Oko Ugqirha wakho ayazi malunga nokuPhathiswa kokuSigxina
I-American College ye-Gastroenterology ipapasha izikhokelo ngezihlandlo, ngokusekelwe ekuphononongeni kuphando olunzulu, kunyango lweengxaki ezahlukeneyo zokutya. Eli nqaku lisishwankathela iziphumo zengxelo yokugqibela yonyango lwe- idiopathic constipation (CIC), ekwabelana ngeempawu ezifana ne- constipation-predominant (IBS-C) , kodwa ngaphandle kwembonakalo yentlungu ebalulekileyo ye-IBS.
Iikhompyutheni ze-ACG zijoliswe ukuba zisebenze "njengezona ndlela" ezingcono kwiidokotela ekusebenzeni nezigulane zabo. Ukuba nolwazi malunga noko ugqirha wakho uyaziyo kunokunceda ekuphuculeni ubudlelwane obugqirha obunobaluleke kakhulu.
Ezi zilandelayo zixhobo eziphambili ugqirha wakho anesigxoba saso sokukunceda ukuba ulawulwe isigxina sakho esingapheliyo:
Fiber
Nangona kubanzi, abahlalutyi be-ACG batusa i-fiber njengongenelelo olufanelekileyo lolawulo lwe-CIC, bayenza into yokuba bahluke phakathi kweentlobo ezimbini ze-fiber. Baphetha ngokuthi i- fiber e-soluble ingaba luncedo kunokuba i-fibre engenayo , ngenxa yokunyuka kweempawu ezinxulumene negesi kunye nokuqhaqha xa i-fiber engapheliyo ingathathwa ngokukhawuleza. I-Psyllium ifom yefiber ehlanjululwayo, ngelixa i-bran yindlela yefiber engekho.
Laxatives
I- laxatives ye-Osmotic : Ababuyekezi be-ACG batusa ukusetyenziswa kwe-Miralax (PEG) kunye ne-lactulose. Uphando lwezifundo ukuya kumhla kubonakala lubonisa ukuba umngcipheko wemiphumo emibi ye-osmotic laxatives ihle kakhulu.
2. Iimpawu ezixhasayo : Abahlalutyi batusa i-laxatives evuselelayo, i-picosulfate ye-sodium kunye ne-bisacodyl. Ngenxa yokungabikho kophando, abacebisi ukusetyenziswa kwezinye iindidi ze-laxatives ezikhuthazayo.
Mayeza
1. I-5-HT 4 Imithi: La mayeza ayenzelwe ukuvuselela i-serotonin ye-neurotransmitter, ekucingelwa ukuba yandise amanzi ngaphakathi kwamathumbu, ukuphucula umonakalo kunye nokunciphisa ixesha lokuhamba , konke oku kuya kunceda ekunciphiseni ukuqothulwa.
Ababuyekezi baphetha ngokuthi amayeza emi-5-HT 4 anenzuzo kwiCIC-prucalopride kunye ne-velusetrag. Nangona kunjalo, akukho mayeza atholakala e-US. IPrucalopride ifumaneka eCanada phantsi kwegama elithi "Resotran" naseYurophu phantsi kwegama elithi "Resolar." Abaqapheli baqaphele ukuba le myeza ayibonakali ukuba ithwale ingozi yeengxaki zeengqondo ezinomdla ezibangele ukuba i-Zelnorm eyayihamba phambili ikhutshwe kwiimarike.
2. Amayeza antshutshiso: Amachiza kule klasi afaka iLinzess, eyaziwa ngokuba yiConella, (linaclotide) kunye ne- Amitiza (ilbiprostone). I-ACG icebisa ukusetyenziswa kwe-Linzess, ukuphawula inkxaso enzulu yophando malunga nokusebenza kwayo kunye neprofayili yayo yokhuseleko. Umphumo ophezulu wecala ochazwe ngurhudo. Abahlaziyi-bhankanya babenelisekile ngokumalunga ne-Amitiza, kwaye bacacisa irekhodi layo yenkxaso enzulu yophando. I-diarrhea kunye neengcamango zidweliswe njengeempembelelo. Nangona kunjalo, bayenza into yokuba akukho mayeza athelekiswa nokusetyenziswa kweelaxatives okanye i-fiber, ngoko akukho nto ingabonwa ngayo malunga nokuba unyango lufanele lukhuthazwe kuqala.
Biofeedback
Abaphengululi baphetha ngokuthi i- biofeedback inokuphumelela ekuphatheni isigxina esingapheliyo kwizigulane eziye zachongwa njengezinto ezingasebenzi .
Bayaqaphela ukuba kunzima izigulane ukufumana oogqirha abanobuchule ngokwenene kule ndawo.
Ingqalelo, ababuyekezi banokugqiba ukuba akukho ncediso yocwaningo olwaneleyo ukubonisa ukuba ama- probiotiki asebenza ngokugqithisileyo.
Umthombo:
I-Ford, A., ne.al. "I- American College ye-Gastroenterology Monograph kwi-Management of Irritable Bowel Syndrome kunye ne-Chronic Idiopathic Constipation " I- American Journal ye-Gastroenterology 2014 109: iS2-S26.