I-irritable bowel syndrome (IBS) yinkinga yokusebenza yecolon ( intlaba enkulu) ebangela intlungu yesisu esiswini, ukuqhaqhaqhaqhaqhaqhaqhaqha, ukutywina, kunye / okanye urhudo. I-IBS ichazwa njengengxaki yokusebenza esiswini ngenxa yokuba akukho sakhiwo sakhiwo okanye isistim sezinto eziphilayo esingasifumana ukucacisa iimpawu. Xa kuhlolwa uvavanyo, i-colon ibonisa ubungqina besifo ezifana nezilonda okanye ukuvutha.
Ngako oko, i-IBS ifunyanwe kuphela emva kokuba ezinye izifo nezifo ezikhuphayo zenzeke ngaphandle.
I-IBS idla ngokungaqhelekanga okanye ingabizwa ngokuba yi-colitis, i-colycer colitis, i-colon spastic, isifo esixhatshazwayo okanye isifo se-spastic (colon). Ezi ngxaki ziqhubeka, nangona i-IBS ngoku iyakwazi imeko kwaye iyaphathwa. Ukuchaphazela abantu abangama-25 ukuya ku-55 abantu base-United States, i-IBS ibangela izigidi ezi-2.5 ukuya kwizigidi eziyi-3.5 ukutyelela kunyango ngonyaka. Amaphesenti angama-20 ukuya kuma-40 kuwo onke ama-gastroenterologists ngenxa yeempawu ze-IBS.
Iimpawu
Iimpawu ze-IBS zingaquka:
- Gesi
- Ubuhlungu
- Ukuqhawula
- I sizathu
- Ukuvutha
- Mucus kwisitulo
- Ukutyunjwa
- Uhudo
Iintlambo zidla ngokukhululeka ngentshukumo, kodwa abanye abantu abane-IBS banokuba neenkampu kwaye abanako ukugqithisa into. Ubunzima beempawu ziyahluka, kwaye kunokuba lube phi na ukucaphukisa kancinci. Igazi kwi-stool , umkhuhlane, ukulahleka kwesisindo, ukuhlanza umzimba, kunye nentlungu eqhubekayo akuyiyo impawu ye-IBS kwaye inokubangelwa enye ingxaki. I-IBS ayikho kuyo nayiphi na isifo esiyingozi, njengesifo sikaCrohn okanye isifo sezilonda zesilonda, okanye nayiphi na imithi yomhlaza.
Izizathu
Imisipha ekoloni ngokuqhelekileyo iyabhaptiza amaxesha ambalwa ngemini, ihambisa iimfesi kunye kwaye ekugqibeleni ibangele intshukumo. Kukholelwa ukuba kumntu onomsebenzi we-IBS, ezi zihlunu zithintela ngokukhethekileyo kwi-stimuli ethile, okanye ezibangelwayo.
Abaphandi abaqinisekanga ukuba kutheni izihlunu kwi-colon yomntu one-IBS zithe tye.
Nangona kunjalo, i-IBS ayibangelwa ukuxinezeleka okanye iimvakalelo ezinamandla. Abanye abantu banezibonakaliso zabo zokuqala ze-IBS iimpawu ngexesha loxinzelelo ebomini babo njengokufa kwesihlobo okanye ukulahlekelwa ngumsebenzi. Nangona kunjalo, ezi zixinzelelo azizange zibangele imeko kodwa kunokuba zenzeke ngakumbi kwimeko apho yabonakala ibonakala ngakumbi.
Iifom ezahlukeneyo ze-IBS
Kukho iintlobo ezahlukeneyo ze-IBS: I-Diarrhea-enkulu (D-IBS), ukuqothulwa-kakhulu (C-IBS), kunye nokugqithiswa okunye kunye nohudo (A-IBS). Iimpawu zeefom ezahlukeneyo ziquka:
- I-D-IBS: ukukhathazeka kwesisu okanye intlungu, ukuphuthuma, kunye nehudo
- I-C-IBS: ukukhathazeka kwesisu okanye intlungu, ukubhubhisa kunye nokuqhaqha
- A-IBS: Iimpawu ezingapheliyo ze-D-IBS kunye ne-C-IBS
Ukuxilongwa
I-IBS isifo sokuxilongwa, oko kuthetha ukuba izifo eziphilayo, ukusuleleka okanye esinye isizathu seempawu kufuneka zikhishwe ngaphandle. Ngowe-1988 iqela lamagqirha lachaza imigaqo yokuqonda ngokuchanekileyo i-IBS. Eyaziwa ngokuba yiCriteria Criteria , le setethi yezikhokelo ezibonisa iimpawu kwaye isebenzise iiparitha ezifana nobude kunye nobude bangela ukuba uhlalutyo oluchanekileyo lwe-IBS.
