Zithunzi zotsegula ndizopambana chizindikiro cha IBS kwa anthu omwe ali otsekula m'mimba-omwe ali ndi IBS (IBS-D) komanso chizindikiro cha anthu omwe ali ndi mtundu wina wa IBS . Kawirikawiri izi zimayambitsa ululu m'mimba nthawi ya matumbo, kutsegula m'mimba mofulumira, komanso pa ngozi zapamadzi zowonongeka .
Ndi zizindikiro izi, kudziwa momwe mungapangire chovala chanu molimba ndi kupeĊµa ziwalo zosasunthika kungakuthandizeni kukhala ndi moyo wabwino. Malangizo apa ndi okhawo omwe ali ndi matenda a IBS. Pali zinthu zambiri za thanzi zomwe zingayambitse zotayirira. Ngati simunawonepo ndi dokotala wanu chifukwa cha zolaula zomwe zimakhalapo kwa nthawi yaitali kuposa milungu iwiri, muyenera kuwawuza dokotala mwamsanga kuti mupeze chithandizo choyenera ndi mankhwala.
N'chifukwa Chiyani Zidzasunthira Zolimbana ndi Zolimba?
Pofuna kukuthandizani kumvetsetsa chifukwa chake thupi lanu limatulutsa zotayirira, zimakuthandizani kukumbukira momwe dongosolo lakumagwirira ntchito limagwirira ntchito. Mwachidule, chakudya chimene timadya chimayamba kugwa m'mimba mwathu, kenako amatumizidwa kumatumbo athu, komwe zakudya zimatulutsa. Katumbu kakang'ono kamene kamatumiza mitsuko yosagwiritsidwa ntchito ndi madzi m'matumbo athu akulu pomwe madzi amakoka kuti apange mpando.
Kuyambira tsopano, sizikudziwika bwino chifukwa chake anthu omwe ali ndi IBS amatha kusintha mofulumira ndi maonekedwe awo. Chomwe chimadziwika ndikuti zotayirira ndi zotsatira za kayendedwe kamene kamakhala mofulumira, m'matumbo omwe amatseka kwambiri madzi, kapena zigawo za chakudya zomwe zimayambitsa ndondomeko yotulutsa madzi ochulukirapo m'thumba. Pamene mukugwira ntchito ndi dokotala kukonzekera dongosolo la kasamalidwe ka zizindikiro za IBS, pali zizindikiro zina zomwe mungathe kuyesa.
Pewani Chakudya ndi Chakumwa Chomwe Chikhoza Kugawitsa Zotsalira Zotsalira
Zakudya zotsatirazi ziri ndi mbiri yochepetsera chopondapo. Popeza palibe aliyense wa iwo omwe ali ofunikira thanzi labwino, omasuka kuchotsa zakudya zanu.
- Zakudya za mkaka ndi ma lactose apamwamba (mkaka, zofewa komanso zokolola)
- Zakudya zopanda mafuta ndi olestra monga chogwiritsira ntchito (ayisikilimu, mbatata ya mbatata)
- Zakudya zopanda shuga ndi nsabwe za kutafuna ndi zotsekemera zopangira zomwe zimatha mu -ol
- Zakumwa zakumwa za caffeine (khofi, soda, tiyi)
Musadye Zipatso Zambiri Panthawi Yomweyi
Zipatso ndizomwe zimayambitsa zakudya zambiri monga vitamini, mchere ndi antioxidants. Komabe, imakhalanso ndi fructose ndipo matupi athu ali ndi mphamvu zochepa zowonjezera fructose nthawi yomweyo. Zipatso zambiri, posachedwa, zimatanthauza kuti fructose yochuluka imalowa mumatumbo akulu pomwe ingatenge madzi ochulukirapo kuti ikhale yowonjezera.
Musatenge OTCs Ali ndi Magnesium
Magesizi imakhala ndi mbiri yabwino yokhala ndi laxative. Ndipotu, izi ndizofunikira kwambiri pazinthu zambiri zogwiritsira ntchito colonoscopies .
Samalani kuti musatenge magnesium yotulutsirapo pamsika popanda mankhwala. Zotsatirazi zingaphatikizepo malemba a magnesium kotero mosamala:
- Antacids
- Multivitamins
- Mavitamini ena
Chitani: Ganizirani za maantibiotiki
Maantibiotiki ali ndi mabakiteriya omwe amaganiziridwa kuti ndi opindulitsa kwa timapepala timene timadya. Pali umboni wakuti amachititsa kuti mabakiteriya anu azikhala bwino .
Izi zothandiza pa mabakiteriya m'matumbo anu zingathandize thupi lanu kukhazikitsa motility bwino ndipo amachititsa pang'ono m'mimba gasi, zonsezi zingathandize kuchepetsa kuthamanga msanga kwa m'mimba kutsekemera zomwe zimapangitsa zotayirira.
Mukhoza kuwonjezera kudya kwa ma probiotics kudzera mu mavitamini othandizira mavitamini kapena kudya zakudya zokazinga monga yogurt kapena sauerkraut.
