Kusiyanitsa kumatanthauzira ngati chinthu chomwe chakulitsidwa kapena kutambasulidwa kupyola chikhalidwe chake, kawirikawiri kuchokera mkati. Kusiyana kwa m'mimba ndikuthamanga kwa m'mimba kumaphatikizapo kusintha kwakukulu koyerekeza pamimba ya munthu.
Kusiyanitsa kungakhoze kuwerengedwa kupyolera mu kugwiritsa ntchito tepiyeso. Kusamvana pa nthawi ya tsiku kungathe kuwerengedwa modalirika ndi chipangizo chotchedwa 'ambulatory m'mimba inductance plethysmography' (AIP).
Chipangizo choterocho chingagwiritsidwe ntchito pokhapokha pofufuza kafukufuku.
Kodi Kusiyanasiyana Kumasiyana Bwanji ndi Kuphimba?
Pamene munthu akumva kuti wasungunuka, amamva kupanikizika kwambiri m'mimba mwawo, koma popanda kusintha kulikonse. Ndi kutalika, palikulumikiza kwenikweni kwa kukula ndi kuzungulira kwa mimba. Anthu ambiri, kuphatikizapo madokotala, nthawi zambiri amagwiritsa ntchito mawu awiriwo mosiyana.
Ngakhale kuti zomwe zimayambitsa kuphulika komanso kusinthasintha sizikudziwikiratu, palinso kafukufuku wosonyeza kuti njira zosiyana (koma zokhudzana) zingakhale zogwirizana ndi mavuto onsewa.
Kusokonezeka kwa m'mimba
Kuphwanya ndi kutalika ndi zizindikiro zomwe zimakhala zovuta kwambiri za matenda okhudza m'mimba (FGD), monga matenda osokoneza ubongo (IBS).
Kodi ndi anthu angati amene ali ndi IBS omwe amasiyana nawo? Zotsatira zimakhala kuyambira 50 mpaka 75%.
Odwalawa ndi ochepa kwambiri omwe amawafotokozera ngati chizindikiro chovuta kwambiri. Kusiyanitsa kumakhala kosavuta kulumikizidwa ndi odwala omwe ali ndi vuto lopweteka m'mimba (IBS-C) mosiyana ndi kutsegula m'mimba-makamaka IBS (IBS-D). Kafukufuku wasonyeza kuti kuchepa kwa nthawi yopitako yachinyama kudzera m'matumbo kumagwirizana ndi zochitika za distension.
Kawirikawiri, odwala adzanena kuti kutalika kumakhala kosavuta kuchitika pambuyo chakudya ndikuyamba kuwonjezereka pamene tsiku likupitirira, kuchepetsa chizindikiro usiku. Kusiyanitsa komwe kumawonjezeka pamene tsikulo likutentha ndilo chifukwa cha FGD. Kusiyanitsa komwe kumachitika 24/7 kungakhale chizindikiro cha matenda aakulu kwambiri.
Zimayambitsa
Ngakhale zikuwoneka ngati zomveka kunena kuti kutalika kumagwirizana ndi kuchuluka kwa matumbo a m'mimba, chiphunzitso ichi sichichirikizidwa mokwanira ndi kafukufuku. M'malo mwake, zikhoza kukhala kuti njira yomwe anthu amatha kugwiritsira ntchito IBS amathetsera mpweya womwewo ndi vuto.
Nthano ina imasonyeza kuti kutalika kumagwirizana ndi kusintha kosafunikira kwa minofu ya mimba, chifukwa chodya chakudya. Kufufuzanso kwina kuli kofunika kutsimikizira kapena kuchotsa chiphunzitsochi.
Chithandizo
Pali zinthu zosiyanasiyana zomwe zingayambitse m'mimba kutalika (kuphatikizapo kupweteka). Chifukwa chake palibe mankhwala omwe amadziwika kuti makamaka akuwonekera chizindikiro cha distension. M'malo mwake, chithandizo cha mankhwala chikugwiritsidwa ntchito pochita ndi zizindikiro za matenda osokoneza bongo. Zotsatira:
Agrawal, A. & Whorwell, P. "Mfundo Yowunika: Kumimba Kwa Mimba ndi Kusokonekera kwa Kusokonezeka kwa Mimba Kumagwiridwe - Matenda ndi Kufufuza Njira Zomwe Zingatheke" Njira Yopatsa Mafupa ndi Zothandizira 2008 27: 2-10.
Lea, R. & Whorwell, P. "Commentary Expert - Bloating, Distension, ndi Irritable Bowel Syndrome" MedGenMed 2005 7:18.