Chii Chinonzi Chronic Idiopathic Constipation (CIC)?
Chronic idiopathic constipation (CIC) chirwere chehutano umo munhu anowana zviratidzo zvisingagumi zvekuvharwa, asi hapana chikonzero chinokonzerwa chinogona kuonekwa kuburikidza nekuongororwa kwakaongororwa kuongororwa. Izwi rokuti idiopathic rinoshandiswa nokuti rinoreva kuti hapana chakazivikanwa chinokonzera. CIC inoshandurwawo sekushanda kwemaitiro , sezvo CIC inorondedzerwa seimwe yezvinetso zvinoshanda mumatumbo (FGDs), zvinoreva kuti kunyange zvazvo kuedza kusingaratidzi chero chinhu chisingaoneki chepanyama, kune dambudziko nenzira iyo chirwere chekudya, kana kuti iyi nyaya, musikana mukuru, iri kushanda.
Inofungidzirwa kuti inenge 14% yezviitiko zvevanhu vasati vashanda. Vanhu vari pangozi yakakura vanosanganisira vakadzi, vanhu vakwegura vezera rose nevarume, uye avo vane nzvimbo yepasi yehupfumi.
Ndezvipi zviratidzo zveCIC?
Zvimwe zviratidzo zveCIC zvinosanganisira:
- Kusapfurikidza kwemafupa
- Straining
- Akaoma kana kuti mbiru zvigaro
- Kunzwa kusina kukwana kubuda
- Kunzwa kuti chimwe chinhu chiri kudzivirira chigaro kubva pakubuda
- Vanoda kushandisa minwe kuedza kuita chigaro kuti chibude ( digital evacuation uye vaginal splinting )
Vanhu vazhinji vane CIC vanoriparidzira vachiona zviratidzo zvinotevera pamwe chete nekuvhara.
- Kusuruvara kwemuviri kana kusagadzikana
- Bloating
- Gasi kurwadziwa
CIC Inowanikwa Sei?
Kana iwe uchifungidzira kuti une CIC, chiremba wako anogona kunyanya kuongorora mumuviri uye kuita rimwe ropa rekuita ropa kuitira kuti atonge dzimwe zvirwere. Zvimwe zvirwere zvekuongorora zvinogona kukurudzirwa zvichienderana nezviratidzo zvako uye nhoroondo yezvechiremba.
FGS inoratidzwa nehutano maererano neRoma III III . Nzira dzeRoma dzinotaura nezvechirwere sekushanda. Nokuda kwekutsvaga kwekushanda kwemaitiro, hapanofanira kuva nechiratidzo chekusafanana chinoratidzirwa kuburikidza nekunyatsoongorora. Aya maitiro anoedza kuenzanisa zviratidzo zveCIC, somuenzaniso, achitaura kuti panofanira kuva nechepasi pematatu ekufambisa kwemavhiki kwevhiki uye kuti zvimwe zviratidzo zvinowanikwa anenge 25 muzana yenguva.
Zvisungo zvinorema zvinofanira kunge zvisingabviri pasina kushandiswa kwemarara. Zviratidzo hazvifaniri kugadzirisa zvinokonzerwa nehair syndrome (IBS) uye inofanirwa kuvapo kwemwedzi mitatu, ichitanga mwedzi mitanhatu isati yasvika.
CIC Inotarirwa Sei?
Hakuchina hutano hwakananga hweCIC. Asi kune zvakasiyana-siyana zvakasiyana-siyana zvekurapa izvo chiremba wako angakurukura newe:
Dhiyabhorosi Fiber : Chiremba wako anogona kukurudzira kuti iwe uwedzere kudya kwako kwemafuta, sezvo fiber inogona kubatsira kuderedza zvigaro, zvichiita kuti zvive nyore kupfuura. Iva nechokwadi chekuwedzera fiber yako intake zvishoma nezvishoma kubvumira muviri wako kuti uwane nguva yekugadzirisa. Zvirwere zvakawanda zvishoma zvinogona kutungamirira kune zviratidzo zvegesi uye kubhururuka. Iwe unogona kuwana kuti tsvina yakasvibiswa zviri nani kubvumira. Iwe unogona kuwedzera kudya kwako kwekudya fiber kuburikidza nezvokudya zvaunodya kana kuburikidza nekushandiswa kwe fiber supplement.
