Njira Zothandizira kwa IBS
Mankhwala osokoneza ubongo (IBS) chithandizo sichimafika pamtundu umodzi wa "kukula kofanana". Kugwira ntchito ndi dokotala wanu, ndi kuyesa pang'ono ndi zolakwika, mudzapeza njira yanu yoyang'anira IBS yanu. Njirayi ingafunike njira zambiri, koma monga momwe mukuonera muzowonjezereka, pali njira zambiri zamankhwala zomwe mungachite.
Gawo Loyamba
Ngati simunachite kale, nkofunika kuti muwone dokotala kukambirana zizindikiro zomwe zimapitirirabe.
Ngakhale zizindikiro za IBS zikuphatikizapo ululu m'mimba komanso kupuma kwa nthawi yaitali, kutsegula m'mimba, kapena zonsezi, zizindikirozi zingakhalenso chifukwa cha matenda ena aakulu. Dokotala wanu atatsimikizira kuti akudziwa kuti ali ndi IBS, ndiye kuti mungagwire nawo ntchito yokonza njira yothetsera vutoli.
Mankhwala a IBS
Mwachizolowezi, zosankha zamankhwala za IBS zakhala zochepa.
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Mankhwala Onse Amene Alipo Othandizira Kuchitira IBS
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Kodi Iberogast Yosautsa Ndizomene Mukufunikira pa IBS Yanu?
Mwamwayi, zinthuzi zikusintha mofulumira ngati mankhwala atsopano akupangidwa. Nazi zina mwazomwe mungagwiritsire ntchito mankhwala omwe alipo tsopano:
Antispasmodics: Antispasmodics ndi mankhwala omwe amapezeka kawirikawiri kwa IBS pamene amathandiza kuchepetsa zizindikiro za kupweteka m'mimba ndi kupondaponda, makamaka kwa anthu omwe ali ndi matenda-omwe ndi ofunika kwambiri ku IBS (IBS-D). Antispasmodics amagwira ntchito bwino ngati atatenga maminiti 30 mpaka 60 asanadye ndipo zingakhale bwino kupereka nthawi yayitali, kusiyana ndi nthawi yaitali, mpumulo wa zizindikiro.
Mankhwala ofotokoza IBS: Makampani azachipatala akhala akugwira ntchito mwakhama kupanga mankhwala ochizira IBS, ndi njira zingapo zatsopano zomwe zingabwere ku msika zaka zingapo zapitazi.
Mankhwalawa amagwira ntchito pamatope mkati mwa matumbo akulu kuti abweretse mpumulo wa chizindikiro cha IBS. Zosankha zothandizira kudzimbidwa makamaka ndi IBS (IBS-C) zikuphatikizapo:
Ndipo pofuna chithandizo cha IBS-D:
Maantibayotiki: Anthu amadabwa akamva kuti mankhwala ophera antibiotics angaperekedwe kwa IBS , chifukwa nthawi zambiri kumwa ma antibayotiki angapangitse zizindikiro za IBS kukhala zovuta kwambiri. Komabe, maantibayotiki omwe amagwiritsidwa ntchito pochiza IBS ali a mitundu yeniyeni-antibiotic yomwe siinakanike m'mimba mwako, koma idzawongolera mabakiteriya m'matumbo anu aang'ono ndi aakulu. Mwa kalasi iyi, Xifaxan yokha imavomerezedwa ndi FDA ndipo ndi yothandizira osamangika IBS.
Kudetsa nkhawa: Dokotala wanu angasankhe kupereka mankhwala opatsirana pogwiritsidwa ntchito chifukwa cha zotsatira za momwe mukugwiritsira ntchito zakudya zakuthambo komanso chifukwa angatengedwe bwino kwa nthawi yaitali-ubwino wa matenda aakulu monga IBS. Madokotala amakulimbikitsani kuti akudandaulireni ngati matenda anu sanasinthidwe kudzera mwa kusintha kwa moyo wanu ndi zakudya komanso ngati mukuvutika maganizo ndi / kapena nkhawa ndi IBS yanu.
