Ukulawulwa kwesifo sohudo-esisifo esilumkileyo esisiswini (IBS-D) akulula phantsi kweemeko ezininzi kwaye kunzima ukukhulelwa . Uya kufuneka usebenze ukuze ufumane izicwangciso ezinceda ukulawula iimpawu zakho ngaphandle kokubeka umntwana wakho engozini. Makhe sijonge oko kwaziwa malunga ne-IBS-D kunye nokukhulelwa noko ungakwenza ukuze uzigcine wena kunye nosana lwakho luphilile.
IBS kunye nokukhulelwa
Ngokuqhelekileyo, abafazi abakhulelweyo banamava amaninzi kwe- IBS kunabesifazane abangakhulelwe. Oku kunokwenzeka ukuba ama-hormone wokukhulelwa anesiphumo ekusebenzeni kwenkqubo yakho yokugaya . Ezi ziphumo zibandakanya ukuthintela isantya apho isithambiso sithatha isisu sakho esikhulu kunye namanzi amaninzi asuka kwi-stool njengoko ihamba ngayo. Akukho ndawo eyaziwayo malunga neenkcukacha zobudlelwane phakathi kwe-IBS-D kunye nokukhulelwa, kodwa uvavanyo oluthile oluncinane lufumene ukuba iimpawu ze-IBS-D zingadluka kwii-trimesters zesibini neyesithathu.
Okuxhalabisayo kakhulu yimiphumo yophando olukhulu olufumene ukwanda komngcipheko wokukhulelwa kwesisu kunye nokukhulelwa kwe-ectopic kubasetyhini abane-IBS. Olu phofu aluzange lunikeze naluphi na ulwazi malunga nendlela lo mngcipheko uhambelana ne- IBS subtype . Ingozi efana nokwanda komzimba kunye nokukhulelwa kwe-ectopic kwafunyanwa nakwabhinqa abane-IBS kunye noxinzelelo kunye nokudandatheka.
Akumangalisi kukuba, ingozi yayiphezulu kwabasetyhini abane-IBS kunye nabokutshaya. Ngenhlanhla, kwakungekho ncipheko eyongeziweyo eyaboniswa ngokuba nomntwana osweleyo.
Gcina ukhumbule ukuba ezo zifundo zibhekiselele kumanyano kwaye kungabangela ukuba kulungelelaniswe. Kungenzeka ukuba ayiyiyo yakho IBS-D ephakamisa umngcipheko wakho, kodwa kunomnye umbandela ongaziwayo ophakamisa umngcipheko we-IBS kunye naziphi na iingxaki zokukhulelwa kwakho.
Nangona kungasaziwa ukuba kutheni kubekho ingozi eyongeziweyo yokukhulelwa kwengxaki, le sifundo igxininisa imfuno yokhathalelo olululo lwezonyango kunye nenkathalo yokuzinakekela ngenkathi ukhulelwe. Nazi ezinye izinto onokuzenza:
1. Sebenza ngokusondeleyo noDokotela wakho
Kubalulekile ukuthetha nomgqirha wakho ngaphambi kokuba uthathe nawaphi na amachiza ukuphatha iimpawu zakho ze-IBS-D, kuquka iimveliso ezingaphezulu kwee-counter. Xa kuziwa kukhuseleko lwemithi yonyango yokurhuda , ugqirha wakho usemgangathweni ophezulu wokukucebisa malunga nerekhodi yezokhuseleko zeendlela ezahlukeneyo. Amanye amayeza angase alungile xa esetyenziswe ngokungaqhelekanga; abanye baphephekile. Kwaye nangona usenokuba ufikelele kwi- Imodium rhoqo ngaphambi kokuba ukhulelwe njengoko ngokuqhelekileyo ithathwa njengomkhuseli wemveliso, kungenokuba yinto enjalo ngoku. Kukho iziphumo zophando ezixutywayo malunga nokuba ingaba i-imodium ingabangela iingxaki kumntwana okhulayo. Njengoko ubona, kubalulekile ukuba usebenze nogqirha wakho ukuze ufumane ukuba yiyiphi imithi enokusetyenziswa ngokukhuselekileyo xa ukhulelwe.
