I-Irritable Bowel Syndrome (IBS)

Ingqwalasela ye-Irritable Bowel Syndrome (IBS)

I-irritable syndrome (IBS) yinkinga yempilo abantu abaninzi abanabantu abambalwa abakhuluma ngayo. Abantu abafumene i-IBS bafumana iimpawu ezingapheliyo ezinxulumene nokusebenza kwamathumbu abo.

Yintoni i-IBS?

I-IBS yintlupheko yokugaya apho abantu banamava aphindaphindiweyo eentlungu zesisu, kunye neenguqu ezibalulekileyo kumava abo. Abantu abane-IBS banokuzibamba okungapheliyo, iziqwenga zehudo oluphuthumayo, okanye i-flip-flop emva naphambili phakathi kwembini.

> Cofa ukuze ubone ii-IBS ezineziphumo kunye neempawu.

I-IBS ibalwa njengengxaki yokusebenza esiswini , kuba iquka ukungasebenzi ngendlela yokusetyenziswa kwamathumbu emathumbu, kodwa ingabonakali nayo nayiphi na imiqondiso yeenkqubo ezibonakalayo zesifo okanye umonakalo wesisu. Kulinganiselwa ukuba zichaphazele ukuya kwi-15 ekhulwini yabemi ngexesha elithile ngexesha lokuphila kwabo.

Izimpawu ze-IBS ziyahlukahluka kumntu kumntu, okanye ziyahlukahluka ngexesha elide kumntu ngamnye onenkinga.

• Kutheni i-IBS isetyenziselwa ukubizwa ngokuba yi-Spastic Colon

• I-Reflex Enokukwenza Uphofeke kwiBlue

Abantu abane-IBS banokufumana:

• Iintlungu zesisu, ukuchithwa, ukuphazamiseka, okanye ukuphazamiseka (ngokuqhelekileyo ukukhululeka ngentshukumo yezilwanyana)
• Idayarrha: ipholile, izityambo zamanzi, mhlawumbi ngeemvakalelo zokuphuthuma, kunye / okanye ezintathu okanye ezinye iintshukumo zokuhamba ngosuku
• Ukugqithiswa: ukukhuni, izitshixo ezomileyo, ukuxhamla kwindlu yangasese, kunye / okanye ezintathu okanye ukunyuka kweembilini ngeveki
• Iimvakalelo zokungabikho ngokugqibeleleyo emva kokunyakaza kwebilini
• I-gesi yamathumbu emathunjini
• Ukuqhawula, okudla ngokugqithiseleyo njengoko imini iyaqhubeka
• Utshintsho kwizinto ezibonakalayo
• Mucus kwizihlalo

Izinto ezi-4 eziphambili zokumazi nge-IBS

1. Abaphandi abachazi kakuhle ukuba kutheni abantu bahlakulele i-IBS. Ngokuqhelekileyo le ntlupheko ibonakaliswe emva kwesifo esibi se-gastroenteritis, okunye okubizwa ngokuba ngumkhuhlane wesisu. Ngamanye amaxesha iimpawu zivela emva kwexesha elixinzelelekileyo. Isiganeko esiphezulu se-IBS sibonakala kubantu abadala abaxhoba ngokwesondo okanye ngokuxhatshazwa emzimbeni ebuntwaneni.

