Pazochitika zosiyanasiyana za thanzi zomwe zimavutitsa anthu, palibe amene amaoneka kuti akuphatikizana pakati pa malingaliro ndi thupi monga matenda osokoneza bongo (IBS). Izi siziri chifukwa IBS ndi "zonse m'mutu," koma chifukwa cha kugwirizana kwakukulu kwa ubongo wathu ndi dongosolo lathu la kudya.
Mgwirizano wa ubongo umenewu umapangitsa kugwiritsa ntchito njira zosiyanasiyana zamaganizo / mankhwala monga chithandizo chamankhwala a IBS.
Kukambilana kwatsatanetsatane za ubale wa thupi / thupi mu IBS ndi mitundu yosiyanasiyana ya malingaliro / njira zamankhwala zochiritsira zidzakuthandizani kusankha ngati njirayi ingakhale yoyenera kwa inu.
Maganizo / Thupi limagawanika
Chifukwa chochokera ku filosofi Rene Descartes, mankhwala amasiku ano agwiritsira ntchito njira "yogawaniza ndi kugonjetsa" ndipo motero wapanga kusiyana pakati pa malingaliro ndi thupi. Ngakhale kuti njirayi ndi yothandiza kuti ochita kafukufuku ndi madokotala angathe kuganizira zochitika za thupi, vuto lalikulu ndikutaya mtima kuti thupi limagwira ntchito. Zovuta zachipatala, monga IBS, zomwe zimagwirizanitsa pakati pa malingaliro ndi thupi sizikumveka mosavuta. Choncho, nthawi zambiri amagwera m'mabvuto pakati pa zamalonda.
Kulumikizana kwa Maganizo / Thupi mu IBS
Mwamwayi, kafukufuku waposachedwapa akhala akuyesera kuti amvetse bwino matenda okhudza nkhawa.
Pankhani ya IBS, ofufuza atha kuganizira za ubongo wa m'mimba, njira yolankhulana ndi ubongo pakati pa ubongo ndi matumbo athu. Pakati pa izi, kuyankhulana kumachitika kudzera m'magulu a mitsempha, mankhwala omwe amapezeka mukatikatikati mwa mitsempha ya mitsempha ndi dongosolo la manjenje la enteric, lomwe liri gawo la dongosolo lokhazikika la mitsempha lomwe limayendetsa chimbudzi.
Kulephera kwa kayendetsedwe ka machitidwewa kumaganiziridwa kuti kumayambitsa mavuto a motility ndi matenda opatsirana omwe amapezeka ndi odwala IBS.
Ngakhale zifukwa zambiri, zomwe zimadziwika ndi zosadziwika, zimaganiziridwa kuti zimayambitsa zizindikiro za IBS , chilango chimodzi chodziwika bwino ndizovuta. Pamene tikupanikizika, kusintha kwa matenda a m'magazi kumawoneka m'machitidwe apakati ndi okhudza mantha, monga mbali ya thupi lathu. Asayansi akuphunzira chifukwa chake komanso momwe kusintha kwa matendawa kumathandizira ku IBS.
Poonjezera vutoli, odwala ambiri a IBS adzakuuzani kuti, pali "nkhuku ndi dzira" zomwe zimayambitsa IBS. Kupsinjika maganizo kungapangitse zizindikiro za IBS, koma IBS yokha ingakhale yovuta kwambiri! Njira zogwiritsira ntchito mankhwala / thupi zimakhala zokongola monga momwe zimathandizira kuwonjezera mphamvu ya thupi kuthana ndi maganizo opanikizika m'maganizo.
Psychotherapy kwa IBS
Psychotherapy ndi mtundu wa maganizo / mankhwala omwe apindula kwambiri. Kawirikawiri, kafukufuku wasonyeza kuti mitundu yotsatira ya psychotherapy ndi yabwino kuposa chithandizo chamankhwala chotheka pofuna kuchepetsa zizindikiro zonse za IBS. Kupititsa patsogolo zizindikiro mwa kugwiritsa ntchito psychotherapy sikungokhala kanthawi kochepa koma kumawoneka kupitilira nthawi.
- Zoganizira za khalidwe labwino (CBT)
- Hypnotherapy
- Psychodynamic psychotherapy
Ngakhale zili zabwino kupeza wothandizira amene akudziwa kuti akuthandiza IBS, izi sizingatheke. Malingaliro ndi zochitika za wolemba uyu, wothandizira yemwe ali mwapadera ndi nkhawa angakhalebe chithandizo pokhapokha atakhala omasuka kuti amvetsetse mavuto omwe ali nawo pa kuthana ndi IBS. Mulimonsemo, onetsetsani kuti wodwala wanu ali ndi chilolezo choyenera.
Njira Zochiritsira Zina
Mankhwalawa akugwiritsidwa ntchito bwino kuti athe kuchiritsa matenda ambiri a anthu ndipo akhala akuphunzira kwa IBS. Pakadali pano, kufufuza sikunapangitse phindu lokhazikika la kubedwa kwa IBS.
Kumbali ina, biofeedback yasonyeza thandizo lofufuzira monga chithandizo cha kudzimbidwa , makamaka chifukwa cha matenda omwe amatchedwa dyssynergic defecation .
Kusinkhasinkha Kusinkhasinkha
Kusinkhasinkha mwalingaliro, chinthu chachikulu cha malingaliro-chochokera m'maganizo kuchepetsa (MBSR), chikawoneka ngati chilengedwe kukhala choyenera monga njira yochepetsera zizindikiro za IBS. Maphunziro a zachipatala pogwiritsa ntchito MBSR kwa IBS asonyeza kuti zingakhale zothandiza kuchepetsa zizindikiro, makamaka kupweteka, ndi kukulitsa umoyo wabwino.
Kusinkhasinkha Movement Based
Ntchito zotsatirazi zakhala zikuchitidwa kale ngati njira yochepetsera nkhawa ndi kupititsa patsogolo thanzi. Maphunziro oyambirira awonetsera zotsatira zabwino za yoga pa zizindikiro za IBS, koma, kufufuza mwakhama phindu la tai chi kwa IBS zikuwoneka kuti kulibe.
- Yoga
- Tai chi
Zotsatira:
Ford, A., etal.al. " American College of Gastroenterology Monograph pa Ulamuliro wa Irritable Bowel Syndrome ndi Chronic Idiopathic Constipation " American Journal of Gastroenterology 2014 109: S2-S26.
Lakhan, S. & Schofield, K. "Kupanga Malingaliro Othandiza Malingaliro pa Chithandizo cha Kusokonezeka kwa Chisokonezo: Kusanthula Mwachidule ndi Kufufuza Meta" PLoS One 2013 8: e71834.
Laird, K., et. al. "Kukhalitsa kwa nthawi yayitali komanso kwa nthawi yayitali ya mankhwala a Psychological Treatment for Irritable Bowel Syndrome: Kufufuza Kwambiri ndi Kufufuza Meta" Clinical Gastroenterology ndi Hepatology 2015 Epub patsogolo pa kusindikiza.
Tanaka, Y., et.al. "Biopsychosocial Model of Irritable Bowel Syndrome" Journal of Neurogastroenterology ndi Motility 2011 17: 131-139.