Udliwano-ndlebe noMary-Joan Gerson, Ph.D & Charles D. Gerson, MD
I-irritable syndrome (IBS) ibangela imingeni ekhethekileyo yobudlelwane beentsapho. Ndathetha noDkt. UMary-Joan noCharles D. Gerson malunga nophando abaye benza kulo mbandela. UDkt. Mary-Joan Gerson uyingcali yezengqondo edibene neYunivesithi yaseNew York kunye noDkt. Charles Gerson uyisigulane se- Gastroenterologist kwiSikolo seSinayi seSikhulu seMithi.
Basebenzisa ndawonye kwiziko labo le-Mind-Body Digestive kwisixeko saseNew York. Nantsi into ababeyithethayo malunga nempembelelo ye-IBS kobudlelwane beentsapho.
Umbuzo: Kutheni kubalulekile ukuba ulwalamano lwentsapho xa lithetha nge-IBS?
Sinexesha elide sinomdla kwiinkqubo zonyango lweentsapho, imbono ejongene nefuthe ukuba intsapho kunye nolunye ubudlelwane obunxulumene noluntu lukwazi ukuhlangabezana nokugula kwabo. Kumsebenzi wethu, sifumene ukuba izinto ezininzi zeentsapho zinempembelelo kumgulane amandla okulawula i-IBS:
- Ubungakanani bentsapho yokufumana indlela ephilileyo yokubonisa ukukhathazeka ngesigulane ngaphandle kokwenza ukuba ugulane lujoliswe ngundoqo kwilamano.
- Ubungakanani bentsapho bokugxininisa amandla omguli ekujonganeni nokugula.
- Izinkolelo zentsapho kunye namava adlulileyo ekulawuleni isigulo.
Q. Ndixelele ngophando lwakho kule ndawo.
Sasiqhube isifundo esabandakanya uphando lwezigulane ezingama-240 ze-IBS kumazwe ahlukileyo asibhozo.
Sasinomdla ekufumaneni ukuba iimpawu ze-IBS zidibene neenkolelo malunga nokuxhamla kwengqondo / yomzimba okanye abachaphazelekayo kumgangatho wobuhlobo bomntu. Sasizibuza nokuba ngaba siya kubona iipatheni ezahlukileyo kuxhomekeke kwiliphi ilizwe isiguli esasihlala kuyo.
Sasinezigulane zizalisa i-questionnaire ebizwa ngokuba nguMgangatho woBudlelwane bokuBambisana (QRI).
Le mibuzo yenzelwe ukulinganisa ukuba ngaba ulwalamano lwesigulane kunye nolunye olubalulekileyo lubonakaliswe ngenkxaso, ubunzulu okanye ingxabano. Kwakhona sabanika izigulane i-question-Body IBS (MB / IBS) imibuzo ukuba sibone ukuba ngaba izigulane zithatyathwa zizibonakaliso zabo kwiimeko zomzimba okanye zengqondo. Emva koko sithelekisa iziphumo zale miqathango emibini ngokukhawuleza kweempawu ze-IBS zesigulane.
Q. Ziziphi iziphumo zakho?
Ngokuphathelele ubudlelwane bobudlelwane, safumanisa ukuba xa ubuhlobo obuphambili begulane bephakamileyo ngokwemfuno nenkxaso, iimpawu zabo zaziba nzima. Xa ubuhlobo obunzima begulane bephawulwa yimpikiswano, iimpawu zabo zaziba nzima kakhulu.
Siphinde safumanisa ukuba izigulane ezibonisa iimpawu zabo ze-IBS ngokuyinhloko kwizinto ezibonakalayo zenzeka ukuba zibone iimpawu ezazinzima. Izigulane ezithatha iimpawu zabo kwiingqondo zengqondo, ezifana nokucinezeleka okanye ukuxhalaba, zineziphumo ezincinci ze-IBS.
Iziphumo zethu zazingqinelani nokuba kungakhathaliseki ukuba ziphi izigulane ezazihlala kuzo.
Q. Ngokwenza kwakho, yiziphi iimeko ozibonayo xa kuziwa kumalungu entsapho ezigulane ze-IBS?
Umzekelo owodwa esiwubonile kwindlela yethu yokwenza ngamalungu entsapho abandakanyeka kakhulu ekuzameni ukunceda isigulane.
Le ndlela iyakwazi ukuvuselela njengoko ibangela ukuxhalabisa kwesigulane esenza iimpawu zenzeke. Siva ukuba kungcono ukuba isigulane siphethe ukulawula ukugula kwazo. Kwiphepha le-flip, sisoloko sibona izigulane ezithandabuza ukucela amalungu omndeni ukuba enze utshintsho olufunekayo isigulane ukwenzela ukunciphisa uxhalabo lwabo.
Enye ingxaki eqhelekileyo xa amalungu omndeni egxeka isigulane ngenxa yokugula. Esi sigwebo singathatha ifom yezimvo ezifana "yindlela odla ngayo" okanye "ukuphumla." Iimbono ngokuqhelekileyo zivela kwindawo yokukhathazeka, kodwa ngokubanzi zikhokelela ekudakaleni kwesigulane esazi ukuba akukho zimpendulo ezilula kule nkinga.
Q. Izigulane ze-IBS zifuna njani uncedo lwabantu ebomini babo?
Sikholelwa ukuba ukunceda izigulane ze-IBS zibe nolwalamano oluhle kunye nabantu ebomini babo bubalulekileyo bonyango lwe-IBS. Sikhuthaza izigulane zethu ukuba:
- Ukujongana ngqo neengxaki zengxabano kubundlelwane babo nabanye ukwenzela ukunciphisa izinga labo loxinzelelo.
- Vumela abantu ebomini babo ukuba zeziphi iimfuno zabo ezizodwa ngokubhekiselele kwi-IBS. Kubalulekile ukucacisa malunga nezinto izinto ilungu lentsapho elingazenzayo ukuze luncedo kwaye zeziphi izinto eziza kusinda ukuba isigulane sisebenze.
- Fundisa abantu ebomini babo malunga nenkambo engapheliyo ye-IBS kwaye kuthatha isilingo kunye nephutha ukufunda indlela yokuphatha kakuhle imeko. Izigulana zingabuza ukuba abantu ebomini babo banike inkxaso kunye nokukhuthaza.
- Qonda ukuba abantu ebomini babo banenkathalo malunga nesimo sentsholongwane yesigulane kwaye ngokuqhelekileyo ukuxhalabisa okukhokelela ekubandakanyekeni ngokubanzi kunye neengcebiso ezingafunekiyo. Injongo efanelekileyo yokubonga ukuxhalaba kwabanye, ngelixa ufundisa ngokubhekiselele kwimeko ethile kunye neyodwa kwi-IBS.
Ukufumana ulwazi olungakumbi malunga nophando lukaGerson, jonga:
Gerson, et.al. "Ucwaningo lwamazwe ngamazwe lwesifo sengqondo sesifo esilumkileyo: Ulwalamano lwentsapho kunye neengqondo zomzimba" IzeNzululwazi nezeNtlalo 2006 62: 2838-2847.