Chitani: Funsani Dokotala Wanu Pa Zophatikiza Za Fiber
Ngakhale kuti nthawi zambiri amalimbikitsidwa kuti asiye kudzimbidwa, zowonjezera mavitamini (zomwe zimadziwika kuti ndi mankhwala amchere wambiri) zimatungira madzi m'chitsimemo, ndikuthandiza kulimbitsa. Nazi zina mwazinthu:
- Psyllium (Fiberall, Genfiber, Konsyl, Metamucil)
- Calcium polycarbophil (Fibercon, Equalactin)
- Methylcellulose (Citrucel)
Chitani: Sungani Kupanikizika Kwako
Kuyambira kale, nthawi zambiri amadziwika kuti amathamangira msana chifukwa cha thupi lake. Kuchepetsa nkhawa kungathandize thupi lanu kukhala ndi chiyero chabwino, kusunga chitseko kuti chikhale cholimba ngati madzi akutulutsidwa. Pomwe kuli kotheka, yesetsani kuchepetsa kuchuluka kwa nkhawa m'moyo mwanu popewa zinthu zovuta kapena anthu. Ngati izi sizingatheke, onetsetsani kuti mukuchita zinthu zomwe zimapangitsa kuti maganizo anu asokoneze thupi lanu. Nazi ochepa omwe angaganizire:
- Kusinkhasinkha
- Zosangalatsa zozizira
- Tai Chi
- Yoga
Zifukwa Zina za Zitsulo Zosasuntha
Ngati simunapezepo ndi IBS, pangakhale zifukwa zina zambiri zotayirira. Pamene mukuyesera kuzindikira zomwe zingakhale zolakwika, ndikuonetsetsa kuti mupatsa dokotala zambiri zomwe zingakuthandizeni kupeza matenda oyenera, dzifunseni mafunso awa:
- Kodi kusintha kwatsopano kumene mukudya?
- Kodi muli ndi mankhwala atsopano?
- Kodi gwero lanu la madzi lasintha, kukuwonetsani ku mitundu yosiyanasiyana ya mabakiteriya?
- Kodi mwangoyamba kumene?
- Kodi mwangokumana ndi chakupha chakupha kapena matenda ena a m'mimba?
- Kodi msinkhu wanu wamisala uli wapamwamba kusiyana ndi nthawi zonse?
Zinthu Zamaganizo ndi Zosasula Zambiri monga Chizindikiro
Pali mitundu yambiri ya thanzi yomwe ili ndi ziwalo zosayera monga chizindikiro. M'munsimu mudzapeza zina mwa matenda ndi matenda omwe adokotala anu akulingalira pamene akuyesera kupeza chifukwa chake mukukumana ndi kusintha kwanu.
Zotsatira zaumoyo zotsatira zokhudzana ndi kudya zakudya zingapangitse zidole zowonongeka:
- Matenda a Celiac
- Kusagwirizana kwa Lactose
- Fructose malabsorption
- Uphungu wa Gluten
- Mafuta malabsorption
Ngakhale kuti zinthu zotsatirazi ndizosiyana kwambiri ndi zomwe zimachitika, zimagawidwa ndi zizindikiro zowonongeka:
- Matenda a Crohn
- Matenda owopsa a m'mimba (IBS)
- Matenda: mabakiteriya, poizoni wa chakudya, mavitamini, kutsegula m'mimba , mavairasi
- Opaleshoni ya m'mimba kapena m'mimba
- Ulcerative colitis
Zizindikiro Zikufuna Kuchiritsidwa Nthawi yomweyo
Monga momwe mukuonera, zomwe zimayambitsa zotayirira zimatha kuchoka kuchitapo kanthu pang'ono ndi chakudya chodyetsedwa ku matenda aakulu kwambiri. Ngati mukukumana ndi zizindikiro zotsatirazi pamodzi ndi zida zanu zotayirira, nkofunika kuti mukambirane ndi dokotala nthawi yomweyo:
- Magazi kapena pus mu mpando
- Kutaya madzi m'thupi
- Chiwopsezo chapamwamba kuposa 102 kapena chimatha masiku atatu
- Ululu waukulu wamimba
- Sungani chakuda kapena khalani
- Kutaya kosawerengeka kosadziwika
Mawu Ochokera
Zimakhala zovuta kukhala ndi matenda otsekula m'mimba. Onetsetsani kuti mukukambirana ndi wothandizira zaumoyo kuti mupeze chithandizo choyenera ndi chithandizo choyenera.
> Zotsatira:
> Kutsekula m'mimba. Medline Plus. https://medlineplus.gov/ency/article/003126.htm.
> Kutsekula m'mimba. Merck Manual. http://www.merckmanuals.com/professional/gastrointestinal-disorders/symptoms-of-gi-disorders/diarrhea.
> Kutsekula m'mimba. National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea.
> Juckett G, Trivedi R. "Kufufuza kwa matenda otsegula m'mimba." American Physician Dokotala 2011 84: 1119.
> Palsson, O., et.al. "Odwala a IBS Amawonetsa Kusintha kwafupipafupi Pakati pa Mvula / Madzi Amadzi ndi Ovuta / Osauka: Zotsatira za Chithandizo" American Journal of Gastroenterology 2012: 286-95.