Izinketho zokwelapha kwi-IBS
Ukwelashwa kwe-britable syndrome (IBS) ayifuni ngokukhawuleza ukuba "isayizi enye ifanelekileyo" isicwangciso sohlobo. Ukusebenza nomgqirha wakho, kunye nesilingo esincinane kunye nephutha, uya kufumana indlela yakho yokulawula i-IBS yakho. Le ndlela ingadinga indlela eyahlukeneyo, kodwa njengoko uza kubona kule nkcazo, kukho iindlela ezininzi zokwenza unyango oza kuzisebenzisa.
Isinyathelo Sokuqala
Ukuba awukwenzi oko, kubalulekile ukuba ubone ugqirha ukuba uxoxe naluphi na uphawu oluqhubekayo lokutya.
Nangona iimpawu ze-IBS ziquka iintlungu zesisu kunye neengxaki ezingapheliyo zokuqhawulwa, isifo sohudo, okanye zombini, iimpawu ezinjalo zingakhokelela nakwiimeko zempilo ezinzulu. Xa ugqirha wakho uqinisekisile ukuxilongwa kwe-IBS, unako ukusebenza kunye nabo ukusekwa isicwangciso socwangciso esilungileyo sokulungisa iimpawu zakho.
Imithi ye-IBS
Ngokwesiko, ukhetho lwezonyango kwi-IBS luphelelwe.
Ngenhlanhla, loo meko iyatshintsha ngokukhawuleza njengoko unyango olutsha luphuhliswa. Nazi ezinye zezinketho zemithi ezikhoyo okwangoku:
I-Antispasmodics: I- Antispasmodics yimiyeza echazwe rhoqo kwi-IBS njengoko ikunceda ukuphucula iimpawu zesisu esiswini kunye nokunyanyiswa, ngokukodwa kubantu abane-diarrhea-ebalulekileyo kwi-IBS (IBS-D). I-Antispasmodics isebenza kakuhle xa kuthathwa imizuzu engama-30 ukuya kwimizuzu engama-60 ngaphambi kokuba idle kwaye ingaba ngcono ekunikezeni ixesha elifutshane, ngokuchasene nexesha elide, ukukhululeka kweempawu.
Imishanguzo e-IBS-Specific: Iinkampani zonyango ziye zazinzima emsebenzini ekuphuhliseni amayeza ekuphatheni i-IBS, ngeendlela ezininzi ezitsha eziza kwiimarike kwiminyaka embalwa edluleyo.
La mayeza asebenza ngokusemthethweni kwi-receptors ngaphakathi emathunjini amakhulu ukuzisa impawu ze-IBS. Izinketho zonyango lwe-IBS-IBS-C ziquka:
Kwaye kunyango lwe-IBS-D:
I-Antibiotics: Abantu badla ngokumangaliswa xa beva ukuba ii- antibiotics zinokumiselwa i-IBS , njengokuba rhoqo ukuthatha iindiza ze-antibiotics zenza iimpawu ze-IBS zibi nakakhulu. Nangona kunjalo, iintsholongwane ezisebenzisayo ukuphatha i-IBS zihlobo oluthile-iziza-antibiotics ezingafaki kwisisu sakho, kodwa kunoko zijolise kubhaktheriya kumathumbu akho amancinci amakhulu. Kule klasi, kuphela i- Xifaxan inemvume ye-FDA kwaye yonyango lwe-non-constipation IBS.
Iingxaki zokuxhatshazwa: Ugqirha wakho unokukhetha ukunika imishanguzo yokuxhatshazwa ngenxa yempembelelo ekusebenzeni kwenkqubo yakho yokugaya kwaye ngenxa yokuba inokuthathwa ngokukhuselekileyo ngexesha elide-inzuzo yesifo esingapheliyo njenge-IBS. Oogqirha banokuthi banconywe ukuxinezeleka kuwe xa iimpawu zakho zingakhange ziqwalaselwe ngendlela yokuphila kunye nokuguqulwa kokutya kunye nokuba unokudandatheka kunye / okanye uxhalaba kunye ne-IBS yakho.
