I-diarrhea eyona nto igxekayo isifo se-bowel syndrome (IBS-D) yi-subtype ye- IBS apho umntu afumana amaxesha amaninzi ehudo ehamba kunye nentlungu yesisu. Njengo-IBS, i-IBS-D iyinkinga yokusebenza esiswini (FGD) ekungabikho isifo esibonakalayo, ukuvuvukala okanye ukulimala kwi-akhawunti yeempawu zayo. Kulinganiselwa ukuba malunga nesithathu sabantu abane-IBS bafumana ukuphazamiseka kwesifo sohudo njengendlela yokugaya isisu.
Iimpawu
Ngokuchasene nezinye iintlobo ze-IBS, abantu abane-IBS-D ngokuqhelekileyo banamava:
- Ukuhamba rhoqo kweembilini
- Izikhundla ezilahlekileyo
- Imiva yokuphuthuma
Ukongeza, abantu abane-IBS-D nabo banamava okanye zonke iziphumo ezilandelayo ze-IBS:
Ngokweziphumo ze- III III ze-FGD , ezinye iinkathazo zezempilo kufuneka zikhutshwe kwaye iimpawu kufuneka zibe namava ubuncinane iintsuku ezintathu ngenyanga malunga neenyanga ezintathu ezedlule ukuxilongwa kwe-IBS-D ukuba kwenziwe.
Abanye abantu abane-IBS banokufumana ukuba batshintshile kumaxesha okuba ne-IBS-D kumaxesha atholakala ekubanjweni-ebalulekileyo kwi-IBS (IBS-C). Ezinye zihamba phakathi kokuqhawulwa kunye nokurhuda rhoqo, imeko eyaziwa njenge- irritable bowel syndrome-uhlobo oluthile (IBS-A).
Izizathu
Nangona isizathu esona sizathu sokuba umntu ahlakulele i-IBS-D kungenzeka ukuba ayicacisiwe, abaphandi baphando kwiindawo ezahlukeneyo zophando.
Ezi ziquka:
- Ukungasebenzi kwi-connection-gut gut , kunye nokubandakanyeka kwe-neurotransmitter involvement
- Ukukhathazeka kokutya
- Gut dysbiosis
- Idiopathic bile acid malabsorption (I-BAM)
- Ukuqhaqhaqhaqha okukrakra kwimbumba yegulane
- Ukugqithisa kwebhakterini encinci ye-intestinal (SIBO)
Unyango
Ukuba ucinga ukuba unokuba ne-IBS-D, nceda wenze isiganeko kunye nodokotela wakho.
Kukho ezinye iimeko zempilo ezinzima ezabelana ngeempawu ezininzi kunye ne-IBS-D. Kubalulekile ukuba ezi zilawulwe ngaphandle.
Ukuba ugqirha wakho ugqiba ukuba unayo i-IBS-D, baya kusebenza kunye nawe kwisicwangciso sonyango. Bangancomela okanye bakunike iyeza. Khetha ziquka:
- Iyeza-anti-diarrheal, njenge- Imodium
- I-antidepressant - ukunciphisa umonakalo kunye nokunciphisa intlungu
- I-antispasmodic ukunciphisa ukutywina kwamanzi kunye nentlungu
- I-Xifaxan - i-antibiotic ejoliswe kuyo
- I-bile acid binder njenge- cholestyramine
- Iyeza opioid ejoliswe kuyo njengeViberzi
Iimpawu ze-IBS-D nazo zinokuzuza kwiinguqu zokutya. Ukutya okuncinci kunye nokuphepha ukutya okuninzi okunamafutha kunokuba luncedo. Ukugcina idayari yokutya kunokuchonga ukubonakala kokutya . Ukongezelela, ukutya okuphantsi kwe-FODMAP kunokwesekelo lophando lokunciphisa iimpawu ze-IBS-D.
Ekugqibeleni, iimpawu ze-IBS-D zingancitshiswa ngeendlela / iingqondo zomzimba, kunye ne-CBT) kunye ne- hypnotherapy eneyona ndlela yophando ngokuxhasa ukuphumelela kwabo kwi-IBS.
Umthombo:
I-Saha, L. "I-syritrome ehlazolayo: I-Pathogenesis, ukuxilongwa, unyango, kunye neyeza-esekelwe kumqondiso" I- World Journal ye-Gastroenterology 2014 20: 6759-6773.