Ezingamaphesenti angu-20 ezakhamuzi zeplanethi, isifo sofuba esishubile sitholakala - izimpawu kanye nokwelashwa kwesifo esinjalo zikhethekile. Lesi sifo sibonakaliswa ukungasebenzi kwamapheshana emathunjini. Esiqenjini esiphezulu kakhulu ngabantu abaneminyaka engama-20-45. I-IBS kwabesifazane iphindwe kabili njengamadoda. Cishe 2/3 kulabo ababhekene nalesi sifo akusebenzi usizo lwezokwelapha.
I-Irritable Bowel Syndrome - Izimbangela
Kunezinhlobo eziningana zalesi sifo. Isifo singase sihambisane nalokhu:
- isifo sohudo;
- ukuqotshwa;
- ukuphumula nokuzwa okubuhlungu ku-epigastrium.
Zonke lezi zinhlobo zempilo zicasulwa yizici ezihlukahlukene. Izimbangela eziqondile ze-IBS kuze kube yilolu suku azitholakali ngabososayensi. Noma kunjalo, ochwepheshe bayavuma ukuthi lesi sifo siyi-biopsychosocial. Iqembu elithile lezinto ezibangela ukwakheka kwalo. Phakathi kwazo kukhona "abahlaseli bezenhlalakahle, ezengqondo nezengqondo". Izizathu ezilandelayo zibhekwa njengezisekelo:
- Izifo zengqondo. Lokhu kufaka ukucindezeleka ngokweqile, ukucindezeleka, ukuphazamiseka kwesifo. Zonke lezi zinkinga ziphulukisa kakhulu uhlelo lwesimiso. Ngenxa yalokho, umathumbu uba namandla.
- Isibikezelo se-Hereditary. Uma abazali babenenkinga yalesi sifo, kunomqondo ophezulu wokuthi isifo sofuba esisathukuthela (izimpawu kanye nokwelashwa kuyafana) kuzoba ezinganeni.
- Ukungalingani kwe-hormonal. Kulaba besifazane abaningi, ngokumelene nesimiso sokwanda kwe-prostaglandin E ezinsukwini zokuqala zokuya esikhathini, uhudo kanye nobuhlungu bomathumbu kubonakala. Ngaphezu kwalokho, kubesifazane abakhulelwe, isifo sofuba sithukuthele singatholakala (izimpawu kanye nokwelashwa kubhekwa ukucabangela isimo esikhethekile sesiguli).
- Ukuphazanyiswa ekudleni. Labo abakhetha ukudla okubabayo, amafutha amaningi kanye nekhalori eliphezulu bangabhekana ne-IBS. Inkinga efanayo ivela kubathandi bekhofi kanye netiye eqinile, kanye nalabo abaphuza utshwala. Ngaphezu kwalokho, umnikelo wabo wenziwa ngokudla okulula nokuhamba okungajwayelekile.
- I-gastroenteritis yebhaktheriya. Izifo ezitholakalayo endaweni yokugaya zingabangela ukuphazanyiswa emsebenzini wakhe.
- Ukwamukela imithi ethile. Lokhu kufaka phakathi, isibonelo, ama-antibiotics.
I-irritable amathumba syndrome anehudo
Ngaphezu kwezici ezivamile ezibangela ukuphazanyiswa endleleni yokugaya ukudla, lolu hlobo lwesifo lunabo "ama-provocateurs" abo siqu. Kulokhu, i-IBS ibangela ukuthi kwenzeke okulandelayo:
- ukutheleleka emathunjini;
- ukuphazamiseka emthonjeni wegciwane;
- ukudla okubangelwa ukudla;
- ukusheshisa kokuhamba kwamathumbu amakhulu.
I-irritable syndrome yamathumbu nge-constipation
Leli fomu lokugula lingashukunyiswa yizici ezihlukahlukene. I-IBS nokuqothulwa kwenzeka ngenxa yezizathu ezilandelayo:
- ukudla okudliwayo kuhlwempu fiber;
- indlela yokuphila yokuhlala;
- ukunciphisa ama-colostrans ukuhamba, okubangelwa ukwehla kwenombolo yezifinyezo eziphezulu ze-amplitude;
- ukwandisa izinga le-hormone progesterone.
I-syndrome ye-british irritable ene-flatulence
Leli fomu lokugula, njengalokhu elidlule, linesizathu salo sokuthi bahlasele. I-IBS ne-flatulence ivela ezimweni ezinjalo:
- ngemuva kokuhlukunyezwa kokudla okunzima, ukugaya okubangela ukwanda kwegesi;
- uma umuntu enokungaboni ngaso linye;
- ngemuva kokwethuka okukhulu, ngenxa yalokho i-hormone yokucindezeleka "yavusa";
- uma umzimba unemalingani ye-hormonal.
