Indlela impendulo yoxinzelelo echaphazela ngayo iimpawu zakho
Mhlawumbi uye wafumana kuqala isandla sinobudlelwane phakathi kwe-IBS kunye noxinzelelo. Oku kuninzi ukuyenza ngendlela umzimba wethu uphendula ngayo utshintsho lwangaphakathi okanye lwangaphandle. Le mpendulo yokuxininisa, eyaziwa nangokuthi impendulo yokulwa-okanye-ye-flight, ibonakala iphuhlisiwe ukuze ivumele ukuba siphendule kwiimeko ezisongela ubomi ngendlela eya kwandisa amathuba ethu okusinda.
Impendulo yoxinzelelo yinkqubo enzima. Iquka iinkqubo zethu zeentlanzi kunye ne-endocrine kwaye ivuselela utshintsho kwiinkqubo ezahlukeneyo zomzimba, kubandakanywa uxinzelelo lwegazi, izinga lentliziyo, ukuxhatshazwa kwemisipha kunye nokusebenza kwamathumbu. Yinguqulelo kwi-bowel function which tie impendulo yoxinzelelo kunye ne-IBS kunye.
I-Brain-Gut Connection
Ekuphenduleni umxinzelelo obonwayo (wangaphandle okanye wangaphakathi), iinxalenye ezahlukeneyo zobuchopho ziqala ukunxibelelana, kubandakanywa ne-cortex ye-sensory, i-thalamus kunye nobuchopho. Le nkqubo ke ibangela impendulo ngeendlela ezimbini ezibalulekileyo zomzimba. Iyokuqala yi-hypothalamic-pituitary-adrenal axis, okubangela ukwanda kweemfihlo ze-hormone, ngakumbi i-hormone cortisol. Indlela yesibini yinkqubo ye- nervonic autonomic , ekhupha i-adrenaline (epinephrine) kunye ne-noradrenaline (norepinephrin) eyenza i-cardiovascular, muscular and digestive system iguqule.
Ezi ndlela zimbini zichaphazela ngqo ukuthungelwano kweentliziyo ezitholakala kwisilonda, esaziwa njengenkqubo ye-nervic ne-enteric. Le nkqubo, eqala ngomxininiso obonwayo, olandelwa yindlela yokuphendula ngengqondo, kwaye kubangele ukuvuselela emibini ukuya emanzini, kubonisa ukubaluleka kokukhangela impendulo yokunyamezela ukuzama ukuqonda ukungasebenzi okubonakalisa iimpawu ze-IBS.
Utshintsho lweMpilo kwiNgxaki yoxinzelelo
Impendulo yokuxinezeleka idala ezi zilandelayo zinguqu:
- Ixabiso lentliziyo landa
- Ukuphefumula okunyukayo
- Ukunyuka kwengqondo
- Ukuvinjelwa kwesistim somzimba
- Ukulahla esiswini
- Ukwandisa kwizantya zeekhaloni
- Ukuphumla kwezihlunu zesisu
Uphando
Ngomzamo wokufumana unyango olusebenzayo kwiimpawu ze-IBS, abaphandi baye baphonononga izinto ezahlukeneyo ezikhutshwe ngexesha lokuphendula uxinzelelo. Enye into ebonakala ibaluleke kakhulu kwimpendulo yokunyamezela i-corticotropin-release-factor (CRF). I-CRF yintsapho yama-peptide (iimlekyuli ezidibanisa i-amino acids) ezifumaneka kwimbini yengqondo kunye namathumbu. Kwingqondo, i-CRF receptors ifunyenwe kwiindawo ezinxulumene nokugaya, iimvakalelo kunye nenkqubo ye-nervous autonomic system. Kwi-gut, isenzo se-CRF ngaphakathi kwikholoni ukwenzela ukwandisa ukukhushulwa kwamanzi kunye nokukhutshwa kwamanzi, kuthintela isantya seenkcukacha ze-colon ( motility ), kwaye zibonakala zihambelana namava esiswini . Kuthemba ukuba ukuqonda okungcono indima ye-CRF kuya kubakho ukuphucula ukuphuhliswa kwamachiza ajolise kwiimpawu ze-IBS.
Imithombo:
Benson, H. Impendulo yokuphumla (2000). ENew York: HarperTorch.
Monnikes, H., et.al. "Ingcinezelo yoxinzelelo kwimingcipheko yesisu esiswini. Ubungqina bokuguqulwa kwengcinezelo kwintlungu yesisu esiswini kunye novelwano." Imizimba yokugula ye- Digestive 2001 19: 201-211.
IMeya, EA, et.al. "Ukugxininisa kunye neNgcaciso yesisu" I- American Journal ye-Physiology- Ukunyuka kwesisu kunye ne-Fover Psychology 2001 4: G519-G524.
I-Y, i-Y. "Ukuxinezeleka kunye ne-Irritable Bowel Syndrome: Ukuphazamisa i-Code" IsiSeko samaZwe esiSebenzi seNkcazo yokuThathala kwesiswini. 2007.