Kurapa Options kweBHS
Irritable bowel syndrome (IBS) kurapwa haisi nyore nyore ku "chiyero chimwe chete chinopinda zvose" chirongwa chemarudzi. Kushanda nachiremba wako, uye nekuedza zvishomanana nekukanganisa, uchawana nzira yako yekugadzirisa yako IBS. Nzira iyi inogona kutora nzira dzakasiyana-siyana, asi sezvamuchaona muchidimbu ichi, mune zvakawanda zvekurapa zvaunofanira kuita.
Danho Rako Rokutanga
Kana usati watoita zvakadaro, zvakakosha kuti iwe uone chiremba kuzokurukura chero zviratidzo zvekudya zvinenge zvichienderera iwe unogona kuva nazvo.
Kunyange zvazvo zviratidzo zveBS zvinosanganisira kurwadziwa kwepamuviri pamwe nekugara kwenguva refu kwekuvhara muviri, chirwere, kana zviviri, zviratidzo zvakadaro zvinogonawo kuva chikonzero chemamwe mararamiro akakomba. Kana kamwe chiremba wako agutsidzira kuongororwa kweBS, iwe unogona kushanda navo kuti ugadzire chirongwa chakanakisisa chekurapa kwekutarisa zviratidzo zvako.
Mishonga yeBS
Nenzira, mishonga yemishonga yeBH yave isina kukwana.
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Yese yeMishonga Inowanika Kurapa IBS
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Iberogast Zvinoshungurudza Chero Chaizvo Zvaunoda Pamusoro Pako Bhuku?
Nenguva isipi, iyo mamiriro ezvinhu ari kuchinja nokukurumidza sezvo mishonga mitsva ichikudziridzwa. Heano mamwe emhando yezvinyorwa zvinowanikwa panguva ino:
Antispasmodics: Antispasmodics ndiyo inonyanya kutaurwa mishonga yeBS sezvavanobatsira kudzora zviratidzo zvepamuviri uye kurwadza, kunyanya kune vanhu vane chirwere-chinonyanya kukosha IBS (IBS-D). Antispasmodics inoshanda zvakanyanya kana inotorwa maminitsi 30 kusvika ku 60 vasati vadya uye inogona kuva nani pakupa nguva pfupi, kusiyana nemakore mazhinji, kubatsirwa kwezviratidzo.
IBS-Specific Mishonga: Makambani ezvemishonga ave akashanda kumabasa ekugadzira mishonga yekurapa IBS, uye ine zvitsva zvitsva zvinouya pamusika pamusoro pemakore mashomanana apfuura.
Iyi mishonga inowanzoshanda pane zvinyorwa mukati memukati makuru kuti iunze zviratidzo zveBS. Zvisarudzo zvekurapa kubatwa-kunyanya IBS (IBS-C) dzinosanganisira:
Uye yekurapa IBS-D:
Mishonga inorwisa mabhakitiriya: Vanhu vanowanzoshamiswa pavanonzwa kuti mishonga inorwisa mabhakitiriya inogona kuendeswa kune IBS , sezvo kazhinji kutora mishonga inorwisa mabhakitiriya inogona kuita zviratidzo zveBS zvakanyanya. Zvisinei, mishonga inorwisa mabhakitiriya inoshandiswa kurapa IBS ndeyomutauro chaiwo-antibiotic isinganyanyi mudumbu mako, asi zvinotora mabhakitiriya mumatumbo ako maduku uye makuru. Pamusoro pekirasi iyi, Xifaxan chete inogamuchirwa neCDA uye ndeyekurapa kwekusagadzikana IBS.
Anodzvinyirira: Chiremba wako angasarudza kupa mishonga inopesana nezvinokonzerwa nehutachiona nekuda kwemagumisiro ekushanda kwesimba rako rekudya uye nekuti inogona kutorwa zvakachengetwa kwenguva yakareba-zvakakosha kwechirwere chisingagumi seBS. Vanachiremba vangangodaro vanokurudzira anodzvinyirira iwe kana zviratidzo zvako zvisati zvataurwa kuburikidza nemararamiro ehupenyu uye kudya kwezvokudya uye kana uinewo kuora mwoyo uye / kana kushushikana pamwe neBS yako.