Izibonakaliso ze-Irritable Bowel Syndrome
Ukugweba lesi simo se-pathological kuzosiza ukubonakaliswa kwayo kwemitholampilo. I-syndrome e-irritable yamathumbu ihambisana nezimpawu ezilandelayo:
- umzwelo wesisu esiswini, esanda emva kokudla;
- ukutholakala kwezimfihlo zamangcwaba emanzini;
- ukusika okubukhali, ubuhlungu obuhlungu (okufanayo kungenzeka nokudla okunobuthi);
- izinxushunxushu eziqinile zokuhlukunyezwa ngemuva kokucindezeleka kwengqondo;
- ne-IBS enehudo, imvamisa yesibalo ifinyelela izikhathi ezingu-5 ngosuku, kepha akenzeki ebusuku;
- emva kokukhipha ngamunye kukhona umuzwa wokuhlukunyezwa okuphelele;
- ngokuqothulwa, ukuhlanzwa kwamathumbu kungenziwa njalo emva kwezinsuku ezintathu, "izinhlanzi zezimvu" ziphuma.
Ngaphezu kwalokho, isifo sofuba esisathukuthela singaba nezibonakaliso ezingekho emthethweni (futhi ukwelashwa kulokhu kunikezwe okufanele). Lokhu kufaka phakathi ukubonakaliswa kwemitholampilo:
- ukukhathazeka nokucindezeleka;
- izinkinga zokulala;
- ukubonakala komunwe ongajwayelekile emlonyeni;
- ukuphazamiseka kokuvuthwa;
- shintsha ngesilinganiso senhliziyo.
Indlela yokwelapha isifo sofuba esiswini?
Ukukhipha ezinye izifo zesigcawu sokugaya, isiguli esibhekiswe kudokotela sizokwaziswa uchungechunge lwezifundo. Ukuhlola okunjalo kuhlanganisa:
- i-irrigoscopy ;
- ukulethwa kokuhlolwa kwegazi jikelele;
- isifundo se-stool;
- isampula legazi lesifo se-celiac;
- I-MRI yesisu.
Uma ubuhlungu obunomsindo wesifo samathumbu ukuze ukhethe ukwelashwa okufanele, udinga iseluleko esengeziwe kusuka ochwepheshe abalandelayo:
- i-infectionist;
- isazi sengqondo;
- isondlo sokudla;
- i-psychotherapist;
- physiotherapist.
Indlela yokuphatha i-IBS ngehudo?
Umsebenzi oyinhloko yokwelashwa kwalolu hlobo lokugula ukunciphisa izinqubo zokufaka izinto zokugcoba nezokuvuthwa ezenzeka emgodleni wokugaya futhi uvuselele umsebenzi wawo. I-Syndrome yezokwelapha ezicasulayo ihlanganisa isakhiwo esiyinkimbinkimbi (ngesikhathi esisodwa ezinhlobonhlobo eziningana):
- ukulungiswa kwamandla;
- i-psychotherapy;
- ukukhululeka kobuhlungu nokulungiswa kwendlela yokugaya ukudla.
Njengoba imbangela eyinhloko yalesi sifo isifo sengqondo, umsebenzi oyinhloko wezobuchwepheshe ukukhulula isiguli sezinkinga zokukhathazeka. Ukwelashwa kokuphumula kungahambisana nokusetshenziswa kwama-anti-depressants kanye ne-anxiolytics. Ukuphumula ukuphazamiseka kwemizwa kusizwa ngokuhamba emoyeni omusha, ukulala okugcwele, ukubhukuda nokusebenza komzimba.
Ukwengeza, ukwelashwa kwesifo sofuba esifanelekile kubandakanya ukuqokwa kwamaqembu ezinjalo ezidakamizwa:
- ama-antispasmodics - anciphisa ubuhlungu;
- amakhambi okulwa nesifo sohudo;
- imithi esiza ukuvimbela ukungcola amanzi;
- i-probiotics, egcwalisa ipheshana lokugaya ngamabhaktheriya aphilayo.
Indlela yokuphatha i-IBS ngokuqothulwa?
Ukwelashwa kuhloswe ukwenza lula inqubo yokuhlukunyezwa. Okokuqala, isiguli siceliwe ukushintsha ukudla. Uma ukwelashwa kokudla kunganiki umphumela oyifunayo, ama-osmotic laxatives anqunywe. Kuyenzeka ukuthi le mithi nayo ayifanele. Khona-ke udokotela angakwazi ukumisela ama-prokinetics. Ngaphambi kokwelapha i-IBS, uzoqinisekisa ukuthi isiguli asinayo ubuhlungu. Uma zikhona, kuzodingeka ulahle ukusetshenziswa kwe-anxiolytics kanye ne-tricyclic antidepressants.