Mavara emhando : Kune maruva akasiyana-siyana anokwanisa kupa mhedziso yenguva pfupi yekuzorora nekuwedzera mumvura mukati memukumbo makuru ( osmotic laxatives ) kana kuti kufambisa kufamba ( zvinokonzera mishonga ).
Mishonga : Mishonga inoverengeka inowanikwa iyo yakagadzirirwa kubata chirwere chisingaperi:
Biofeedback : Kana chiremba wako aona kuti dyssynergic defecation (pelvic pasi dysfunction) iri kutamba basa muCIC yako, inogona kukurudzira kuti uedze biofeedback . Iyi kurapwa yakaratidzwa kuti inobatsira mukuvandudza kushandiswa kwemisungo yepasiki yeplanvic iyo inobatanidzwa mukugadzirisa kwekufamba kwechirwere.
Chii Chinosiyana Kusiyana neCIC uye Irritable Bowel Syndrome?
Kuvhara muviri kunonyanya kutyisa bowel syndrome (IBS-C) inosanganisira zviratidzo zvakawanda zvakafanana neCIC. Uyezve, nekutaura, CIC inongorapwa chete kana chirongwa cheBS chisati chasangana. Mhedzisiro huru pakati pematambudziko maviri ndeyekuti chirongwa chekuongorora chirwere cheBS-C chinoda kuti pave nehutano hwehurombo husingagumi hunoenderana nekufamba kwemuviri.
Munyika chaiye, vanachiremba vakawanda vachaudza varwere vavo kuti vane IBS kana vari kutambura kusagadzikana kusingaperi pasina chikonzero chinozivikanwa, zvisinei pasinei kana kurwadziwa kunofambidzana nekufamba.
Vamwe vatsvakurudzi vanodavira kuti matambudziko maviri haasi akasiyana. Vanhu vazhinji vane chirwere cheCIC vanoona kurwadziwa kwepamuviri uye kusagadzikana uye pane vanhu vazhinji vanozviwana vachichinja kubva kune rimwe kuongororwa kune rimwe rinopfuura kwenguva. Zvinokwanisika kuti matambudziko maviri echokwadi anowira pamusoro pekuenderera kumwe chete. Chimwe chikamu chinokosha pakati pezviviri chinogona kuenderana nekurapa, sezvo vanhu vane IBS-C vanoita sevanowedzera kune avo vane CIC kuti vashandise nzira dzekurapwa dzinoshanda kuburikidza nekununurwa kwehurwa, apo avo vane CIC vanoita sevanokwanisa kupindura kune mamwe mishonga kana kurapwa kunotarisa kushanda kwemisungo yemukumbo mukuru.
> Sources:
> Bassotti, G., et. al. "Masero uye maseroti ekugadzikana kusingaperi: Kutora bhidhiyo inoshanda / idiopathic kunze kwe" World Journal of Gastroenterology 2013 19: 4099-4105.
> Ford, A., etal. " American College of Gastroenterology Monograph paKutonga kweIriritable Bowel Syndrome uye Chronic Idiopathic Constipation " American Journal of Gastroenterology 2014 109: S2-S26.
> Heidelbaugh, J. "The Spectrum of Constipation-Predominant Irritable Bowel Syndrome uye Chronic Idiopathic Constipation: US Survey Kuongorora Zviratidzo, Kutarisira Kushungurudza, uye Zvirwere Zvinoremerwa" American Journal of Gastroenterology 2015 110: 580-587.
> Siah KTH, Wong RK, Whitehead WE. "Chronic Constipation and Constipation -Bredominant IBS: Matambudziko Akasiyana uye Akasiyana-siyana kana Chirwere Chezvirwere?" Gastroenterology & Hepatology 2016; 12 (3): 171-178.