1. I-IBS ifunyaniswa ngokusekelwe kwiimpawu, ngokuchasene neziphumo zokuvavanya. Oku kungenxa yokuba iimpawu ze-IBS azibonakali kwiimvavanyo zokuxilonga. Ugqirha wakho angakhetha ukuqhuba iimvavanyo ezithile, ngokusekelwe kwiphepha lekliniki yakho kunye nembali yezokwelapha, kodwa le mvavanyo isetyenziselwa ukulawula ezinye izifo zokugaya ezinokubangela iimpawu zakho.
2. Ukungabikho kweziphumo ezivakalayo zokuvavanya akuthethi ukuba i-IBS iyintloko yakho. Uphando lubonisa ukuba iimpawu ze-IBS zingabangela ukusebenzisana phakathi kwezinto ezininzi, kubandakanye ezinye okanye zonke ezi zilandelayo:
   • Utshintsho kwi-gut motility - isantya sokunyakaza kwamathumbu emathunjini
   • Ukutshatyalaliswa kwe-visceral hypersensitivity - iimvakalelo eziphakamileyo kwizitho zangaphakathi kunezinye eziqhelekileyo
   • Ukuvuvukala kwimbali yamathumbu
   • Ukungasebenzi kwiinkqubo zonxibelelwano phakathi kwamathambo kunye nengqondo
   • Ukungalingani phakathi kwama-bacterium
   • Ukunganyamezeli kokutya okanye uvakalelo
   • Ukwandiswa kwamathumbu emathunjini (i-leaky gut syndrome)
3. I-IBS inokuphulwa phantsi kweentlobo ezahlukeneyo: i-diarrhea-enkulu (IBS-D), ukuqothulwa-ebalulekileyo (IBS-C), kunye nohlobo oluthile (IBS-A), apho uphawu olukhulu lwamazibulo luguquka ngexesha.

Yintoni Enokubekwa Ngayo?

I-IBS ifunyaniswa emva kokuba ezinye iziphazamiso ziye zalawulwa ngaphandle kokuhlolwa kovavanyo oluqhelekileyo. Ezi zilandelayo ezinye zeemeko zempilo apho ugqirha wakho uya kufuna ukulawula:

Izifo zeCeliac: Isifo seCeliac yimeko apho ukutya ukutya okuqulethe i-gluten kubangelwa impendulo engxaki yokuzimela ngokuzenzekelayo apho i-villi yokulala emathunjini amancinci yonakaliswe. Abantu abane-IBS banomngcipheko ophezulu kwi-malaria ye-celiac.

Izifo zesifo se-Bowel (IBD): Izifo zesibindi zesifo se-Crohn kunye nesifo sezilonda esiswini sinokubangelwa ezininzi iimpawu ezifana ne-IBS. Nangona kunjalo, iimpawu ze-IBD ziquka ukuhanjiswa kwegazi, ukulahleka kwemithwalo, kunye neentsholongwane, zonke iimpawu ezingekho kwi-IBS. Ukongezelela, nge-IBD, iimpawu ezibonakalayo zokuvuvukala ziya kubonakala kwiphepha lokugaya ngexesha le-colonoscopy.

Ukunyamezela kokutya: Ukunyamezela kokutya kunokungafani nokutya kokutya ngenxa yokuba ingxaki iyenzeka kwinqanaba leenkqubo zokutya ngokuchasene nempendulo yesistim somzimba.

Ukutya i-malabsorption okanye ukunyamezela kungabangela iimpawu ze-IBS-like. Iintlobo ezimbini eziqhelekileyo ziyi- lactose ukunyamezela kunye ne- fructose malabsorption .

I-Cancer yeColon: Abantu abane-IBS bahlala bexhalabele ukuba banokuba nomdlavuza wekoloni oye waphoswa ngugqirha wabo. Iimpawu zesifo somhlaza we-colon ezingabonakali kwi-IBS zibonakalisa ukuphuma kwamanzi okanye izigxoba zamanzi , ukuphazamiseka kwegazi, ukukhathala okugqithiseleyo, kunye nokulahlekelwa kwexabiso elingachazwanga.

