Ngelishwa, abantu banokuphelisa ukujongana neengxaki ezingaphezulu kweyodwa kwixesha. Kwaye ngamanye amaxesha, kunokunokwabelwana ngeziganeko ezibangelwa ukuba umntu ufumane ithuba lokunyuka kwesifo esisodwa. Oku kubonakala ngathi yimeko ye-IBS kunye nokudandatheka. Le ngqungquthela ijonga into eyaziwayo malunga nokugqithwa kwezi zimbini, kunye nento ongayenza ukuze uphathe kakuhle iimpawu zezizifo zombini.
Yintoni Ukuxinezeleka?
Ukudandatheka kukugula okubonakaliswa ngumoya ophantsi okanye ukulahlekelwa ngumdla okanye ukuzonwabisa okuhambisana kunye nezinye iimpawu eziphazamisana nomntu okwazi ukusebenza nokuzonwabisa. Iimpawu zoxinzelelo zingabandakanya:
- Utshintsho kwisondlo nesisindo
- Unzima ukugxila
- Ubunzima bokulala kunye / okanye ubunzima bokulala
- Imiva yokungathembeki, ukuzithoba, ukuzithoba, kunye nokukhathazeka
- Ukungabi namandla kunye nokukhuthaza
- Ukuhlaliswa koluntu
- Iinjongo zokuzibulala kunye nokuzama
Kukho imiyalelo emininzi yoxinzelelo eneempawu ezahlukileyo, kuquka:
- Ukuphazamiseka kwengqondo yokuphazamiseka kwemiba
- Ingxaki enkulu yokudandatheka
- Ingxaki yeDysthymic
- I-Premenstrual disysstric disorder (PMDD)
Ukugqithiswa kwe-IBS kunye noxinzelelo
Isifo esivame ukufumana ingqondo yengqondo kwizigulane ze-IBS kukudandatheka. Kwisifundo esithile, ukusabalalisa ukuxinezeleka okuxilongwa kuqikelelwe ukuba yi-31% kwizigulane ze-IBS ezazifuna unyango.
Ezi manani ziphezulu kunezinga lokudakumba ezibonwe kwizigulane ezinezifo zesibindi (IBD) okanye abantu abaphilileyo.
Kutheni ukuba izigulane ze-IBS zibe sebunciphekweni bokudandatheka? Abaphandi baye bafuna iimpendulo. Omnye ummandla wophando uhambelane noxinzelelo lwabantwana. Amazinga okhuseleko olwenzelwe abantwana ngokwesondo kunye / okanye ukuphathwa kakubi kwezilwanyana kwizigulane ze-IBS zininzi ngokubanzi, kunye nokuqikelelwa kwamanani angama-50%.
Ukufumana ingozi enjalo kubeka umntu engozini ekuphuhliseni inkathazo yesimo sengqondo ezifana nokudandatheka.
Abaphandi be-IBS baye bajonga indima eyenziwa yi-neurotransmitter serotonin kwiintlungu zombini. I-Serotonin ibandakanyeka kwimisebenzi emininzi yokugaya kwaye idlala indima ebalulekileyo ekunxibelelaneni phakathi kweebragi zethu kunye neentlobo zethu. Amazinga aseSerotonin adibaniswa neempawu zokudandatheka kodwa nangona isicwangciso esivela kulobu budlelwane asiqondi kakuhle. Ngaloo ndlela, iingxaki ngokulawulwa komzimba we-serotonin zingabangela ukuba ziqhube.
Omnye umbuzo omhle kukuba ingaba ne-IBS ingabangela ukubandezeleka. Uphando olunzulu lwe-12 lweminyaka lufumene ukuba ukuba ne-IBS ekuqaleni kwesi sifundo kwadibaniswa namazinga aphezulu okuxhalabisa nokuxinezeleka ekupheleni kokufunda. Nangona kunjalo, i-inverse yayiyinyaniso. Abantu ababenamazinga aphezulu okuxhalabisa nokuxinezeleka ekuqaleni kwesi sifundo babekho mngcipheko omkhulu ekuphuhlisweni kwe-IBS ekupheleni kokufunda. Abaphandi abaphengululi baphetha ngokuthi oku kubonisa ukuba ukungasebenzi kwemiphumo emibili inokuthi kwenzeke ngandlela-thile, oko kukuthi ukusuka kwingqondo ukuya kumathambo okanye ukusuka emanzini ukuya kwingqondo.
Oko Ukwenza Ukuba Unayo Bobabini
Nangona ukuphazamiseka kwezihlandlo ezimbini ngexesha elifanayo ngokuqinisekileyo kuya kufakwa phantsi kobomi "bungekho bucala", kukho enye encinane yesilivere.
Yintoni efanelekileyo kwisifo esisodwa sinokuba luncedo nakwezinye izifo. Unokukufumana oku ngokukodwa kwindawo yonyango lomuthi.
Nangona kuthathwa njenge-off-label usetyenziso, iintsholongwane ezixhatshazwayo zihlala zibhalelwe izigulane ze-IBS ngenxa yempembelelo enxulumene nokunciphisa intlungu kunye nokuphucula ukusebenza komzimba. Kucingelwa ukuba le mpembelelo eluncedo libangelwa yimpembelelo yokuxhatshazwa kwi-serotonin nakweminye i-neurotransmitters.
I-Tricyclic antidepressants yinkalo yeengxaki zokuxhatshazwa kwegazi ezityhazamisa umthambo, mhlawumbi ezenza kube lula ukukhetha izigulana ezine- diarrhea ezibangelwa ngumzimba (IBS-D).
I-Serotonin Reuptake Inhibitors (i-SSRIs) ekhethiweyo i-class of anti-depressants ezicingelwa ukuba zijolise kuphela kwi-serotonin, okubangelwa yimiphumo engaphantsi engadingiyo, kubandakanywa nokuzibetha. Ngaloo ndlela, umntu onokuqhaqhazeka-eyona nto ikhubaza isifo sofuba (IBS-C) ingaba ngcono ukuba unxinzelelo lwakhe olubhekiswe kumachiza avela kweli klasi.
Enye indlela yokuqwalasela yindlela yokusebenzisa unyango lokuziphatha (CBT). I-CBT inenkxaso enzulu yophando ekuncediseni ukukhupha iimpawu zokudakumba kunye ne-IBS.
Imithombo:
Umbutho wezeMpilo waseMerika. "Incwadana yokuHlola kunye neSatistim of Disabilities of the Mind, 4th,.", 2000 Washington, DC
Koloski1, N., et.al. "Indlela yokuguqula ubuchopho kwimisipha yokusebenza esiswini i-bidirectional: i-12-year-based study-based study" Gut 2012 61: 1284-1290.
I-Surdea-Blaga, T., iBaban, A. & Dumitrascu, D. "Amagqabantshintshi ngokweengqondo zesifo seengqondo zesifo sengqondo" I- World Journal ye-Gastroenterology 2012 18: 616-626.