Izidandlululo ezisetyenziselwa ukuphatha i-IBS ziquka zombini ii-SSRI kunye ne-anti-depressants yase-tricyclic endala. Zomibini iiklasi zicingwa ukuba zineempawu zokunciphisa intlungu. Ugqirha wakho unokukhetha uhlobo oluthile lokuxhatshazwa kwengxaki olusekelwe kwiingxaki zesifo sakho, isib. Ukutywina okanye uhudo, njengezidibaniso ezichaseneyo ezahlukeneyo zineempembelelo ezahlukeneyo kwi-stol formation kunye nokuhamba kwentsholongwane.
Izilungiso ezingaphezu kwe-Counter Counter for IBS (OTCs)
Kukho iintlobo ezahlukeneyo ze-OTC ezisetyenziselwa ukujongana neempawu zokutya. Ezi mveliso ziyafumaneka ngaphandle komyalelo kwaye akunqabile ukuba kukho uphando oluninzi malunga nokusebenza kwabo okwenyaniso ekunciphiseni iimpawu ze-IBS. Khumbula ukuba kubalulekile ukuba uhlole ugqirha wakho ngaphambi kokusebenzisa nayiphi na imveliso ye-OTC. Nazi ezimbalwa ze-OTCs ezisetyenziswa ngokubanzi kwi-IBS:
- Imodium : Uncedo ekunciphiseni ihudo, kodwa kungekhona i-IBS intlungu.
- I-Laxatives njenge-Miralax, i-Metamucil, i-Benefiber, kunye neCitrucel.
- Iiprocytic supplementary : Ezi ziqulethe iintlobo eziphilayo "zebhaktheriya ezinobungane."
- Ioli yePeppermint : Izifundo zibonise ukuba ioli ye-peppermint ene-enteric eneempawu ezinamandla ze-anti-pasmodic kwaye ngoko iphumelela ekunciphiseni ubuhlungu be-IBS.
- Ukuncedisa ama-Herbal : Kukho iintlobo ezahlukeneyo zokuncediswa kwemfuyo ezicatshangelwa ukuba zikulungele impilo yonke yokutya kunye nokunyanga iimpawu zokugaya.
> Ukujonga ngeso lengqondo iimpawu ze-IBS ezineziphumo kunye neempawu.
Ukutya utshintsho
Enye yezindlela eziqhelekileyo abantu abazama ukujamelana nayo nge-IBS kukungqinelana kokutya. Ejongene nalezi zibonakaliso ezibuhlungu, kulula ukuyichazela ukutya njengento enobungozi. Inyaniso ebalulekileyo ukugcina engqondweni kukuba isenzo esilula sokutya, ngokutya ukutya okukhulu okanye esinamafutha, kunokushukumisa isithintelo sezilonda. Ingcinezelo kunye neenguqu ze-hormonal zinegalelo kwiimpawu ze-IBS, ukwenzela ukuba ukutya kunokunyanzeliswa kwesinye isiganeko kunokunandipha ngaphandle kokunye kwesinye.
Ukugcina konke oko kucinga, kukho ezinye izinto ezinokunceda ozenzayo malunga nokutya okunokuba luncedo ekunciphiseni iimpawu zakho (okanye ubuncinci, kungabenzekanga ngakumbi!). Nazi ezinye iindlela:
1. Gcina idayari yokutya . Iidayari zokutya ziphela nje ingxelo eqhubekayo yento oyidlayo kunye nendlela ozivakalelwa ngayo. Kunconywa ukuba ukuba ufumene ukutya okukhethiweyo njengokuba unokuba ngumgwebi, ukuba uchithe ukutya oko ixesha elimalunga neenyanga ezintathu ukuze ubone ukuba le nto inomphumo kwimpawu zakho.
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Xa iSidlo se-Low-FODMAP ye-IBS ayisebenzi
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Iiminyathelo ngeSinyathelo-ngeNyathelo Iingcebiso zokuthatha i-Sitz Bath
Ukuba akunjalo, zama ukutya ukutya kwakhona uphinde uphinde wenze inkqubo ngokutya okulandelayo kuloluhlu lwakho. Abagwenxa abaqhelekileyo ukutya okunamafutha, imifuno yokuvelisa i-gesi, iziphuzo ze-carbonate, i-sweeteners yokufakelwa, i-caffeine kunye notywala. Unokuphinda ucinge ngokutya kokunciphisa ukulawula ukungaboni kakuhle kwe-lactose okanye i- fructose malabsorption .