Ukuba uye waqalwa ngokutsha kunye ne-IBS

Nangona ugqirha wakho unokukuxelela ukuba akukho nonyango ye-IBS, unokufumana isiqiniseko sokuba kukho izinto ezininzi ezinokuthi zenze uzinzo lwakho. Nazi ezinye izinto oza kuzifunda ngokubanzi malunga:

Ukukhethwa kwamagqirha : Ugqirha wakho unokukhetha ukukunika unyango olwenzelwe ukunciphisa iimpawu zakho. Izinketho ezikhoyo ziquka:

• I-Antispasmodics : Mhlawumbi mayimiselwe ukukhulula iintlungu zesisu kunye nokunyanzelisa
• Ukuxhatshazwa kweengxaki : Makubekwa umyalelo wokunciphisa intlungu kunye nokujongana naluphi na uxinzelelo olukhoyo okanye iimpawu zokuxhalabisa

• Isizathu sokuba Ufanele Ukwazi Ngama-enzymes akho okugaya

• Into Eyinqamlekileyo Eminye iLaxatives Inokuyenza KwiColon Yakho

• I-antibiotiki : Iimpawu ezithile ezichanekileyo ziyakunikwa ukuba zijolise ngokugqithisa okunokwenzeka kweebhaktheriya kumathumbu amancinci ( SIBO )
• Imishanguzo ethile ye-IBS: Ezi ziquka i- Amitiza ne- Linzess ye-IBS-C ne- Viberzi ye-IBS-D.

Izilwanyana ezingaphezulu kwe-Counter Counter (OTCS) : Thetha ugqirha wakho malunga ne-OTCs ekhuselekileyo ukuba uyisebenzise. Ii-OTCS eziqhelekileyo zisetyenziswe ngabantu abane-IBS ziquka i-laxatives, i-probiotics, i-peppermint oil, i-antidiarralal agents, kunye nezinye izongezo zemfuyo.

Yintoni yokutya! Ukubonisa okokutya okutya xa unayo i-IBS ingaba ngumngeni. Kunokuba luncedo ukugcina idayari yokutya ukuba ubujonge naluphi na unxibelelwano olukhoyo phakathi kokutya odlayo kunye neempawu ozifumanayo. Ukutya okuphantsi kwe-FODMAP kunenkxaso enzulu yophando ekusebenzeni kwayo ekunciphiseni iimpawu ze-IBS, kodwa kunokuba nzima ukuba ulandele. Ukwandisa i-fiber fiber, ngokukodwa i-fiber ene-soluble, inokuba luncedo xa kwenziwe kancane. Ukongezelela ekufundeni ukuba kukuphi ukutya okulungileyo kukutya, kufuneka uqaphele nendlela odla ngayo. Unokufumana ukuba luncedo ukutya ukutya okuncinci njengempahla emikhulu, ukutya okunzima kunokuqinisa iziphambano zamathumbu.

ILizwi

Nangona sonke sifunde ukugcina "intetho yokuhlambela" ngasese, akukho mfuneko yokuvumela iintloni ngeempawu zakho zokugaya ukutya kukugcina uncedo kunye nenkxaso ofunekayo ukuze ufumane i-IBS phantsi kolawulo olungcono. Thetha ngokugqithiseleyo ngogqirha wakho malunga neempawu zakho, ngoko unokuza necebo elifanelekileyo lokunyango. Khangela amaqela asekela kwi-IBS kwi-intanethi ukuze ungayi kuba ngathi uhlala wedwa ekujonganeni nale nkinga yempilo ephazamisayo. Ukuthatha indlela ye-IBS yakho iya kunceda ukunciphisa ubunzima bakho kunye nokukhusela ukuzithemba kwakho .

_Imithombo:

_{IMinocha A. & Adamec, C. (2011) I-Encyclopedia ye-Digestive System kunye ne-Digestive Disorders (2nd Ed.) ENew York: Iinkcukacha kwiFayile.}

_{I-J, i-Vanuytsel T, i-Corsetti M. Ukuphathwa kwe-Irritable Bowel Syndrome: Okungekho koLuntu. Izifo zokugaya i-digestive 2016; 34: 566-573.}

_{I-Torpy JM, uLynm C, i-Glass RM. I-Irritable Bowel Syndrome. JAMA . 2006; 295 (8): 960.}