Ambiri amakumana ndi matumbo ndi mavuto a mkodzo
Ngati mukukumana ndi mavuto a chikhodzodzo ngati kuti mumakonda kukodza nthawi zambiri kuwonjezera pa matenda osokoneza bongo (IBS), simuli nokha. Phunzirani zambiri za kugwirizana pakati pa ziwirizi ndi zomwe zifukwa zomwe zimayambitsa mavuto anu awiri.
Zizindikiro za Chikhodzodzo ndi IBS
Zizindikiro za m'midzi zingakhalepo ndi theka la anthu omwe ali ndi IBS.
Zizindikiro izi zikuphatikizapo:
- Kuthamanga mobwerezabwereza
- Kutaya kosakwanira kwa chikhodzodzo
- Nocturia (ayenera kuchoka pa bedi kuti ukamwe)
- Kufunika kwachangu
Palinso umboni wina wakuti amayi omwe ali ndi IBS akhoza kukhala osagwirizana ndi ubwino kusiyana ndi amayi omwe alibe IBS.
Sitikudziwa motsimikiza chifukwa chake anthu omwe ali ndi IBS ali pachiopsezo chachikulu cha mavuto a ubodzo ndi mosiyana. Ndithudi, kuyandikana kwa ziwalo zomwe zimayambitsa kuthetsa kumasonyeza kuti pali kugwirizana pakati pa mitsempha yambiri ndi minofu ya dongosolo lililonse. Zina zowonjezera zowonjezera pakati pa matumbo ndi chikhodzodzo cha chikhodzodzo zimaphatikizapo kutukudzidwa pakati kapena kugawidwa kwa machitidwe osokonezeka. Kumvetsetsa bwino zomwe zimayambitsa zikhoza kuyambitsa mankhwala othandiza kwambiri, kupereka chithandizo choyenera cha matenda. Kupititsa patsogolo kayendetsedwe ka chimodzi mwa machitidwe awiri kungabweretse patsogolo pakugwira ntchito kwa wina.
Mavuto Amtendere Amene Angakhalepo ndi IBS
Zinthu zotsatirazi zokhudzana ndi thanzi lirilonse lingakhudze momwe ntchito ikugwiritsira ntchito chikhodzodzo ndi / kapena matumbo:
- Mitsempha ya Cystitis (IC ): Popanda kudziwika ngati matenda opweteka a chikhodzodzo, maseĊµera a cystitis ndi chikhalidwe chomwe munthu amakumana nawo nthawi zambiri kukasakaniza ndi kupweteka kosalekeza komanso kusokonezeka kumayanjana ndi chikhodzodzo. Zilizonse za IC ndi IBS zakhala zikugwirizanitsidwa ndi mawonekedwe a visceral hypersensitivity . Pofuna kudziwa zomwe zimachititsa kuti IC ndi IBS iwonongeke, ofufuza akhala akuyang'ana mbali ya kutupa , "kutsegula m'mimba" pakati pa mitsempha ya m'matumbo ndi chikhodzodzo, ndi zina zomwe zingatheke kusemphana maganizo. Ngati muli ndi IC limodzi ndi IBS, gwirani ntchito ndi dokotala wanu pa dongosolo la chithandizo lomwe limayendera zonsezi. Izi zingaphatikizepo mankhwala, kusintha kwa zakudya, ndi mankhwala monga mankhwala kapena biofeedback .
- Mavuto a Pelvic Floor (PFD) : Ichi ndi chikhalidwe china chomwe chingayambitse onse a IBS ndi kukodza nthawi zambiri. Mu PFD, minofu yomwe imapezeka m'mimba yamphepete yomwe imayambitsa kukonzedwa ndi kusamalidwa sikugwira ntchito moyenera. Kukhala ndi vutoli kungathe kufotokozera chifukwa chomwe munthu angapezere zizindikiro zamatumbo ndi chikhodzodzo panthawi imodzi. Ngati mwapezeka kuti muli ndi vuto lopanda pansi, lankhulani ndi dokotala wanu za mankhwala omwe mungasankhe, monga momwe mungasankhire zinthu zosiyanasiyana malinga ndi kukula kwa zizindikiro zanu.