2. Yidla amancinane, ukutya okudla rhoqo . Ukungafani nalokhu kukuba ukutyunjwa isidlo sasekuseni esikhulu kunokunceda ukukhuthaza ukuphambana kwamathumbu emathunjini kunye nesibongo sokunyakaza.
3. Ukwandisa iifiber . I-Fiber iphakanyiswa ngokubanzi ngenxa yeenzuzo ezininzi zezempilo kunye nokukwazi kwayo ukuncedisa kokubili ukuthoba nokuqinisa isitulo. Nangona kunjalo, kungcono ukongeza i-fiber ngokukhawuleza ukuvumela umzimba wakho ukuba ulungelelanise. Kwakhona kukho ubungqina bokuba i-fiber edibeneyo ixhomekeke ngakumbi kubantu abane-IBS.
4. Khangela kwi-low-FODMAP yokutya . Nangona ukutya okuphantsi kwe-FODMAP kunokuba ngumngeni, kunokweseko oluthile lokuphanda olusebenzayo. Ukutya kukuquka ukuphelisa ezinye i-carbohydrates ezithile ekudleni kwakho kwixesha leeveki ezintandathu ukuya kwezi-ezisibhozo kwaye ngokukhawuleza uzifake kwisondlo sakho ukuvavanya ukunyamezela.
I-Psychotherapy ye-IBS
Izifo ezahlukeneyo zengqondo ziye zafundwa ngempumelelo yazo ekunciphiseni ubukhulu, ubunzima kunye nobude beempawu ze-IBS, kubandakanywa ukwelashwa kokuziphatha kwengqondo (CBT), i-hypnotherapy, ukuphathwa kwengcinezelo kunye nendlela yokuphumla, kunye nemiphumo emihle ngokubanzi.
I-CBT kunye ne-hypnotherapy ene-gut-directed dial ine-inkxaso enamandla kakhulu yophando ekusebenzeni kwabo ekunciphiseni iimpawu ze-IBS. I-CBT yindlela ye-psychotherapy apho uya kufundiswa khona izicwangciso zokuguqula iipatheni zokucinga ze-maladaptive kunye nokuziphatha okutsha ukulawula uxinzelelo nokusingatha imeko exinzelelekileyo. I-Hypnotherapy ibandakanya ukutyalwa kwimeko yokuphumla kunye nokunethezeka kwimiba ethile enikezelwa ngayo ukuze kukhokele utshintsho olusigxina ekuziphatheni.
Iiphilisi zengqondo zinika ithuba lokukunceda ufunde amacebo okuhlala ixesha elide ukuphatha i-IBS yakho ngaphandle kwengozi yemiphumo emibi echaphazelekayo enxulumene namayeza.
Ukwenza isigqibo esilungile kuwe
Uphando luye lwabonisa ukuba nge-IBS, xa unolwazi olugqithiseleyo njengesigulane, bhetele umphumo wakho woba unyango uza kuba. Uphando luye lwabonisa ukuba isiphumo sakho sonyango siphucukisiwe xa unobungozi obusebenzayo kunye nogqirha wakho. Uya kufumana ulwazi oluninzi apha malunga neendlela zakho zokonyango. Sebenzisa ixesha lokufunda ngokubanzi njengoko unako kwaye usebenze nogqirha wakho ukuba eze nesicwangciso solawulo lwempawu esilungele umzimba wakho oyingqayizivele.
Imithombo:
Foxx-Orenstein, AE. Iinkqubo ezintsha kunye nezasasazekayo zokonyango kwesifo sengqondo sesifo esilumkileyo: ukuhlaziywa kwe-gastroenterologists. Uphuhliso lwezonyango kwi-Gastroenterology . 2016; 9: 354-375.
I-J, i-Vanuytsel T, i-Corsetti M. Ukuphathwa kwe-Irritable Bowel Syndrome: Okungekho koLuntu. Izifo zokugula . 2016; 34: 566-573.