Mankhwala opatsirana pogwiritsa ntchito mankhwala a IBS ndiwo ma SSRI komanso akuluakulu a tricyclic omwe amawathetsa nzeru. Maphunziro awiriwa amalingalira kuti ali ndi makhalidwe ochepetsetsa. Dokotala wanu angasankhe mtundu wotani wa matenda opatsirana pogonana chifukwa cha vuto lanu la m'mimba, mwachitsanzo kudzimbidwa kapena kutsekula m'mimba, monga zolepheretsa zosiyana siyana zomwe zimakhudza zojambula pamimba ndi mawere.
Zothandizira Zambiri pa IBS (OTCs)
Pali mitundu yambiri ya OTC yomwe imagwiritsidwa ntchito pokonza zizindikiro za kuchepa. Zogulazi zilipo popanda mankhwala ndipo kawirikawiri pali kafukufuku wochuluka wokhudzana ndi momwe amachitira pochepetsa zizindikiro za IBS. Kumbukirani kuti nthawi zonse nkofunika kuyendera dokotala musanagwiritse ntchito mankhwala ena OTC. Nawa ena mwa OTCs omwe amagwiritsidwa ntchito kwambiri pa IBS:
- Imodium : Zothandizira kuchepetsa kutsekula m'mimba, koma osati IBS ululu.
- Mankhwalawa monga Miralax, Metamucil, Benefiber, ndi Citrucel.
- Mapulojekiti othandizira mavitamini : Izi zimakhala ndi zovuta zamoyo za "mabakiteriya abwino."
- Mafuta a Peppermint : Kafukufuku wasonyeza kuti mafuta a peppermint ovala mkati mwake ali ndi makhalidwe amphamvu kwambiri a antitispasmodic ndipo motero amathandiza kuchepetsa ululu wa IBS.
- Zitsamba zowonjezera : Pali mitundu yambiri ya zitsamba zoonjezera zomwe zimayesedwa kuti ndi zabwino kwabwino kuti munthu asamakhale ndi thanzi labwino komanso kuti azisamalira zizindikiro za m'mimba.
> Onani m'maganizo mwanu zomwe zingayambitse IBS ndi zizindikiro.
Kudya Kusintha
Njira imodzi yomwe anthu amayesera kupirira ndi IBS ndiyo kupititsa patsogolo zakudya. Polimbana ndi zizindikiro zoterezi, n'zosavuta kunena kuti chakudya ndi cholakwika. Mfundo yofunika kukumbukira ndi yakuti kudya kosavuta, makamaka kudya zakudya zazikulu kapena zonenepa, kungachititse kuti thupi likhale lopweteka. Kusokonezeka maganizo ndi kusintha kwa mahomoni kumawonjezera zizindikiro za IBS, kotero kuti chakudya chimene sichiloledwa pa nthawi ina chingasangalatse popanda chifukwa china.
Kusunga zonsezi mu malingaliro, pali zinthu zina zothandiza zomwe mungachite pokhudzana ndi kudya zomwe zingakhale zothandizira kuchepetsa zizindikiro zanu (kapena, osati kuwapweteka kwambiri)! Nazi njira zina:
1. Pitirizani kulemba chakudya . Zolemba za zakudya ndi nkhani yokhazikika ya zomwe mumadya ndi momwe mumamvera. Ndibwino kuti ngati mwapeza chakudya china monga chotheka, muthe kuchotsa chakudya chimenecho kwa miyezi itatu kuti muwone ngati izi zili ndi zotsatirapo za zizindikiro zanu.
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Pamene Zakudya Zochepa-FODMAP za IBS Sizigwira Ntchito
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Khwerero ndi Ndondomeko Malangizo Othandiza Kutenga Sitz Bath
Ngati sichoncho, yesetsani kudya chakudya kachiwiri ndikubwerezeranso ndondomekoyi ndi chakudya chotsatira mndandanda wanu. Anthu ochimwawo ndi zakudya zamtengo wapatali, ndiwo zamasamba opangira mafuta, zakumwa za carbonated, sweeteners zopangira, caffeine ndi mowa. Mungathe kuganiziranso kuti kudya zakudya zowonongeka kuti zisawonongeke ndi lactose kapena fructose malabsorption .
