Ukufumana I-Diarrhea okanye Ubuhlungu Ngethuba Lakho Eliqhelekileyo
Ukuba ufumene ukuba isifo sakho sesifo sesisu (IBS) okanye isifo soxilongo (IBD) sisenza xa usenexesha lakho-awunabo. Kwiintsuku ezimbalwa ngaphambi kokuba ixesha lokuya esikhathini lingenise iimpawu ze-premenstrual syndrome (PMS). Abaninzi abasetyhini abane-IBD okanye i-IBS bafumana ukuba baneempawu ezinzima kakhulu, ezifana nesifo sohudo kunye nentlungu, ngaphambi okanye ngexesha lokuhamba kwakhe.
Isizathu seMpawu ze-PMS
Abaphandi bacinga ukuba ukwanda kweempawu ezinjengeentlungu zesisu kunye nesifo sohudo kunxulumene namahomoni alawula umjikelezo wesini. Isixa sohudo olufumene ngabasetyhini abathile abane-IBD okanye i-IBS banda ngexesha leentsuku kwangaphambili nangethuba lexesha. Amacandelo amabini anakho okubangela ukuba le ntsebenzo-i-prostaglandins kunye neprogesterone.
Kukho iintlobo ezahlukeneyo ze-prostaglandines ezinemisebenzi eyahlukeneyo emzimbeni. Ezinye, ezibizwa ngokuba yiChunge 2 i-Prostaglandins, zidibaniswa neenguqu kwiibilongwane ezikhuthaza ukuhanjiswa ngethuba ngelixa. Bangakwazi ukuvuselela intlungu kunye nokuphazamisa ukuxutywa kwamavithamini kunye neemaminerali ezenzeka emathunjini. La ma-prostaglandin angaba noxanduva lokubangela ukuba i-muscle ephosakeleyo emathunjini ibe nekhontrakthi, leyo ibangela iimpawu zentlungu kunye nehudo.
Ukuguqulwa kwamahomoni ngaphambili naphakathi kwexesha labasetyhini kunokuba netyala. Kuye kwachazwa ukuba i-colon iyakwazi ukusabela ekunyuseni okanye ukunciphisa kweprogesterone emzimbeni.
Izonyango ezinokwenzeka kwi-PMS
Akukho naluphi unyango olulungisiweyo lwe-PMS, nangona kukho iindlela ezininzi zokunciphisa iimpawu.
I-Evening Primrose Oil. I-oil primrose oil (EPO) yafunyanwa ekuncediseni abasetyhini ukunciphisa iimpawu ze-IBS ngexesha lokuqala kokuya esikhathini nokuya esikhathini. I-EPO iqukethe i-acid efunekayo ebizwa nge- gamma linolenic acid (GLA) . Umzimba awuvelisi ii-acid ezifunekayo-ziyakutshwa kuphela ngokutya. I-GLA kunye ne-omega-3 fatty acids kunye nokuvelisa uhlobo lwesibini lwe-prostaglandin, olubizwa ngokuba yi-E1 series. Olu hlobo lwe-prostaglandin lunceda ukunciphisa ukuvutha nokuncedisa ukugaya.
I-dose ephezulu ye-EPO ngosuku ayisaziwa, kodwa i-3 000 mg ukuya kwi-6,000 mg ye-EPO (inikwe ngaphezu kwama-3 ahlukeneyo kwimizuzu emini) ingaqukatha i-270-540 mg ye-GLA. Esi sixa-mali se-GLA sisoloko sisetyenziswe kuphando. I-EPO ngokuqhelekileyo ibonwa njengekhuselekile, kodwa kufuneka ithathwe ngokutya ukuze igweme ukukhwabanisa. Abantu abanesifo sokulahla kwexesha elidlulileyo akufanele bathathe i-EPO.
ICalcium. I-calcium supplement ingaba luncedo ekunciphiseni ezinye iimpawu ze-PMS. I dose efunyenwe ukuba isebenze i-1200 mg ngosuku, ngendlela ye-calcium carbonate.
I-serotonin ekhethiweyo i-reuptake inhibitors. I-serotonin reuptake inhibitors (iSRRIs) ekhethiweyo ingasetyenziselwa ukuphatha iimpawu ezinokumodareyitha ezinzima ze-PMS . Ezi ziyobisi zivame ukusetyenziswa njengezichasayo, kodwa zininzi nezinye izinto ezisetyenziswayo.
Kwezinye iimeko, i-SSRI inikwa kuphela ngexesha lesigaba sokuqala , eliqala xa kuqhuma i-ovulation . Kwabanye, i-SSRI inikwa imihla ngemihla.
Ezinye iindlela ezininzi zonyango ziye zafundiswa, kodwa ezininzi azibonanga naluphi na umphumo wokunciphisa uhudo kunye nezinye iimpawu ezinxulumene ne-PMS. Ukuphila ngendlela enempilo-ukutya izityalo kunye nemifuno eyaneleyo, ukuzisebenzisa, ukunciphisa ushukela kunye ne-caffeine-kunokunceda ngendlela eqhelekileyo, kuba le miqathango yokuphila inxulumene nempilo engcono. Impilo yabasetyhini, ngokuqhelekileyo, iyahlulwa, kwaye ngoko ke akukho nto ingaziwa malunga ne-PMS kunye neemeko ezihambelana nazo.
ILizwi
Ukuba neempawu ezininzi ze-IBS okanye i-IBD ngethuba linokubandezeleka kwaye kuphazamisekile. Nangona kunjalo, akunakwenzeka ukukhokelela kwiphina impawu okanye iimpawu ezihlala ixesha elide. Olunye utshintsho lwezinto zokuphila lunokunceda ukugawula iimpawu kodwa ukuba ziba nzima kakhulu, ukusebenza ne-gastroenterologist kunye ne-gynecologist kunokunceda. Kwabesifazana abathile, kunokukho nezinye iindlela unyango onokumisela ukuba luncedo ekunciphiseni iimpawu.
Imithombo:
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Parlak E, Da'li U, Alkim C, uDibebez S, Tunç B, Ulker A, Ahin B. "Umzekelo weempawu zesisu kunye nesifo sengqondo kwinqanaba lokuya esikhathini kwabesetyhini abanezifo zesifo." UTurk J Gastroenterol Dec 2003.