Matenda otsekula m'mimba otchuka kwambiri (IBS-D) ndi gawo la IBS limene munthu amakhala ndi matenda otsegula m'mimba nthawi zambiri. Monga IBS, IBS-D ndi matenda opatsirana m'mimba (FGD) chifukwa palibe matenda owoneka, kutupa, kapena kuvulala kwa akaunti chifukwa cha zizindikiro zake. Akuti pafupifupi pafupifupi theka la anthu omwe ali ndi IBS amavutika ndi matendawa ndi kutsekula m'mimba monga chizoloŵezi chachikulu cha m'mimba.
Zizindikiro
Mosiyana ndi zigawo zina za IBS, anthu omwe ali ndi IBS-D amapezeka:
- Kusinthasintha kwa thupi
- Zithunzi zosavuta
- Kudzimva mofulumira
Kuonjezera apo, anthu omwe ali ndi IBS-D amakumananso ndi zizindikiro zotsatirazi za IBS:
Malinga ndi njira ya III III ya ma FGD , mavuto ena azaumoyo ayenera kukhala opanda mphamvu ndipo zizindikiro ziyenera kuchitika masiku osachepera atatu pamwezi pa miyezi itatu yapitayo kuti azindikire kuti IBS-D ikupangidwira.
Anthu ena omwe ali ndi IBS angapeze kuti amasintha nthawi yomwe amakhala ndi IBS-D nthawi yomwe amatha kudzimbidwa, makamaka IBS (IBS-C). Zina zimasiyana pakati pa kudzimbidwa ndi kutsegula m'mimba nthawi zonse, matenda omwe amadziwika kuti Irritable matumbo - mtundu wina (IBS-A).
Zimayambitsa
Ngakhale kuti chifukwa chenicheni chimene munthu angakhalire IBS-D mwina sichiyenera kutchulidwa, ofufuza akufufuza malo osiyanasiyana ofunsira.
Izi zikuphatikizapo:
- Kulephera kugwira ntchito mu ubongo wa ubongo , kuphatikizapo kugonana kwa ubongo
- Zolinga za chakudya
- Kutentha dysbiosis
- Idiopathic bile acid malabsorption (I-BAM)
- Kutupa kwa microscopi ya chigoba cha m'matumbo
- Mimba yaing'ono ya m'mimba (SIBO)
Chithandizo
Ngati mukuganiza kuti mungakhale ndi IBS-D, chonde pangani msonkhano ndi dokotala wanu.
Palinso matenda ena aakulu omwe amagawana zizindikiro zambiri ndi IBS-D. Ndikofunika kuti izi ziwonongeke.
Ngati dokotala atsimikiza kuti muli ndi IBS-D, iwo adzagwira ntchito ndi inu pa dongosolo la mankhwala. Angakulimbikitseni kapena kukupatsani mankhwala. Zosankha zikuphatikizapo:
- Mankhwala otsutsa-m'mimba, monga Imodium
- Wopanikizika - kuchepetsa motility ndi kuchepetsa ululu
- Antispasmodic kuchepetsa kutsekemera m'matumbo ndi kupweteka
- Xifaxan - mankhwala opatsirana
- A bile acid binder monga cholestyramine
- Mankhwala opangidwa ndi opioid omwe amawoneka ngati Viberzi
Zizindikiro za IBS-D zingathandizenso ndi kusintha kwa zakudya. Kudya zakudya zing'onozing'ono komanso kupewa zakudya zazikulu zingakhale zothandiza. Kusunga zolemba chakudya kumadziwika kuti ndi kotheka kuwonetsa chakudya . Kuwonjezera apo, zakudya zochepa za FODMAP zimakhala ndi zofufuzira zofufuza pofuna kuchepetsa zizindikiro za IBS-D.
Zotsiriza, zizindikiro za IBS-D zikhoza kuchepetsedwa kudzera m'malingaliro / thupi, njira zamaganizo zokhudzana ndi khalidwe labwino (CBT) ndi hypnotherapy pokhala ndi kafukufuku wambiri omwe amathandizira IBS.
Chitsime:
Saha, L. "Matenda owopsa a m'mimba: Pathogenesis, matenda, matenda, ndi mankhwala ofotokoza umboni" World Journal of Gastroenterology 2014 20: 6759-6773.