Zvinodhaka Mishonga Target Smooth Muscle Kuti Deredza Zviratidzo
ICentral for Disease Control and Prevention estimates kuti vazhinji vanenge 1.3 vokuAmerica vanotambura zviratidzo zvekutsamwa kwebondu rehurwere (IBS) , chirwere chebasa chinoshanda chinokonzera marwadzo emimba uye kuchinja mumararamiro ekudzivirira.
Sezvo vatsvakurudzi vasati vava kuziva kuti chii chinokonzera IBS, kurapwa kunonyanya kugadziriswa kubvisa zviratidzo zvechirwere (kusanganisira kurwadziwa mumimba, kupwanyisa, kubvongodza, chirwere, uye kubvuma).
Pakati pezvinodhaka zvakasiyana-siyana zvinoshandiswa kurapa IBS, antispasmodics dzakaratidza zvishoma nezvishoma mukugadzirisa zviratidzo kuburikidza nekutsvaga nekuzorodza mishonga inotapira yemugwagwa wekudya. Sezvo zviratidzo zvinowanzova zvakanyanya mushure mekunge munhu adya, zvinodhaka zvinowanzoitwa 30 kusvika 60 maminitsi vasati vadya.
Kune marudzi akasiyana-siyana eAntispasmodic akashandiswa kurapa IBS, kusanganisira:
- Anticholinergics
- Mebeverine
- Peppermint mafuta
Anticholinergics
Anticholinergics ikirasi yemishonga inogadzirirwa kuvhiringidza acoundlcholine. Iyi ndiyo makemikari anobudiswa nemuviri anoshanda pahutongi hwehutongi hwehutongi (chikamu chehurongwa hwemagetsi hunobatanidza nemabasa asina basa). Nokudzivirira acetylcholine receptors mumugwagwa wezvokudya, anticholinergics inogona kuderedza kusuruvara kwemafupa emasumbu uye kuwedzera kwehuputi hwemukoko .
Zvinosuruvarisa, chirwere chacho chinogonawo kukanganisa dzimwe hurumende zvirongwa , zvichikonzera migumisiro yakabva pane zvakasvibiswa maonero uye kuvhiringidzika kusvika kuderera kwekuzorora uye dutu.
Pamusana pengozi yekuvhara, anticholinergics inoshandiswa zvakanakisisa mumatambudziko ekurara-zvakanyanya zvikuru IBS ( IBS-D ) pane kubatwa-zvakanyanya IBS ( IBS-C ). Gastric reflux inowanzonziwo chikamu.
Anticholinergics inonyanyozivikanwa inosanganisira:
- Hyoscyamine
Mebeverine
Mebeverine inonzi musculotropic spasmolytic iyo inoshanda zvakafanana kune anticholinergics asi haina acetylcholine madhara. Allergic reactions yave ichitaurirwa mune vamwe, kunyanya mumhando yebhasikiti yakadzika-grade.
Mebeverine inowanzotaurwa kune vanhu vane IBS uye inowanikwa pasi pemazita mazhinji emhando dzakasiyana, kusanganisira Colofac, Duspamen, uye Duspatalin.
Peppermint Oil
Peppermint mafuta inowedzera-the-counter supplement iyo ine menthol, chinhu chinoratidzika kuva nechinotonhora pamusana unotapira.
Kubvunzurudzwa kwakaitwa 2015 neYunivhesiti yeCalifornia, San Diego yakagumisa kuti vanhu vane zviratidzo zveBS vaiva kazhinji katatu mukana wekuwana rubatsiro nemafuta epa peppermint kufananidza neavo vakapa placebo.
Kunyange zvazvo inonzi yakachengeteka kushandiswa kwenguva pfupi, mafuta epippermint anozivikanwa achikonzera kuora mwoyo (mamiriro ezvinhu anogona kudzivirirwa nekushandiswa kwe enteric-coated capsules ). Iva nechokwadi chekutsvaga chiremba wako usati watora peppermint mafuta kana chero imwe yepamusoro-the-counter supplement.
Peppermint mafuta inofanira kushandiswa nekuchenjerera kune vanhu vane kuchema kwepfungwa, hutachiona hunopera, hutachiona hwakakomba, gallbladder inflammation, kana bile duct kudzivisa.
Kudya Kwezvokudya
Mukuwedzera kumishonga yeantispasmodic, kuchinja kwezvokudya kunogonawo kuchinja zvikuru zviratidzo zveBS.
Zvichienderana nemhando dzauri kutarisana nazvo, unogona ku:
- Wedzerai fiber fiber kana kushandisa fiber supplement kuti musunungure IBS kuvhiringidza kana chirwere.
- Wedzera mvura inowanikwa kana yakagadziriswa.
- Dzivisa caffeine. ( Peppermint teyi inotsiva zvakanyanya.)
- Dzivisa magirasi kuderedza kubhururuka.
- Chiremera chikafu chine lactose, fructose, kana FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, uye polyols).
- Tora maitiro ekurapa mazuva ose kuti uchengetedze maruva ane utano hwakanaka.
> Sources:
> Centres for Disease Control and Prevention. "Epidemiology yeBD." Atlanta, Georgia; yakarongedzwa musi waMarch 31, 2015.
> Ford, A .; Moyyadedi, P .; Lacy, B. et.al. "American College of Gastroenterology Monograph paKutonga kweIriritable Bowel Syndrome uye Chronic Idiopathic Constipation" Amer J Gastroenterol. 2014; 109: S2-S26. DOI: 10.1038 / ajg.2014.187.
> Khanna, A .; MacDonald, J; uye Levesque, B. "Peppermint mafuta ekurapwa kwechirwere chemawere: chirongwa chekuongorora uye kuongorora meta." J Clinic Gastroenterol. 2014; 48 (6): 505-12. DOI: 10.1097 / MCG.0b013e3182a88357.