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Ngaba uxinzelelo lubangela IBS?

Imfundo yezeMpilo

Uziva uxhalabile ufundela uvavanyo olubalulekileyo, ulungiselela ukucela umqeshi wakho ukunyusa, okanye ulungele ukuhlala phantsi kwaye ube nengxoxo enzima neqabane lakho. Emva koko, loo mvakalelo iqhelekileyo ikukhathazayo: Isisu sakho sinzima kwaye sibuhlungu, kwaye mhlawumbi kuya kufuneka ukhawuleze uye kwigumbi lokuhlambela ngokukhawuleza. Isisu esibuhlungu sisisenzo esiqhelekileyo kwiimeko ezixhalabisayo. Iingxaki kunye neengxaki zokugaya ukutya zihlala zihamba ngesandla. Kodwa ngaba kukho unxibelelwano phakathi kweziganeko zobomi okanye ukuphazamiseka kwengqondo kunye nesifo sengqondo samathumbu (IBS)? Inzulu.

Yintoni iirrrr bowel syndrome (IBS)?

NgokweOfisi yezeMpilo yabaseTyhini, isifo sentliziyo esinganyangekiyo (IBS) indibaniselwano yeempawu oku kuhlala ubuncinci iinyanga ezintathu. Iimpawu eziqhelekileyo ze-IBS zibandakanya:

Isisu okanye ukubamba
Intlungu zesisu
Ukuqhawula
Urhudo
Ukuqunjelwa

Ezinye iimeko zinokubangela iimpawu ezifanayo, ke kubalulekile ukuba kuvavanyo lwezonyango ukuze uqiniseke ukuba akukho nanye kwezi, utsho UDavid D. Clarke , MD, uprofesa we-gastroenterology kunye nomongameli we Umbutho wokuPhazamiseka kwengqondo kwi-Psychophysiologic .

Umzekelo, umboneleli wakho wezempilo unokufuna ukulawula isifo se-celiac, isifo sesisu esivuthayo, isifo sikaCrohn, ukunganyamezelani kwe-lactose, okanye umhlaza wekolon. I-IBS ihlala ixilongwa ngokususa, inkqubo yokuqinisekisa ukuba iimpawu zakho azibangelwa zizinye izifo ezifanayo.

Yintoni ebangela IBS?

Akukho sizathu sicacileyo se-IBS, ngokwe Ikliniki yaseCleveland . Nangona kunjalo, kukho izinto ezinobungozi:

Isini: I-IBS ixhaphake kakhulu kwabasetyhini kunamadoda. Malunga 2 ku-3 Abantu abane-IBS ngabasetyhini.
Uxinzelelo: Ungaqala ukuba ne-IBS ngelixa uhamba noxinzelelo olukhulu lwengqondo, uyacacisa IAshkan Farhadi, MD , ugqirha wamazinyo eSikhumbuzo seZiko loNyango laseOrange Coast eFountain Valley, California.
Ukuphazamiseka kwengqondo: Iimeko ezinje ngoxinzelelo lwasemva koxinzelelo, ukothuka, uxinzelelo, uxinzelelo kunye namava obuntwana (ACE) anokuqhagamshelwa kwi-IBS, ngokukaGqirha Clarke.
Ukuphazamiseka kwi-gut biome: Malunga nesinye okanye ezibini kwabaguli abahlanu abane-IBS baya kuba nokukhula kwebhakteria emathunjini amancinci. Kukho iimeko emathunjini ezinokumisela kwangaphambili. Unokuba nesiqendu esibi se-gastroenteritis… xa usulelo lumkile, ubuzaza obuhlala emva koko bunokubangela iimpawu ze-IBS, utshilo uGqirha Farhadi.

Ngethamsanqa, i-IBS ayinciphisi ixesha lokuphila lesigulana, bobabini uGqirha Farhadi noGqirha Clarke baqinisekisile. Ayikhokeleli kumhlaza. Kukho unyango olusebenzayo olunokubuyisela umgangatho wobomi bakho, nokuba ujongene ne-IBS nje, okanye ixhala, nawe.

I-IBS kunye noxinzelelo zihambelana njani?

Ingqondo yakho kunye neempawu zakho zesisu (GI) zidityanisiwe, yinkqubo yonxibelelwano emzimbeni wakho ebizwa ngokuba yi-gut-brain axis. Ngamanye amagama, xa inkqubo yakho yemithambo-luvo (elawula iimvakalelo zakho kunye neengcinga) inamava oxinzelelo, loo mpendulo ichaphazela iphecana lakho le-GI-kwaye ngokuchaseneyo.

Xa uziva uxhalabile, iihormones zoxinzelelo ezikwenza uzive ngaloo ndlela zinokudluliselwa emathunjini akho — nto leyo ebangela iimpawu ezibonakalayo ebantwini isisu sentliziyo , ezo ziqu zenzeka ngesiquphe xa ukhathazekile. Okanye, xa isisu esiqhelekileyo sikwenza uzive ngathi ungafuna ukukhawuleza kwigumbi lokuhlambela nangaliphi na ixesha, imeko yakho iya kuba nefuthe. Izinto ezilula njengobusuku kunye nabahlobo okanye ukuhamba ngemoto ende kunokunyusa uxinzelelo kunye noxinzelelo lwentlalo. Kunzima ukwazi ukuba yeyiphi eza kuqala-unxunguphalo, okanye iimpawu ze-IBS.

