Vakawanda vanowanzoona zvirwere uye zvinetso zvekuvhunga
Kana iwe uri kutarisana nematambudziko emukaka akadai sekugara uchidhonza pamwe nekuwedzerwa kunokanganisa bhood syndrome (IBS), hausi wega. Dzidza zvakawanda pamusoro pekubatana pakati pezviviri uye chii chinogona kuva chikonzero chinokonzera kushungurudzika kwako kaviri.
Zviratidzo Zviratidzo uye IBS
Zviratidzo zveUrinary zvinogona kuonekwa nevakawanda sehafu yevanhu vane IBS.
Zviratidzo izvi zvinosanganisira:
- Kuramba uchidzoka
- Kutadza kusina kukwana kwechidzitiro
- Nocturia (inoda kubuda panhovo kuti urinate)
- Urinary urgency
Panewo humwe uchapupu hwekuti vakadzi vane IBS zvakare vanogona kunge vane ruzivo rwekuvhiringidza kusavimbika kune vakadzi vasina IBS.
Hazvizivikanwi nechokwadi nei vanhu vane IBS vari pangozi yepamusoro yezvinetso zvekuvhota uye zvakasiyana. Zvechokwadi, kuswedera kwezvikamu zvinotarisirwa kubvisa zvinoratidza kuti pane kubatana pakati pemitsipa yakasiyana siyana nemisungo yega yega yega. Zvimwe zvikonzero zvinokonzerwa nekuputika pakati pezvirwere uye zviratidzo zvechirwere zvinosanganisira kugoverana kune vamwe kana kugoverana nheyo yenheyo kusakosha. Kunyatsonzwisiswa kwezvinokonzera zvinokonzera kunogona kutungamirira kune dzimwe nzira dzakanakisisa dzokurapa, kupa rubatsiro rwakakosha rwechiratidzo. Kuvandudza kushanda kweimwe yenheyo mbiri kunogona kutungamirira mukuvandudzika kwekushanda kweimwe.
Nzira dzeUrinary Inogona Kuvapo neBS
Mamiriro ezvinhu ehutano anotevera umwe neumwe angakanganisa kushanda kwechirwere uye / kana chikwata:
- Zvinyorwa zveCystitis (IC ): Kana zvisingazivikanwi seinorwadza bladder syndrome, interstitial cystitis ndiyo mamiriro ezvinhu umo munhu anowanzosangana nekudhonza uye kusuruvara kusingaperi uye kunetseka kunosanganiswa nechokuita. Zvose IC uye IBS zvakabatanidzwa ne visceral hypersensitivity . Nekutsanangura zvinokonzera kutsanangura kuwirirana pakati peCI neBIB, vatsvakurudzi vave vachitsvaga basa rekuvhiringidza , "kutambisa-kutambudza" pakati pemasero emugomba uye chikwata, uye zvimwe zvinogona kushandiswa mukati meganda. Kana uine IC pamwe ne IBS, shanda pamwe nachiremba wako pane chirongwa chekurapa chinotarisana zvose zviripo. Izvi zvinogona kusanganisira mishonga, kudya kwekudya, uye kurapwa kwakadai sekurapa muviri kana biofeedback .
- Pelvic Floor Dysfunction (PFD) : Ichi ndicho chimwe chiitiko chinogona kukonzera maBS uye kugara uchizorora. MuPFD, mishonga inowanikwa mumapapiro ayo anokonzera kurongedza kunyorera uye kusagadzikana hakushande sezvavanofanira. Kuve nekushaya simba kwakadai kunogona kutsanangura kuti nei munhu achizoona zvirwere uye zviratidzo zvechirwere pamwe chete. Kana iwe uine chirwere cheplavic pasi, iwe taura nachiremba wako nezvekusarudzwa kwehutano, sezvo zvakasiyana-siyana zvekusarudza zviripo zvichienderana nekuoma kwezviratidzo zvako.
