Indlela iziyobisi ezijoliswe ngayo i-Target Smooth Muscle ukuya kwiZimpawu eziPhezulu
Amacandelo okuLawula nokuLungisa izifo ukuba amaninzi ama-America ahlupheke iimpawu zesifo sofuba esiswini (IBS) , isifo esisisu somzimba esisenza sisifo sentsholongwane kunye noshintsho kwimikhwa.
Njengoko abaphandi bengaboni isizathu sokuba i-IBS, unyango lujoliswe ekunciphiseni iimpawu zesifo (kubandakanya ubuhlungu besisu, ukuxubha, ukubhubhisa, ukuhanjiswa, kunye nokuqhaqha).
Phakathi kweziyobisi ezahlukahlukeneyo ezisetyenziselwa ukuphatha i-IBS, i- antispasmodics ibonise ukuba iphumelele ngokukhawuleza ekunciphiseni iimpawu ngokujolisa nokuphucula izihlunu ezihamba kakuhle zegciwane. Ekubeni iimpawu zihlala zixakeke emva kokuba umntu esidlile, iziyobisi zithathwa ngo-30 ukuya kwi-60 imizuzu ngaphambi kokutya.
Kukho iintlobo ezahlukeneyo ze-antispasmodic ezisetyenziselwa ukuphatha i-IBS, kuquka:
- Anticholinergics
- Mebeverine
- I-Peppermint ioli
Anticholinergics
I-Anticholinergics yiklasi leziyobisi ezenzelwe ukuvimba u-acetylcholine. Le yile mveliso eyenziwa ngumzimba osebenza kwinkqubo ye- nervous autonomic (inxalenye yesimiso seentlanzi ehambelana nemisebenzi engabonakaliyo). Ngokuthintela i-acetylcholine receptors kwindlela yokugaya, i-anticholinergics inokunciphisa ubunzima be-spasms ne-overproduction ye- mucus .
Ngelishwa, le nkunkuma inokuchaphazela ezinye iinkqubo zesebe , ezibangelwa yimiphumo emibi evela kwimibono ephosakeleyo kunye nokuqhawulwa kokunciphisa ukuhamba nokusila.
Ngenxa yobungozi bokuqothulwa, i-anticholinergics iyona isetyenziswe kakuhle kwiimeko zokurhudo-ebaluleke kakhulu kwi-IBS ( IBS-D ) kunokugqithiselwa-i-IBS- IBS-C . I-reflux ye-gastric iphinde ibe nempembelelo yecala.
I-anticholinergics echazwe ngokuqhelekileyo ibandakanya:
- IHyoscyamine
Mebeverine
I-Mebeverine i-musculotropic spasmolytic esebenza ngokufanayo ne-anticholinergics kodwa ayinayo imiphumo ye-acetylcholine. Ukuphendulwa kwe-allergen kuye kwabikwa kwezinye iindawo, ngokukodwa ngohlobo lwe-low grade grade.
I-Mebeverine idla ngokuqhelekileyo kubantu abane-IBS kwaye ifumaneka phantsi kwamagama amanqaku ahlukahlukeneyo kuquka uColofac, uDuspamen, kunye noDuspatalin.
Peppermint Oil
Ioli yePeppermint yongezeleleko ye-counter-containing-containing-containing-containing-containing-containing-containing-containing-containing-complement.
Ukuhlaziywa kwee-2015 yiYunivesithi yaseCalifornia, iSan Diego yagqiba ukuba abantu abaneempawu ze-IBS babecinga phinda kathathu ukuba bafumane ukukhululeka ngeoli ye-peppermint xa kuthelekiswa nezo zanikwa indawo ye-placebo.
Ngexesha elijongene nokukhuselekileyo ekusebenziseni ixesha elifutshane, ioli ye-peppermint iyaziwa ngenxa yokubhukuda (imeko enokuthi igwenywe ngokusetyenziswa kweefomsile ezifakwe kwi-enteric ). Qiniseka ukuba udibane nodokotela wakho ngaphambi kokuthatha i-peppermint oil okanye nayiphi na enye eyongezelelekileyo.
Ioli yePeppermint kufuneka isetyenziswe ngokuqaphela abantu abanokugubungela, ukulimala, ukulimala kwesibindi, ukuvutha kwe-gallbladder okanye i-bile duct.
Iinguqu zeZidlo
Ukongeza kwimishanguzo ye-antispasmodic, utshintsho lokutya lunokuphucula kakhulu iimpawu ze-IBS.
Ngokuxhomekeke kwiintlobo ozifumanayo, unokufuna uku:
- Ukwandisa i-fiber fiber okanye usebenzise i-fiber supplement ukuze ukhulule ukuxhamla kwe-IBS okanye uhudo.
- Ukwandisa amanzi ekumanyeni ukuba uyagqitywa.
- Gwema i caffeine. (I- Peppermint tea yindawo ebalulekileyo.)
- Gwema izityalo ukuze unciphise ukubetha.
- Ukunciphisa ukutya okuqukethe i-lactose, i-fructose, okanye i- FODMAP (i-oligosaccharides enokutsha, i-disaccharides, i-monosaccharides, ne-polyols).
- Thatha iprobiotic yemihla ngemihla ukuze ugcine imveliso yokutya yokutya.
> Imithombo:
> Amacandelo okuLawula nokuLawula izifo. "I-Epidemiology ye-IBD." Atlanta, Georgia; ihlaziywe ngoMatshi 31, 2015.
> I-Ford, A .; Moyyadedi, P .; ULacy, B. et.al. "Ikholeji yaseMelika yeGastroenterology Monograph ekulawuleni i-Irritable Bowel Syndrome kunye ne-Chronic Idiopathic Constipation" u- Amer J Gastroenterol. 2014; 109: S2-S26. INGXELO: 10.1038 / ajg.2014.187.
> Khanna, A .; MacDonald, J; kunye neLevesque, B. "Ioli yePeppermint yokunyanga kwesifo sengqondo sesifo esilumkileyo: ukuhlaziywa okucwangcisiweyo kunye nokuhlaziywa kwemeta." J Clin Gastroenterol. 2014; 48 (6): 505-12. INGXELO: 10.1097 / MCG.0b013e3182a88357.