Kutsekula m'mimba ndi matenda omwe munthu amakhala ndi matenda otsegula m'mimba popanda chifukwa chodziwika bwino. Kutsekula m'mimba kumatchulidwa ngati matenda okhudza m'mimba (FGD), chifukwa ndi matenda omwe amachititsa vuto ndi njira imene chimbudzi chimagwirira ntchito, koma palibe chizindikiro cha matenda, kuvulala, kapena mavuto amtunduwu omwe amasonyeza panthawi ya matenda kuyesa.
Zizindikiro za Kutsekula m'mimba
Chizindikiro chachikulu cha kutsegula m'mimba ndizochitikira zowonongeka kapena madzi, zomwe zimachitika popanda kupweteka, pafupifupi 75% ya matumbo. Malinga ndi ndondomeko ya Rome III yowunikira ma FGDs , kusintha kumeneku kuonekera kwachitetezo kuyenera kuti kwachitika patadutsa miyezi itatu ndikuyamba miyezi isanu ndi umodzi isanakwane.
Momwe kutsekula m'mimba kumasiyana ndi IBS
Matenda owopsa a m'mimba (IBS) ndi FGD. Pamene kutsekula m'mimba ndilo vuto lalikulu la m'mimba mwa IBS, matenda otsegula m'mimba oterewa amayamba kupezeka. Matenda otsekula ogwira ntchito amasiyana ndi IBS-D makamaka chifukwa cha kusowa kwa m'mimba ngati ululu . Matenda awiriwa angakhale ndi zizindikiro monga kupuma, gasi ndi kupuma, ntchentche muchitetezo , komanso kumangokhala osatuluka . Zingakhale kuti kutsekula m'mimba kumayimira gawo la IBS-D.
Njira Yodziwiritsira
Matenda otsekula ogwiritsidwa ntchito amapezeka kupyolera mu ndondomeko yotsalira.
Izi zikutanthauza kuti zimaperekedwa monga zifukwa za zizindikiro zowonjezereka pokhapokha zitatha matenda ena osokoneza matenda kapena matenda.
Kawirikawiri dokotala wanu azidzafufuza mwakuthupi ndi kutenga mbiri yanu yaumoyo. Izi zikhoza kuphatikizapo ndondomeko yambiri ya mankhwala anu monga mankhwala ambiri omwe angayambitse kutsekula m'mimba monga chosafunika.
Dokotala wanu angalimbikitsenso ntchito ya magazi ndi kusanthula kafukufuku wazitsulo. Mayesero ena omwe angakhalepo angaphatikizepo colonoscopy ndi / kapena endoscopy.
Dokotala wanu angapemphenso za zakudya zanu. Matenda otsekula amatha kukhala chizindikiro cha:
Anthu ena amakhala ndi matenda otsegula m'mimba atachotsedwa .
Ngati matenda ena adachotsedwa ndipo mulibe zizindikiro zosazolowereka, monga kutuluka kwa magazi kapena kupweteka kwa thupi, kugwiritsidwa ntchito kwa kutsegula m'mimba kungapangidwe.
Kuchiza kwa Kutsekula m'mimba
Chithandizo cha kutsegula m'mimba sichidasamalire kwambiri kusiyana ndi momwe akugwiritsira ntchito mankhwala a IBS. Mankhwalawa amachititsa kuchepetsa zizindikiro zake pogwiritsa ntchito zakudya zowonongeka, monga kuthetsa zakudya zomwe zimayambitsa zakudya komanso kuchepa kwa pang'onopang'ono. Ngati kusokonezeka maganizo kumawoneka ngati chinthu chothandizira, kuyendetsa bwino maganizo kungakhale kothandiza.
Ngati dokotala akukhulupirira kuti mankhwala angakhale othandiza, akhoza kusankha chimodzi kapena zingapo zotsatirazi:
- Mankhwala oletsa kutsitsirana monga Imodium
- Mankhwala a antispasmodic
- Mankhwala otetezedwa monga Xifaxan
- A bile acid binder monga cholestyramine
- Wodetsa nkhaŵa kuti ayende motility komanso kuchepetsa nkhawa
Zotsatira:
Dellon, E. & Ringel, Y. "Chithandizo cha kutsegula m'mimba." Mmene Mungapezere Matenda Amakono mu Gastroenterology 2006 9: 331-342.
"Malingaliro Odziwika a Roma III Omwe Amagwira Ntchito Zokhudzana ndi Mimba"