Zvinosuruvarisa, vanhu vanowanzoguma vachibata nehutano hutano hwehutano nenguva. Uye dzimwe nguva, zvinogona kugoverana zvikonzero zvinoita kuti munhu awane mukana wakawedzerwa wokuva nedambudziko rimwe chete. Izvi zvinoratidzika sezvakaitika neBS uye kuora mwoyo. Izvi zvinotarisa zvinotarisa izvo zvinozivikanwa pamusoro pekubatana kwezvinhu zviviri izvi, uye zvaunogona kuita kuti uchengetedze zviratidzo zvese zvinetso zvose.
Chii Chinonzi Kuora Mwoyo?
Kushungurudzika chirwere chinoratidzirwa nekusingaperi kwemafaro kana kurasikirwa kwekufarira kana kufara pamwe chete nezvimwe zviratidzo zvakasiyana-siyana zvinopesana nekwaniso yemunhu yekushanda uye kunakidzwa noupenyu. Zviratidzo zvekuora mwoyo zvinogona kusanganisira:
- Kuchinja mukudya uye kuyerwa
- Dambudziko kuisa pfungwa
- Dambudziko rekurara uye / kana kuoma kuramba wakarara
- Manzwiro ekusava netariro, kuzviderera pasi, kunyanya kuora mhosva, uye kusava netariro
- Kusina simba nekukurudzira
- Kusiyanana nevamwe
- Kuda kuzviuraya uye kuedza
Pane mitemo yakawanda yekuora mwoyo ine zvikamu zvakasiyana, kusanganisira:
- Zvinokanganisa mafungiro ekuderedza chirwere
- Major depression disorder
- Dysthymic disorder
- Premenstrual dysphoric disorder (PMDD)
Kuwirirana kweBibS nekuDambudziko
Chirwere chepfungwa chinowanzozivikanwa zvikuru chepfungwa mumabhasi eBS ndechokuora mwoyo. Mune rumwe ruzivo, kuwanda kwekuongororwa kunetseka kwakafungidzirwa kuva 31% muvarwere veBBS vakatsvaga kurapwa.
Iyi nhamba yakakwirira kudarika kuwanda kwekuora mwoyo kunoonekwa nevarwere vane chirwere chinoputira chirwere (IBD) kana kuvanhu vakagwinya.
Nei vatachiona veBBS vangave vari pangozi yakanyanya yekuora mwoyo? Vatsvakurudzi vave vachitsvaka mhinduro. Imwe nzvimbo yekubvunzurudza ine chokuita nekutambudzika kwevana vaduku. Kuwanda kwehuwandu hwehutano hwepabonde uye / kana kushungurudzika mupfungwa muvarwere veBHS hune huwandu hwakawanda, uye humwe hunofungidzirwa hwakaenzana ne50%.
Kutarisana nematambudziko akadaro kunopa munhu pangozi yekukudziridza chirwere chepfungwa senguva yekuora mwoyo.
Vatsvakurudzi veBIB vave vachionawo basa iro surotransmitter serotonin inotarisa mumatambudziko maviri aya. Serotonin inobatanidzwa mune zvakawanda zvemabasa ekuchera uye inoita basa rinokosha mukukurukurirana pakati pebongo redu uye zvatinoshandisa. Serotonin mazinga anobatanidzwawo nehutano hwekuora mwoyo kunyange zvazvo maitiro ari mushure mehukama uhwu haanzwisisi zvakakwana. Nokudaro, matambudziko ane mutemo wemuviri we serotonin angave ari shure kwekubatana.
Mumwe mubvunzo wakanaka ndewekuti kuva neBS kunogona kukonzera kuora mwoyo. Chidzidzo chikuru chemakore gumi nemaviri chakawana kuti kuva neBS pakutanga kwekudzidza kwakabatanidzwa nepamusoro-kati yekuzvidya mwoyo uye kuora mwoyo pamagumo ekudzidza. Zvisinei, kupindira kwaivawo kwechokwadi. Vanhu vaiva nehuwandu hwekuzvidya mwoyo uye kuora mwoyo pakutanga kwekudzidza vakanga vari pangozi yakakura yekusimbiswa kweBS nekuguma kwekudzidza. Chidzidzo chevanotsvakurudza vanogumisa kuti izvi zvinoratidza kuti kusagadzikana kunokonzera kushungurudzika kwose kunogona kuitika mune imwe nzira, kureva kubva muuropi kusvika mumatumbo kana kubva mumatumbo kusvika kune uropi.
Zvaungaita Kana Une Zvose
Kunyangwe uine matambudziko maviri panguva imwechete inogona kuiswa pasi pe "hupenyu huri hwakanaka" pane, pane zvishoma zvekuvhara sirivha.
Chinhu chakanaka kune chinetso chimwe chinogonawo kubatsira kune imwe dambudziko. Unogona kuwana izvi kunyanya munzvimbo yekurapa mishonga.
Kunyange zvazvo iyo inofungidzirwa kuti iri kure-kushandiswa kwemavara , zvinodzvinyirira zvinowanzomirirwa kuvarwere veBS nokuda kwekubatsira kunobatsira pakugadzirisa marwadzo nekusimudzira kugadzirisa kushanda. Inofungidzirwa kuti iyi inobatsira inokonzerwa nemigumisiro yeanodzvinyirira pane serotonin nemamwe maurotransmitter.
Tricyclic vanodzvinyirira ndivo boka remakemikari rinokonzera chirwere chepachivi, zvichida kuvaita chisarudzo chiri nani kuvarwere vane chirwere chakanyanya kuvhiringidza bowel syndrome (IBS-D).
Sarudzo yeSerotonin Reuptake Inhibitors (SSRIs) ikirasi yevanorambidzana nehana inofungidzirwa kuti inongotarisa serotonin, zvichiita kuti zvive zvisingabatsiri zvikanganiso, kusanganisira kuvimbiswa. Nokudaro, munhu ane hutano -hukuru hunogumbura bhood syndrome (IBS-C) inogona kushandiswa zviri nani kuva nekuora mwoyo kwake kunotaurirwa nemishonga kubva muchikoro.
Imwe nzira yekufungisisa ndiyo kushandiswa kwekufunga kwehutano hwemaitiro (CBT). CBT ine ruzivo rwakasimba rwekutsvakurudza mukubatsira kubvisa zviratidzo zvezvose zvinoderedza uye IBS.
Sources:
American Psychiatric Association. "Kuongorora uye Statistical Manual yeMental Disorders, 4th ed., Text revision" 2000 Washington, DC
Koloski1, N., et.al. "Nzira yehutano hwemakumbo muhutano hwemagetsi hunobatsira ndeyemhando yepamusoro: chikwata chemakore gumi nemaviri chinotarisira chidzidzo chevanhu" Gut 2012 61: 1284-1290.
Surdea-Blaga, T., Baban, A. & Dumitrascu, D. "Mafungiro ehutano hwemagariro evanhu anonyangadza" Boga reWorld Journal of Gastroenterology 2012 18: 616-626.