Zvinoitwa naChiremba Wako Nezvekurapwa Kwekuchengetedzwa Kwekugara
IAmerican College yeGastroenterology nguva nenguva inoparidzira zvinyorwa, zvichibva pakutsvakurudza kwakawanda kwekutsvakurudza, kwekurapa kwekusiyana kwehutano hwekudya. Nyaya ino inopfupisa zvitsva zvekuongororwa kwakakurukura kwekurapa chirwere chine idiopathic constipation (CIC), iyo inosangana nezviratidzo zvakafanana nekudzivirira-kunyanya (IBS-C) , asi pasina chiratidzo chekutambudzika ndicho chiratidzo cheBS.
IAACG mirayiridzo inotarisirwa kushanda se "maitiro akanaka" kune vanachiremba mukushanda nevarwere vavo. Kuva neruzivo rwokuti chiremba wako anoziva chinogona kubatsira kusimbisa ukama hunokosha zvikuru hwechiremba nevarwere.
Izvi zvinotevera zvivako zvikuru izvo chiremba wako ane mubhagi ravo rekushandisa kuti akubatsire kutarisira kusagadzikana kwako kusingaperi:
Fiber
Kunyange zvazvo zvakazara, vaongorori veAACG vanokurudzira fiber senzira yekugadzirisa inopindira yeCIC, vanoita kuti zvive chinangwa chokusiyanisa pakati pemhando mbiri dze fiber. Vanofunga kuti kusungurudza fiber kunogona kubatsira zvikuru kudarika insoluble fiber , nemhaka yekuwedzera kwezviratidzo zvine chokuita negasi uye kubhururuka apo yakawandisa fiber inobhurwa inotorwa nokukurumidza. Psyllium isiri yomuviri yakanyungudutswa, asi bran ibasa re insoluble fiber.
Laxatives
1. Maasmotic laxatives : VaAcg reviewers vanokurudzira kushandiswa kweM Miralax (PEG) uye lactulose. Ongororo dzekutsvakurudza kusvika kune dzinoratidzika dzinoratidza kuti njodzi yemigumisiro yeasmotic laxatives haina kunaka.
2. Zvinokonzera kusvibisa : Vaongororori vanokurudzira mishonga inokurudzira, picodulfate ye sodium, uye bisacodyl. Nokuda kwekushayikwa kwekutsvakurudza, havakurudzi kushandiswa kwemamwe marudzi emhando dzakasimudzira.
Mishonga
1. 5-HT 4 Mishonga: Mishonga iyi yakagadzirirwa kukurudzira neurotransmitter serotonin, iyo inofungidzirwa kuwedzera mvura mumatumbo, kusimbisa motility uye kuderedza nguva yekutengesa , izvo zvose zvingabatsira kudzivirira kubatwa.
Vanyori vanogumisa kuti maviri emishonga 5-HT 4 anobatsira CIC - prucalopride uye velusetrag. Zvisinei, hapana mishonga inowanikwa muUnited States. Prucalopride inowanika muCanada pasi pezita rokuti "Resotran" uye muEurope pasi pezita rokuti "Resolar." Vanyori vanoongorora vanoona kuti mishonga iyi haifaniri kuisa njodzi yezvinetso zvakakomba zvepfungwa zvinokonzera kuti avo vakatora Zelnorm vachidzingwa kubva pamusika.
2. Mashandisirwo Emishonga: Mishonga mukirasi ino inosanganisira Linzess, inonziwo Constella , (linaclotide) uye Amitiza (lubiprostone). IAACG inokurudzira kushandiswa kweLinzess, ichicherechedza zvakasimba tsvakurudzo yekutsvaga kwekubudirira kwayo uye purogiramu yaro yekuchengeteka. Nhengo huru yechirwere inonzi yakasununguka. Vanyori vezvekudzokorora vaivewo vane chokwadi pamusoro peAmitiza, zvakare vachitaura zvinyorwa zvayo zvekutsvakurudza kwakasimba kweshungu. Dhairrhea uye kushungurudza kunongororwa semigumisiro. Zvisinei, vanoita kuti zvive pachena kuti hakuna mishonga yakamboenzaniswa nekushandiswa kwemarara kana fiber, naizvozvo hapana maonero angakonzerwa sekuti mushonga unofanirwa kutaurirwa kutanga.
Biofeedback
Vanyori vanoongorora vanofunga kuti biofeedback inogona kubudirira mukurapa kusagadzikana kusingaperi kune varwere vakave vakaonekwa sevari pasi peplavic kusagadzikana .
Vanoona kuti zvakaoma kuvarwere kutsvaga vanachiremba vanonyatsokwanisa munzvimbo ino.
Nenzira, vatsigiri vanogumisa kuti hapana zvakakwana zvekutsvakurudza ruzivo kuti uratidze kuti maitiro anonzi probiotics anobudirira kwekusagadzikana kusingaperi.
Kunobva:
Ford, A., etal. " American College of Gastroenterology Monograph paKutonga kweIriritable Bowel Syndrome uye Chronic Idiopathic Constipation " American Journal of Gastroenterology 2014 109: S2-S26.