Monga mukudziwira, chithandizo cha IBS chikhoza kukhala chovuta. Okhumudwa chifukwa chosowa mankhwala abwino, anthu ambiri omwe ali ndi IBS asanduka njira zina zochiritsira. Chithandizo china chimene anthu ena atembenukira ndi kugwiritsa ntchito kachitidwe kosinkhasinkha kawirikawiri.
Ochita kafukufuku achita kafukufuku kuti awone ngati chithandizo cha mankhwala chotsatiridwa pa kusinkhasinkha chingakhale chithandizo kwa anthu omwe ali ndi IBS.
Mapulogalamu apamwamba omwe alandira chidwi kuchokera kwa ofufuza ndi omwe amadziwika ngati okhudzidwa ndi malingaliro, omwe akuphatikizapo chigawo chosinkhasinkha. Zolinga zamaganizo zowonongeka zasonyezedwa kukhala zothandiza pakuchepetsa zizindikiro za matenda osiyanasiyana ndi zamaganizo.
Pano, tiyang'ananso pazitsulo zamankhwalawa, onani momwe maphunziro a kafukufuku amathandizira kuti apindule, ndipo kambiranani zomwe mungayembekezere ngati mutayesa chithandizo chomwecho. Izi zidzakuthandizani kupanga chisankho chodziwikiratu ngati chithandizo chosinkhasinkha choganizira malingaliro ndi choyenera kwa inu.
Kodi Kusinkhasinkha Kumatanthauza Chiyani?
Ubongo wathu umapitirizabe kuganizira za zomwe zikubwera kapena zikuwongolera zomwe zachitika kale, m'malo momangoganizira za pakalipano. Kulingalira ndizo kuyesera kukuyang'anirani pazochitika zanu zonse pakali pano.
Chizolowezichi chimakulimbikitsani kuti muzindikire, ndi kuvomereza popanda chiweruzo, zochitika zanu zonse, malingaliro, ndi malingaliro popanda kuwayankha. Malingaliro othandizira okhudzidwa ndi mankhwala ndi mapulogalamu omwe amakuthandizani kuti mukhale ndi maluso abwino. Kwenikweni, amakuphunzitsani njira zatsopano zothetsera vuto.
N'chifukwa Chiyani Mankhwala Othandiza Amagwira Ntchito Bwino?
Malingaliro othandizira kulingalira amalingalira kuti ukhale ndi luso lomangika, kukulitsa luso lanu lokhala omasuka, kudzipangitsa kudzidalira kwanu, ndi kuchepetsa kuchepetsa ululu. Awonetsedwa kuti ali othandiza kuthetsa nkhawa, kupanikizika, kupanikizika, kupweteka, ndi zizindikiro za matenda ena aakulu, monga fibromyalgia ndi matenda otopa .
Kafukufuku wasonyeza kuti kulingalira ndi kusinkhasinkha kumalimbikitsa kusintha mkati mwa ubongo-kusintha komwe kumakhudza momwe timagwirizanitsira zowawa, malingaliro athu, ndi mayankho athu. Zikugodometsedwa kuti kusintha kumeneku kungachititse kuchepetsa zizindikiro za IBS.
Kwa munthu yemwe ali ndi IBS, mankhwala othandizira oganiza bwino amaganiziridwa kuti athandize kuchepetsa nkhawa zokhudzana ndi zizindikiro za kugaya. Chifukwa cha kusokonezeka kwa thupi lathu, nkhawa imeneyi ingathe kuchepetsa zizindikiro zomwe zimakhudza kwambiri munthu amene ali ndi IBS. Lingaliro lachidziwitso chodziwikiratu kwa IBS ndiloti mukakhala ndi zochepa zozizwitsa zokhudzana ndi thupi lanu, mudzakhala ndi zizindikiro zochepa zosafunikira.