Unobangela kunye nefuthe kumayeza kunzima kakhulu ukuseka, ubukhulu becala into esinokuyiseka ngumbutho, utshilo uGqirha Farhadi. Ixhala linxulunyaniswa ne-IBS, kwaye i-IBS inxulunyaniswa kakhulu noxinzelelo. Nokuba i-IBS ibangela uxinzelelo, okanye uxinzelelo lubangela ukuba i-IBS kusafuneka ibonakaliswe. Kufana nenkukhu kunye neqanda le-conundrum.

Ukuxhalaba kunye ne-IBS kunokunyusa omnye komnye, utshilo uGqirha Clarke. Izifundo zibonisa ukuba uxinzelelo kunye noxinzelelo ngokubanzi luxhaphake kwizigulana ezine-IBS, xa kuthelekiswa noluntu ngokubanzi.

Isifundo esinye Uqukumbela ukuba amava amabi ebuntwaneni (ACE's) anyusa ukubakho kwe-IBS. Olunye uphononongo ithi iipesenti ezingama-30 zezigulane ze-IBS zichaphazelekayo, xa kuthelekiswa ne-18% yabantu bonke. Ngokufanayo, iipesenti ezili-16 zezigulane ze-IBS zathi zixhalabile, ngelixa iipesenti ezi-6 zabantu bonke babika ukuxhalaba. Kwi Olunye uphando amanani ayesoyikisa ngakumbi: iipesenti ezingama-44 zezigulana ze-IBS zixele uxinzelelo, kwaye iipesenti ezingama-84 zixele uxinzelelo. Imvumelwano ngokubanzi kukuba awukwazi ukwahlula impilo yezengqondo kunye ne-IBS.

Ulawula njani i-IBS enxulumene noxinzelelo

Unyango lwe IBS inokubandakanya ukuguqulwa kwendlela yokuphila kunye namayeza kagqirha, kuxhomekeke kwiimpawu kunye nokuba qatha kwesi sifo. Xa uxinzelelo lukumxube, unyango kufuneka lubandakanye nonyango ukunciphisa uxinzelelo okanye ukujongana neempawu zesifo sengqondo esihambelana noko.

Utshintsho kwindlela yokuphila

Ngoku ka Ezempilo zeHarvard , Olunye utshintsho kwindlela yokuphila lubandakanya:

Ukunyuka kancinci kokutya kwefayibha ukulawula amathumbu
Ukulandelela ukutya okutyayo ukuchonga nakuphi na ukutya okubangela i-IBS
Ukutya ukutya okuncinci ukunqanda ukuqunjelwa kunye negesi
Ukuqinisekisa ukufakwa kwamanzi ngokufanelekileyo

Ugqirha Farhadi uthi ukholelwa ukuba imfundo lelona candelo libalulekileyo ekulawuleni i-IBS, kwaye ukhuthaza abaguli bakhe ukuba bayiqonde imizimba yabo kunye nendlela yokulawula i-IBS.

Amayeza

Amanye amayeza athe anokuba luncedo ekuphatheni i-IBS kubandakanya:

Amayeza okubulala iintsholongwane , ezibulala iintsholongwane ezimbi emathunjini amancinci. Eyona zintsholongwane efundwa kakhulu kwi-IBS yile Xifaxin ( mzwqdzi ).
Iiprobiotic , ezonyusa iibhaktheriya ezilungileyo emathunjini kwaye zinokunceda ukuphucula imeko. Ukongeza amayeza okubulala iintsholongwane ngeprobiotic inokunciphisa iziphumo ebezingalindelekanga zesisu, njengokuqunjelwa, kunye norhudo.
Prebiotics , ezondla iibhaktheriya ezilungileyo (iiprobiotiki) zinceda ukudala i-gut ye-gut.
Ukudakumba ( off-ileyibhile kagqirha ), ngakumbi abo bakwi-tricyclic yosapho ye-anti-depressants, banokunceda ukulawula isisu, okanye ukunceda ukuphazamiseka kwemood.

Unyango

Olu nyango lulandelayo lunokunceda ukulawula uxinzelelo kunye neemeko zengqondo ezinxulumene noko:

Unyango: Ukufumana uncedo lobuchwephesha kuxinzelelo, uxinzelelo, umonzakalo, okanye iziphumo ezivela kwii-ACE zangaphambili ezingaphuculiyo kubalulekile, utshilo uGqirha Clarke.
Iindlela zokuphumla: Isiseko seHlabathi seNgxaki zesisu (IFFGD) icebisa ukuphefumla okunzulu, okanye ukuphefumla kwesisu / isisu; ukuphumla kwezihlunu okuqhubekayo, okufuna ukuba ugxile kwimisipha ethile oyibambayo, kwaye emva koko uphumle; kunye nemifanekiso emihle, oko kuthetha ukuba usebenzisa ingqondo yakho ukuzithelekelela uzolile kwaye unoxolo.
Unyango lokuziphatha kwengqondo (CBT): Obu buchule bunokunceda ukutshintsha indlela ocinga ngayo kunye nokuziphatha. Kuyanceda ukunyanga uxinzelelo, uxinzelelo kunye neempawu ze-IBS.
Amaqela enkxaso: Ukudibana nabanye abantu abafumana uxinzelelo olunxulumene ne-IBS kunokuqinisa ukuba awuwedwa.

Ukuba ucinga ukuba uxinzelelo lubangela ukuba i-IBS ivele, ukuthatha amanyathelo okuyilawula kunganciphisa ubunzima beempawu zakho kunye nokuphila ixesha elide-ukuze ubuyele kubomi obuqhelekileyo.