Anodzvinyirira anoshandiswa kurapa IBS anosanganisira zvose SSRIs uye yekare tricyclic vanodzvinyirira. Makirasi maviri emishonga anofungidzirwa kuti ane marwadzo-kuderedza unhu. Chiremba wako angasarudza rudzi rwehutachiona hwehutachiona hunotarisana nechinetso chako chikuru chemuviri, sekudzivirira kana chirwere, sekusiyana kwezvirwere zvinokonzera zvakasiyana pane kugadziriswa kwechigaro uye kufamba kwechirwere nguva zhinji.
Zvinyorwa zve-Over-the-Counter zveBS (OTCs)
Kune marudzi akasiyana-siyana eOTCs anoshandiswa kugadzirisa zviratidzo zvekudya. Izvi zvinowanika pasina mushonga uye hazviwanzo kuve nekutsvakurudza kwakawanda maererano nekubudirira kwavo kwechokwadi mukugadzirisa zviratidzo zveBS. Yeuka kuti nguva dzose zvakakosha kutarisana nachiremba wako usati watanga chero chero chibereko cheOTC. Heano zvimwe zvishomanana zveOTCs zvinowanzoshandiswa zveBS:
- Imodium : Inobatsira kuderedza chirwere, asi kwete IBS kurwadziwa.
- Majekiseni akadai saM Miralax, Metamucil, Benefiber, uye Citrucel.
- Probiotic inowedzera : Aya ane mararamiro anorarama e "mabhakitiriya ane ushamwari."
- Peppermint mafuta : Zvidzidzo zvakaratidza kuti peppermint mafuta akaiswa mukati-kati ane unhu hwakasimba hwekuita antispasmodic uye saka inoshanda pakugadzirisa kurwadziwa kweBS.
- Mishonga inowedzera : Kune maruva akasiyana-siyana emishonga inowedzera kufungidzirwa kuti yakanaka kune utano hwehutano hwekudya uye kubata zviratidzo zvekudya zvega.
> Kuona maonero ekuti IBS inokonzera sei uye zviratidzo.
Kudya Kuchinja
Imwe yenzira dzakajairika iyo vanhu vanoedza kutsungirira nayo IBS ndeyekugadzirisa kudya. Kutarisana nezviratidzo zvinoshungurudza zvakadaro, zviri nyore kutaurira zvokudya sechikonzero. Chinhu chinokosha chekuchengeta mupfungwa ndechekuti chiito chisina kujeka chokudya, kunyanya kudya kudya kwakakura kana mafuta, kunogona kukurudzira zvipembenene zvikamu. Kushungurudzika uye kushandiswa kwehomoni kunobatsirawo zviratidzo zveBS, kuitira kuti zvokudya zvisingabvumiri pane chimwe chiitiko zvingave zvisinganakidzwi pane imwe.
Kuchengeta zvose izvi mupfungwa, kune zvimwe zvinhu zvinobatsira zvaunogona kuita maererano nekudya izvo zvingava zvekubatsira pakugadzirisa zviratidzo zvako (kana zvisingaiti, kwete kuipa zvakanyanya!). Heano mamwe maitiro:
1. Chengeta diary yezvokudya . Zvokudya zvekudya zvinongova nhoroondo inoenderera mberi yezvaunodya uye manzwiro ako. Zvinokurudzirwa kuti kana iwe uchinge watora chimwe chikafu sechiri chinokanganisa, iwe unobvisa zvokudya izvozvo kwenguva inenge mitatu kuti uone kana izvi zvingava nemigumisiro pane zviratidzo zvako.