- Matenda a Prostatitis / Matenda Osautsa Amtima Wachiwawa : Amuna ena amapezeka kuti ali ndi mawonekedwe osatha a prostatitis pamodzi ndi IBS. Matenda a prostatitis / matenda a pelvic pain (CP / CPPS) amachititsa zizindikiro zosiyanasiyana, kuphatikizapo ululu wamakono, kuthamanga kwa mkodzo, ndi kusadziletsa. Pali mankhwala omwe angathandize kuchepetsa zizindikiro za CP / CPPS, choncho onetsetsani kuti mukugwira ntchito ndi dokotala pa dongosolo la mankhwala.
- Kulimbikitsanso Kukhudzidwa : Matendawa a ubongo amachititsa kuti zizindikiro za kuyandikira kwa mkodzo ndizodziwika bwino. Tsoka ilo, palibe kufufuza kwambiri pokhudzana ndi izi. Pemphani kuti munthu asagwiritse ntchito mankhwala osokoneza bongo chifukwa chodwala matendawa, chifukwa chakuti matenda osiyanasiyana angayambitse matenda osiyanasiyana.
Zimene Mungachite Ngati Muli Nawo Onse
Chinthu chofunikira kwambiri kuti muchite ngati mukukumana ndi zizindikiro ndi chikhodzodzo ndikutsegula dokotala wanu. Chifukwa cha tsankho la kusukulu lakale lokhudza "zizindikiro za kusambira" anthu ambiri ndi amanyazi kukambirana nkhani zawo ndi madokotala awo. Musamachite manyazi-kuwonongedwa ndi gawo labwino la munthu, monga adokotala amadziwira bwino. Dokotala wanu adzakuthandizani kupeza matenda omwe akukudziwani ndikukupatseni ndondomeko yothetsera vuto lililonse.
Dokotala wanu adzakonza dongosolo lanu la mankhwala mogwirizana ndi vuto limene mukukumana nalo chikhodzodzo. Ngati vuto lanu lachiwiri likuwoneka kuti likukhudzana ndi kufooka kwapansi, dokotala wanu angapangitse mankhwala opatsirana kapena biofeedback.
Ngati zizindikiro zanu zikuwoneka zogwirizana kwambiri ndi ma hypersensitivity visceral, iwo angapangire mankhwala omwe amachititsa dongosolo lamanjenje (makamaka neurotransmitter serotonin). Njira ina ndiyo kugwiritsa ntchito mankhwala omwe ali ndi zotsatira zoteteza anticholinergic . Monga momwe mungathere pali zinthu zosiyanasiyana zomwe zingayesedwe kukubweretsani mpumulo wa zizindikiro, choncho onetsetsani kuti mukuuza dokotala zomwe mukuchita ndi "malo anu osambira".
> Zotsatira:
> Malykhina AP, Wyndaele J, Andersson K, De Wachter S, Dmochowski RR. Kodi chikhodzodzo cha mkodzo ndi chifuwa chachikulu chimagwirizana, mu matenda kapena mu thanzi? Neurourology Urodynamics 2012 31: 352-358.
> Persson R, Wensaas KA, Hanevik K, Eide GE, Langeland N, Rortveit G. Chiyanjano pakati pa matenda opweteka a m'mimba, kugwira ntchito, kutopa kwambiri ndi matenda osokoneza bladder. BMC Gastroenterology. 2015; 15: 66.
> Wang J, Varma MG, Creasman JM, Subak LL, Brown JS, Thom DH, Van Den Eeden, SK. Matenda a pelvic ndi umoyo wa amayi omwe ali ndi vuto lodzimva lopweteka kwambiri m'magazi Ali ndi zakudya zamadzimadzi ndi zowonjezera 2010 31: 424-431.
> Ya-Jun Guo Y, Ho C, Chen S, Yang S, Chiu H, Huang K. Zochepa zamakono za amayi omwe ali ndi matenda opweteka. International Journal of Urology 2010 17: 175-181.