Iimpawu kwiimpawu zeRoma azikho kuphela izibonakaliso ze-IBS. Izimpawu ezingenakuqala ziquka:
- I sizathu
- Ukukhathala
- Uvakalelo olupheleleyo emva kwesidlo esincinci
- Ukuvutha
Iimvavanyo ezisetyenziselwa ukuxilongwa
Ukongezelela ekusebenziseni iCriteria Criteria, oogqirha banokuqhuba iimvavanyo eziliqela ukuqinisekisa ukuba akukho ukuvuvukala okanye isifo kumzimba.
Ukuhlolwa kwegazi. Uvavanyo lwegazi lunokusetyenziswa ukucacisa inani lamhlophe legazi okanye ukuba i- anemia ikhona. Inani eliphezulu lamhlophe yegazi linika oogqirha ibonisa ukuba ukuvuvukala kwenzeka kwindawo ethile ngaphakathi emzimbeni. Ukuvuvukala akusiyo uphawu lwe-IBS.
Uvavanyo lwegazi lwe-Fecal. Olu vavanyo luyakwazi ukubona ukuphuma kwegazi ukusuka phantse naphaya kwindlela yokutya, nangona kungabonakali emehlweni.
Igazi kwi-stool ayilona uphawu lwe-IBS.
Isithethe seStool. Ugqirha unokufuna ukulawula ezinye izizathu zokurhudo, ezifana nokusuleleka kwintsholongwane okanye i-parasite, ngekontsi yesimo. Ukuba kukho nayiphi na i-bacteria, izazinzulu ziyakwazi ukuvavanya ukuze zichonge ukuba zeziphi iintlobo kunye nendlela engcono yokuyiphatha ngayo.
Barium enema. I-enum ye-barium (okanye iincwadana ezincinci zesisu) isebenzisa i-barium sulfate kunye nomoya ukucacisa umgca we-rectum kunye ne-colon. Ukungaqhelekanga emathunjini kungabonakala njengama-silhouettes amnyama okanye iipateni kunye ne-intestinal lining kwi-X-ray.
Sigmoidoscopy. I-sigmoidoscopy yindlela yokuba ugqirha ahlole i-third-thirds of the intestine enkulu. I-biopsy ingathathwa ngexesha lenkqubo, eya kuhlolwe ukuba incede ugqirha ugqibe isizathu sokuba naluphi ukuvutha.
IColonoscopy. I-colonoscopy isetyenziselwa ukuhlolisisa ngaphakathi kwekoloni ngaphaya kwemimandla yesigmoidoscopy inokufikelela. I-Biopsies ithathwa ngexesha lokuvavanywa kwaye izigulane zihlala zihlala okanye zinikezwa "ukulala ubusuku" ukuze bangabi nantlungu.
Ezinye iimvavanyo zingasetyenzwa ngamagqirha njengoko kuyadingeka ukuxilonga i-IBS okanye ukulawula ezinye izifo ezifumanekayo.
Amachiza Ophulo
Zininzi iintlobo ezahlukeneyo zamachiza zingasetyenziswa ukuphatha i-IBS. Injongo yamachiza kukunciphisa iimpawu zeengxaki ze-IBS ezinjenge-diarrhea, i-cramping, intlungu okanye ukuzitywa.
Anticholinergics. Eli klasi leziyobisi lichaphazela iisensi ze-nerve okanye i-nerve fibers kwaye zisetyenziselwa ukuzinzisa ukuphazamiseka kwemisipha emathunjini kunye nokunceda iimpawu ze-IBS ezinjengeentlungu okanye uhudo.
