Dhairrhea inonyanya kutyisa bowel syndrome (IBS-D) inonzi subtype yeBS umo munhu anowanzoona zvikamu zvehurwere zvine hutano hwepamuviri. Kufanana neBibS, IBS-D inobata zvirwere zvakanaka (FGD) mukuti hapana chirwere chinoratidzika, kuvhiringidzika, kana kukuvadza kune account nokuda kwezviratidzo zvayo. Inofungidzirwa kuti inenge chikamu chetatu chevanhu vane IBS vanoona chirwere ichi nehutachiona sechinhu chinonyanya kukosha.
Zviratidzo
Sezvinopesana nedzimwe ibS sub-types, vanhu vane IBS-D vanowanzoona:
- Kakawanda kamuviri mafambiro
- Loose stools
- Manzwiro ekukurumidzira
Mukuwedzera, vanhu vane IBS-D vanoonawo zvimwe kana zviratidzo zvose zvinotevera zveBS:
Maererano neRoma III mitemo yeFGDs , mamwe matambudziko ehutano anofanira kutarisirwa kunze uye zviratidzo zvinofanira kuonekwa kwemazuva matatu pamwedzi pamwedzi mitatu yapfuura kuti kuongororwa kweBS-D kuite.
Vamwe vanhu vane IBS vanogona kuwana kuti vanochinja kubva panguva yekuve neBS-D panguva dzekuvharwa-zvakanyanya IBS (IBS-C). Zvimwe zvinoshandiswa pakati pekudzivirira uye kubuda kwemahara nguva dzose, chirwere chinonzi Irritable bowel syndrome - kushandura rudzi (IBS-A).
Zvinokonzera
Kunyange zvazvo chikonzero chaicho chikonzero nei munhu aizokura IBS-D zvingasave zvichinyatsojekeswa, vatsvakurudzi vari kuongorora nzvimbo dzakasiyana-siyana dzekubvunza.
Izvi zvinosanganisira:
- Kusava nehutano muhutano-muhutano hwehutano , pamwe nekubatanidzwa kweveurotransmitter
- Kunzwisiswa kwezvokudya
- Gut dysbiosis
- Idiopathic bile acid malabsorption (I-BAM)
- Kubhururuka kwepachivirikidzi kechiganda chemukati
- Muduku webhakitiriya bhakitiriya rinoputika (SIBO)
Kurapa
Kana iwe uchifunga kuti iwe unogona kuva neBS-D, tapota ita chiitiko nechiremba wako.
Pane dzimwe hutano hwakakomba hunoita zviratidzo zvakawanda zvakafanana neBS-D. Zvinotarisirwa kuti izvi zviitwe kunze.
Kana chiremba wako akagumisa kuti une IBS-D, ivo vachashanda newe pane chirongwa chekurapa. Vanogona kukurudzira kana kukupai mishonga. Zvimwe zvinosanganisira:
- Anorwisa-diarrheal mishonga, yakadai seImodium
- Anodzvinyirira - kunonoka pasi motility uye kuderedza marwadzo
- Antispasmodic kuderedza chirwere chinoputika uye kurwadziwa
- Xifaxan - inorwisa mabhakitiriya
- A bile acid binder yakafanana necholestyramine
- Chirwere chinonzi opioid semishonga yakadai seViberzi
IBS-D zviratidzo zvinogonawo kubatsirwa nekuchinja kwezvokudya. Kudya zvokudya zviduku uye kudzivisa kudya kwemafuta makuru kunogona kubatsira. Kuchengeta diary yezvokudya kunogona kuziva kuti zvinogona kuve nyore kunzwisisika kwezvokudya . Mukuwedzera, pasi-FODMAP yezvokudya ine rubatsiro rwekutsvakurudza kuitira kuderedza zviratidzo zveBS-D.
Pakupedzisira, IBS-D zviratidzo zvinogona kuderedzwa kuburikidza nemafungiro emagariro / muviri, nekunzwisisa kugadzikana kwehutano (CBT) uye hypnotherapy ine nyanzvi yekutsvakurudza inotsigira kubudirira kwavo kweBS.
Kunobva:
Saha, L. "Irritable bowel syndrome: Pathogenesis, kuongororwa, kurapwa, uye mishonga inopupurira-" World Journal of Gastroenterology 2014 20: 6759-6773.