Dhairrhea inonyanya kunetseka nehowel syndrome (IBS-D) uye zviratidzo zvekurwadziwa kwepamuviri uye kuputika, uye kazhinji, kushingaira kunononoka kwekusununguka, mvura yezuva, chirwere chinokanganisa utano. Kunyange zvazvo zvishoma, pane mimwe mishonga inogona kurongerwa muedza yekudzivirira zviratidzo. Mimwe yemishonga iyi yakagadzirirwa zvakananga IBS-D, apo mamwe anoshandiswa kutarisa zvimwe zviratidzo, uye mamwe anoshandiswa mune imwe nzira yekunyorera.
Pano iwe uchawana mhedziso yemishonga inokosha iyo chiremba wako angasarudza iwe.
Over-the-Counter Mishonga
Kune vanhu vazhinji vane IBS-D, Imodium , iyo inopfuura-the-anti antidiarrheal mishonga chimwe chinhu chinowanzochengetedzwa pedyo. Imodium inotorwa nemuromo uye inowanzomirirwa zvakanaka. Inoshanda pamararita kuburikidza nekuderedza kukurumidza kwemakumbo ekudzivirira uye chiyero chemvura mumatumbo makuru. Izvi zvinoguma nekukurumidza kukurumidza uye firmer stool. Zvinosuruvarisa, imodium haifaniri kunge ine simba rakawanda maererano nekuderedza marwadzo emimba.
Prescription Medication
Iyi mishonga inotevera yakagamuchira FDA mvumo yekurapa IBS-D:
Xifaxan: Xifaxan (rifaximin) is antibiotic inoshanda zvakasiyana nemishonga inorwisa mabhakitiriya yaungave uchiziva. Xifaxan haina kunyanya mudumbu uye saka zviito zvayo zvinofungidzirwa kuti zvinowanikwa munzvimbo iyi mumukati muduku.
Kushandiswa kweXifaxan sekurapa kweBS-D kwakavapo kubva pakutsvakurudza kunoratidza kuti madumbu emakemikari akawandisa (SIBO) angangodaro anokonzera zviratidzo zveBS-D. Nemhaka yokuti mishonga inoshanda munharaunda yacho, inowanzochengetedzwa zvakanaka uye haigoni kuitika kumaabhakitiriya mukati memukati makuru iyo mamwe mishonga inorwisa mabhakitiriya.
Mukutsvakurudza kwekutsvakurudza, Xifaxan yakanyatsoshanda kubudirira mukuderedza kurwadziwa kwepamuviri, chirwere chepachiviri uye zviputi.
Viberzi, Truberzi (Europe): Viberzi (eluxadoline) inoshanda pamashiripiti epiopi mukati mekudya kwako. Izvi zvinogadziriswa kutarisa kukurumidza kwemakumbo ekudzivirira, kuvharidza kwemvura uye kunzwa kunorwadza. Viberzi inoshanda munharaunda uye saka migumisiro inowanzosanyanya. Viberzi inonzi "inodzora zvinhu" nekuti pane ngozi yokuti inogona kuva tsika-kuumba. Mune zvidzidzo zvekutsvakurudza, Viberzi yakaratidzwa kuderedza zvirwere zvepakati uye marwadzo emimba.
Antispasmodics / Anticholinergics
Antispasmodic (anticholinergic) mishonga inowanzotarisirwa kuregererwa kwemarwadzo emimba uye kuputika kune vanhu vane IBS-D. Iyi mishonga inotarisirwa uye inoderedza neurotransmitter acetylcholine mumutambo wenheyo. Kubatsirwa kwemishonga iyi yeBIB = D inobva pakuderedzwa kwekudzivirirwa kwemukoko uye kuderedzwa kwemakumbo emimba. Kune imwe yeruzhinji yekutsvakurudza tsatsiro yekutambudzika-kununura nzvimbo dzeantispasmodics dzeBS. Antispasmodics yakanyorerwa IBS inosanganisira:
- Buscopan (Hyoscine butylbromide)
Antidepressants
Kunyange zvazvo inowanzotaurwa pamusoro pekurapwa kwekuora mwoyo nekuzvidya mwoyo, zvinodzvinyirira dzimwe nguva zvinorayirwa nekuda kwemigumisiro inobatsira pazviratidzo zveBS. Izvo hazvizivikanwe kuti nei chiitiko ichi chakanaka chiripo. Izvi zvinogona kunge zvichibva pamishonga inobatsira pamakumbo eurotransmitter anowanikwa muuropi uye mumatumbo , inogona kunge ine chimwe chinhu chingaita nemagumisiro ekukurukurirana pakati pematumbo nehuropi maererano nekunetseka kwepfungwa , kana zvinogona ita nemigumisiro yemishonga iyi kune zvikamu zvehuropi izvo zvinobatanidzwa mukudzvinyirira uye / kana kurwadziwa kunopindura.
Chero zvazvingava, zvinodhaka zvinogona kubatsira kubvisa marwadzo uye kunonoka kupfurikidza nekufamba kwemafupa, kunyanya kana chirwere chinopesana nemasikirwo chinosarudzwa. Kunyora anodzvinyirira kweBS inonzi "off-label," asi inokurudzirwa neAmerican College of Gastroenterology.
Bhiri Acid Binders
Kuongorora kwakabuda kunoratidza kuti anenge chikamu chetatu chematambudziko ose eBS-D angangodaro anokonzerwa nemamiriro ezvinhu anozivikanwa se bile acid diarrhea (BAD). Chiratidzo cheizvi chinogona kunge chiri chekuti zvirwere zvinokonzera zvirwere zvinoitika pakarepo mushure mekudya. Ichi chiitiko chinogona kubatsirwa kubva kune-off-label kushandisa kwemishonga inozivikanwa se bile acid binders. Iyi mishonga inosanganisira:
- Cholestyramine (Questran)
- Colesevelam (WelChol)
- Colestipol (Colestid)
> Sources:
> American College of Gastroenterology IBS Task Force "An Evidence-Based Position Statement pamusoro peKutonga kweIriritable Bowel Syndrome" American Journal of Gastroenterology 2009: S1-S35.
> Lazaraki, G., Chatzimavroudis, G. & Katsinelos, P. "Kufambira mberi munguva yekurapa kwepamusoro pemishonga inoshungurudza chirwere chinonzi" bowel syndrome " World Journal of Gastroenterology 2014; 20: 8867-8885.
> Tack J, Vanuytsel T, Corsetti M. "Modern Management of Irritable Bowel Syndrome: Zvinopfuura Kuziva." Kubata Zvirwere 2016; 34: 566-573.