- IDicyclomine (Bentyl). I-Dicyclomine ibuyisela kwakhona izihlunu zamathumbu kunye nesisu sokuthintela i-spasms kunye nokunciphisa inani leesisu ezivelisiweyo. I-Dicyclomine ingasetyenziselwa ngokusisigxina ixesha elide, phantsi kolawulo lugqirha. Iziphumo eziqhelekileyo ezibandakanya ukuzitywa, ukuma komlomo, impumlo, umlomo, okanye isikhumba kunye nokunciphisa amandla okuphosa (okungabangela ukuba kuqhutywe ukutshatyalaliswa kweshushu).
- Belladonna / Phenobarbital (Donnatal, Antispas, Barbidonna, Donnapine, Hyosophen, Spasmolin). Olu nxube lwezilwanyana ezimbini ezisetyenziselwa ukukhulula izihlunu kwisisu kunye namathumbu kunye nokunciphisa i-acid esiswini. I-Phenobarbital isondlo esincinci sinokuba ngumkhwa. Iziphumo eziqhelekileyo zebladonna / phenobarbital ziquka intloko, isisulu, isambiso, ukugqithisa, nokuhlanza. Esi sidakamizwa sinokuthatha iintsuku ezi-4 okanye ezi-5 ukuba ziphumelele, kwaye, phantsi kweliso lugqirha, lunokusetyenziswa ngokukhuseleyo ixesha elide.
- IHyoscyamine (Levsin, Anaspaz). Le nxalenye yezilwanyana zamachiza, i-belladonna alkaloids kunye ne-barbiturates, isetyenziselwa ukukhulula izihlunu kwisisu kunye namathumbu kunye nokunciphisa i-acid esiswini. Iziphumo eziqhelekileyo zeziphumo zibandakanya intloko, isisulu, isambiso, ukugqithisa, nokuhlanza. I-Hyoscyamine inokuthi ithathe ixesha elide phantsi kolawulo lugqirha nje kuphela ukuba iziphumo ezingekhoyo okanye zibekezeleke.
- Chlordiazepoxide / clidinium (i-Librax) . I-Chlordiazepoxide / clidinium ivimbela iifamthi emathunjini kunye ne-bladder. I-Chlordiazepoxide yindoda yokukhusela kwaye ingaba yinto yokuzilalisa. Iziphumo eziqhelekileyo ezibandakanya ukuvakalelwa komzimba, ukunciphisa ukujuluka, utywala, ukulala, ukuma komlomo kunye nentloko. Esi sidakamizwa sinokuthatha iintsuku ezi-4 okanye ezi-5 ukuba ziphumelele, kwaye, phantsi kweliso lugqirha lingasetyenziselwa ngokukhuselekileyo ixesha elide.
Antidiarrheals. I-Antidiarrheals isetyenziselwa ukunciphisa umphumo webilini. Ezi ziyobisi zingasetyenziselwa ukuthintela uhudo oluvela kwi-IBS.
- I-Diphenoxylate / i-atropine (iLomotil). Ingxenye ye-diphenoxylate yale nkunkuma isetyenziselwa ukunyanga isifo sohudo, ngelixa i-atropine ikhulula ukuphambuka kwemisipha emanzini. Iziphumo eziqhelekileyo ziquka intloko yesisu, utywala, ukulala, umbono otyhafile, umlomo owomileyo kunye nokuqhaqha. Nangona akusiyo i-narcotic, i-diphenoxylate itholakala kwii-narcotics kwaye inokuba yinto yokuziphatha ngokukhawuleza. I-Diphenoxylate / i-atropine imiselwe ngokuqhelekileyo ukulawula urhudo kwixesha elifutshane kwaye ayikhuthazwa ukusetyenziswa kwexesha elide.
- I-Alosetron hydrochloride (uLotronex). Esi sidakamizwa sisetyenziselwa ukuphatha abafazi abane-D-IBS enzima. I-Alosetron hydrochloride yavunywa kwaye yatshulwa emakethe yi-FDA emva kweemeko ezinobungakanani obubi kwiziphumo zabasetyhini abazithathayo. Ngoku ivunyiwe kuphela ukuba isebenzise ngokukhawuleza. I-Alosetron hydrochloride iphazamisa isenzo se-seratonin, ikhemikhali emzimbeni ochaphazela ukunyakaza kwamathumbu emathunjini kunye nentlungu. Uphulo luvame ukuqala ngesilingo seveki ezi-4 kwaye lunokuqhutyelwa kwezinye iiveki ezi-4 phantsi kolawulo lwegqirha.
