I-Narcotic syndrome (i-NBS) yimeko apho umntu afumana khona ubuhlungu besisu kunye neminye imiqondiso yesisu esisuka ekudleni kwamachiza opioid. Ukusetyenziswa okunjalo kwenzondo akufuneki kube yithuba elide, njengoko i-syndrome iyakhula emva kweentsuku ezimbalwa zokusetyenziswa. Kwi-NBS, ukwanda kwintlungu akunciphisi naphezu kokunyuka kwamanani e-narcotic intlungu-kunciphisa amayeza.
Ukunyuka kwamaxabiso okunjalo kuphelela ekusebenzeni kuphela ukunyusa iintlungu ezilandelayo. Kucingelwa ukuba ukusetyenziswa okungapheliyo kwezidakamizwa ze-opiate kukhokelela ekutshintsheni kwiimbilini kunye nemisipha kwindlela yokugaya okubangela ukunyuka kwentlungu kunye nokuphendula okunciphise kwiyeza.
Omnye akudingeki ukuba abe nembali ye-disorder tract disorder ukuze kuphuhliswe i-NBS. Inokuphuhliswa kunoma ubani ofumana ixabiso eliphezulu lemichiza emva kokuhlinzwa okanye njengonyango kuyo nayiphi na intlungu. Abantu abaneempawu zokugaya izifo ezingapheliyo ezivela kwiingxaki ze-GI ezifana ne-IBS, okanye ezinye iintlobo zesifo esingasasigxina sokugula, ezifana ne- IBD okanye i- diverticulitis , ingahlakulela i-NBS kuba oogqirha babo baye baqeda i-narcotics kumzamo wokuphucula ubuhlungu besisu kwezi meko. Amaxesha amaninzi amayeza akayiqondi ukuba imithi yabo yonyango ingabangela ukuba ingxaki ibe yimbi.
Kucatshulwa ukuba inani labantu abano-NBS landa.
Kuyamangalisa ukuba ufunde ukuba iiMerika eziManyeneyo, eziquka malunga nama-5% ebemi behlabathi, zibakho i-80% yokusetyenziswa kweengonyama emhlabeni jikelele.
Iimpawu
Intlungu yesisu ngumqondiso omkhulu kwiNBS. Ezinye iimpawu ziquka:
- Ukutyunjwa
- Gesi kunye nokuqhaqha
- Ukulahlekelwa ngumdla kunye / okanye ubunzima
- I sizathu
- Ukuvutha
Ezinye izigulane ze-NBS zibika ukuba ukutya kunokunyusa iimpawu zentlungu. Oku kunokukhokelela ekukhuselweni kokutya, oku kubangela ukulahleka kwesisindo.
Kwezinye iimeko, i-X-rays yesisu iyakubonisa iimpawu zesithintelo esincinci emathunjini, xa eqinisweni, sisisitoreji se-stool kunye nomoya, okubangela ukuxilongwa kwe-leus emathunjini okanye ukuphazamiseka.
Unyango
Unyango oluphambili lokuyeka nayiphi na indlela yokusebenzisa imichiza yonyango. Kweminye, le nkqubo iza kwenzeka ngokuthe ngcembe, ngelixa ininzi le nkqubo ingenzeka ngokukhawuleza. Ubungakanani bexesha elifunekayo ukurhoxisa kwiyeza lugxininisekile kangakanani na ixesha eliye lasebenzisa imichiza yamayeza. Ngamanye amagama, umntu ophuhlisa i-NBS ngokukhawuleza emva kokuhlinzwa-ngxaki angadingi ixesha elide lokucima ukucoca njengomntu oye waba.
Ukuyeka ukuxilongwa kwamachiza okuxhatshazwayo kwenzelwa kunye namanye amayeza kunye neendlela zokwelapha ezijoliswe ekunciphiseni imiphumo yokurhoxiswa kunye nokunikezela ngeendlela ezingaphezulu zokuncedisa intlungu. Kwiimeko ezininzi, oku kungenziwa kwisithuba sengqesho. Nangona kunjalo, izigulane ezijongene nesicongconi, ukuhlanza okanye iimpawu ze-leus emathunjini okanye umqobo-mqobo ungadinga ukulaliswa esibhedlele.
Kungaba ngumngeni kwizigulana ukuba zicinge ngokuzicoca zabo kumachiza njengoko izidakamizwa zinokunika uncedo lwentlungu.
Nangona kunjalo, kwiimeko ze-NBS, kubalulekile ukuba uqaphele ukuba i-narcotics iyancipha amathambo kwaye igalelo entlungu kunye nezinye iimpawu zokugaya ezikhoyo.
Olunye unyango lwe-NBS lubandakanya:
- Ukuxhatshazwa kweengxaki, ngenxa yezakhiwo zabo zokunciphisa iintlungu.
- Amachiza okuxhatshazwayo okhuselekileyo ekunciphiseni imiphumo yengqondo yokurhoxiswa kwezonyango.
- Ionyango zengqondo, njenge- CBT , ngenxa yolawulo lwentlungu.
- I-Naltrexone inceda abantu ukuba baphephe ukusebenzisa i-narcotics.
Oogqirha abaninzi baphatha i-NBS ngendlela efanayo njengoko bayeza kubamba ukutyunjwa kwe-opioid (OIC), kwimeko apho imithi efana ne-Relistor (methylnaltrexone) iya ku miselwa.
Imithombo:
Grunkemeier, D., et.al. "I-Narcotic Bowel Syndrome: Iinkqubo zeeKliniki, iPathophysiology kunye noLawulo" I- Clinical Gastroenterology kunye neHepatology 2007 5: 1126-1122.
IMinocha, A. & Adamec, C. (2011) I-Encyclopedia ye-Digestive System kunye ne-Digestive Disorders (2nd Ed.) ENew York: Iinkcukacha kwiFayile.