Kana zvisina kudaro, edza kudya chikafu zvakare uye dzokorora chiitiko nechinguva chinotevera pane yako. Vanowanzoita zvakaipa ndivo mafuta ezvokudya, gasi-inobudisa miriwo, zvinodhakwa carbonate, zvinotapira zvinokonzera, caffeine uye doro. Iwe unogonawo kufunga nezvekudya kwekudzikisa kuti urege kubvisa lactose kusawirirana kana fructose malabsorption .
2. Idya zviduku, kudya kakawanda . Kunze kweizvi ndeyekuti kubatwa kwemafuro makuru kwekudya kwemafuro kunogona kubatsira kukurudzira kuvhara kwepamuviri uye chido chekufamba kwechingwa.
3. Wedzera fiber . Fiber inowanzokurudzirwa nekuda kwehuwandu hwehutano hwehutano uye kukwanisa kwayo kubetsera zvose zviri nyore uye zvakasimudza chigaro. Zvisinei, zvakanakisa kuwedzera fiber zvishoma nezvishoma kubvumira muviri wako kuti uwane nguva yekugadzirisa. Panewo humwe uchapupu hunogadziriswa fiber huri nani huripo huri nani nevanhu vane IBS.
4. Tarisa kune zvakaderera-FODMAP kudya . Kunyange zvazvo kuderera-FODMAP kudya kunogona kuva kwakaoma, kune zvimwe zvinotsigirwa zvitsvakurudzo zvekubatsira kwayo. Zvokudya zvinosanganisira kubvisa zvimwe marhydrates kubva pane zvokudya zvako kwemavhiki matanhatu kusvika masere uye zvishoma nezvishoma unozviwedzera zvakare muzvokudya zvako kuti uongorore kushivirira.
Psychotherapy yeBHS
Zvimwe zvakasiyana-siyana zvepfungwa zvepfungwa zvakadzidziswa kubudirira kwavo mukuderedza kuwandisa, kusimba uye nguva yezviratidzo zveBS, kusanganisira cognitive behavioral therapy (CBT), hypnotherapy, nzira dzekutarisira dambudziko uye kuporesa maitiro, pamwe nemigumisiro yakanaka.
CBT uye chirwere-chinonzi hypnotherapy chinonyanya kusimbisa kutsvakurudza kwekubatsira kwavo mukuderedza zviratidzo zveBS. CBT inoratidziro rwepfungwa yepfungwa iyo iwe uchadzidziswa maitiro ekugadzirisa maradaptive kufunga maitiro uyewo maitiro matsva ekugadzirisa kushushikana nekubata mamiriro ezvinhu anonetsa. Hypnotherapy inosanganisira kuburitswa kwekuzorora nekudzikama kwekuziva umo mazano chaiwo anopiwa kuitira kutungamirira kuchinjwa chechigarire mune mufambiro.
Mafungiro epfungwa anopa mukana wekubatsira iwe kudzidza kwenguva refu mazano ekugadzirisa yako IBS pasina mungozi yemigumisiro yakaipa ine chokuita nemishonga.
Kuita Chisarudzo Chakanaka Kwauri
Kutsvakurudza kwakaratidza kuti ne IBS, iwe unonyatsoziva iwe semurwere, zviri nani kuti mugumisiro wako wekurapa uve. Tsvakurudzo yakaratidzawo kuti mushonga wako wekurapa unowedzera kana uine hukama hwakanaka hwekushanda nachiremba wako. Iwe uchawana ruzivo rwakawanda pano pamusoro pehutano hwako. Shandisa nguva yekudzidza zvakanyanya sezvaunogona uye wozoshanda nachiremba wako kuti ave nemararamiro ekutarisira zviratidzo izvo zvakakosha mumuviri wako wakasiyana.
Sources:
Foxx-Orenstein, AE. Zvitsva uye zvinobuda mishonga yekurapa kwekutsamwisa bhood syndrome: chiitiko che gastroenterologists. Kurapa Kwokurapa muGastroenterology . 2016; 9: 354-375.
Tack J, Vanuytsel T, Corsetti M. Modern Management ye Irritable Bowel Syndrome: Zvinopfuura Motility. Digestive Diseases . 2016; 34: 566-573.