Izibonelelo Zokunceda Ngezibonakaliso
Abantu abaninzi abane-IBS bangakwazi ukufumana izibonelelo zokunyusa okanye ukubuyisela unyango lwezonyango. Kukho izibonelelo ezinokunceda ngeempawu ze-IBS, kodwa kubalulekile ukuqaphela ukuba banokuba nemiphumo emibi, kwaye ukusetyenziswa kwabo kufuneka kuhlale kuxelwa kunogqirha njengayiphi na imithi yobisi.
Acidophilus. I-acidophilus "ibhaktheriya enhle" ehlala kwikolon yakho. Ukuncedisa kunokunceda uncedo lwama-bhakteria alukhulayo xa ludinga ukunciphisa ibhaktheriya eyingozi. I-Fructo-oligosaccharides (i-FOS) ingafakwa kwiipilisi ze-acidophilus. I-FOS yi-carbohydrate engadliyo ngabantu, kodwa isebenzela ukunceda amabhaktheriya ancedo ukuba akhule. I-Acidophilus ifika kwifomsule, kwaye ibhaktheriya kufuneka iphile ukuze isebenze.
Chamomile . I-Chamomile yi-anti-spasmodic eyaziwa kwaye inganciphisa imisipha kwisigca sokutya. Ngoxa kungekho zifundo zabantu eziye zenziwa kule ncediso ngokubhekiselele kwi-IBS, kuye kwafakazelwa ukunciphisa ukucaphukisa nokunyanzelisa izilwanyana. I-Chamomile ingathathwa njengetayi, okanye njenge-capsule.
Ginger . I-Ginger iye yaziwa ngokubanzi ukuze incede nge-nausea, kwaye inokuba luncedo ekuvuseleleni i-peristalsis kunye nokunciphisa iincampu ezibuhlungu. I-Ginger ingathathwa njengetayi, i-capsule, okanye nokutya.
Peppermint Oil . I-Peppermint ikwazi ukukhulula izihlunu kwiphepha lokutya. Oku kunceda ukunciphisa i-spasms kwi-colon, kodwa inokukhupha i-sphincter engezantsi kwaye ibangele ukutshabalalisa okanye ukwandisa isifo se-reflux ye-gastroesophageal . I-oil yePeppermint ingathathwa kwi-capsule okanye ifomu yefayili. Ngoxa bebesebenza kakuhle, iifomsules zingabangela ukucaphuka komsindo.
Eyona ndlela kunye NezoNyango eziPheleleyo
Hypnosis. Uvavanyo lokuphuhlisa umhlaba ngo-1984 lubonise ukuba izigulane ze-IBS ziphathwe nge- hypnotherapy azibonakali nje ukuphuculwa okubonakalayo kwimpawu zabo kodwa akazange aphinde aphinde ahlaziywe ngexesha lokufunda kweenyanga ezintathu. I-Gut Direct Hypnotherapy yasungulwa ngokukodwa kwizigulane ze-IBS kwaye iqinisekiswe ukunciphisa iimpawu kuma-80% amacala.
Unyango lweZenzo zoBomi . Ulwaphulo lokuziphatha luye lwahlengahlengisa imibutho phakathi kweemeko ezixakekayo kunye nokuphendula komntu kubo. Ulwaphulo lweengqondo luhlola ubudlelwane phakathi kweengcamango neempawu. Ezi zimbini zonyango zibizwa ngokuba yi-CBT. Unyango lunokuqala ngedayari yeempawu ze-IBS, kwaye uqhubele phambili kwi-biofeedback, ukuzithetha ngokuzithethayo, nokunciphisa iimpendulo ezingalunganga zokuxinezeleka.
Indlela yokutya ichaphazela ngayo i-IBS
Nangona ukutya kungabangeli i-IBS, ukutya ukutya okuthethiweyo, okubizwa ngokuthi "ukutya okubangela" kunokususa iimpawu zokurhuda, ukubhubhisa okanye intlungu. Ngelishwa, akukho kutya okuza kusebenza kubo bonke abantu abane-IBS, kodwa kukho izikhokelo ezinokukunceda.
