Matenda omwe amachititsa kuti thupi likhale lopweteka kwambiri (IBS-C) ndi kachilombo koyambitsa matenda a m'mimba (IBS) kumene wodwalayo amakhala ndi matenda aakulu omwe amatha kupweteka m'mimba. IBS-C imaonedwa kuti ndi matenda opatsirana m'mimba (FGD) poti palibe chizindikiro chowoneka cha matenda chomwe chimapezeka pa nthawi yoyezetsa matenda, koma zizindikiro zimakhala zosawonongeka monga momwe dongosolo lakumagwirira ntchito likugwiritsira ntchito.
IBS-C imadziwonetsera mwa pafupifupi gawo limodzi mwa atatu mwa odwala onse a IBS. Anthu okalamba komanso omwe ali ndi chikhalidwe chocheperachepera ndi omwe ali pachiopsezo chachikulu cha IBS-C. Poyerekeza ndi zina za IBS subtypes , anthu omwe ali ndi IBS-C amakhala ndi nkhawa, kuvutika maganizo komanso moyo wotsika.
IBS-C Versus Chronic Idiopathic Constipation (CIC)
IBS-C ndi kudzimbidwa kwachilendo kosadziwika bwino (komwe kumadziwikanso kuti kugwira ntchito) kumagawana zizindikiro zofanana. Malinga ndi njira ya III III ya FGDs , mavutowa amasiyana ndi omwe odwala IBS-C amamva kupweteka kwa m'mimba komanso kusokonezeka pambali pake. Komabe, ambiri a gastroenterologists ndi ochita kafukufuku amakhulupirira kuti mavuto awiriwa ndi ofanana.
Zizindikiro za IBS-C
Zizindikiro za IBS-C zikuphatikizapo zina kapena zotsatirazi:
- Zosasuntha zamatumbo
- Lumpy kapena zolimba
- Kupweteka m'mimba
- Gasi ndi kuphulika
- Kumverera kwa kusamitsidwa kosatha
- Mucus mkati kapena pa mpando
- Kutsekedwa kwachitsulo mu anus ndi / kapena rectum
- Kuponda
- Kugwiritsa ntchito zala zochotsa chotupa ( kujambulidwa kwa digito )
Kutsekedwa kumatanthauzidwa kukhala ndi zocheperapo katatu masentimita mu sabata. Ndi IBS-C, ziwalo zosayera sizimapezeka mosavuta popanda kugwiritsa ntchito mankhwala ophera mankhwala.
Milandu ya Rome III imasonyeza kuti zizindikirozi ziyenera kukhalapo masiku atatu pa mwezi pa miyezi itatu yapitayi, ndipo kusintha kwa chinyama kumachitika pafupifupi 25%.
Kuzindikira kwa IBS-C
IBS-C imapezeka ngati matenda ena asokonezedwa. Dokotala wanu akhoza kukayezetsa thupi, kuyendetsa ntchito zina za magazi ndikuchita kafukufuku wamatsenga. Mayesero ena adzalimbikitsidwa malinga ndi zizindikiro zanu ndi mbiri yanu yachipatala. Ngati zizindikiro zanu zikugwirizana ndi zizindikiro za IBS-C, ndipo palibe umboni uliwonse wa zizindikiro zofiira zofiira kapena matenda ena, IBS-C idzapezeka.
Kuchiza kwa IBS-C
Palibe protocol yothandizira ya IBS-C. Dokotala wanu angakulimbikitseni kuti pang'onopang'ono muwonjezere kuchuluka kwa fiber mu zakudya zanu. Iwo angalimbikitse kugwiritsa ntchito mankhwala osokoneza bongo osmotic , monga Miralax kapena lactulose.
Palinso mankhwala ambiri omwe amachititsa kuti ziwonongeke zomwe zimayambitsa matenda aakulu, kuphatikizapo:
- Amitiza
- Pulpopride (Canada ndi Europe kokha)
- Linzess (Constella)
- Zelnorm (zovuta zoyenera kugwiritsa ntchito)
Ngati dokotala wanu akukhulupirira kuti dyssynergic defecation imathandizira kuti IBS-C yanu ikhale ndi zizindikiro, angakulimbikitseni kuyesa biofeedback .
Zotsatira:
Bellini, M., ndi. al. "Matenda owopsa a m'mimba ndi kudzimbidwa kosatha: Zoona ndi zongopeka" World Journal of Gastroenterology 2015 28: 11362-11370.
Heidelbaugh, J. "The Spectrum of Constipation-Systrome Yachilendo Yambiri Yopweteka ndi Matenda Ovuta Kwambiri: US Survey Kusanthula Zizindikiro, Kufunafuna, ndi Matenda Olemedwa" American Journal of Gastroenterology 2015 110: 580-587.
" Ndandanda 2. Zolinga za ku Roma III III: Kuvomerezeka kwa Ntchito ndi IBS-C " Kupezeka pa January 27, 2016.