Kuzo zonke iinkalo zempilo ezahlupha abantu, akukho nto iya kubonakala iquka ukubandakanya phakathi kwengqondo kunye nomzimba kunye nesifo sengqondo sesifo soxilongo (IBS). Oku akubangelwa kukuba i-IBS "yonke into entloko enye," kodwa ngenxa yoko kuxhambaniswa okukhulu kwengqondo kunye nendlela yethu yokutya.
Ukuqhagamsheliswa kweengqondo-ntlungu kubangele ukusetyenziswa kweendlela ezahlukeneyo zengqondo / izifo zonyango njengezonyango ezinokuthi zonyango lwe-IBS.
Ingxoxo elandelayo yomtshato / ubuhlobo bomzimba kwi-IBS kunye neentlobo ezahlukeneyo zengqondo / iindlela zokonyango zomzimba ziya kukunceda ukuba unqume ukuba ngaba ukhetho olunokuthi lulungele wena.
Ingqondo / Iqumrhu liyahlula
Ngokwemvelaphi ngokuqhelekileyo ithathwa ngumfilosofi uRene Descartes, unyango lwangoku lusetyenzise "icebo lokuhlula kunye nelokulwa" kwaye ngoko lucwangcise ukwahlukana phakathi kwengqondo nomzimba. Nangona le ndlela iyasebenza kuba baphandi kunye namagqirha banokugxila imizamo yabo kwiinkqubo ezithile zomzimba, ukukhutshwa kwezinto eziphambili kukulahlekelwa kukugxininiswa kwinto yokuba umzimba usebenza ngokubanzi. Iimeko zonyango ezixinzelelekileyo, ezinjenge-IBS, ezithintela umgca phakathi kwengqondo nomzimba aziqondakali okanye ziphathwa ngokulula. Ngaloo ndlela, bahlala bewela kwiintlukwano phakathi koqeqesho lwezonyango.
Ingqondo / Uxhumano lweBhunga kwi-IBS
Ngenhlanhla, iinzame zophando zakutshanje ziye zazama ukuqonda ngcono izifo ezichaphazelekayo.
Kwimeko ye-IBS, abaphandi baye bagxininisa kwi-axis-gut, i-back-and-out inkqubo yokunxibelelana phakathi kwengqondo yethu namathumbu ethu. Kule ngqungquthela, ukunxibelelana kwenzeka nge-neurotransmitters, iikhemikhali ezifunyenwe kwinkqubo yesantya ephakathi kunye nenkqubo yesifo senzwa, eyona nxalenye yenkqubo ye-nervous autonomic.
Ukuphazamiseka ekusebenzeni kwezi zixhobo kucatshangelwa ukuba negalelo kwiingxaki ze-motility kunye ne- visceral hypersensitivity ebonwa zizigulane ze-IBS.
Nangona iimeko ezininzi, ezaziwa kwaye zingaziwa, kucatshangelwa ukuba zenze izibonakaliso ze-IBS , omnye umntu ocacileyo uyabandezeleka. Xa sigxininisekile, utshintsho lwe-neurochemical lubonakala kuzo zonke iinkqubo ze-nervic ne-enteric, njengengxenye yempendulo yendalo yomzimba. Iingcali zenzululwazi zifunda ukuba kutheni kwaye iinguqu ezithile ze-neurochemical zenza ntoni kwi-IBS.
Ukuqhubela phambili ingxaki, ezininzi izigulane ze-IBS ziya kukuxelela, kukho "inkukhu neqanda" kwi-IBS. Ukuxinezeleka kunokunyusa iimpawu ze-IBS, kodwa i-IBS ngokwayo inokuba nzima kakhulu! Iingqondo / iindlela zokonyango zomzimba zibe yindlela ekhangayo njengoko zinceda ukwandisa amandla omzimba wokusingatha iingcinezelo zengqondo.
I-Psychotherapy ye-IBS
I-Psychotherapy yintlobo yengqondo / unyango lomzimba oluthe lwafumana ingqwalasela yophando. Ngokubanzi, uphando lubonise ukuba ezi zilandelayo zintlobo zengqondo ye-psychotherapy ziphezulu kunonophelo lwonyango oluqhelekileyo ekunciphiseni iimpawu ze-IBS jikelele. Ukuphuculwa kweempawu ngokusetyenziswa kwengqondo ye-psychotherapy kungekhona nje kuphela kwixesha elifutshane kodwa kubonakala ngathi liqhubeka ixesha.
- Ukunyangwa kwengqondo (CBT)
- Hypnotherapy
- Psychodynamic psychotherapy
Nangona kulungile ukufumana ugqirha onamava okuphatha i-IBS, oku akunakwenzeka njalo. Kulo mbono kunye namava alo mbhali, ugqirha ogxininise ekuxhalabeni unokusinceda xa nje bevulekile ukuqonda imingeni ethile echaphazelekayo ekujonganeni ne-IBS. Kukho nawuphi na, qiniseka ukuba ugqirha wakho uvumelekile ngokufanelekileyo.
Ezinye unyango
Ezi zonyango zilandelayo zisetyenziswe ngempumelelo ekuphatheni izifo ezininzi zabantu kwaye ziye zafundiswa kwi-IBS. Okwangoku, uphando alubonisanga iinzuzo eziqhubekayo zokwenza i-IBS.
Ngakolunye uhlangothi, i-biofeedback ibonise inkxaso ngenkxaso yonyango, ngokukodwa eyabangela imeko ebizwa ngokuba yi- dyssynergic defecation .
Ukucamngca
Ukucamngca ngengqiqo, inxalenye enkulu yokunciphisa ukunyamezela kwengqondo (MBSR), iya kubonakala kwinqanaba lokuba yindalo engokwemvelo njengendlela yokunciphisa iimpawu ze-IBS. Ucwaningo lwezonyango ngokusetyenziswa kwe-MBSR ye-IBS lubonise ukuba lunokuba luncedo ekunciphiseni iimpawu, ngakumbi intlungu kunye nokuphucula umgangatho wobomi.
Iingcamango eziManyeneyo
Imisebenzi elandelayo sele isetyenziswe njengendlela yokunciphisa uxinzelelo kunye nokuphucula impilo. Izifundo zokuqala zibonise iziphumo ezintle ze-yoga kwiimpawu ze-IBS, kodwa ke, uphando olusesikweni kwi-tai chi ze-IBS lubonakala lukho.
- Yoga
- Tai chi
Imithombo:
I-Ford, A., ne.al. "I- American College ye-Gastroenterology Monograph kwi-Management of Irritable Bowel Syndrome kunye ne-Chronic Idiopathic Constipation " I- American Journal ye-Gastroenterology 2014 109: iS2-S26.
I-Lakhan, S. & Schofield, K. "Iingqondo ezisekelwe kwengqondo kwiNyango yokuShatyathwa kweSomatization: Uhlolo lokuHlola kunye nokuHlola kweMeta" I- PLoS One 2013 8: e71834.
Laird, K., et. al. "Ixesha elifutshane kunye nexesha elide loPhuculo lweZengqondo ze-Irritable Bowel Syndrome: Uhlolo lokuHlola kunye nokuhlaziywa kweMeta" I- Gastroenterology Clinic ne-Hepatology 2015 Epub ngaphambi kokuprinta.
Tanaka, Y., et.al. "I-Biopsychosocial Model ye-Irritable Bowel Syndrome" I- Journal ye-Neurogastroenterology kunye no-Motility 2011 17: 131-139.