2. Yidla ngokufanelekileyo
Indlela ekhuselekileyo yokuzama ukulawula iimpawu zakho ze-IBS-D ngelixa ukhulelwe kukuguqulwa kokutya. Uya kufuna ukuqiniseka ukuba ulandela ukutya okuxiliswe ngokufanelekileyo ukuqinisekisa ukutya okufanelekileyo kwintsana yakho ekhulayo.
Ngexa uyenza njalo, qhubeka ukhumbula ezi zikhokelo eziphambili:
- Gwema ukutya ukutya okuzaliswe ngamafutha angcolileyo. Oku kuquka ukutya okuthosiweyo, ukutya okugcobileyo kunye nokutya okukhawulezileyo njengoko oku kudla kunokuqinisa ukuphulwa kwamathumbu emathunjini okwenza intlungu yesisu kunye neesifo sohudo. Musa ukunyamekela ukuthatha amafutha enempilo, njengoko la mafutha abalulekile kwimpilo yakho nakwintsana yakho ekhulayo. Imizekelo yemafuno enempilo iquka i- avocados , ioli yekakhukhunathi , i-nut kunye ne-nutters.
- Gwema iishukela ezingaselanga kakuhle , ezifana ne- lactose , i- fructose , ne-sorbitol, ukuba udla ukuvala kunye nehudo.
- Ukuba ufumana ubunzima obugqithiseleyo, unciphisa ukutya kwakho kokutya .
3. Phuza Iintlobo zamanzi
Khumbula ukuba usela ezimbini. Ukugcina i-hydration efanelekileyo kubalulekile kwimpilo yakho nakwintsana yakho. Ukuba ufumana iziganeko ezingapheliyo zesifo sohudo, usemngciphekweni wokulahlekelwa komonakalo ogqithiseleyo kwaye ngoko ke umgangatho wokudambisa amanzi. Uya kukwazi ukuba uthatha amanzi anele ukuba umchamo wakho ucacile.
4. Sebenzisa iindlela zokuPhathwa koxinzelelo
Ukuba awuzange uzame i- psychotherapy njengonyango yakho ye-IBS-D, ukukhulelwa kwakho kunokuba yinto nje ukukukhuthaza. Oku kunokuba luleke ngakumbi xa unenkxalabo okanye ukuxinezeleka eceleni kwe-IBS yakho, njengoko kukho uphando oluye lwafumanisa la ma-combos ngokunyusa umngcipheko wokukhulelwa kwesisu nokukhulelwa kwe-ectopic.
Iindidi ezimbini zonyango - unyango lokuziphatha kwengqondo (CBT) kunye ne- hypnotherapy - ziye zaboniswa ukuba ziyasebenza ekunciphiseni iimpawu ze-IBS. Inzuzo enkulu kule zonyango kukuba akudingeki ukuba uxhalabele ngemiphumo emibi kumntwana wakho.
Enye ingcinga yomzimba / yomzimba inikeza ukhetho olongezelelweyo. I-Yoga ingabi yinzuzo kuphela kwiimpawu zakho ze-IBS kodwa inokukunceda ekunciphiseni ubuhlungu ngexesha lokubambisana nokunikezelwa. Ukucamngca kwakhona kuyindlela enhle yokunciphisa iziphumo zoxinzelelo lwangaphandle emzimbeni wakho.
Imithombo:
Adibi, N. et. al. "Izimpawu zesifo seengqondo zesifo sengqondo ngexesha lokukhulelwa" I- Journal of Research in Sciences yezoNyango 2012 17: S171-S174.
Einarson, A., kunye. al. "Ukufunyanwa, ukulawulwa, ukufundwa kwezinto ezininzi ze-loperamide ekukhulelwe" I- Canadian Journal yeGastroenterology kunye neHepatology 2000 14: 185-187.
Hasler, W. "I-syndrome ekhubazayo ngexesha lokukhulelwa" Iikliniki ze-Gastroenterology zaseMntla Melika 2003 32: 385-406.
Kallen, B., Nilsson, E. & Otterblad Olausson, P. "Ukusetyenziswa koomama kwe-loperamide ekukhulelweni kokuqala kunye nokuphumela kwezidingo." I- Acta Paediatrica 2008: 541-545.
Khashan, A., kunye. al. "Ingozi eyongezelelekileyo yokutshatyalaliswa komtshato kunye nokukhulelwa kwe-Ectopic phakathi kwabasetyhini abane-Irritable Bowel Syndrome" I- Clinical Gastroenterology kunye neHepatology 2012 10: 902-909.