Maitiro ekudzvinyirira kunokanganisa zviratidzo zvako
Iwe zvichida wakamboona ruoko-kutanga hukama huri pakati peBS uye kushungurudzika. Izvi zvine zvakawanda zvokuita nenzira iyo miviri yedu inopindura mukati kana kubuda kwekunze. Izvi zvinopesana nazvo, izvo zvinonziwo kurwisana-kana-ndege, inoita kunge yakagadzirwa kuitira kuti tibvumire kupindura mamiriro ezvinhu anotyisa muupenyu nenzira iyo inowedzera mikana yedu yekupona.
Kunyanya kunetseka ndeye nzira yakaoma. Inosanganisira manyawi edu uye endocrine system uye inokurudzira kuchinja mumitambo yakasiyana-siyana yemuviri, kusanganisira ropa, kushaya mwoyo, kutenderera kwemisimba uye maronda ekushanda. Iko kushanduka kwehutachiona hunoita kuti hurumidze kupindura uye IBS pamwe chete.
The Brain-Gut Connection
Mukupindura kumunhu anonzwisisa anobva (kunze kana mukati), zvikamu zvakasiyana zveuropi zvinotanga kukurukurirana, kusanganisira cortex inonzwa, thalamus, uye uropi dzinosvika. Izvi zvinokonzera kugadzirisa nemigwagwa miviri miviri mikuru. Yokutanga ndiyo hypothalamic-pituitary-adrenal axis, inokonzera kuwedzera kwezvinyorwa zvehomoni, zvikurukuru hormone cortisol. Nzira yechipiri ndiyo inotyisa yehurumende , iyo inobudisa adrenaline (epinephrine) uye noradrenaline (norepinephrine) inokonzera mwoyo, muscular uye digestive system inoshanduka.
Nzira mbiri idzi dzinobatsira zvakananga ruvengo rwemitsipa inowanikwa muhombodo, inozivikanwa seyo enteric nervous system. Iyi nzira, inotanga nekunetseka kunonzwisisika, kuteverwa nehupfungwa hwehuropi, uye kuunza kukurudzira mumigwagwa miviri ichienda kumvura, inoratidza kukosha kwekutarisa kushungurudzika kwekuedza mukuedza kunzwisisa kusagadzikana kunoratidza sezviratidzo zveBS.
Kuchinja Kwepanyama Mukudzvinyirira Kwepfungwa
Kushushikana kwepfungwa kunokonzera kushanduka kwemuviri kwemuviri:
- Nhamba yemwoyo inowedzera
- Kuwedzera kupemha
- Kuwedzera kukanganiswa kwemisimba
- Inhibition of the immune system
- Kunonoka mudumbu kubudisa
- Wedzera muhutano hwemakononi emakoroni
- Relaxation yemisungo yemukaka
Kutsvakurudza
Muchiedza chekuwana kurapa kwakanaka kwezviratidzo zveBS, vatsvakurudzi vave vachitsvaga zvinhu zvakasiyana-siyana zvinosunungurwa munguva yekudzvinyirira. Chimwe chinhu chinoratidzika kuva nechinonyanya kukosha mukudzvinyirira kunokonzerwa ne-corticotropin-releasing-factor (CRF). CRF imhuri ye peptides (mamolekemu anobatanidza amino acids) anowanikwa muhupi hwose uye mumatumbo. Muhuropi, reRF receptors inowanika munzvimbo dzine chokuita nekudya, manzwiro uye chirongwa chekutya kwehutano. Mukati, chirwere cheRFF mukati mekoloni kuti chiwedzere maruva uye kuchengetedza mvura, zvinokonzera kukurumidza kwezvinyorwa zvinokonzera ( motility ), uye zvinoratidzika kuti zvine chokuita nematambudziko emimba . Zvinotarisirwa kuti kunzwisisa kunonzwisisika kwebasa reRFF kunotungamirira kukunatsiridzwa kwekuvandudzwa kwemishonga inotarisa zviratidzo zveBS.
Sources:
Benson, H. Relaxation Response (2000). New York: HarperTorch.
Monnikes, H., et.al. "Basa rekunetseka mupfungwa muhutano hwepamuviri hwehutano. Uchapupu hwekunetseka-kunokonzerwa nekugadzirisa mumatumbo mumusana uye kunzwisisika." Digestive Diseases 2001 19: 201-211.
Mayer, EA, etal. "Kushungurudzika uye Gumbo Rokuzvipira" American Journal of Physiology-Maviri uye Chiropa Physiology 2001 4: G519-G524.
Tache, Y. "Kushungurudzika uye Irritable Bowel Syndrome: Kuraira Mutemo" International Foundation yeKushanda Kwemakumbo Matambudziko Matambudziko. 2007.