Mwatsoka, anthu amatha kuthetsa vuto limodzi la thanzi nthawi imodzi. Ndipo nthawi zina, pangakhale zifukwa zomwe zimapangitsa munthu kukhala ndi mwayi wochuluka wa kukhala ndi matenda oposa umodzi. Izi zikuwoneka ngati zili ndi IBS ndi maganizo. Zowonongekazi zikuyang'ana zomwe zimadziwika pokhudzana ndi zochitika ziwirizi, ndi zomwe mungachite kuti mutha kuyang'anira bwino zizindikiro za matenda onsewa.
Kodi Kusokonezeka Maganizo N'kutani?
Kusokonezeka maganizo ndi matenda omwe amachititsa kuti munthu asamavutike maganizo kapena kutaya chidwi kapena zosangalatsa zomwe zimaphatikizapo zizindikiro zosiyanasiyana zomwe zimalepheretsa munthu kukhala ndi moyo komanso kusangalala ndi moyo. Zizindikiro za kuvutika maganizo zingakhalepo:
- Kusintha kwa njala ndi kulemera
- Kuvuta kuika maganizo
- Kuvuta kugona ndi / kapena kuvutika kugona tulo
- Kukhala wopanda chiyembekezo, kudzichepetsa, kudziimba mlandu kwambiri, ndi kudandaula
- Kupanda mphamvu ndi mphamvu
- Kudzipatula
- Zolinga za kudzipha ndi zoyesayesa
Pali malamulo ambiri okhumudwitsa omwe ali ndi mbali zosiyanasiyana, kuphatikizapo:
- Kusokoneza maganizo kwa matenda osokoneza maganizo
- Matenda aakulu achisokonezo
- Matenda a Dysthymic
- Matenda opatsirana amtundu wa PMDD (Premenstrual Dysphoric disorder)
Kugwiritsidwa ntchito kwa IBS ndi Depression
Matenda omwe amapezeka kwambiri m'maganizo a anthu omwe ali ndi matenda a IBS ndi kuvutika maganizo. Mu kafukufuku wina, chiŵerengero cha matenda ovutika maganizo omwe analikudziŵika nacho chinali 31% mwa odwala IBS omwe ankafuna chithandizo.
Manambalawa ndi apamwamba kusiyana ndi kuchuluka kwa kuvutika maganizo komwe kumawoneka kwa odwala omwe ali ndi matenda opatsirana (IBD) kapena anthu abwino.
Nchifukwa chiyani odwala IBS angakhale pachiopsezo chachikulu chovutika maganizo? Ofufuza akhala akufunafuna mayankho. Chigawo chimodzi cha kufufuza chikugwirizana ndi kusokonezeka kwa mwana. Kuwonjezeka kwa chiwerengero cha kugonana kwa ana ndi / kapena kusokonezeka maganizo pakati pa odwala a IBS kumakhala kwakukulu, ndipo ena amaganiza kuti ndi okwana 50%.
Kukumana ndi zowawa zoterezi kumapangitsa munthu pachiopsezo kuti akule matenda a maganizo monga kuvutika maganizo.
Ofufuza a IBS akhala akuyang'anitsitsa ntchito yomwe serotonin ya m'mtima mwawo imasewera pazovuta zonsezo. Serotonin imakhudzidwa ndi ntchito zambiri za chimbudzi ndipo zimathandiza kwambiri pa kulankhulana pakati pa ubongo wathu ndi zida zathu. Miyeso ya Serotonin imayanjananso ndi zizindikiro za kupsinjika maganizo ngakhale kuti chikhalidwe cha ubalewu sichimvetsetsedwa bwino. Choncho, mavuto omwe thupi limagwiritsa ntchito poti serotonin ndilo limatha kusokoneza.
Funso lina labwino ndi lakuti kukhala ndi IBS kungayambitse matenda. Phunziro lalikulu la zaka khumi ndi ziwiri linapeza kuti kukhala ndi IBS kumayambiriro kwa phunziroli kunayanjanitsidwa ndi nkhawa yambiri komanso kuvutika maganizo pamapeto pa phunzirolo. Komabe, kutsutsana kunali koona. Anthu omwe anali ndi nkhawa kwambiri ndi kuvutika maganizo pachiyambi cha phunzirolo anali pachiopsezo chachikulu cha kukula kwa IBS pamapeto pa phunzirolo. Akatswiri ofufuza apeza kuti izi zikusonyeza kuti vutoli limayambitsa mavuto onsewa, mwachitsanzo, kuchokera mu ubongo kupita kumatumbo kapena m'matumbo kupita ku ubongo.
Zimene Mungachite Ngati Muli Nawo Onse
Ngakhale kuti pali mavuto awiri panthawi yomweyo akhoza kufotokozedwa pansi pa "moyo sali wokonzeka", pali pangТono kakang'ono ka siliva.
Choyenera kwa matenda amodzi chingathandizenso matenda ena. Mungapeze izi makamaka mmalo mwa mankhwala a mankhwala.
Ngakhale kuti amaonedwa kuti ndi osagwiritsira ntchito mankhwala , anti-depressants kawirikawiri amaperekedwa kwa odwala IBS chifukwa cha kuchepetsa kupweteka komanso kupititsa patsogolo matumbo. Zimaganizidwa kuti zotsatirazi zothandiza zimachokera ku zotsatira zowonongeka maganizo pa serotonin ndi ena odwala matendawa.
Matenda a Tricyclic omwe amachititsa kuti thupi likhale lopweteka kwambiri, limakhala lopweteka kwambiri m'mimba, mwinamwake limapanga chisankho chabwino kwa odwala omwe amatsekula m'mimba kwambiri (IBS-D).
Sewerotinin Reuptake Inhibitors (SSRIs) ndi gulu la anthu ovutika maganizo omwe amaganiziridwa kuti amangogwiritsa ntchito serotonin, zomwe zimayambitsa zotsatira zosafunikira, kuphatikizapo kudzimbidwa. Choncho, munthu amene ali ndi matenda odziteteza (IBS-C) omwe amamupweteka kwambiri akhoza kumuthandizira kuti azivutika maganizo ndi mankhwala ochokera m'kalasiyi.
Njira yina yoganizira ndi kugwiritsa ntchito chidziwitso cha khalidwe labwino (CBT). CBT ili ndi thandizo lofufuzira kafukufuku pofuna kuthetsa zizindikiro za kuvutika maganizo ndi IBS.
Zotsatira:
Association of Psychiatric Association. "Kufufuza ndi Kusanthula Buku la Mental Disorders, 4th,." 2000 Washington, DC
Koloski1, N., et.al. "Njira yoyendetsera ubongo m'maganizo okhudza m'mimba ndi othandiza kwambiri: phunziro laling'ono lazaka 12 lomwe likuyembekezera anthu" Gut 2012 61: 1284-1290.
Surdea-Blaga, T., Baban, A. & Dumitrascu, D. "Zizindikiro za maganizo a matenda a m'mimba" World Journal of Gastroenterology 2012 18: 616-626.