Ukutya ukutya okuncinci emininzi emini, kunokuba ezintathu ezinkulu zinokunceda ukunciphisa iimpawu (ukutya okukhulu kunokubangela ukuchithwa nokurhuda). Ukongezelela, kunokuba luncedo ukugcina ukutya okuphantsi kwamafutha kunye nokuphakama kwi-carbohydrates ezifana nesonka esipheleleyo, i-pasta, ilayisi, iziqhamo, imifuno kunye nezolimo. I-fat fat, high protein diet isenokukunceda neentlungu ezibangelwa emva kokutya.
Ukutya okuqhelekileyo kubandakanya:
- Utywala
- Izithako ezinomsoco okanye izitishi zentshukela
- I-fat fat (Olestra)
- Iziyobisi
- Ubisi lweKoconut
- Ikhofi (i-decaffeinated)
- Yobisi
- Izikhumba ze-egg
- Ukutya okuthosiweyo
- Oyile
- Ikhumba leenkukhu kunye nomnyama omnyama
- Inyama ebomvu
- Ukunciphisa
- Chocolate
I-fiber e-soluble ineenzuzo ezininzi ezinokunciphisa iimpawu ze-IBS. I-Fiber inokuthi ikhusele i-spasms kuba igcina ikholoni ephazamisekile. Kwakhona kufaka amanzi, oku kunceda ukugcina izitishi zibe nzima kakhulu kwaye ngoko kunzima ukudlula. Ekuqaleni ukutshintshela kwi-fiber yokutya ephezulu kunokunyusa igesi kunye nokuqhawula, kodwa ezi zimpawu kufuneka zinciphise kwiiveki ezimbalwa njengoko umzimba ulungisa.
Izongezelelo zinokuba luncedo ekwandiseni i-fiber efunekayo ekudleni. Kukho iintlobo ezintathu eziphambili zokuncedisa i-fiber (i-psyllium, i-methylcellulose, kunye ne-polycarbophil) kwaye nganye isetyenziswa ngokuhlukileyo, imiphumo emibi kunye nempahla.
Ukunciphisa ukutya okubangela i- intestinal igesi kunokunceda ekunciphiseni ukubhubhisa. Ukuhlamba i-gum kwandisa igesi emzimbeni, njengokuba ugxotha umoya ngelixa udla (oko kwenzeka xa utywala utywala okanye uthetha xa udla). Iziyobisi ezinobuthi (ezifana ne-soda pop okanye amanzi adibeneyo) nazo zikhokelela ekubhubhiseni kunye ne-intestinal gesi (kunye ne-belching).
Ukukhathazeka kokutya
Abanye abantu abane-IBS banokuvakalelwa kokutya. Ukukhathazeka kokutya kuhluke kunokwenyama yokutya, ngoko kungabonakali kwiimvavanyo zemizimba. Ezinye zezona zizathu eziqhelekileyo zokukhathazeka kokutya ziquka:
- I-Sorbitol (i-substituted sugar)
- I-Fructose (efunyenwe kwisiphumo sesithelo kunye neziqhamo ezomileyo)
- I-Lactose (etholakala ebisi)
- Umqolo wegrosi
Ukunganyamezelani kwaLoctose yinto eqhelekileyo leyo yiphumo lokungasebenzi komzimba ukugaya i-lactose, okanye iswekile. Iimpawu ziquka igesi, ukutyhulwa, kunye namaxesha athile. Ukuba ukunyanzeliswa kwe-lactose kukhankanywa, ukuphepha ubisi kunye nemveliso yobisi kufuneka kunciphise iimpawu.
Ukufumana i-IBS Trigger Foods Yakho
Ukugcina ukutya kunye nedayari yezophawu kuyindlela efanelekileyo yokulandelela ukutya okukhokelela ekuhlaseleni kwe-IBS. Idayari yokutya ayifanele ihlanganise ixesha kunye nokutya okudliweyo, kodwa kunye nalapho badliwe khona, kunye nesimo sengqondo okanye isimo sengqondo. Kubalulekile ukufaka yonke into yokutya (nangona i-candy uyidla kwisitya kwideskiti yakho yabasebenzi) kunye nendlela ekulungele ngayo (oko kukuthi "inkukhu ethosiweyo", kungekhona nje "inkukhu"). Idayari kufuneka izaliswe ngamaxesha amaninzi ngemini ngoko akukho nto ikhohliwe. Emva kweeveki ezimbalwa, ugqirha okanye umculi wezilwanyana unokunceda ekuhloliseni idayari ukufumana iipatheni zokutya.