Indlela yokuphatha i-IBS ngokuzithoba?
Ngenkinga ehambisana nokukhiqizwa kwegesi, ukwelashwa kuhloswe ukunciphisa ukubhujiswa. Uma isifo sofuba esithukuthele siphathwa, umuthi kufanele ukhethwe kuphela udokotela. Ukuziphilisa kuzokukhuphula isimo, ngakho-ke akumukeleki. Nakhu okufanele ukwenze nge-IBS emathunjini:
- izidakamizwa ezikhulula imisipha yegciwane lokugaya;
- i-spasmolytics (ngokuvamile ukugula kuhambisana nokuzwa okubuhlungu);
- ama-probiotics.
Ukwelashwa kwe-Irritable Bowel Syndrome - Izidakamizwa
Imithi imisiwe ngokucabangela uhlobo oluthile lwesifo. Nazi izidakamizwa ezinqunyelwe i-IBS ngehudo:
- Imodium;
- Loperamide ;
- I-Polysorb;
- Smecta;
- I-Enterosgel;
- Sula.
Uma lesi sifo sihambisana nokuqotshwa, ukwelashwa kwe-IBS - izidakamizwa:
- Goodluck;
- I-Laxigal;
- Ukuthutha;
- I-Cisapride;
- I-Portalac;
- Macrogol.
Ukuze ususe ama-spasms bese unciphisa izinzwa ezibuhlungu kuzosiza imithi enjalo:
- I-Polysilane;
- Kodwa-shpa ;
- Mebeverin;
- I-Sparex;
- Espumizan ;
- Zeolate.
Ngokuvamile ku-IBS ukubeka ezinjalo izidakamizwa:
- Imipramine;
- I-Fluoxetine;
- Phenelzine;
- IBethol;
- Amitriptyline.
I-irritable bowel syndrome - ukwelashwa ngamakhambi abantu
Ukwelapha okungewona wendabuko kuhloswe ukunciphisa izimpawu zesifo. Uma isifo sofuba esithukuthelisiwe siphathwa, amakhambi abantu kufanele asetshenziswe ngokuhlakanipha. Ngaphambi kokuwasebenzisa, udinga ukubonana nodokotela, futhi ngenxa yokuthi kunezizathu ezimbili okungenani:
- Kunzima ukwenza isifo sokuhlonza kahle, futhi isithombe somtholampilo sesi sifo sifana nesinye sezifo.
- Ezinye izikhambi zabantu azikwazi ukusetshenziselwa izinkinga ngamathumbu.
Indlela yokwenza isidakamizwa se-mint?
Izithako:
- amanzi - 200 ml;
- isitshalo esomile - 1 tbsp. isipuni.
Ukulungiselela, sebenzisa:
- Izinto eziwutshani ziyathululelwa ngamanzi abilayo bese zifuna imizuzu engu-20.
- Hlunga futhi uthathe ama-sips amancane. Lesi sidakamizwa kumele sidakwe kathathu.
- Ukwehlisa kwamanzi kunganciphisa izinzwa ezibuhlungu, kuvame ukubeka isitoreji futhi kusize ukubhekana nokuhlupha.
Ukudla ku-syndrome eyathukuthela
Ukudla okunalokho okubhekene nalesi sifo, kufanele kube nokulinganisela, okuhlukahlukeneyo nokugcwele. Kubalulekile ukunamathela emithethweni elandelayo:
- Izingxenye ezisetshenzisiwe kumele zibe zincane.
- Yidla ukudla ngezikhathi ezithile.
- Ukudla kumele kufudumele, kodwa hhayi kushisa noma kubanda.
- Ukudla kumele kuhlolwe kahle.
- Ukudla ngokweqile akuvunyelwe!
Ukudla okunomsoco ngesifo sofuba ngesifo sohudo kufanele kube okukhethekile. Ungadli imifino nezithelo ngomphumela we-laxative. Isiguli kufanele sinike ubisi, ubhiya kanye ne-kvass. Ungaphuza ama-1.5 amalitha amanzi ngosuku. Nge-IBS ngokuqotshwa, ukudla okunamafutha nokudla okuthosiwe kufanele kukhishwe. Ngaphezu kwalokho, isiguli kumele sishiye ama-sandwich kanye netiyi eqinile. Ukudla ngesifo sofuba esinezinhlungu esinezinhlungu nge-flatulence sinikeza ukukhishwa kwemikhiqizo ebangela ukukhiqizwa kwegesi okwandisiwe. Lezi zibandakanya imifino, iklabishi omhlophe, amagilebhisi, amakhekhe, amantongomane nokunye.