Mitundu Yopatsa Malingaliro
Mankhwala othandizira kuti akhale ndi maganizo okhudzidwa ndi opatsirana pogwiritsa ntchito mankhwala opatsirana pogonana (MBSR) komanso mankhwala othandizira kulingalira (MBCT).
MBSR ndi pulogalamu ya gulu yomwe inapangidwa ndi Jon Kabat-Zinn ku yunivesite ya Massachusetts Medical Center. MBCT yowonjezeranso otsogolera machitidwe achidziwitso cha machitidwe (CBT) kuzochitika m'malingaliro ndi kusinkhasinkha. Ngakhale kuti makamaka amagwiritsidwa ntchito ngati chithandizo cha kuvutika maganizo, MBCT yawerengedwa ngati chithandizo cha IBS.
Kodi Kafukufuku Amati Chiyani?
Kafukufuku wochuluka wagwiritsidwa ntchito pogwiritsa ntchito mankhwala ochiritsira a IBS. Tsoka ilo, sipanakhale kusinthasintha kochuluka mu zolemba zopangira ndi anthu. Komabe, ziwerengero ziwiri za meta zakhala zikuchitidwa zomwe zayesera kukoka limodzi kafukufuku omwe akupezekapo kuti abweretse ziganizo zoyambirira.
Zomwe zimagwiritsidwa ntchito metazi zimagwirizana chimodzimodzi ndi kafukufuku yemwe wapangidwa mpaka lero pogwiritsa ntchito mankhwala ochiritsira a IBS. Mankhwalawa amawoneka kuti amachepetsa kuopsa kwa zizindikiro za IBS , kuphatikizapo kupweteka, komanso kusintha moyo wa ophunzira. Komanso, kusintha komwe ophunzira omwe amaphunzira akupitirizabe ngakhale atatha kumaliza ntchitoyi. Lipoti lina linanena kuti ndondomeko zomangamanga za MBSR ndi MCBT zinali zogwira mtima kwambiri kuposa njira ina iliyonse yonyenga.
Iwo amavomereza kuti malingaliro othandizira okhudza malingaliro-mwa kuchepetsa kuchitapo kanthu kwa munthu ku malingaliro awo, kumverera, ndi kumverera kwa thupi-kumachepetsa kuchepa kwa hypersensitivity visceral yomwe ndi chizindikiro chodziwika cha IBS. Kuchepetsa kugonana kotereku kumawoneka kuti kumayambitsa zizindikiro ziwiri zochepa komanso kusintha kwa moyo wa munthu.
Zimene Tingayembekezere Kuchokera mu Programme ya MBSR
MBSR imafuna kudzipereka kwa masabata asanu ndi atatu. Pulogalamuyi imayang'aniridwa ndi mphunzitsi yemwe waphunzitsidwa pulogalamu ya mankhwala. Pulogalamuyi imaperekedwa mwa mawonekedwe a magulu a gulu. Gawo lirilonse lidzatha pafupifupi maola awiri kapena atatu omwe inu mudzaphunzitsidwa miyambo yosiyanasiyana, kuphatikizapo:
- Njira zoganizira
- Kukhala pansi kusinkhasinkha
- Kujambula thupi
- Yoga wofatsa
Mudzayembekezere kuchita masabata pafupifupi 45 mpaka 60 tsiku lililonse pamene mukugwiritsa ntchito njira zomwe mwaphunzitsidwa panthawi ya gululi. Pambuyo pa sabata lachisanu kapena lachisanu ndi chimodzi, muyembekezere kupezeka pa msonkhano wa tsiku lonse. Cholinga cha MBSR ndichokulitsa luso la munthu kuti asamangoganizira za mphindi yomweyi, zomwe zimathandiza kuchepetsa nkhawa, kuchepetsa kugwirizanitsa ndi zopanikizika, komanso kupititsa patsogolo kuthekera kwa munthu kuthetsa mavuto omwe moyo ungabweretse.
