira ntchito yoyendetsa ubongo (gawo la mchitidwe wamanjenje wokhudzana ndi ntchito zosagwira ntchito). Mwa kuletsa acetylcholine receptors m'magazi, anticholinergics angachepetse kupweteka kwa mitsempha ya minofu komanso kuchepa kwa madzi.
Mwamwayi, mankhwalawa akhoza kuthandizanso machitidwe ena a ziwalo , zomwe zimayambitsa zotsatira zoyipa kuchokera ku masomphenya ndi kudzimbidwa kuti achepetse kukodza ndi chizungulire.
Chifukwa cha chiopsezo cha kudzimbidwa, anticholinergics amagwiritsidwa ntchito bwino pamatenda otsegula m'mimba-makamaka IBS ( IBS-D ) mmalo mwa kudzimbidwa-makamaka IBS ( IBS-C ). Gastric reflux imakhalanso ndi zotsatira zoyipa.
Anticholinergics omwe amalembedwa kawirikawiri ndi awa:
- Hyoscyamine
Mebeverine
Mebeverine ndi minofu ya musculotropic yomwe imagwira ntchito mofanana ndi anticholinergics koma alibe zotsatira za acetylcholine. Zomwe zimayambitsa matendawa zakhala zikufotokozedwa mwa ena, makamaka mwa mawonekedwe ochepa a masamba.
Mebeverine amalembedwa kawirikawiri kwa anthu omwe ali ndi IBS ndipo amapezeka m'matchulidwe osiyanasiyana osiyanasiyana monga Colofac, Duspamen, ndi Duspatalin.
Mafuta a Peppermint
Mafuta a peppermint ndi wothandizira kwambiri omwe ali ndi menthol, chinthu chomwe chimapezeka kuti chimakhala ndi mpumulo wofewa.
Kufufuza kwa maphunziro a 2015 kuchokera ku yunivesite ya California, ku San Diego kunamveka kuti anthu omwe ali ndi zizindikiro za IBS anali pafupi katatu kuti akwaniritsidwe ndi mafuta a peppermint poyerekeza ndi omwe anapatsidwa malo a placebo.
Poyesa kuti ndi yotetezeka kwa kanthawi kochepa, mafuta a peppermint amadziwika chifukwa chopweteka (zomwe zingapewe pogwiritsa ntchito makapisozi amkati ). Onetsetsani kuti mufunsane ndi dokotala musanayambe kumwa mafuta a peppermint kapena zina zowonjezerapo.
Mafuta a peppermint ayenera kugwiritsidwa ntchito mosamala pakati pa anthu omwe amamva kupweteka kwa mtima, chifuwa chachikulu, chiwindi chachikulu cha chiwindi, ndulu yotupa, kapena kuvuta kwa bile.
Kusintha kwa Zakudya
Kuwonjezera pa mankhwala a antipasmodic, kusintha kwa zakudya kungasinthe kwambiri zizindikiro za IBS.
Malinga ndi zomwe mukukumana nazo, mungafune:
- Zonjezerani zakudya zamagetsi kapena kugwiritsa ntchito fiber kuti muthe kutsekula kwa IBS kapena kutsekula m'mimba.
- Wonjezerani kudya kwa madzi ngati mukubvundilidwa.
- PeĊµani caffeine. ( Tiyi ya Peppermint ndi yabwino kwambiri mmalo mwake.)
- Pewani nyemba kuti muchepetse kupuma.
- Lembetsani zakudya zomwe zili ndi lactose, fructose, kapena FODMAP (oligosaccharides, feracable oligosaccharides, disaccharides, monosaccharides, ndi polyols).
- Pangani mavitamini tsiku ndi tsiku kuti mukhale ndi zomera zowononga bwino.
> Zotsatira:
> Zolinga za Kuletsa ndi Kuteteza Matenda. "Epidemiology ya IBD." Atlanta, Georgia; zasinthidwa pa March 31, 2015.
> Ford, A .; Moyyadedi, P .; Lacy, B. et.al. "American College of Gastroenterology Monograph pa Kulamulira kwa Irritable Bowel Syndrome ndi Chronic Idiopathic Constipation" Amer J Gastroenterol. 2014; 109: S2-S26. DOI: 10.1038 / ajg.2014.187.
> Khanna, A .; MacDonald, J; ndi Levesque, B. "Mafuta a peppermint ochizira matenda a m'mimba: kuwonetsetsa mwachidwi ndi kufufuza." J Clin Gastroenterol. 2014; 48 (6): 505-12. DOI: 10.1097 / MCG.0b013e3182a88357.