2. Idyani zakudya zochepa, nthawi zambiri . Chosiyana ndi ichi ndi chakuti kubzala chakudya chamadzulo chachikulu chingathandize kulimbitsa m'mimba komanso chilakolako chokhala ndi matumbo.
3. Zowonjezera zitsulo . Zida zambiri zimalimbikitsidwa chifukwa cha ubwino wake wathanzi komanso kuthandizira kuti zikhale zofewa. Komabe, ndi bwino kuwonjezera fiber pang'onopang'ono kuti thupi lanu lisinthe. Palinso umboni wina woti zitsulo zosungunuka zimapiridwa bwino ndi anthu omwe ali ndi IBS.
4. Yang'anani mu zakudya zochepa za FODMAP . Ngakhale chakudya chochepa cha FODMAP chikhoza kukhala chovuta, chili ndi kafukufuku wowonjezera wothandiza kuti zitheke. Chakudyacho chimaphatikizapo kuchotsa zakudya zina kuchokera ku zakudya zanu kwa masabata asanu ndi limodzi kapena asanu ndi atatu ndikuyamba kuziwonjezera pang'onopang'ono chakudya chanu kuti muone ngati mukulekerera.
Psychotherapy kwa IBS
Njira zosiyanasiyana zochiritsira zamaganizo zakhala zikuphunzitsidwa kuti ziwathandize kuchepetsa nthawi, mphamvu komanso nthawi ya zizindikiro za IBS, kuphatikizapo kuganizira za khalidwe labwino (CBT), hypnotherapy, njira zoyendetsa nkhawa komanso kuchita masewera olimbitsa thupi, komanso zotsatira zabwino.
CBT ndi matenda otsegula m'matumbo ali ndi mphamvu zofufuzira kafukufuku kuti athe kuchepetsa zizindikiro za IBS. CBT ndi mawonekedwe a psychotherapy omwe mumaphunzitsidwa njira zothetsera malingaliro a maladaptive komanso makhalidwe atsopano otsogolera nkhawa ndi kusamalira mikhalidwe yovuta. Hypnotherapy imaphatikizapo kulowetsedwa kwa chidziwitso chokhazikika ndi chosasangalatsa chomwe malingaliro ena aperekedwa kuti atsogolere kusintha kosatha mu khalidwe.
Mankhwala othandizira maganizo amakupatsani mwayi wophunzira njira zamakono zogwiritsira ntchito IBS popanda chiopsezo cha zotsatira zoyipa zomwe zimakhudzana ndi mankhwala.
Kupanga Chisankho Ndi Choyenera Kwa Inu
Kafukufuku wasonyeza kuti ndi IBS, pamene mumadziwa kuti ndinu wodwala, ndiye kuti zotsatira za mankhwala anu zidzakhala bwino. Kafukufuku wasonyeza kuti zotsatira za mankhwala anu zimakula ngati muli ndi ubale wabwino ndi dokotala wanu. Mudzapeza zambiri zambiri pano pazomwe mungasankhe. Pitirizani kuphunzira nthawi yambiri momwe mungathere ndikugwira ntchito ndi dokotala kuti mukhale ndi ndondomeko yothandizira zizindikiro zomwe zingathandize thupi lanu lapadera.
Zotsatira:
Foxx-Orenstein, AE. Matenda atsopano ndi omwe akuwuluka pofuna kuchiza matenda opweteka a m'mimba: chidziwitso cha gastroenterologists. Kupititsa patsogolo kwachipatala mu Gastroenterology . 2016; 9: 354-375.
J, Vanuytsel T, Corsetti M. Modern Management of Irritable Bowel Syndrome: Osati Motility. Matenda Otupa . 2016; 34: 566-573.