- Chronic Prostatitis / Chronic Chronic Pelvic Pain Syndrome : Vamwe varume vanogona kuzviwana vane chimiro chisingaperi chine prostatitis pamwe neBS. Chronic prostatitis / chronic pelvic pain syndrome (CP / CPPS) inokonzera zviratidzo zvakasiyana-siyana, zvinosanganisira kurwadziwa kwekuita urinary, kukurumidza kwekuvhota, uye kusagadzikana. Kune mishonga inowanika yekugadzirisa zviratidzo zve CP / CPPS, saka iva nechokwadi chokuti unoshanda nachiremba wako pane chirongwa chekurapa.
- Urge Incontinence : Ichi chinetso chekuvhenekera chinokonzera zviratidzo zvekutsvaira kwekutsvaira uye urinendi inenge isingaiti . Zvinosuruvarisa, hapana hutsva hutsvakurudzo pamusoro peizvi huripo. Kukurudzira incontinence kunoda kushandiswa kwakakwana kwechiremba, sezvo zvakasiyana-siyana zvehutano hunove huri pamidzi yezviratidzo.
Zvaungaita Kana Une Zvose
Chinhu chinonyanya kukosha kuti uite kana uri kutarisa zvirwere zviviri uye zviratidzo zvechimbiso ndeyekuita kuti uone kuti chiremba wako aone. Nemhaka yekunyadzisa kwechikoro-chekare pamusoro pe "zviratidzo zvekugezera" vanhu vazhinji vane nyadzi yekukurukurirana nyaya dzavo navanachiremba. Usanyara-kuparadzwa kunowanzova chikamu chekuva munhu, sezvo chiremba wako anonyatsoziva. Chiremba wako achabatsira kuti ave nehutano uye anokupa urongwa hwokugadzirisa dambudziko rimwe nerimwe.
Chiremba wako achagadzirisa chirongwa chako chekurapa maererano nechinetso chechigunha chauri kuona. Kana dambudziko rako kaviri rinoratidzika rakabatana nemapurvic pasi, hazvo, chiremba wako anogona kukurudzira chirwere chemuviri kana biofeedback.
Kana zviratidzo zvako zvichiita kunge zvakanyanya kufanana ne visceral hypersensitivity, vanogona kukurudzira mishonga inokonzera chirwere chetsitsi (kunyanya neurotransmitter serotonin). Imwe nzira ndeye kushandisa kwemishonga ine anticholinergic effects . Sezvaunokwanisa pane kune zvakasiyana-siyana zvezvinhu zvakasiyana-siyana zvinogona kuedzwa kukuunza kuponeswa kwechiratidzo, saka iva nechokwadi chekuudza chiremba wako zvauri kutarisana nazvo maererano ne "nzvimbo dzako dzokugezera."
> Sources:
> Malykhina AP, Wyndaele J, Andersson K, De Wachter S, Dmochowski RR. Unoita chirwere chekuvhenekera uye chikwama chikuru chinopindirana, mukurwara kana mune utano here? Neurourology Urodynamics 2012 31: 352-358.
> Persson R, Wensaas KA, Hanevik K, Eide GE, Langeland N, Rortveit G. Ukama huri pakati pehutachiona hwehutachiona hunoshanda, hutachiona hwehutachiona, kushushikana kusingaperi uye kusagadzikana kwechirwere chepachirwere: yekudzidzwa kwakaitwa makore matanhatu mushure mekuita zvirwere zvepabonde. BMC Gastroenterology. 2015; 15: 66.
> Wang J, Varma MG, Creasman JM, Subak LL, Brown JS, Thom DH, Van Den Eeden, SK. Kushungurudzwa kwepelvic pasi uye hupenyu huri pakati pevakadzi vane humwe hunoti hunovhiringidza hutachiona hwemapfupa. Alimentary Pharmacology & Therapeutics 2010 31: 424-431.
> Ya-Jun Guo Y, Ho C, Chen S, Yang S, Chiu H, Huang K. Kuputika kwemakiratidzo zviratidzo kuvakadzi vane chirwere chinokanganisa chirwere. International Journal of Urology 2010 17: 175-181.