Pamusoro pemamiriro ezvinhu akasiyana-siyana ehutano anotambudza vanhu, hapana angaita seanosanganisira kubatanidzwa pakati pemafungiro nemuviri zvakanyanya sekutsamwa kwemawere (IBS). Izvi hazviiti nokuti IBS "yose iri mumusoro mumwe chete," asi panzvimbo yekuti hukuru hwakabatana hwehupfungwa dzedu uye chirwere chedu chekudya.
Iro uropi-hutano hwehutano hwakakonzera kushandiswa kwemafungiro akasiyana-siyana ehupfungwa / ehutano hwemuviri sekugona kurapa kweBS.
Kukurukurirana kunotevera kwehukama hwepfungwa / mumuviri muBS uye mhando dzakasiyana dzemafungiro / maitiro ekurapwa kwemuviri zvichakubatsira kuti uone kana kusarudza kwakadaro kungave kwakakunakira iwe.
Pfungwa / Mutumbi Kupatsanurwa
Nedzidziso inowanzotaurwa kune muzivi Rene Descartes, mushonga wemazuva ano wakashandisa "kupatsanura-uye-kukunda" urongwa uye naizvozvo akagadzira kupatsanurana pakati pemafungiro nemuviri. Kunyange zvazvo nzira iyi inoshanda mune izvo vanotsvakurudza uye vanachiremba vanogona kuisa pfungwa dzavo pamitemo yakasiyana-siyana yemutumbi, chinokanganisa chikuru kurasikirwa kwekutarisa pamusoro pokuti muviri unoshanda sese. Kushungurudzika-kuwedzera kwehutano hwehutano, hwakadai seBIB, iyo inokonzera mutsetse pakati pemafungiro nemuviri haisi nyore kunzwisisa kana kurapwa. Nokudaro, vanowanzowira mukuputsana pakati pekurapa.
Kubatana kweMafungiro / Mumuviri muBHS
Nenguva isipi, kuwedzera kwekutsvaga kwekutsvakurudza kwakaedza kujekesa zvirwere zvinokonzerwa nekuzvidya mwoyo.
Panyaya yeBBS, vatsvakurudzi vakataura nezveuropi-gut-axis, mushure-uye-kunze kutaurirana maitiro pakati pehupi hwedu nematumbo edu. Munharaunda iyi, kukurukurirana kunowanikwa kuburikidza neurotransmitters, makemikari akawanikwa mukati mehutano hwenheyo uye urongwa hwehutano hunopinda, iyo inhengo yehutachiona hwehutongi hunoita kuti kudyiwa.
Kukanganisika kwekushanda kwezvirongwa izvi zvinofungidzirwa kuti zvinokonzera zvinetso zvemotility uye hutachiona hunotaridzika hunoonekwa nevarwere veBibS.
Kunyange zvazvo zvinhu zvakawanda, izvo zvinozivikanwa uye zvisingazivikanwi, zvinofungidzirwa kuti zvigadzire zviratidzo zveBS , imwechete yakajeka-yakagadzikana inokonzera kushungurudzika. Kana tikamanikidzwa, kuchinja kwehutachiona hunoonekwa mukati mehutano nehutano hwemanzwiro, sechikamu chemuviri wekushushikana kwepanyama. Masayendisiti ari kudzidza chikonzero uye kuti sei izvi zvinokonzerwa neurochemical changes zvinobatsira kuBS.
Kuti uwedzere kuomesa dambudziko racho, sevamwe varwere veBibS vachakuudza, pane "chicken nehosi" yeBHI. Kushungurudzika kunogona kuwedzera zviratidzo zveBS, asi IBS pachayo inogona kunyanya kunetseka! Mifungiro / maitiro ekurapwa kwemuviri inova chinhu chinonakidza sezvavanobatsira kuwedzerwa kukwanisa kwemuviri kugadzirisa mupfungwa mupfungwa.
Psychotherapy yeBHS
Psychotherapy ndiyo iyo pfungwa yepfungwa / mishonga yemuviri yakagamuchira kunyanya kutsvakurudza. Nenzira yakawanda, zvidzidzo zvakaratidza kuti mhando dzakatevera dzepfungwa dzinoita kuti dzive dzakanaka kupfuura hutano hwehutano hwakanaka mukuderedza zviratidzo zveBS zvachose. Kuvandudza zviratidzo kuburikidza nekushandiswa kwepfungwa yepfungwa hakuiti chete kunowanikwa munguva pfupi asi kunoratidzika kuenderera mberi kwenguva.
- Cognitive behavioral therapy (CBT)
- Hypnotherapy
- Psychodynamic psychotherapy
Kunyange zvazvo zvakakosha kuwana chiremba ane ruzivo rwekubata IBS, izvi hazviiti nguva dzose. Mukufungidzira kwomunyori uyu uye ruzivo, mushonga anonyanya kugadzikana angave ari rubatsiro chero bedzi ivo vakasununguka kuti vanzwisise matambudziko anokonzerwa nekutarisana neBS. Chero mamiriro ose ezvinhu, iva nechokwadi chokuti mushandi wako ane chiremera chakakodzera.
Alternative Treatments
Mishonga iyi inoshandiswa kubudirira kuporesa zvirwere zvakawanda zvevanhu uye yakadzidziswa IBS. Kusvika iye zvino, kutsvakurudza hakuna kuratidza kubatsirana kwakagadzikana kwekugadziriswa kweBS.
Kune rumwe rutivi, biofeedback yakaratidza kubatsirwa kwekutsvakurudza sekurapa kwekuvhara , kunyanya kunokonzerwa nemamiriro ezvinhu anonzi dyssynergic defecation .
Kufungisisa Kufungisisa
Kunyatsofungisisa kufungisisa, chikamu chikuru chepfungwa-based stress reduction (MBSR), chinogona kuonekwa muchirevo chekuita zvakakwana senzira yekuderedza zviratidzo zveBS. Zvidzidzo zvekliniki pamusoro pekushandiswa kweMBSR yeBib dzakaratidza kuti zvinogona kubatsira mukugadzirisa zviratidzo, kunyanya kurwadziwa, nekuvandudza hupenyu hwehupenyu.
Movement Based Meditations
Izvi zvinotevera zvave zvichishandiswa senzira yekuderedza kushungurudzika nekuwedzera hutano. Zvidzidzo zvepakutanga zvakaratidza zvimwe zvinobudirira zve yoga pazviratidzo zveBS, asi tarisai, kutsvakurudza kwakaitwa pamusoro pezvibatsiro zvei tai for IBS inoita kunge isipo.
- Yoga
- Tai chi
Sources:
Ford, A., etal. " American College of Gastroenterology Monograph paKutonga kweIriritable Bowel Syndrome uye Chronic Idiopathic Constipation " American Journal of Gastroenterology 2014 109: S2-S26.
Lakhan, S. & Schofield, K. "Kufungidzira-Kwakarongwa Kurapa Mukurapa Kwekusawirirana Kwemazuva Ekunze: Kuongorora Kunongorongeka uye Kuongorora Meta" PLoS One 2013 8: e71834.
Laird, K., et et. al. "Kuita kwenguva pfupi uye kwenguva refu Efficacy yeMapfungwa yeArritable Bowel Syndrome: Ongororo Yakarongeka uye Meta-analysis" Clinical Gastroenterology uye Hepatology 2015 Epub mberi kwekudhinda.
Tanaka, Y., et.al. "Biopsychosocial Model ye Irritable Bowel Syndrome" Journal yeNeurogastroenterology neMotility 2011 17: 131-139.