Zimene Tingayembekezere Kuchokera ku MBCT Program
Pulogalamu ya MBCT yakhazikitsidwa mofanana kwambiri ndi ya MBSR. Pulogalamuyi imachitika pakapita masabata asanu ndi atatu, ndi makalasi a magulu a mlungu ndi mlungu komanso ntchito zapakhomo. Mofananamo ndi MBSR, mungathe kuyembekezera kupita kwina tsiku lililonse kapena kuzungulira sabata lanu lachisanu kapena lachisanu ndi chimodzi.
Mofanana ndi MBSR, mudzaphunzitsidwa malingaliro, kusinkhasinkha, kusinkhasinkha thupi, ndi zogaŵira za yoga zosavuta. Cholinga chachikulu ndicho kukhazikitsa chidziwitso chopanda chiweruzo pazochitika zanu zonse, malingaliro, malingaliro, ndi zomverera.
Kumene MBCT imasiyanasiyana ndi MBSR ili ndi cholinga chokhazikika pamalingaliro olakwika omwe angapangitse kukhumudwa. Monga tafotokozera pamwambapa, MBCT imaphatikizapo kugwiritsira ntchito njira zamaganizidwe zoyenera kutsutsa ndikukhazikitsanso malingaliro oipa omwe angachititse kukhumudwa kapena nkhawa. Cholinga chachikulu cha MBCT ndi kukuphunzitsani momwe mungavomereze ndikusunga maganizo anu okhazikika osati kukhala nawo pambali kapena kuchitapo kanthu.
MBSR kapena MBCT
Kafukufuku wogwiritsa ntchito mankhwala okhudza maganizo a IBS sanazindikire kuti pulogalamu imodzi kapena ina ndi yabwino kwambiri pofuna kuthandiza kuchepetsa zizindikiro za IBS. Choncho, chisankho cha pulogalamu yomwe mungagwirepo nanu.
Monga MBCT inakhazikitsidwa pofuna kuchiza matenda ovutika maganizo, izi zingakhale zabwino kwa inu ngati mukuvutika maganizo nthawi zonse. Apo ayi, dongosolo la MBSR lingakwaniritse zosowa zanu bwino.
Chokhachokha cha pulogalamu iliyonse ndi kudzipereka kwa nthawi. Koma, podziwa kuti mukukhala ndi luso limene lingakuthandizeni mutatha kukwaniritsa pulogalamuyi, zingakuthandizeni kukhalabe olimbikitsidwa.
Kumene Mungapeze Thandizo
Yunivesite ya Massachusetts Medical Center yakhala ikuphunzitsa akatswiri ku MBSR kwa zaka zambiri. Mukhoza kulumikiza webusaiti yawo kapena mungathe kufufuza zosavuta pa webusaiti kufunafuna akatswiri m'deralo. Onetsetsani kuti mutenge dokotala yemwe adaphunzitsidwa mu protocol ya UMAS MBSR.
Ophunzira a MBCT akhoza kukhala ovuta kwambiri kupeza, koma mungapeze zambiri zokhudza kupeza dokotala m'dera lanu pano.
Zotsatira:
Aucoin M, Lalonde-Parsi MJ, Cooley K. Momwe Mungagwiritsire Ntchito Mmene Mungagwiritsire Ntchito Mmene Mungagwiritsire Ntchito Mmene Mungagwiritsire Ntchito Matenda Okhudza Mimba: Meta-Analysis. Mankhwala Othandizira Opatsirana Omwe Amawathandiza: eCAM , 2014, 140724.
Moyo wa Kabat-Zinn J. Kuwononga Moyo: Kugwiritsira Ntchito Nzeru za Thupi Lanu ndi Maganizo Anu Kulimbana ndi Kupanikizika, Kupweteka, ndi Matenda. New York, NY Bantam 2013.
Lakhan SE, Schofield KL. Kusamala Kwambiri M'njira Yothandizira Kusokonezeka Kwachidziwitso: Kukonzekera Mwadongosolo ndi Meta-Analysis. PLoS ONE. 2013; 8 (8): e71834.