Kuvhara muviri-kunonyanya kutyisa bhood syndrome (IBS-C) inonzi subtype yekutsamwisa bhood syndrome (IBS) umo murwere anonzwa kusagadzikana kusingaperi pamwe chete nekurwadziwa kwepamuviri kwemuviri. IBS-C inofungidzirwa sechirwere chepachirwere chinokonzerwa nehutachiona (FGD) pakuti hapana chiratidzo chinooneka chechirwere chinoratidzwa panguva yekuongorora kuongororwa, asi pane zviratidzo zvinoratidzika mukusavhiringidza nenzira iyo chirwere chekudya chinoshanda.
IBS-C inozviratidza mune inenge chikamu chetatu chevashandi vose veBS. Vanhu vakwegura nevaya vane huwandu hwemagariro ehupfumi hwevanhu huri pangozi yeBS-C. Kuenzaniswa kune imwe IBS subtypes , vanhu vane IBS-C vanowanzova nehanya, kushushikana uye kuderedza hupenyu hwehupenyu.
IBS-C Versus Chronic Idiopathic Constipation (CIC)
IBS-C uye chronic chronic idiopathic constipation (inozivikanwawo sechirongwa chekushanda) inoshandisa zviratidzo zvakawanda. Maererano neRoma III mitemo yeFGDs , zvinetso izvi zvakasiyana pakuti varwere veBS-C vanoona kurwadziwa kwepamuviri uye kusagadzikana pamwe nekuvhara. Zvisinei, vazhinji gastroenterologists nevamwe vatsvakurudzi vanodavira kuti matambudziko maviri aya uye akafanana.
Zviratidzo zveBS-C
Zviratidzo zveBS-C zvinosanganisira zvimwe kana zvose zvinotevera:
- Kusapfurikidza kwemafupa
- Lumpy kana zvakaoma zvigaro
- Marwadzo emudumbu
- Gasi uye kuputika
- A manzwiro asina kukwana evacuation
- Mucus mukati kana kuti pachigaro
- Kunzwa kwekuvhara mu anus uye / kana rectum
- Straining
- Kushandisa kweminwe kubvisa stool ( digital evacuation )
Kuvharwa kunowanzosanangurwa sekutarisana nemaminetsi mashoma matatu ekufamba kwevhiki. Ne IBS-C, zvigaro zvakasununguka hazviwanzowanika kunze kwekushandiswa kweaxous.
IRoma III inotsanangurwa inotaura kuti zviratidzo zvinofanira kuonekwa mazuva matatu pamwedzi pamusoro pemwedzi mitatu yapfuura, uye kuchinja kwechigaro kunowanikwa munzvimbo dzinenge 25% yezvigaro.
Kuongororwa kweBS-C
IBS-C inoratidzwa mushure mokunge mamwe matambudziko ave akatongerwa kunze. Chiremba wako angangodaro aongororwa mumuviri, anoshandisa rimwe ropa rekuita uye aite shanduro kuongorora shanduro. Mimwe miedzo ichakurudzirwa zvichienderana nezviratidzo zvako uye nhoroondo yako yezvechiremba. Kana zviratidzo zvako zvichipindirana nekugadzirisa zvirongwa zveBS-C, uye hapana humwe humwe humwe ruvara rwebhuruu-zviratidzo kana zvimwe zvirwere, IBS-C ichaonekwa.
Kurapa kweBS-C
Hapana humwe hutano hwehutano hweBHS-C. Chiremba wako anogona kukurudzira kuti iwe zvishoma nezvishoma uwedzere huwandu hwe fiber mune zvaunodya. Vanogona kukurudzira kushandiswa kweasmotic laxative , yakadai se Mira Mira kana lactulose.
Kunewo mishonga yakawanda inowanikwa kurongedza zvinokonzera zvikonzero zvekugara kwenguva refu, kusanganisira:
- Amitiza
- Prucalopride (Canada neEurope chete)
- Linzess (Constella)
- Zelnorm (yakaoma nzira yekushandisa)
Kana chiremba wako achidavira kuti dyssynergic defecation inobatsira iwe IBS-C zviratidzo, vanogona kukurudzira kuti uedze biofeedback .
Sources:
Bellini, M., et. al. "Irritable bowel syndrome uye kusagadzikana kwenguva refu: Chokwadi uye nhema" World Journal of Gastroenterology 2015 28: 11362-11370.
Heidelbaugh, J. "The Spectrum of Constipation-Predominant Irritable Bowel Syndrome uye Chronic Idiopathic Constipation: US Survey Kuongorora Zviratidzo, Kutarisira Kuchengetedza, uye Zvirwere Zvinoremerwa" American Journal of Gastroenterology 2015 110: 580-587.
" Tetari 2. Rome III Zviratidzo Zvokuona: Basa rekudzivirira uye IBS-C " Yakasvika munaJanuary 27, 2016.